chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: M
Vaccine: COVID19-2
Symptoms: Neuropathy peripheral
Clinical narrative: NEUROPATHY
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Discontinued product administered, No adverse event
Clinical narrative: No adverse event. Moderna monovalent vaccine given after 4/18/2023.
Age: 1.67
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient received a wrong vaccine for primary series. No Adverse Side Effects were reported..
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Open reduction of fracture, Removal of external fixation, SARS-CoV-2 test positive, Tibia fracture
Clinical narrative: Admit date: 7/3/2023 2 Days Post-Op    Background: Patient is a 54 Y female admitted to the orthopedic service s/p removal of right lower extremity external fixator with ORIF right bicondylar tibial plateau fracture. Currently, with wound vac in place. Patient requiring supplemental oxygen. COIVD positive. Patient started on remdesivir and steroid.    Subjective: Patient denies any fevers, no chills, no headache, no abd pain, no constipation, no diarrhea, no urinary changes, no cough
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Wound closure
Clinical narrative: Admit date: 7/3/2023 2 Days Post-Op    Background: Patient is a 54 Y female admitted to the orthopedic service s/p removal of right lower extremity external fixator with ORIF right bicondylar tibial plateau fracture. Currently, with wound vac in place. Patient requiring supplemental oxygen. COIVD positive. Patient started on remdesivir and steroid.    Subjective: Patient denies any fevers, no chills, no headache, no abd pain, no constipation, no diarrhea, no urinary changes, no cough
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Incorrect dose administered
Clinical narrative: Adult Hep B was given instead of pediatric dose.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: OBSTRUCTIVE SLEEP APNEA
Age: 23.0
Sex: M
Vaccine: HEP
Symptoms: Product administration error, Underdose
Clinical narrative: Gave pediatric dose of Hepatitis B vaccine. Error reported to patient, who returned for the adult dose.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Barium swallow, Bronchial secretion retention, COVID-19, Chest X-ray abnormal
Clinical narrative: Patient is a 75 y.o. female patient of, MD with history of dementia, hyperlipidemia, hypertension presented to Hospital with altered mental status over past few days and less responsive.  Per patient's caretaker patient has been choking while eating and drinking.  While in the ER patient found to have sepsis with elevated WBC count, fever, chest x-ray concerning for pneumonia.  Patient is admitted for further evaluation and management.   CT chest showing dense consolidation throughout the left lower lobe as well as within the superior segment of posterior basilar segment of right lower lobe compatible with bibasilar pneumonias.  Retained secretions almost completely occluding the proximal lower lobe bronchi with a small amount of retained secretion also noted in the bronchus intermedius and central left mainstem bronchus.   Acute metabolic encephalopathy likely in the setting of sepsis from pneumonia Dementia CT head with no acute intracranial process. Patient listed as DNR CC. Per husband patient is now back to baseline have a private aide at home would like to be discharged home.   Aspiration pneumonia  Acute hypoxemic respiratory failure 2/2 above Sepsis 2/2 above Status post ceftriaxone azithromycin.  Finished 7 days of antibiotics. Seen by speech therapy and modified barium swallow. Puréed diet with thin liquids. Continue similar diet at discharge. No more antibiotics at discharge per   Covid-19 Virus Infection Date of onset of symptoms: 4/4/2023 Symptoms present on admission: Confusion Date of covid positive test: 4/5/2023 Vaccination status: vaccinated Imaging: CT chest showing bibasilar pneumonia Oxygen requirements on admission: 5 L Current oxygen requirements: 1 L Medical therapy: remdesivir, steroids, rocephin, and zithromax Consultants following: ID Anticipated special isolation end date: 4/16 Conservative fluid management, out of bed when possible
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Choking, Computerised tomogram head normal, Computerised tomogram thorax abnormal, Confusional state, Hyporesponsive to stimuli
Clinical narrative: Patient is a 75 y.o. female patient of, MD with history of dementia, hyperlipidemia, hypertension presented to Hospital with altered mental status over past few days and less responsive.  Per patient's caretaker patient has been choking while eating and drinking.  While in the ER patient found to have sepsis with elevated WBC count, fever, chest x-ray concerning for pneumonia.  Patient is admitted for further evaluation and management.   CT chest showing dense consolidation throughout the left lower lobe as well as within the superior segment of posterior basilar segment of right lower lobe compatible with bibasilar pneumonias.  Retained secretions almost completely occluding the proximal lower lobe bronchi with a small amount of retained secretion also noted in the bronchus intermedius and central left mainstem bronchus.   Acute metabolic encephalopathy likely in the setting of sepsis from pneumonia Dementia CT head with no acute intracranial process. Patient listed as DNR CC. Per husband patient is now back to baseline have a private aide at home would like to be discharged home.   Aspiration pneumonia  Acute hypoxemic respiratory failure 2/2 above Sepsis 2/2 above Status post ceftriaxone azithromycin.  Finished 7 days of antibiotics. Seen by speech therapy and modified barium swallow. Puréed diet with thin liquids. Continue similar diet at discharge. No more antibiotics at discharge per   Covid-19 Virus Infection Date of onset of symptoms: 4/4/2023 Symptoms present on admission: Confusion Date of covid positive test: 4/5/2023 Vaccination status: vaccinated Imaging: CT chest showing bibasilar pneumonia Oxygen requirements on admission: 5 L Current oxygen requirements: 1 L Medical therapy: remdesivir, steroids, rocephin, and zithromax Consultants following: ID Anticipated special isolation end date: 4/16 Conservative fluid management, out of bed when possible
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Lung consolidation, Mental status changes, Metabolic encephalopathy, Pneumonia aspiration, Pyrexia
Clinical narrative: Patient is a 75 y.o. female patient of, MD with history of dementia, hyperlipidemia, hypertension presented to Hospital with altered mental status over past few days and less responsive.  Per patient's caretaker patient has been choking while eating and drinking.  While in the ER patient found to have sepsis with elevated WBC count, fever, chest x-ray concerning for pneumonia.  Patient is admitted for further evaluation and management.   CT chest showing dense consolidation throughout the left lower lobe as well as within the superior segment of posterior basilar segment of right lower lobe compatible with bibasilar pneumonias.  Retained secretions almost completely occluding the proximal lower lobe bronchi with a small amount of retained secretion also noted in the bronchus intermedius and central left mainstem bronchus.   Acute metabolic encephalopathy likely in the setting of sepsis from pneumonia Dementia CT head with no acute intracranial process. Patient listed as DNR CC. Per husband patient is now back to baseline have a private aide at home would like to be discharged home.   Aspiration pneumonia  Acute hypoxemic respiratory failure 2/2 above Sepsis 2/2 above Status post ceftriaxone azithromycin.  Finished 7 days of antibiotics. Seen by speech therapy and modified barium swallow. Puréed diet with thin liquids. Continue similar diet at discharge. No more antibiotics at discharge per   Covid-19 Virus Infection Date of onset of symptoms: 4/4/2023 Symptoms present on admission: Confusion Date of covid positive test: 4/5/2023 Vaccination status: vaccinated Imaging: CT chest showing bibasilar pneumonia Oxygen requirements on admission: 5 L Current oxygen requirements: 1 L Medical therapy: remdesivir, steroids, rocephin, and zithromax Consultants following: ID Anticipated special isolation end date: 4/16 Conservative fluid management, out of bed when possible
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis, White blood cell count increased
Clinical narrative: Patient is a 75 y.o. female patient of, MD with history of dementia, hyperlipidemia, hypertension presented to Hospital with altered mental status over past few days and less responsive.  Per patient's caretaker patient has been choking while eating and drinking.  While in the ER patient found to have sepsis with elevated WBC count, fever, chest x-ray concerning for pneumonia.  Patient is admitted for further evaluation and management.   CT chest showing dense consolidation throughout the left lower lobe as well as within the superior segment of posterior basilar segment of right lower lobe compatible with bibasilar pneumonias.  Retained secretions almost completely occluding the proximal lower lobe bronchi with a small amount of retained secretion also noted in the bronchus intermedius and central left mainstem bronchus.   Acute metabolic encephalopathy likely in the setting of sepsis from pneumonia Dementia CT head with no acute intracranial process. Patient listed as DNR CC. Per husband patient is now back to baseline have a private aide at home would like to be discharged home.   Aspiration pneumonia  Acute hypoxemic respiratory failure 2/2 above Sepsis 2/2 above Status post ceftriaxone azithromycin.  Finished 7 days of antibiotics. Seen by speech therapy and modified barium swallow. Puréed diet with thin liquids. Continue similar diet at discharge. No more antibiotics at discharge per   Covid-19 Virus Infection Date of onset of symptoms: 4/4/2023 Symptoms present on admission: Confusion Date of covid positive test: 4/5/2023 Vaccination status: vaccinated Imaging: CT chest showing bibasilar pneumonia Oxygen requirements on admission: 5 L Current oxygen requirements: 1 L Medical therapy: remdesivir, steroids, rocephin, and zithromax Consultants following: ID Anticipated special isolation end date: 4/16 Conservative fluid management, out of bed when possible
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypotension, Hypoxia
Clinical narrative: HYPOTENSION HYPOXIA
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Death
Clinical narrative: pt deceased
Age: 82.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction, Acute respiratory failure, Hypotension, Symptom recurrence
Clinical narrative: ACUTE NON ST ELEVATION MI HYPOTENSION ACUTE HYPOXEMIC RESPIRATORY FAILURE 2/6/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Biopsy kidney, Blood creatinine increased, Blood glucose normal
Clinical narrative: Patient is a 76 y.o. male patient of DO with history of type 2 diabetes with previous diabetic foot wound, paroxysmal atrial fibrillation, OSA intolerant to CPAP presented to Hospital with acute shortness of breath.   Acute respiratory failure with hypoxia secondary to COVID-19 pneumonia Acute renal failure, possibly due to COVID-19 Metabolic acidosis, likely due to renal failure, resolved OSA, untreated Patient presented after developing shortness of breath and generalized fatigue yesterday On presentation oxygen was in the 60s and did respond well to nonrebreather Chest x-ray reviewed that shows diffuse bilateral interstitial infiltrate CT of the chest abdomen pelvis showed multifocal patchy opacities within the chest bilaterally concerning for viral pneumonia, no hydronephrosis or other abnormality noted within the abdomen or pelvis Positive for COVID-19 on admission Continue dexamethasone 6 mg daily Completed course of Remdesivir  Continue supplemental oxygen to maintain oxygen saturation greater than 88%, will use BiPAP if necessary on 3L O2.  Continue to wean off as tolerated  Acute renal failure requiring hemodialysis Unclear etiology of acute renal failure CT of the abdomen pelvis not show evidence of hydronephrosis Creatinine significantly elevated at 7.65 on presentation UA unremarkable S/p tunneled catheter placement and kidney biopsy per IR 3/27 Undergoing hemodialysis per nephrology FU pathology report   Type 2 diabetes with diabetic foot wound and long-term insulin use History of osteomyelitis of the foot currently on outpatient IV antibiotics Known history of type 2 diabetes with most recent A1c of 7.7 Blood sugars have been under adequate control at home Was hypoglycemic on arrival so we held basal insulin and started sliding scale insulin Basal insulin increased to 40 units last night Blood sugar at goal Continue sliding scale insulin Continue to monitor blood sugars and adjust regimen as necessary He is currently on cefepime and vancomycin for recent diabetic foot wound No evidence of worsening infection, appreciate ID recommendations, completed cefepime 3/24.  Continue wound care and wound VAC management but budipine.  Outpatient follow-up with primary podiatrist   Paroxysmal atrial fibrillation Patient has history of paroxysmal atrial fibrillation, likely stress-induced Currently in normal sinus rhythm with rate controlled Not currently on anticoagulation as it was a one-time episode   OSA Known history of OSA and has been able to tolerate CPAP so he is not on CPAP at home Is having acute respiratory failure with concerns for COVID-pneumonia as discussed above Continue supplemental oxygen to maintain oxygen saturation greater than 88% but if unable to maintain saturation he may require BiPAP given his acute respiratory failure and COVID-pneumonia
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Catheter placement, Chest X-ray abnormal, Computerised tomogram abdomen normal
Clinical narrative: Patient is a 76 y.o. male patient of DO with history of type 2 diabetes with previous diabetic foot wound, paroxysmal atrial fibrillation, OSA intolerant to CPAP presented to Hospital with acute shortness of breath.   Acute respiratory failure with hypoxia secondary to COVID-19 pneumonia Acute renal failure, possibly due to COVID-19 Metabolic acidosis, likely due to renal failure, resolved OSA, untreated Patient presented after developing shortness of breath and generalized fatigue yesterday On presentation oxygen was in the 60s and did respond well to nonrebreather Chest x-ray reviewed that shows diffuse bilateral interstitial infiltrate CT of the chest abdomen pelvis showed multifocal patchy opacities within the chest bilaterally concerning for viral pneumonia, no hydronephrosis or other abnormality noted within the abdomen or pelvis Positive for COVID-19 on admission Continue dexamethasone 6 mg daily Completed course of Remdesivir  Continue supplemental oxygen to maintain oxygen saturation greater than 88%, will use BiPAP if necessary on 3L O2.  Continue to wean off as tolerated  Acute renal failure requiring hemodialysis Unclear etiology of acute renal failure CT of the abdomen pelvis not show evidence of hydronephrosis Creatinine significantly elevated at 7.65 on presentation UA unremarkable S/p tunneled catheter placement and kidney biopsy per IR 3/27 Undergoing hemodialysis per nephrology FU pathology report   Type 2 diabetes with diabetic foot wound and long-term insulin use History of osteomyelitis of the foot currently on outpatient IV antibiotics Known history of type 2 diabetes with most recent A1c of 7.7 Blood sugars have been under adequate control at home Was hypoglycemic on arrival so we held basal insulin and started sliding scale insulin Basal insulin increased to 40 units last night Blood sugar at goal Continue sliding scale insulin Continue to monitor blood sugars and adjust regimen as necessary He is currently on cefepime and vancomycin for recent diabetic foot wound No evidence of worsening infection, appreciate ID recommendations, completed cefepime 3/24.  Continue wound care and wound VAC management but budipine.  Outpatient follow-up with primary podiatrist   Paroxysmal atrial fibrillation Patient has history of paroxysmal atrial fibrillation, likely stress-induced Currently in normal sinus rhythm with rate controlled Not currently on anticoagulation as it was a one-time episode   OSA Known history of OSA and has been able to tolerate CPAP so he is not on CPAP at home Is having acute respiratory failure with concerns for COVID-pneumonia as discussed above Continue supplemental oxygen to maintain oxygen saturation greater than 88% but if unable to maintain saturation he may require BiPAP given his acute respiratory failure and COVID-pneumonia
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Dyspnoea, Fatigue, Haemodialysis, Hypoglycaemia
Clinical narrative: Patient is a 76 y.o. male patient of DO with history of type 2 diabetes with previous diabetic foot wound, paroxysmal atrial fibrillation, OSA intolerant to CPAP presented to Hospital with acute shortness of breath.   Acute respiratory failure with hypoxia secondary to COVID-19 pneumonia Acute renal failure, possibly due to COVID-19 Metabolic acidosis, likely due to renal failure, resolved OSA, untreated Patient presented after developing shortness of breath and generalized fatigue yesterday On presentation oxygen was in the 60s and did respond well to nonrebreather Chest x-ray reviewed that shows diffuse bilateral interstitial infiltrate CT of the chest abdomen pelvis showed multifocal patchy opacities within the chest bilaterally concerning for viral pneumonia, no hydronephrosis or other abnormality noted within the abdomen or pelvis Positive for COVID-19 on admission Continue dexamethasone 6 mg daily Completed course of Remdesivir  Continue supplemental oxygen to maintain oxygen saturation greater than 88%, will use BiPAP if necessary on 3L O2.  Continue to wean off as tolerated  Acute renal failure requiring hemodialysis Unclear etiology of acute renal failure CT of the abdomen pelvis not show evidence of hydronephrosis Creatinine significantly elevated at 7.65 on presentation UA unremarkable S/p tunneled catheter placement and kidney biopsy per IR 3/27 Undergoing hemodialysis per nephrology FU pathology report   Type 2 diabetes with diabetic foot wound and long-term insulin use History of osteomyelitis of the foot currently on outpatient IV antibiotics Known history of type 2 diabetes with most recent A1c of 7.7 Blood sugars have been under adequate control at home Was hypoglycemic on arrival so we held basal insulin and started sliding scale insulin Basal insulin increased to 40 units last night Blood sugar at goal Continue sliding scale insulin Continue to monitor blood sugars and adjust regimen as necessary He is currently on cefepime and vancomycin for recent diabetic foot wound No evidence of worsening infection, appreciate ID recommendations, completed cefepime 3/24.  Continue wound care and wound VAC management but budipine.  Outpatient follow-up with primary podiatrist   Paroxysmal atrial fibrillation Patient has history of paroxysmal atrial fibrillation, likely stress-induced Currently in normal sinus rhythm with rate controlled Not currently on anticoagulation as it was a one-time episode   OSA Known history of OSA and has been able to tolerate CPAP so he is not on CPAP at home Is having acute respiratory failure with concerns for COVID-pneumonia as discussed above Continue supplemental oxygen to maintain oxygen saturation greater than 88% but if unable to maintain saturation he may require BiPAP given his acute respiratory failure and COVID-pneumonia
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Lung infiltration, Lung opacity, Metabolic acidosis, Obstructive sleep apnoea syndrome, SARS-CoV-2 test positive
Clinical narrative: Patient is a 76 y.o. male patient of DO with history of type 2 diabetes with previous diabetic foot wound, paroxysmal atrial fibrillation, OSA intolerant to CPAP presented to Hospital with acute shortness of breath.   Acute respiratory failure with hypoxia secondary to COVID-19 pneumonia Acute renal failure, possibly due to COVID-19 Metabolic acidosis, likely due to renal failure, resolved OSA, untreated Patient presented after developing shortness of breath and generalized fatigue yesterday On presentation oxygen was in the 60s and did respond well to nonrebreather Chest x-ray reviewed that shows diffuse bilateral interstitial infiltrate CT of the chest abdomen pelvis showed multifocal patchy opacities within the chest bilaterally concerning for viral pneumonia, no hydronephrosis or other abnormality noted within the abdomen or pelvis Positive for COVID-19 on admission Continue dexamethasone 6 mg daily Completed course of Remdesivir  Continue supplemental oxygen to maintain oxygen saturation greater than 88%, will use BiPAP if necessary on 3L O2.  Continue to wean off as tolerated  Acute renal failure requiring hemodialysis Unclear etiology of acute renal failure CT of the abdomen pelvis not show evidence of hydronephrosis Creatinine significantly elevated at 7.65 on presentation UA unremarkable S/p tunneled catheter placement and kidney biopsy per IR 3/27 Undergoing hemodialysis per nephrology FU pathology report   Type 2 diabetes with diabetic foot wound and long-term insulin use History of osteomyelitis of the foot currently on outpatient IV antibiotics Known history of type 2 diabetes with most recent A1c of 7.7 Blood sugars have been under adequate control at home Was hypoglycemic on arrival so we held basal insulin and started sliding scale insulin Basal insulin increased to 40 units last night Blood sugar at goal Continue sliding scale insulin Continue to monitor blood sugars and adjust regimen as necessary He is currently on cefepime and vancomycin for recent diabetic foot wound No evidence of worsening infection, appreciate ID recommendations, completed cefepime 3/24.  Continue wound care and wound VAC management but budipine.  Outpatient follow-up with primary podiatrist   Paroxysmal atrial fibrillation Patient has history of paroxysmal atrial fibrillation, likely stress-induced Currently in normal sinus rhythm with rate controlled Not currently on anticoagulation as it was a one-time episode   OSA Known history of OSA and has been able to tolerate CPAP so he is not on CPAP at home Is having acute respiratory failure with concerns for COVID-pneumonia as discussed above Continue supplemental oxygen to maintain oxygen saturation greater than 88% but if unable to maintain saturation he may require BiPAP given his acute respiratory failure and COVID-pneumonia
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis normal
Clinical narrative: Patient is a 76 y.o. male patient of DO with history of type 2 diabetes with previous diabetic foot wound, paroxysmal atrial fibrillation, OSA intolerant to CPAP presented to Hospital with acute shortness of breath.   Acute respiratory failure with hypoxia secondary to COVID-19 pneumonia Acute renal failure, possibly due to COVID-19 Metabolic acidosis, likely due to renal failure, resolved OSA, untreated Patient presented after developing shortness of breath and generalized fatigue yesterday On presentation oxygen was in the 60s and did respond well to nonrebreather Chest x-ray reviewed that shows diffuse bilateral interstitial infiltrate CT of the chest abdomen pelvis showed multifocal patchy opacities within the chest bilaterally concerning for viral pneumonia, no hydronephrosis or other abnormality noted within the abdomen or pelvis Positive for COVID-19 on admission Continue dexamethasone 6 mg daily Completed course of Remdesivir  Continue supplemental oxygen to maintain oxygen saturation greater than 88%, will use BiPAP if necessary on 3L O2.  Continue to wean off as tolerated  Acute renal failure requiring hemodialysis Unclear etiology of acute renal failure CT of the abdomen pelvis not show evidence of hydronephrosis Creatinine significantly elevated at 7.65 on presentation UA unremarkable S/p tunneled catheter placement and kidney biopsy per IR 3/27 Undergoing hemodialysis per nephrology FU pathology report   Type 2 diabetes with diabetic foot wound and long-term insulin use History of osteomyelitis of the foot currently on outpatient IV antibiotics Known history of type 2 diabetes with most recent A1c of 7.7 Blood sugars have been under adequate control at home Was hypoglycemic on arrival so we held basal insulin and started sliding scale insulin Basal insulin increased to 40 units last night Blood sugar at goal Continue sliding scale insulin Continue to monitor blood sugars and adjust regimen as necessary He is currently on cefepime and vancomycin for recent diabetic foot wound No evidence of worsening infection, appreciate ID recommendations, completed cefepime 3/24.  Continue wound care and wound VAC management but budipine.  Outpatient follow-up with primary podiatrist   Paroxysmal atrial fibrillation Patient has history of paroxysmal atrial fibrillation, likely stress-induced Currently in normal sinus rhythm with rate controlled Not currently on anticoagulation as it was a one-time episode   OSA Known history of OSA and has been able to tolerate CPAP so he is not on CPAP at home Is having acute respiratory failure with concerns for COVID-pneumonia as discussed above Continue supplemental oxygen to maintain oxygen saturation greater than 88% but if unable to maintain saturation he may require BiPAP given his acute respiratory failure and COVID-pneumonia
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Guillain-Barre syndrome, Hypotension, Myelitis transverse
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE TRANSVERSE MYELITIS GUILLAIN BARRE SYNDROME HYPOTENSION
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anaemia, Blood creatine phosphokinase increased, COVID-19, Chronic kidney disease-mineral and bone disorder, Fall
Clinical narrative: ASSESSMENT AND PLAN:   ESKD - HD MWF - HD today UF 1000 ml achieved - next HD tomorrow AM - I have called dialysis unit and notified them of her covid-19+ status, and they will follow their protocol to accept her tomorrow at regular dialysis time in AM     Anemia - hgb stable - on mircera as outpt, last given dose 6/23/23     Renal MBD - last pth 244 in June - on hectorol 1 mcg IV 3x week     Mechanical fall Rhabdomyolysis - she was on ground for 12 hours - CK 1025 -- > 891 -- > 627 - dc'd IVF     Trop I elevation - borderline elevation - in part elevated due to reduced renal clearance     HTN - continue metoprolol    History of DVT - on apixaban as outpt     COVID-19 - incidental on admission swab - no respiratory symptoms and on room air - on enhanced precautions - de-isolation date 7/13/2023.     Please contact on-call Nephrology with questions   MD         -------------------------------------------- Outpatient Dialysis Handoff Summary (For when patient is discharged)  Code Status: Full Code -------------------------------------------- Changes (if any) are noted below: Dialysis Prescription: No changes as per dialysis orders prior to this admission   Please see discharge summary for complete medication list Patient is covid-19 positive     A discharge summary and last dialysis note should be faxed when available If you do not receive please contact:          Note Details  File Time 7/4/2023  2:58 PM Admit Date 7/3/2023  ED to Hosp-Admission (Discharged) on 7/3/2023  ED to Hosp-Admission (Discharged) on 7/3/2023   Revision History   Detailed Report  Note shared with patient Care Timeline  07/03   Admitted from ED (Observation) 1646 07/04   Discharged 1600
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Haemodialysis, Haemoglobin, Hypertension, Renal function test abnormal, Rhabdomyolysis
Clinical narrative: ASSESSMENT AND PLAN:   ESKD - HD MWF - HD today UF 1000 ml achieved - next HD tomorrow AM - I have called dialysis unit and notified them of her covid-19+ status, and they will follow their protocol to accept her tomorrow at regular dialysis time in AM     Anemia - hgb stable - on mircera as outpt, last given dose 6/23/23     Renal MBD - last pth 244 in June - on hectorol 1 mcg IV 3x week     Mechanical fall Rhabdomyolysis - she was on ground for 12 hours - CK 1025 -- > 891 -- > 627 - dc'd IVF     Trop I elevation - borderline elevation - in part elevated due to reduced renal clearance     HTN - continue metoprolol    History of DVT - on apixaban as outpt     COVID-19 - incidental on admission swab - no respiratory symptoms and on room air - on enhanced precautions - de-isolation date 7/13/2023.     Please contact on-call Nephrology with questions   MD         -------------------------------------------- Outpatient Dialysis Handoff Summary (For when patient is discharged)  Code Status: Full Code -------------------------------------------- Changes (if any) are noted below: Dialysis Prescription: No changes as per dialysis orders prior to this admission   Please see discharge summary for complete medication list Patient is covid-19 positive     A discharge summary and last dialysis note should be faxed when available If you do not receive please contact:          Note Details  File Time 7/4/2023  2:58 PM Admit Date 7/3/2023  ED to Hosp-Admission (Discharged) on 7/3/2023  ED to Hosp-Admission (Discharged) on 7/3/2023   Revision History   Detailed Report  Note shared with patient Care Timeline  07/03   Admitted from ED (Observation) 1646 07/04   Discharged 1600
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Troponin I increased
Clinical narrative: ASSESSMENT AND PLAN:   ESKD - HD MWF - HD today UF 1000 ml achieved - next HD tomorrow AM - I have called dialysis unit and notified them of her covid-19+ status, and they will follow their protocol to accept her tomorrow at regular dialysis time in AM     Anemia - hgb stable - on mircera as outpt, last given dose 6/23/23     Renal MBD - last pth 244 in June - on hectorol 1 mcg IV 3x week     Mechanical fall Rhabdomyolysis - she was on ground for 12 hours - CK 1025 -- > 891 -- > 627 - dc'd IVF     Trop I elevation - borderline elevation - in part elevated due to reduced renal clearance     HTN - continue metoprolol    History of DVT - on apixaban as outpt     COVID-19 - incidental on admission swab - no respiratory symptoms and on room air - on enhanced precautions - de-isolation date 7/13/2023.     Please contact on-call Nephrology with questions   MD         -------------------------------------------- Outpatient Dialysis Handoff Summary (For when patient is discharged)  Code Status: Full Code -------------------------------------------- Changes (if any) are noted below: Dialysis Prescription: No changes as per dialysis orders prior to this admission   Please see discharge summary for complete medication list Patient is covid-19 positive     A discharge summary and last dialysis note should be faxed when available If you do not receive please contact:          Note Details  File Time 7/4/2023  2:58 PM Admit Date 7/3/2023  ED to Hosp-Admission (Discharged) on 7/3/2023  ED to Hosp-Admission (Discharged) on 7/3/2023   Revision History   Detailed Report  Note shared with patient Care Timeline  07/03   Admitted from ED (Observation) 1646 07/04   Discharged 1600
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Foreign body sensation in eyes, Ophthalmic herpes zoster
Clinical narrative: Herpes Zoster Ophthalmicus was diagnosed on 6/22 after receiving the shingrix vaccine on 6/16.  She actually was at her eye dr for a follow up for something else when it was diagnosed.  She did have some grittiness in her eye.
Age: 55.0
Sex: F
Vaccine: HEPAB
Symptoms: Arthralgia, Dizziness, Malaise, Musculoskeletal stiffness, Myalgia
Clinical narrative: Fever, muscle pain and stiffness all over, nausea, dizziness, joint pain all over, malaise
Age: 55.0
Sex: F
Vaccine: HEPAB
Symptoms: Nausea, Pyrexia
Clinical narrative: Fever, muscle pain and stiffness all over, nausea, dizziness, joint pain all over, malaise
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Embolic stroke, Lacunar stroke
Clinical narrative: ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY ACUTE STROKE DUE TO EMBOLISM OF UNSPECIFIED ARTERY
Age: 3.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: on 7/10 pt was seen for a nurse visit. Pt requested a Covid vaccine. Pt received moderna bivalent 6 months to 5 years dark pink cap .Pt was to receive moderna bivalent 6 months and up dark blue cap. Spoked with Dr. no concerns regarding the dose the pt recieved. Contacted pt mother with, pt mother said pt is doing well and rescheduled to come in on monday 7/17/23 to be re vaccinated with appropriate vaccine. .
Age: 0.5
Sex: M
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration, Underdose
Clinical narrative: Patient was given incorrect vaccine, Not approved strength for age based on changes made with Bivalants Patient also received second dose on incorrect 6/19/23
Age: 106.0
Sex: F
Vaccine: COVID19
Symptoms: Comminuted fracture, Deep vein thrombosis, Femoral neck fracture, Femur fracture
Clinical narrative: ACUTE DVT OF RIGHT POPLITEAL VEIN 3/23/2023 RIGHT FEMORAL NECK UNSPECIFIED TYPE FX, INIT ACUTE DVT OF RIGHT POPLITEAL VEIN 3/23/2023 RIGHT FEMUR COMMINUTED SHAFT FX, DISPL INIT
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cardiogenic shock, Intracardiac thrombus
Clinical narrative: MURAL THROMBUS OF HEART POST ACUTE MI CARDIOGENIC SHOCK
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Disorientation, Erythema, Headache, Induration, Peripheral swelling
Clinical narrative: Left arm - bump, about 1/2 size of tennis ball, hot, hard, redness, 11 days post vaccine, still there, but subsiding Headaches to base and temple of head described as sharp and disorienting. 11 days post vaccine, still occurring, but less frequently
Age: 49.0
Sex: F
Vaccine: TDAP
Symptoms: Skin warm
Clinical narrative: Left arm - bump, about 1/2 size of tennis ball, hot, hard, redness, 11 days post vaccine, still there, but subsiding Headaches to base and temple of head described as sharp and disorienting. 11 days post vaccine, still occurring, but less frequently
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Neuropathy peripheral, Sleep apnoea syndrome
Clinical narrative: MIXED SLEEP APNEA NEUROPATHY ACUTE HYPOXEMIC RESPIRATORY FAILURE
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Respiratory failure
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE RESPIRATORY FAILURE, UNSPECIFIED ACUITY
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Neuropathy peripheral
Clinical narrative: NEUROPATHY
Age: 0.5
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: No Adverse Events.
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Transient ischaemic attack
Clinical narrative: TRANSIENT CEREBRAL ISCHEMIA
Age: 12.0
Sex: M
Vaccine: UNK
Symptoms: Abdominal pain upper, Anaphylactic reaction, Cough, Developmental regression, Diarrhoea
Clinical narrative: Anaphylaxis with labored breathing, coughing/vomiting with Epi Pen administered and immediate trip to the Emergency Room. Pt was treated with IV fluids, steroids and benadryl. He was released 4 hours later.  The next day he returned to Urgent Care for ongoing symptoms of stomach pain, coughing that led to vomiting, flushed face and runny eyes. He was treated with an oral steroid and more benadryl to be given every 6 hours.  Pt was also seen at his father's family care practice for further follow up.  Pt has been experiencing ongoing stomach pains, diarrhea, headaches and regression with bed wetting.  This was pt's first vaccine. He was unvaccinated until this.
Age: 12.0
Sex: M
Vaccine: UNK
Symptoms: Dyspnoea, Enuresis, Flushing, Headache, Lacrimation increased
Clinical narrative: Anaphylaxis with labored breathing, coughing/vomiting with Epi Pen administered and immediate trip to the Emergency Room. Pt was treated with IV fluids, steroids and benadryl. He was released 4 hours later.  The next day he returned to Urgent Care for ongoing symptoms of stomach pain, coughing that led to vomiting, flushed face and runny eyes. He was treated with an oral steroid and more benadryl to be given every 6 hours.  Pt was also seen at his father's family care practice for further follow up.  Pt has been experiencing ongoing stomach pains, diarrhea, headaches and regression with bed wetting.  This was pt's first vaccine. He was unvaccinated until this.
Age: 12.0
Sex: M
Vaccine: UNK
Symptoms: Vomiting
Clinical narrative: Anaphylaxis with labored breathing, coughing/vomiting with Epi Pen administered and immediate trip to the Emergency Room. Pt was treated with IV fluids, steroids and benadryl. He was released 4 hours later.  The next day he returned to Urgent Care for ongoing symptoms of stomach pain, coughing that led to vomiting, flushed face and runny eyes. He was treated with an oral steroid and more benadryl to be given every 6 hours.  Pt was also seen at his father's family care practice for further follow up.  Pt has been experiencing ongoing stomach pains, diarrhea, headaches and regression with bed wetting.  This was pt's first vaccine. He was unvaccinated until this.
Age: 0.58
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Underdose
Clinical narrative: Patient was given a lower than recommended dosage, mother (legal guardian) denied any adverse effects after vaccine. Advised to return to clinic for administration of vaccine with correct dosage.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Discontinued product administered
Clinical narrative: 1. Patient was administered Pfizer monovalent Covid 19 vaccine after authorization for use expired April 18, 2023. 2. Patient was prescribed Pfizer Bivalent Covid 19 vaccine and was given monovalent vaccine in error.
Age: 0.58
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient received wrong vaccine for her age. No Adverse Side effects has been reported.
Age: 0.75
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, Underdose
Clinical narrative: Patient was given 0.2 ml of moderna biv "booster doses only" (pink cap). Patient only had 1 previous dose of moderna monovalent and should have received .25ml of moderna blue cap.
Age: 0.5
Sex: F
Vaccine: COVID19-2, DTAPIPVHIB, PNC15, RV5
Symptoms: Underdose
Clinical narrative: 10 mcg of Moderna bivalent vaccine given instea dof 25 mcg dose
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Transient ischaemic attack
Clinical narrative: TRANSIENT CEREBRAL ISCHEMIA
Age: 2.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Patient received wrong vaccine for his age. No Adverse Side Effect has been reported.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Discontinued product administered
Clinical narrative: 1. Patient received Pfizer monovalent Covid vaccine after authorization for use expired April 18, 2023 2. Patient was prescribed Pfizer Bivalent Covid vaccine and was administered monovalent in error.
Age: 0.58
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: 10 mcg of Moderna bivalent given instead of 25 mcg
Age: 28.0
Sex: F
Vaccine: HEP
Symptoms: Extra dose administered, Hepatitis B antibody negative, No adverse event
Clinical narrative: The event is a 3rd Heplisav B vaccine given, without a titer.  When speaking with the patient about 1 hour later, there were no current adverse reactions to the vaccine.
Age: 22.0
Sex: F
Vaccine: IPV
Symptoms: No adverse event
Clinical narrative: none
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Discontinued product administered
Clinical narrative: 1. Patient was administered Pfizer monovalent covid vaccine after authorization for use expired April 18, 2023
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Measles antibody negative, Otitis media acute, Rash erythematous, Rash papular, Rubella antibody negative
Clinical narrative: 9-10 days after patient developed diffuse erythematous papular rash. She was also taking amoxicilin for AOM.
Age: 2.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Given 10mcg of Moderna Bivalent instead of 25 mcg
Age: 85.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lacunar stroke
Clinical narrative: ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY
Age: 24.0
Sex: F
Vaccine: MMR, TDAP, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Patient presents concerned that she may be having an allergic reaction to a vaccine, Patient had a tetanus shot, MMR and varicella vaccine on Wednesday, Last night she started noticing redness, swelling, and itching to the site where she got the varicella vaccine, She has not been running any fever, She was concerned because she is supposed to get a second  vaccine in 4 weeks, She describes the pain to the area as a 1 out of 10..   Patient does present today with redness and swelling to the area where she had her varicella vaccine. She had this on Wednesday. She started noticing the area last night. She was concerned about the possibility of an allergic reaction. Did look on website. It reports that 20% of people get the adverse effect of injection site swelling/rash/pruritus/erythema. 15% will get a fever. I did not think this was an allergic reaction. Also did not think this was a cellulitis. However given the fact that it is Friday and we would be closed the next 2 days, did empirically decide to go ahead and place her on antibiotics. She was given Keflex 4 times a day. She is also instructed to apply warm compresses to the area. She may take either oral antihistamine such as Benadryl or use Benadryl cream to the area for itching. We will bring her back next week for reevaluation to make sure the reaction has improved. She is to return sooner if she develops fever, increasing redness, swelling, pain, worsening symptoms, or any further concerns.
Age: 3.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Given 10 mcg of Moderna Bivalent instead of 25 mcg
Sex: U
Vaccine: COVID19-2, DTAPIPVHIB, PNC15, RV5
Symptoms: Underdose
Clinical narrative: 10 mcg Moderna Bivalent given instead of 25 mcg
Age: 0.5
Sex: M
Vaccine: COVID19-2, DTAPHEPBIP, PNC13, RV5
Symptoms: No adverse event, Underdose
Clinical narrative: Incorrect Moderna COVID vaccine was given - "Pink Cap" rather than "Blue Cap" for 1st dose. Patient had no adverse reactions. Informed parent to bring child in to repeat dose asap.
Age: 0.5
Sex: F
Vaccine: COVID19
Symptoms: Discontinued product administered
Clinical narrative: 1. Patient was administered Pfizer monovalent covid vaccine after the authorization for use had expired April 18, 2023. 2. Patient was prescribed Pfizer Bivalent vaccine and was given Pfizer monovalent vaccine in error.
Age: 0.58
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Given 10 mcg of Moderna bivalent instead of 25 mcg
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Angina pectoris
Clinical narrative: STABLE ANGINA
Age: 5.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: 10 mcg of Moderna Bivalent given instead of 25 mcg
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: it looks like he got a shingle episode on his left side of his chest , neck and back, and it was confirmed by his md as well. it was a mild episode of the disease.
Age: 0.67
Sex: M
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Unaware that changed the dosing schedule for 6m-4yr. Originally was going by the schedule of 3-8 weeks after 1 dose, with spacing of 4-8 weeks after the second dose as well. Gave 3 covid injection of bivalent too early. Pt was due for third vaccination at least 2 months after dose two. Gave vaccination a month early by mistake.
Age: 5.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Given 10 mcg of Moderna Bivalent instead of 25 mcg
Age: 84.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction, Symptom recurrence
Clinical narrative: ACUTE NON ST ELEVATION MI 2/1/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site bruising, Injection site erythema, Injection site induration, Injection site mass, Injection site swelling
Clinical narrative: 6/29- around 11am- received DTAP vaccine in left upper thigh, no struggle with injection 6/30 AM- injection site started swelling with a hardened lump around injection site 6/30 PM- called nurse advice line for increased swelling and inflammation, drew first circle to identify swelling (about 3 inches in diameter) 7/1 AM- drew 2nd circle for increased swelling 7/1 PM- called nurse advice line regarding swelling increases (after ibuprofen throughout the day), took Patient to urgent care, cold symptoms began 7/2 AM- Fever (101.4) and cold symptoms, redness had decreased at injection site but bruising appeared, drew 3rd circle to identify swelling/bruising 7/3 AM- bruising and 99.1 fever
Age: 2.0
Sex: F
Vaccine: DTAP
Symptoms: Nasopharyngitis, Pyrexia
Clinical narrative: 6/29- around 11am- received DTAP vaccine in left upper thigh, no struggle with injection 6/30 AM- injection site started swelling with a hardened lump around injection site 6/30 PM- called nurse advice line for increased swelling and inflammation, drew first circle to identify swelling (about 3 inches in diameter) 7/1 AM- drew 2nd circle for increased swelling 7/1 PM- called nurse advice line regarding swelling increases (after ibuprofen throughout the day), took Patient to urgent care, cold symptoms began 7/2 AM- Fever (101.4) and cold symptoms, redness had decreased at injection site but bruising appeared, drew 3rd circle to identify swelling/bruising 7/3 AM- bruising and 99.1 fever
Age: 0.75
Sex: M
Vaccine: COVID19-2, HEP
Symptoms: Underdose
Clinical narrative: Given 10 mcg of Moderna Bivalent instead of 25 mcg
Age: 0.83
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Given 10 mcg of Moderna bivalent instead of 25 mcg
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chronic respiratory failure, Respiratory failure, Symptom recurrence
Clinical narrative: CHRONIC HYPOXEMIC RESPIRATORY FAILURE 2/22/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 0.5
Sex: F
Vaccine: COVID19-2, DTAPIPVHIB, PNC15
Symptoms: Underdose
Clinical narrative: Given 10 mcg of Moderna Bivalent instead of 25 mcg
Age: 0.5
Sex: F
Vaccine: COVID19-2, DTAPIPVHIB, PNC15, RV5
Symptoms: Underdose
Clinical narrative: Given 10 mcg of Moderna Bivalent instead of 25 mcg
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Single component of a two-component product administered
Clinical narrative: Patient was only administered the grey vial (liquid portion) of the Meningococcal Conjugate (Menveo by GSK).  The grey vial with the C, W, and Y conjugates was not mixed with the orange vial (powder) which contains the Men A conjugate.
Age: 10.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: None there were no issues
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Neuropathy peripheral, Transient ischaemic attack
Clinical narrative: TRANSIENT CEREBRAL ISCHEMIA NEUROPATHY
Age: 0.5
Sex: M
Vaccine: COVID19-2, DTAPIPVHIB, PNC15, RV5
Symptoms: Underdose
Clinical narrative: Given 10 mcg of Moderna Bivalent instead of 25 mcg
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Angina pectoris
Clinical narrative: STABLE ANGINA
Age: 0.5
Sex: F
Vaccine: COVID19-2, DTAPIPVHIB, PNC15, RV5
Symptoms: Underdose
Clinical narrative: Given 10 mcg Moderna Bivalent instead of 25 mcg
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypoxia
Clinical narrative: HYPOXIA