chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 77.0
Sex: F
Vaccine: RSV
Symptoms: Vomiting
Clinical narrative: She got her vaccine, right after she got it she always gets burning in her sinuses and then goes away.  She didn't have any trouble until about 5:00 PM she started to get nauseous.  Then at 6:30 she started vomiting every 15 minutes until 8:30 PM.  Then she had diarrhea too.  She did not take anything for her symptoms.  She is not having any symptoms at this time.  She did not feel too good when she got up, but has not vomited this morning.
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Local reaction, Pruritus, Swelling
Clinical narrative: Patient came to EC with localized reaction from pneumococcal vaccine she received on 8/31/23 (not at our facility). Redness, swelling, and itching
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Bronchial obstruction, COVID-19, Cough, Dyspnoea
Clinical narrative: Admit date: 12/7/2023  Discharge date: 12/08/23   Reason for Admission: Difficulty breathing   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) 68yoM hx right lung wedge resection (histoplasmosis), former smoker (quit 1 year ago), likely COPD, HTN, DM2, and depression admitted for right lobe pneumonia. Wife reports normally SOB with exertion but 3 days ago start having SOB with minimal exertion, does not use oxygen, having chest pain with deep inspiration, wife also notes dry cough that started "a month ago". Wife has COPD and uses oxygen, denies illness recently. No HA or lightheadedness.   CTA without PE but right consolidation. COVID positive. Received breathing treatment in ED with great improvement in respiratory status, no oxygen requirement at rest (HPI per Dr)  Hospital Course: No notes on file Patient is a 68yr old male with a history of HTN, T2DM, COPD, Anxiety with Depression who presented with dyspnea and found to have RUL pneumonia and COVID. He was started on antibiotics and today he feels much better and would like to go home.   RUL Pneumonia, COVID - CTA revealed No pulmonary artery embolism; the right pulmonary artery is narrowed due to a right mediastinal and suprahilar mass measuring up to 6 cm. This obstructs the right mainstem bronchus centrally. Consolidation within the right upper lobe with tree-in-bud nodularity within the right upper and right lower lobes with medial base right lower lobe consolidation. Findings are concerning for pneumonia. Recommend short-term follow-up to exclude underlying satellite lesions.  He is improving clinically as leukocytosis has resolved and remains afebrile. Plan is for discharge on oral antibiotics, to follow up with PCP.  Discharged to home.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Leukocytosis, Lung consolidation, Mediastinal mass, Painful respiration
Clinical narrative: Admit date: 12/7/2023  Discharge date: 12/08/23   Reason for Admission: Difficulty breathing   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) 68yoM hx right lung wedge resection (histoplasmosis), former smoker (quit 1 year ago), likely COPD, HTN, DM2, and depression admitted for right lobe pneumonia. Wife reports normally SOB with exertion but 3 days ago start having SOB with minimal exertion, does not use oxygen, having chest pain with deep inspiration, wife also notes dry cough that started "a month ago". Wife has COPD and uses oxygen, denies illness recently. No HA or lightheadedness.   CTA without PE but right consolidation. COVID positive. Received breathing treatment in ED with great improvement in respiratory status, no oxygen requirement at rest (HPI per Dr)  Hospital Course: No notes on file Patient is a 68yr old male with a history of HTN, T2DM, COPD, Anxiety with Depression who presented with dyspnea and found to have RUL pneumonia and COVID. He was started on antibiotics and today he feels much better and would like to go home.   RUL Pneumonia, COVID - CTA revealed No pulmonary artery embolism; the right pulmonary artery is narrowed due to a right mediastinal and suprahilar mass measuring up to 6 cm. This obstructs the right mainstem bronchus centrally. Consolidation within the right upper lobe with tree-in-bud nodularity within the right upper and right lower lobes with medial base right lower lobe consolidation. Findings are concerning for pneumonia. Recommend short-term follow-up to exclude underlying satellite lesions.  He is improving clinically as leukocytosis has resolved and remains afebrile. Plan is for discharge on oral antibiotics, to follow up with PCP.  Discharged to home.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Pulmonary artery stenosis, Pulmonary congestion, Pulmonary hilum mass, Pulmonary mass
Clinical narrative: Admit date: 12/7/2023  Discharge date: 12/08/23   Reason for Admission: Difficulty breathing   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) 68yoM hx right lung wedge resection (histoplasmosis), former smoker (quit 1 year ago), likely COPD, HTN, DM2, and depression admitted for right lobe pneumonia. Wife reports normally SOB with exertion but 3 days ago start having SOB with minimal exertion, does not use oxygen, having chest pain with deep inspiration, wife also notes dry cough that started "a month ago". Wife has COPD and uses oxygen, denies illness recently. No HA or lightheadedness.   CTA without PE but right consolidation. COVID positive. Received breathing treatment in ED with great improvement in respiratory status, no oxygen requirement at rest (HPI per Dr)  Hospital Course: No notes on file Patient is a 68yr old male with a history of HTN, T2DM, COPD, Anxiety with Depression who presented with dyspnea and found to have RUL pneumonia and COVID. He was started on antibiotics and today he feels much better and would like to go home.   RUL Pneumonia, COVID - CTA revealed No pulmonary artery embolism; the right pulmonary artery is narrowed due to a right mediastinal and suprahilar mass measuring up to 6 cm. This obstructs the right mainstem bronchus centrally. Consolidation within the right upper lobe with tree-in-bud nodularity within the right upper and right lower lobes with medial base right lower lobe consolidation. Findings are concerning for pneumonia. Recommend short-term follow-up to exclude underlying satellite lesions.  He is improving clinically as leukocytosis has resolved and remains afebrile. Plan is for discharge on oral antibiotics, to follow up with PCP.  Discharged to home.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Admit date: 12/7/2023  Discharge date: 12/08/23   Reason for Admission: Difficulty breathing   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) 68yoM hx right lung wedge resection (histoplasmosis), former smoker (quit 1 year ago), likely COPD, HTN, DM2, and depression admitted for right lobe pneumonia. Wife reports normally SOB with exertion but 3 days ago start having SOB with minimal exertion, does not use oxygen, having chest pain with deep inspiration, wife also notes dry cough that started "a month ago". Wife has COPD and uses oxygen, denies illness recently. No HA or lightheadedness.   CTA without PE but right consolidation. COVID positive. Received breathing treatment in ED with great improvement in respiratory status, no oxygen requirement at rest (HPI per Dr)  Hospital Course: No notes on file Patient is a 68yr old male with a history of HTN, T2DM, COPD, Anxiety with Depression who presented with dyspnea and found to have RUL pneumonia and COVID. He was started on antibiotics and today he feels much better and would like to go home.   RUL Pneumonia, COVID - CTA revealed No pulmonary artery embolism; the right pulmonary artery is narrowed due to a right mediastinal and suprahilar mass measuring up to 6 cm. This obstructs the right mainstem bronchus centrally. Consolidation within the right upper lobe with tree-in-bud nodularity within the right upper and right lower lobes with medial base right lower lobe consolidation. Findings are concerning for pneumonia. Recommend short-term follow-up to exclude underlying satellite lesions.  He is improving clinically as leukocytosis has resolved and remains afebrile. Plan is for discharge on oral antibiotics, to follow up with PCP.  Discharged to home.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Diarrhoea, Haematocrit increased, Haemoglobin increased
Clinical narrative: Swelling of spleen, body aches day 1 and 2. Spleen continued to swell very large and  very uncomfortable for first 4 days.  17 days after shot diarrhea and nausea, day 18 constant dry cough day 19 stuffy nose cough body aches. Tested positive for covid. Note that my husband got his shot same day as me and although his only symptom on day 19 was breaking out in sweats he also tested positive same day as me  for covid.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nasal congestion, Nausea, Pain, SARS-CoV-2 test positive, Splenomegaly
Clinical narrative: Swelling of spleen, body aches day 1 and 2. Spleen continued to swell very large and  very uncomfortable for first 4 days.  17 days after shot diarrhea and nausea, day 18 constant dry cough day 19 stuffy nose cough body aches. Tested positive for covid. Note that my husband got his shot same day as me and although his only symptom on day 19 was breaking out in sweats he also tested positive same day as me  for covid.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ultrasound spleen
Clinical narrative: Swelling of spleen, body aches day 1 and 2. Spleen continued to swell very large and  very uncomfortable for first 4 days.  17 days after shot diarrhea and nausea, day 18 constant dry cough day 19 stuffy nose cough body aches. Tested positive for covid. Note that my husband got his shot same day as me and although his only symptom on day 19 was breaking out in sweats he also tested positive same day as me  for covid.
Age: 91.0
Sex: F
Vaccine: COVID19, FLU4, RSV
Symptoms: Arthralgia, Mobility decreased, Pain in extremity
Clinical narrative: patient received 3 vaccines 12-11-23. called 12-15-23 reporting shoulder soreness from Monday 12-11 until Thursday 12-14. Evening of 12-14 she started having pain in the elbow wrist and thumb. Friday 12-15 she reports being hardly able to move thumb. advised pt to have md evaluate
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: VACCINE FROZEN INSTEAD OF REFRIGERATED
Age: 11.0
Sex: M
Vaccine: HPV9, UNK, UNK
Symptoms: Amnesia, Atrioventricular block first degree, Catatonia, Electrocardiogram abnormal, Epstein-Barr virus test positive
Clinical narrative: On 11/7 he had 3 vaccines. On 12/1 he got up and got dressed and went to school. 4 hours later he felt heaviness in his arms and legs. His teacher said he could lay down. He then could not put any weight on his legs and couldn't walk. With assistance he went to the nurses office and was catatonic and looked like a dementia patient. I wheeled him to the car via wheelchair and took him to the urgent care. They sent him immediately by ambulance to Hospital. I had to beg to get CTs and other tests. I have had to beg for everything. The dr said its psychological. Psychology cleared him. Lumbar puncture, x-rays, blood work, MRI, tests came back Positive for 3 Epstein Barre viruses. ESR ERYTHROCYTE is high. Nean Platelet volume is high also. Mono is negative. He has a present value NAYCYTOSIS. EDV EAG positive .7. VCAG is abnormal and greater than 8.0 EBVNAG is greater than 8.0. Lymphocytes are high. Monocytes are low. EKG came back with a sinus rhythm first degree AB block. He has started having seizures about 8 days ago called sudo-seizures. He is still unable to walk. His lumbar puncture on 12/4 they put him to sleep for it and he had no memory of anything the past 7 years until this past saturday 12/9.  He didn't know his brother, his grandmother aunt, step dad etc.  He did have untreated mono a while back but I have no information on that as they wouldn't do blood work at that time.
Age: 11.0
Sex: M
Vaccine: HPV9, UNK, UNK
Symptoms: Gait inability, Infectious mononucleosis, Laboratory test abnormal, Limb discomfort, Lumbar puncture
Clinical narrative: On 11/7 he had 3 vaccines. On 12/1 he got up and got dressed and went to school. 4 hours later he felt heaviness in his arms and legs. His teacher said he could lay down. He then could not put any weight on his legs and couldn't walk. With assistance he went to the nurses office and was catatonic and looked like a dementia patient. I wheeled him to the car via wheelchair and took him to the urgent care. They sent him immediately by ambulance to Hospital. I had to beg to get CTs and other tests. I have had to beg for everything. The dr said its psychological. Psychology cleared him. Lumbar puncture, x-rays, blood work, MRI, tests came back Positive for 3 Epstein Barre viruses. ESR ERYTHROCYTE is high. Nean Platelet volume is high also. Mono is negative. He has a present value NAYCYTOSIS. EDV EAG positive .7. VCAG is abnormal and greater than 8.0 EBVNAG is greater than 8.0. Lymphocytes are high. Monocytes are low. EKG came back with a sinus rhythm first degree AB block. He has started having seizures about 8 days ago called sudo-seizures. He is still unable to walk. His lumbar puncture on 12/4 they put him to sleep for it and he had no memory of anything the past 7 years until this past saturday 12/9.  He didn't know his brother, his grandmother aunt, step dad etc.  He did have untreated mono a while back but I have no information on that as they wouldn't do blood work at that time.
Age: 11.0
Sex: M
Vaccine: HPV9, UNK, UNK
Symptoms: Lymphocyte count increased, Mean platelet volume increased, Monocyte count decreased, Mononucleosis heterophile test negative, Psychogenic seizure
Clinical narrative: On 11/7 he had 3 vaccines. On 12/1 he got up and got dressed and went to school. 4 hours later he felt heaviness in his arms and legs. His teacher said he could lay down. He then could not put any weight on his legs and couldn't walk. With assistance he went to the nurses office and was catatonic and looked like a dementia patient. I wheeled him to the car via wheelchair and took him to the urgent care. They sent him immediately by ambulance to Hospital. I had to beg to get CTs and other tests. I have had to beg for everything. The dr said its psychological. Psychology cleared him. Lumbar puncture, x-rays, blood work, MRI, tests came back Positive for 3 Epstein Barre viruses. ESR ERYTHROCYTE is high. Nean Platelet volume is high also. Mono is negative. He has a present value NAYCYTOSIS. EDV EAG positive .7. VCAG is abnormal and greater than 8.0 EBVNAG is greater than 8.0. Lymphocytes are high. Monocytes are low. EKG came back with a sinus rhythm first degree AB block. He has started having seizures about 8 days ago called sudo-seizures. He is still unable to walk. His lumbar puncture on 12/4 they put him to sleep for it and he had no memory of anything the past 7 years until this past saturday 12/9.  He didn't know his brother, his grandmother aunt, step dad etc.  He did have untreated mono a while back but I have no information on that as they wouldn't do blood work at that time.
Age: 11.0
Sex: M
Vaccine: HPV9, UNK, UNK
Symptoms: Red blood cell sedimentation rate increased, Sinus rhythm, Weight bearing difficulty, X-ray
Clinical narrative: On 11/7 he had 3 vaccines. On 12/1 he got up and got dressed and went to school. 4 hours later he felt heaviness in his arms and legs. His teacher said he could lay down. He then could not put any weight on his legs and couldn't walk. With assistance he went to the nurses office and was catatonic and looked like a dementia patient. I wheeled him to the car via wheelchair and took him to the urgent care. They sent him immediately by ambulance to Hospital. I had to beg to get CTs and other tests. I have had to beg for everything. The dr said its psychological. Psychology cleared him. Lumbar puncture, x-rays, blood work, MRI, tests came back Positive for 3 Epstein Barre viruses. ESR ERYTHROCYTE is high. Nean Platelet volume is high also. Mono is negative. He has a present value NAYCYTOSIS. EDV EAG positive .7. VCAG is abnormal and greater than 8.0 EBVNAG is greater than 8.0. Lymphocytes are high. Monocytes are low. EKG came back with a sinus rhythm first degree AB block. He has started having seizures about 8 days ago called sudo-seizures. He is still unable to walk. His lumbar puncture on 12/4 they put him to sleep for it and he had no memory of anything the past 7 years until this past saturday 12/9.  He didn't know his brother, his grandmother aunt, step dad etc.  He did have untreated mono a while back but I have no information on that as they wouldn't do blood work at that time.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Breast mass, Cardiac arrest, Cytogenetic analysis normal, Immunisation reaction, Oestrogen receptor assay positive
Clinical narrative: 3 months following vaccination a lump was located in left breast. Lump was ultimately diagnosed as cancer. Two types of cancer were located triple negative and estrogen positive cancer. Genetic testing was completed and showed no genetic traits indicative of causing cancer. The belief is the mRNA vaccine, which was pt's booster or 3rd dose, caused the tumors. On November 8,2023 pt. died suddenly while exercising after she had completed treatment and had been deemed cancer free by her oncologist in December 2022. Coroner ruled the cause of death as a probable pulmonary embolism and acute cardiac arrest. The clot was most likely caused by the vaccination in combination with cancer treatment. Pt was 34 years old at time of death from sudden cardiac arrest.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism, Sudden death, Triple negative breast cancer
Clinical narrative: 3 months following vaccination a lump was located in left breast. Lump was ultimately diagnosed as cancer. Two types of cancer were located triple negative and estrogen positive cancer. Genetic testing was completed and showed no genetic traits indicative of causing cancer. The belief is the mRNA vaccine, which was pt's booster or 3rd dose, caused the tumors. On November 8,2023 pt. died suddenly while exercising after she had completed treatment and had been deemed cancer free by her oncologist in December 2022. Coroner ruled the cause of death as a probable pulmonary embolism and acute cardiac arrest. The clot was most likely caused by the vaccination in combination with cancer treatment. Pt was 34 years old at time of death from sudden cardiac arrest.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: VACCIN FROZEN INSTEAD OF REFRIGERATED
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Nausea, Pyrexia, Vomiting
Clinical narrative: headache, nausea and vomiting, fever- patient reported to sick call/ appointment with primary care provider to get sick note
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: VACCINE REFRIGERATED INSTEAD OF FROZEN
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer vaccine had been in the refrigerator and was used 1 day beyond "Beyond Use Date" accidentally.
Age: 53.0
Sex: F
Vaccine: COVID19-2, COVID19
Symptoms: Biopsy skin abnormal, Drug eruption, Pruritus, Rash, Superficial inflammatory dermatosis
Clinical narrative: Woke up 11/3 with a rash on torso and upper legs. Took Benadryl over the course of the weekend but didn t help. Scheduled to see Dr on Monday morning and diagnosed with possible Pityriasis rosea.  The rash didn t clear within two weeks and I was sent to a dermatologist that biopsied the site and was diagnosed as  Perivascular dermatitis. The changes are consistent with drug eruption .  The rash is still present and both doctors are unsure how long it will take to go away. Allegra hives has been the only thing to help with itching.
Age: 53.0
Sex: F
Vaccine: COVID19-2, COVID19
Symptoms: Biopsy, Superficial inflammatory dermatosis
Clinical narrative: Woke up 11/3 with a rash on torso and upper legs. Took Benadryl over the course of the weekend but didn t help. Scheduled to see Dr on Monday morning and diagnosed with possible Pityriasis rosea.  The rash didn t clear within two weeks and I was sent to a dermatologist that biopsied the site and was diagnosed as  Perivascular dermatitis. The changes are consistent with drug eruption .  The rash is still present and both doctors are unsure how long it will take to go away. Allegra hives has been the only thing to help with itching.
Age: 40.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Oedema peripheral
Clinical narrative: Swelling in left armpit that extends to rib area.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered 1 day after expiration date; no reactions reported. Client's parent was advised to re vaccinate.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Vaccine was frozen instead of refrigerated.
Age: 80.0
Sex: F
Vaccine: COVID19, RSV
Symptoms: Asthenia, Fall, Gait inability, Malaise, Pain
Clinical narrative: Patient states was feeling unwell the next day. Full body aches, blood sugar increased to 300 and was extremely weak. Patient states she was so weak, she was unable to walk and ended up falling. The Ambulance had to come to pick her up and put her resting in her bed. She states she is still feeling the following day but a bit better at this time.
Age: 5.0
Sex: F
Vaccine: COVID19, FLU4, HEPA
Symptoms: Expired product administered
Clinical narrative: Pfizer vaccine had been in the refrigerator and was given to patient 1 day beyond the "Beyond Use Date" accidentally
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Adenocarcinoma of colon, Anaemia, Asthenia, Biopsy bronchus, COVID-19 pneumonia
Clinical narrative: Admit date: 11/30/2023  Discharge date: 12/9/23  Admitting Physician: MD   Attending Physician at the Time of Discharge: MD  Primary Care Physician: DO Reason for Admission: Sob, anemia, colon mass  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) 66-year-old male, COPD, previous Hodgkin's lymphoma s/p mantle radiation who was recently diagnosed with adenocarcinoma of the ascending colon as well as primary pulmonary adenocarcinoma (not consistent with colon mets).  On oxygen at baseline, Recent endobronchial biopsy.  Admitted to the hospital with shortness of breath and weakness, and found to have COVID pneumonia, and worsening anemia.  He was noted to have septic shock from sepsis which was resolved during this admission.  Oxygen weaned from high-flow oxygen down to nasal cannula (3.5 L/min).  Underwent an uncomplicated open right colectomy on 12/7/23  extubated in OR. On ERAS protocol and was tolerating soft diet on POD 1.   By POD 2 was at baseline pulmonary status, tolerating a soft diet, bowels were functioning with flatus and bm's, pain was controlled and he was felt ready for discharge.   Discharged to home.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic obstructive pulmonary disease, Colectomy, Dyspnoea, Hodgkin's disease, Intestinal mass
Clinical narrative: Admit date: 11/30/2023  Discharge date: 12/9/23  Admitting Physician: MD   Attending Physician at the Time of Discharge: MD  Primary Care Physician: DO Reason for Admission: Sob, anemia, colon mass  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) 66-year-old male, COPD, previous Hodgkin's lymphoma s/p mantle radiation who was recently diagnosed with adenocarcinoma of the ascending colon as well as primary pulmonary adenocarcinoma (not consistent with colon mets).  On oxygen at baseline, Recent endobronchial biopsy.  Admitted to the hospital with shortness of breath and weakness, and found to have COVID pneumonia, and worsening anemia.  He was noted to have septic shock from sepsis which was resolved during this admission.  Oxygen weaned from high-flow oxygen down to nasal cannula (3.5 L/min).  Underwent an uncomplicated open right colectomy on 12/7/23  extubated in OR. On ERAS protocol and was tolerating soft diet on POD 1.   By POD 2 was at baseline pulmonary status, tolerating a soft diet, bowels were functioning with flatus and bm's, pain was controlled and he was felt ready for discharge.   Discharged to home.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Lung adenocarcinoma, Pain, Radiotherapy, Sepsis, Septic shock
Clinical narrative: Admit date: 11/30/2023  Discharge date: 12/9/23  Admitting Physician: MD   Attending Physician at the Time of Discharge: MD  Primary Care Physician: DO Reason for Admission: Sob, anemia, colon mass  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) 66-year-old male, COPD, previous Hodgkin's lymphoma s/p mantle radiation who was recently diagnosed with adenocarcinoma of the ascending colon as well as primary pulmonary adenocarcinoma (not consistent with colon mets).  On oxygen at baseline, Recent endobronchial biopsy.  Admitted to the hospital with shortness of breath and weakness, and found to have COVID pneumonia, and worsening anemia.  He was noted to have septic shock from sepsis which was resolved during this admission.  Oxygen weaned from high-flow oxygen down to nasal cannula (3.5 L/min).  Underwent an uncomplicated open right colectomy on 12/7/23  extubated in OR. On ERAS protocol and was tolerating soft diet on POD 1.   By POD 2 was at baseline pulmonary status, tolerating a soft diet, bowels were functioning with flatus and bm's, pain was controlled and he was felt ready for discharge.   Discharged to home.
Age: 78.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event
Clinical narrative: patient is ok, no adverse effects yet, counseled to take tylenol if symptoms occur
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase increased, COVID-19, Electrocardiogram normal, Gait disturbance, Myocardial ischaemia
Clinical narrative: Admit date: 12/7/2023  Discharge date: 12/09/2023  Admitting Physician: MD   Attending Physician at the Time of Discharge: MD  Primary Care Physician: MD Reason for Admission: unsteady gait   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) 88 YO year old female with a history of  heart failure preserved EF, pulmonary hypertension, recurrent falls, gait instability, hypertension who presented to the ED on 12/7/2023 after being found lying on the floor at her AFC.  She was diagnosed with rhabdomyolysis with CPK elevated in the 1500s, treated with IV fluids and CPK downtrended accordingly.  She was also found to be COVID positive on admission.  She was not hypoxic however.  No indication for Decadron or remdesivir at this time.  Initially, there were concerns for ACS given elevated troponin; however, troponin downtrended and EKG was unremarkable for acute ST changes.  Troponin likely elevated due to demand ischemia.  Patient denies any chest pain or shortness for breath at this time. Patient continues to improve and breathing well on room air.  Currently, patient is medically stable for discharge back home to AFC.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Rhabdomyolysis, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Admit date: 12/7/2023  Discharge date: 12/09/2023  Admitting Physician: MD   Attending Physician at the Time of Discharge: MD  Primary Care Physician: MD Reason for Admission: unsteady gait   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) 88 YO year old female with a history of  heart failure preserved EF, pulmonary hypertension, recurrent falls, gait instability, hypertension who presented to the ED on 12/7/2023 after being found lying on the floor at her AFC.  She was diagnosed with rhabdomyolysis with CPK elevated in the 1500s, treated with IV fluids and CPK downtrended accordingly.  She was also found to be COVID positive on admission.  She was not hypoxic however.  No indication for Decadron or remdesivir at this time.  Initially, there were concerns for ACS given elevated troponin; however, troponin downtrended and EKG was unremarkable for acute ST changes.  Troponin likely elevated due to demand ischemia.  Patient denies any chest pain or shortness for breath at this time. Patient continues to improve and breathing well on room air.  Currently, patient is medically stable for discharge back home to AFC.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Confusional state, Cough, Malaise
Clinical narrative: Admit date: 12/4/2023  Discharge date: 12/10/2023  Admitting Physician:   Discharge Physician: No att. providers found  Reason for Admission: COVID, generalized weakness  Hospital Course: Per HPI, 85 M who lives at home with his wife. Still works in his office some days. Non smoker. He is to be on supplemental home O2 at 3 L continuously (for CHF), but is not fully compliant with this. He ambulates around with walker assist.  Yesterday, coming from his office, he felt unwell and just quickly "went down", meaning ffeling unwell, weak, with no energy. + nasal discharge and some cough. No fever or chills or SOB however.  This morning, became quite confused and altered at home. Had high fevers as well. Was quickly brought to the ED for further evaluation and MGT.  ED eval shows basically unremarkable lab tests. COVID-19 testing was positive. Had high grade T earlier but this has resolved. His confusion and altered MS is also resolved. He is back to his alert and lucid self. He has no nuchal rigidity. Has no headaches complained of. Discharged to Rehab Facility.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Mental status changes, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Admit date: 12/4/2023  Discharge date: 12/10/2023  Admitting Physician:   Discharge Physician: No att. providers found  Reason for Admission: COVID, generalized weakness  Hospital Course: Per HPI, 85 M who lives at home with his wife. Still works in his office some days. Non smoker. He is to be on supplemental home O2 at 3 L continuously (for CHF), but is not fully compliant with this. He ambulates around with walker assist.  Yesterday, coming from his office, he felt unwell and just quickly "went down", meaning ffeling unwell, weak, with no energy. + nasal discharge and some cough. No fever or chills or SOB however.  This morning, became quite confused and altered at home. Had high fevers as well. Was quickly brought to the ED for further evaluation and MGT.  ED eval shows basically unremarkable lab tests. COVID-19 testing was positive. Had high grade T earlier but this has resolved. His confusion and altered MS is also resolved. He is back to his alert and lucid self. He has no nuchal rigidity. Has no headaches complained of. Discharged to Rehab Facility.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Product storage error
Clinical narrative: Vaccine was frozen instead of refrigerated.
Age: 52.0
Sex: M
Vaccine: IPV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse events
Age: 78.0
Sex: F
Vaccine: RSV
Symptoms: Disorientation, Memory impairment
Clinical narrative: After vaccine I waited 10 minutes. When I went outside, I had no idea where I was  or which way to go.  the street and location was totally unrecognizable.  Finally I was able to manage to get on street and go home.  Still having memory problems.  AS a bookkeeper for 50 years, i am having to relearn simple jobs like doing tax returns, and reports.  I am having to start from scratch doing reports and things that I have been doing for 50 years.  Not ssure how to fix it.  Taking vitamins and omega 3 to see if it helps.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain, Alcohol abuse, Alcoholic ketoacidosis, Anion gap, Anxiety
Clinical narrative: Admit date: 12/6/2023  Discharge date: 12/11/2023  Admitting Physician: DO   Attending Physician at the Time of Discharge: DO  Primary Care Physician: MD Reason for Admission: High anion gap metabolic acidosis secondary to Alcoholic ketoacidosis and starvation lactic acidosis, complicated by sepsis 2/2 COVID infection with superimposed bacterial CAP  Brief Summary of Hospital Stay:Per H&P Patient is a 60 YO female with a PMHx of alcohol abuse, alcoholic pancreatitis, anxiety, depression, COPD, GERD, HTN, Hypothyroidism, and IBS  who presents with chest pain that started 2 days ago.  She reported the pain is mid-sternal, constant pressure, rated a 7/10, exacerbated with talking and taking deep breaths; she has taken her home tramadol at home and nothing has helped. She states two days prior to admission she noticed she had a sore throat, raspy voice, dry cough, and fever up to 101.2, so initially she thought the pain was associated to her cold.  The chest pain has not improved, so she became worried and called EMS. She reports treating her cold with "hot toddys" and tylenol.  She also endorses nausea x 2 days and did not eat or drink anything yesterday due to the nausea  except 1 pint of brandy. She also reports a mild generalized abdominal pain she reports she noticed today after vomiting up "phlegm" three times in the ED and that it just feels like "muscular pain from vomiting." She endorses use of 0.5ppd of cigarettes and has a history of alcohol abuse; she usually drinks 1 pint of brandy daily with last drink being yesterday around 1 pm. She reports no seizure or DT history.   In the ED, she has been afebrile, tachycardic, and hemodynamically stable. Initial labs show hypoglycemia of 22, lactate 9.4, anion gap of 34, CO@ of 4 and alcohol level 0.210. She was treated with prednisone 40mg po x 1 dose, magnesium sulfate 2g IV x 1 dose, fentanyl 50mcg x 1 dose, LR 2L IVF, morphine 4mg IV x 1 dose, ativan 1mg IV x  dose, and Zofran 4mg IV x 1 dose. Hospitalist team admitting for high anion gap metabolic acidosis secondary to alcoholic ketoacidosis and lactic acidosis.   Hospital Course: She was admitted for HAGMA likely in setting of alcoholic ketoacidosis vs starvation ketoacidosis in setting of COVID Infection.  She was placed on electrolyte supplementation, as well as antibiotics for superimposed bacterial CAP. She improved significantly.   Upon exam this morning, patient feeling overall better. Cough persists but is improved. Chest pain resolved.  Patient was medically optimized. Vital signs were stable for discharge.  Discharged to home.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood alcohol increased, Blood glucose decreased, Blood lactic acid, COVID-19, Carbon dioxide decreased
Clinical narrative: Admit date: 12/6/2023  Discharge date: 12/11/2023  Admitting Physician: DO   Attending Physician at the Time of Discharge: DO  Primary Care Physician: MD Reason for Admission: High anion gap metabolic acidosis secondary to Alcoholic ketoacidosis and starvation lactic acidosis, complicated by sepsis 2/2 COVID infection with superimposed bacterial CAP  Brief Summary of Hospital Stay:Per H&P Patient is a 60 YO female with a PMHx of alcohol abuse, alcoholic pancreatitis, anxiety, depression, COPD, GERD, HTN, Hypothyroidism, and IBS  who presents with chest pain that started 2 days ago.  She reported the pain is mid-sternal, constant pressure, rated a 7/10, exacerbated with talking and taking deep breaths; she has taken her home tramadol at home and nothing has helped. She states two days prior to admission she noticed she had a sore throat, raspy voice, dry cough, and fever up to 101.2, so initially she thought the pain was associated to her cold.  The chest pain has not improved, so she became worried and called EMS. She reports treating her cold with "hot toddys" and tylenol.  She also endorses nausea x 2 days and did not eat or drink anything yesterday due to the nausea  except 1 pint of brandy. She also reports a mild generalized abdominal pain she reports she noticed today after vomiting up "phlegm" three times in the ED and that it just feels like "muscular pain from vomiting." She endorses use of 0.5ppd of cigarettes and has a history of alcohol abuse; she usually drinks 1 pint of brandy daily with last drink being yesterday around 1 pm. She reports no seizure or DT history.   In the ED, she has been afebrile, tachycardic, and hemodynamically stable. Initial labs show hypoglycemia of 22, lactate 9.4, anion gap of 34, CO@ of 4 and alcohol level 0.210. She was treated with prednisone 40mg po x 1 dose, magnesium sulfate 2g IV x 1 dose, fentanyl 50mcg x 1 dose, LR 2L IVF, morphine 4mg IV x 1 dose, ativan 1mg IV x  dose, and Zofran 4mg IV x 1 dose. Hospitalist team admitting for high anion gap metabolic acidosis secondary to alcoholic ketoacidosis and lactic acidosis.   Hospital Course: She was admitted for HAGMA likely in setting of alcoholic ketoacidosis vs starvation ketoacidosis in setting of COVID Infection.  She was placed on electrolyte supplementation, as well as antibiotics for superimposed bacterial CAP. She improved significantly.   Upon exam this morning, patient feeling overall better. Cough persists but is improved. Chest pain resolved.  Patient was medically optimized. Vital signs were stable for discharge.  Discharged to home.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest discomfort, Chest pain, Cough, Dysphonia, Electrolyte substitution therapy
Clinical narrative: Admit date: 12/6/2023  Discharge date: 12/11/2023  Admitting Physician: DO   Attending Physician at the Time of Discharge: DO  Primary Care Physician: MD Reason for Admission: High anion gap metabolic acidosis secondary to Alcoholic ketoacidosis and starvation lactic acidosis, complicated by sepsis 2/2 COVID infection with superimposed bacterial CAP  Brief Summary of Hospital Stay:Per H&P Patient is a 60 YO female with a PMHx of alcohol abuse, alcoholic pancreatitis, anxiety, depression, COPD, GERD, HTN, Hypothyroidism, and IBS  who presents with chest pain that started 2 days ago.  She reported the pain is mid-sternal, constant pressure, rated a 7/10, exacerbated with talking and taking deep breaths; she has taken her home tramadol at home and nothing has helped. She states two days prior to admission she noticed she had a sore throat, raspy voice, dry cough, and fever up to 101.2, so initially she thought the pain was associated to her cold.  The chest pain has not improved, so she became worried and called EMS. She reports treating her cold with "hot toddys" and tylenol.  She also endorses nausea x 2 days and did not eat or drink anything yesterday due to the nausea  except 1 pint of brandy. She also reports a mild generalized abdominal pain she reports she noticed today after vomiting up "phlegm" three times in the ED and that it just feels like "muscular pain from vomiting." She endorses use of 0.5ppd of cigarettes and has a history of alcohol abuse; she usually drinks 1 pint of brandy daily with last drink being yesterday around 1 pm. She reports no seizure or DT history.   In the ED, she has been afebrile, tachycardic, and hemodynamically stable. Initial labs show hypoglycemia of 22, lactate 9.4, anion gap of 34, CO@ of 4 and alcohol level 0.210. She was treated with prednisone 40mg po x 1 dose, magnesium sulfate 2g IV x 1 dose, fentanyl 50mcg x 1 dose, LR 2L IVF, morphine 4mg IV x 1 dose, ativan 1mg IV x  dose, and Zofran 4mg IV x 1 dose. Hospitalist team admitting for high anion gap metabolic acidosis secondary to alcoholic ketoacidosis and lactic acidosis.   Hospital Course: She was admitted for HAGMA likely in setting of alcoholic ketoacidosis vs starvation ketoacidosis in setting of COVID Infection.  She was placed on electrolyte supplementation, as well as antibiotics for superimposed bacterial CAP. She improved significantly.   Upon exam this morning, patient feeling overall better. Cough persists but is improved. Chest pain resolved.  Patient was medically optimized. Vital signs were stable for discharge.  Discharged to home.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fluid intake reduced, Hypoglycaemia, Hypophagia, Metabolic acidosis, Myalgia
Clinical narrative: Admit date: 12/6/2023  Discharge date: 12/11/2023  Admitting Physician: DO   Attending Physician at the Time of Discharge: DO  Primary Care Physician: MD Reason for Admission: High anion gap metabolic acidosis secondary to Alcoholic ketoacidosis and starvation lactic acidosis, complicated by sepsis 2/2 COVID infection with superimposed bacterial CAP  Brief Summary of Hospital Stay:Per H&P Patient is a 60 YO female with a PMHx of alcohol abuse, alcoholic pancreatitis, anxiety, depression, COPD, GERD, HTN, Hypothyroidism, and IBS  who presents with chest pain that started 2 days ago.  She reported the pain is mid-sternal, constant pressure, rated a 7/10, exacerbated with talking and taking deep breaths; she has taken her home tramadol at home and nothing has helped. She states two days prior to admission she noticed she had a sore throat, raspy voice, dry cough, and fever up to 101.2, so initially she thought the pain was associated to her cold.  The chest pain has not improved, so she became worried and called EMS. She reports treating her cold with "hot toddys" and tylenol.  She also endorses nausea x 2 days and did not eat or drink anything yesterday due to the nausea  except 1 pint of brandy. She also reports a mild generalized abdominal pain she reports she noticed today after vomiting up "phlegm" three times in the ED and that it just feels like "muscular pain from vomiting." She endorses use of 0.5ppd of cigarettes and has a history of alcohol abuse; she usually drinks 1 pint of brandy daily with last drink being yesterday around 1 pm. She reports no seizure or DT history.   In the ED, she has been afebrile, tachycardic, and hemodynamically stable. Initial labs show hypoglycemia of 22, lactate 9.4, anion gap of 34, CO@ of 4 and alcohol level 0.210. She was treated with prednisone 40mg po x 1 dose, magnesium sulfate 2g IV x 1 dose, fentanyl 50mcg x 1 dose, LR 2L IVF, morphine 4mg IV x 1 dose, ativan 1mg IV x  dose, and Zofran 4mg IV x 1 dose. Hospitalist team admitting for high anion gap metabolic acidosis secondary to alcoholic ketoacidosis and lactic acidosis.   Hospital Course: She was admitted for HAGMA likely in setting of alcoholic ketoacidosis vs starvation ketoacidosis in setting of COVID Infection.  She was placed on electrolyte supplementation, as well as antibiotics for superimposed bacterial CAP. She improved significantly.   Upon exam this morning, patient feeling overall better. Cough persists but is improved. Chest pain resolved.  Patient was medically optimized. Vital signs were stable for discharge.  Discharged to home.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nasopharyngitis, Nausea, Oropharyngeal pain, Painful respiration, Pneumonia
Clinical narrative: Admit date: 12/6/2023  Discharge date: 12/11/2023  Admitting Physician: DO   Attending Physician at the Time of Discharge: DO  Primary Care Physician: MD Reason for Admission: High anion gap metabolic acidosis secondary to Alcoholic ketoacidosis and starvation lactic acidosis, complicated by sepsis 2/2 COVID infection with superimposed bacterial CAP  Brief Summary of Hospital Stay:Per H&P Patient is a 60 YO female with a PMHx of alcohol abuse, alcoholic pancreatitis, anxiety, depression, COPD, GERD, HTN, Hypothyroidism, and IBS  who presents with chest pain that started 2 days ago.  She reported the pain is mid-sternal, constant pressure, rated a 7/10, exacerbated with talking and taking deep breaths; she has taken her home tramadol at home and nothing has helped. She states two days prior to admission she noticed she had a sore throat, raspy voice, dry cough, and fever up to 101.2, so initially she thought the pain was associated to her cold.  The chest pain has not improved, so she became worried and called EMS. She reports treating her cold with "hot toddys" and tylenol.  She also endorses nausea x 2 days and did not eat or drink anything yesterday due to the nausea  except 1 pint of brandy. She also reports a mild generalized abdominal pain she reports she noticed today after vomiting up "phlegm" three times in the ED and that it just feels like "muscular pain from vomiting." She endorses use of 0.5ppd of cigarettes and has a history of alcohol abuse; she usually drinks 1 pint of brandy daily with last drink being yesterday around 1 pm. She reports no seizure or DT history.   In the ED, she has been afebrile, tachycardic, and hemodynamically stable. Initial labs show hypoglycemia of 22, lactate 9.4, anion gap of 34, CO@ of 4 and alcohol level 0.210. She was treated with prednisone 40mg po x 1 dose, magnesium sulfate 2g IV x 1 dose, fentanyl 50mcg x 1 dose, LR 2L IVF, morphine 4mg IV x 1 dose, ativan 1mg IV x  dose, and Zofran 4mg IV x 1 dose. Hospitalist team admitting for high anion gap metabolic acidosis secondary to alcoholic ketoacidosis and lactic acidosis.   Hospital Course: She was admitted for HAGMA likely in setting of alcoholic ketoacidosis vs starvation ketoacidosis in setting of COVID Infection.  She was placed on electrolyte supplementation, as well as antibiotics for superimposed bacterial CAP. She improved significantly.   Upon exam this morning, patient feeling overall better. Cough persists but is improved. Chest pain resolved.  Patient was medically optimized. Vital signs were stable for discharge.  Discharged to home.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pneumonia bacterial, Productive cough, Pyrexia, Sepsis, Starvation ketoacidosis
Clinical narrative: Admit date: 12/6/2023  Discharge date: 12/11/2023  Admitting Physician: DO   Attending Physician at the Time of Discharge: DO  Primary Care Physician: MD Reason for Admission: High anion gap metabolic acidosis secondary to Alcoholic ketoacidosis and starvation lactic acidosis, complicated by sepsis 2/2 COVID infection with superimposed bacterial CAP  Brief Summary of Hospital Stay:Per H&P Patient is a 60 YO female with a PMHx of alcohol abuse, alcoholic pancreatitis, anxiety, depression, COPD, GERD, HTN, Hypothyroidism, and IBS  who presents with chest pain that started 2 days ago.  She reported the pain is mid-sternal, constant pressure, rated a 7/10, exacerbated with talking and taking deep breaths; she has taken her home tramadol at home and nothing has helped. She states two days prior to admission she noticed she had a sore throat, raspy voice, dry cough, and fever up to 101.2, so initially she thought the pain was associated to her cold.  The chest pain has not improved, so she became worried and called EMS. She reports treating her cold with "hot toddys" and tylenol.  She also endorses nausea x 2 days and did not eat or drink anything yesterday due to the nausea  except 1 pint of brandy. She also reports a mild generalized abdominal pain she reports she noticed today after vomiting up "phlegm" three times in the ED and that it just feels like "muscular pain from vomiting." She endorses use of 0.5ppd of cigarettes and has a history of alcohol abuse; she usually drinks 1 pint of brandy daily with last drink being yesterday around 1 pm. She reports no seizure or DT history.   In the ED, she has been afebrile, tachycardic, and hemodynamically stable. Initial labs show hypoglycemia of 22, lactate 9.4, anion gap of 34, CO@ of 4 and alcohol level 0.210. She was treated with prednisone 40mg po x 1 dose, magnesium sulfate 2g IV x 1 dose, fentanyl 50mcg x 1 dose, LR 2L IVF, morphine 4mg IV x 1 dose, ativan 1mg IV x  dose, and Zofran 4mg IV x 1 dose. Hospitalist team admitting for high anion gap metabolic acidosis secondary to alcoholic ketoacidosis and lactic acidosis.   Hospital Course: She was admitted for HAGMA likely in setting of alcoholic ketoacidosis vs starvation ketoacidosis in setting of COVID Infection.  She was placed on electrolyte supplementation, as well as antibiotics for superimposed bacterial CAP. She improved significantly.   Upon exam this morning, patient feeling overall better. Cough persists but is improved. Chest pain resolved.  Patient was medically optimized. Vital signs were stable for discharge.  Discharged to home.