chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: I had low grade fever of 100.7- 101, body aches, head congestion, and running nose. I to the urgent care and they tested me for COVID-19 and, I was positive. They prescribed me PAXLOVID 150 mg and 100 mg. I tested negative for COVID-19 on 12/25/2022.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I had low grade fever of 100.7- 101, body aches, head congestion, and running nose. I to the urgent care and they tested me for COVID-19 and, I was positive. They prescribed me PAXLOVID 150 mg and 100 mg. I tested negative for COVID-19 on 12/25/2022.
Age: 5.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: M.A. gave the patient a booster dose of the Pfizer covid vaccine, when patient was to receive the primary Pfizer covid vaccination.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Dyspnoea, Headache, Rhinorrhoea
Clinical narrative: On beginning of November 2022 in the morning around 8:00AM. I had a severe cough, headache, loss of appetite, shortness of breath, and runny nose. I was tested for COVID-19 3 times 1 at my doctor's office and 2 home COVID-19 tests. They were all negative. On 11/03/2022 I went to my doctor office, and she prescribe me with antibiotics, and prednisone. On 11/23/2022 I had the same symptoms again. On 11/30/2022 I went back to my doctor's office this time she prescribe me with a different antibiotics and more prednisone.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: On beginning of November 2022 in the morning around 8:00AM. I had a severe cough, headache, loss of appetite, shortness of breath, and runny nose. I was tested for COVID-19 3 times 1 at my doctor's office and 2 home COVID-19 tests. They were all negative. On 11/03/2022 I went to my doctor office, and she prescribe me with antibiotics, and prednisone. On 11/23/2022 I had the same symptoms again. On 11/30/2022 I went back to my doctor's office this time she prescribe me with a different antibiotics and more prednisone.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: vaccine vial used was past it's Beyond Use Date, which was 12/29/2022.  We are contacting clinical services to determine efficacy.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenectomy, Lymphadenopathy, Mobility decreased, Sensory loss
Clinical narrative: A month after 2nd vaccine, lymph nodes in that arm started to swell; I reached out a group of specialized Doctors through their website and was told that swollen lymph nodes are common and usually goes down in about 6-8 weeks; Went to Oncologist and after examination the doctor wanted to remove the swollen lymph nodes; Went ahead and had the surgery like she recommended and after a couple of weeks, went back to the doctor and noticed that their was a bump where the node was removed. My doctor thought it might be an incision stitch pushing through, so she pushed on it; Shortly after that I lost feeling in my arm and could barely lift it; My doctor never told me about the risks; Went to an ENT and doctor suspected that the stitch could've cut through the nerve; Haven't been able to confirm this.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Culture urine, Dysuria, Urinary tract infection, Urine analysis abnormal, Urine leukocyte esterase positive
Clinical narrative: Patient reports of dysuria and urinary burning after receipt of Moderna COVID19 Booster. Patient denies shortness of breath, chest pain/pressure, swelling, rash or hives, nausea/vomiting, diarrhea, or site reaction to injection site. Patient is adamant this is what caused her urinary tract infection for which she sought treatment for on 01/10/2022 in which she has been given nitrofurantoin 100mg PO BID x5 days and a urine culture has been sent.
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: Biopsy, Erythema, Peripheral swelling, Skin exfoliation
Clinical narrative: I was hesitant to get this 3rd dose because I had a severe adverse reaction to my 2nd Moderna dose; But since I have a compromised immune system I was encouraged to get it; I still had a small protrusion on my right arm that remained after my doctor removed a swollen lymph node; I chose to get this 3rd dose in my right arm as well because I didn't want to jeopardize anything going wrong with my left arm; After the vaccination a bump appeared on the red spot and it became bigger and scaly looking over the next couple of days; I went to a Dermatologist and a biopsy was done, but it came back inconclusive; I have an appointment to go back for more testing and they may choose to remove it.
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood pressure increased, Dysuria, Stress, Urinary tract infection
Clinical narrative: I received the Moderna Bivalent COVID-19 booster on 10/8/2022. Sometime in mid-November 2022, I began to experience symptoms similar to those of a UTI; namely, I felt a burning sensation whenever I urinated. One day, I decided to go to an urgent care clinic to see if they could help me. When they took my vitals, my blood pressure was extremely elevated. It was 180/113. I was put on ciprofloxacin for my UTI, and I was told to closely monitor my BP for the next several days. If it didn't go down, I was to see my PCP. After that, my BP alternated slightly, but it remained elevated, so I went to see my PCP. He prescribed me metoprolol XR (25 mg). He suspected that my elevated BP was caused by stress and told me to take the medication for so many days, monitor my BP, and to call him to report my BP readings. My BP did not get any lower, so he changed the dosage from 25 mg a day to 50 mg a day. He then again told me to monitor my BP and to call him back after so many days to report on the results. By the time I called him back, my BP had still not decreased a significant amount. The PCP then put me on 75 mg of metoprolol a day, and it is now my current dosage. At the time of this writing, the BP has come down slightly, but it is still in the elevated range.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Choking, Dyspnoea, Fear
Clinical narrative: I WAS SLEEPING AND AT APROXIMATELY 2:OO AM I STARTED CHOKING, I COULDNT BREATH AT ALL, IT LASTED LIKE 30 SECONDS BUT FELT LIKE AN HOUR!!! I STANDED UP AND MAKE A VERY STRONG EFFORT TO BREATH AND STARTED BREATHING A LITTLE BIT AND THEN NORMAL. MY HEART BEATED VERY STRONG, I WAS VERY SCARED!! I SHOULD NOT TAKE THE SECOND DOSE, RIGHT?
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: vaccine vial used was past it's Beyond Use Date, which was 12/29/2022.  We are contacting clinical services to determine efficacy.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Acute sinusitis, Biopsy muscle abnormal, Biopsy peripheral nerve abnormal, Cough, Feeling abnormal
Clinical narrative: After receiving second Pfizer vaccine, I felt like I was under anesthesia for two days.  A few weeks later, I acquired a deep wheezing cough in my lungs that lasted for six months. No medical (pulmonologist, neurologist or rheumatalogist) could figure out what was happening to me.  I then landed in the hospital for a week (March of 2022) with a pneumonia in my lungs, onset sepsis and acute sinusitis.  At that time, I started experiencing numbness in my feet. A few weeks later, I ended up in the hospital for a month (May 2022).  Here they did a biopsy of my nerves and muscles and discovered a rare Vasculitis Granulamatosis with Polyangitis. An autoimmune disease that attacked my central nervous system.  I am learning to walk again and use my hands!
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Gait inability, Granulomatosis with polyangiitis, Hypoaesthesia, Mobility decreased, Pneumonia
Clinical narrative: After receiving second Pfizer vaccine, I felt like I was under anesthesia for two days.  A few weeks later, I acquired a deep wheezing cough in my lungs that lasted for six months. No medical (pulmonologist, neurologist or rheumatalogist) could figure out what was happening to me.  I then landed in the hospital for a week (March of 2022) with a pneumonia in my lungs, onset sepsis and acute sinusitis.  At that time, I started experiencing numbness in my feet. A few weeks later, I ended up in the hospital for a month (May 2022).  Here they did a biopsy of my nerves and muscles and discovered a rare Vasculitis Granulamatosis with Polyangitis. An autoimmune disease that attacked my central nervous system.  I am learning to walk again and use my hands!
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis, Vasculitis, Wheezing
Clinical narrative: After receiving second Pfizer vaccine, I felt like I was under anesthesia for two days.  A few weeks later, I acquired a deep wheezing cough in my lungs that lasted for six months. No medical (pulmonologist, neurologist or rheumatalogist) could figure out what was happening to me.  I then landed in the hospital for a week (March of 2022) with a pneumonia in my lungs, onset sepsis and acute sinusitis.  At that time, I started experiencing numbness in my feet. A few weeks later, I ended up in the hospital for a month (May 2022).  Here they did a biopsy of my nerves and muscles and discovered a rare Vasculitis Granulamatosis with Polyangitis. An autoimmune disease that attacked my central nervous system.  I am learning to walk again and use my hands!
Age: 47.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Decreased appetite, Fatigue, SARS-CoV-2 test positive
Clinical narrative: My COVID-19 symptoms started on 12/29/2022 in the morning at 8:00AM. I experienced loss of appetite, and fatigue. I did a COVID-19 home rapid test which was negative. On 12/30/2022 I did another rapid test which was negative again. I scheduled a PCR test on 12/30/2022 at a COVID clinic which was positive. I spoke to a doctor from a hospital who prescribed me with PAXLOVID for 5 days.
Age: 17.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location).
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Back disorder, COVID-19, Condition aggravated, Myalgia, Nasal congestion
Clinical narrative: I had a fever, extreme muscle aches, stuffy nose, sore throat, no chest congestion, and nasal congestion. I already have back issues and COVID made it worse. I tested positive for COVID-19. The doctor prescribed me PAXLOVID.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I had a fever, extreme muscle aches, stuffy nose, sore throat, no chest congestion, and nasal congestion. I already have back issues and COVID made it worse. I tested positive for COVID-19. The doctor prescribed me PAXLOVID.
Age: 61.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: Arthritis, Electrocardiogram abnormal, Laboratory test abnormal, Neck pain, Pain in extremity
Clinical narrative: I had neck pain for about a month at the end of October 2022. My orthopedist and he believed it to be arthritis. On November 30th I noticed right calf pain that continued for about a week. I had a formal ultrasound, and I had a clot in my leg. I had more lab work and an EKG. They more abnormalities. I then had more tests and found more small clots in left upper and right lower lobe. I had no other symptoms than the calf pain.
Age: 61.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: Pulmonary embolism, Ultrasound scan abnormal
Clinical narrative: I had neck pain for about a month at the end of October 2022. My orthopedist and he believed it to be arthritis. On November 30th I noticed right calf pain that continued for about a week. I had a formal ultrasound, and I had a clot in my leg. I had more lab work and an EKG. They more abnormalities. I then had more tests and found more small clots in left upper and right lower lobe. I had no other symptoms than the calf pain.
Age: 89.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Sex: M
Vaccine: DTPPVHBHPB, FLU4, PNC13, DTPPVHBHPB, FLU4, PNC13
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given Influenza vaccine at his appt on 1/9/2023 and he is 3 months old and it was not on schedule. He is not due to receive the vaccine until he is 6 months old.
Age: 12.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Expired product administered
Clinical narrative: Pfizer vaccine bivalent booster was order and administer by medical assistant. at around 1600 another MA was getting ready to work on another family and notice that vaccine vial was label with date 1/9/23 at 0909. Medical assistant immediately called LVN supervisor to huddle and determine if in fact vial was expire. on investigation it was determine that the vial was originally puncture on 1/9/23 at 0909 and it was passed the 12hrs. Provider was notified, and mother was notified. attempt to call Pfizer for guidance but office was close. we will call on 1/11/23
Age: 74.0
Sex: M
Vaccine: UNK
Symptoms: Abdominal pain upper
Clinical narrative: Pt advised post vaccine 5 days experienced stomach pain that has continued 5 days, but has decreased each day in severity.
Age: 83.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site pain
Clinical narrative: Site: Pain at Injection Site-Medium
Age: 47.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine/Product Administered-
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 6.0
Sex: M
Vaccine: FLUN4
Symptoms: Expired product administered
Clinical narrative: Patient received expired FluMist. Expiration date was 01/09/2023 and vaccine was given on 01/10/2023.
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dyspnoea, Headache, Lethargy, Mobility decreased
Clinical narrative: Lethargy - not able to get up out of bed for 12 hours and again for 7 hours during the day. Could not move my left arm. Headache (not prone to them). Shortness of breath (no history of any heart issues). Totally healthy.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 82.0
Sex: F
Vaccine: FLUA4
Symptoms: Contusion, Dizziness
Clinical narrative: pt  came to report on 1/10/23  side effect that she has bruises and dizziness.   However, the bruises were not from the site of the injection.  She said she is getting better
Age: 19.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Cardiac imaging procedure, Chest discomfort, Electrocardiogram, Heart rate irregular
Clinical narrative: On the night of the day I received my first and only dose of the vaccine, I noticed a racing and heavy heartbeat. For months my chest felt pressure and discomfort. It started to get better but when I started going to the gym the next year it came back again and much worse to the point of needing to visit the emergency room.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations, Pericarditis
Clinical narrative: On the night of the day I received my first and only dose of the vaccine, I noticed a racing and heavy heartbeat. For months my chest felt pressure and discomfort. It started to get better but when I started going to the gym the next year it came back again and much worse to the point of needing to visit the emergency room.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle twitching
Clinical narrative: Muscle twitching. Entire body  One year continuous
Age: 43.0
Sex: F
Vaccine: COVID19-2
Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, Cardiac disorder, Computerised tomogram thorax abnormal, Cough
Clinical narrative: Patient started with fatigue, cough, and shortness of breath.  Was found to be hypoxic at an Urgent Care and was referred to the Emergency Department.  Patient was hypoxic and remained on supplemental oxygen during ED stay.  CTA of chest shows "bilateral extensive segmental an sub segmental pulmonary artery embolus.  CT evidence of right heart strain."    Treatment: supplemental oxygen, IV heparin  Outcome: ICU admission on 1/10/2023
Age: 43.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dyspnoea, Electrocardiogram, Fatigue, Hypoxia, Intensive care
Clinical narrative: Patient started with fatigue, cough, and shortness of breath.  Was found to be hypoxic at an Urgent Care and was referred to the Emergency Department.  Patient was hypoxic and remained on supplemental oxygen during ED stay.  CTA of chest shows "bilateral extensive segmental an sub segmental pulmonary artery embolus.  CT evidence of right heart strain."    Treatment: supplemental oxygen, IV heparin  Outcome: ICU admission on 1/10/2023
Age: 43.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pulmonary embolism, Troponin
Clinical narrative: Patient started with fatigue, cough, and shortness of breath.  Was found to be hypoxic at an Urgent Care and was referred to the Emergency Department.  Patient was hypoxic and remained on supplemental oxygen during ED stay.  CTA of chest shows "bilateral extensive segmental an sub segmental pulmonary artery embolus.  CT evidence of right heart strain."    Treatment: supplemental oxygen, IV heparin  Outcome: ICU admission on 1/10/2023
Age: 59.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Fever, body aches, chills 1 day
Age: 37.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash
Clinical narrative: Patient states that she has developed a rash on both wrists and wanted to check if it's okay for her to take Benadryl. No other adverse events reported.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: The patient was given Covid19 (Pfizer age 12+) Gray cap but should have received the Covid19 (Pfizer Updated Booster).
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: The patient was given Covid19 (Pfizer age 12+) Gray cap NDC# 59267-1025-04 but should have received the Covid19 (Pfizer Updated Booster 12+) NDC# 59267-0304-01.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: The patient was given Covid19 (Pfizer age 12+) Gray cap NDC# 59267-1025-04 but should have received the Covid19 (Pfizer Updated Booster 12+) NDC# 59267-0304-01.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: The patient was given Covid19 (Pfizer age 12+) Gray cap NDC# 59267-1025-04 but should have received the Covid19 (Pfizer Updated Booster 12+) NDC# 59267-0304-01.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Amnesia, Confusional state, Dizziness, Flushing, Headache
Clinical narrative: Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Mild, Additional Details: Patient became very confused and lost her memory for about 15 minutes.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hyperhidrosis
Clinical narrative: Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Mild, Additional Details: Patient became very confused and lost her memory for about 15 minutes.
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Error: Dose in Series Given Too Early-
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia
Clinical narrative: Systemic: claims shoulder pain 2 months after shot-Mild, Additional Details: Patient received shot on 10/21/22, recently had a doctors appointment and is having shoulder discomfort. Doctor told her "dont know" what shoulder issue is from. Call the pharmacy" Over 2 months after shot, its being reported to us.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Injection site pain, Pain in extremity
Clinical narrative: Site: Pain at Injection Site-Medium, Systemic: Pain/soreness from her shoulder to collar bone back down to her elbow.-Medium
Age: 3.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine/Product Administered-
Age: 32.0
Sex: M
Vaccine: COVID19-2
Symptoms: Dizziness, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium
Age: 32.0
Sex: M
Vaccine: FLUC4
Symptoms: Dizziness, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test, COVID-19, Cough, Decreased appetite, Diarrhoea
Clinical narrative: Had gotten the Shingles vaccine on 11/26/2022; Started feeling sick on 11/28/2022 with uncontrollable bladder and diarrhea especially when I'd cough; I started vomiting on 12/01/2022 and doctor advised me to go to the ER; Went to the hospital and was tested for Influenza and COVID-19; Tested negative for the Flu, but tested positive for COVID-19; Was admitted to the hospital and put in a room by myself and given an IV of Edemlivere for 5 days and TYLENOL as needed for fevers; Was in the hospital from 12/1/2022 through 12/09/2022; Also gave me MUCINEX and cough syrup and tablets; After I was discharged they kept me taking MUCINEX; After I got home I was still had a cough with some of the diarrhea with no appetite; Because of my Kidney disease they continuously test my blood and urine about every 2 to 3 days; Found out that I had a UTI, was given an antibiotic, took for 5 days and it cleared it up.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Influenza virus test negative, Malaise, Pyrexia, SARS-CoV-2 test positive, Urinary incontinence
Clinical narrative: Had gotten the Shingles vaccine on 11/26/2022; Started feeling sick on 11/28/2022 with uncontrollable bladder and diarrhea especially when I'd cough; I started vomiting on 12/01/2022 and doctor advised me to go to the ER; Went to the hospital and was tested for Influenza and COVID-19; Tested negative for the Flu, but tested positive for COVID-19; Was admitted to the hospital and put in a room by myself and given an IV of Edemlivere for 5 days and TYLENOL as needed for fevers; Was in the hospital from 12/1/2022 through 12/09/2022; Also gave me MUCINEX and cough syrup and tablets; After I was discharged they kept me taking MUCINEX; After I got home I was still had a cough with some of the diarrhea with no appetite; Because of my Kidney disease they continuously test my blood and urine about every 2 to 3 days; Found out that I had a UTI, was given an antibiotic, took for 5 days and it cleared it up.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Urinary tract infection, Urine analysis abnormal, Vomiting
Clinical narrative: Had gotten the Shingles vaccine on 11/26/2022; Started feeling sick on 11/28/2022 with uncontrollable bladder and diarrhea especially when I'd cough; I started vomiting on 12/01/2022 and doctor advised me to go to the ER; Went to the hospital and was tested for Influenza and COVID-19; Tested negative for the Flu, but tested positive for COVID-19; Was admitted to the hospital and put in a room by myself and given an IV of Edemlivere for 5 days and TYLENOL as needed for fevers; Was in the hospital from 12/1/2022 through 12/09/2022; Also gave me MUCINEX and cough syrup and tablets; After I was discharged they kept me taking MUCINEX; After I got home I was still had a cough with some of the diarrhea with no appetite; Because of my Kidney disease they continuously test my blood and urine about every 2 to 3 days; Found out that I had a UTI, was given an antibiotic, took for 5 days and it cleared it up.
Age: 6.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Child given 0.25 ml of infant covid while managing noticed vaccine & dosage was incorrect. Verbal explanation to nurse, provider and child's parent given. Explained child will get remaining of the dosage before leaving mom understand. Administered vaccine.
Age: 29.0
Sex: M
Vaccine: HPV9
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Dr. gave this RN an written order to start pt on the HPV vaccination series. After reviewing the patient's medical record, this RN missed the fact that pt received a dose of Gardasil 9 on 1/2/23. This RN administered an additional dose of Gardasil 9 to the pt on 1/9/23 around 4:40 pm. The pt was notified and Dr. was notified immediately. The patient was monitored for 15 minutes after vaccination with no adverse effects noted. Per Dr., the pt's vaccination schedule should be changed, so pt will receive the second dose of Gardasil 9 after 2 months, and the dose given on 1/9/23 will be considered pt's first dose of Gardasil 9. Pt was informed of this plan and is agreeable.
Age: 32.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: C-reactive protein increased, Catheterisation cardiac normal, Cellulitis, Dyspnoea, Injection site rash
Clinical narrative: Narrative:  Patient received Tdap and PPSV23 on 2/16/22 and developed rash on right arm where PPSV23 was administered the next day then on second day began to be SOB and was advised to go to ED outside the facility. Patient was treated for pericarditis and cellulitis. CRP and Sed rate were elevated but heart cath normal. Patient was treated with colchicine with good benefit and for cellulitis was treated with Keflex. Pt was hospitalized from 2/19 to 2/21 and on d/c was doing well, recovered, and no complications.
Age: 32.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Pericarditis, Red blood cell sedimentation rate increased
Clinical narrative: Narrative:  Patient received Tdap and PPSV23 on 2/16/22 and developed rash on right arm where PPSV23 was administered the next day then on second day began to be SOB and was advised to go to ED outside the facility. Patient was treated for pericarditis and cellulitis. CRP and Sed rate were elevated but heart cath normal. Patient was treated with colchicine with good benefit and for cellulitis was treated with Keflex. Pt was hospitalized from 2/19 to 2/21 and on d/c was doing well, recovered, and no complications.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Cough, Dyspnoea
Clinical narrative: Narrative:  72 y/o male with PMH of T2DM, obesity, HTN, chronic polycythemia vera followed by community hematologist has been having phlebotomy, chronic essential tremors, BPH, chronic vitamin D deficiency, possibly OSA currently on work-up as outpatient. Pt presented to ED on 05/21/22 w/ SOB, fatigue and cough. Pt positive for COVID 19 and admitted to hospital with acute hypoxic respiratory failure due to COVID PNA. Pt treated w/ remdesivir (05/22-05/27) and dexamethasone (05/22-06/01). Pt improved and discharged to Rehab on 06/03/22.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, SARS-CoV-2 test positive
Clinical narrative: Narrative:  72 y/o male with PMH of T2DM, obesity, HTN, chronic polycythemia vera followed by community hematologist has been having phlebotomy, chronic essential tremors, BPH, chronic vitamin D deficiency, possibly OSA currently on work-up as outpatient. Pt presented to ED on 05/21/22 w/ SOB, fatigue and cough. Pt positive for COVID 19 and admitted to hospital with acute hypoxic respiratory failure due to COVID PNA. Pt treated w/ remdesivir (05/22-05/27) and dexamethasone (05/22-06/01). Pt improved and discharged to Rehab on 06/03/22.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Bacterial infection, COVID-19, Complication associated with device, Gastrointestinal disorder, Headache
Clinical narrative: Narrative:  66 y/o male patient w/ PMH significant for HTN, concerns for alcoholic liver cirrhosis, and esophageal squamous cell carcinoma /esophageal stricture s/p recent PEG Tube placement, on TF. Pt presented to ED on 5/23/22 w/ clogged G-tube, headache, sore throat, body aches, and fever. Pt COVID + and admitted to hospital for further evaluation. Pt treated w/ remdesivir (5/24-5/27). Pt also treated for bacterial infection w/ unknown source, likely GI. Pt improved and discharged to home on 05/31/22.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Narrative:  66 y/o male patient w/ PMH significant for HTN, concerns for alcoholic liver cirrhosis, and esophageal squamous cell carcinoma /esophageal stricture s/p recent PEG Tube placement, on TF. Pt presented to ED on 5/23/22 w/ clogged G-tube, headache, sore throat, body aches, and fever. Pt COVID + and admitted to hospital for further evaluation. Pt treated w/ remdesivir (5/24-5/27). Pt also treated for bacterial infection w/ unknown source, likely GI. Pt improved and discharged to home on 05/31/22.
Age: 42.0
Sex: M
Vaccine: FLU4
Symptoms: Discharge, Hypoaesthesia, Paraesthesia
Clinical narrative: Narrative: Pt is a 41 year old male presented to a community ED with facial numbness after receiving a flu shot on same day (12/2/2022), no facial swelling, oral swelling, or difficulty breathing in triage. Pt treated in ER and discharged home with Rx for Benadryl 50 mg, 2 tablets, every 6 hours as needed for tingling and drainage and continue with the over-the-counter Pepcid once in the morning in the evening for the next 4 days. Pt was given a dose of steroids in the ER, today, dexamethasone, only once needed. Remember to not take the flu vaccine in the future
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Anaemia, Asthenia, COVID-19, Condition aggravated
Clinical narrative: Narrative:  79 y/o male w/ PMH significant for HTN, Anemia, PAD, HLD, BPH, T2DM, CKD, PAF, seizures and recent diagnosis of Parkinson's Disease. Pt presented to ED on 05/19/22 w/ decreased oral intake, weakness, cough and multiple falls. Pt admitted to hospital for failure to thrive, COVID 19 positive, anemia and AKI. Failure to thrive with increasing tremors in association with worsening Parkinson's Disease and possibly secondary to COVID. Pt with mild symptoms of COVID during hospital stay, mild cough. Pt received supplements of zinc and MVI during hospital stay. Pt improved and discharged to home on 5/31.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Cough, Failure to thrive, Fall, Hypophagia, Malaise
Clinical narrative: Narrative:  79 y/o male w/ PMH significant for HTN, Anemia, PAD, HLD, BPH, T2DM, CKD, PAF, seizures and recent diagnosis of Parkinson's Disease. Pt presented to ED on 05/19/22 w/ decreased oral intake, weakness, cough and multiple falls. Pt admitted to hospital for failure to thrive, COVID 19 positive, anemia and AKI. Failure to thrive with increasing tremors in association with worsening Parkinson's Disease and possibly secondary to COVID. Pt with mild symptoms of COVID during hospital stay, mild cough. Pt received supplements of zinc and MVI during hospital stay. Pt improved and discharged to home on 5/31.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Parkinson's disease, SARS-CoV-2 test positive, Tremor
Clinical narrative: Narrative:  79 y/o male w/ PMH significant for HTN, Anemia, PAD, HLD, BPH, T2DM, CKD, PAF, seizures and recent diagnosis of Parkinson's Disease. Pt presented to ED on 05/19/22 w/ decreased oral intake, weakness, cough and multiple falls. Pt admitted to hospital for failure to thrive, COVID 19 positive, anemia and AKI. Failure to thrive with increasing tremors in association with worsening Parkinson's Disease and possibly secondary to COVID. Pt with mild symptoms of COVID during hospital stay, mild cough. Pt received supplements of zinc and MVI during hospital stay. Pt improved and discharged to home on 5/31.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Erythema, Pruritus, Urticaria
Clinical narrative: Narrative: 1) hives all over/big welts-all over arms,shoulders,chest,stomach,back redness,itchy Transfer to RN - ongoing x Moderna shot yesterday Unable to screen for COVID 19 due to BAT symptoms. Nurse Notes: COVID vaccine - Hives all over body. Has had immunization in the past, without any difficulty. Pt states that he has hives that are all over his body, and spreading as well as hived on his neck, no difficulty swollowing at this time, but reports that he feels slightly short of breath.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthma, COVID-19, Chest X-ray normal, Chest pain, Chills
Clinical narrative: Narrative:  57 y/o male with PMH for diabetes, hypothyroidism, hypertension, BPH, hyperlipidemia, and asthma. Pt presented to ED with complaints of fever, cough, chills and fatigue on 5/21/22. Pt admitted to hospital with COVID 19, chest pain and asthma exacerbation. Pt treated w/ remdesivir (05/21-05/23), dexamethasone (05/22, 05/23) and azithromycin (05/21, 05/22). Pt improved and discharged to home on 05/23.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Cough, Fatigue, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Narrative:  57 y/o male with PMH for diabetes, hypothyroidism, hypertension, BPH, hyperlipidemia, and asthma. Pt presented to ED with complaints of fever, cough, chills and fatigue on 5/21/22. Pt admitted to hospital with COVID 19, chest pain and asthma exacerbation. Pt treated w/ remdesivir (05/21-05/23), dexamethasone (05/22, 05/23) and azithromycin (05/21, 05/22). Pt improved and discharged to home on 05/23.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Asthenia, COVID-19, Fall, Fatigue
Clinical narrative: Narrative:  88 y/o male w/ PMH of asthma, HTN, CAD, MDD, PTSD, GERD, BPH and OA. Pt presented to ED on 05/26/22 w/ COVID + several days ago while at facility, frequent falls, general fatigue & weakness. Pt admitted to hospital for sinus bradycardia. Pt treated for Rt knee pain-DJD, ESBL UTI, and COVID 19. Pt treated w/ remdesivir (05/27-05/31) and dexamethasone (05/27-06/02) for COVID 19. Pt improved and discharged to home on 06/15.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Osteoarthritis, Pathogen resistance, SARS-CoV-2 test positive, Sinus bradycardia, Urinary tract infection
Clinical narrative: Narrative:  88 y/o male w/ PMH of asthma, HTN, CAD, MDD, PTSD, GERD, BPH and OA. Pt presented to ED on 05/26/22 w/ COVID + several days ago while at facility, frequent falls, general fatigue & weakness. Pt admitted to hospital for sinus bradycardia. Pt treated for Rt knee pain-DJD, ESBL UTI, and COVID 19. Pt treated w/ remdesivir (05/27-05/31) and dexamethasone (05/27-06/02) for COVID 19. Pt improved and discharged to home on 06/15.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Anaemia of chronic disease, COVID-19, Cardiac failure
Clinical narrative: Narrative:  71 y/o male w/ PMH for HTN, Asthma, HLD, Lumbago, CKD, and HF. Pt presented to the ED on 06/04/22 with SOB worsening over 5 days. Pt admitted to hospital ICU w/ acute hypoxic respiratory failure secondary to heart failure with reduced ejection fraction exacerbation. Pt also treated for Acute kidney injury on CKD 4, pulmonary hypertension, hypertensive urgency, anemia secondary to chronic disease and COVID-19 infection. Pt treated with dexamethasone (06/4-06/05) and supportive treatment during hospital stay for COVID. Pt improved and discharged to home on 06/14.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chronic kidney disease, Condition aggravated, Dyspnoea, Hypertensive urgency, Intensive care
Clinical narrative: Narrative:  71 y/o male w/ PMH for HTN, Asthma, HLD, Lumbago, CKD, and HF. Pt presented to the ED on 06/04/22 with SOB worsening over 5 days. Pt admitted to hospital ICU w/ acute hypoxic respiratory failure secondary to heart failure with reduced ejection fraction exacerbation. Pt also treated for Acute kidney injury on CKD 4, pulmonary hypertension, hypertensive urgency, anemia secondary to chronic disease and COVID-19 infection. Pt treated with dexamethasone (06/4-06/05) and supportive treatment during hospital stay for COVID. Pt improved and discharged to home on 06/14.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pulmonary hypertension, SARS-CoV-2 test positive
Clinical narrative: Narrative:  71 y/o male w/ PMH for HTN, Asthma, HLD, Lumbago, CKD, and HF. Pt presented to the ED on 06/04/22 with SOB worsening over 5 days. Pt admitted to hospital ICU w/ acute hypoxic respiratory failure secondary to heart failure with reduced ejection fraction exacerbation. Pt also treated for Acute kidney injury on CKD 4, pulmonary hypertension, hypertensive urgency, anemia secondary to chronic disease and COVID-19 infection. Pt treated with dexamethasone (06/4-06/05) and supportive treatment during hospital stay for COVID. Pt improved and discharged to home on 06/14.
Age: 92.0
Sex: M
Vaccine: VARZOS
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Adrenal neoplasm, Asthenia, Atrial fibrillation, Benign prostatic hyperplasia, COVID-19
Clinical narrative: Narrative:  85 y/o male w/ PMH of essential hypertension, dementia with cognitive impairment, recently diagnosed adrenal incidentaloma, BPH, sickle cell trait, and glaucoma. Pt presented to ED on 06/08/22 w/ increased confusion after he has his allergy shot from community clinic that morning and noted generally weak upon going back home. Pt w/ afib RVR, nasal congestion, cough, fever and positive for COVID 19 and admitted to hospital. Chest X-ray negative for infiltrates. Pt treated with remdesivir (06/08-06/10). Pt also treated for chronic hypertension, chronic BPH , PVRs x 1 high now normal on Tamsulosin, chronic vitamin D deficiency, chronic unspecified glaucoma both eyes, chronic allergic rhinitis, acute hypokalemia and mild Thrombocytopenia due to COVID syndrome most likely. Pt improved and discharged to home on 06/14.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest X-ray normal, Condition aggravated, Confusional state, Cough, Glaucoma
Clinical narrative: Narrative:  85 y/o male w/ PMH of essential hypertension, dementia with cognitive impairment, recently diagnosed adrenal incidentaloma, BPH, sickle cell trait, and glaucoma. Pt presented to ED on 06/08/22 w/ increased confusion after he has his allergy shot from community clinic that morning and noted generally weak upon going back home. Pt w/ afib RVR, nasal congestion, cough, fever and positive for COVID 19 and admitted to hospital. Chest X-ray negative for infiltrates. Pt treated with remdesivir (06/08-06/10). Pt also treated for chronic hypertension, chronic BPH , PVRs x 1 high now normal on Tamsulosin, chronic vitamin D deficiency, chronic unspecified glaucoma both eyes, chronic allergic rhinitis, acute hypokalemia and mild Thrombocytopenia due to COVID syndrome most likely. Pt improved and discharged to home on 06/14.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypertension, Hypokalaemia, Nasal congestion, Pyrexia, Residual urine volume increased
Clinical narrative: Narrative:  85 y/o male w/ PMH of essential hypertension, dementia with cognitive impairment, recently diagnosed adrenal incidentaloma, BPH, sickle cell trait, and glaucoma. Pt presented to ED on 06/08/22 w/ increased confusion after he has his allergy shot from community clinic that morning and noted generally weak upon going back home. Pt w/ afib RVR, nasal congestion, cough, fever and positive for COVID 19 and admitted to hospital. Chest X-ray negative for infiltrates. Pt treated with remdesivir (06/08-06/10). Pt also treated for chronic hypertension, chronic BPH , PVRs x 1 high now normal on Tamsulosin, chronic vitamin D deficiency, chronic unspecified glaucoma both eyes, chronic allergic rhinitis, acute hypokalemia and mild Thrombocytopenia due to COVID syndrome most likely. Pt improved and discharged to home on 06/14.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Rhinitis allergic, SARS-CoV-2 test positive, Sickle cell trait, Thrombocytopenia, Vitamin D deficiency
Clinical narrative: Narrative:  85 y/o male w/ PMH of essential hypertension, dementia with cognitive impairment, recently diagnosed adrenal incidentaloma, BPH, sickle cell trait, and glaucoma. Pt presented to ED on 06/08/22 w/ increased confusion after he has his allergy shot from community clinic that morning and noted generally weak upon going back home. Pt w/ afib RVR, nasal congestion, cough, fever and positive for COVID 19 and admitted to hospital. Chest X-ray negative for infiltrates. Pt treated with remdesivir (06/08-06/10). Pt also treated for chronic hypertension, chronic BPH , PVRs x 1 high now normal on Tamsulosin, chronic vitamin D deficiency, chronic unspecified glaucoma both eyes, chronic allergic rhinitis, acute hypokalemia and mild Thrombocytopenia due to COVID syndrome most likely. Pt improved and discharged to home on 06/14.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthma, COVID-19, Chest X-ray normal, Chest pain, Chills
Clinical narrative: Narrative:  57 y/o male with PMH for diabetes, hypothyroidism, hypertension, BPH, hyperlipidemia, and asthma. Pt presented to ED with complaints of fever, cough, chills and fatigue on 5/21/22. Pt admitted to hospital with COVID 19, chest pain and asthma exacerbation. Pt treated w/ remdesivir (05/21-05/23), dexamethasone (05/22, 05/23) and azithromycin (05/21, 05/22). Pt improved and discharged to home on 5/23.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Cough, Fatigue, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Narrative:  57 y/o male with PMH for diabetes, hypothyroidism, hypertension, BPH, hyperlipidemia, and asthma. Pt presented to ED with complaints of fever, cough, chills and fatigue on 5/21/22. Pt admitted to hospital with COVID 19, chest pain and asthma exacerbation. Pt treated w/ remdesivir (05/21-05/23), dexamethasone (05/22, 05/23) and azithromycin (05/21, 05/22). Pt improved and discharged to home on 5/23.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Erythema, Pruritus, Urticaria
Clinical narrative: Narrative: 1) hives all over/big welts-all over arms,shoulders,chest,stomach,back redness,itchy Transfer to RN - ongoing x Moderna shot yesterday Unable to screen for COVID 19 due to BAT symptoms. Nurse Notes; COVID vaccine - Hives all over body. Has had immunization in the past, without any difficulty. Pt states that he has hives that are all over his body, and spreading as well as hived on his neck, no difficulty swollowing at this time, but reports that he feels slightly short of breath.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Narrative: Patient received third dose of Pfizer vaccine in December 2021. In October 2022, patient declined COVID-19 vaccine due to reported rash with third dose.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, COVID-19, Dyspnoea, Dyspnoea exertional, Fatigue
Clinical narrative: Narrative:  77 year old MALE with PMH of metastatic adenocarcinoma of the rectum (stage IV) on chemotherapy, peripheral neuropathy, and COPD. Pt presented to ED on 06/09/22 w/ 2 days worsening hemoptysis in setting of persistent right-sided pleural effusion and pneumothorax. Pt reports shortness of breath has been going on for several months, however progressively worsened approximately 2 days ago. Pt w/ increasing fatigue, dyspnea on minimal exertion and increasing productive cough with noted blood-tinged sputum. Pt admitted to hospital on 06/09. Pt tested negative for COVID 19 on 06/09. Pt tested positive for COVID 19 on 06/10 and transferred to ICU due to Afib RVR. Pt received remdesivir (06/13-06/16). Pt converted back to SR on 06/13. Pt stable and discharged to home w/ hospice on 06/16.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Haemoptysis, Intensive care, Pleural effusion, Pneumothorax, Productive cough
Clinical narrative: Narrative:  77 year old MALE with PMH of metastatic adenocarcinoma of the rectum (stage IV) on chemotherapy, peripheral neuropathy, and COPD. Pt presented to ED on 06/09/22 w/ 2 days worsening hemoptysis in setting of persistent right-sided pleural effusion and pneumothorax. Pt reports shortness of breath has been going on for several months, however progressively worsened approximately 2 days ago. Pt w/ increasing fatigue, dyspnea on minimal exertion and increasing productive cough with noted blood-tinged sputum. Pt admitted to hospital on 06/09. Pt tested negative for COVID 19 on 06/09. Pt tested positive for COVID 19 on 06/10 and transferred to ICU due to Afib RVR. Pt received remdesivir (06/13-06/16). Pt converted back to SR on 06/13. Pt stable and discharged to home w/ hospice on 06/16.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sinus rhythm
Clinical narrative: Narrative:  77 year old MALE with PMH of metastatic adenocarcinoma of the rectum (stage IV) on chemotherapy, peripheral neuropathy, and COPD. Pt presented to ED on 06/09/22 w/ 2 days worsening hemoptysis in setting of persistent right-sided pleural effusion and pneumothorax. Pt reports shortness of breath has been going on for several months, however progressively worsened approximately 2 days ago. Pt w/ increasing fatigue, dyspnea on minimal exertion and increasing productive cough with noted blood-tinged sputum. Pt admitted to hospital on 06/09. Pt tested negative for COVID 19 on 06/09. Pt tested positive for COVID 19 on 06/10 and transferred to ICU due to Afib RVR. Pt received remdesivir (06/13-06/16). Pt converted back to SR on 06/13. Pt stable and discharged to home w/ hospice on 06/16.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Bladder cancer, COVID-19, Condition aggravated, Corynebacterium infection
Clinical narrative: Narrative:  79 year old female with a PMH of paroxysmal atrial fibrillation, stage II (T2N0M0) high grade invasive urothelial carcinoma of the Bladder, remote breast cancer, macular degeneration, GERD, HTN and HLD. Pt presents to ED on 06/08/22 after recent discharge (6/07) from outside hospital where she was diagnosed w/ a cold, hyponatremia, Corynebacterium UTI and metabolic encephalopathy. Pt complains of weakness and chronic headache. Pt positive for COVID 19 w/ failure to thrive, hypomagnesemia, bladder cancer and admitted to hospital. During hospital stay, pt received supportive care only for COVID 19. Pt determined to have metastatic disease and placed on hospice care. Pt discharged to nursing home on 06/29.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Failure to thrive, Headache, Hypomagnesaemia, Hyponatraemia, Metabolic encephalopathy
Clinical narrative: Narrative:  79 year old female with a PMH of paroxysmal atrial fibrillation, stage II (T2N0M0) high grade invasive urothelial carcinoma of the Bladder, remote breast cancer, macular degeneration, GERD, HTN and HLD. Pt presents to ED on 06/08/22 after recent discharge (6/07) from outside hospital where she was diagnosed w/ a cold, hyponatremia, Corynebacterium UTI and metabolic encephalopathy. Pt complains of weakness and chronic headache. Pt positive for COVID 19 w/ failure to thrive, hypomagnesemia, bladder cancer and admitted to hospital. During hospital stay, pt received supportive care only for COVID 19. Pt determined to have metastatic disease and placed on hospice care. Pt discharged to nursing home on 06/29.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Metastatic neoplasm, Nasopharyngitis, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Narrative:  79 year old female with a PMH of paroxysmal atrial fibrillation, stage II (T2N0M0) high grade invasive urothelial carcinoma of the Bladder, remote breast cancer, macular degeneration, GERD, HTN and HLD. Pt presents to ED on 06/08/22 after recent discharge (6/07) from outside hospital where she was diagnosed w/ a cold, hyponatremia, Corynebacterium UTI and metabolic encephalopathy. Pt complains of weakness and chronic headache. Pt positive for COVID 19 w/ failure to thrive, hypomagnesemia, bladder cancer and admitted to hospital. During hospital stay, pt received supportive care only for COVID 19. Pt determined to have metastatic disease and placed on hospice care. Pt discharged to nursing home on 06/29.