chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Pleural effusion, SARS-CoV-2 test positive, White blood cell count decreased
Clinical narrative: 6/24/2022-Presents to ED, + home covid test and coughing. Covid + test. ABG-7.46/34.1/32/24.4. CT chest bibasilar mild consolidation and minimal plueral effusions. 2L NC 96%.HR-113.  Ordered dexamthasone, CAP coverage IV azithromycin , Rocephin and Remdesivir. Intial bp was 76/45 bolus given, now 89/50, patients baseline. MAP is around 63-65, started on levophed and fluids were d/c questionable HF. WBC 3.1 was 6.1 6 days prior, leukopenia immunotherapy in the setting of multiple myeloma. D Dimer 1125, CT was negative for PE. Admit acute hypoxic rep distress s/t to Covid pna.  6/26/2022- D/C remdesivir, no longer hypoxic. VSS. WBC 4.3. 6/28/2022-Continues on RA for 02, completed IV azithromycin and Rocephin course. VSS. D/CLevophed map around 70's. D/C Home.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Back pain, Pain, Product storage error, Vaccination site pain
Clinical narrative: Vaccine was exposed to storage temperatures outside the recommended ranges. Patient presented pain on the area the vaccine was administered through her back.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Escherichia test positive, Fall, Gait disturbance
Clinical narrative: 7/19/2022-Presents to ED, c/o weaknessdifficulty ambulating leading to falls.  Had fever of 101.7 at home. Covid + not hypoxic. Ordered Vacno , betelovimab and and ceftriaxone. T: 102.2, HR-100. UTI-coverage with ceftriaxone. Admit SIRS with possible septic acute UTI vs covid.  7/21/2022-No acute resp distress. VSS Afebrile.  7/22/2022-UA positive with E Coli transition to Omnicef for 4 additional days. VSS. Asymptomatic covid. D/C to home.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Systemic inflammatory response syndrome, Urine analysis abnormal
Clinical narrative: 7/19/2022-Presents to ED, c/o weaknessdifficulty ambulating leading to falls.  Had fever of 101.7 at home. Covid + not hypoxic. Ordered Vacno , betelovimab and and ceftriaxone. T: 102.2, HR-100. UTI-coverage with ceftriaxone. Admit SIRS with possible septic acute UTI vs covid.  7/21/2022-No acute resp distress. VSS Afebrile.  7/22/2022-UA positive with E Coli transition to Omnicef for 4 additional days. VSS. Asymptomatic covid. D/C to home.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Chronic obstructive pulmonary disease, Computerised tomogram thorax abnormal, Condition aggravated, Pneumonia
Clinical narrative: 7/20/2022-Presnts to ED, Admit chronic hypoxic resp failure s/t to severe COPD with recent exacerbation and unresolved pna. Covid + test. Ordered Levaquin, decadron and  bebtelovimab. On 3L NC, on baseline oxygen . WBC-27.3 Recent IP stay 7/10-7/14/2022 for PNA had been on ceftriaxone and azithromycin.  Chest CT potential R lower lobe infiltrate.  7/22/2022. Improved, continue prednisone taper ad Levaquin. WBC-22.6. D/C home with home health services.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive, White blood cell count increased
Clinical narrative: 7/20/2022-Presnts to ED, Admit chronic hypoxic resp failure s/t to severe COPD with recent exacerbation and unresolved pna. Covid + test. Ordered Levaquin, decadron and  bebtelovimab. On 3L NC, on baseline oxygen . WBC-27.3 Recent IP stay 7/10-7/14/2022 for PNA had been on ceftriaxone and azithromycin.  Chest CT potential R lower lobe infiltrate.  7/22/2022. Improved, continue prednisone taper ad Levaquin. WBC-22.6. D/C home with home health services.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Admitted to hospital.
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Asthenia, Atelectasis, Blood creatinine increased, Blood sodium decreased
Clinical narrative: 7/29/2022- Presents to ED, c/o weakness and cough. Afebrile, BP210/88 and RR-29. Covid + test. CXR:bibasilar linear atelectasis. Ordered remdesivir. AKI, creatnine 1.4, stop Lasix. Admit for CHF exacerbation in setting of Covid.  8/1/2022. Continue remdesivir, Creatnine down to 1.1 . VSS afebrile. No 02 use,  8/12/2022- NA level down to 123, rectal temp 94. CT head negative. Bear hugger. Ordered IV cefepime and Vacno for Septicemia.  8/15/2022- AKI resolved, VSS. Continue cefepime and vanco.  8/17/2022-D/C to SNF, 7 dasy of cefdinir and doxycycline. VSS.
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Cardiac failure congestive, Chest X-ray abnormal, Computerised tomogram head normal, Condition aggravated
Clinical narrative: 7/29/2022- Presents to ED, c/o weakness and cough. Afebrile, BP210/88 and RR-29. Covid + test. CXR:bibasilar linear atelectasis. Ordered remdesivir. AKI, creatnine 1.4, stop Lasix. Admit for CHF exacerbation in setting of Covid.  8/1/2022. Continue remdesivir, Creatnine down to 1.1 . VSS afebrile. No 02 use,  8/12/2022- NA level down to 123, rectal temp 94. CT head negative. Bear hugger. Ordered IV cefepime and Vacno for Septicemia.  8/15/2022- AKI resolved, VSS. Continue cefepime and vanco.  8/17/2022-D/C to SNF, 7 dasy of cefdinir and doxycycline. VSS.
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Cough, SARS-CoV-2 test positive, Sepsis
Clinical narrative: 7/29/2022- Presents to ED, c/o weakness and cough. Afebrile, BP210/88 and RR-29. Covid + test. CXR:bibasilar linear atelectasis. Ordered remdesivir. AKI, creatnine 1.4, stop Lasix. Admit for CHF exacerbation in setting of Covid.  8/1/2022. Continue remdesivir, Creatnine down to 1.1 . VSS afebrile. No 02 use,  8/12/2022- NA level down to 123, rectal temp 94. CT head negative. Bear hugger. Ordered IV cefepime and Vacno for Septicemia.  8/15/2022- AKI resolved, VSS. Continue cefepime and vanco.  8/17/2022-D/C to SNF, 7 dasy of cefdinir and doxycycline. VSS.
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acute myocardial infarction, Acute respiratory failure, Alanine aminotransferase increased, Anticoagulant therapy, Aortic stenosis
Clinical narrative: 8/10/2022- Presents to ED, c/o covid + at home, headache, vomiting . Covid- test. HR-109 and RR-24. Afebrile. Spo2 99% on 6L, place on  Bipap. Creatnine 1.6. EGFR-40 CXR: pulmonary infiltrates.  Admit acute resp failure s/t CHF exacerbation . 8/12/2022-Increased SOB, eKg no change. Monitor. Albuteral inhaler.  8/13/2022- Alternated between 6l nc and Bipap 60%. Trop critical 1.860. Heparin Drip. PM- trop now 6.180. non-ST segment elevation MI  ICU.Nitro.  Covid + test. EGFR-21. 8/14/2022-Venous dopplers negative. Continue Heparin drip. Start Decadron and Doxy. Held remdesivir d/t renal function.  8/16/2022- Creatnine now 3.0 BUN-110 Continue to hold ARBs/ACEi. Unable to do cardiac cath d/t renal fucntion. ALT-396
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Aspartate aminotransferase increased, Atrial fibrillation, Blood creatinine increased, Blood gases, Blood urea increased
Clinical narrative: 8/10/2022- Presents to ED, c/o covid + at home, headache, vomiting . Covid- test. HR-109 and RR-24. Afebrile. Spo2 99% on 6L, place on  Bipap. Creatnine 1.6. EGFR-40 CXR: pulmonary infiltrates.  Admit acute resp failure s/t CHF exacerbation . 8/12/2022-Increased SOB, eKg no change. Monitor. Albuteral inhaler.  8/13/2022- Alternated between 6l nc and Bipap 60%. Trop critical 1.860. Heparin Drip. PM- trop now 6.180. non-ST segment elevation MI  ICU.Nitro.  Covid + test. EGFR-21. 8/14/2022-Venous dopplers negative. Continue Heparin drip. Start Decadron and Doxy. Held remdesivir d/t renal function.  8/16/2022- Creatnine now 3.0 BUN-110 Continue to hold ARBs/ACEi. Unable to do cardiac cath d/t renal fucntion. ALT-396
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Bronchial secretion retention, Bronchoalveolar lavage, COVID-19, Cardiac failure congestive, Catheter placement
Clinical narrative: 8/10/2022- Presents to ED, c/o covid + at home, headache, vomiting . Covid- test. HR-109 and RR-24. Afebrile. Spo2 99% on 6L, place on  Bipap. Creatnine 1.6. EGFR-40 CXR: pulmonary infiltrates.  Admit acute resp failure s/t CHF exacerbation . 8/12/2022-Increased SOB, eKg no change. Monitor. Albuteral inhaler.  8/13/2022- Alternated between 6l nc and Bipap 60%. Trop critical 1.860. Heparin Drip. PM- trop now 6.180. non-ST segment elevation MI  ICU.Nitro.  Covid + test. EGFR-21. 8/14/2022-Venous dopplers negative. Continue Heparin drip. Start Decadron and Doxy. Held remdesivir d/t renal function.  8/16/2022- Creatnine now 3.0 BUN-110 Continue to hold ARBs/ACEi. Unable to do cardiac cath d/t renal fucntion. ALT-396
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Chest X-ray abnormal, Condition aggravated, Culture negative, Culture urine positive, Death
Clinical narrative: 8/10/2022- Presents to ED, c/o covid + at home, headache, vomiting . Covid- test. HR-109 and RR-24. Afebrile. Spo2 99% on 6L, place on  Bipap. Creatnine 1.6. EGFR-40 CXR: pulmonary infiltrates.  Admit acute resp failure s/t CHF exacerbation . 8/12/2022-Increased SOB, eKg no change. Monitor. Albuteral inhaler.  8/13/2022- Alternated between 6l nc and Bipap 60%. Trop critical 1.860. Heparin Drip. PM- trop now 6.180. non-ST segment elevation MI  ICU.Nitro.  Covid + test. EGFR-21. 8/14/2022-Venous dopplers negative. Continue Heparin drip. Start Decadron and Doxy. Held remdesivir d/t renal function.  8/16/2022- Creatnine now 3.0 BUN-110 Continue to hold ARBs/ACEi. Unable to do cardiac cath d/t renal fucntion. ALT-396
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Echocardiogram, Ejection fraction decreased, Electrocardiogram normal, Endotracheal intubation
Clinical narrative: 8/10/2022- Presents to ED, c/o covid + at home, headache, vomiting . Covid- test. HR-109 and RR-24. Afebrile. Spo2 99% on 6L, place on  Bipap. Creatnine 1.6. EGFR-40 CXR: pulmonary infiltrates.  Admit acute resp failure s/t CHF exacerbation . 8/12/2022-Increased SOB, eKg no change. Monitor. Albuteral inhaler.  8/13/2022- Alternated between 6l nc and Bipap 60%. Trop critical 1.860. Heparin Drip. PM- trop now 6.180. non-ST segment elevation MI  ICU.Nitro.  Covid + test. EGFR-21. 8/14/2022-Venous dopplers negative. Continue Heparin drip. Start Decadron and Doxy. Held remdesivir d/t renal function.  8/16/2022- Creatnine now 3.0 BUN-110 Continue to hold ARBs/ACEi. Unable to do cardiac cath d/t renal fucntion. ALT-396
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Glomerular filtration rate increased, Haemofiltration, Haemoglobin decreased, Headache, Heart rate increased
Clinical narrative: 8/10/2022- Presents to ED, c/o covid + at home, headache, vomiting . Covid- test. HR-109 and RR-24. Afebrile. Spo2 99% on 6L, place on  Bipap. Creatnine 1.6. EGFR-40 CXR: pulmonary infiltrates.  Admit acute resp failure s/t CHF exacerbation . 8/12/2022-Increased SOB, eKg no change. Monitor. Albuteral inhaler.  8/13/2022- Alternated between 6l nc and Bipap 60%. Trop critical 1.860. Heparin Drip. PM- trop now 6.180. non-ST segment elevation MI  ICU.Nitro.  Covid + test. EGFR-21. 8/14/2022-Venous dopplers negative. Continue Heparin drip. Start Decadron and Doxy. Held remdesivir d/t renal function.  8/16/2022- Creatnine now 3.0 BUN-110 Continue to hold ARBs/ACEi. Unable to do cardiac cath d/t renal fucntion. ALT-396
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Hypertransaminasaemia, Hypervolaemia, Hypoxia, Intensive care, Lung infiltration
Clinical narrative: 8/10/2022- Presents to ED, c/o covid + at home, headache, vomiting . Covid- test. HR-109 and RR-24. Afebrile. Spo2 99% on 6L, place on  Bipap. Creatnine 1.6. EGFR-40 CXR: pulmonary infiltrates.  Admit acute resp failure s/t CHF exacerbation . 8/12/2022-Increased SOB, eKg no change. Monitor. Albuteral inhaler.  8/13/2022- Alternated between 6l nc and Bipap 60%. Trop critical 1.860. Heparin Drip. PM- trop now 6.180. non-ST segment elevation MI  ICU.Nitro.  Covid + test. EGFR-21. 8/14/2022-Venous dopplers negative. Continue Heparin drip. Start Decadron and Doxy. Held remdesivir d/t renal function.  8/16/2022- Creatnine now 3.0 BUN-110 Continue to hold ARBs/ACEi. Unable to do cardiac cath d/t renal fucntion. ALT-396
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Lung opacity, Mechanical ventilation, Mitral valve incompetence, Positive airway pressure therapy, Red blood cell transfusion
Clinical narrative: 8/10/2022- Presents to ED, c/o covid + at home, headache, vomiting . Covid- test. HR-109 and RR-24. Afebrile. Spo2 99% on 6L, place on  Bipap. Creatnine 1.6. EGFR-40 CXR: pulmonary infiltrates.  Admit acute resp failure s/t CHF exacerbation . 8/12/2022-Increased SOB, eKg no change. Monitor. Albuteral inhaler.  8/13/2022- Alternated between 6l nc and Bipap 60%. Trop critical 1.860. Heparin Drip. PM- trop now 6.180. non-ST segment elevation MI  ICU.Nitro.  Covid + test. EGFR-21. 8/14/2022-Venous dopplers negative. Continue Heparin drip. Start Decadron and Doxy. Held remdesivir d/t renal function.  8/16/2022- Creatnine now 3.0 BUN-110 Continue to hold ARBs/ACEi. Unable to do cardiac cath d/t renal fucntion. ALT-396
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Renal impairment, SARS-CoV-2 test positive, Troponin increased, Ultrasound Doppler normal, Vomiting
Clinical narrative: 8/10/2022- Presents to ED, c/o covid + at home, headache, vomiting . Covid- test. HR-109 and RR-24. Afebrile. Spo2 99% on 6L, place on  Bipap. Creatnine 1.6. EGFR-40 CXR: pulmonary infiltrates.  Admit acute resp failure s/t CHF exacerbation . 8/12/2022-Increased SOB, eKg no change. Monitor. Albuteral inhaler.  8/13/2022- Alternated between 6l nc and Bipap 60%. Trop critical 1.860. Heparin Drip. PM- trop now 6.180. non-ST segment elevation MI  ICU.Nitro.  Covid + test. EGFR-21. 8/14/2022-Venous dopplers negative. Continue Heparin drip. Start Decadron and Doxy. Held remdesivir d/t renal function.  8/16/2022- Creatnine now 3.0 BUN-110 Continue to hold ARBs/ACEi. Unable to do cardiac cath d/t renal fucntion. ALT-396
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: White blood cell count increased
Clinical narrative: 8/10/2022- Presents to ED, c/o covid + at home, headache, vomiting . Covid- test. HR-109 and RR-24. Afebrile. Spo2 99% on 6L, place on  Bipap. Creatnine 1.6. EGFR-40 CXR: pulmonary infiltrates.  Admit acute resp failure s/t CHF exacerbation . 8/12/2022-Increased SOB, eKg no change. Monitor. Albuteral inhaler.  8/13/2022- Alternated between 6l nc and Bipap 60%. Trop critical 1.860. Heparin Drip. PM- trop now 6.180. non-ST segment elevation MI  ICU.Nitro.  Covid + test. EGFR-21. 8/14/2022-Venous dopplers negative. Continue Heparin drip. Start Decadron and Doxy. Held remdesivir d/t renal function.  8/16/2022- Creatnine now 3.0 BUN-110 Continue to hold ARBs/ACEi. Unable to do cardiac cath d/t renal fucntion. ALT-396
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Adult failure to thrive, Atelectasis, Biliary dilatation, Blood gases
Clinical narrative: 8/18/2022-Presnts to ED, fell at home and hit her head. EMS-82% on 4L, improved to 88% on 12L NRB. Stroke response, CT R upper lobe infiltrate. T-102.2,  RR-50's, HR-118 BP 101/56 -IV bolus and levophed. ABg:7.45/24/16 Covid + test. Ordered Vacno, cefepime and Flagyl. On chronic steroid for colitis, add hydrocortisone covid inflammatory pneuomonitis, no baricitnib active sepsis likely UTI.  Acute hyponatremia contributing to encephalopathy. Admit acute metabolic/toxic encephalopathy s/t to sepsis Covid pna. Transfer to ICU.  8/19/2022- Off levophed. WBC-20.2  Temp down to 100.8. Has high RR-42 and on HFNC. WBC 34. CT chest-RLL plueral effusion. 8/22/2022- Continue cefpime, flagyl and vanco. Currently on 2l NC. no o2 baseline 8/23/2022-Resolving acute resp failure. Continue antibiotics, vanco d/c. VSS.  8/27/2022- Moderate gallbladder dilation, 2 large cholelithiasis seen on CT. asymptomatic. Pt family refused Hida scan.  8/28/2022- DNR/DNI. Continue cefepime and Flagyl . 2L nc, o2 stable,  8/29/2022- Palliative and family met, few more days of aggressive treatment  8/30/2022- Adult failure to thrive, severe dysphagia-NPO. Acute delirum with dementia . Continue IV hydration. NO NG or G tube per family. Continue cefepime and flagyl. Pt is letharigc.  9/1/2022- oropharygeal dysphagia, Resp failure/acute delirium with dementia. Lethargic. Afebrile, VSS WBC-7.7 9/2/2022-Moderate right -sided compressive atelectasis. Failure to thrive. On 2L NC. Family made pt palliative and d/c to facility.  (Pt later died 9/4/2022).
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Body temperature increased, COVID-19, COVID-19 pneumonia, Cholelithiasis, Colitis
Clinical narrative: 8/18/2022-Presnts to ED, fell at home and hit her head. EMS-82% on 4L, improved to 88% on 12L NRB. Stroke response, CT R upper lobe infiltrate. T-102.2,  RR-50's, HR-118 BP 101/56 -IV bolus and levophed. ABg:7.45/24/16 Covid + test. Ordered Vacno, cefepime and Flagyl. On chronic steroid for colitis, add hydrocortisone covid inflammatory pneuomonitis, no baricitnib active sepsis likely UTI.  Acute hyponatremia contributing to encephalopathy. Admit acute metabolic/toxic encephalopathy s/t to sepsis Covid pna. Transfer to ICU.  8/19/2022- Off levophed. WBC-20.2  Temp down to 100.8. Has high RR-42 and on HFNC. WBC 34. CT chest-RLL plueral effusion. 8/22/2022- Continue cefpime, flagyl and vanco. Currently on 2l NC. no o2 baseline 8/23/2022-Resolving acute resp failure. Continue antibiotics, vanco d/c. VSS.  8/27/2022- Moderate gallbladder dilation, 2 large cholelithiasis seen on CT. asymptomatic. Pt family refused Hida scan.  8/28/2022- DNR/DNI. Continue cefepime and Flagyl . 2L nc, o2 stable,  8/29/2022- Palliative and family met, few more days of aggressive treatment  8/30/2022- Adult failure to thrive, severe dysphagia-NPO. Acute delirum with dementia . Continue IV hydration. NO NG or G tube per family. Continue cefepime and flagyl. Pt is letharigc.  9/1/2022- oropharygeal dysphagia, Resp failure/acute delirium with dementia. Lethargic. Afebrile, VSS WBC-7.7 9/2/2022-Moderate right -sided compressive atelectasis. Failure to thrive. On 2L NC. Family made pt palliative and d/c to facility.  (Pt later died 9/4/2022).
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Condition aggravated, Death, Delirium, Dementia
Clinical narrative: 8/18/2022-Presnts to ED, fell at home and hit her head. EMS-82% on 4L, improved to 88% on 12L NRB. Stroke response, CT R upper lobe infiltrate. T-102.2,  RR-50's, HR-118 BP 101/56 -IV bolus and levophed. ABg:7.45/24/16 Covid + test. Ordered Vacno, cefepime and Flagyl. On chronic steroid for colitis, add hydrocortisone covid inflammatory pneuomonitis, no baricitnib active sepsis likely UTI.  Acute hyponatremia contributing to encephalopathy. Admit acute metabolic/toxic encephalopathy s/t to sepsis Covid pna. Transfer to ICU.  8/19/2022- Off levophed. WBC-20.2  Temp down to 100.8. Has high RR-42 and on HFNC. WBC 34. CT chest-RLL plueral effusion. 8/22/2022- Continue cefpime, flagyl and vanco. Currently on 2l NC. no o2 baseline 8/23/2022-Resolving acute resp failure. Continue antibiotics, vanco d/c. VSS.  8/27/2022- Moderate gallbladder dilation, 2 large cholelithiasis seen on CT. asymptomatic. Pt family refused Hida scan.  8/28/2022- DNR/DNI. Continue cefepime and Flagyl . 2L nc, o2 stable,  8/29/2022- Palliative and family met, few more days of aggressive treatment  8/30/2022- Adult failure to thrive, severe dysphagia-NPO. Acute delirum with dementia . Continue IV hydration. NO NG or G tube per family. Continue cefepime and flagyl. Pt is letharigc.  9/1/2022- oropharygeal dysphagia, Resp failure/acute delirium with dementia. Lethargic. Afebrile, VSS WBC-7.7 9/2/2022-Moderate right -sided compressive atelectasis. Failure to thrive. On 2L NC. Family made pt palliative and d/c to facility.  (Pt later died 9/4/2022).
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Dysphagia, Fall, Head injury, Hyponatraemia, Inflammation
Clinical narrative: 8/18/2022-Presnts to ED, fell at home and hit her head. EMS-82% on 4L, improved to 88% on 12L NRB. Stroke response, CT R upper lobe infiltrate. T-102.2,  RR-50's, HR-118 BP 101/56 -IV bolus and levophed. ABg:7.45/24/16 Covid + test. Ordered Vacno, cefepime and Flagyl. On chronic steroid for colitis, add hydrocortisone covid inflammatory pneuomonitis, no baricitnib active sepsis likely UTI.  Acute hyponatremia contributing to encephalopathy. Admit acute metabolic/toxic encephalopathy s/t to sepsis Covid pna. Transfer to ICU.  8/19/2022- Off levophed. WBC-20.2  Temp down to 100.8. Has high RR-42 and on HFNC. WBC 34. CT chest-RLL plueral effusion. 8/22/2022- Continue cefpime, flagyl and vanco. Currently on 2l NC. no o2 baseline 8/23/2022-Resolving acute resp failure. Continue antibiotics, vanco d/c. VSS.  8/27/2022- Moderate gallbladder dilation, 2 large cholelithiasis seen on CT. asymptomatic. Pt family refused Hida scan.  8/28/2022- DNR/DNI. Continue cefepime and Flagyl . 2L nc, o2 stable,  8/29/2022- Palliative and family met, few more days of aggressive treatment  8/30/2022- Adult failure to thrive, severe dysphagia-NPO. Acute delirum with dementia . Continue IV hydration. NO NG or G tube per family. Continue cefepime and flagyl. Pt is letharigc.  9/1/2022- oropharygeal dysphagia, Resp failure/acute delirium with dementia. Lethargic. Afebrile, VSS WBC-7.7 9/2/2022-Moderate right -sided compressive atelectasis. Failure to thrive. On 2L NC. Family made pt palliative and d/c to facility.  (Pt later died 9/4/2022).
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Intensive care, Lethargy, Lung infiltration, Nothing by mouth order, Pleural effusion
Clinical narrative: 8/18/2022-Presnts to ED, fell at home and hit her head. EMS-82% on 4L, improved to 88% on 12L NRB. Stroke response, CT R upper lobe infiltrate. T-102.2,  RR-50's, HR-118 BP 101/56 -IV bolus and levophed. ABg:7.45/24/16 Covid + test. Ordered Vacno, cefepime and Flagyl. On chronic steroid for colitis, add hydrocortisone covid inflammatory pneuomonitis, no baricitnib active sepsis likely UTI.  Acute hyponatremia contributing to encephalopathy. Admit acute metabolic/toxic encephalopathy s/t to sepsis Covid pna. Transfer to ICU.  8/19/2022- Off levophed. WBC-20.2  Temp down to 100.8. Has high RR-42 and on HFNC. WBC 34. CT chest-RLL plueral effusion. 8/22/2022- Continue cefpime, flagyl and vanco. Currently on 2l NC. no o2 baseline 8/23/2022-Resolving acute resp failure. Continue antibiotics, vanco d/c. VSS.  8/27/2022- Moderate gallbladder dilation, 2 large cholelithiasis seen on CT. asymptomatic. Pt family refused Hida scan.  8/28/2022- DNR/DNI. Continue cefepime and Flagyl . 2L nc, o2 stable,  8/29/2022- Palliative and family met, few more days of aggressive treatment  8/30/2022- Adult failure to thrive, severe dysphagia-NPO. Acute delirum with dementia . Continue IV hydration. NO NG or G tube per family. Continue cefepime and flagyl. Pt is letharigc.  9/1/2022- oropharygeal dysphagia, Resp failure/acute delirium with dementia. Lethargic. Afebrile, VSS WBC-7.7 9/2/2022-Moderate right -sided compressive atelectasis. Failure to thrive. On 2L NC. Family made pt palliative and d/c to facility.  (Pt later died 9/4/2022).
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Respiratory rate increased, SARS-CoV-2 test positive, Sepsis, Toxic encephalopathy, Urinary tract infection
Clinical narrative: 8/18/2022-Presnts to ED, fell at home and hit her head. EMS-82% on 4L, improved to 88% on 12L NRB. Stroke response, CT R upper lobe infiltrate. T-102.2,  RR-50's, HR-118 BP 101/56 -IV bolus and levophed. ABg:7.45/24/16 Covid + test. Ordered Vacno, cefepime and Flagyl. On chronic steroid for colitis, add hydrocortisone covid inflammatory pneuomonitis, no baricitnib active sepsis likely UTI.  Acute hyponatremia contributing to encephalopathy. Admit acute metabolic/toxic encephalopathy s/t to sepsis Covid pna. Transfer to ICU.  8/19/2022- Off levophed. WBC-20.2  Temp down to 100.8. Has high RR-42 and on HFNC. WBC 34. CT chest-RLL plueral effusion. 8/22/2022- Continue cefpime, flagyl and vanco. Currently on 2l NC. no o2 baseline 8/23/2022-Resolving acute resp failure. Continue antibiotics, vanco d/c. VSS.  8/27/2022- Moderate gallbladder dilation, 2 large cholelithiasis seen on CT. asymptomatic. Pt family refused Hida scan.  8/28/2022- DNR/DNI. Continue cefepime and Flagyl . 2L nc, o2 stable,  8/29/2022- Palliative and family met, few more days of aggressive treatment  8/30/2022- Adult failure to thrive, severe dysphagia-NPO. Acute delirum with dementia . Continue IV hydration. NO NG or G tube per family. Continue cefepime and flagyl. Pt is letharigc.  9/1/2022- oropharygeal dysphagia, Resp failure/acute delirium with dementia. Lethargic. Afebrile, VSS WBC-7.7 9/2/2022-Moderate right -sided compressive atelectasis. Failure to thrive. On 2L NC. Family made pt palliative and d/c to facility.  (Pt later died 9/4/2022).
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: White blood cell count increased
Clinical narrative: 8/18/2022-Presnts to ED, fell at home and hit her head. EMS-82% on 4L, improved to 88% on 12L NRB. Stroke response, CT R upper lobe infiltrate. T-102.2,  RR-50's, HR-118 BP 101/56 -IV bolus and levophed. ABg:7.45/24/16 Covid + test. Ordered Vacno, cefepime and Flagyl. On chronic steroid for colitis, add hydrocortisone covid inflammatory pneuomonitis, no baricitnib active sepsis likely UTI.  Acute hyponatremia contributing to encephalopathy. Admit acute metabolic/toxic encephalopathy s/t to sepsis Covid pna. Transfer to ICU.  8/19/2022- Off levophed. WBC-20.2  Temp down to 100.8. Has high RR-42 and on HFNC. WBC 34. CT chest-RLL plueral effusion. 8/22/2022- Continue cefpime, flagyl and vanco. Currently on 2l NC. no o2 baseline 8/23/2022-Resolving acute resp failure. Continue antibiotics, vanco d/c. VSS.  8/27/2022- Moderate gallbladder dilation, 2 large cholelithiasis seen on CT. asymptomatic. Pt family refused Hida scan.  8/28/2022- DNR/DNI. Continue cefepime and Flagyl . 2L nc, o2 stable,  8/29/2022- Palliative and family met, few more days of aggressive treatment  8/30/2022- Adult failure to thrive, severe dysphagia-NPO. Acute delirum with dementia . Continue IV hydration. NO NG or G tube per family. Continue cefepime and flagyl. Pt is letharigc.  9/1/2022- oropharygeal dysphagia, Resp failure/acute delirium with dementia. Lethargic. Afebrile, VSS WBC-7.7 9/2/2022-Moderate right -sided compressive atelectasis. Failure to thrive. On 2L NC. Family made pt palliative and d/c to facility.  (Pt later died 9/4/2022).
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: unknown, no notes received. Please call doctor provided and Hospital for notes and information. Patient tested positive for Covid-19 on 10/24/2022
Age: 15.0
Sex: M
Vaccine: TDAP
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Inadvertently gave TDAP to soon
Age: 8.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong patient received product, Wrong product administered
Clinical narrative: Patient being seen as well as two other siblings. RN asked in house interpreter for patient's sibling who is 6 years old and interpreter spoke to dad and patient was placed onto the table for vaccines. After giving patient vaccines and asking for the other sibling to come to the table, the interpreter apologized and states we had the wrong sibling the first time, so patient received an invalid dose of Dtap.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test, Computerised tomogram thorax, Thrombocytopenia
Clinical narrative: Thrombocytopenia
Age: 65.0
Sex: F
Vaccine: FLUA4
Symptoms: Palpitations, Upper-airway cough syndrome
Clinical narrative: Palpitations and nose dripping
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Admitted to hospital.
Age: 16.0
Sex: F
Vaccine: HEPA, HPV9, IPV, MMR, TDAP, VARCEL
Symptoms: Asthenia, Inappropriate schedule of product administration, Pain
Clinical narrative: Tdap vaccine was given earlier than recommended. There was no history of pertussis-containing vaccination having been given, so Tdap was administered, before realizing that it was earlier than recommended since a previous dose of Td was received on 9/10/2022. Shortly afterwards, the patient's father (who was present in the clinic with the patient) was notified that the vaccine was given earlier than recommended. A phone call was placed to the patient's father on 11/7/2022 in order to follow-up. Patient had no adverse reactions, other than common side effects including soreness and weakness.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Head discomfort, Oropharyngeal pain, Pyrexia
Clinical narrative: Minor sore throat, head congestion, runny nose, fever of 101.7 for about 6 hours, fatigue.  Symptoms started on Saturday, 10/29.  Diagnosed as COVID-19 with home test on Sunday, 10/30.  Telehealth appointment with primary physician on Sunday evening, 10/30.  Not eligible for Paxlovid due to drug interaction with  Diltiazem.  Doctor recommended bed rest, fluids and monitor symptoms.  Isolate for 5 days.  Symptoms began to improve 10/31 through the present (11/8).  Only minor congestion and runny nose at the present time.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Minor sore throat, head congestion, runny nose, fever of 101.7 for about 6 hours, fatigue.  Symptoms started on Saturday, 10/29.  Diagnosed as COVID-19 with home test on Sunday, 10/30.  Telehealth appointment with primary physician on Sunday evening, 10/30.  Not eligible for Paxlovid due to drug interaction with  Diltiazem.  Doctor recommended bed rest, fluids and monitor symptoms.  Isolate for 5 days.  Symptoms began to improve 10/31 through the present (11/8).  Only minor congestion and runny nose at the present time.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Urticaria
Clinical narrative: 1447 Patient given Covid vaccine  1457 Patient developed hives on face and forehead and facial flushing . No facial swelling, trouble swallowing and/or trouble breathing noted. B/P: 98/60 Pulse oximetry: 100% Pulse: 92 Lungs clear 15:30: Facial flushing and hives improving, no facial swelling/trouble breathing/trouble swallowing, patient playing and active in room 15:40 5ml of Benadryl given 15:45 Left office
Age: 18.0
Sex: F
Vaccine: TDAP
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Inadvertently gave TDAP to soon
Age: 59.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood pressure increased, Body temperature increased, Flushing
Clinical narrative: Flushing, elevated blood pressure, elevated temperature, on and off throughout the day for several weeks. Did not seek treatment.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Head discomfort
Clinical narrative: Starting in the morning of 09/14/2022, I went to the doctor and got tested for COVID-19 which was positive. I had a telehealth visit with my doctor afterwards and I was prescribed pills. I stayed in the house for 2 weeks. I had a cough and my head was stuffed up. My sinuses were a little congested and I lost my sense of taste and smell for a few days but otherwise it wasn't to bad. The cough lasted the longest of all symptoms (a few weeks) while all the other symptoms resolved by about a week. however, I feel that was more related to sinus drainage than COVID-19 itself.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: Starting in the morning of 09/14/2022, I went to the doctor and got tested for COVID-19 which was positive. I had a telehealth visit with my doctor afterwards and I was prescribed pills. I stayed in the house for 2 weeks. I had a cough and my head was stuffed up. My sinuses were a little congested and I lost my sense of taste and smell for a few days but otherwise it wasn't to bad. The cough lasted the longest of all symptoms (a few weeks) while all the other symptoms resolved by about a week. however, I feel that was more related to sinus drainage than COVID-19 itself.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Admitted to hospital
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Aspiration pleural cavity, COVID-19, Chemotherapy, Clostridium test positive, Condition aggravated
Clinical narrative: PFIZER COVID VACCINE #3 GIVEN 8/23/21, LOT #FC3181; pt brought to ED with SOB, diarrhea and fatigue; found to be positive for COVID; pt had been receiving ongoing chemotherapy for recurrence of oral CA and recent dx of squamous cell carcinoma of the lung; for COVID pt was tx with Dexamethasone, O2 supplementation; acute worsening on pancytopenia; given Granix and transfused; found to be positive for C. difficle; given Vancomycin; transferred to ICU for increasing O2 requirements; Right sided thoracentesis performed; pneumonia; ABX; DNR/DNI; eventually transitioned to comfort measures and he passed away in the hospital
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Diarrhoea, Dyspnoea, Fatigue, Intensive care
Clinical narrative: PFIZER COVID VACCINE #3 GIVEN 8/23/21, LOT #FC3181; pt brought to ED with SOB, diarrhea and fatigue; found to be positive for COVID; pt had been receiving ongoing chemotherapy for recurrence of oral CA and recent dx of squamous cell carcinoma of the lung; for COVID pt was tx with Dexamethasone, O2 supplementation; acute worsening on pancytopenia; given Granix and transfused; found to be positive for C. difficle; given Vancomycin; transferred to ICU for increasing O2 requirements; Right sided thoracentesis performed; pneumonia; ABX; DNR/DNI; eventually transitioned to comfort measures and he passed away in the hospital
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Lip and/or oral cavity cancer, Pancytopenia, Pneumonia, SARS-CoV-2 test positive, Squamous cell carcinoma of lung
Clinical narrative: PFIZER COVID VACCINE #3 GIVEN 8/23/21, LOT #FC3181; pt brought to ED with SOB, diarrhea and fatigue; found to be positive for COVID; pt had been receiving ongoing chemotherapy for recurrence of oral CA and recent dx of squamous cell carcinoma of the lung; for COVID pt was tx with Dexamethasone, O2 supplementation; acute worsening on pancytopenia; given Granix and transfused; found to be positive for C. difficle; given Vancomycin; transferred to ICU for increasing O2 requirements; Right sided thoracentesis performed; pneumonia; ABX; DNR/DNI; eventually transitioned to comfort measures and he passed away in the hospital
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood pressure increased, Computerised tomogram coronary artery normal, Electrocardiogram normal, Ultrasound kidney normal
Clinical narrative: The first time I noticed the elevation in my blood pressure was around September 25, 2022. It was 157/83 and by noon it 160/90. I would take half a tablet more of atenolol to cope with the symptoms. My doctor asked me to monitor my symptoms and prescribed an extra dose of atenolol. I think that it could be related to some anxiety. My normal blood pressure is 130/80. I was sent for an EKG and calcium score, and both were normal. I also had an ultrasound on my kidney, and it was normal also. I am not sure whether I have recovered as I am still monitoring my symptoms.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was exposed to storage temperatures outside the recommended ranges. Patient did not need any treatment and did not have any symptom.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Dizziness, Dizziness postural, Formication, Hyperhidrosis
Clinical narrative: 11/3-2am woke up with shivers, muscle aches, lightheaded temp 98.3. Throughout the day switched back and forth with chills and sweats. Temp never above  99.1 Slept off and on all day. Dizziness progressed throughout the day. 11/4-11/6-Vertigo that had me crawling as the spinning at times was horrid. Remained in bed most of the time. Took Meclizine 25 MG every 12hrs which helped for 5-6  hours . Total 4 pills taken. 11/7-Woke up with lightheadedness but no vertigo. Able to walk carefully. 11/8-Feel fine. A momentary dizziness if standing up too quickly.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Myalgia, Sleep disorder, Somnolence, Vertigo
Clinical narrative: 11/3-2am woke up with shivers, muscle aches, lightheaded temp 98.3. Throughout the day switched back and forth with chills and sweats. Temp never above  99.1 Slept off and on all day. Dizziness progressed throughout the day. 11/4-11/6-Vertigo that had me crawling as the spinning at times was horrid. Remained in bed most of the time. Took Meclizine 25 MG every 12hrs which helped for 5-6  hours . Total 4 pills taken. 11/7-Woke up with lightheadedness but no vertigo. Able to walk carefully. 11/8-Feel fine. A momentary dizziness if standing up too quickly.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: Nurse was giving patient her 3rd dose of Moderna covid vaccine which was not approve yet by the CDC. Nurse reported to the doctor and the supervisor. Nurse called and reported to mom also. Mom stated patient is doing fine. Nurse informed mom if patient have any reactions, make sure to call the clinic or come see the doctor.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus, Throat tightness
Clinical narrative: Patient reported back a few minutes after the shot with itching and throat closure but was conscious and breathing. Patient was moved to a chair and refused epinephrine. Patient was instead given Claritin chewables followed by Benadryl and water. After about 15-30min minutes the itching and throat symptoms subsided significantly but not entirely and patient remained under observation for the next hour. Patient requested to return to her desk about an hour after the initial allergic reaction. Patient was also given the Fluzone lot number and other information to report to her PCP. Patient remained concious and talking the entire time.   She reported this incident was extremely similar to a prior allergic reaction to the Moderna Covid vaccine but had never happened with a flu shot before. The prior incident caused skin itching and mild throat closure for an entire week and was treated under her PCP recommendation with Benadryl every 3-4 hours. She plans to visit her PCP.
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: Pt received only 1 primary dose. Booster given on 10/26/22
Age: 36.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Epicondylitis, Muscle twitching, Pain in extremity, Ulnar nerve injury
Clinical narrative: Irritation of ulnar nerve leading to symptoms associated with tennis elbow.  (Pain between fingers and elbow, twitching of pinky finger).  Symptoms are receding slowly (four weeks in), still present
Age: 1.33
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Dehydration, Dyspnoea, Hyporesponsive to stimuli, Lethargy, Pain
Clinical narrative: Patient acted fine in the two hours after vaccination, received no pain medication. Suddenly began acting lethargic, in pain, breathing looked labored about three hours later. Ibuprofen was given. Then patient vomitted six times of substance (food), and twice more (bile). Then patient became dehydrated, barely responsive to her mother. Patient received fluids and anti-nausea medication in the ER and was sent home. She acted fine the next day.
Age: 1.33
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Vomiting
Clinical narrative: Patient acted fine in the two hours after vaccination, received no pain medication. Suddenly began acting lethargic, in pain, breathing looked labored about three hours later. Ibuprofen was given. Then patient vomitted six times of substance (food), and twice more (bile). Then patient became dehydrated, barely responsive to her mother. Patient received fluids and anti-nausea medication in the ER and was sent home. She acted fine the next day.
Age: 33.0
Sex: M
Vaccine: FLU4
Symptoms: Axillary mass, Discomfort, Lymphadenopathy
Clinical narrative: Left Aux lymph discomfort for more than 4 day. Lump is noted to be about 5 inches in diameter
Age: 20.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Bivalent Booster was given instead of monovalent as patients 2nd dose in series.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blister, Herpes zoster, Pain, Pyrexia, Sensitive skin
Clinical narrative: Shingles. Valacyclovir pills for 8 days. Ibuprofin and Tylenol or Vicodin for pain. Shooting pains, blisters, swelling, sensitive skin. 6 days after blisters appeared I had a fever of 100.4 Started prescription of Cepalexin for 5 days. Now scabs, still pain and sensitive skin.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Swelling
Clinical narrative: Shingles. Valacyclovir pills for 8 days. Ibuprofin and Tylenol or Vicodin for pain. Shooting pains, blisters, swelling, sensitive skin. 6 days after blisters appeared I had a fever of 100.4 Started prescription of Cepalexin for 5 days. Now scabs, still pain and sensitive skin.
Age: 17.0
Sex: M
Vaccine: DTAP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient given DTAP outside of appropriate age group
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal discomfort, Abdominal pain upper, Activated partial thromboplastin time shortened, Blood glucose normal, Blood potassium normal
Clinical narrative: On 10/21/22 I had a very normal day of work, at about 5pm I was getting ready to go out of town to see family when all of a sudden I had really intense chest/upper abdomen pain, I went and laid down to see if it would go away, it improved slightly so we got on the road around 630 or 645 pm.  At about 930pm I felt some itching around my waist band, and did not think much of it. At about 10pm I again had very intense chest pain and felt like I was going to die. I was having difficulty breathing. We were 4 miles from Hospital and so I drove there. They did a cardiac work up and cleared me of cardiac problems and sent me on my way. About 30 minutes after I left I was covered from head to toe with hives, the palms of my hands, the bottoms of my feet and everything in between. At the same time I have sever chest pain. I arrived to my sisters around 1am and took some motirn for pain and benedryl for itching. I let up a little but 2 hours later the hives and pain were back even worse. For all day on the 22 I took motrin 200mg and benedryl 25 mg every 2 hours, i was vomiting about every 2 hours and did not keep anything down. On Sunday morning I got on the road and headded home to go to urgent care. On the way my hives returned and my bottom lip became swollen. At clinic they started me on 60 mg of prednisone, pepcid and zyrtec. On 10/24 at 7am I went to the ER at regional hospital for severe abdominal/chest pain. They did a ct, gave me IV fluids and Iv pain medication and then discharged me. The following day I followed up with my PCP, no changes were made at that time but I was set up to the the immunologist on 10/27, Dr. who reports that it could be a delayed reaction to the flu vaccine. Symptoms of hives continued until the morning of 10/26 with occasional chest discomfort. The prednisone, zyrtec and pepcid were tapered and completed on 11/5/22. Today I still have an unusual discomfort in my upper abdomen/chest but nothing painful. Still have occasional chest/upper abdominal discomfort
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Blood urine present, Cardiac function test normal, Chest X-ray normal, Chest discomfort, Chest pain
Clinical narrative: On 10/21/22 I had a very normal day of work, at about 5pm I was getting ready to go out of town to see family when all of a sudden I had really intense chest/upper abdomen pain, I went and laid down to see if it would go away, it improved slightly so we got on the road around 630 or 645 pm.  At about 930pm I felt some itching around my waist band, and did not think much of it. At about 10pm I again had very intense chest pain and felt like I was going to die. I was having difficulty breathing. We were 4 miles from Hospital and so I drove there. They did a cardiac work up and cleared me of cardiac problems and sent me on my way. About 30 minutes after I left I was covered from head to toe with hives, the palms of my hands, the bottoms of my feet and everything in between. At the same time I have sever chest pain. I arrived to my sisters around 1am and took some motirn for pain and benedryl for itching. I let up a little but 2 hours later the hives and pain were back even worse. For all day on the 22 I took motrin 200mg and benedryl 25 mg every 2 hours, i was vomiting about every 2 hours and did not keep anything down. On Sunday morning I got on the road and headded home to go to urgent care. On the way my hives returned and my bottom lip became swollen. At clinic they started me on 60 mg of prednisone, pepcid and zyrtec. On 10/24 at 7am I went to the ER at regional hospital for severe abdominal/chest pain. They did a ct, gave me IV fluids and Iv pain medication and then discharged me. The following day I followed up with my PCP, no changes were made at that time but I was set up to the the immunologist on 10/27, Dr. who reports that it could be a delayed reaction to the flu vaccine. Symptoms of hives continued until the morning of 10/26 with occasional chest discomfort. The prednisone, zyrtec and pepcid were tapered and completed on 11/5/22. Today I still have an unusual discomfort in my upper abdomen/chest but nothing painful. Still have occasional chest/upper abdominal discomfort
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Computerised tomogram normal, Dyspnoea, Electrocardiogram normal, Full blood count normal, International normalised ratio normal
Clinical narrative: On 10/21/22 I had a very normal day of work, at about 5pm I was getting ready to go out of town to see family when all of a sudden I had really intense chest/upper abdomen pain, I went and laid down to see if it would go away, it improved slightly so we got on the road around 630 or 645 pm.  At about 930pm I felt some itching around my waist band, and did not think much of it. At about 10pm I again had very intense chest pain and felt like I was going to die. I was having difficulty breathing. We were 4 miles from Hospital and so I drove there. They did a cardiac work up and cleared me of cardiac problems and sent me on my way. About 30 minutes after I left I was covered from head to toe with hives, the palms of my hands, the bottoms of my feet and everything in between. At the same time I have sever chest pain. I arrived to my sisters around 1am and took some motirn for pain and benedryl for itching. I let up a little but 2 hours later the hives and pain were back even worse. For all day on the 22 I took motrin 200mg and benedryl 25 mg every 2 hours, i was vomiting about every 2 hours and did not keep anything down. On Sunday morning I got on the road and headded home to go to urgent care. On the way my hives returned and my bottom lip became swollen. At clinic they started me on 60 mg of prednisone, pepcid and zyrtec. On 10/24 at 7am I went to the ER at regional hospital for severe abdominal/chest pain. They did a ct, gave me IV fluids and Iv pain medication and then discharged me. The following day I followed up with my PCP, no changes were made at that time but I was set up to the the immunologist on 10/27, Dr. who reports that it could be a delayed reaction to the flu vaccine. Symptoms of hives continued until the morning of 10/26 with occasional chest discomfort. The prednisone, zyrtec and pepcid were tapered and completed on 11/5/22. Today I still have an unusual discomfort in my upper abdomen/chest but nothing painful. Still have occasional chest/upper abdominal discomfort