chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: M
Vaccine: MMRV
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Vaccinated with incorrect vaccine; MMRV instead of MMRII. No adverse symptoms/effects noted. Patient was made aware of the mistake shortly after by myself and ordering physician. Patient wasn't sure if they had previously been vaccinated for Varicella at the time.
Age: 48.0
Sex: F
Vaccine: PNC20
Symptoms: Cellulitis, Erythema, Pain, Skin warm, Swelling
Clinical narrative: swelling, pain, redness and warmth began on 12/17/23, diagnosed with cellulitis on 12/20/23, started on Bactrim po BID on 12/21/23
Age: 48.0
Sex: F
Vaccine: PNC20
Symptoms: Ultrasound scan
Clinical narrative: swelling, pain, redness and warmth began on 12/17/23, diagnosed with cellulitis on 12/20/23, started on Bactrim po BID on 12/21/23
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received a COVID vaccine (Moderna lot 3032218) on 11/30/2023 and then received an additional dose of COVID vaccine (Moderna lot 3030540) on 1/4/2024. Patient has had no adverse reactions.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Hypoaesthesia, Influenza, Nausea, Pain
Clinical narrative: violent chills, aches, lost feeling in fingers, toes, naseau.  flu like symptoms - intense.  took about six hours for the flu symptoms to subside and 36 hours to feel normal
Age: 8.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Inappropriate schedule of product administration, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Vaccine was given to patient above recommended age, no adverse affects were reported by family. Patient was previously unvaccinated and is catching up on all childhood immunizations.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Administered to patient after the BUD, no adverse effects have been noted
Age: 69.0
Sex: F
Vaccine: FLUA4
Symptoms: Extra dose administered
Clinical narrative: Pt indicated to Staff in infusion she wanted a flu shot. Message relayed to GYN/ONC. Pt ID'd by name and DOB. Pt was asked if she wanted a flu shot and she answered to the affirmative. All questions asked and answered affirmatively. Asked which arm-indicated Rt arm. Flu shot given in Rt arm. Pt tolerated well. When attempted to document a pop up message appeared not to give because "series had been completed". Chart search done to indicated a flu shot had been given on 10/30/23 at another practice. Pt asked if she had a flu shot yesterday and she replied "no".  Upon review, patient did receive two flu vaccines for 23/24 season one day after the other.
Age: 14.0
Sex: M
Vaccine: COVID19, FLU4, HPV9
Symptoms: Expired product administered, No adverse event
Clinical narrative: Administered to patient after the BUD, no adverse effects have been noted
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Musculoskeletal stiffness, Pain
Clinical narrative: MY ARM CONTINUES TO HAVE PAIN AT THE INJECTION SITE, INTERMITTENTLY.  WHEN IT DOES ITS VERY PAINFUL, AND I HAVE STIFFNESS AND SORNESS  AS WITH COVID.   IT COMES AND GOES  FOR THE PAST 2 YEARS YET IT IS STILL CONTINUING.
Age: 76.0
Sex: F
Vaccine: RSV
Symptoms: Arthralgia, Back pain, Headache, Myalgia, Neck pain
Clinical narrative: Fever, sore muscles, headache, hip and back pain, neck and arm pain? I feel like I have RSV
Age: 76.0
Sex: F
Vaccine: RSV
Symptoms: Pain in extremity, Pyrexia, Respiratory symptom
Clinical narrative: Fever, sore muscles, headache, hip and back pain, neck and arm pain? I feel like I have RSV
Age: 46.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Acne, Breast mass, Breast pain, Haemorrhage, Mammogram
Clinical narrative: I am a virus lab research worker at university, so I got the offer to get Monkeypox vaccine. I got the 1st dose on 05/09/2023. After two weeks, my right breast started to hurt a lot, as if it was on fire. My left breast also hurt, but less. I thought this might be normal vaccination reaction. The pain subsided a bit on June 6, 2023 at 9:30am when I got the second dose. But my right breast just did not feel normal. I often felt it hurt a lot. I even felt painful to put on my seat belt while driving. I assumed it might be normal reaction. Sometimes both breast hurt. Until early Nov, I noticed some brown spots on my bra. Then I noticed there was a lump at the bottom of my right breast. So I went to see an urgent Care clinic. I got some antibiotics afterwards. But after 10 days, the lump was still there, though a bit softened and hurt less. So I was referred to see my primary care Dr. Dr. let me take Mammogram, and Ultrasound on 12/28/2023.   These imaging tests showed that the lump is related to the skin and not the breast and no other abnormal things were found in my breasts. My Dr. said if the lump still bothers me, she could arrange a surgery to remove it.   Then on Jan. 4th. evening (yesterday), I noticed some blood spots on my bra. The blood is from a red pimple of the lump. The red pimp does look like a "pox".   During these several months, my life has been really painful. I was worried a lot that this might not be normal vaccine reaction and I might have got breast cancer. Also, because my breasts hurt so much that I could not sleep as well as before. I often was woken up  in the middle of the nights by the pain. I was feeling sleepy during the day and could not be as energetic as before. But I have always been so busy, so I did not find time to see Dr. until Nov. This is really horrible experience. I think if the vaccine were given to an elderly lady, she might die from just not being able to sleep due to the pain. It is not so common to know that vaccinia virus is related to severe breast infection.    Since the vaccine is made using weakened live vaccinia virus, I suspect that some virus was not weakened so completely.  According to the literature  "In cattle and buffalo herds, VACV infections are characterized by severe local lesions affecting the udder and teats of lactating animals, leading to mastitis and other secondary infections in more than 40% of affected animals"   This is in line with the symptoms of mine. The pimple on my breast is still bleeding. I can submit a complete report when I have recovered from this whole thing. I feel my breasts hurt much less when the pimple started bleeding since yesterday. This report could be regarded as a draft. Thanks!
Age: 46.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Sleep disorder, Ultrasound breast
Clinical narrative: I am a virus lab research worker at university, so I got the offer to get Monkeypox vaccine. I got the 1st dose on 05/09/2023. After two weeks, my right breast started to hurt a lot, as if it was on fire. My left breast also hurt, but less. I thought this might be normal vaccination reaction. The pain subsided a bit on June 6, 2023 at 9:30am when I got the second dose. But my right breast just did not feel normal. I often felt it hurt a lot. I even felt painful to put on my seat belt while driving. I assumed it might be normal reaction. Sometimes both breast hurt. Until early Nov, I noticed some brown spots on my bra. Then I noticed there was a lump at the bottom of my right breast. So I went to see an urgent Care clinic. I got some antibiotics afterwards. But after 10 days, the lump was still there, though a bit softened and hurt less. So I was referred to see my primary care Dr. Dr. let me take Mammogram, and Ultrasound on 12/28/2023.   These imaging tests showed that the lump is related to the skin and not the breast and no other abnormal things were found in my breasts. My Dr. said if the lump still bothers me, she could arrange a surgery to remove it.   Then on Jan. 4th. evening (yesterday), I noticed some blood spots on my bra. The blood is from a red pimple of the lump. The red pimp does look like a "pox".   During these several months, my life has been really painful. I was worried a lot that this might not be normal vaccine reaction and I might have got breast cancer. Also, because my breasts hurt so much that I could not sleep as well as before. I often was woken up  in the middle of the nights by the pain. I was feeling sleepy during the day and could not be as energetic as before. But I have always been so busy, so I did not find time to see Dr. until Nov. This is really horrible experience. I think if the vaccine were given to an elderly lady, she might die from just not being able to sleep due to the pain. It is not so common to know that vaccinia virus is related to severe breast infection.    Since the vaccine is made using weakened live vaccinia virus, I suspect that some virus was not weakened so completely.  According to the literature  "In cattle and buffalo herds, VACV infections are characterized by severe local lesions affecting the udder and teats of lactating animals, leading to mastitis and other secondary infections in more than 40% of affected animals"   This is in line with the symptoms of mine. The pimple on my breast is still bleeding. I can submit a complete report when I have recovered from this whole thing. I feel my breasts hurt much less when the pimple started bleeding since yesterday. This report could be regarded as a draft. Thanks!
Age: 83.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event
Clinical narrative: No adverse reaction
Age: 64.0
Sex: F
Vaccine: RSV
Symptoms: Biopsy skin, Rash, Rash erythematous, Rash pruritic, Urticaria
Clinical narrative: Per patient, she had an RSV vaccine administered. Approximately 30 minutes following the vaccine, patient reports an episode of emesis. The following day she developed an itchy red rash on her face, trunk, and extremities. Patient still reports Urticaria nearly 6 weeks later despite speaking with an Allergy Consultant and trying multiple interventions including Zyrtec (10 mg BID) and a Prednisone Taper (20 mg for 3 days, 15 mg for 3 days, and 10 mg for 3 days).
Age: 64.0
Sex: F
Vaccine: RSV
Symptoms: Vomiting
Clinical narrative: Per patient, she had an RSV vaccine administered. Approximately 30 minutes following the vaccine, patient reports an episode of emesis. The following day she developed an itchy red rash on her face, trunk, and extremities. Patient still reports Urticaria nearly 6 weeks later despite speaking with an Allergy Consultant and trying multiple interventions including Zyrtec (10 mg BID) and a Prednisone Taper (20 mg for 3 days, 15 mg for 3 days, and 10 mg for 3 days).
Age: 79.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Bradycardia, Confusional state, Heart rate decreased
Clinical narrative: 11/16/2023 Bradycardia, Reduced heart rate, confusion
Age: 35.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: no adverse reactions noted, pt. was given a high dose of flu instead of regulars dose flu. md director notify, no treatment given. CDC was also contact. no treatment needed
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: I administered the vaccine. I asked if they wanted the high dose and they said yes. Shot was administered then we went to file the paperwork. We noticed that Pt isn't 65. She received the high dose vaccine. I told her what happened and she said, I am immune issues my doctor wanted me to get this one anyway. She had no side effects. i am just documenting b/c I gave her the wrong dose-she should have received the regular quad vaccine
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt received Comirnaty ages 12+ vaccine instead of pediatric dose
Age: 0.5
Sex: F
Vaccine: DTAPHEPBIP, FLU4, PNC15, RV5
Symptoms: Erythema, Injection site pruritus, Injection site rash, Swelling
Clinical narrative: Patient had 2 prior doses of prevnar 13 at 2 months and 4 months. This was her first dose of Vaxneuvance. She developed a localized redness and swelling soon after the vaccine.  Almost 3 weeks later she developed itching and rash at the injection site. I realize this might not be from the vaxneuvance, but since it was a new product from a different manufacturer felt it should be reported as a potential delayed reaction. she was prescribed zytec orally and triamcinolone cream to apply to the area.
Age: 33.0
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Headache, Nausea, Vomiting
Clinical narrative: Headache within 4 hours of injection-given 1000mg of Tylenol. Nausea/vomiting and diarrhea within 12 hours of injection-no treatment.
Age: 61.0
Sex: F
Vaccine: COVID19, FLUR4
Symptoms: Rash, Urticaria
Clinical narrative: 2 DAYS AFTER INJECTIONS PATIENT DEVELOPED HIVES AND A RASH ON BOTH ARMS. PROBLEM STILL PERSISTS TODAY (1-5-24). HAS BEEN TO DOCTOR MULTIPLE TIMES AND TRIED ALLERGY MEDICATIONS, STEROIDS, AND CREAMS WITH BEST OUTCOME BEING ONLY SHORT TERM RELIEF. CURRENTLY TAKING 360MG OF ALLEGRA WHICH ALLEVIATES SYMPTOMS TEMPORAILY
Age: 91.0
Sex: F
Vaccine: RSV
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Rash to injection site - redness/itching
Age: 29.0
Sex: M
Vaccine: FLUA4
Symptoms: Blood glucose normal, Bradycardia, Fall, Hypotension, Loss of consciousness
Clinical narrative: Approximately 4 minutes after receiving vaccination, patient looked faint while sitting post-vaccination: non-responsive to verbal cues and slightly slumped forward. Patient passed out and began seizing, lasting less than 30 seconds. Patient sustained no bodily injuries in the fall (no forceful head contact with floor or furniture; no blood, etc). He was moved to the floor and placed on his left side while seizing. EMS was called and patient came to fairly quickly. Patient was AAO X3 and reported no previous vaccination AEs or seizure history. Paramedics arrived within 3 minutes of the call. Paramedics reported hypotension and normal blood glucose. Patient seized again approximately 15 minutes after the first attack, again lasting less than 30 seconds. Patient was transported to the hospital via ambulance.
Age: 29.0
Sex: M
Vaccine: FLUA4
Symptoms: Seizure, Unresponsive to stimuli
Clinical narrative: Approximately 4 minutes after receiving vaccination, patient looked faint while sitting post-vaccination: non-responsive to verbal cues and slightly slumped forward. Patient passed out and began seizing, lasting less than 30 seconds. Patient sustained no bodily injuries in the fall (no forceful head contact with floor or furniture; no blood, etc). He was moved to the floor and placed on his left side while seizing. EMS was called and patient came to fairly quickly. Patient was AAO X3 and reported no previous vaccination AEs or seizure history. Paramedics arrived within 3 minutes of the call. Paramedics reported hypotension and normal blood glucose. Patient seized again approximately 15 minutes after the first attack, again lasting less than 30 seconds. Patient was transported to the hospital via ambulance.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient given Covid 19 spike vax vaccination.  Noted covid dose was in refrigerator for 32 days.  Dose received by patient 2 days past expiration.
Age: 70.0
Sex: F
Vaccine: RSV
Symptoms: Device connection issue, Device leakage, Exposure via skin contact, Underdose
Clinical narrative: During the administration of this patient's Arexvy vaccine on 1/4/24, a portion of the vaccine leaked out between the needle and the syringe due the needle not being screwed on tightly. The needle/syringe used was the BD Integra syringe, which comes with the needle already attached. The patient felt the liquid coming down her arm and became very concerned about it. I explained what happened and told her that while rare, this does happen occasionally, and that she did receive the majority of the dose. She left the pharmacy quite upset. I followed up shortly with our clinical pharmacy specialist who recommended re-vaccination. I called patient back and updated her, and told her she could come back today to be revaccinated; otherwise she would need to wait 28 days and be revaccinated at that point. She declined re-vaccination and said she was not comfortable getting another dose even if she just received a partial dose. I told her to reach out if she has additional questions and let her know we would be submitting incident reports both internally and to VAERS.
Age: 6.0
Sex: M
Vaccine: DTPPVHBHPB
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: pt received vaxelis at age 6, only valid to age 4.  Data states invalid.
Age: 62.0
Sex: F
Vaccine: HEP
Symptoms: Blood pressure abnormal, Flushing, Immediate post-injection reaction, Pharyngeal hypoaesthesia
Clinical narrative: Pt became flushed and reported his throat "went thumb" immediately after Hep B vaccination. Pt was assessed and vital signs obtained, pt reported the sensation improved and he was feeling much better shortly after evaluation. Pt was monitored for 15 more min, another set of vital signs obtained with improvement in BP. Pt reported feeling well enough to go home. Informed pt if sxs return.
Age: 42.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Dose 2 was given too early, 8 days after dose 1 instead of 28.  No adverse events were observed at this time.  The vaccination client was advised in person that the error had occurred and provided with a copy of the CDC Errors and Deviations document for mpox vaccine with the relevant section highlighted, including the recommendation to repeat the second dose only in the event of severe immunocompromise.  He was advised to follow up with his PCP to get advisement as to whether he needed to repeat the dose or not given his individual health profile and also to consult his PCP if he believed that he was experiencing any adverse events.  The vaccination client stated that he had been told by the person who administered his first mpox vaccine to get the second dose in 1 week (as opposed to 28 days).  The vaccination client left the clinic in no apparent distress.  No adverse events other than the vaccine being administered too early were apparent.  All other aspects of administration were correct.
Age: 0.5
Sex: M
Vaccine: DTPPVHBHPB, PNC15, UNK, DTPPVHBHPB
Symptoms: Abdominal discomfort, Chills, Fatigue, Influenza virus test positive, Mobility decreased
Clinical narrative: Fever 103. Chills, aches, body pain, shaking, congestion , irritability upset stomach, fatigue,  unable to use leg.
Age: 0.5
Sex: M
Vaccine: DTPPVHBHPB, PNC15, UNK, DTPPVHBHPB
Symptoms: Pain, Pyrexia, Respiratory tract congestion, Seizure, Tremor
Clinical narrative: Fever 103. Chills, aches, body pain, shaking, congestion , irritability upset stomach, fatigue,  unable to use leg.
Age: 0.5
Sex: M
Vaccine: DTPPVHBHPB, PNC15, UNK, DTPPVHBHPB
Symptoms: Abdominal discomfort, Chills, Epigastric discomfort, Fatigue, Influenza virus test positive
Clinical narrative: Fever 103. Chills, aches, body pain, shaking, congestion , irritability upset stomach, fatigue,  unable to use leg.
Age: 0.5
Sex: M
Vaccine: DTPPVHBHPB, PNC15, UNK, DTPPVHBHPB
Symptoms: Musculoskeletal disorder, Pain, Pyrexia, Respiratory tract congestion, Tremor
Clinical narrative: Fever 103. Chills, aches, body pain, shaking, congestion , irritability upset stomach, fatigue,  unable to use leg.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Patient states they were experiencing redness, swelling, and itching two days after getting the vaccine. Pharmacist advised the patient to go to an urgent care
Age: 72.0
Sex: F
Vaccine: RSV
Symptoms: Arthralgia, Arthropathy, Aspiration joint, Blood test, Cellulitis
Clinical narrative: Slept 16 hours the night of receiving the RSV vaccine Dec. 2, woke up and noticed I had very painful knee, thought it was normal side-effect but pain intensified over next couple of days, first went to emergency room, had 102 degree fever and they thought I had UTI, went home with antibiotic (amoxicillin), pain continued to intensify, knee collapsed and I fell and hit head, taken by ambulance to hospital on Dec. 5.  Admitted to hospital, diagnosed with cellulitis in right leg and put on IV antibiotics for 9 days.  Huge amount of swelling in whole right leg and hip....continued to get worse for several days, even after antibiotics, could not walk for 1 week.  Now, one month after incident, leg is still very swollen though slowly getting a bit better.  Lymphedema in right leg may have attracted bacteria from injection, if contaminated.  Do not think that clinician who administered vaccine checked for blood return before injecting this Intra-muscular vaccine.
Age: 72.0
Sex: F
Vaccine: RSV
Symptoms: Computerised tomogram, Fall, Gait inability, Head injury, Hypersomnia
Clinical narrative: Slept 16 hours the night of receiving the RSV vaccine Dec. 2, woke up and noticed I had very painful knee, thought it was normal side-effect but pain intensified over next couple of days, first went to emergency room, had 102 degree fever and they thought I had UTI, went home with antibiotic (amoxicillin), pain continued to intensify, knee collapsed and I fell and hit head, taken by ambulance to hospital on Dec. 5.  Admitted to hospital, diagnosed with cellulitis in right leg and put on IV antibiotics for 9 days.  Huge amount of swelling in whole right leg and hip....continued to get worse for several days, even after antibiotics, could not walk for 1 week.  Now, one month after incident, leg is still very swollen though slowly getting a bit better.  Lymphedema in right leg may have attracted bacteria from injection, if contaminated.  Do not think that clinician who administered vaccine checked for blood return before injecting this Intra-muscular vaccine.
Age: 72.0
Sex: F
Vaccine: RSV
Symptoms: Joint swelling, Lymphoedema, Magnetic resonance imaging, Peripheral swelling, Pyrexia
Clinical narrative: Slept 16 hours the night of receiving the RSV vaccine Dec. 2, woke up and noticed I had very painful knee, thought it was normal side-effect but pain intensified over next couple of days, first went to emergency room, had 102 degree fever and they thought I had UTI, went home with antibiotic (amoxicillin), pain continued to intensify, knee collapsed and I fell and hit head, taken by ambulance to hospital on Dec. 5.  Admitted to hospital, diagnosed with cellulitis in right leg and put on IV antibiotics for 9 days.  Huge amount of swelling in whole right leg and hip....continued to get worse for several days, even after antibiotics, could not walk for 1 week.  Now, one month after incident, leg is still very swollen though slowly getting a bit better.  Lymphedema in right leg may have attracted bacteria from injection, if contaminated.  Do not think that clinician who administered vaccine checked for blood return before injecting this Intra-muscular vaccine.
Age: 72.0
Sex: F
Vaccine: RSV
Symptoms: Urinary tract infection, X-ray
Clinical narrative: Slept 16 hours the night of receiving the RSV vaccine Dec. 2, woke up and noticed I had very painful knee, thought it was normal side-effect but pain intensified over next couple of days, first went to emergency room, had 102 degree fever and they thought I had UTI, went home with antibiotic (amoxicillin), pain continued to intensify, knee collapsed and I fell and hit head, taken by ambulance to hospital on Dec. 5.  Admitted to hospital, diagnosed with cellulitis in right leg and put on IV antibiotics for 9 days.  Huge amount of swelling in whole right leg and hip....continued to get worse for several days, even after antibiotics, could not walk for 1 week.  Now, one month after incident, leg is still very swollen though slowly getting a bit better.  Lymphedema in right leg may have attracted bacteria from injection, if contaminated.  Do not think that clinician who administered vaccine checked for blood return before injecting this Intra-muscular vaccine.
Age: 80.0
Sex: F
Vaccine: RSV
Symptoms: Palpitations, Rash
Clinical narrative: Rash, palpitations
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, PNC13, RV5
Symptoms: Barium double contrast, Crying, Dehydration, Dyspepsia, Intestinal operation
Clinical narrative: Patient started vomiting mid-morning on 10/23/23, 1 week after vaccination. Vomited intermittently all day and would not feed. Initial vomit was undigested milk, then turned bilious.  Was taken to the ER at 7pm on 10/23/23 due to dehydration and lethargy. Diagnosed with intussusception. Had two attempted air enemas at 4am and 8am on 10/24/23 which were unsuccessful.  Was taken for surgery at 5:30 PM on 10/24/23 and successfully reduced intussusception. Discharged from hospital on 10/27/23. Patient was crying inconsolably  in early am hours on 10/28/23. Returned to ER. Repeat ultrasound showed no recurrence of intussusception. Was kept for observation and discharged on 10/29/23.
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, PNC13, RV5
Symptoms: Intussusception, Lethargy, Poor feeding infant, Procedural failure, Ultrasound abdomen abnormal
Clinical narrative: Patient started vomiting mid-morning on 10/23/23, 1 week after vaccination. Vomited intermittently all day and would not feed. Initial vomit was undigested milk, then turned bilious.  Was taken to the ER at 7pm on 10/23/23 due to dehydration and lethargy. Diagnosed with intussusception. Had two attempted air enemas at 4am and 8am on 10/24/23 which were unsuccessful.  Was taken for surgery at 5:30 PM on 10/24/23 and successfully reduced intussusception. Discharged from hospital on 10/27/23. Patient was crying inconsolably  in early am hours on 10/28/23. Returned to ER. Repeat ultrasound showed no recurrence of intussusception. Was kept for observation and discharged on 10/29/23.
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, PNC13, RV5
Symptoms: Vomiting
Clinical narrative: Patient started vomiting mid-morning on 10/23/23, 1 week after vaccination. Vomited intermittently all day and would not feed. Initial vomit was undigested milk, then turned bilious.  Was taken to the ER at 7pm on 10/23/23 due to dehydration and lethargy. Diagnosed with intussusception. Had two attempted air enemas at 4am and 8am on 10/24/23 which were unsuccessful.  Was taken for surgery at 5:30 PM on 10/24/23 and successfully reduced intussusception. Discharged from hospital on 10/27/23. Patient was crying inconsolably  in early am hours on 10/28/23. Returned to ER. Repeat ultrasound showed no recurrence of intussusception. Was kept for observation and discharged on 10/29/23.
Age: 31.0
Sex: M
Vaccine: HPV9, TD
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Patient had history of vasovagal syncope, so vaccines were given laying down.  Tetanus vaccine given first,  HPV vaccine given immediately after in requested left arm.  Approximately 1 minute later patient became light headed and stated they felt  nauseous and asked to sit up. I brought them to a seated position and gave a emesis basin. Provider called in to evaluate and patient began vomiting. Patient vitals taken and after 20 minutes and a secondary evaluation by provider,  patient felt well enough to leave.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Diarrhoea, Dizziness, Headache
Clinical narrative: Racing heart rate , light headedness, chest discomfort, severe muscle pain, high fever, chills, severe headache,  diarrhea
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Palpitations, Pyrexia
Clinical narrative: Racing heart rate , light headedness, chest discomfort, severe muscle pain, high fever, chills, severe headache,  diarrhea
Age: 53.0
Sex: M
Vaccine: RSV
Symptoms: Abdominal distension, Acupuncture, Asthenia, Burning sensation, Discomfort
Clinical narrative: 12/11/23 - Inflammation via fluid retention chest, upper sides (bilateral), upper back (bilateral), night sweat. 12/12/23 - Unable to get out of bed for 3 hours (morning; major muscle spasms in legs); around 5:30pm, left side back, left side chest, and left side abdomen, swollen and full of lymph; unable to walk upright 12/12/23 - Nausea continues sporadically  12/12/23 - Night sweats continued through 12/29/23 12/13/23 - Unable to walk upright, abdominal pressure, and pelvic weakness lasted through 12/21/23 12/13/23 - Skin burning scalp, lower arms continues beyond baseline 1/1/24 - Burning and dry eyes, dry mouth, and dry skin persist beyond pre-RSV vaccine. 1/1/24 - Neuropathy in fingertips and toes (bilaterally) beyond pre-RSV vaccine.
Age: 53.0
Sex: M
Vaccine: RSV
Symptoms: Dry eye, Dry mouth, Dry skin, Eye irritation, Fluid retention
Clinical narrative: 12/11/23 - Inflammation via fluid retention chest, upper sides (bilateral), upper back (bilateral), night sweat. 12/12/23 - Unable to get out of bed for 3 hours (morning; major muscle spasms in legs); around 5:30pm, left side back, left side chest, and left side abdomen, swollen and full of lymph; unable to walk upright 12/12/23 - Nausea continues sporadically  12/12/23 - Night sweats continued through 12/29/23 12/13/23 - Unable to walk upright, abdominal pressure, and pelvic weakness lasted through 12/21/23 12/13/23 - Skin burning scalp, lower arms continues beyond baseline 1/1/24 - Burning and dry eyes, dry mouth, and dry skin persist beyond pre-RSV vaccine. 1/1/24 - Neuropathy in fingertips and toes (bilaterally) beyond pre-RSV vaccine.
Age: 53.0
Sex: M
Vaccine: RSV
Symptoms: Inflammation, Lymphoedema, Mobility decreased, Muscle spasms, Nausea
Clinical narrative: 12/11/23 - Inflammation via fluid retention chest, upper sides (bilateral), upper back (bilateral), night sweat. 12/12/23 - Unable to get out of bed for 3 hours (morning; major muscle spasms in legs); around 5:30pm, left side back, left side chest, and left side abdomen, swollen and full of lymph; unable to walk upright 12/12/23 - Nausea continues sporadically  12/12/23 - Night sweats continued through 12/29/23 12/13/23 - Unable to walk upright, abdominal pressure, and pelvic weakness lasted through 12/21/23 12/13/23 - Skin burning scalp, lower arms continues beyond baseline 1/1/24 - Burning and dry eyes, dry mouth, and dry skin persist beyond pre-RSV vaccine. 1/1/24 - Neuropathy in fingertips and toes (bilaterally) beyond pre-RSV vaccine.
Age: 53.0
Sex: M
Vaccine: RSV
Symptoms: Neuropathy peripheral, Night sweats, Posture abnormal, Skin burning sensation, Swelling
Clinical narrative: 12/11/23 - Inflammation via fluid retention chest, upper sides (bilateral), upper back (bilateral), night sweat. 12/12/23 - Unable to get out of bed for 3 hours (morning; major muscle spasms in legs); around 5:30pm, left side back, left side chest, and left side abdomen, swollen and full of lymph; unable to walk upright 12/12/23 - Nausea continues sporadically  12/12/23 - Night sweats continued through 12/29/23 12/13/23 - Unable to walk upright, abdominal pressure, and pelvic weakness lasted through 12/21/23 12/13/23 - Skin burning scalp, lower arms continues beyond baseline 1/1/24 - Burning and dry eyes, dry mouth, and dry skin persist beyond pre-RSV vaccine. 1/1/24 - Neuropathy in fingertips and toes (bilaterally) beyond pre-RSV vaccine.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Antimicrobial susceptibility test resistant, Atrial fibrillation, Bacteraemia, Bacterial test positive
Clinical narrative: Patient is a 64 y.o. female patient of MD with history of left obstructive nephropathy s/p stent 12/02/2023 with Dr., nephrolithiasis, HTN, HLD, hypothyroidism, hepatic steatosis, prediabetes, OSA on cpap presented on 12/2/2023 with as transfer from facility for septic obstructing stone. Staff consulted by Hospitalists, Generic for continued medical management.    Assessment and plan   Acute post op hypoxic respiratory failure COVID 19 infection S/p intubation, extubated 12/03 now on RA Developed post op hypoxia CXR 12/02/2023 lungs clear  Blood cultures 12/04 pending Echocardiogram EF 75%. Received remdesivir, dexamethasone per ID   In hospital.   Urosepsis UTI  L sided obstructing stone resulting in L hydronephrosis Bacteremia. S/p cystoscopy with stent insertion with laser 12/2/23 On admission WBC 22.28  CT mild to moderate upstream hydroureteronephrosis, moderate L perinephric stranding  UA showed WBC- 103, large LE, many bacteria, 10 RBC  12/02 blood cultures: Pan susceptible Proteus  12/02 urine cultures ESBL E. Coli 12/02 urine cultures left kidney Pan susceptible Proteus. 12/04 repeat blood cultures NGTD. Urology Following, Foley discontinued. ID consulted-currently on ertapenem. Patient transition to oral ciprofloxacin 750 mg p.o. twice daily for 2 weeks per ID recommendations at discharge.   Atrial fibrillation with RVR. Patient went into atrial fibrillation with RVR last night. Reportedly had remote history of atrial fibrillation in 2015 which spontaneously converted. Evaluated by Dr. cardiology.  Recommend metoprolol for rate control and Eliquis for anticoagulation. Patient to undergo urologic procedure as outpatient.  Per cardiology patient can hold Eliquis 3 days prior to the planned procedure. Just prior to discharge patient converted to sinus rhythm. Had discussion at length with daughter on the phone.Discussed with the patient. Recommend to continue Eliquis. Metoprolol 25 mg p.o. twice daily.   Advised to watch blood pressure and heart rate at home. If heart rate<65, recommend to hold metoprolol.     AKI-resolved Creatinine 1.42 at peak on 12/02 Resolved.     Heart murmur Right second intercostal space Echo as above Mild hyponatremia Hypocalcemia Hypophosphatemia Corrected.   Acute blood loss anemia Has blood in foley collection container Baseline Hgb 12.3-13 Current hgb ~10. Monitor     HTN Home regimen amlodipine-benazepril 5 mg - 20 mg 2 capsule by mouth daily. Advised to stop benazepril. Prescription sent for amlodipine 5 mg daily in addition to metoprolol 25 mg p.o. twice daily. Discussed with daughter on the phone who is an RN to monitor blood pressures and heart rate at home. Discussed with patient and her husband. Hold metoprolol if heart rate<65.   Bradycardia Asymptomatic ?  From remdesivir. Resolved. Discussed with Dr. okay to continue remdesivir.       HLD  Can continue fenofibrate   Hypothyroidism TSH: Within normal limits Continue synthroid dose    GERD Continue protonix    OSA Continue CPAP
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Bladder catheterisation, Blood creatinine increased, Blood culture positive, Blood loss anaemia, Blood thyroid stimulating hormone normal
Clinical narrative: Patient is a 64 y.o. female patient of MD with history of left obstructive nephropathy s/p stent 12/02/2023 with Dr., nephrolithiasis, HTN, HLD, hypothyroidism, hepatic steatosis, prediabetes, OSA on cpap presented on 12/2/2023 with as transfer from facility for septic obstructing stone. Staff consulted by Hospitalists, Generic for continued medical management.    Assessment and plan   Acute post op hypoxic respiratory failure COVID 19 infection S/p intubation, extubated 12/03 now on RA Developed post op hypoxia CXR 12/02/2023 lungs clear  Blood cultures 12/04 pending Echocardiogram EF 75%. Received remdesivir, dexamethasone per ID   In hospital.   Urosepsis UTI  L sided obstructing stone resulting in L hydronephrosis Bacteremia. S/p cystoscopy with stent insertion with laser 12/2/23 On admission WBC 22.28  CT mild to moderate upstream hydroureteronephrosis, moderate L perinephric stranding  UA showed WBC- 103, large LE, many bacteria, 10 RBC  12/02 blood cultures: Pan susceptible Proteus  12/02 urine cultures ESBL E. Coli 12/02 urine cultures left kidney Pan susceptible Proteus. 12/04 repeat blood cultures NGTD. Urology Following, Foley discontinued. ID consulted-currently on ertapenem. Patient transition to oral ciprofloxacin 750 mg p.o. twice daily for 2 weeks per ID recommendations at discharge.   Atrial fibrillation with RVR. Patient went into atrial fibrillation with RVR last night. Reportedly had remote history of atrial fibrillation in 2015 which spontaneously converted. Evaluated by Dr. cardiology.  Recommend metoprolol for rate control and Eliquis for anticoagulation. Patient to undergo urologic procedure as outpatient.  Per cardiology patient can hold Eliquis 3 days prior to the planned procedure. Just prior to discharge patient converted to sinus rhythm. Had discussion at length with daughter on the phone.Discussed with the patient. Recommend to continue Eliquis. Metoprolol 25 mg p.o. twice daily.   Advised to watch blood pressure and heart rate at home. If heart rate<65, recommend to hold metoprolol.     AKI-resolved Creatinine 1.42 at peak on 12/02 Resolved.     Heart murmur Right second intercostal space Echo as above Mild hyponatremia Hypocalcemia Hypophosphatemia Corrected.   Acute blood loss anemia Has blood in foley collection container Baseline Hgb 12.3-13 Current hgb ~10. Monitor     HTN Home regimen amlodipine-benazepril 5 mg - 20 mg 2 capsule by mouth daily. Advised to stop benazepril. Prescription sent for amlodipine 5 mg daily in addition to metoprolol 25 mg p.o. twice daily. Discussed with daughter on the phone who is an RN to monitor blood pressures and heart rate at home. Discussed with patient and her husband. Hold metoprolol if heart rate<65.   Bradycardia Asymptomatic ?  From remdesivir. Resolved. Discussed with Dr. okay to continue remdesivir.       HLD  Can continue fenofibrate   Hypothyroidism TSH: Within normal limits Continue synthroid dose    GERD Continue protonix    OSA Continue CPAP
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Bradycardia, COVID-19, Cardiac murmur, Chest X-ray normal, Computerised tomogram abnormal
Clinical narrative: Patient is a 64 y.o. female patient of MD with history of left obstructive nephropathy s/p stent 12/02/2023 with Dr., nephrolithiasis, HTN, HLD, hypothyroidism, hepatic steatosis, prediabetes, OSA on cpap presented on 12/2/2023 with as transfer from facility for septic obstructing stone. Staff consulted by Hospitalists, Generic for continued medical management.    Assessment and plan   Acute post op hypoxic respiratory failure COVID 19 infection S/p intubation, extubated 12/03 now on RA Developed post op hypoxia CXR 12/02/2023 lungs clear  Blood cultures 12/04 pending Echocardiogram EF 75%. Received remdesivir, dexamethasone per ID   In hospital.   Urosepsis UTI  L sided obstructing stone resulting in L hydronephrosis Bacteremia. S/p cystoscopy with stent insertion with laser 12/2/23 On admission WBC 22.28  CT mild to moderate upstream hydroureteronephrosis, moderate L perinephric stranding  UA showed WBC- 103, large LE, many bacteria, 10 RBC  12/02 blood cultures: Pan susceptible Proteus  12/02 urine cultures ESBL E. Coli 12/02 urine cultures left kidney Pan susceptible Proteus. 12/04 repeat blood cultures NGTD. Urology Following, Foley discontinued. ID consulted-currently on ertapenem. Patient transition to oral ciprofloxacin 750 mg p.o. twice daily for 2 weeks per ID recommendations at discharge.   Atrial fibrillation with RVR. Patient went into atrial fibrillation with RVR last night. Reportedly had remote history of atrial fibrillation in 2015 which spontaneously converted. Evaluated by Dr. cardiology.  Recommend metoprolol for rate control and Eliquis for anticoagulation. Patient to undergo urologic procedure as outpatient.  Per cardiology patient can hold Eliquis 3 days prior to the planned procedure. Just prior to discharge patient converted to sinus rhythm. Had discussion at length with daughter on the phone.Discussed with the patient. Recommend to continue Eliquis. Metoprolol 25 mg p.o. twice daily.   Advised to watch blood pressure and heart rate at home. If heart rate<65, recommend to hold metoprolol.     AKI-resolved Creatinine 1.42 at peak on 12/02 Resolved.     Heart murmur Right second intercostal space Echo as above Mild hyponatremia Hypocalcemia Hypophosphatemia Corrected.   Acute blood loss anemia Has blood in foley collection container Baseline Hgb 12.3-13 Current hgb ~10. Monitor     HTN Home regimen amlodipine-benazepril 5 mg - 20 mg 2 capsule by mouth daily. Advised to stop benazepril. Prescription sent for amlodipine 5 mg daily in addition to metoprolol 25 mg p.o. twice daily. Discussed with daughter on the phone who is an RN to monitor blood pressures and heart rate at home. Discussed with patient and her husband. Hold metoprolol if heart rate<65.   Bradycardia Asymptomatic ?  From remdesivir. Resolved. Discussed with Dr. okay to continue remdesivir.       HLD  Can continue fenofibrate   Hypothyroidism TSH: Within normal limits Continue synthroid dose    GERD Continue protonix    OSA Continue CPAP
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Culture urine positive, Cystoscopy abnormal, Echocardiogram normal, Ejection fraction normal
Clinical narrative: Patient is a 64 y.o. female patient of MD with history of left obstructive nephropathy s/p stent 12/02/2023 with Dr., nephrolithiasis, HTN, HLD, hypothyroidism, hepatic steatosis, prediabetes, OSA on cpap presented on 12/2/2023 with as transfer from facility for septic obstructing stone. Staff consulted by Hospitalists, Generic for continued medical management.    Assessment and plan   Acute post op hypoxic respiratory failure COVID 19 infection S/p intubation, extubated 12/03 now on RA Developed post op hypoxia CXR 12/02/2023 lungs clear  Blood cultures 12/04 pending Echocardiogram EF 75%. Received remdesivir, dexamethasone per ID   In hospital.   Urosepsis UTI  L sided obstructing stone resulting in L hydronephrosis Bacteremia. S/p cystoscopy with stent insertion with laser 12/2/23 On admission WBC 22.28  CT mild to moderate upstream hydroureteronephrosis, moderate L perinephric stranding  UA showed WBC- 103, large LE, many bacteria, 10 RBC  12/02 blood cultures: Pan susceptible Proteus  12/02 urine cultures ESBL E. Coli 12/02 urine cultures left kidney Pan susceptible Proteus. 12/04 repeat blood cultures NGTD. Urology Following, Foley discontinued. ID consulted-currently on ertapenem. Patient transition to oral ciprofloxacin 750 mg p.o. twice daily for 2 weeks per ID recommendations at discharge.   Atrial fibrillation with RVR. Patient went into atrial fibrillation with RVR last night. Reportedly had remote history of atrial fibrillation in 2015 which spontaneously converted. Evaluated by Dr. cardiology.  Recommend metoprolol for rate control and Eliquis for anticoagulation. Patient to undergo urologic procedure as outpatient.  Per cardiology patient can hold Eliquis 3 days prior to the planned procedure. Just prior to discharge patient converted to sinus rhythm. Had discussion at length with daughter on the phone.Discussed with the patient. Recommend to continue Eliquis. Metoprolol 25 mg p.o. twice daily.   Advised to watch blood pressure and heart rate at home. If heart rate<65, recommend to hold metoprolol.     AKI-resolved Creatinine 1.42 at peak on 12/02 Resolved.     Heart murmur Right second intercostal space Echo as above Mild hyponatremia Hypocalcemia Hypophosphatemia Corrected.   Acute blood loss anemia Has blood in foley collection container Baseline Hgb 12.3-13 Current hgb ~10. Monitor     HTN Home regimen amlodipine-benazepril 5 mg - 20 mg 2 capsule by mouth daily. Advised to stop benazepril. Prescription sent for amlodipine 5 mg daily in addition to metoprolol 25 mg p.o. twice daily. Discussed with daughter on the phone who is an RN to monitor blood pressures and heart rate at home. Discussed with patient and her husband. Hold metoprolol if heart rate<65.   Bradycardia Asymptomatic ?  From remdesivir. Resolved. Discussed with Dr. okay to continue remdesivir.       HLD  Can continue fenofibrate   Hypothyroidism TSH: Within normal limits Continue synthroid dose    GERD Continue protonix    OSA Continue CPAP
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Endotracheal intubation, Escherichia test positive, Haemoglobin decreased, Hydronephrosis, Hypocalcaemia
Clinical narrative: Patient is a 64 y.o. female patient of MD with history of left obstructive nephropathy s/p stent 12/02/2023 with Dr., nephrolithiasis, HTN, HLD, hypothyroidism, hepatic steatosis, prediabetes, OSA on cpap presented on 12/2/2023 with as transfer from facility for septic obstructing stone. Staff consulted by Hospitalists, Generic for continued medical management.    Assessment and plan   Acute post op hypoxic respiratory failure COVID 19 infection S/p intubation, extubated 12/03 now on RA Developed post op hypoxia CXR 12/02/2023 lungs clear  Blood cultures 12/04 pending Echocardiogram EF 75%. Received remdesivir, dexamethasone per ID   In hospital.   Urosepsis UTI  L sided obstructing stone resulting in L hydronephrosis Bacteremia. S/p cystoscopy with stent insertion with laser 12/2/23 On admission WBC 22.28  CT mild to moderate upstream hydroureteronephrosis, moderate L perinephric stranding  UA showed WBC- 103, large LE, many bacteria, 10 RBC  12/02 blood cultures: Pan susceptible Proteus  12/02 urine cultures ESBL E. Coli 12/02 urine cultures left kidney Pan susceptible Proteus. 12/04 repeat blood cultures NGTD. Urology Following, Foley discontinued. ID consulted-currently on ertapenem. Patient transition to oral ciprofloxacin 750 mg p.o. twice daily for 2 weeks per ID recommendations at discharge.   Atrial fibrillation with RVR. Patient went into atrial fibrillation with RVR last night. Reportedly had remote history of atrial fibrillation in 2015 which spontaneously converted. Evaluated by Dr. cardiology.  Recommend metoprolol for rate control and Eliquis for anticoagulation. Patient to undergo urologic procedure as outpatient.  Per cardiology patient can hold Eliquis 3 days prior to the planned procedure. Just prior to discharge patient converted to sinus rhythm. Had discussion at length with daughter on the phone.Discussed with the patient. Recommend to continue Eliquis. Metoprolol 25 mg p.o. twice daily.   Advised to watch blood pressure and heart rate at home. If heart rate<65, recommend to hold metoprolol.     AKI-resolved Creatinine 1.42 at peak on 12/02 Resolved.     Heart murmur Right second intercostal space Echo as above Mild hyponatremia Hypocalcemia Hypophosphatemia Corrected.   Acute blood loss anemia Has blood in foley collection container Baseline Hgb 12.3-13 Current hgb ~10. Monitor     HTN Home regimen amlodipine-benazepril 5 mg - 20 mg 2 capsule by mouth daily. Advised to stop benazepril. Prescription sent for amlodipine 5 mg daily in addition to metoprolol 25 mg p.o. twice daily. Discussed with daughter on the phone who is an RN to monitor blood pressures and heart rate at home. Discussed with patient and her husband. Hold metoprolol if heart rate<65.   Bradycardia Asymptomatic ?  From remdesivir. Resolved. Discussed with Dr. okay to continue remdesivir.       HLD  Can continue fenofibrate   Hypothyroidism TSH: Within normal limits Continue synthroid dose    GERD Continue protonix    OSA Continue CPAP