chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 71.0
Sex: U
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Clostridium difficile infection
Clinical narrative: Asymptomatic, also had c diff
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray, Chest pain, Condition aggravated, Electrocardiogram
Clinical narrative: The next morning after the vaccine I woke up and my arm at the injection site was swollen with a 2" diameter bump and I was very fatigued which lasted about 3 or 4 days and subsided on it own. On 1/4 I developed a sore throat, body aches and was fatigued. I had a runny nose and sneezing and d/t the fact my son tested positive the same day for COVID-19. I went to the VA and had a COVID-19 test performed which was negative at that time. But on 1/8 I took a home test and it was positive and on 1/9 I took another test and it too was positive for COVID-19. I suffer from tinnitus previously, but since I developed the COVID-19 it seems as if the tinnitus has increased in intensity to about a 6/10 where previously it was about 3/10. To date I have persistent inflammation where my body is mildly swollen. And my chest on the left of my breast bone has a lot of pain and tenderness and 1/31 I had an EKG and chest x-ray performed but both were normal and clear but I was placed Naproxen to help with the pain and swelling.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Inflammation, Injection site swelling, Musculoskeletal chest pain, Oropharyngeal pain
Clinical narrative: The next morning after the vaccine I woke up and my arm at the injection site was swollen with a 2" diameter bump and I was very fatigued which lasted about 3 or 4 days and subsided on it own. On 1/4 I developed a sore throat, body aches and was fatigued. I had a runny nose and sneezing and d/t the fact my son tested positive the same day for COVID-19. I went to the VA and had a COVID-19 test performed which was negative at that time. But on 1/8 I took a home test and it was positive and on 1/9 I took another test and it too was positive for COVID-19. I suffer from tinnitus previously, but since I developed the COVID-19 it seems as if the tinnitus has increased in intensity to about a 6/10 where previously it was about 3/10. To date I have persistent inflammation where my body is mildly swollen. And my chest on the left of my breast bone has a lot of pain and tenderness and 1/31 I had an EKG and chest x-ray performed but both were normal and clear but I was placed Naproxen to help with the pain and swelling.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Rhinorrhoea, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Sneezing
Clinical narrative: The next morning after the vaccine I woke up and my arm at the injection site was swollen with a 2" diameter bump and I was very fatigued which lasted about 3 or 4 days and subsided on it own. On 1/4 I developed a sore throat, body aches and was fatigued. I had a runny nose and sneezing and d/t the fact my son tested positive the same day for COVID-19. I went to the VA and had a COVID-19 test performed which was negative at that time. But on 1/8 I took a home test and it was positive and on 1/9 I took another test and it too was positive for COVID-19. I suffer from tinnitus previously, but since I developed the COVID-19 it seems as if the tinnitus has increased in intensity to about a 6/10 where previously it was about 3/10. To date I have persistent inflammation where my body is mildly swollen. And my chest on the left of my breast bone has a lot of pain and tenderness and 1/31 I had an EKG and chest x-ray performed but both were normal and clear but I was placed Naproxen to help with the pain and swelling.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Tinnitus
Clinical narrative: The next morning after the vaccine I woke up and my arm at the injection site was swollen with a 2" diameter bump and I was very fatigued which lasted about 3 or 4 days and subsided on it own. On 1/4 I developed a sore throat, body aches and was fatigued. I had a runny nose and sneezing and d/t the fact my son tested positive the same day for COVID-19. I went to the VA and had a COVID-19 test performed which was negative at that time. But on 1/8 I took a home test and it was positive and on 1/9 I took another test and it too was positive for COVID-19. I suffer from tinnitus previously, but since I developed the COVID-19 it seems as if the tinnitus has increased in intensity to about a 6/10 where previously it was about 3/10. To date I have persistent inflammation where my body is mildly swollen. And my chest on the left of my breast bone has a lot of pain and tenderness and 1/31 I had an EKG and chest x-ray performed but both were normal and clear but I was placed Naproxen to help with the pain and swelling.
Age: 12.0
Sex: M
Vaccine: MENB
Symptoms: Wrong product administered
Clinical narrative: Patient asymptomatic. It was noted afterwards upon chart review patient was given specific meningitis B vaccine instead of more broad meningitis vaccination.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac failure, Cardiac imaging procedure abnormal, Cardiac perfusion defect, Cough, Dyspnoea exertional
Clinical narrative: Patient received 2 moderna covid vaccines on 4/1/21 and 4/29/21. Patient presented to hospital on 10/30/21 with significant orthopnea, dyspnea on exertion and cough with inspiration. cMRI on 11/1 was consistent with acute myocarditis, EF 25% (new HFrEF).  EKG showed ST depressions in inferior and lateral leads, troponin 954, NT-proBNP 6252, d-dimer 1834.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ejection fraction decreased, Electrocardiogram ST segment depression, Fibrin D dimer, Fluid retention, Left ventricular dysfunction
Clinical narrative: Patient received 2 moderna covid vaccines on 4/1/21 and 4/29/21. Patient presented to hospital on 10/30/21 with significant orthopnea, dyspnea on exertion and cough with inspiration. cMRI on 11/1 was consistent with acute myocarditis, EF 25% (new HFrEF).  EKG showed ST depressions in inferior and lateral leads, troponin 954, NT-proBNP 6252, d-dimer 1834.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Left ventricular hypertrophy, Magnetic resonance imaging heart, Myocarditis, N-terminal prohormone brain natriuretic peptide increased, Oedema
Clinical narrative: Patient received 2 moderna covid vaccines on 4/1/21 and 4/29/21. Patient presented to hospital on 10/30/21 with significant orthopnea, dyspnea on exertion and cough with inspiration. cMRI on 11/1 was consistent with acute myocarditis, EF 25% (new HFrEF).  EKG showed ST depressions in inferior and lateral leads, troponin 954, NT-proBNP 6252, d-dimer 1834.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Orthopnoea, Pericardial effusion, Pleural effusion, Right ventricular dysfunction, Right ventricular ejection fraction decreased
Clinical narrative: Patient received 2 moderna covid vaccines on 4/1/21 and 4/29/21. Patient presented to hospital on 10/30/21 with significant orthopnea, dyspnea on exertion and cough with inspiration. cMRI on 11/1 was consistent with acute myocarditis, EF 25% (new HFrEF).  EKG showed ST depressions in inferior and lateral leads, troponin 954, NT-proBNP 6252, d-dimer 1834.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Systolic dysfunction, Troponin increased, Ventricular hypertrophy, Ventricular hypokinesia
Clinical narrative: Patient received 2 moderna covid vaccines on 4/1/21 and 4/29/21. Patient presented to hospital on 10/30/21 with significant orthopnea, dyspnea on exertion and cough with inspiration. cMRI on 11/1 was consistent with acute myocarditis, EF 25% (new HFrEF).  EKG showed ST depressions in inferior and lateral leads, troponin 954, NT-proBNP 6252, d-dimer 1834.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Mobility decreased, Musculoskeletal stiffness, Myalgia
Clinical narrative: 02/28/2021 A few days after vaccine, I began to experience pain and stiffness in muscles unable to get out of bed. Received some bloodwork and thought I had Polymyalgia rheumatica through March, I got sent to a rheumatologist on April 30th 2021, after running some tests that I did have Polymyalgia rheumatica, started taking Prednisone and my numbers started to come down. Early January 2022, my Rheumatologist stated that she would like to take me off of prednisone. Still experiencing muscle and joint pain in the morning, difficult moving around. As the day goes on I begin to feel better. Pain mainly in right shoulder and hips. X-rays showing signs of arthritis. I did not have a history of severe pain before being diagnosed with PMR. October 2021, booster shot received, I did not have a flare up that was out of what was already going on.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Polymyalgia rheumatica, X-ray
Clinical narrative: 02/28/2021 A few days after vaccine, I began to experience pain and stiffness in muscles unable to get out of bed. Received some bloodwork and thought I had Polymyalgia rheumatica through March, I got sent to a rheumatologist on April 30th 2021, after running some tests that I did have Polymyalgia rheumatica, started taking Prednisone and my numbers started to come down. Early January 2022, my Rheumatologist stated that she would like to take me off of prednisone. Still experiencing muscle and joint pain in the morning, difficult moving around. As the day goes on I begin to feel better. Pain mainly in right shoulder and hips. X-rays showing signs of arthritis. I did not have a history of severe pain before being diagnosed with PMR. October 2021, booster shot received, I did not have a flare up that was out of what was already going on.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Rash
Clinical narrative: I asked patient if she had experience any symptoms to previous Moderna vaccine. Patient stated, "I got hives and my arm got swollen days later after getting the vaccine." I asked the patient did you go to the hospital or receive epinephrine due to not being able to breath. Patient stated, "no." I told the patient I was going to verify with another nurse about the vaccine. I then administered the vaccine on the patient's left arm. Patient was fine after getting the vaccine she went to sit down with her husband. Then patient stated that she couldn't breath and was coughing. I then administered a standard epi-pen on the patient's right thigh. The patient did have a rash on her chest. Vital signs were stable throughout the event, patient was talking, and wasn't cyanotic. EMS came to evaluate the patient. Patient stated, " I feel fine." Patient was given water and refused to be transferred to EMS. Patient was then advised to follow up with her doctor.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: symptom onset 1/4/22
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gastrointestinal disorder, Nasal congestion, Pain, Pyrexia
Clinical narrative: On the night of the COVID booster shot, I had severe body aches and had a very high fever (over 103 degrees) through Tuesday, taking tylenol and ibuprofen simultaneously to keep the fever down. Did a telehealth appointment on Monday, was instructed to wait and see. Took an in-home COVID test and the COVID test was negative. The fever resolved after Tuesday, the GI issues and nasal congestion, fatigue, body aches are still lingering. They have stayed at the same intensity. Schedule for doctor's appointed 2/4/2022 to be re-evaluated.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: On the night of the COVID booster shot, I had severe body aches and had a very high fever (over 103 degrees) through Tuesday, taking tylenol and ibuprofen simultaneously to keep the fever down. Did a telehealth appointment on Monday, was instructed to wait and see. Took an in-home COVID test and the COVID test was negative. The fever resolved after Tuesday, the GI issues and nasal congestion, fatigue, body aches are still lingering. They have stayed at the same intensity. Schedule for doctor's appointed 2/4/2022 to be re-evaluated.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Menstrual disorder, Menstruation irregular
Clinical narrative: Caused a period 2 weeks earlier (I am on a very normal cycle) with excessive bleeding and clots like never ever before. Frist few period after the vaccination were very heavy and painful, and out of cycle. The cycle has remained unstable since.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary normal, Anticoagulant therapy, COVID-19, Chest X-ray normal, Computerised tomogram head normal
Clinical narrative: Patient is fully vaccinated.  COVID + 1/18/2022.  58yo F with PMHx of anxiety, asthma, DDD, depression, DM, fibromyalgia, HTN, hypothyroidism, SLE and migraines presents with dizziness. Pt reports repeated episodes of lightheadedness in the last several days. Yesterday, she felt light headed while walking in her home when she fell, hit her head on dresser. Denies LOC or blood thinner use.No nausea, vomiting, fever, chest pain, shortness of breath or focal deficits reported. In the ER, CT head along with CT of the C, T and L spine were negative for acute processes. CTAP was negative for acute processes. CXR was negative. Labs obtained were unremarkable. EKG was negative for acute ischemia. Troponins negative. D dimer is elevated. DVT prophylaxis with Heparin SubQPt treated with migraine cocktail and IVF fluids with moderate improvement. Pt discharged home.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram spine, Dizziness, Electrocardiogram normal, Fall, Fibrin D dimer increased
Clinical narrative: Patient is fully vaccinated.  COVID + 1/18/2022.  58yo F with PMHx of anxiety, asthma, DDD, depression, DM, fibromyalgia, HTN, hypothyroidism, SLE and migraines presents with dizziness. Pt reports repeated episodes of lightheadedness in the last several days. Yesterday, she felt light headed while walking in her home when she fell, hit her head on dresser. Denies LOC or blood thinner use.No nausea, vomiting, fever, chest pain, shortness of breath or focal deficits reported. In the ER, CT head along with CT of the C, T and L spine were negative for acute processes. CTAP was negative for acute processes. CXR was negative. Labs obtained were unremarkable. EKG was negative for acute ischemia. Troponins negative. D dimer is elevated. DVT prophylaxis with Heparin SubQPt treated with migraine cocktail and IVF fluids with moderate improvement. Pt discharged home.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Head injury, Laboratory test normal, SARS-CoV-2 test positive, Troponin normal
Clinical narrative: Patient is fully vaccinated.  COVID + 1/18/2022.  58yo F with PMHx of anxiety, asthma, DDD, depression, DM, fibromyalgia, HTN, hypothyroidism, SLE and migraines presents with dizziness. Pt reports repeated episodes of lightheadedness in the last several days. Yesterday, she felt light headed while walking in her home when she fell, hit her head on dresser. Denies LOC or blood thinner use.No nausea, vomiting, fever, chest pain, shortness of breath or focal deficits reported. In the ER, CT head along with CT of the C, T and L spine were negative for acute processes. CTAP was negative for acute processes. CXR was negative. Labs obtained were unremarkable. EKG was negative for acute ischemia. Troponins negative. D dimer is elevated. DVT prophylaxis with Heparin SubQPt treated with migraine cocktail and IVF fluids with moderate improvement. Pt discharged home.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Pulmonary embolism
Clinical narrative: He had his booster Moderna vaccine and had no problems.  Went to the hospital for an unrelated thing and that showed a PE.  He was then put into the ER and kept for several hours and put him on blood thinners and discharged him.  He did not have any symptoms or shortness of breath.  He has an appointment today with a vascular specialist and has seen a cardiologist, pulmonary and there seems to be no explanation to the PE, but believes it may be related to the J&J vaccine that he got in March.  He also has an APT with a hematologist coming up as well.    Feels that there should be more information available so that people can find out what is to the speculation to the blood clotting.  He does regret getting the J&J vaccine due to having the PE.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: symptom onset 1/8/22
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness, Tinnitus
Clinical narrative: After booster dose of the COVID19 mRNA vaccine this October 8th, she developed tinnitus and hearing loss.  This was an insidious in onset, however, her ENT physician attributes it to the vaccination because of proximity in time. She does not have exact date of onset but occurred after vaccine in month of October.  Her symptoms persist
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Biopsy breast abnormal, Chemotherapy, HER2 positive breast cancer, Mammogram abnormal, Mastectomy
Clinical narrative: Abnormal mammogram at my yearly mammogram 09/2021. Had biopsy 10/2021. Diagnosed with HER2+  Breast cancer. Bilateral mastectomy 11/4/2021. Currently receiving chemotherapy.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Diarrhoea haemorrhagic, Headache, Lethargy
Clinical narrative: - Bloody diarrhea - Diarrhea - Loss of consciousness - Headache - Lethargy - Fever - Chills
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Pyrexia, White blood cell count abnormal
Clinical narrative: - Bloody diarrhea - Diarrhea - Loss of consciousness - Headache - Lethargy - Fever - Chills
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Back pain, Computerised tomogram spine, Intervertebral disc space narrowing, Spinal compression fracture
Clinical narrative: Patient presents to the ED on 01/15/2022  with a Chief Complaint of Back Pain and Abdominal Pain after receiving the covid-19 vaccine on 01/06/2022. Per guidelines, all hospitalizations are reported.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: patient called complaining red, swalloen touchy bump around injection site
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urine present, Chills, Computerised tomogram abdomen, Cystoscopy, Fatigue
Clinical narrative: About 12 hours after the shot I began having intense chills, racing heart, vomiting, soreness at injection site and headache. The following day I continued to vomit and have a headache and was extremely exhausted and could not get out of bed. The day after that, I started to feel a little bit better, but that is when I noticed visible blood in my urine.  I have had visible blood in my urine on and off ever since then (It has been over two months now). Despite the clinical tests I?ve had done, doctors have not been able to provide me with a cause or explanation as to why I have this symptom.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Haematuria, Headache, Injection site pain, Palpitations, Urine analysis abnormal
Clinical narrative: About 12 hours after the shot I began having intense chills, racing heart, vomiting, soreness at injection site and headache. The following day I continued to vomit and have a headache and was extremely exhausted and could not get out of bed. The day after that, I started to feel a little bit better, but that is when I noticed visible blood in my urine.  I have had visible blood in my urine on and off ever since then (It has been over two months now). Despite the clinical tests I?ve had done, doctors have not been able to provide me with a cause or explanation as to why I have this symptom.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: About 12 hours after the shot I began having intense chills, racing heart, vomiting, soreness at injection site and headache. The following day I continued to vomit and have a headache and was extremely exhausted and could not get out of bed. The day after that, I started to feel a little bit better, but that is when I noticed visible blood in my urine.  I have had visible blood in my urine on and off ever since then (It has been over two months now). Despite the clinical tests I?ve had done, doctors have not been able to provide me with a cause or explanation as to why I have this symptom.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal uterine bleeding, Dyspnoea, Heavy menstrual bleeding, Menstruation irregular, Palpitations
Clinical narrative: Patient began having episodes of tachycardia and palpitations about 2 weeks after vaccination.  She reports increased palpitations with exertion or activity.  No chest pain. She does feel winded easily with activity.   She also reports abnormal uterine bleeding despite having the Nexplanon implant.  She has frequent menses with heavy bleeding.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Patient began having episodes of tachycardia and palpitations about 2 weeks after vaccination.  She reports increased palpitations with exertion or activity.  No chest pain. She does feel winded easily with activity.   She also reports abnormal uterine bleeding despite having the Nexplanon implant.  She has frequent menses with heavy bleeding.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Feeling hot, Flushing, General physical condition abnormal, Pallor, Rash macular
Clinical narrative: According to mother who was sitting with client in waiting room, approximately 10 minutes after injections, client became pale and seemed "zoned out." She then started to get "flushed" and red blotches on her arms and abdomen.  Client denied shortness of breath or trouble swallowing.  Vital signs were stable. Nurse monitored client for approximately 30 more minutes.  After about 10 minutes post symptoms, blotches started to subside. Client complained of still feeling warm. Client stated she has not had anything to eat since lunch. Nurse discharged client after a total of 45 minutes in the clinic since vital signs were stable and she denied SOB, chest tightness, or difficulty swallowing. Mother informed of potential serious reactions and VIS was given at time of shots.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Intermenstrual bleeding, Menstruation irregular
Clinical narrative: Significant changes in menstrual cycle - breakthrough bleeding, cramping, severely heavy bleeding
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, COVID-19, Chest discomfort, Electrocardiogram
Clinical narrative: Patient is fully vaccinated.  33-year-old male, denies any chronic medical problems presenting with chest tightness over the past several days.  Endorses a "pressure "in his substernal chest. Patient was diagnosed COVID-positive 1 week ago.  Denies any fever chills, no significant cough.  No shortness of breath.  No nausea vomiting or diarrhea.EKG reviewed and interpreted by myself, sinus rhythm, normal axis, left atrial enlargement.  Blood work ordered by triage, reviewed, unremarkable. Discharged home from ED.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inflammation, Joint swelling, Musculoskeletal stiffness, Pain, Peripheral swelling
Clinical narrative: Swollen hands a month after vaccines. Continued to the legs, knees, feet there after, now shoulders too. The inflammation has continued to increase pain on all my body and causing me to have a great deal of pain when sleeping and get stiffness when not moving.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: X-ray normal
Clinical narrative: Swollen hands a month after vaccines. Continued to the legs, knees, feet there after, now shoulders too. The inflammation has continued to increase pain on all my body and causing me to have a great deal of pain when sleeping and get stiffness when not moving.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Dyspepsia, Dysstasia, Electrocardiogram, Hypoaesthesia
Clinical narrative: Two days after vx started having heartburn and her body felt numb, she periodically couldn't stand. Went to her PCP and they referred her to a Cardiologist, where they then gave her an EKG test and ultrasound. They diagnosed her with having Afib. Is currently wearing a heart monitor.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: Two days after vx started having heartburn and her body felt numb, she periodically couldn't stand. Went to her PCP and they referred her to a Cardiologist, where they then gave her an EKG test and ultrasound. They diagnosed her with having Afib. Is currently wearing a heart monitor.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Movement disorder, Muscular weakness, Rash
Clinical narrative: Pt presented to urgent care 9/24/21 where she was referred to the ED. In the ED c/o of generalized body muscle weakness and joint pains since this morning. Pt states she woke up and was unable to move. Pt states, she had Flu vaccine and covid vaccine 9/21/22. Also reports body rash. Patient received supportive care, morphine and ketorolac. Pt was discharged home and instructed not to receive further influenze and/or COVID vaccines based on her reaction.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Client was given an undiluted dose of the pediatric Pfizer formulation. RN drew 5 doses of 0.2 ml from one pediatric Pfizer vial. Client was given one undiluted dose of 0.2mL in the deltoid.  Client felt fine immediatrly after receving the vaccine and again after the 15 minute wait period.  RN provided information on what occured to client's older sister and client's mother who were present at clinic. RN provided education on signs and sysmtoms to watch for nd when to seek medical attention.  RN attempted to call client's mother next day and left voice message for client/client's mother.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Gave Pfizer when it should have been Moderna for 2nd shot.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: (*this was a booster shot) The menstrual period cycles in subsequent months after the booster shot was abnormal. I have very regular cycles in general (every 28-29 days) I had periods after just 21-22days. One in December, and anothe one in January.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood creatinine increased, Blood sodium increased, Blood urea increased, Body temperature increased
Clinical narrative: 1/18/22 TEMP 100.6, OCC COUGH RAPID COVID 19 TEST POSITIVE. OUTBREAK ON DEMENTIA UNIT 1/20/22-New order cbc, BMP in AM, continue IV fluids as ordered. hold Remeron and Seroquel, Levaquin 750 mgdaily x 5 days, Regen-COV infusion.  Reviewed with guardian C. Oxendine and she is in agreement. 1/22/22 REGEN-V INFUSION ADMINISTERED CONTINUED IV HYDRATION UNTIL 1/23 HE REMOVED IV. BEGAN ACCEPTING FLUIDS PO. 1/22/22-New orders to start eliquis 5mg PO BID x2 months. Obtain US of BLE, and Obtain Chest CT to rule out PE. Above discussed with ADPOA who consents to new orders with the exception of CT scan. 1/27/22 HOSPICE CONTACTED PER GUARDIAN REQUEST, DOES NOT WANT HIM HOSPITALIZED  N.O. HOSPICE EVAL AND ADMIT AND RESIDENT DECREASE IN SEROQUEL DOSE AND STARTED MSO4 FOR PAIN MANAGEMENT, RESTLESS, MOANING, AND GRIMACING. DECREASED PO INTAKE AND INCREASEED DIFFICULTY SWALLOWING. 1/29/21 OFF COVID DROPLET PRECAUTIONS AFTER 20 DAYS ISOLATION DUE TO ACUTE EXACERBATING CONDITIONS.  COMFORT MAINTAINED AND NO FURTHER LABS OR MEDICAL PROCEDURES. PASSED AWAY ON HOSPICE SERVICES WITH DAUGHTER AT BEDSIDE ON 1/31/22
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Death, Dysphagia, Fibrin D dimer
Clinical narrative: 1/18/22 TEMP 100.6, OCC COUGH RAPID COVID 19 TEST POSITIVE. OUTBREAK ON DEMENTIA UNIT 1/20/22-New order cbc, BMP in AM, continue IV fluids as ordered. hold Remeron and Seroquel, Levaquin 750 mgdaily x 5 days, Regen-COV infusion.  Reviewed with guardian C. Oxendine and she is in agreement. 1/22/22 REGEN-V INFUSION ADMINISTERED CONTINUED IV HYDRATION UNTIL 1/23 HE REMOVED IV. BEGAN ACCEPTING FLUIDS PO. 1/22/22-New orders to start eliquis 5mg PO BID x2 months. Obtain US of BLE, and Obtain Chest CT to rule out PE. Above discussed with ADPOA who consents to new orders with the exception of CT scan. 1/27/22 HOSPICE CONTACTED PER GUARDIAN REQUEST, DOES NOT WANT HIM HOSPITALIZED  N.O. HOSPICE EVAL AND ADMIT AND RESIDENT DECREASE IN SEROQUEL DOSE AND STARTED MSO4 FOR PAIN MANAGEMENT, RESTLESS, MOANING, AND GRIMACING. DECREASED PO INTAKE AND INCREASEED DIFFICULTY SWALLOWING. 1/29/21 OFF COVID DROPLET PRECAUTIONS AFTER 20 DAYS ISOLATION DUE TO ACUTE EXACERBATING CONDITIONS.  COMFORT MAINTAINED AND NO FURTHER LABS OR MEDICAL PROCEDURES. PASSED AWAY ON HOSPICE SERVICES WITH DAUGHTER AT BEDSIDE ON 1/31/22
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Glomerular filtration rate decreased, Grimacing, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: 1/18/22 TEMP 100.6, OCC COUGH RAPID COVID 19 TEST POSITIVE. OUTBREAK ON DEMENTIA UNIT 1/20/22-New order cbc, BMP in AM, continue IV fluids as ordered. hold Remeron and Seroquel, Levaquin 750 mgdaily x 5 days, Regen-COV infusion.  Reviewed with guardian C. Oxendine and she is in agreement. 1/22/22 REGEN-V INFUSION ADMINISTERED CONTINUED IV HYDRATION UNTIL 1/23 HE REMOVED IV. BEGAN ACCEPTING FLUIDS PO. 1/22/22-New orders to start eliquis 5mg PO BID x2 months. Obtain US of BLE, and Obtain Chest CT to rule out PE. Above discussed with ADPOA who consents to new orders with the exception of CT scan. 1/27/22 HOSPICE CONTACTED PER GUARDIAN REQUEST, DOES NOT WANT HIM HOSPITALIZED  N.O. HOSPICE EVAL AND ADMIT AND RESIDENT DECREASE IN SEROQUEL DOSE AND STARTED MSO4 FOR PAIN MANAGEMENT, RESTLESS, MOANING, AND GRIMACING. DECREASED PO INTAKE AND INCREASEED DIFFICULTY SWALLOWING. 1/29/21 OFF COVID DROPLET PRECAUTIONS AFTER 20 DAYS ISOLATION DUE TO ACUTE EXACERBATING CONDITIONS.  COMFORT MAINTAINED AND NO FURTHER LABS OR MEDICAL PROCEDURES. PASSED AWAY ON HOSPICE SERVICES WITH DAUGHTER AT BEDSIDE ON 1/31/22
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Hypophagia, Intentional medical device removal by patient, Metabolic function test, Moaning, Pain
Clinical narrative: 1/18/22 TEMP 100.6, OCC COUGH RAPID COVID 19 TEST POSITIVE. OUTBREAK ON DEMENTIA UNIT 1/20/22-New order cbc, BMP in AM, continue IV fluids as ordered. hold Remeron and Seroquel, Levaquin 750 mgdaily x 5 days, Regen-COV infusion.  Reviewed with guardian C. Oxendine and she is in agreement. 1/22/22 REGEN-V INFUSION ADMINISTERED CONTINUED IV HYDRATION UNTIL 1/23 HE REMOVED IV. BEGAN ACCEPTING FLUIDS PO. 1/22/22-New orders to start eliquis 5mg PO BID x2 months. Obtain US of BLE, and Obtain Chest CT to rule out PE. Above discussed with ADPOA who consents to new orders with the exception of CT scan. 1/27/22 HOSPICE CONTACTED PER GUARDIAN REQUEST, DOES NOT WANT HIM HOSPITALIZED  N.O. HOSPICE EVAL AND ADMIT AND RESIDENT DECREASE IN SEROQUEL DOSE AND STARTED MSO4 FOR PAIN MANAGEMENT, RESTLESS, MOANING, AND GRIMACING. DECREASED PO INTAKE AND INCREASEED DIFFICULTY SWALLOWING. 1/29/21 OFF COVID DROPLET PRECAUTIONS AFTER 20 DAYS ISOLATION DUE TO ACUTE EXACERBATING CONDITIONS.  COMFORT MAINTAINED AND NO FURTHER LABS OR MEDICAL PROCEDURES. PASSED AWAY ON HOSPICE SERVICES WITH DAUGHTER AT BEDSIDE ON 1/31/22
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Restlessness, SARS-CoV-2 test positive, Ultrasound Doppler normal, White blood cell count increased
Clinical narrative: 1/18/22 TEMP 100.6, OCC COUGH RAPID COVID 19 TEST POSITIVE. OUTBREAK ON DEMENTIA UNIT 1/20/22-New order cbc, BMP in AM, continue IV fluids as ordered. hold Remeron and Seroquel, Levaquin 750 mgdaily x 5 days, Regen-COV infusion.  Reviewed with guardian C. Oxendine and she is in agreement. 1/22/22 REGEN-V INFUSION ADMINISTERED CONTINUED IV HYDRATION UNTIL 1/23 HE REMOVED IV. BEGAN ACCEPTING FLUIDS PO. 1/22/22-New orders to start eliquis 5mg PO BID x2 months. Obtain US of BLE, and Obtain Chest CT to rule out PE. Above discussed with ADPOA who consents to new orders with the exception of CT scan. 1/27/22 HOSPICE CONTACTED PER GUARDIAN REQUEST, DOES NOT WANT HIM HOSPITALIZED  N.O. HOSPICE EVAL AND ADMIT AND RESIDENT DECREASE IN SEROQUEL DOSE AND STARTED MSO4 FOR PAIN MANAGEMENT, RESTLESS, MOANING, AND GRIMACING. DECREASED PO INTAKE AND INCREASEED DIFFICULTY SWALLOWING. 1/29/21 OFF COVID DROPLET PRECAUTIONS AFTER 20 DAYS ISOLATION DUE TO ACUTE EXACERBATING CONDITIONS.  COMFORT MAINTAINED AND NO FURTHER LABS OR MEDICAL PROCEDURES. PASSED AWAY ON HOSPICE SERVICES WITH DAUGHTER AT BEDSIDE ON 1/31/22
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fall, Femoral neck fracture, Injury, Pain in extremity
Clinical narrative: Trauma, Fall   Source of Information:  Patient   Mechanism of Injury/Details of Event:  This is a 59y.o. female who presents after falling on ice with severe LLE pain. She denies LOC. She denies any other injuries. Hx of tobacco abuse. No thinners. No significant medical hx.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, X-ray of pelvis and hip abnormal
Clinical narrative: Trauma, Fall   Source of Information:  Patient   Mechanism of Injury/Details of Event:  This is a 59y.o. female who presents after falling on ice with severe LLE pain. She denies LOC. She denies any other injuries. Hx of tobacco abuse. No thinners. No significant medical hx.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Fatigue, Influenza like illness, Injection site erythema, Injection site nodule
Clinical narrative: Golf ball sized red, hot, & sore knot at injection site still present 72 hours after vaccine; general "flu" type symptoms; 36 hours of fever up to 102 degrees; 48+ hours of general body soreness, aches, pains and exhaustion; 72+ hours of general tiredness and weakness; currently  I feel that I am 80% recovered from the "flu type" symptoms, however, the knot at the injection site is still very much present
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site warmth, Pain, Pyrexia
Clinical narrative: Golf ball sized red, hot, & sore knot at injection site still present 72 hours after vaccine; general "flu" type symptoms; 36 hours of fever up to 102 degrees; 48+ hours of general body soreness, aches, pains and exhaustion; 72+ hours of general tiredness and weakness; currently  I feel that I am 80% recovered from the "flu type" symptoms, however, the knot at the injection site is still very much present
Age: 9.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ear swelling, Lip swelling, Myalgia, Pyrexia, Swelling face
Clinical narrative: Generalized hives, facial/lip swelling, ear swelling, fever, generalized muscle pain
Age: 9.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: Generalized hives, facial/lip swelling, ear swelling, fever, generalized muscle pain
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Magnetic resonance imaging, Vertigo, Vertigo positional
Clinical narrative: Vertigo resulting from Benign paroxysmal positional vertigo resolved within 4 days.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Gave Pfizer instead of Moderna for dose 2
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Injected limb mobility decreased, Injection site erythema
Clinical narrative: patient complains redness around immunization site and limited range of motion
Age: 7.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Blood fibrinogen increased, C-reactive protein increased, COVID-19, Conjunctival hyperaemia
Clinical narrative: Case-patient had first Pfizer COVID-19 vaccine on 11/22/21, acute covid infection on 12/1/21, second Pfizer vaccine on 12/22/21, and developed MIS-C on 12/31/21 (illness onset).  Case-patient met case definition for MIS-C, with evidence of clinically severe illness requiring hospitalization, with multisystem organ involvement (cardiac, hematologic, gastrointestinal, and dermatologic). The case-patient experience tachycardia, hypotension, conjunctival injection, headaches, abdominal pain & diarrhea, thrombocytopenia, and various elevated inflammatory markers (see box 19 below).  Case-patient was treated with aspirin, steroids, and IVIG and survived after a 5 day hospitalization.
Age: 7.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Coronary artery dilatation, Diarrhoea, Echocardiogram abnormal, Fibrin D dimer increased, Headache
Clinical narrative: Case-patient had first Pfizer COVID-19 vaccine on 11/22/21, acute covid infection on 12/1/21, second Pfizer vaccine on 12/22/21, and developed MIS-C on 12/31/21 (illness onset).  Case-patient met case definition for MIS-C, with evidence of clinically severe illness requiring hospitalization, with multisystem organ involvement (cardiac, hematologic, gastrointestinal, and dermatologic). The case-patient experience tachycardia, hypotension, conjunctival injection, headaches, abdominal pain & diarrhea, thrombocytopenia, and various elevated inflammatory markers (see box 19 below).  Case-patient was treated with aspirin, steroids, and IVIG and survived after a 5 day hospitalization.
Age: 7.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypotension, Immunoglobulin therapy, Inflammatory marker increased, Left ventricular dysfunction, Multisystem inflammatory syndrome in children
Clinical narrative: Case-patient had first Pfizer COVID-19 vaccine on 11/22/21, acute covid infection on 12/1/21, second Pfizer vaccine on 12/22/21, and developed MIS-C on 12/31/21 (illness onset).  Case-patient met case definition for MIS-C, with evidence of clinically severe illness requiring hospitalization, with multisystem organ involvement (cardiac, hematologic, gastrointestinal, and dermatologic). The case-patient experience tachycardia, hypotension, conjunctival injection, headaches, abdominal pain & diarrhea, thrombocytopenia, and various elevated inflammatory markers (see box 19 below).  Case-patient was treated with aspirin, steroids, and IVIG and survived after a 5 day hospitalization.
Age: 7.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: N-terminal prohormone brain natriuretic peptide increased, SARS-CoV-2 antibody test positive, Serum ferritin increased, Tachycardia, Thrombocytopenia
Clinical narrative: Case-patient had first Pfizer COVID-19 vaccine on 11/22/21, acute covid infection on 12/1/21, second Pfizer vaccine on 12/22/21, and developed MIS-C on 12/31/21 (illness onset).  Case-patient met case definition for MIS-C, with evidence of clinically severe illness requiring hospitalization, with multisystem organ involvement (cardiac, hematologic, gastrointestinal, and dermatologic). The case-patient experience tachycardia, hypotension, conjunctival injection, headaches, abdominal pain & diarrhea, thrombocytopenia, and various elevated inflammatory markers (see box 19 below).  Case-patient was treated with aspirin, steroids, and IVIG and survived after a 5 day hospitalization.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Azoospermia, Infertility tests abnormal
Clinical narrative: azoospermia
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Back pain, Blood test abnormal, Confusional state, Decreased appetite
Clinical narrative: Large blood clot in right leg (with no risk factors - Very thin and healthy before receiving vaccine).  Urinary blockage and pain, inability to urinate leading to kidney issues  Severe confusion, disorientation, dizziness, brain fog, lack of appetite, stomach and back pain
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Disorientation, Dizziness, Dysuria, Feeling abnormal, Renal disorder
Clinical narrative: Large blood clot in right leg (with no risk factors - Very thin and healthy before receiving vaccine).  Urinary blockage and pain, inability to urinate leading to kidney issues  Severe confusion, disorientation, dizziness, brain fog, lack of appetite, stomach and back pain
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombosis, Ultrasound Doppler abnormal, Urinary retention, Urinary tract obstruction
Clinical narrative: Large blood clot in right leg (with no risk factors - Very thin and healthy before receiving vaccine).  Urinary blockage and pain, inability to urinate leading to kidney issues  Severe confusion, disorientation, dizziness, brain fog, lack of appetite, stomach and back pain
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Injection site pain, Tendonitis
Clinical narrative: right shoulder severe tendonitis, limited mobility and severe pain starting 2 days after vaccine given in same arm
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Sudden hearing loss, Tinnitus
Clinical narrative: After second Covid-19 vaccine dose on 2/20/21, I began experiencing tinnitus and sudden hearing loss. I went to the Ear Nose Throat doctor and was given predniSONE. I was then referred to an eye specialist after being prescribed the predniSONE (had cataract surgery in the past), they said eyes were fine. I am scheduled to go for an MRI in 2 weeks, on Feb 19th, 2022.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Cough, Dyspnoea, Musculoskeletal chest pain
Clinical narrative: Patient is fully vaccinated.  40-year-old female who presents emergency center for evaluation of generalized myalgias including chest wall aching, upper extremity and lower extremity aching.  Patient states that she was diagnosed with COVID approximately 15 days prior.  Patient states that she was having chest pain and shortness of breath for 1 week after having diagnosis of COVID. Positive for cough and myalgias. BP (!) 200/88  | Pulse 83  | Temp 97.6 °F (36.4 °C) (Oral)  | Resp 18  | Ht 149.9 cm (4' 11")  | Wt 83.9 kg (185 lb)  | SpO2 95%  | BMI 37.37 kg/m² CXR: No acute cardiothoracic process. Toradol given with improvement. Discharged home.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain in extremity
Clinical narrative: Patient is fully vaccinated.  40-year-old female who presents emergency center for evaluation of generalized myalgias including chest wall aching, upper extremity and lower extremity aching.  Patient states that she was diagnosed with COVID approximately 15 days prior.  Patient states that she was having chest pain and shortness of breath for 1 week after having diagnosis of COVID. Positive for cough and myalgias. BP (!) 200/88  | Pulse 83  | Temp 97.6 °F (36.4 °C) (Oral)  | Resp 18  | Ht 149.9 cm (4' 11")  | Wt 83.9 kg (185 lb)  | SpO2 95%  | BMI 37.37 kg/m² CXR: No acute cardiothoracic process. Toradol given with improvement. Discharged home.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Anaemia of chronic disease, Breast cancer female, Breast cancer metastatic
Clinical narrative: 1/12/22  The patient presented with acute hypoxemic respiratory failure secondary to combined COVID-19 and bacterial pneumonias.  She was treated with broad-spectrum antibiotics, Decadron, remdesivir.  She was slow to improve.  Her oxygen requirements decreased.  She did require 1 unit of packed red blood cells during this hospitalization.  Demonstrated no signs of GI bleeding but has history of anemia of chronic disease.  Acute nondisplaced closed fracture of clavicle incidentally noticed on imaging.  Patient was discharged with oxygen and virtual hospital follow-up in addition to oncology and primary care follow-up.  She was instructed to hold her Verzenio at discharge until follow-up with Dr. Discharge Diagnoses:   1.  Sepsis, acute hypoxemic respiratory failure due to covid 19 + superimposed bacterial pneumonia 2.  AKI 3.  Metastatic breast cancer  4.  Acute nondisplaced, closed fracture of R clavicle 5.  Anemia of chronic disease     Discharged Condition: stable     Hospital Course: The patient presented with acute hypoxemic respiratory failure secondary to combined COVID-19 and bacterial pneumonias.  She was treated with broad-spectrum antibiotics, Decadron, remdesivir.  She was slow to improve.  Her oxygen requirements decreased.  She did require 1 unit of packed red blood cells during this hospitalization.  Demonstrated no signs of GI bleeding but has history of anemia of chronic disease.  Acute nondisplaced closed fracture of clavicle incidentally noticed on imaging.  Patient was discharged with oxygen and virtual hospital follow-up in addition to oncology and primary care follow-up.  She was instructed to hold her Verzenio at discharge until follow-up with Dr.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Clavicle fracture, Computerised tomogram thorax abnormal, Condition aggravated
Clinical narrative: 1/12/22  The patient presented with acute hypoxemic respiratory failure secondary to combined COVID-19 and bacterial pneumonias.  She was treated with broad-spectrum antibiotics, Decadron, remdesivir.  She was slow to improve.  Her oxygen requirements decreased.  She did require 1 unit of packed red blood cells during this hospitalization.  Demonstrated no signs of GI bleeding but has history of anemia of chronic disease.  Acute nondisplaced closed fracture of clavicle incidentally noticed on imaging.  Patient was discharged with oxygen and virtual hospital follow-up in addition to oncology and primary care follow-up.  She was instructed to hold her Verzenio at discharge until follow-up with Dr. Discharge Diagnoses:   1.  Sepsis, acute hypoxemic respiratory failure due to covid 19 + superimposed bacterial pneumonia 2.  AKI 3.  Metastatic breast cancer  4.  Acute nondisplaced, closed fracture of R clavicle 5.  Anemia of chronic disease     Discharged Condition: stable     Hospital Course: The patient presented with acute hypoxemic respiratory failure secondary to combined COVID-19 and bacterial pneumonias.  She was treated with broad-spectrum antibiotics, Decadron, remdesivir.  She was slow to improve.  Her oxygen requirements decreased.  She did require 1 unit of packed red blood cells during this hospitalization.  Demonstrated no signs of GI bleeding but has history of anemia of chronic disease.  Acute nondisplaced closed fracture of clavicle incidentally noticed on imaging.  Patient was discharged with oxygen and virtual hospital follow-up in addition to oncology and primary care follow-up.  She was instructed to hold her Verzenio at discharge until follow-up with Dr.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram abnormal, Ejection fraction normal, Left atrial enlargement, Left ventricular dysfunction, Lung consolidation
Clinical narrative: 1/12/22  The patient presented with acute hypoxemic respiratory failure secondary to combined COVID-19 and bacterial pneumonias.  She was treated with broad-spectrum antibiotics, Decadron, remdesivir.  She was slow to improve.  Her oxygen requirements decreased.  She did require 1 unit of packed red blood cells during this hospitalization.  Demonstrated no signs of GI bleeding but has history of anemia of chronic disease.  Acute nondisplaced closed fracture of clavicle incidentally noticed on imaging.  Patient was discharged with oxygen and virtual hospital follow-up in addition to oncology and primary care follow-up.  She was instructed to hold her Verzenio at discharge until follow-up with Dr. Discharge Diagnoses:   1.  Sepsis, acute hypoxemic respiratory failure due to covid 19 + superimposed bacterial pneumonia 2.  AKI 3.  Metastatic breast cancer  4.  Acute nondisplaced, closed fracture of R clavicle 5.  Anemia of chronic disease     Discharged Condition: stable     Hospital Course: The patient presented with acute hypoxemic respiratory failure secondary to combined COVID-19 and bacterial pneumonias.  She was treated with broad-spectrum antibiotics, Decadron, remdesivir.  She was slow to improve.  Her oxygen requirements decreased.  She did require 1 unit of packed red blood cells during this hospitalization.  Demonstrated no signs of GI bleeding but has history of anemia of chronic disease.  Acute nondisplaced closed fracture of clavicle incidentally noticed on imaging.  Patient was discharged with oxygen and virtual hospital follow-up in addition to oncology and primary care follow-up.  She was instructed to hold her Verzenio at discharge until follow-up with Dr.