chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: M
Vaccine: MEN, MENB
Symptoms: Lack of vaccination site rotation, No adverse event
Clinical narrative: gave a 16 year old male a Menquadfi and Bexsero in the same arm with no reported adverse event; Initial information received on 16-Feb-2024 regarding an unsolicited valid non-serious case received from a nurse.  This case involves a 16 years old male patient who was given meningococcal A-C-Y-W135 (T CONJ) vaccine [menquadfi] and meningococcal vaccine B RFHBP/NADA/NHBA OMV [Bexsero] in the same arm with no reported adverse event.  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.   On an unknown date, the patient received an unknown dose of suspect meningococcal A-C-Y-W135 (T CONJ) vaccine (Solution for injection) (strength; lot number; expiry date not reported) and the patient received an unknown dose of suspect Bexsero not produced by Sanofi Pasteur (formulation; strength; lot number; expiry date not reported) both via unknown route in unknown administration site for Immunization. There will be no information regarding batch number in this case.  On an unknown date a 16 year old male patient was given a menquadfi and bexsero in the same arm with no reported adverse event (lack of vaccination site rotation) (latency: same day).   This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Malaise, Nasal congestion, Oropharyngeal pain, Sinus pain
Clinical narrative: feeling sick; she started experiencing light headedness, sore throat, congestion and stated that her sinuses hurt; she started experiencing light headedness, sore throat, congestion and stated that her sinuses hurt; she started experiencing light headedness, sore throat, congestion and stated that her sinuses hurt; she started experiencing light headedness, sore throat, congestion and stated that her sinuses hurt; This spontaneous case was reported by a patient and describes the occurrence of OROPHARYNGEAL PAIN (she started experiencing light headedness, sore throat, congestion and stated that her sinuses hurt), NASAL CONGESTION (she started experiencing light headedness, sore throat, congestion and stated that her sinuses hurt), SINUS PAIN (she started experiencing light headedness, sore throat, congestion and stated that her sinuses hurt), MALAISE (feeling sick) and DIZZINESS (she started experiencing light headedness, sore throat, congestion and stated that her sinuses hurt) in a 68-year-old female patient who received mRNA-1273.815 (SPIKEVAX 2023-2024) for COVID-19 prophylaxis.     Previously administered products included for Pneumonia: Pneumococcal vaccine; for Flu: Flu. Past adverse reactions to the above products included No adverse event with Flu and Pneumococcal vaccine. Concurrent medical conditions included Allergy (many allergies).    On 16-Feb-2024, the patient received dose of mRNA-1273.815 (SPIKEVAX 2023-2024) (unknown route) .5 milliliter. On 17-Feb-2024, the patient experienced OROPHARYNGEAL PAIN (she started experiencing light headedness, sore throat, congestion and stated that her sinuses hurt), NASAL CONGESTION (she started experiencing light headedness, sore throat, congestion and stated that her sinuses hurt), SINUS PAIN (she started experiencing light headedness, sore throat, congestion and stated that her sinuses hurt) and DIZZINESS (she started experiencing light headedness, sore throat, congestion and stated that her sinuses hurt). On an unknown date, the patient experienced MALAISE (feeling sick). At the time of the report, OROPHARYNGEAL PAIN (she started experiencing light headedness, sore throat, congestion and stated that her sinuses hurt), NASAL CONGESTION (she started experiencing light headedness, sore throat, congestion and stated that her sinuses hurt) and DIZZINESS (she started experiencing light headedness, sore throat, congestion and stated that her sinuses hurt) had not resolved and SINUS PAIN (she started experiencing light headedness, sore throat, congestion and stated that her sinuses hurt) and MALAISE (feeling sick) outcome was unknown.            No concomitant medication was reported. The patient stated that she had previously had many doses of Moderna vaccines but was unable to specify how many. Patient reported that she spoke with a pharmacist, who informed her that her adverse effects were not among the most common and that she was probably sick before taking Spikevax. No treatment medication was reported.
Sex: U
Vaccine: YF
Symptoms: No adverse event, Occupational exposure to product, Product leakage
Clinical narrative: vaccine leaked out all over the nurse' hands who reconstituted the vaccine with no reported adverse event; Initial information received on 21-Feb-2024 regarding an unsolicited valid non-serious case received from a nurse.  This case involves a patient of unknown age and gender who reported that Yellow Fever Vaccine - [YF-VAX] leaked out all over the nurse' hands who reconstituted the vaccine with no reported adverse event.  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.  It was reported that "Yellow Fever Vaccine - Solution for injection (lot UJ966AA, expiry date: 31-January-2025, indication: Prophylactic vaccination, strength, route and anatomical site: unknown) was leaked out all over the nurse' hands who reconstituted the vaccine with no reported adverse event (Occupational exposure to product) (same day latency).   This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT VACCINATED AFTER VIABILITY DATE
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT VACCINATED AFTER VIABILITY DATE
Age: 65.0
Sex: F
Vaccine: PNC20, RSV
Symptoms: Abdominal pain, Arthralgia, Asthenia, Chills, Computerised tomogram head normal
Clinical narrative: She got her vaccines, (she had fallen on Monday and bruised her ribs), she first had swelling and soreness at the injection.  Then she started to feel other symptoms.  She felt like she was coming down with something, like she had the flu.  She was very lethargic and started feeling very weak and tired, and everything ached, all of her joints.  Then yesterday she got terrible sharp pains in her abdomen.  Then she got very nauseous that come and went throughout the day.  Then in the ankle she had pain on the outside of the ankle and lasted half of the night before she went to bed, throughout the night last night.  She woke up with dry heaves and unable to eat feeling she will not keep anything down.  It is a chore to get up and get around as she feels so bad.  She felt that it would subside after a few days but it has not.  She was shaking like she was freezing to death last night, wrapped up in a blanket and still had chills.  She also felt that her head was burning up and her forehead was burning her head, but thermometer broke so not able to measure how high.  The chills have subsided at this point.   She now feels the nerve pain, has the nausea and just feels crumby.  She is not able to go to work as she is feeling so badly.   She has not contacted her doctor regarding her symptoms since having the vaccine.   She has also been having a throbbing headache, but when she fell she did hit her head and wrenched her neck, but it could be due to that.  She did have a CT scan at the hospital and she did not have any concussion or anything related to her fall.   The injection site feels like there is a hard lump in it, and it is really sore, and is a little red.
Age: 65.0
Sex: F
Vaccine: PNC20, RSV
Symptoms: Decreased appetite, Fatigue, Feeling abnormal, Feeling cold, Feeling hot
Clinical narrative: She got her vaccines, (she had fallen on Monday and bruised her ribs), she first had swelling and soreness at the injection.  Then she started to feel other symptoms.  She felt like she was coming down with something, like she had the flu.  She was very lethargic and started feeling very weak and tired, and everything ached, all of her joints.  Then yesterday she got terrible sharp pains in her abdomen.  Then she got very nauseous that come and went throughout the day.  Then in the ankle she had pain on the outside of the ankle and lasted half of the night before she went to bed, throughout the night last night.  She woke up with dry heaves and unable to eat feeling she will not keep anything down.  It is a chore to get up and get around as she feels so bad.  She felt that it would subside after a few days but it has not.  She was shaking like she was freezing to death last night, wrapped up in a blanket and still had chills.  She also felt that her head was burning up and her forehead was burning her head, but thermometer broke so not able to measure how high.  The chills have subsided at this point.   She now feels the nerve pain, has the nausea and just feels crumby.  She is not able to go to work as she is feeling so badly.   She has not contacted her doctor regarding her symptoms since having the vaccine.   She has also been having a throbbing headache, but when she fell she did hit her head and wrenched her neck, but it could be due to that.  She did have a CT scan at the hospital and she did not have any concussion or anything related to her fall.   The injection site feels like there is a hard lump in it, and it is really sore, and is a little red.
Age: 65.0
Sex: F
Vaccine: PNC20, RSV
Symptoms: Headache, Impaired work ability, Influenza like illness, Injection site erythema, Injection site induration
Clinical narrative: She got her vaccines, (she had fallen on Monday and bruised her ribs), she first had swelling and soreness at the injection.  Then she started to feel other symptoms.  She felt like she was coming down with something, like she had the flu.  She was very lethargic and started feeling very weak and tired, and everything ached, all of her joints.  Then yesterday she got terrible sharp pains in her abdomen.  Then she got very nauseous that come and went throughout the day.  Then in the ankle she had pain on the outside of the ankle and lasted half of the night before she went to bed, throughout the night last night.  She woke up with dry heaves and unable to eat feeling she will not keep anything down.  It is a chore to get up and get around as she feels so bad.  She felt that it would subside after a few days but it has not.  She was shaking like she was freezing to death last night, wrapped up in a blanket and still had chills.  She also felt that her head was burning up and her forehead was burning her head, but thermometer broke so not able to measure how high.  The chills have subsided at this point.   She now feels the nerve pain, has the nausea and just feels crumby.  She is not able to go to work as she is feeling so badly.   She has not contacted her doctor regarding her symptoms since having the vaccine.   She has also been having a throbbing headache, but when she fell she did hit her head and wrenched her neck, but it could be due to that.  She did have a CT scan at the hospital and she did not have any concussion or anything related to her fall.   The injection site feels like there is a hard lump in it, and it is really sore, and is a little red.
Age: 65.0
Sex: F
Vaccine: PNC20, RSV
Symptoms: Injection site mass, Injection site pain, Injection site swelling, Lethargy, Malaise
Clinical narrative: She got her vaccines, (she had fallen on Monday and bruised her ribs), she first had swelling and soreness at the injection.  Then she started to feel other symptoms.  She felt like she was coming down with something, like she had the flu.  She was very lethargic and started feeling very weak and tired, and everything ached, all of her joints.  Then yesterday she got terrible sharp pains in her abdomen.  Then she got very nauseous that come and went throughout the day.  Then in the ankle she had pain on the outside of the ankle and lasted half of the night before she went to bed, throughout the night last night.  She woke up with dry heaves and unable to eat feeling she will not keep anything down.  It is a chore to get up and get around as she feels so bad.  She felt that it would subside after a few days but it has not.  She was shaking like she was freezing to death last night, wrapped up in a blanket and still had chills.  She also felt that her head was burning up and her forehead was burning her head, but thermometer broke so not able to measure how high.  The chills have subsided at this point.   She now feels the nerve pain, has the nausea and just feels crumby.  She is not able to go to work as she is feeling so badly.   She has not contacted her doctor regarding her symptoms since having the vaccine.   She has also been having a throbbing headache, but when she fell she did hit her head and wrenched her neck, but it could be due to that.  She did have a CT scan at the hospital and she did not have any concussion or anything related to her fall.   The injection site feels like there is a hard lump in it, and it is really sore, and is a little red.
Age: 65.0
Sex: F
Vaccine: PNC20, RSV
Symptoms: Nausea, Neuralgia, Retching, Tremor
Clinical narrative: She got her vaccines, (she had fallen on Monday and bruised her ribs), she first had swelling and soreness at the injection.  Then she started to feel other symptoms.  She felt like she was coming down with something, like she had the flu.  She was very lethargic and started feeling very weak and tired, and everything ached, all of her joints.  Then yesterday she got terrible sharp pains in her abdomen.  Then she got very nauseous that come and went throughout the day.  Then in the ankle she had pain on the outside of the ankle and lasted half of the night before she went to bed, throughout the night last night.  She woke up with dry heaves and unable to eat feeling she will not keep anything down.  It is a chore to get up and get around as she feels so bad.  She felt that it would subside after a few days but it has not.  She was shaking like she was freezing to death last night, wrapped up in a blanket and still had chills.  She also felt that her head was burning up and her forehead was burning her head, but thermometer broke so not able to measure how high.  The chills have subsided at this point.   She now feels the nerve pain, has the nausea and just feels crumby.  She is not able to go to work as she is feeling so badly.   She has not contacted her doctor regarding her symptoms since having the vaccine.   She has also been having a throbbing headache, but when she fell she did hit her head and wrenched her neck, but it could be due to that.  She did have a CT scan at the hospital and she did not have any concussion or anything related to her fall.   The injection site feels like there is a hard lump in it, and it is really sore, and is a little red.
Age: 71.0
Sex: F
Vaccine: UNK
Symptoms: Expired product administered
Clinical narrative: PATIENT VACCINATED AFTER VIABILITY DATE
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT VACCINATED AFTER VIABILITY DATE
Age: 0.33
Sex: F
Vaccine: DTPPVHBHPB, PNC20, RV1
Symptoms: Bladder catheterisation, Drooling, Dyskinesia, Electroencephalogram abnormal, Encephalopathy
Clinical narrative: Admitted to hospital 1/24, discharged 1/25: Her first seizure involved drooling, R arm jerking, head turning to the left, and L eye deviation and bilateral eyes rolling backward; lasted for 5 minutes. Her second seizure involved bilateral upper and lower extremity shaking and bilateral eyes rolling backward; lasted for 10 minutes. Mom called 911 and movements stopped when EMS arrived. She was febrile to 102F in ambulance. She had third seizure at facility with similar semiology to previous and received IV Versed which aborted movement. Of note, she received her 4 month vaccinations the day before the seizures. Admitting to hospital 2/4, discharged 2/8: patient is a 5 mo female with PMHx of recent febrile seizures after receiving 4 month DTaP Vaccine who presented to the ED for increased seizure activity with generalized tonic-clonic movements.  In the ED, mildly febrile to 100.5. RPP negative, other labs unremarkable. Low concern for infection. Neurology consulted. Patient was given keppra load and admitted for klonopin bridge and seizure workup.   During admission, patient had 50-second provoked episode of lip smacking and upper extremity jerking following bladder cath. Did not require abortive medication and did not have clear seizure activity on EEG. MRI brain 02/06 was normal. vEEG for two days without seizure activity, showed likely transitory encephalopathy.
Age: 0.33
Sex: F
Vaccine: DTPPVHBHPB, PNC20, RV1
Symptoms: Eye movement disorder, Febrile convulsion, Gaze palsy, Laboratory test normal, Magnetic resonance imaging head normal
Clinical narrative: Admitted to hospital 1/24, discharged 1/25: Her first seizure involved drooling, R arm jerking, head turning to the left, and L eye deviation and bilateral eyes rolling backward; lasted for 5 minutes. Her second seizure involved bilateral upper and lower extremity shaking and bilateral eyes rolling backward; lasted for 10 minutes. Mom called 911 and movements stopped when EMS arrived. She was febrile to 102F in ambulance. She had third seizure at facility with similar semiology to previous and received IV Versed which aborted movement. Of note, she received her 4 month vaccinations the day before the seizures. Admitting to hospital 2/4, discharged 2/8: patient is a 5 mo female with PMHx of recent febrile seizures after receiving 4 month DTaP Vaccine who presented to the ED for increased seizure activity with generalized tonic-clonic movements.  In the ED, mildly febrile to 100.5. RPP negative, other labs unremarkable. Low concern for infection. Neurology consulted. Patient was given keppra load and admitted for klonopin bridge and seizure workup.   During admission, patient had 50-second provoked episode of lip smacking and upper extremity jerking following bladder cath. Did not require abortive medication and did not have clear seizure activity on EEG. MRI brain 02/06 was normal. vEEG for two days without seizure activity, showed likely transitory encephalopathy.
Age: 0.33
Sex: F
Vaccine: DTPPVHBHPB, PNC20, RV1
Symptoms: Pyrexia, Respiratory pathogen panel, Seizure, Tardive dyskinesia, Tonic clonic movements
Clinical narrative: Admitted to hospital 1/24, discharged 1/25: Her first seizure involved drooling, R arm jerking, head turning to the left, and L eye deviation and bilateral eyes rolling backward; lasted for 5 minutes. Her second seizure involved bilateral upper and lower extremity shaking and bilateral eyes rolling backward; lasted for 10 minutes. Mom called 911 and movements stopped when EMS arrived. She was febrile to 102F in ambulance. She had third seizure at facility with similar semiology to previous and received IV Versed which aborted movement. Of note, she received her 4 month vaccinations the day before the seizures. Admitting to hospital 2/4, discharged 2/8: patient is a 5 mo female with PMHx of recent febrile seizures after receiving 4 month DTaP Vaccine who presented to the ED for increased seizure activity with generalized tonic-clonic movements.  In the ED, mildly febrile to 100.5. RPP negative, other labs unremarkable. Low concern for infection. Neurology consulted. Patient was given keppra load and admitted for klonopin bridge and seizure workup.   During admission, patient had 50-second provoked episode of lip smacking and upper extremity jerking following bladder cath. Did not require abortive medication and did not have clear seizure activity on EEG. MRI brain 02/06 was normal. vEEG for two days without seizure activity, showed likely transitory encephalopathy.
Age: 0.33
Sex: F
Vaccine: DTPPVHBHPB, PNC20, RV1
Symptoms: Tremor
Clinical narrative: Admitted to hospital 1/24, discharged 1/25: Her first seizure involved drooling, R arm jerking, head turning to the left, and L eye deviation and bilateral eyes rolling backward; lasted for 5 minutes. Her second seizure involved bilateral upper and lower extremity shaking and bilateral eyes rolling backward; lasted for 10 minutes. Mom called 911 and movements stopped when EMS arrived. She was febrile to 102F in ambulance. She had third seizure at facility with similar semiology to previous and received IV Versed which aborted movement. Of note, she received her 4 month vaccinations the day before the seizures. Admitting to hospital 2/4, discharged 2/8: patient is a 5 mo female with PMHx of recent febrile seizures after receiving 4 month DTaP Vaccine who presented to the ED for increased seizure activity with generalized tonic-clonic movements.  In the ED, mildly febrile to 100.5. RPP negative, other labs unremarkable. Low concern for infection. Neurology consulted. Patient was given keppra load and admitted for klonopin bridge and seizure workup.   During admission, patient had 50-second provoked episode of lip smacking and upper extremity jerking following bladder cath. Did not require abortive medication and did not have clear seizure activity on EEG. MRI brain 02/06 was normal. vEEG for two days without seizure activity, showed likely transitory encephalopathy.
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Asthenia, Coordination abnormal, Tinnitus, Vertigo
Clinical narrative: Pulsatile tinnitus in the left ear (vaccine was in left shoulder) the following day, severe vertigo and lack of coordination, weakness at day 5 post vaccine
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Alcohol use, COVID-19, Coinfection, Diarrhoea
Clinical narrative: Admit date: 2/16/2024  Discharge date: 2/19/2024  Admitting Physician: MD   Attending Physician at the Time of Discharge:  MD  Primary Care Physician:  DO   Reason for Admission:  Sepsis COVID 19 CAP  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)   Patient admitted with sepsis, with positive COVID test from ED visit on 2/10, with imaging consistent with multifocal pneumonia. She was treated for bacterial CAP coinfection with viral pneumonia as well. Noted to have AKI and hypokalemia on admission, possibly due to chronic diarrhea; resolved with IVF.   She is on chronic anticoagulation for splenic thrombosis. Also noted to have hypertension, home antihypertensives initially held due to lower Bps but can be restarted. Hx EtOH use disorder and chronic pancreatitis, treated with PRN pain meds. Last drink 12/2022. Morbid obesity on phentermine, can continue this outpatient. Polypharmacy also noted, she can discuss indications for multiple meds with her PCP  EKG with long QTc as well, patient on escitalopram at baseline. As I discharged her on levofloxacin as noted above, I asked her to cut her Lexapro tabs in half for the remainder of her antibiotics to minimize complications related to prolonged QTc Discharged to Home.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram QT prolonged, Hypertension, Hypokalaemia, Hypotension, Obesity
Clinical narrative: Admit date: 2/16/2024  Discharge date: 2/19/2024  Admitting Physician: MD   Attending Physician at the Time of Discharge:  MD  Primary Care Physician:  DO   Reason for Admission:  Sepsis COVID 19 CAP  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)   Patient admitted with sepsis, with positive COVID test from ED visit on 2/10, with imaging consistent with multifocal pneumonia. She was treated for bacterial CAP coinfection with viral pneumonia as well. Noted to have AKI and hypokalemia on admission, possibly due to chronic diarrhea; resolved with IVF.   She is on chronic anticoagulation for splenic thrombosis. Also noted to have hypertension, home antihypertensives initially held due to lower Bps but can be restarted. Hx EtOH use disorder and chronic pancreatitis, treated with PRN pain meds. Last drink 12/2022. Morbid obesity on phentermine, can continue this outpatient. Polypharmacy also noted, she can discuss indications for multiple meds with her PCP  EKG with long QTc as well, patient on escitalopram at baseline. As I discharged her on levofloxacin as noted above, I asked her to cut her Lexapro tabs in half for the remainder of her antibiotics to minimize complications related to prolonged QTc Discharged to Home.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Pneumonia bacterial, Pneumonia viral, Pulmonary imaging procedure abnormal, SARS-CoV-2 test positive
Clinical narrative: Admit date: 2/16/2024  Discharge date: 2/19/2024  Admitting Physician: MD   Attending Physician at the Time of Discharge:  MD  Primary Care Physician:  DO   Reason for Admission:  Sepsis COVID 19 CAP  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)   Patient admitted with sepsis, with positive COVID test from ED visit on 2/10, with imaging consistent with multifocal pneumonia. She was treated for bacterial CAP coinfection with viral pneumonia as well. Noted to have AKI and hypokalemia on admission, possibly due to chronic diarrhea; resolved with IVF.   She is on chronic anticoagulation for splenic thrombosis. Also noted to have hypertension, home antihypertensives initially held due to lower Bps but can be restarted. Hx EtOH use disorder and chronic pancreatitis, treated with PRN pain meds. Last drink 12/2022. Morbid obesity on phentermine, can continue this outpatient. Polypharmacy also noted, she can discuss indications for multiple meds with her PCP  EKG with long QTc as well, patient on escitalopram at baseline. As I discharged her on levofloxacin as noted above, I asked her to cut her Lexapro tabs in half for the remainder of her antibiotics to minimize complications related to prolonged QTc Discharged to Home.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis, Splenic thrombosis
Clinical narrative: Admit date: 2/16/2024  Discharge date: 2/19/2024  Admitting Physician: MD   Attending Physician at the Time of Discharge:  MD  Primary Care Physician:  DO   Reason for Admission:  Sepsis COVID 19 CAP  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)   Patient admitted with sepsis, with positive COVID test from ED visit on 2/10, with imaging consistent with multifocal pneumonia. She was treated for bacterial CAP coinfection with viral pneumonia as well. Noted to have AKI and hypokalemia on admission, possibly due to chronic diarrhea; resolved with IVF.   She is on chronic anticoagulation for splenic thrombosis. Also noted to have hypertension, home antihypertensives initially held due to lower Bps but can be restarted. Hx EtOH use disorder and chronic pancreatitis, treated with PRN pain meds. Last drink 12/2022. Morbid obesity on phentermine, can continue this outpatient. Polypharmacy also noted, she can discuss indications for multiple meds with her PCP  EKG with long QTc as well, patient on escitalopram at baseline. As I discharged her on levofloxacin as noted above, I asked her to cut her Lexapro tabs in half for the remainder of her antibiotics to minimize complications related to prolonged QTc Discharged to Home.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Anaemia, Bladder catheterisation, Blood creatinine abnormal, COVID-19
Clinical narrative: Admit date: 2/9/2024  Discharge date: 2/19/2024  Admitting Physician: DO   Attending Physician at the Time of Discharge: MD  Primary Care Physician: Reason for Admission:  Ground level fall AKI due to dehydration COVID 19  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)   83-year-old male with past medical history of CKD 3, PE on chronic Eliquis, PVD, CVA, and prostate cancer.  Patient was admitted 2/9 for AKI after presenting with a ground level fall.  CT showed mild-to-moderate bilateral hydroureteronephrosis.  He had Foley catheter placed with improvement in his creatinine.  However, he subsequently developed hematuria and anemia requiring 1 unit blood transfusion.  His Eliquis was held.    Urology was consulted and he was taken to the OR for cystoscopy, which showed friable prostate.  Per their recommendations Eliquis should be held at least 2-3 days, and now that his urine is clear it may be restarted either tonight or tomorrow.  Patient can be discharged with Foley, for voiding trial in 1-2 weeks as outpatient.  Tested positive for COVID on 2/9. Per ED notes and H&P patient was already tested for this prior to admission, however there is no recorded date/time of this test, notes state that patient and his wife were unable to provide details. Patient has been asymptomatic.  Therapy team evaluated patient and recommended IPR. PMR team consulted, who accepted patient. He was deemed stable for discharge today, and he was discharged their in improved/stable condition Discharged to Rehab Facility.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram kidney abnormal, Cystoscopy abnormal, Dehydration, Fall, Haematuria
Clinical narrative: Admit date: 2/9/2024  Discharge date: 2/19/2024  Admitting Physician: DO   Attending Physician at the Time of Discharge: MD  Primary Care Physician: Reason for Admission:  Ground level fall AKI due to dehydration COVID 19  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)   83-year-old male with past medical history of CKD 3, PE on chronic Eliquis, PVD, CVA, and prostate cancer.  Patient was admitted 2/9 for AKI after presenting with a ground level fall.  CT showed mild-to-moderate bilateral hydroureteronephrosis.  He had Foley catheter placed with improvement in his creatinine.  However, he subsequently developed hematuria and anemia requiring 1 unit blood transfusion.  His Eliquis was held.    Urology was consulted and he was taken to the OR for cystoscopy, which showed friable prostate.  Per their recommendations Eliquis should be held at least 2-3 days, and now that his urine is clear it may be restarted either tonight or tomorrow.  Patient can be discharged with Foley, for voiding trial in 1-2 weeks as outpatient.  Tested positive for COVID on 2/9. Per ED notes and H&P patient was already tested for this prior to admission, however there is no recorded date/time of this test, notes state that patient and his wife were unable to provide details. Patient has been asymptomatic.  Therapy team evaluated patient and recommended IPR. PMR team consulted, who accepted patient. He was deemed stable for discharge today, and he was discharged their in improved/stable condition Discharged to Rehab Facility.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Hydronephrosis, Prostatic disorder, SARS-CoV-2 test positive, Transfusion, Urine analysis abnormal
Clinical narrative: Admit date: 2/9/2024  Discharge date: 2/19/2024  Admitting Physician: DO   Attending Physician at the Time of Discharge: MD  Primary Care Physician: Reason for Admission:  Ground level fall AKI due to dehydration COVID 19  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)   83-year-old male with past medical history of CKD 3, PE on chronic Eliquis, PVD, CVA, and prostate cancer.  Patient was admitted 2/9 for AKI after presenting with a ground level fall.  CT showed mild-to-moderate bilateral hydroureteronephrosis.  He had Foley catheter placed with improvement in his creatinine.  However, he subsequently developed hematuria and anemia requiring 1 unit blood transfusion.  His Eliquis was held.    Urology was consulted and he was taken to the OR for cystoscopy, which showed friable prostate.  Per their recommendations Eliquis should be held at least 2-3 days, and now that his urine is clear it may be restarted either tonight or tomorrow.  Patient can be discharged with Foley, for voiding trial in 1-2 weeks as outpatient.  Tested positive for COVID on 2/9. Per ED notes and H&P patient was already tested for this prior to admission, however there is no recorded date/time of this test, notes state that patient and his wife were unable to provide details. Patient has been asymptomatic.  Therapy team evaluated patient and recommended IPR. PMR team consulted, who accepted patient. He was deemed stable for discharge today, and he was discharged their in improved/stable condition Discharged to Rehab Facility.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Hypoxia, Influenza, Pneumonia viral
Clinical narrative: Admit date: 2/18/2024  Discharge date:  2/21/2024  Admitting Physician: DO   Attending Physician at the Time of Discharge: MD  Primary Care Physician: MD Reason for Admission:  Acute hypoxia in setting of COVID and influenza a infections  Brief Summary of Hospital Stay: Patient is a 82 YO female with h/o DM2, hypertension, coronary artery disease, HFrEF, chronic obstructive pulmonary disease admitted for sepsis and acute hypoxia in setting of COVID and influenza A infections.  Patient treated in the hospital with remdesivir and Tamiflu as well as receiving 2 days of Decadron for hypoxia.  Patient was however able to wean off of supplemental oxygen for a full 24 hours prior to discharge and was able to ambulate without desaturating.  Sepsis from viral pneumonia resolved.  Patient feeling improved although still with cough at time of discharge in looking for to discharge home.  Given cough did send patient home with albuterol inhaler, Tessalon, Mucinex as well as rest of Tamiflu course the 4 more doses to complete 5 day course.  Given recent GI bleeding on hospitalization from earlier this month, did discharge patient on ferrous sulfate.  I did update patient's son regarding discharge plans as well. Discharged to Home Health Care.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis
Clinical narrative: Admit date: 2/18/2024  Discharge date:  2/21/2024  Admitting Physician: DO   Attending Physician at the Time of Discharge: MD  Primary Care Physician: MD Reason for Admission:  Acute hypoxia in setting of COVID and influenza a infections  Brief Summary of Hospital Stay: Patient is a 82 YO female with h/o DM2, hypertension, coronary artery disease, HFrEF, chronic obstructive pulmonary disease admitted for sepsis and acute hypoxia in setting of COVID and influenza A infections.  Patient treated in the hospital with remdesivir and Tamiflu as well as receiving 2 days of Decadron for hypoxia.  Patient was however able to wean off of supplemental oxygen for a full 24 hours prior to discharge and was able to ambulate without desaturating.  Sepsis from viral pneumonia resolved.  Patient feeling improved although still with cough at time of discharge in looking for to discharge home.  Given cough did send patient home with albuterol inhaler, Tessalon, Mucinex as well as rest of Tamiflu course the 4 more doses to complete 5 day course.  Given recent GI bleeding on hospitalization from earlier this month, did discharge patient on ferrous sulfate.  I did update patient's son regarding discharge plans as well. Discharged to Home Health Care.
Age: 87.0
Sex: F
Vaccine: RSV
Symptoms: Asthenia, Gait inability, Guillain-Barre syndrome
Clinical narrative: Approximately 3 days after the vaccine, she went to walk at the mall and felt weak, so she returned to her car and went home. She felt better until Jan 16, 2024 when she felt weak in the day and by 5:00pm she couldn't walk from weakness. She went to Hospital to the ER via family members. She was diagnosed with Guillian-Barre Syndrome. She was at that hospital for 3-4 days then transferred to Acute rehab facility to do therapy. She improved and was released 2/8/24. She still feels she is not as strong as she should be and is doing physical therapy at Clinic.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, COVID-19, Diarrhoea, Gastroenteritis
Clinical narrative: Admit date: 2/17/2024  Discharge date: 2/22/2024  Admitting Physician:   Attending Physician at the Time of Discharge:  Primary Care Physician:   Reason for Admission: AKI due to COVID gastroenteritis  Brief Summary of Hospital Stay: 90yoF hx idiopathic lung disease without hypoxia admitted for generalized weakness and diarrhea. Found to have COVID and AKI. She was not hypoxic but given lung disease and other risk factors started on remdesivir. Diarrhea and AKI resolved with supportive care and PO intake. She and her son were undecided on acute rehab on discharge given the COVID isolation period but decided to return home with home care.  Discharged to Home.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia, Neck pain, Pain, Pain in extremity, Paraesthesia
Clinical narrative: Left arm pain with swelling lasting 2 weeks. Sharp shooting pain to neck and hand. Numbness and tingling to left UE.
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Peripheral swelling, Spinal X-ray, Ultrasound scan
Clinical narrative: Left arm pain with swelling lasting 2 weeks. Sharp shooting pain to neck and hand. Numbness and tingling to left UE.
Age: 4.0
Sex: M
Vaccine: HEPA, IPV, PNC20, TDAP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was inadvertently given TDAP vaccine for 4th dose of DTAP series. He should have received DTAP. No immediate adverse reaction. Patient education provided to guardians about s/s of adverse reaction and most common signs and symptoms from vaccine. F/U with primary care provider if needed. Medical provider notified.
Age: 23.0
Sex: F
Vaccine: HEP, VARCEL
Symptoms: Cellulitis, Erythema
Clinical narrative: Redness, presumed cellulitis
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Influenza like illness, Pain
Clinical narrative: flu like symptoms (pain and aches in entire body);  headache;  duration of symptoms was 18 hours at which time all symptoms went away
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC20, VARCEL
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Vaccine given to 4 month old child in error, wasn't due until 12 months of age.  No signs or concerns at this time but still monitoring.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC20, VARCEL
Symptoms: Injection site erythema, Injection site nodule
Clinical narrative: 1cm erythematous nodule at injection site on R thigh
Age: 6.0
Sex: F
Vaccine: TDAP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Due to child's age of 6y 9m should have received DTaP not Tdap.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: hospitalized with COVID
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac monitoring, Cardiac stress test, Dyspnoea, Electrocardiogram, Heart rate irregular
Clinical narrative: Extreme Irregular heartbeat. Would happen every minute or more. Couldn't sleep through the night. Felt like I was gasping for air when it would happen. Had to be put on 100 MG of metoprolol for aprox 6 months until it cleared up. Then was put on centrum multivitamins
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sleep disorder
Clinical narrative: Extreme Irregular heartbeat. Would happen every minute or more. Couldn't sleep through the night. Felt like I was gasping for air when it would happen. Had to be put on 100 MG of metoprolol for aprox 6 months until it cleared up. Then was put on centrum multivitamins
Age: 38.0
Sex: M
Vaccine: TD
Symptoms: Arthralgia, Chest pain
Clinical narrative: Donor received his 2nd Tetanus immunization at facility on 01/17/2024. Donor came to center on 02/19/2024.  Donor answered yes to the  Followup Post Imm Reaction Check. Donor told staff that he had chest and shoulder soreness. When interviewing donor about what happened, donor stated that he noticed that his chest was sore on 01/18/2024. Donor stated that it felt like he had been to the gym, like he had sore muscles in chest.  Donor stated that it lasted for four days. He stated that on Thursday (01/18/2024) the soreness was noticeable, Friday (01/19/2024) it was the worst, Saturday (01/20/2024) soreness was getting better, Sunday (01/21/2024) soreness was getting better, and on Monday (01/22/2024) the soreness was gone. Donor denied any chest pain when asked. When asked if he had done anything strenuous on day of immunization or the next day, donor stated he does not remember. When asked why he did not contact us sooner, he stated he did not know if it was from the immunization and did not think much of it. Donor stated that when the staff asked the Follow-up Post Imm Reaction Check question is when he thought about it. Informed donor he will not be able to donate until the agency reviews this AER. Donor voiced understanding.
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Nausea, Pain, Pyrexia
Clinical narrative: fever, chills, nausea, body aches
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Bladder catheterisation, Blood sodium decreased, Blood test abnormal, Confusional state, Dehydration
Clinical narrative: 18. Within 16 hours after vaccination patient passed out on a trip to the bathroom. Though initial hospital bloodwork looked normal, patient could still not urinate and had to leave hospital with a catheter. Told to see urologist for blockage. Before he could see urologist, went to hospital for confusion and suspected UTI. They did blood work again and found a UTI and his Sodium level was at 116. Hyponatremia.  Hospitalized for six days to get Sodium up to 130 so he could see Urologist. Developed Rash. Saw Urologist on 2/7/2024. There was no blockage. Urologist diagnosed SIADH. Sent back home with Catheter.  Passed out again on 2/16/2024 due to dehydration. As of today, 2/23/2024, he still needs a catheter and cannot pee on his own.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Hyponatraemia, Inappropriate antidiuretic hormone secretion, Loss of consciousness, Rash, Urinary retention
Clinical narrative: 18. Within 16 hours after vaccination patient passed out on a trip to the bathroom. Though initial hospital bloodwork looked normal, patient could still not urinate and had to leave hospital with a catheter. Told to see urologist for blockage. Before he could see urologist, went to hospital for confusion and suspected UTI. They did blood work again and found a UTI and his Sodium level was at 116. Hyponatremia.  Hospitalized for six days to get Sodium up to 130 so he could see Urologist. Developed Rash. Saw Urologist on 2/7/2024. There was no blockage. Urologist diagnosed SIADH. Sent back home with Catheter.  Passed out again on 2/16/2024 due to dehydration. As of today, 2/23/2024, he still needs a catheter and cannot pee on his own.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Urinary tract infection
Clinical narrative: 18. Within 16 hours after vaccination patient passed out on a trip to the bathroom. Though initial hospital bloodwork looked normal, patient could still not urinate and had to leave hospital with a catheter. Told to see urologist for blockage. Before he could see urologist, went to hospital for confusion and suspected UTI. They did blood work again and found a UTI and his Sodium level was at 116. Hyponatremia.  Hospitalized for six days to get Sodium up to 130 so he could see Urologist. Developed Rash. Saw Urologist on 2/7/2024. There was no blockage. Urologist diagnosed SIADH. Sent back home with Catheter.  Passed out again on 2/16/2024 due to dehydration. As of today, 2/23/2024, he still needs a catheter and cannot pee on his own.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Axillary pain, Burning sensation, Discomfort, Feeling of body temperature change, Flank pain
Clinical narrative: 2/20 - itching, progression of redness peri site from 2 inches and growing, erythema, swollen pores, worsening pain to 7/10 pain. 2/21 - worsening itching, erythema 4 inches and growing, hard surface, open pores, pain traveling to triceps muscle and axilla 8/10 scale. Unable to lift arm, tenderness to armpit, triceps, and flank. 2/22 - redness spreading, worsening pain 9-10/10 scale continued to injection site, armpit, back of armpit, triceps and left flank. 2/23 - worsening pain - cold/hot sensation, burning, sharp, pain travels to flank and neck. I can visualize the different pains: halo, sharp, throbbing, pounding, tree branch, constant pain nothing less than an 8/10 scale. Tried and failed Acetaminophen 500 Extra Strength, Lidocaine 4% roll-on, Tiger balm, muscle pain cream, Aleve, cold and warm compresses, rest, immobilization, switching positions. Unable to sleep, wakes me up at night, unable to find a comfortable position.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus
Clinical narrative: 2/20 - itching, progression of redness peri site from 2 inches and growing, erythema, swollen pores, worsening pain to 7/10 pain. 2/21 - worsening itching, erythema 4 inches and growing, hard surface, open pores, pain traveling to triceps muscle and axilla 8/10 scale. Unable to lift arm, tenderness to armpit, triceps, and flank. 2/22 - redness spreading, worsening pain 9-10/10 scale continued to injection site, armpit, back of armpit, triceps and left flank. 2/23 - worsening pain - cold/hot sensation, burning, sharp, pain travels to flank and neck. I can visualize the different pains: halo, sharp, throbbing, pounding, tree branch, constant pain nothing less than an 8/10 scale. Tried and failed Acetaminophen 500 Extra Strength, Lidocaine 4% roll-on, Tiger balm, muscle pain cream, Aleve, cold and warm compresses, rest, immobilization, switching positions. Unable to sleep, wakes me up at night, unable to find a comfortable position.
Age: 49.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site swelling, Myalgia, Pain, Sleep disorder, Tenderness
Clinical narrative: 2/20 - itching, progression of redness peri site from 2 inches and growing, erythema, swollen pores, worsening pain to 7/10 pain. 2/21 - worsening itching, erythema 4 inches and growing, hard surface, open pores, pain traveling to triceps muscle and axilla 8/10 scale. Unable to lift arm, tenderness to armpit, triceps, and flank. 2/22 - redness spreading, worsening pain 9-10/10 scale continued to injection site, armpit, back of armpit, triceps and left flank. 2/23 - worsening pain - cold/hot sensation, burning, sharp, pain travels to flank and neck. I can visualize the different pains: halo, sharp, throbbing, pounding, tree branch, constant pain nothing less than an 8/10 scale. Tried and failed Acetaminophen 500 Extra Strength, Lidocaine 4% roll-on, Tiger balm, muscle pain cream, Aleve, cold and warm compresses, rest, immobilization, switching positions. Unable to sleep, wakes me up at night, unable to find a comfortable position.
Age: 17.0
Sex: M
Vaccine: COVID19, MNQ
Symptoms: Blood glucose normal, Concussion, Confusional state, Electrocardiogram T wave abnormal, Head injury
Clinical narrative: Syncopal episode; head injury with syncope and diagnosed w/concussion; had clinic visit and was transported to ED for further eval/observation given persistent confusion after head injury.
Age: 17.0
Sex: M
Vaccine: COVID19, MNQ
Symptoms: Sinus bradycardia, Syncope
Clinical narrative: Syncopal episode; head injury with syncope and diagnosed w/concussion; had clinic visit and was transported to ED for further eval/observation given persistent confusion after head injury.
Age: 11.0
Sex: M
Vaccine: COVID19, FLUC4, MNQ, TDAP
Symptoms: Lymphadenopathy, Pain, Swelling
Clinical narrative: Pain, swelling, bilateral axillary lymph node swelling