chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count normal, Red blood cell count normal, Red cell distribution width normal, Refusal of treatment by patient, SARS-CoV-2 test positive
Clinical narrative: Admitted 6/22 for alcohol withdrawal. Was incidentally found to be covid positive on admission.  Signed out AMA on 7/1/22
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: Admitted 6/22 for alcohol withdrawal. Was incidentally found to be covid positive on admission.  Signed out AMA on 7/1/22
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Pfizer Orange top vial for 5yr -11 yr old was given to 16 month old patient.  Unaware of any adverse symptoms at this time as this was given only 3 hours ago.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hip fracture
Clinical narrative: ADMITTED TO HOSPITAL ASYMPTOMATIC HERE FOR FX HIP
Age: 54.0
Sex: M
Vaccine: TDAP
Symptoms: Pain in extremity, Vaccination site bruising, Vaccination site induration, Vaccination site pain, Vaccination site swelling
Clinical narrative: Employee reported that arm was hurting. RN noted that previously vaccinated area was swollen with a 1" bruised, hardened area. Employee reported that it was tender to the touch and was unsure if reaction occurred on 8/25/22 or 8/26/22.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Alanine aminotransferase normal, Albumin globulin ratio, Anion gap, Anxiety
Clinical narrative: 78 y.o. 1/19/1944    Admit Date:  7/3/2022   Discharge Date: 7/5/22   Principal Dx/ Final Dx: AKI (acute kidney injury)   Relevant Inpt Dx: Principal Problem:   AKI (acute kidney injury) Active Problems:   Chronic combined systolic and diastolic heart failure   COVID-19 virus infection   Diarrhea   Type 2 diabetes mellitus, without long-term current use of insulin   Essential hypertension       HPI:   Hospital Course:   This 78 year old man was admitted with covid and rhabdomyolysis on 6/29.  He did improve and went home.  He returned the next day with diarrhea and AKI.  He was treated with ivf and he has done well.  He no longer has diarrhea and his creatinine today is normal at 0.8.  He will follow up with pcp.            Consults:   IP CONSULT TO SOCIAL WORK IP CONSULT TO SOCIAL WORK     Disposition:  home   Discharge Condition:  fair
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Aspartate aminotransferase increased, Basophil count decreased, Basophil percentage decreased, Blood albumin normal, Blood alkaline phosphatase normal
Clinical narrative: 78 y.o. 1/19/1944    Admit Date:  7/3/2022   Discharge Date: 7/5/22   Principal Dx/ Final Dx: AKI (acute kidney injury)   Relevant Inpt Dx: Principal Problem:   AKI (acute kidney injury) Active Problems:   Chronic combined systolic and diastolic heart failure   COVID-19 virus infection   Diarrhea   Type 2 diabetes mellitus, without long-term current use of insulin   Essential hypertension       HPI:   Hospital Course:   This 78 year old man was admitted with covid and rhabdomyolysis on 6/29.  He did improve and went home.  He returned the next day with diarrhea and AKI.  He was treated with ivf and he has done well.  He no longer has diarrhea and his creatinine today is normal at 0.8.  He will follow up with pcp.            Consults:   IP CONSULT TO SOCIAL WORK IP CONSULT TO SOCIAL WORK     Disposition:  home   Discharge Condition:  fair
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Blood bilirubin normal, Blood calcium decreased, Blood chloride normal, Blood creatinine increased, Blood glucose increased
Clinical narrative: 78 y.o. 1/19/1944    Admit Date:  7/3/2022   Discharge Date: 7/5/22   Principal Dx/ Final Dx: AKI (acute kidney injury)   Relevant Inpt Dx: Principal Problem:   AKI (acute kidney injury) Active Problems:   Chronic combined systolic and diastolic heart failure   COVID-19 virus infection   Diarrhea   Type 2 diabetes mellitus, without long-term current use of insulin   Essential hypertension       HPI:   Hospital Course:   This 78 year old man was admitted with covid and rhabdomyolysis on 6/29.  He did improve and went home.  He returned the next day with diarrhea and AKI.  He was treated with ivf and he has done well.  He no longer has diarrhea and his creatinine today is normal at 0.8.  He will follow up with pcp.            Consults:   IP CONSULT TO SOCIAL WORK IP CONSULT TO SOCIAL WORK     Disposition:  home   Discharge Condition:  fair
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactic acid normal, Blood magnesium normal, Blood osmolarity decreased, Blood potassium normal, Blood sodium normal
Clinical narrative: 78 y.o. 1/19/1944    Admit Date:  7/3/2022   Discharge Date: 7/5/22   Principal Dx/ Final Dx: AKI (acute kidney injury)   Relevant Inpt Dx: Principal Problem:   AKI (acute kidney injury) Active Problems:   Chronic combined systolic and diastolic heart failure   COVID-19 virus infection   Diarrhea   Type 2 diabetes mellitus, without long-term current use of insulin   Essential hypertension       HPI:   Hospital Course:   This 78 year old man was admitted with covid and rhabdomyolysis on 6/29.  He did improve and went home.  He returned the next day with diarrhea and AKI.  He was treated with ivf and he has done well.  He no longer has diarrhea and his creatinine today is normal at 0.8.  He will follow up with pcp.            Consults:   IP CONSULT TO SOCIAL WORK IP CONSULT TO SOCIAL WORK     Disposition:  home   Discharge Condition:  fair
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea increased, COVID-19, Carbon dioxide normal, Chronic left ventricular failure, Diarrhoea
Clinical narrative: 78 y.o. 1/19/1944    Admit Date:  7/3/2022   Discharge Date: 7/5/22   Principal Dx/ Final Dx: AKI (acute kidney injury)   Relevant Inpt Dx: Principal Problem:   AKI (acute kidney injury) Active Problems:   Chronic combined systolic and diastolic heart failure   COVID-19 virus infection   Diarrhea   Type 2 diabetes mellitus, without long-term current use of insulin   Essential hypertension       HPI:   Hospital Course:   This 78 year old man was admitted with covid and rhabdomyolysis on 6/29.  He did improve and went home.  He returned the next day with diarrhea and AKI.  He was treated with ivf and he has done well.  He no longer has diarrhea and his creatinine today is normal at 0.8.  He will follow up with pcp.            Consults:   IP CONSULT TO SOCIAL WORK IP CONSULT TO SOCIAL WORK     Disposition:  home   Discharge Condition:  fair
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Differential white blood cell count, Eosinophil count normal, Eosinophil percentage, Essential hypertension, Full blood count
Clinical narrative: 78 y.o. 1/19/1944    Admit Date:  7/3/2022   Discharge Date: 7/5/22   Principal Dx/ Final Dx: AKI (acute kidney injury)   Relevant Inpt Dx: Principal Problem:   AKI (acute kidney injury) Active Problems:   Chronic combined systolic and diastolic heart failure   COVID-19 virus infection   Diarrhea   Type 2 diabetes mellitus, without long-term current use of insulin   Essential hypertension       HPI:   Hospital Course:   This 78 year old man was admitted with covid and rhabdomyolysis on 6/29.  He did improve and went home.  He returned the next day with diarrhea and AKI.  He was treated with ivf and he has done well.  He no longer has diarrhea and his creatinine today is normal at 0.8.  He will follow up with pcp.            Consults:   IP CONSULT TO SOCIAL WORK IP CONSULT TO SOCIAL WORK     Disposition:  home   Discharge Condition:  fair
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Glomerular filtration rate decreased, Haematocrit decreased, Haemoglobin decreased, Hypothyroidism, Injury
Clinical narrative: 78 y.o. 1/19/1944    Admit Date:  7/3/2022   Discharge Date: 7/5/22   Principal Dx/ Final Dx: AKI (acute kidney injury)   Relevant Inpt Dx: Principal Problem:   AKI (acute kidney injury) Active Problems:   Chronic combined systolic and diastolic heart failure   COVID-19 virus infection   Diarrhea   Type 2 diabetes mellitus, without long-term current use of insulin   Essential hypertension       HPI:   Hospital Course:   This 78 year old man was admitted with covid and rhabdomyolysis on 6/29.  He did improve and went home.  He returned the next day with diarrhea and AKI.  He was treated with ivf and he has done well.  He no longer has diarrhea and his creatinine today is normal at 0.8.  He will follow up with pcp.            Consults:   IP CONSULT TO SOCIAL WORK IP CONSULT TO SOCIAL WORK     Disposition:  home   Discharge Condition:  fair
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Lipase normal, Lymphocyte count, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal
Clinical narrative: 78 y.o. 1/19/1944    Admit Date:  7/3/2022   Discharge Date: 7/5/22   Principal Dx/ Final Dx: AKI (acute kidney injury)   Relevant Inpt Dx: Principal Problem:   AKI (acute kidney injury) Active Problems:   Chronic combined systolic and diastolic heart failure   COVID-19 virus infection   Diarrhea   Type 2 diabetes mellitus, without long-term current use of insulin   Essential hypertension       HPI:   Hospital Course:   This 78 year old man was admitted with covid and rhabdomyolysis on 6/29.  He did improve and went home.  He returned the next day with diarrhea and AKI.  He was treated with ivf and he has done well.  He no longer has diarrhea and his creatinine today is normal at 0.8.  He will follow up with pcp.            Consults:   IP CONSULT TO SOCIAL WORK IP CONSULT TO SOCIAL WORK     Disposition:  home   Discharge Condition:  fair
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Mean cell volume normal, Mean platelet volume normal, Metabolic function test, Monocyte count increased, Monocyte percentage increased
Clinical narrative: 78 y.o. 1/19/1944    Admit Date:  7/3/2022   Discharge Date: 7/5/22   Principal Dx/ Final Dx: AKI (acute kidney injury)   Relevant Inpt Dx: Principal Problem:   AKI (acute kidney injury) Active Problems:   Chronic combined systolic and diastolic heart failure   COVID-19 virus infection   Diarrhea   Type 2 diabetes mellitus, without long-term current use of insulin   Essential hypertension       HPI:   Hospital Course:   This 78 year old man was admitted with covid and rhabdomyolysis on 6/29.  He did improve and went home.  He returned the next day with diarrhea and AKI.  He was treated with ivf and he has done well.  He no longer has diarrhea and his creatinine today is normal at 0.8.  He will follow up with pcp.            Consults:   IP CONSULT TO SOCIAL WORK IP CONSULT TO SOCIAL WORK     Disposition:  home   Discharge Condition:  fair
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Neutrophil count, Neutrophil percentage increased, Peripheral nerve injury, Platelet count normal, Protein total decreased
Clinical narrative: 78 y.o. 1/19/1944    Admit Date:  7/3/2022   Discharge Date: 7/5/22   Principal Dx/ Final Dx: AKI (acute kidney injury)   Relevant Inpt Dx: Principal Problem:   AKI (acute kidney injury) Active Problems:   Chronic combined systolic and diastolic heart failure   COVID-19 virus infection   Diarrhea   Type 2 diabetes mellitus, without long-term current use of insulin   Essential hypertension       HPI:   Hospital Course:   This 78 year old man was admitted with covid and rhabdomyolysis on 6/29.  He did improve and went home.  He returned the next day with diarrhea and AKI.  He was treated with ivf and he has done well.  He no longer has diarrhea and his creatinine today is normal at 0.8.  He will follow up with pcp.            Consults:   IP CONSULT TO SOCIAL WORK IP CONSULT TO SOCIAL WORK     Disposition:  home   Discharge Condition:  fair
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell count decreased, Red cell distribution width normal, Rhabdomyolysis, SARS-CoV-2 RNA, SARS-CoV-2 test positive
Clinical narrative: 78 y.o. 1/19/1944    Admit Date:  7/3/2022   Discharge Date: 7/5/22   Principal Dx/ Final Dx: AKI (acute kidney injury)   Relevant Inpt Dx: Principal Problem:   AKI (acute kidney injury) Active Problems:   Chronic combined systolic and diastolic heart failure   COVID-19 virus infection   Diarrhea   Type 2 diabetes mellitus, without long-term current use of insulin   Essential hypertension       HPI:   Hospital Course:   This 78 year old man was admitted with covid and rhabdomyolysis on 6/29.  He did improve and went home.  He returned the next day with diarrhea and AKI.  He was treated with ivf and he has done well.  He no longer has diarrhea and his creatinine today is normal at 0.8.  He will follow up with pcp.            Consults:   IP CONSULT TO SOCIAL WORK IP CONSULT TO SOCIAL WORK     Disposition:  home   Discharge Condition:  fair
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Type 2 diabetes mellitus, White blood cell count normal
Clinical narrative: 78 y.o. 1/19/1944    Admit Date:  7/3/2022   Discharge Date: 7/5/22   Principal Dx/ Final Dx: AKI (acute kidney injury)   Relevant Inpt Dx: Principal Problem:   AKI (acute kidney injury) Active Problems:   Chronic combined systolic and diastolic heart failure   COVID-19 virus infection   Diarrhea   Type 2 diabetes mellitus, without long-term current use of insulin   Essential hypertension       HPI:   Hospital Course:   This 78 year old man was admitted with covid and rhabdomyolysis on 6/29.  He did improve and went home.  He returned the next day with diarrhea and AKI.  He was treated with ivf and he has done well.  He no longer has diarrhea and his creatinine today is normal at 0.8.  He will follow up with pcp.            Consults:   IP CONSULT TO SOCIAL WORK IP CONSULT TO SOCIAL WORK     Disposition:  home   Discharge Condition:  fair
Age: 0.25
Sex: F
Vaccine: RV5
Symptoms: Crying, Discoloured vomit, Underdose, Vomiting
Clinical narrative: 08/24/2022 At approximately 02:05 PM child was given approximately 1/3 of dose and within 2 minutes and after child had been crying occurred emesis occurred with mucous and light green bile also mixed within mucous. Did not proceed with the rest of the dose and documented in system.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Bronchitis, Chest X-ray normal, Chills, Cough
Clinical narrative: On 7-12-2022, I started noticing a scratchy throat. The next day, i started noticing a cough and I thought it may have been a seasonal allergy. I took a home COVID-19 test and it was negative. On 7-14, I called my primary care office and we done a telehealth visit. She suggested a COVID-19 PCR test which was done on 7-19 with negative results. The doctor's office stated this was probably viral. On 7-15, I started to have body aches, a headache, runny nose, watery eyes and my sore throat was getting worse.  7-20, I went to an urgent care because I was not feeling any better. They performed a COVID-19 test and FLU A/B, all were negative. They determined it was bronchitis from a viral infection. They ordered me to have albuterol inhaler. On 8-4, I called my primary care doctors office again and had a telehealth visit due to continued symptoms and now a possible eye infection. I spoke with the Nurse Practitioner and she ordered dextromethorphan and trimethoprim. She diagnosed me with bronchitis. On 8-9-2022, I had a chest xray and it was negative. On 8-18, I went to the local ER due to the same symptoms but now chills, fever up to 100.3 and more body aches. They done  alot of bloodwork and diagnosed me with a Bronchitis. They gave me a prescription for Cephalexin. It seemed like my cough and sore throat was getting better but last night it came back. I still have the scratchy throat and a persistent cough.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Influenza A virus test negative, Influenza B virus test, Lacrimation increased, Oropharyngeal pain
Clinical narrative: On 7-12-2022, I started noticing a scratchy throat. The next day, i started noticing a cough and I thought it may have been a seasonal allergy. I took a home COVID-19 test and it was negative. On 7-14, I called my primary care office and we done a telehealth visit. She suggested a COVID-19 PCR test which was done on 7-19 with negative results. The doctor's office stated this was probably viral. On 7-15, I started to have body aches, a headache, runny nose, watery eyes and my sore throat was getting worse.  7-20, I went to an urgent care because I was not feeling any better. They performed a COVID-19 test and FLU A/B, all were negative. They determined it was bronchitis from a viral infection. They ordered me to have albuterol inhaler. On 8-4, I called my primary care doctors office again and had a telehealth visit due to continued symptoms and now a possible eye infection. I spoke with the Nurse Practitioner and she ordered dextromethorphan and trimethoprim. She diagnosed me with bronchitis. On 8-9-2022, I had a chest xray and it was negative. On 8-18, I went to the local ER due to the same symptoms but now chills, fever up to 100.3 and more body aches. They done  alot of bloodwork and diagnosed me with a Bronchitis. They gave me a prescription for Cephalexin. It seemed like my cough and sore throat was getting better but last night it came back. I still have the scratchy throat and a persistent cough.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: On 7-12-2022, I started noticing a scratchy throat. The next day, i started noticing a cough and I thought it may have been a seasonal allergy. I took a home COVID-19 test and it was negative. On 7-14, I called my primary care office and we done a telehealth visit. She suggested a COVID-19 PCR test which was done on 7-19 with negative results. The doctor's office stated this was probably viral. On 7-15, I started to have body aches, a headache, runny nose, watery eyes and my sore throat was getting worse.  7-20, I went to an urgent care because I was not feeling any better. They performed a COVID-19 test and FLU A/B, all were negative. They determined it was bronchitis from a viral infection. They ordered me to have albuterol inhaler. On 8-4, I called my primary care doctors office again and had a telehealth visit due to continued symptoms and now a possible eye infection. I spoke with the Nurse Practitioner and she ordered dextromethorphan and trimethoprim. She diagnosed me with bronchitis. On 8-9-2022, I had a chest xray and it was negative. On 8-18, I went to the local ER due to the same symptoms but now chills, fever up to 100.3 and more body aches. They done  alot of bloodwork and diagnosed me with a Bronchitis. They gave me a prescription for Cephalexin. It seemed like my cough and sore throat was getting better but last night it came back. I still have the scratchy throat and a persistent cough.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation, Urinary tract infection, Urine analysis abnormal, Viral infection, Viral test
Clinical narrative: On 7-12-2022, I started noticing a scratchy throat. The next day, i started noticing a cough and I thought it may have been a seasonal allergy. I took a home COVID-19 test and it was negative. On 7-14, I called my primary care office and we done a telehealth visit. She suggested a COVID-19 PCR test which was done on 7-19 with negative results. The doctor's office stated this was probably viral. On 7-15, I started to have body aches, a headache, runny nose, watery eyes and my sore throat was getting worse.  7-20, I went to an urgent care because I was not feeling any better. They performed a COVID-19 test and FLU A/B, all were negative. They determined it was bronchitis from a viral infection. They ordered me to have albuterol inhaler. On 8-4, I called my primary care doctors office again and had a telehealth visit due to continued symptoms and now a possible eye infection. I spoke with the Nurse Practitioner and she ordered dextromethorphan and trimethoprim. She diagnosed me with bronchitis. On 8-9-2022, I had a chest xray and it was negative. On 8-18, I went to the local ER due to the same symptoms but now chills, fever up to 100.3 and more body aches. They done  alot of bloodwork and diagnosed me with a Bronchitis. They gave me a prescription for Cephalexin. It seemed like my cough and sore throat was getting better but last night it came back. I still have the scratchy throat and a persistent cough.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Cough
Clinical narrative: cough
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: IMPROPER STORAGE OF VACCINES.  PATIENT DID NOT HAVE ANY ADVERSE REACTIONS
Age: 5.0
Sex: M
Vaccine: IPV, MMR, TDAP, VARCEL
Symptoms: Inappropriate schedule of product administration, Wrong product administered
Clinical narrative: We gave a 5 year old TDAP instead of DTAP.
Age: 82.0
Sex: F
Vaccine: PNC20
Symptoms: Arthralgia, Asthenia, Chills, Decreased appetite, Fatigue
Clinical narrative: Sore arm, severe muscle aches &  joint pains, headache,fever $ chills, loss of appetite, severe fatigue in bed four days. no strength to even hold a glass of water. Irritated
Age: 82.0
Sex: F
Vaccine: PNC20
Symptoms: Grip strength decreased, Headache, Irritability, Myalgia, Pain in extremity
Clinical narrative: Sore arm, severe muscle aches &  joint pains, headache,fever $ chills, loss of appetite, severe fatigue in bed four days. no strength to even hold a glass of water. Irritated
Age: 82.0
Sex: F
Vaccine: PNC20
Symptoms: Pyrexia
Clinical narrative: Sore arm, severe muscle aches &  joint pains, headache,fever $ chills, loss of appetite, severe fatigue in bed four days. no strength to even hold a glass of water. Irritated
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: IMPROPER STORAGE OF VACCINES.  PATIENT DID NOT HAVE ANY ADVERSE REACTIONS
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Headache, Respiratory tract congestion
Clinical narrative: chills, congestion, cough, headaches
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chest pain, Nausea, Rhinorrhoea
Clinical narrative: rhinorrhea, chest pain, nausea, back pain
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: IMPROPER STORAGE OF VACCINES.  PATIENT DID NOT HAVE ANY ADVERSE REACTIONS
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, COVID-19, Condition aggravated, SARS-CoV-2 test positive, Syncope
Clinical narrative: Pt to ED 8/18 for syncopal episode. Pt COVID+ 8/18. 8/19 pt not qualified for remdesivir due to acute renal failure, rx decadron. 8/20 pt VSS, no signs of distress, denies pain, no dizziness or SOB. 8/22 pt denies pain, not in any distress and vital signs are stable. 8/24 Pt alert, orient x4, no distress noted and denies pain. Pt discharged 8/25.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive, Surgery
Clinical narrative: Patient admitted for previously scheduled surgery.  His wife was incidentally detected for COVID at home and he was tested which resulted as "detected."  Admission was for surgery - not r/t COVID.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. Bloom consulted with the Dept of Public Health and Environment and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. Healthcare is working with the DPHE on a compliance improvement plan and has been reinstated vaccination privileges.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Patient came to a covid clinic stated it was his 1st Pfizer vaccine.  Told several staff it was his first Pfizer vaccine.  When vaccine information was entered into regulatory authority it noted he had received 2 modernas, 2 pfizers and this additional pfizer
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Constipation, Diarrhoea, Nausea, Vomiting
Clinical narrative: constipation, diarrhea, nausea, vomiting
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: IMPROPER STORAGE OF VACCINES.  PATIENT DID NOT HAVE ANY ADVERSE REACTIONS
Age: 8.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient has no symptoms, Vaccine was given to a patient out of recommended age range
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Cough
Clinical narrative: cough
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: NO ADVERSE EVENT REPORTED - IT WAS DISCOVERED WHEN REPORTING VACCINATION ADMINISTRATION THAT THE PATIENT HAD ALREADY RECEIVED 2 DOSES OF SHINGRIX (7/27/20 AND 10/14/20). NURSING STAFF REPORT THAT PATIENT HAD INSISTED WITH DR THAT THEY RECEIVE THE SHINGLES SHOT TODAY
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Cardiac disorder, Cardiac stress test abnormal, Dizziness, Dyspepsia
Clinical narrative: within 1 week - gastritis (nausea, indigestion, vomiting that lasted for 14 days),  Extreme heart palpitations - arrhythmia and pounding, with numbness in left arm and jaw, lightheaded (thought I would pass out), numb lips and mild SOB.    I didn't go to local Medical facility until 10 days had passed and SXs hadn't subsided. She failed to connect this acute onset of heart issues & gastritis with the immunization even though I told her I just had the vaccine 2 weeks 3 weeks earlier.  She did refer me to Cardiology.   I had to change providers in January 2022 and "private" is who recognized the connection of my heart issues with the Pfizer vaccine
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram abnormal, Electrocardiogram normal, Gastritis, Heart rate irregular
Clinical narrative: within 1 week - gastritis (nausea, indigestion, vomiting that lasted for 14 days),  Extreme heart palpitations - arrhythmia and pounding, with numbness in left arm and jaw, lightheaded (thought I would pass out), numb lips and mild SOB.    I didn't go to local Medical facility until 10 days had passed and SXs hadn't subsided. She failed to connect this acute onset of heart issues & gastritis with the immunization even though I told her I just had the vaccine 2 weeks 3 weeks earlier.  She did refer me to Cardiology.   I had to change providers in January 2022 and "private" is who recognized the connection of my heart issues with the Pfizer vaccine
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Nausea, Palpitations, Supraventricular extrasystoles
Clinical narrative: within 1 week - gastritis (nausea, indigestion, vomiting that lasted for 14 days),  Extreme heart palpitations - arrhythmia and pounding, with numbness in left arm and jaw, lightheaded (thought I would pass out), numb lips and mild SOB.    I didn't go to local Medical facility until 10 days had passed and SXs hadn't subsided. She failed to connect this acute onset of heart issues & gastritis with the immunization even though I told her I just had the vaccine 2 weeks 3 weeks earlier.  She did refer me to Cardiology.   I had to change providers in January 2022 and "private" is who recognized the connection of my heart issues with the Pfizer vaccine
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Ventricular extrasystoles, Vomiting
Clinical narrative: within 1 week - gastritis (nausea, indigestion, vomiting that lasted for 14 days),  Extreme heart palpitations - arrhythmia and pounding, with numbness in left arm and jaw, lightheaded (thought I would pass out), numb lips and mild SOB.    I didn't go to local Medical facility until 10 days had passed and SXs hadn't subsided. She failed to connect this acute onset of heart issues & gastritis with the immunization even though I told her I just had the vaccine 2 weeks 3 weeks earlier.  She did refer me to Cardiology.   I had to change providers in January 2022 and "private" is who recognized the connection of my heart issues with the Pfizer vaccine
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: IMPROPER STORAGE OF VACCINES.  PATIENT DID NOT HAVE ANY ADVERSE REACTIONS
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Memory impairment, Oropharyngeal pain, SARS-CoV-2 test positive, Seizure like phenomena
Clinical narrative: Pt to ED 8/18 for intermittent periods of becoming unresponsive.  Pt having seizure like activity. 8/20 No seizure like activity, patient denies any chest pain/SOB, denies pain. Stated that lately she has become "more forgetful". Patient is A&O x 4, no S/S of acute distress noted. 8/21 no seizure like activity, VSS and no S/S of acute distress. 8/22 pt COVID+, not a candidate for antiviral therapy. 8/24 pt with sore throat. Pt discharged 8/25.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Pt to ED 8/18 for intermittent periods of becoming unresponsive.  Pt having seizure like activity. 8/20 No seizure like activity, patient denies any chest pain/SOB, denies pain. Stated that lately she has become "more forgetful". Patient is A&O x 4, no S/S of acute distress noted. 8/21 no seizure like activity, VSS and no S/S of acute distress. 8/22 pt COVID+, not a candidate for antiviral therapy. 8/24 pt with sore throat. Pt discharged 8/25.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: IMPROPER STORAGE OF VACCINES.  PATIENT DID NOT HAVE ANY ADVERSE REACTIONS
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Appetite disorder, Headache, Nausea, Vomiting
Clinical narrative: appetite change, abdominal pain, nausea, vomiting, headaches
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: IMPROPER STORAGE OF VACCINES.  PATIENT DID NOT HAVE ANY ADVERSE REACTIONS
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Product storage error
Clinical narrative: Given vaccine that was beyond it's BUD of 7/22/2022 Patient is in the beginning of her third trimester of Pregnancy - due in November
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Body temperature increased, COVID-19, Chest pain, Dyspnoea, Fatigue
Clinical narrative: Pt to ED 8/21 for fatigue x3 days. Pt tachy in triage at 115 with low grade temp. Pt reporting intermittent CP/shortness of breath. COVID+ 8/21. 8/23 bed without any gait disturbances. Pt denies any CP, nausea, vomitng and SOB. Pt discharged 8/23.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Tachycardia
Clinical narrative: Pt to ED 8/21 for fatigue x3 days. Pt tachy in triage at 115 with low grade temp. Pt reporting intermittent CP/shortness of breath. COVID+ 8/21. 8/23 bed without any gait disturbances. Pt denies any CP, nausea, vomitng and SOB. Pt discharged 8/23.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Bundle branch block, COVID-19, Cardiac pacemaker insertion, Chest discomfort, Electrocardiogram abnormal
Clinical narrative: Patient given 4th vaccination of Pfizer on 6/22. On 7/5 he developed symptoms and tested positive for COVID. Soon afterwards he started having chest tightness with exertion. Was found to have alternating bundle branch block on EKG on 8/25 and sent to hospital, urgent pacemaker placed 8/26.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: Patient given 4th vaccination of Pfizer on 6/22. On 7/5 he developed symptoms and tested positive for COVID. Soon afterwards he started having chest tightness with exertion. Was found to have alternating bundle branch block on EKG on 8/25 and sent to hospital, urgent pacemaker placed 8/26.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: IMPROPER STORAGE OF VACCINES.  PATIENT DID NOT HAVE ANY ADVERSE REACTIONS
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Cough
Clinical narrative: Cough.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: IMPROPER STORAGE OF VACCINES.  PATIENT DID NOT HAVE ANY ADVERSE REACTIONS
Age: 1.33
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was inadvertently administered Pfizer orange cap (10mcg) for second dose instead of Pfizer maroon cap (3mcg).   CDC was contacted immediately to get recommendations.  Situation was discussed with Dr. and parents were notified.  Patient was not having any side affects or adverse reactions.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Cough, Myalgia, Pyrexia
Clinical narrative: chills, fever, congestion, cough, chest pain, myalgias
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion
Clinical narrative: chills, fever, congestion, cough, chest pain, myalgias
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Given vaccine that was beyond it's use date of 7/22/2022
Age: 31.0
Sex: F
Vaccine: HEPA, MMR
Symptoms: Pruritus, Urticaria
Clinical narrative: Full body hives and itching.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Fatigue, Myalgia, Respiratory tract congestion
Clinical narrative: chills, fatigue, congestion, cough, myalgias
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone normal, Cardiac monitoring normal, Chest X-ray normal, Dyspnoea, Fatigue
Clinical narrative: The patient began to feel very tired and short of breath with her heart bounding. Her heart rate was 143 at that time. She laid down for 15 min and her heart rate was 90.  One hour later she was evaluated in ER.  Her BP was 116/86, not normal for her.  Tests were done and she was told to go home, take tylenol and nap.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer normal, Full blood count normal, Human chorionic gonadotropin normal, Metabolic function test normal, Palpitations
Clinical narrative: The patient began to feel very tired and short of breath with her heart bounding. Her heart rate was 143 at that time. She laid down for 15 min and her heart rate was 90.  One hour later she was evaluated in ER.  Her BP was 116/86, not normal for her.  Tests were done and she was told to go home, take tylenol and nap.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin normal
Clinical narrative: The patient began to feel very tired and short of breath with her heart bounding. Her heart rate was 143 at that time. She laid down for 15 min and her heart rate was 90.  One hour later she was evaluated in ER.  Her BP was 116/86, not normal for her.  Tests were done and she was told to go home, take tylenol and nap.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated with 2 boosters.   COVID infection breakthrough
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given a vaccine that was beyond it's use date of 7/22/2022.
Age: 14.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Autoimmune thyroiditis, COVID-19, Cardiac function test, Condition aggravated, Cyanosis
Clinical narrative: January 2019 was very sick but cannot confirm if it was Covid since no dx. test was available then.   June 19, 2021 Dx with T1D and Hasimoto Covid positive 9/18/21  Daughter reports purple/ blue tint and feeling of also feeling cold and also feeling weird on 5/4/22, this happened multiple times prior to documentation. In the last few weeks, Aug 2022, she is feeling the symptoms again. Today 8/26/2022 as an example. the events last 15min to 1hr.
Age: 14.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Feeling abnormal, Feeling cold, Malaise, Type 1 diabetes mellitus
Clinical narrative: January 2019 was very sick but cannot confirm if it was Covid since no dx. test was available then.   June 19, 2021 Dx with T1D and Hasimoto Covid positive 9/18/21  Daughter reports purple/ blue tint and feeling of also feeling cold and also feeling weird on 5/4/22, this happened multiple times prior to documentation. In the last few weeks, Aug 2022, she is feeling the symptoms again. Today 8/26/2022 as an example. the events last 15min to 1hr.
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated and boosted twice.   COVID Infection breakthrough
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Blood sodium decreased, Fall, Hyponatraemia, Malaise
Clinical narrative: Discharge Physician: Medical Doctor Primary Care Clinician at Discharge: FNP Admission Date: 8/18/2022 Discharge Date: 8/19/2022   PRESENTING PROBLEM: Hyponatremia Fall, initial encounter COVID-19 virus infection   HOSPITAL COURSE: The patient is an 82 y.o. female who presented after a syncopal episode at home.  The patient states she has not been feeling well over the last 3-4 days.  She has a history of hypertension dyslipidemia.  She is COVID-19 positive however is asymptomatic with no respiratory distress or hypoxemia.  Upon admission she was found to be hyponatremic with a sodium of 125. She is on spironolactone/carvedilol/chlorthalidone as outpatient treatment for hypertension though chlorthalidone is only once weekly.  She was admitted to the medical service.  She was given IV fluids with 0.9% normal saline.  She felt significantly better the following day.  Sodium did remain low at 125. Chlorthalidone was discontinued upon discharge.  The patient felt well and will follow-up with her primary care physician.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Syncope
Clinical narrative: Discharge Physician: Medical Doctor Primary Care Clinician at Discharge: FNP Admission Date: 8/18/2022 Discharge Date: 8/19/2022   PRESENTING PROBLEM: Hyponatremia Fall, initial encounter COVID-19 virus infection   HOSPITAL COURSE: The patient is an 82 y.o. female who presented after a syncopal episode at home.  The patient states she has not been feeling well over the last 3-4 days.  She has a history of hypertension dyslipidemia.  She is COVID-19 positive however is asymptomatic with no respiratory distress or hypoxemia.  Upon admission she was found to be hyponatremic with a sodium of 125. She is on spironolactone/carvedilol/chlorthalidone as outpatient treatment for hypertension though chlorthalidone is only once weekly.  She was admitted to the medical service.  She was given IV fluids with 0.9% normal saline.  She felt significantly better the following day.  Sodium did remain low at 125. Chlorthalidone was discontinued upon discharge.  The patient felt well and will follow-up with her primary care physician.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: IMPROPER STORAGE OF VACCINES.  PATIENT DID NOT HAVE ANY ADVERSE REACTIONS
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Pain, Pyrexia
Clinical narrative: After all four shots of Moderna, including the two boosters, I got covid on August 13, 2022 I have taken a course of Paxlovid and have used OTC  medications for aches and fever.  Today, August 26th, I am feeling better but still coughing and tire easily.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: After all four shots of Moderna, including the two boosters, I got covid on August 13, 2022 I have taken a course of Paxlovid and have used OTC  medications for aches and fever.  Today, August 26th, I am feeling better but still coughing and tire easily.
Age: 66.0
Sex: F
Vaccine: PPV
Symptoms: Mass, Pain, Skin warm
Clinical narrative: Hot painful HUGE lump.  Obscenely huge lump.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Computerised tomogram head normal
Clinical narrative: Admission Date: 8/18/2022 Discharge Date: 8/19/2022  PRESENTING PROBLEM: Weakness [R53.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 85 year old male with hyperlipidemia, late onset alzheimer's, GERD  who presents from altercare with increase weakness after testing positive for COVID-19. Patient is confused and able to tell his birthday but not where he is, situation or time. When asked how he feels, he responds with "terrible." He was sent to emergency room for evaluation.   Upon arrival his vitals were stable. He did have some episodes where his oxygen saturation dropped to low 90s and high 80s in the emergency room. Chest xray showed multifocal patchy peripheral interstitial groundglass opacity in both lungs. Question early, atypical, or viral pneumonia. Head and cervical spine ct negative for acute process. No signs of leukocytosis. Ddimer 270. Agreed to admit patient for observation for monitoring and management of pneumonia from COVID-19.    Patient remained stable on room air. He did develop low grade fever over night and was given IV Ofirmev. Today he remains afebrile. PT/OT treated and recommended return skilled nursing facility without needs. SLP recommend thin liquids with regular solids.  He is alert to his baseline and denies any complaints of cough or chest pain. He will be discharged back to altercare. Vitals are stable. Recommend oral tylenol for fevers. He was discharged in a stable medical condition.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram spine, Confusional state, Feeling abnormal, Fibrin D dimer, Lung opacity
Clinical narrative: Admission Date: 8/18/2022 Discharge Date: 8/19/2022  PRESENTING PROBLEM: Weakness [R53.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 85 year old male with hyperlipidemia, late onset alzheimer's, GERD  who presents from altercare with increase weakness after testing positive for COVID-19. Patient is confused and able to tell his birthday but not where he is, situation or time. When asked how he feels, he responds with "terrible." He was sent to emergency room for evaluation.   Upon arrival his vitals were stable. He did have some episodes where his oxygen saturation dropped to low 90s and high 80s in the emergency room. Chest xray showed multifocal patchy peripheral interstitial groundglass opacity in both lungs. Question early, atypical, or viral pneumonia. Head and cervical spine ct negative for acute process. No signs of leukocytosis. Ddimer 270. Agreed to admit patient for observation for monitoring and management of pneumonia from COVID-19.    Patient remained stable on room air. He did develop low grade fever over night and was given IV Ofirmev. Today he remains afebrile. PT/OT treated and recommended return skilled nursing facility without needs. SLP recommend thin liquids with regular solids.  He is alert to his baseline and denies any complaints of cough or chest pain. He will be discharged back to altercare. Vitals are stable. Recommend oral tylenol for fevers. He was discharged in a stable medical condition.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Admission Date: 8/18/2022 Discharge Date: 8/19/2022  PRESENTING PROBLEM: Weakness [R53.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 85 year old male with hyperlipidemia, late onset alzheimer's, GERD  who presents from altercare with increase weakness after testing positive for COVID-19. Patient is confused and able to tell his birthday but not where he is, situation or time. When asked how he feels, he responds with "terrible." He was sent to emergency room for evaluation.   Upon arrival his vitals were stable. He did have some episodes where his oxygen saturation dropped to low 90s and high 80s in the emergency room. Chest xray showed multifocal patchy peripheral interstitial groundglass opacity in both lungs. Question early, atypical, or viral pneumonia. Head and cervical spine ct negative for acute process. No signs of leukocytosis. Ddimer 270. Agreed to admit patient for observation for monitoring and management of pneumonia from COVID-19.    Patient remained stable on room air. He did develop low grade fever over night and was given IV Ofirmev. Today he remains afebrile. PT/OT treated and recommended return skilled nursing facility without needs. SLP recommend thin liquids with regular solids.  He is alert to his baseline and denies any complaints of cough or chest pain. He will be discharged back to altercare. Vitals are stable. Recommend oral tylenol for fevers. He was discharged in a stable medical condition.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated and boosted twice.   COVID  breakthrough infection
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Endoscopy abnormal, Gastrooesophageal reflux disease, Pharyngeal swelling, Sensation of foreign body
Clinical narrative: On 07/30/2022 I experienced a worsening of my acid reflux. After eating a piece of fruit it felt like I had a lump in my throat. I went to a local urgent care at 02:00AM where they gave me MIRALAX and lidocaine. Neither helped much. I then went to have an endoscope done where they found swelling in my throat. I was prescribed PEPCID and while it hasn't gone away yet, things have improved. I am going in for a follow up swallow test on 09/01/2022.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Given vaccine that was beyond it's use date of 7/22/2022
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated and boosted once.   COVID breakthrough infection
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lymphadenopathy, Muscular weakness, Product administered at inappropriate site
Clinical narrative: Supraclavicular lymphnode swollen and moveable the same side as injection arm. Appeared in less than 24 hours. The location of shot administered was a little higher and closer to underarm than first dose. No pain as of yet, no fever accompanied. Just fatigued and injection arm is weak.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Reaction to previous exposure to any vaccine
Clinical narrative: none
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Computerised tomogram abdomen normal, Culture urine positive, Cystoscopy normal, Escherichia test positive
Clinical narrative: I had a UTI starting November 2021 and went to the clinic on 11/17/21, I received antibiotics (Cephalexin 500mg)    December 18th went back to the clinic confimed UTI, cultured E.Coli given Macrobid.    1/13/22 UTI symptoms returned I was unable to seek care due to having covid.  1/26 I went to a walk in clinic got Nitrification after UTI confirmed.  I completed each round of antibiotics as prescribed.  I had a negative CT and ruled out a kidney stone. I was put on Sulfamethaxazole 3/9 because positive for e. coli on another culture. Then on 3/14 I saw a urologist did cystoscopy and it was negative.   I have been using colloidal silver to keep the UTI at bay, if I discontinue use then the symptoms come back. I have decided to use alternative treatments to ensure I don't have issues related to long term antibiotic use.   7/14 Specialist "Clean test" done via catheter and found positive for e. coli again.  I was started Macrobid (Nitrification)