chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Blood chloride normal, Blood cholesterol normal, Blood creatine normal, Blood glucose normal, Blood magnesium normal
Clinical narrative: 3/11/21 orthostatic hypotension, Fall and N-Stemi dx at a hospital -3/12 transferred to another hospital - 3/16 discharged to Swing bed at another hospital   HPI: History of Present Illness:  Patient is an 89-year-old Caucasian male with a medical history significant for atrial fibrillation on anticoagulation due to prior GI bleed, HTN, HLD, T2 dm, BPH who initially presented to outside facility following a fall.  Fall was mechanical in nature and occurred whenever he slipped on water while walking with his cane out the front door.  Primary point of impact was on his left leg in hip as well as possible head trauma.  Preceding this event, patient denies any presyncope, syncope, chest pain, shortness of air, palpitations.  An extensive workup was performed outside facility including CT scan of the left hip without contrast, CT scan of the head without contrast, lumbar x-ray, CT scan of the left knee without contrast all of which showed no acute fracture or abnormality.  EKG showed normal sinus rhythm heart rate of 75 with incomplete RBBB.  Labs are included below.  Vital signs normal.  Patient was getting ready to be discharged from facility and whenever they sat him up, he had an episode where he stared ahead and got diaphoretic as well as dizzy.  Patient has recollection of this incident.  Outside ER decided to get troponin at that time and came back elevated at 0.163.  Patient continues to deny any chest pain.  Denies other associated symptoms including fever, fatigue, chills, shortness of air, palpitations, abdominal pain, nausea, vomiting, diarrhea.   CBC:  WBC 9.2, HGB 13.4, HCT 39.3, PLT 223 BMP:  Na 141, K 3.7, Cl 104, HC03 31, BUN 22, CRT 0.94, GLU 124.  PT 10.5, PTT 24.7, PLT 1.07.   Due to lack of Cardiology coverage at outside facility, patient transfer was requested for further troponin trending and possible cardiology evaluation should be deemed warranted.  hpi 3/16 The patient is a 89 y.o. male with a past medical history notable for atrial fibrillation, CAD, diabetes, BPH, hyperlipidemia. The patient presents for evaluation of worsening issues of weakness status post recent hospitalization were patient was fainted and was found to have orthostasis. Patient had a cardiac workup which was negative for any significant cardiac disease. Patient's plan is to hopefully get stronger return home to more independent living. Patient was seen today in his room. Patient notes that he has done very well with therapy after his fall. Patient is hoping to get stronger. Patient has no issues with any bowel or bladder function. Patient denies any shortness of breath. Patient has had good intake. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium normal, Blood sodium normal, Blood triglycerides normal, Blood urea increased, Bundle branch block right
Clinical narrative: 3/11/21 orthostatic hypotension, Fall and N-Stemi dx at a hospital -3/12 transferred to another hospital - 3/16 discharged to Swing bed at another hospital   HPI: History of Present Illness:  Patient is an 89-year-old Caucasian male with a medical history significant for atrial fibrillation on anticoagulation due to prior GI bleed, HTN, HLD, T2 dm, BPH who initially presented to outside facility following a fall.  Fall was mechanical in nature and occurred whenever he slipped on water while walking with his cane out the front door.  Primary point of impact was on his left leg in hip as well as possible head trauma.  Preceding this event, patient denies any presyncope, syncope, chest pain, shortness of air, palpitations.  An extensive workup was performed outside facility including CT scan of the left hip without contrast, CT scan of the head without contrast, lumbar x-ray, CT scan of the left knee without contrast all of which showed no acute fracture or abnormality.  EKG showed normal sinus rhythm heart rate of 75 with incomplete RBBB.  Labs are included below.  Vital signs normal.  Patient was getting ready to be discharged from facility and whenever they sat him up, he had an episode where he stared ahead and got diaphoretic as well as dizzy.  Patient has recollection of this incident.  Outside ER decided to get troponin at that time and came back elevated at 0.163.  Patient continues to deny any chest pain.  Denies other associated symptoms including fever, fatigue, chills, shortness of air, palpitations, abdominal pain, nausea, vomiting, diarrhea.   CBC:  WBC 9.2, HGB 13.4, HCT 39.3, PLT 223 BMP:  Na 141, K 3.7, Cl 104, HC03 31, BUN 22, CRT 0.94, GLU 124.  PT 10.5, PTT 24.7, PLT 1.07.   Due to lack of Cardiology coverage at outside facility, patient transfer was requested for further troponin trending and possible cardiology evaluation should be deemed warranted.  hpi 3/16 The patient is a 89 y.o. male with a past medical history notable for atrial fibrillation, CAD, diabetes, BPH, hyperlipidemia. The patient presents for evaluation of worsening issues of weakness status post recent hospitalization were patient was fainted and was found to have orthostasis. Patient had a cardiac workup which was negative for any significant cardiac disease. Patient's plan is to hopefully get stronger return home to more independent living. Patient was seen today in his room. Patient notes that he has done very well with therapy after his fall. Patient is hoping to get stronger. Patient has no issues with any bowel or bladder function. Patient denies any shortness of breath. Patient has had good intake. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Computerised tomogram pelvis, Condition aggravated, Differential white blood cell count abnormal, Dizziness postural
Clinical narrative: 3/11/21 orthostatic hypotension, Fall and N-Stemi dx at a hospital -3/12 transferred to another hospital - 3/16 discharged to Swing bed at another hospital   HPI: History of Present Illness:  Patient is an 89-year-old Caucasian male with a medical history significant for atrial fibrillation on anticoagulation due to prior GI bleed, HTN, HLD, T2 dm, BPH who initially presented to outside facility following a fall.  Fall was mechanical in nature and occurred whenever he slipped on water while walking with his cane out the front door.  Primary point of impact was on his left leg in hip as well as possible head trauma.  Preceding this event, patient denies any presyncope, syncope, chest pain, shortness of air, palpitations.  An extensive workup was performed outside facility including CT scan of the left hip without contrast, CT scan of the head without contrast, lumbar x-ray, CT scan of the left knee without contrast all of which showed no acute fracture or abnormality.  EKG showed normal sinus rhythm heart rate of 75 with incomplete RBBB.  Labs are included below.  Vital signs normal.  Patient was getting ready to be discharged from facility and whenever they sat him up, he had an episode where he stared ahead and got diaphoretic as well as dizzy.  Patient has recollection of this incident.  Outside ER decided to get troponin at that time and came back elevated at 0.163.  Patient continues to deny any chest pain.  Denies other associated symptoms including fever, fatigue, chills, shortness of air, palpitations, abdominal pain, nausea, vomiting, diarrhea.   CBC:  WBC 9.2, HGB 13.4, HCT 39.3, PLT 223 BMP:  Na 141, K 3.7, Cl 104, HC03 31, BUN 22, CRT 0.94, GLU 124.  PT 10.5, PTT 24.7, PLT 1.07.   Due to lack of Cardiology coverage at outside facility, patient transfer was requested for further troponin trending and possible cardiology evaluation should be deemed warranted.  hpi 3/16 The patient is a 89 y.o. male with a past medical history notable for atrial fibrillation, CAD, diabetes, BPH, hyperlipidemia. The patient presents for evaluation of worsening issues of weakness status post recent hospitalization were patient was fainted and was found to have orthostasis. Patient had a cardiac workup which was negative for any significant cardiac disease. Patient's plan is to hopefully get stronger return home to more independent living. Patient was seen today in his room. Patient notes that he has done very well with therapy after his fall. Patient is hoping to get stronger. Patient has no issues with any bowel or bladder function. Patient denies any shortness of breath. Patient has had good intake. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Electrocardiogram QT prolonged, Electrocardiogram abnormal, Eosinophil count normal, Eosinophil percentage
Clinical narrative: 3/11/21 orthostatic hypotension, Fall and N-Stemi dx at a hospital -3/12 transferred to another hospital - 3/16 discharged to Swing bed at another hospital   HPI: History of Present Illness:  Patient is an 89-year-old Caucasian male with a medical history significant for atrial fibrillation on anticoagulation due to prior GI bleed, HTN, HLD, T2 dm, BPH who initially presented to outside facility following a fall.  Fall was mechanical in nature and occurred whenever he slipped on water while walking with his cane out the front door.  Primary point of impact was on his left leg in hip as well as possible head trauma.  Preceding this event, patient denies any presyncope, syncope, chest pain, shortness of air, palpitations.  An extensive workup was performed outside facility including CT scan of the left hip without contrast, CT scan of the head without contrast, lumbar x-ray, CT scan of the left knee without contrast all of which showed no acute fracture or abnormality.  EKG showed normal sinus rhythm heart rate of 75 with incomplete RBBB.  Labs are included below.  Vital signs normal.  Patient was getting ready to be discharged from facility and whenever they sat him up, he had an episode where he stared ahead and got diaphoretic as well as dizzy.  Patient has recollection of this incident.  Outside ER decided to get troponin at that time and came back elevated at 0.163.  Patient continues to deny any chest pain.  Denies other associated symptoms including fever, fatigue, chills, shortness of air, palpitations, abdominal pain, nausea, vomiting, diarrhea.   CBC:  WBC 9.2, HGB 13.4, HCT 39.3, PLT 223 BMP:  Na 141, K 3.7, Cl 104, HC03 31, BUN 22, CRT 0.94, GLU 124.  PT 10.5, PTT 24.7, PLT 1.07.   Due to lack of Cardiology coverage at outside facility, patient transfer was requested for further troponin trending and possible cardiology evaluation should be deemed warranted.  hpi 3/16 The patient is a 89 y.o. male with a past medical history notable for atrial fibrillation, CAD, diabetes, BPH, hyperlipidemia. The patient presents for evaluation of worsening issues of weakness status post recent hospitalization were patient was fainted and was found to have orthostasis. Patient had a cardiac workup which was negative for any significant cardiac disease. Patient's plan is to hopefully get stronger return home to more independent living. Patient was seen today in his room. Patient notes that he has done very well with therapy after his fall. Patient is hoping to get stronger. Patient has no issues with any bowel or bladder function. Patient denies any shortness of breath. Patient has had good intake. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Full blood count abnormal, Glomerular filtration rate decreased, Glycosylated haemoglobin increased, Haematocrit decreased
Clinical narrative: 3/11/21 orthostatic hypotension, Fall and N-Stemi dx at a hospital -3/12 transferred to another hospital - 3/16 discharged to Swing bed at another hospital   HPI: History of Present Illness:  Patient is an 89-year-old Caucasian male with a medical history significant for atrial fibrillation on anticoagulation due to prior GI bleed, HTN, HLD, T2 dm, BPH who initially presented to outside facility following a fall.  Fall was mechanical in nature and occurred whenever he slipped on water while walking with his cane out the front door.  Primary point of impact was on his left leg in hip as well as possible head trauma.  Preceding this event, patient denies any presyncope, syncope, chest pain, shortness of air, palpitations.  An extensive workup was performed outside facility including CT scan of the left hip without contrast, CT scan of the head without contrast, lumbar x-ray, CT scan of the left knee without contrast all of which showed no acute fracture or abnormality.  EKG showed normal sinus rhythm heart rate of 75 with incomplete RBBB.  Labs are included below.  Vital signs normal.  Patient was getting ready to be discharged from facility and whenever they sat him up, he had an episode where he stared ahead and got diaphoretic as well as dizzy.  Patient has recollection of this incident.  Outside ER decided to get troponin at that time and came back elevated at 0.163.  Patient continues to deny any chest pain.  Denies other associated symptoms including fever, fatigue, chills, shortness of air, palpitations, abdominal pain, nausea, vomiting, diarrhea.   CBC:  WBC 9.2, HGB 13.4, HCT 39.3, PLT 223 BMP:  Na 141, K 3.7, Cl 104, HC03 31, BUN 22, CRT 0.94, GLU 124.  PT 10.5, PTT 24.7, PLT 1.07.   Due to lack of Cardiology coverage at outside facility, patient transfer was requested for further troponin trending and possible cardiology evaluation should be deemed warranted.  hpi 3/16 The patient is a 89 y.o. male with a past medical history notable for atrial fibrillation, CAD, diabetes, BPH, hyperlipidemia. The patient presents for evaluation of worsening issues of weakness status post recent hospitalization were patient was fainted and was found to have orthostasis. Patient had a cardiac workup which was negative for any significant cardiac disease. Patient's plan is to hopefully get stronger return home to more independent living. Patient was seen today in his room. Patient notes that he has done very well with therapy after his fall. Patient is hoping to get stronger. Patient has no issues with any bowel or bladder function. Patient denies any shortness of breath. Patient has had good intake. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, High density lipoprotein, Hyperhidrosis, Immature granulocyte count, International normalised ratio normal
Clinical narrative: 3/11/21 orthostatic hypotension, Fall and N-Stemi dx at a hospital -3/12 transferred to another hospital - 3/16 discharged to Swing bed at another hospital   HPI: History of Present Illness:  Patient is an 89-year-old Caucasian male with a medical history significant for atrial fibrillation on anticoagulation due to prior GI bleed, HTN, HLD, T2 dm, BPH who initially presented to outside facility following a fall.  Fall was mechanical in nature and occurred whenever he slipped on water while walking with his cane out the front door.  Primary point of impact was on his left leg in hip as well as possible head trauma.  Preceding this event, patient denies any presyncope, syncope, chest pain, shortness of air, palpitations.  An extensive workup was performed outside facility including CT scan of the left hip without contrast, CT scan of the head without contrast, lumbar x-ray, CT scan of the left knee without contrast all of which showed no acute fracture or abnormality.  EKG showed normal sinus rhythm heart rate of 75 with incomplete RBBB.  Labs are included below.  Vital signs normal.  Patient was getting ready to be discharged from facility and whenever they sat him up, he had an episode where he stared ahead and got diaphoretic as well as dizzy.  Patient has recollection of this incident.  Outside ER decided to get troponin at that time and came back elevated at 0.163.  Patient continues to deny any chest pain.  Denies other associated symptoms including fever, fatigue, chills, shortness of air, palpitations, abdominal pain, nausea, vomiting, diarrhea.   CBC:  WBC 9.2, HGB 13.4, HCT 39.3, PLT 223 BMP:  Na 141, K 3.7, Cl 104, HC03 31, BUN 22, CRT 0.94, GLU 124.  PT 10.5, PTT 24.7, PLT 1.07.   Due to lack of Cardiology coverage at outside facility, patient transfer was requested for further troponin trending and possible cardiology evaluation should be deemed warranted.  hpi 3/16 The patient is a 89 y.o. male with a past medical history notable for atrial fibrillation, CAD, diabetes, BPH, hyperlipidemia. The patient presents for evaluation of worsening issues of weakness status post recent hospitalization were patient was fainted and was found to have orthostasis. Patient had a cardiac workup which was negative for any significant cardiac disease. Patient's plan is to hopefully get stronger return home to more independent living. Patient was seen today in his room. Patient notes that he has done very well with therapy after his fall. Patient is hoping to get stronger. Patient has no issues with any bowel or bladder function. Patient denies any shortness of breath. Patient has had good intake. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Joint injury, LDL/HDL ratio decreased, Limb injury, Lipids, Low density lipoprotein normal
Clinical narrative: 3/11/21 orthostatic hypotension, Fall and N-Stemi dx at a hospital -3/12 transferred to another hospital - 3/16 discharged to Swing bed at another hospital   HPI: History of Present Illness:  Patient is an 89-year-old Caucasian male with a medical history significant for atrial fibrillation on anticoagulation due to prior GI bleed, HTN, HLD, T2 dm, BPH who initially presented to outside facility following a fall.  Fall was mechanical in nature and occurred whenever he slipped on water while walking with his cane out the front door.  Primary point of impact was on his left leg in hip as well as possible head trauma.  Preceding this event, patient denies any presyncope, syncope, chest pain, shortness of air, palpitations.  An extensive workup was performed outside facility including CT scan of the left hip without contrast, CT scan of the head without contrast, lumbar x-ray, CT scan of the left knee without contrast all of which showed no acute fracture or abnormality.  EKG showed normal sinus rhythm heart rate of 75 with incomplete RBBB.  Labs are included below.  Vital signs normal.  Patient was getting ready to be discharged from facility and whenever they sat him up, he had an episode where he stared ahead and got diaphoretic as well as dizzy.  Patient has recollection of this incident.  Outside ER decided to get troponin at that time and came back elevated at 0.163.  Patient continues to deny any chest pain.  Denies other associated symptoms including fever, fatigue, chills, shortness of air, palpitations, abdominal pain, nausea, vomiting, diarrhea.   CBC:  WBC 9.2, HGB 13.4, HCT 39.3, PLT 223 BMP:  Na 141, K 3.7, Cl 104, HC03 31, BUN 22, CRT 0.94, GLU 124.  PT 10.5, PTT 24.7, PLT 1.07.   Due to lack of Cardiology coverage at outside facility, patient transfer was requested for further troponin trending and possible cardiology evaluation should be deemed warranted.  hpi 3/16 The patient is a 89 y.o. male with a past medical history notable for atrial fibrillation, CAD, diabetes, BPH, hyperlipidemia. The patient presents for evaluation of worsening issues of weakness status post recent hospitalization were patient was fainted and was found to have orthostasis. Patient had a cardiac workup which was negative for any significant cardiac disease. Patient's plan is to hopefully get stronger return home to more independent living. Patient was seen today in his room. Patient notes that he has done very well with therapy after his fall. Patient is hoping to get stronger. Patient has no issues with any bowel or bladder function. Patient denies any shortness of breath. Patient has had good intake. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphocyte count, Lymphocyte percentage, Mean cell haemoglobin, Mean cell haemoglobin concentration normal, Mean cell volume increased
Clinical narrative: 3/11/21 orthostatic hypotension, Fall and N-Stemi dx at a hospital -3/12 transferred to another hospital - 3/16 discharged to Swing bed at another hospital   HPI: History of Present Illness:  Patient is an 89-year-old Caucasian male with a medical history significant for atrial fibrillation on anticoagulation due to prior GI bleed, HTN, HLD, T2 dm, BPH who initially presented to outside facility following a fall.  Fall was mechanical in nature and occurred whenever he slipped on water while walking with his cane out the front door.  Primary point of impact was on his left leg in hip as well as possible head trauma.  Preceding this event, patient denies any presyncope, syncope, chest pain, shortness of air, palpitations.  An extensive workup was performed outside facility including CT scan of the left hip without contrast, CT scan of the head without contrast, lumbar x-ray, CT scan of the left knee without contrast all of which showed no acute fracture or abnormality.  EKG showed normal sinus rhythm heart rate of 75 with incomplete RBBB.  Labs are included below.  Vital signs normal.  Patient was getting ready to be discharged from facility and whenever they sat him up, he had an episode where he stared ahead and got diaphoretic as well as dizzy.  Patient has recollection of this incident.  Outside ER decided to get troponin at that time and came back elevated at 0.163.  Patient continues to deny any chest pain.  Denies other associated symptoms including fever, fatigue, chills, shortness of air, palpitations, abdominal pain, nausea, vomiting, diarrhea.   CBC:  WBC 9.2, HGB 13.4, HCT 39.3, PLT 223 BMP:  Na 141, K 3.7, Cl 104, HC03 31, BUN 22, CRT 0.94, GLU 124.  PT 10.5, PTT 24.7, PLT 1.07.   Due to lack of Cardiology coverage at outside facility, patient transfer was requested for further troponin trending and possible cardiology evaluation should be deemed warranted.  hpi 3/16 The patient is a 89 y.o. male with a past medical history notable for atrial fibrillation, CAD, diabetes, BPH, hyperlipidemia. The patient presents for evaluation of worsening issues of weakness status post recent hospitalization were patient was fainted and was found to have orthostasis. Patient had a cardiac workup which was negative for any significant cardiac disease. Patient's plan is to hopefully get stronger return home to more independent living. Patient was seen today in his room. Patient notes that he has done very well with therapy after his fall. Patient is hoping to get stronger. Patient has no issues with any bowel or bladder function. Patient denies any shortness of breath. Patient has had good intake. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Mean platelet volume increased, Monocyte count, Monocyte percentage increased, Neutrophil count, Neutrophil percentage
Clinical narrative: 3/11/21 orthostatic hypotension, Fall and N-Stemi dx at a hospital -3/12 transferred to another hospital - 3/16 discharged to Swing bed at another hospital   HPI: History of Present Illness:  Patient is an 89-year-old Caucasian male with a medical history significant for atrial fibrillation on anticoagulation due to prior GI bleed, HTN, HLD, T2 dm, BPH who initially presented to outside facility following a fall.  Fall was mechanical in nature and occurred whenever he slipped on water while walking with his cane out the front door.  Primary point of impact was on his left leg in hip as well as possible head trauma.  Preceding this event, patient denies any presyncope, syncope, chest pain, shortness of air, palpitations.  An extensive workup was performed outside facility including CT scan of the left hip without contrast, CT scan of the head without contrast, lumbar x-ray, CT scan of the left knee without contrast all of which showed no acute fracture or abnormality.  EKG showed normal sinus rhythm heart rate of 75 with incomplete RBBB.  Labs are included below.  Vital signs normal.  Patient was getting ready to be discharged from facility and whenever they sat him up, he had an episode where he stared ahead and got diaphoretic as well as dizzy.  Patient has recollection of this incident.  Outside ER decided to get troponin at that time and came back elevated at 0.163.  Patient continues to deny any chest pain.  Denies other associated symptoms including fever, fatigue, chills, shortness of air, palpitations, abdominal pain, nausea, vomiting, diarrhea.   CBC:  WBC 9.2, HGB 13.4, HCT 39.3, PLT 223 BMP:  Na 141, K 3.7, Cl 104, HC03 31, BUN 22, CRT 0.94, GLU 124.  PT 10.5, PTT 24.7, PLT 1.07.   Due to lack of Cardiology coverage at outside facility, patient transfer was requested for further troponin trending and possible cardiology evaluation should be deemed warranted.  hpi 3/16 The patient is a 89 y.o. male with a past medical history notable for atrial fibrillation, CAD, diabetes, BPH, hyperlipidemia. The patient presents for evaluation of worsening issues of weakness status post recent hospitalization were patient was fainted and was found to have orthostasis. Patient had a cardiac workup which was negative for any significant cardiac disease. Patient's plan is to hopefully get stronger return home to more independent living. Patient was seen today in his room. Patient notes that he has done very well with therapy after his fall. Patient is hoping to get stronger. Patient has no issues with any bowel or bladder function. Patient denies any shortness of breath. Patient has had good intake. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Nucleated red cells, Orthostatic hypotension, Platelet count normal, Prothrombin level increased, Red blood cell count decreased
Clinical narrative: 3/11/21 orthostatic hypotension, Fall and N-Stemi dx at a hospital -3/12 transferred to another hospital - 3/16 discharged to Swing bed at another hospital   HPI: History of Present Illness:  Patient is an 89-year-old Caucasian male with a medical history significant for atrial fibrillation on anticoagulation due to prior GI bleed, HTN, HLD, T2 dm, BPH who initially presented to outside facility following a fall.  Fall was mechanical in nature and occurred whenever he slipped on water while walking with his cane out the front door.  Primary point of impact was on his left leg in hip as well as possible head trauma.  Preceding this event, patient denies any presyncope, syncope, chest pain, shortness of air, palpitations.  An extensive workup was performed outside facility including CT scan of the left hip without contrast, CT scan of the head without contrast, lumbar x-ray, CT scan of the left knee without contrast all of which showed no acute fracture or abnormality.  EKG showed normal sinus rhythm heart rate of 75 with incomplete RBBB.  Labs are included below.  Vital signs normal.  Patient was getting ready to be discharged from facility and whenever they sat him up, he had an episode where he stared ahead and got diaphoretic as well as dizzy.  Patient has recollection of this incident.  Outside ER decided to get troponin at that time and came back elevated at 0.163.  Patient continues to deny any chest pain.  Denies other associated symptoms including fever, fatigue, chills, shortness of air, palpitations, abdominal pain, nausea, vomiting, diarrhea.   CBC:  WBC 9.2, HGB 13.4, HCT 39.3, PLT 223 BMP:  Na 141, K 3.7, Cl 104, HC03 31, BUN 22, CRT 0.94, GLU 124.  PT 10.5, PTT 24.7, PLT 1.07.   Due to lack of Cardiology coverage at outside facility, patient transfer was requested for further troponin trending and possible cardiology evaluation should be deemed warranted.  hpi 3/16 The patient is a 89 y.o. male with a past medical history notable for atrial fibrillation, CAD, diabetes, BPH, hyperlipidemia. The patient presents for evaluation of worsening issues of weakness status post recent hospitalization were patient was fainted and was found to have orthostasis. Patient had a cardiac workup which was negative for any significant cardiac disease. Patient's plan is to hopefully get stronger return home to more independent living. Patient was seen today in his room. Patient notes that he has done very well with therapy after his fall. Patient is hoping to get stronger. Patient has no issues with any bowel or bladder function. Patient denies any shortness of breath. Patient has had good intake. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Red cell distribution width normal, Spinal X-ray normal, Supraventricular extrasystoles, Syncope, Troponin T increased
Clinical narrative: 3/11/21 orthostatic hypotension, Fall and N-Stemi dx at a hospital -3/12 transferred to another hospital - 3/16 discharged to Swing bed at another hospital   HPI: History of Present Illness:  Patient is an 89-year-old Caucasian male with a medical history significant for atrial fibrillation on anticoagulation due to prior GI bleed, HTN, HLD, T2 dm, BPH who initially presented to outside facility following a fall.  Fall was mechanical in nature and occurred whenever he slipped on water while walking with his cane out the front door.  Primary point of impact was on his left leg in hip as well as possible head trauma.  Preceding this event, patient denies any presyncope, syncope, chest pain, shortness of air, palpitations.  An extensive workup was performed outside facility including CT scan of the left hip without contrast, CT scan of the head without contrast, lumbar x-ray, CT scan of the left knee without contrast all of which showed no acute fracture or abnormality.  EKG showed normal sinus rhythm heart rate of 75 with incomplete RBBB.  Labs are included below.  Vital signs normal.  Patient was getting ready to be discharged from facility and whenever they sat him up, he had an episode where he stared ahead and got diaphoretic as well as dizzy.  Patient has recollection of this incident.  Outside ER decided to get troponin at that time and came back elevated at 0.163.  Patient continues to deny any chest pain.  Denies other associated symptoms including fever, fatigue, chills, shortness of air, palpitations, abdominal pain, nausea, vomiting, diarrhea.   CBC:  WBC 9.2, HGB 13.4, HCT 39.3, PLT 223 BMP:  Na 141, K 3.7, Cl 104, HC03 31, BUN 22, CRT 0.94, GLU 124.  PT 10.5, PTT 24.7, PLT 1.07.   Due to lack of Cardiology coverage at outside facility, patient transfer was requested for further troponin trending and possible cardiology evaluation should be deemed warranted.  hpi 3/16 The patient is a 89 y.o. male with a past medical history notable for atrial fibrillation, CAD, diabetes, BPH, hyperlipidemia. The patient presents for evaluation of worsening issues of weakness status post recent hospitalization were patient was fainted and was found to have orthostasis. Patient had a cardiac workup which was negative for any significant cardiac disease. Patient's plan is to hopefully get stronger return home to more independent living. Patient was seen today in his room. Patient notes that he has done very well with therapy after his fall. Patient is hoping to get stronger. Patient has no issues with any bowel or bladder function. Patient denies any shortness of breath. Patient has had good intake. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Very low density lipoprotein, Walking aid user, White blood cell count increased
Clinical narrative: 3/11/21 orthostatic hypotension, Fall and N-Stemi dx at a hospital -3/12 transferred to another hospital - 3/16 discharged to Swing bed at another hospital   HPI: History of Present Illness:  Patient is an 89-year-old Caucasian male with a medical history significant for atrial fibrillation on anticoagulation due to prior GI bleed, HTN, HLD, T2 dm, BPH who initially presented to outside facility following a fall.  Fall was mechanical in nature and occurred whenever he slipped on water while walking with his cane out the front door.  Primary point of impact was on his left leg in hip as well as possible head trauma.  Preceding this event, patient denies any presyncope, syncope, chest pain, shortness of air, palpitations.  An extensive workup was performed outside facility including CT scan of the left hip without contrast, CT scan of the head without contrast, lumbar x-ray, CT scan of the left knee without contrast all of which showed no acute fracture or abnormality.  EKG showed normal sinus rhythm heart rate of 75 with incomplete RBBB.  Labs are included below.  Vital signs normal.  Patient was getting ready to be discharged from facility and whenever they sat him up, he had an episode where he stared ahead and got diaphoretic as well as dizzy.  Patient has recollection of this incident.  Outside ER decided to get troponin at that time and came back elevated at 0.163.  Patient continues to deny any chest pain.  Denies other associated symptoms including fever, fatigue, chills, shortness of air, palpitations, abdominal pain, nausea, vomiting, diarrhea.   CBC:  WBC 9.2, HGB 13.4, HCT 39.3, PLT 223 BMP:  Na 141, K 3.7, Cl 104, HC03 31, BUN 22, CRT 0.94, GLU 124.  PT 10.5, PTT 24.7, PLT 1.07.   Due to lack of Cardiology coverage at outside facility, patient transfer was requested for further troponin trending and possible cardiology evaluation should be deemed warranted.  hpi 3/16 The patient is a 89 y.o. male with a past medical history notable for atrial fibrillation, CAD, diabetes, BPH, hyperlipidemia. The patient presents for evaluation of worsening issues of weakness status post recent hospitalization were patient was fainted and was found to have orthostasis. Patient had a cardiac workup which was negative for any significant cardiac disease. Patient's plan is to hopefully get stronger return home to more independent living. Patient was seen today in his room. Patient notes that he has done very well with therapy after his fall. Patient is hoping to get stronger. Patient has no issues with any bowel or bladder function. Patient denies any shortness of breath. Patient has had good intake. Patient's past medical history, past surgical history, social history, family history, medications allergies were reviewed.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue
Clinical narrative: Date and time adverse event started: Tuesday 3-16-21, unknown time. fatigue and then diarrhea 3/20-contacted the patient , patient  says that he is feeling much better , fatigue is gone and diarrhea are gone .
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Swelling and redness at injection site and down arm. MD requested pt. be sent to ED. Was treated like a topical allergic reaction in ED with orders to continue and monitor. No further complications. Status improved.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Headache, Nausea, Paraesthesia oral
Clinical narrative: Moderna COVID-19 Vaccine EUA- Within 10 min, both ears turned blood red and were hot, neck area was slightly red and lips started to tingle.  Doctors on sight kept very close eye on me, the redness went down after about 15min or so, lips still tingled for a bit, stayed at sight for about 45 min, went home and was told to take Benadryl, took the Benadryl once home, within a half hour I had a mild headache. Through the night, my lips still tingled and I began itching, no hives.  Next day, I was a little fatigued and had some stomach nausea but felt worn out most of the day, the itching went away.  By the next day, I returned to work and felt fine.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Skin warm
Clinical narrative: Moderna COVID-19 Vaccine EUA- Within 10 min, both ears turned blood red and were hot, neck area was slightly red and lips started to tingle.  Doctors on sight kept very close eye on me, the redness went down after about 15min or so, lips still tingled for a bit, stayed at sight for about 45 min, went home and was told to take Benadryl, took the Benadryl once home, within a half hour I had a mild headache. Through the night, my lips still tingled and I began itching, no hives.  Next day, I was a little fatigued and had some stomach nausea but felt worn out most of the day, the itching went away.  By the next day, I returned to work and felt fine.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Throat tightness
Clinical narrative: Pfizer bio N Tech covid 19 Started with a slight cough then my throat felt like I couldn't swallow right. Then went to a persistent cough and got hard to swallow chest was tight. Went to the er and was given an epi in and 5 other meds through the iv. Also given a breathing treatment.  They diagnosed me with an allergic reaction.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Rash erythematous
Clinical narrative: Started itching at injection site on Monday, March 22, 2021 approximately 7 PM. Woke up with itching and red bumpy rash at 4:30 AM on March 23, 2021. Took antihistamine and put topical Bendryl on it. Not itching anymore but still red, raised rash at 8:59 AM.  No pain or soreness.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: He has a history of lightheadedness with needles, and had a recurrence with this vaccination.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Inflammation, Mobility decreased, Pain, Pain in extremity
Clinical narrative: Sharp lower back pain with lumbar inflammation. Pain radiated down both legs with intensity that impacted mobility.  Pain has subsided after four days but remains present after 10.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling, Urticaria
Clinical narrative: Hives and lip swelling
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Skin exfoliation
Clinical narrative: 1/15 vaccination 1/18 I woke up because I was itching my skin; shedding / everywhere. I went to my PCM. Had a steroid shot. Helped for 1 day. Called back to PCM; prescribed a  course of steroids. Symptoms lasted for about a week.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 24 hour fever (Works in LTC facility)
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was 15 years and 5 months at time of receiving the vaccine. Clinic nurse had patient's mother sign a consent form to receive the vaccine, but she did not realize that the patient was 15 and the vaccine was only approved for patients 16 and older. Patient's mother stated that the patient had obesity and other comorbidities that put him at high risk and that his physician had recommended that he get the vaccine. Patient had no issues or adverse events from the vaccine. Notified patient's mother, and patient will wait to receive 2nd dose until he is 16 per clinical guidelines.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Report of racing heartbeat  HR 120 Alert   Vitals obtained and client stable  Discharged to home  Follow up call feeling much better
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Pruritus
Clinical narrative: Date and time adverse event started:   3/10  went away then  started again  3/18/21 area on arm is itchy and hard  using witch hazel; recommended hydrocortisone cream for itching
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Nausea
Clinical narrative: started with headache, chills hours later, fever after 6-8 hrs, aching in shoulder joints, nausea, tiredness this went on for 28 hrs. Did take one ibuprofen for fever which did help.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: started with headache, chills hours later, fever after 6-8 hrs, aching in shoulder joints, nausea, tiredness this went on for 28 hrs. Did take one ibuprofen for fever which did help.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Myalgia, Somnolence
Clinical narrative: I had very strenuous muscle and joint pain and soreness. I was very drowsy and had a headache and I was easily physically exhausted. After the first shot, I had a golf ball sized bruise but nothing else. It was the second shot that made me feel very ill.
Age: 7.0
Sex: M
Vaccine: DTAPIPV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Kinrix vaccine was administered to a 7 year old patient. Kinrix is licensed through the age of 6 years. Patient has not reported any adverse reactions or events after vaccine administration.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation, Product preparation issue
Clinical narrative: One of our Pfizer vials was diluted and 6 doses were taken out of the vial then re-diluted the vial. Patient was given mostly normal saline. Patient was contacted and came back in and received a second correct vaccine.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Pt is 16 years old and was registered in system by mother. Pt came to the clinic with Parent and was administered the Moderna vaccine on 3/19/2021 which is only approved for patients 18 years of age and older.   Reached out to parent and made notification of vaccine administration despite this patient not meeting the age requirement. With guidance provided from Medical Director, parent was informed of next steps.   No adverse reactions reported at this time.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Myalgia, Nausea
Clinical narrative: Nausea, myalgia, dizziness that lasted a few hours.  Works at facility-given at facility
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness
Clinical narrative: She stated that a couple of days after receiving the second dose in the series that her legs became tired/weak and they are still feeling tired/weak. She is worried that she is going to go paralyzed.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy lymph gland abnormal, Blood lactate dehydrogenase increased, Computerised tomogram thorax abnormal, Dyspnoea, Epstein-Barr virus antigen positive
Clinical narrative: Patient presented to oncologist on 3/5 with SOB, fatigue, increasing lymphadenopathy from chest CT on 3/4/21.  Patient was prescribed a pulse dose of steroids. Patient was admitted to the hospital, lymph node biopsy was performed demonstrated active disease. Patient also had active EBV virus. Patient was started on IVIG which resulted in an increase in platelet count. Patient will be initiated on rituxan therapy this is being treated as an EBV lymphoproliferative disorder. Brentuximab therapy will be held.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Epstein-Barr virus associated lymphoproliferative disorder, Epstein-Barr virus infection reactivation, Fatigue, Haemoglobin decreased, Immunoglobulin therapy
Clinical narrative: Patient presented to oncologist on 3/5 with SOB, fatigue, increasing lymphadenopathy from chest CT on 3/4/21.  Patient was prescribed a pulse dose of steroids. Patient was admitted to the hospital, lymph node biopsy was performed demonstrated active disease. Patient also had active EBV virus. Patient was started on IVIG which resulted in an increase in platelet count. Patient will be initiated on rituxan therapy this is being treated as an EBV lymphoproliferative disorder. Brentuximab therapy will be held.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Parvovirus B19 test positive, Platelet count decreased, Reticulocyte count decreased, SARS-CoV-2 test negative
Clinical narrative: Patient presented to oncologist on 3/5 with SOB, fatigue, increasing lymphadenopathy from chest CT on 3/4/21.  Patient was prescribed a pulse dose of steroids. Patient was admitted to the hospital, lymph node biopsy was performed demonstrated active disease. Patient also had active EBV virus. Patient was started on IVIG which resulted in an increase in platelet count. Patient will be initiated on rituxan therapy this is being treated as an EBV lymphoproliferative disorder. Brentuximab therapy will be held.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count decreased
Clinical narrative: Patient presented to oncologist on 3/5 with SOB, fatigue, increasing lymphadenopathy from chest CT on 3/4/21.  Patient was prescribed a pulse dose of steroids. Patient was admitted to the hospital, lymph node biopsy was performed demonstrated active disease. Patient also had active EBV virus. Patient was started on IVIG which resulted in an increase in platelet count. Patient will be initiated on rituxan therapy this is being treated as an EBV lymphoproliferative disorder. Brentuximab therapy will be held.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Malaise, Nausea, Pyrexia, Urinary tract infection
Clinical narrative: UTIs; vaginal burning; felt crummy; low grade fever (99-100.3F); nausea; back pain; This case was reported by a physician via call center representative and described the occurrence of urinary tract infection in a 60-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   On 25th November 2020, the patient received the 1st dose of Shingrix. On 25th November 2020, less than a day after receiving Shingrix, the patient experienced fever, nausea, back pain and feeling unwell. On 22nd December 2020, the patient experienced urinary tract infection and vaginal burning sensation. The patient was treated with antibiotics nos (Antibiotics (Brand Names Not Known)) and estrogens conjugated (Premarin Cream). On an unknown date, the outcome of the urinary tract infection, nausea, back pain and vaginal burning sensation were recovered/resolved and the outcome of the fever was not recovered/not resolved and the outcome of the feeling unwell was unknown.   It was unknown if the reporter considered the urinary tract infection, fever, nausea, back pain, vaginal burning sensation and feeling unwell to be related to Shingrix.  Additional details were provided as follows: The patient received Shingrix and felt crummy. The patient experienced low grade fever 99 to 100.3F, nausea and back pain. The reporter stated that, the patient had some UTIs (urinary tract infection) and had some back pain and vaginal burning. The patient was placed on antibiotics and Premarin cream.  The UTIs resolved sometime and was feeling much better and continues to had a low grade fever.  The reporter did not know when nausea resolved. The reporter consented to follow up. Lot and expiration date were not available.