chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Platelet count normal, Protein total normal, Red blood cell count normal, Red cell distribution width normal, Respiratory syncytial virus test negative
Clinical narrative: Presented to ER on 11/25/21: 46F h/o severe persistent asthma, HTN here with wheezing and SOB that started  this morning. pt reports she was in a substance use treatment program  until 8 days ago. she came back and she thinks the cold weather  prompted her asthma to act up. she ran out of her albuterol 2 days ago. has  been coughing. no fever/chills. hoarse voice and nasal congestion. denies CP,  leg swelling. denies any substance use since leaving treatment program.  noted to be 81% on RA when EMS arrived. pt given 1 duoneb and was 93% on RA on  arrival.  ER COURSE:  duoneb decadron 12mg mag 2g  ___________________________________________________________ CLINICAL IMPRESSION/PLAN: 46F h/o severe persistent asthma here with wheezing, SOB and cough x2 days  after running out of her meds. reported to be hypoxic to 81% on RA at home. sig improvement with duoneb and  was 93% here on RA. mildly tachy, AF. still with sig wheezing but moving air well, no accessory mm use, speaking in  full sentences. second duoneb, decadron, mag labs, CXR, covid swab reassess after second duoneb  1226pm reassessment after second neb- pt breathing comfortably. still with diffuse  bilateral wheezes. SaO2 97% on RA but drops to low 90s at times and when  sleeping to 88-89%. CXR clear will start 1hr cont albuterol neb given ongoing diffuse wheezes  1311 covid test positive patient well appearing, moving air well covid explains hypoxia despite good air movement and no accessory mm use start remdesivir will require admission to Hospital.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sinus rhythm, Tachycardia, Wheezing, White blood cell count normal
Clinical narrative: Presented to ER on 11/25/21: 46F h/o severe persistent asthma, HTN here with wheezing and SOB that started  this morning. pt reports she was in a substance use treatment program  until 8 days ago. she came back and she thinks the cold weather  prompted her asthma to act up. she ran out of her albuterol 2 days ago. has  been coughing. no fever/chills. hoarse voice and nasal congestion. denies CP,  leg swelling. denies any substance use since leaving treatment program.  noted to be 81% on RA when EMS arrived. pt given 1 duoneb and was 93% on RA on  arrival.  ER COURSE:  duoneb decadron 12mg mag 2g  ___________________________________________________________ CLINICAL IMPRESSION/PLAN: 46F h/o severe persistent asthma here with wheezing, SOB and cough x2 days  after running out of her meds. reported to be hypoxic to 81% on RA at home. sig improvement with duoneb and  was 93% here on RA. mildly tachy, AF. still with sig wheezing but moving air well, no accessory mm use, speaking in  full sentences. second duoneb, decadron, mag labs, CXR, covid swab reassess after second duoneb  1226pm reassessment after second neb- pt breathing comfortably. still with diffuse  bilateral wheezes. SaO2 97% on RA but drops to low 90s at times and when  sleeping to 88-89%. CXR clear will start 1hr cont albuterol neb given ongoing diffuse wheezes  1311 covid test positive patient well appearing, moving air well covid explains hypoxia despite good air movement and no accessory mm use start remdesivir will require admission to Hospital.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE HELD AT IMPROPER TEMPERATURE
Age: 65.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Chest pain
Clinical narrative: called at 1:25 pm stating that a couple hours after receiving the vaccine he had sharp pains on the left side of his chest.  He states he had about 4 episodes where he had 2-3 sharp pains each.  At 2:15 pm when I spoke to him he hadn't had any further episodes but stated if he needed to he would go to urgent care or seek medical treatment as I had advised since this is not an expected side effect.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: none
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pallor
Clinical narrative: pt reports nausea and is pale
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient reported receiving x3 doses of COVID vaccine.   Patient unable to provide date of 3rd dose  Patient admitted to hospital on 11/27/21, required surveillance testing for behavioral health placement.   Patient is asymptomatic. Surveillance testing only,  no symptoms, not admitted for COVID.  Tested positive for COVID 11/28/2021
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue
Clinical narrative: A week of fatigue, joint pain for 3 or 4 days
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID case, fully vaccinated patient, with booster dose.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea
Clinical narrative: Janssen COVID-19 Vaccine EUA -  Continuous headache and nausea throughout the day since approximately 48 hours after vaccine.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Patient (passenger) was registered for Pfizer booster and was in the same car as her husband (driver) who was registered for Moderna. They were sent to the Moderna lane and were correctly checked in for their respective boosters. However, the vaccinator administered the Moderna booster for both patients instead of the Pfizer booster for the passenger. Nurse informed her lead and pharmacist of the error. Patient was informed of the error by the pharmacist and addressed all her questions & concerns.
Age: 42.0
Sex: U
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect Dose Moderna booster dose administered was 0.5 milliliters.  Booster dose should have been 0.25 milliliters.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE HELD AT IMPROPER TEMPERATURE.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested NAAT positive for COVID 11/28/21 after being fully vaccinated.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Client is 12 years old and was given a pediatric dose of the Pfizer Covid-19 vaccine. It does not need to be repeated and client will receive age appropriate dose for dose #2.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Inflammation, X-ray
Clinical narrative: Adverse effect after the booster. Intense inflammation of the hand, arm, elbow and shoulder as never before experienced.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Condition aggravated, Cough, Dyspnoea
Clinical narrative: SOB, leg swelling, hest pain, cough onset 11/23/21
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, SARS-CoV-2 test positive
Clinical narrative: SOB, leg swelling, hest pain, cough onset 11/23/21
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Patient received their second dose of the Pfizer pediatric vaccine from one of our pediatric vaccinators. A few minutes after vaccination, the patient passed out. The patient was given juice and an ice pack and laid down. The patient has fully recovered.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood lactic acid, Brain natriuretic peptide, C-reactive protein, COVID-19
Clinical narrative: 96yr old female presents via ambulance for complaints of neurological changes. Patient lives with so., Son reports patient has had "decrease alertness last couple of hours and" not feeling good for couple of days" Patient heard of hearing, does not answer nurses questions, opens eyes to sternum rub.  Urinary tract infection with hematuria, site unspecified  cefdinir (OMNICEF) 300 mg capsule    cefdinir (OMNICEF) 300 mg capsule 2. COVID-19 virus infection    3. Pleural effusion on right    4. Weakness    5. Hypoxemia    6. Hypokalemia    Neurological Changes
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen, Computerised tomogram head, Computerised tomogram thorax, Depressed level of consciousness, Differential white blood cell count
Clinical narrative: 96yr old female presents via ambulance for complaints of neurological changes. Patient lives with so., Son reports patient has had "decrease alertness last couple of hours and" not feeling good for couple of days" Patient heard of hearing, does not answer nurses questions, opens eyes to sternum rub.  Urinary tract infection with hematuria, site unspecified  cefdinir (OMNICEF) 300 mg capsule    cefdinir (OMNICEF) 300 mg capsule 2. COVID-19 virus infection    3. Pleural effusion on right    4. Weakness    5. Hypoxemia    6. Hypokalemia    Neurological Changes
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Feeling abnormal, Fibrin D dimer, Full blood count, Haematuria
Clinical narrative: 96yr old female presents via ambulance for complaints of neurological changes. Patient lives with so., Son reports patient has had "decrease alertness last couple of hours and" not feeling good for couple of days" Patient heard of hearing, does not answer nurses questions, opens eyes to sternum rub.  Urinary tract infection with hematuria, site unspecified  cefdinir (OMNICEF) 300 mg capsule    cefdinir (OMNICEF) 300 mg capsule 2. COVID-19 virus infection    3. Pleural effusion on right    4. Weakness    5. Hypoxemia    6. Hypokalemia    Neurological Changes
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoacusis, Hypokalaemia, Hypoxia, Inflammation, Influenza A virus test
Clinical narrative: 96yr old female presents via ambulance for complaints of neurological changes. Patient lives with so., Son reports patient has had "decrease alertness last couple of hours and" not feeling good for couple of days" Patient heard of hearing, does not answer nurses questions, opens eyes to sternum rub.  Urinary tract infection with hematuria, site unspecified  cefdinir (OMNICEF) 300 mg capsule    cefdinir (OMNICEF) 300 mg capsule 2. COVID-19 virus infection    3. Pleural effusion on right    4. Weakness    5. Hypoxemia    6. Hypokalemia    Neurological Changes
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Lipase, Metabolic function test, Nervous system disorder, Pleural effusion
Clinical narrative: 96yr old female presents via ambulance for complaints of neurological changes. Patient lives with so., Son reports patient has had "decrease alertness last couple of hours and" not feeling good for couple of days" Patient heard of hearing, does not answer nurses questions, opens eyes to sternum rub.  Urinary tract infection with hematuria, site unspecified  cefdinir (OMNICEF) 300 mg capsule    cefdinir (OMNICEF) 300 mg capsule 2. COVID-19 virus infection    3. Pleural effusion on right    4. Weakness    5. Hypoxemia    6. Hypokalemia    Neurological Changes
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test, SARS-CoV-2 test, Troponin I, Urinary tract infection, Urine analysis
Clinical narrative: 96yr old female presents via ambulance for complaints of neurological changes. Patient lives with so., Son reports patient has had "decrease alertness last couple of hours and" not feeling good for couple of days" Patient heard of hearing, does not answer nurses questions, opens eyes to sternum rub.  Urinary tract infection with hematuria, site unspecified  cefdinir (OMNICEF) 300 mg capsule    cefdinir (OMNICEF) 300 mg capsule 2. COVID-19 virus infection    3. Pleural effusion on right    4. Weakness    5. Hypoxemia    6. Hypokalemia    Neurological Changes
Age: 2.0
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13
Symptoms: Wrong product administered
Clinical narrative: Hep B, Prevnar 13, and Pentacel were given in error.  There was 3 children in the exam room and all of them were receiving vaccines.  The nurse grab the sib basket and administered them to patient in error.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was not moved from freezer to fridge  at the 2 week mark.  CDC advised repeat dose and report VAERS
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Dysphagia, Dysphonia, Influenza like illness, Myasthenia gravis
Clinical narrative: I started to have difficulty swallowing nine months after the second dose. Two weeks after the third dose of Moderna I got a senior Flu Shot. Some Myasthenia Gravis Class I symptoms have manifested.  In the past my symptoms were mostly visual. After getting the shot I had a fever and flu-like symptoms for 36 hours. Three weeks after the covid vaccine my swallowing got much worse, and my vocal cords are raspy. I could not swallow liquids at all. I saw my doctor and he thought the vaccine had caused problems with my condition. I have been prescribed Mestinon 60mg twice a day. My symptoms have improved.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I started to have difficulty swallowing nine months after the second dose. Two weeks after the third dose of Moderna I got a senior Flu Shot. Some Myasthenia Gravis Class I symptoms have manifested.  In the past my symptoms were mostly visual. After getting the shot I had a fever and flu-like symptoms for 36 hours. Three weeks after the covid vaccine my swallowing got much worse, and my vocal cords are raspy. I could not swallow liquids at all. I saw my doctor and he thought the vaccine had caused problems with my condition. I have been prescribed Mestinon 60mg twice a day. My symptoms have improved.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Eye irritation, Lymphadenopathy, Nausea, Stomatitis, Syncope
Clinical narrative: Fainting spells, mouth sores, swollen lymph nodes, nausea, eyes burning.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Confusional state, Discomfort, Fall, Headache
Clinical narrative: Confusion for 3 days peaking first day at about 9 pm to 12 including intense fever, confusion, headache, heaviness, dull pain throughout body. I was so overwhelmed with pain I couldn't think of anything else. I thought I might be dying. I was unable to get out of the bed for 2 hours. Before I was unable to leave the bed I tried to go to the bathroom and fell out of bed and had to crawl very slowly and laboriously to the bathroom which was 15 ft away. At this time I took some Tylenol since my roommate who also got the vaccine with me was able to leave the bed after she was trapped for 2 hours too but I was unable to help her since I was so confused and weak. I was able to get some water near the beginning. Neither of us was with it enough to call for help until we were both significantly improved.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain, Pyrexia
Clinical narrative: Confusion for 3 days peaking first day at about 9 pm to 12 including intense fever, confusion, headache, heaviness, dull pain throughout body. I was so overwhelmed with pain I couldn't think of anything else. I thought I might be dying. I was unable to get out of the bed for 2 hours. Before I was unable to leave the bed I tried to go to the bathroom and fell out of bed and had to crawl very slowly and laboriously to the bathroom which was 15 ft away. At this time I took some Tylenol since my roommate who also got the vaccine with me was able to leave the bed after she was trapped for 2 hours too but I was unable to help her since I was so confused and weak. I was able to get some water near the beginning. Neither of us was with it enough to call for help until we were both significantly improved.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Patient experienced sudden nausea and vomited once, he was also light headed and dizzy for 20 minutes after vaccination.  After waiting approximately 30 minutes, the individual stated that he felt better and returned to work.   While recovering, the patient stated that he had no oral intake other than an energy drink, since waking up at 5am this morning.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Pt. states that after receiving the 2nd dose of Moderna 04/24/2021, started experiencing symptoms 10/01/2021 of continuing pain throughout the (right) arm. Upon injection slight pain at the injection site continuing with lingering pain traveling throughout.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Dyskinesia, Tic
Clinical narrative: 2 days after vaccine received, patient developed tics.  She has no prior history of tics.  Tics characterized as quick jerking movements (almost a shiver) of her arms, shoulders, and head.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Malaise
Clinical narrative: Pt?s mother stated pt having hx of syncope after needle injections. Pt?s mother and patient were advice to have pt lay down prior to vaccine admin. Pt and mother refused to have him lay and insisted on staying seated on chair while mom hugged him. Patient was vaccinated, in chair while hugging mom, pt stated he was feeling unwell, was provided a cup of water, able to drink without problems. Pt remained hugging mom while he lost consciousness sitting in chair. He was assisted to floor where he regained consciousness after a few seconds. Patient was assessed, legs were elevated, alert and oriented to name, place and situation, Vitals were taken at 18:14 read-BP:119/66, HR:60, RR-18, O2 Sat: 98%, after a few minutes was assisted to sit up on chair, pt stated feeling better. Vitals were rechecked at 18:25 and read BP:120/72, HR:80, RR:20, and O2 sat 99%. Patient stated we was feeling fine, was monitored for 30 mins. No reactions were noted, patient talking and drinking water without a problem. Patient stated feeling fine and ok to go home. Mom advise if sees a change or symptoms of reaction developing to contact PCP or ER.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Pyrexia, Urticaria
Clinical narrative: Breakout of hives all over affected area and tactile fever the next day.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration Error: Patient received the Moderna COVID-19 vaccine for her primary series and came in for her booster appointment. She was okay with receiving any vaccine as a booster and was registered & sent to the Janssen lane for her booster. However, the vaccinator accidentally administered the Pfizer booster instead of Janssen. The vaccinator informed his lead of the error. Patient was informed by the pharmacist about the error and addressed all her questions and concerns. Patient mentioned that she was fine with the Pfizer booster vaccine. Her card and online record were accurately updated to reflect the Pfizer booster that was given.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: NO ADVERSE REACTION NOTED. PATIENT SHOULD HAVE RECEIVED PFIZER VACCINE DUE TO AGE
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Lethargy, Myalgia, Nausea
Clinical narrative: 2 weeks of fever, severe lethargy, nausea, dizzy, severe fatigue, muscle pain,  pain
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: 2 weeks of fever, severe lethargy, nausea, dizzy, severe fatigue, muscle pain,  pain
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Minor received the Moderna vaccine for dose one, and continued for dose 2.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No adverse event reported, however the (booster) dose was administered 2 weeks prior to the six month span.  Recommend per Pharmacy Operations Manager to report to VAERS.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, Exposure during pregnancy, Heart rate increased, Tachycardia, Thyroid function test normal
Clinical narrative: 24 weeks pregnant at the time of first vaccine EDD 10/5/2021, baby born 10/15/2021 at 10lbs  Rapid heart rate began sometime after first dose on 6/9/2021 and midwife appointment on 6/14/2021 (pulse was 101 at the time) Diagnosed with tachycardia at 34 week appointment on 8/23/2021, midwife ordered TSH panel to rule out thyroid issue. Thyroid was normal Prior to the first vaccine, heart rate was 88 at 23 week appointment on 6/2/2021. Heart rate remained elevated through the remainder of pregnancy (baby born 10/15/2021) and is now a normal resting heart rate
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Client is a minor and received  Moderna for dose 1, and continued for dose 2.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored incorrectly.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: NO ADVERSE REACTION. DUE TO AGE PATIENT SHOULD HAVE RECEIVED PFIZER INSTEAD OF MODERNA
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE HELD AT IMPROPER TEMPERATURES.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Intermenstrual bleeding, Ultrasound scan
Clinical narrative: Beginning in late April and lasting several months I experienced frequent menstrual cramping and spotting to heavy bleeding. This was not limited to my period but throughout the months that followed vaccination.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Lip blister, Lip swelling, Pruritus, Swelling
Clinical narrative: Approximately 1 hour after leaving the facility she developed a blister like swollen area to half of her bottom lip with some itchiness. Never had any breathing difficulties. Approximately 6 hours later swelling decreased . In the am slight swelling noted and around 4 pm on 11/29 swelling gone.
Age: 26.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Bronchitis, Cough, Headache, SARS-CoV-2 test
Clinical narrative: Two days after my shot, I got a really, really bad headache. The next week, I developed a really bad cough. The cough would get worse. I have done COVID-19 test. I went to the doctor. They said I had bronchitis.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain, Pain in extremity
Clinical narrative: after sitting for 15 minutes patient said she had a "pricking dull pain in her neck. She stated it started with her arm which was then ok and moved to her neck. I spoke with patient  roughly 2 hours after for follow up and patient stated was easing.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: shortly after recieving the vaccine patient fainted.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID19 POSITIVE 11/28/2021
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Blood test normal, Chills, Fatigue, Polyp
Clinical narrative: The day after the vaccination 11/13) I felt chills all day and was very sleepy and tired. On Sunday (11/14) I felt better. On Monday (11/15) I bled vaginally, I called the doctor and the appointment was given a week later so I went to the Emergency Department on Thursday (11/18), they checked me, they did an ultrasound and I got a Polyp and They recommended that I go to the Gynecologist. Blood until Wednesday (11/24) of the following week but less. Blood for 10 days. Little by little the bleeding decreased. On Monday, the Dr. did a Biopsy and the Biopsy came out normal. Four months after the 2nd vaccination I felt my breasts swollen, I went to the Gynecologist, but everything went normal, it lasted 2 weeks.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence, Ultrasound scan abnormal, Vaginal haemorrhage
Clinical narrative: The day after the vaccination 11/13) I felt chills all day and was very sleepy and tired. On Sunday (11/14) I felt better. On Monday (11/15) I bled vaginally, I called the doctor and the appointment was given a week later so I went to the Emergency Department on Thursday (11/18), they checked me, they did an ultrasound and I got a Polyp and They recommended that I go to the Gynecologist. Blood until Wednesday (11/24) of the following week but less. Blood for 10 days. Little by little the bleeding decreased. On Monday, the Dr. did a Biopsy and the Biopsy came out normal. Four months after the 2nd vaccination I felt my breasts swollen, I went to the Gynecologist, but everything went normal, it lasted 2 weeks.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bradycardia, Discomfort, Full blood count, Metabolic function test
Clinical narrative: 10/8/21: 86yr old female arrived to ED via private car with son. She has complaints of feeling weak. Started about 11:30am yesterday. She had been checking her blood pressure and heart rate at home. Heart rate in the 40's. Blood pressure 90's/60's. Denies pain. She had pressure in the back of her neck yesterday and took some Tylenol which helped. She just feels "weak" in the knees.   CBC, BMP done  Patient Stabilized and Transferred  Transferred to Hospital via EMS and then discharged on 10/9/21. Diagnosis: bradycardia, stopped carvedilol  follow up with cardiology in 4 weeks.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Client is 13 years old and accidently received a pediatric dose for Pfizer Covid-19 instead of an adult dose.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Paraesthesia
Clinical narrative: Patient felt tingling in both legs immediately after vaccination. After 30 minutes of observation, patient did not feel tingling in the legs.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Inappropriate schedule of product administration, Intensive care
Clinical narrative: Patient received Pfizer COVID vaccine on 4/19/21 and 5/19/21. On 11/11/21, patient tested positive for COVID and patient admitted to our facility on 11/19/21 for acute respiratory failure due to COVID-19 pneumonia. She was placed in CCU from 11/19/21 to 11/25/21, and she's currently in med/surg unit from 11/25/21 until today (11/29/21).
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient received Pfizer COVID vaccine on 4/19/21 and 5/19/21. On 11/11/21, patient tested positive for COVID and patient admitted to our facility on 11/19/21 for acute respiratory failure due to COVID-19 pneumonia. She was placed in CCU from 11/19/21 to 11/25/21, and she's currently in med/surg unit from 11/25/21 until today (11/29/21).
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Dizziness, Loss of personal independence in daily activities, Nausea
Clinical narrative: I got the chills on that same day, I had chest pain and body aches. I took the quick dissolve Tylenol. I had nausea and dizziness.  I couldn't go to church on Sunday and my body was in pain for that weekend. and all week.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: I got the chills on that same day, I had chest pain and body aches. I took the quick dissolve Tylenol. I had nausea and dizziness.  I couldn't go to church on Sunday and my body was in pain for that weekend. and all week.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: fully vaccinated with pfizer on 2/5/21 and 2/26/21 and admitted to hospital on 11/28/21 with covid
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Vaccine positive rechallenge
Clinical narrative: Developed palpitations approximately one week after both doses.  The palpitations were new to the patient as she has no history of palpitations.  Episodes came and went for a week.  No dizziness or shortness of breath or chest pain.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE HELD AT IMPROPER TEMPERATURES.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient came in with son for well check. Patient approved by a nurse to get a Pfizer booster. COVID-19 vaccine clinic run in pediatrics department today. Remaining vials put in medication room to use for other pediatric patients. A pediatric 0.3mL diluted with 1.3mL of sodium chloride given to patient instead of an adult dose of the 0.3mL diluted in 1.8mL of sodium chloride.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I had a high fever and it lasted for a couple of days and I had pain all over my body.  A couple of days later I had COVID-19.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: NO SX REPORTED
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory distress syndrome, Acute respiratory failure, Anaemia, Anticoagulant therapy
Clinical narrative: 70yr old female who presents via Ambulance for c/o increased confusion and falls at home. Patient states that she fell Thursday at home and has had cough and sore throat since that time.   Sore Throat  Confusion  (10/8/21) : 1. Acute hypoxic respiratory failure due to pulmonary edema + SARS-CoV-2 pneumonia  o ABG shows compensation.  Wean FiO2.  Keep peep at 12 till FiO2 is stable at 40%.  ABG daily  o CXR is about the same as yesterday  o Wean sedation for RASS goal -1 o Duo nebs q6hr, Pulmicort nebs   1. SARS-CoV-2 Pneumonia o + 10/5/21 o Solumedrol 60mg q8hr o Pepcid, Doxy, Vitamins o S/P Tocilizumab  1. Possible bacterial sepsis - Ceftriaxone (d3) 2. Diastolic heart failure with pulmonary edema 3. Elevated D dimer  4. New onset A fib - Heparin gtt is   5. Shock, cardiogenic vs hypovolemic vs distributive - Levophed to maintain MAP>65.   6. Anemia 7. AKI/CKD, worse - on bicarb gtt and NG tabs.  Stop ascorbic acid IV and bicarb gtt.  Obtain renal ultrasound  8. Diabetes, type 2 - insulin per Endo
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood creatine phosphokinase, Blood culture, Blood gases, Blood lactate dehydrogenase
Clinical narrative: 70yr old female who presents via Ambulance for c/o increased confusion and falls at home. Patient states that she fell Thursday at home and has had cough and sore throat since that time.   Sore Throat  Confusion  (10/8/21) : 1. Acute hypoxic respiratory failure due to pulmonary edema + SARS-CoV-2 pneumonia  o ABG shows compensation.  Wean FiO2.  Keep peep at 12 till FiO2 is stable at 40%.  ABG daily  o CXR is about the same as yesterday  o Wean sedation for RASS goal -1 o Duo nebs q6hr, Pulmicort nebs   1. SARS-CoV-2 Pneumonia o + 10/5/21 o Solumedrol 60mg q8hr o Pepcid, Doxy, Vitamins o S/P Tocilizumab  1. Possible bacterial sepsis - Ceftriaxone (d3) 2. Diastolic heart failure with pulmonary edema 3. Elevated D dimer  4. New onset A fib - Heparin gtt is   5. Shock, cardiogenic vs hypovolemic vs distributive - Levophed to maintain MAP>65.   6. Anemia 7. AKI/CKD, worse - on bicarb gtt and NG tabs.  Stop ascorbic acid IV and bicarb gtt.  Obtain renal ultrasound  8. Diabetes, type 2 - insulin per Endo
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactic acid, Brain natriuretic peptide, C-reactive protein, COVID-19, COVID-19 pneumonia
Clinical narrative: 70yr old female who presents via Ambulance for c/o increased confusion and falls at home. Patient states that she fell Thursday at home and has had cough and sore throat since that time.   Sore Throat  Confusion  (10/8/21) : 1. Acute hypoxic respiratory failure due to pulmonary edema + SARS-CoV-2 pneumonia  o ABG shows compensation.  Wean FiO2.  Keep peep at 12 till FiO2 is stable at 40%.  ABG daily  o CXR is about the same as yesterday  o Wean sedation for RASS goal -1 o Duo nebs q6hr, Pulmicort nebs   1. SARS-CoV-2 Pneumonia o + 10/5/21 o Solumedrol 60mg q8hr o Pepcid, Doxy, Vitamins o S/P Tocilizumab  1. Possible bacterial sepsis - Ceftriaxone (d3) 2. Diastolic heart failure with pulmonary edema 3. Elevated D dimer  4. New onset A fib - Heparin gtt is   5. Shock, cardiogenic vs hypovolemic vs distributive - Levophed to maintain MAP>65.   6. Anemia 7. AKI/CKD, worse - on bicarb gtt and NG tabs.  Stop ascorbic acid IV and bicarb gtt.  Obtain renal ultrasound  8. Diabetes, type 2 - insulin per Endo
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiogenic shock, Chest X-ray, Chronic kidney disease, Computerised tomogram head, Confusional state
Clinical narrative: 70yr old female who presents via Ambulance for c/o increased confusion and falls at home. Patient states that she fell Thursday at home and has had cough and sore throat since that time.   Sore Throat  Confusion  (10/8/21) : 1. Acute hypoxic respiratory failure due to pulmonary edema + SARS-CoV-2 pneumonia  o ABG shows compensation.  Wean FiO2.  Keep peep at 12 till FiO2 is stable at 40%.  ABG daily  o CXR is about the same as yesterday  o Wean sedation for RASS goal -1 o Duo nebs q6hr, Pulmicort nebs   1. SARS-CoV-2 Pneumonia o + 10/5/21 o Solumedrol 60mg q8hr o Pepcid, Doxy, Vitamins o S/P Tocilizumab  1. Possible bacterial sepsis - Ceftriaxone (d3) 2. Diastolic heart failure with pulmonary edema 3. Elevated D dimer  4. New onset A fib - Heparin gtt is   5. Shock, cardiogenic vs hypovolemic vs distributive - Levophed to maintain MAP>65.   6. Anemia 7. AKI/CKD, worse - on bicarb gtt and NG tabs.  Stop ascorbic acid IV and bicarb gtt.  Obtain renal ultrasound  8. Diabetes, type 2 - insulin per Endo
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Culture urine, Cystitis, Differential white blood cell count, Distributive shock
Clinical narrative: 70yr old female who presents via Ambulance for c/o increased confusion and falls at home. Patient states that she fell Thursday at home and has had cough and sore throat since that time.   Sore Throat  Confusion  (10/8/21) : 1. Acute hypoxic respiratory failure due to pulmonary edema + SARS-CoV-2 pneumonia  o ABG shows compensation.  Wean FiO2.  Keep peep at 12 till FiO2 is stable at 40%.  ABG daily  o CXR is about the same as yesterday  o Wean sedation for RASS goal -1 o Duo nebs q6hr, Pulmicort nebs   1. SARS-CoV-2 Pneumonia o + 10/5/21 o Solumedrol 60mg q8hr o Pepcid, Doxy, Vitamins o S/P Tocilizumab  1. Possible bacterial sepsis - Ceftriaxone (d3) 2. Diastolic heart failure with pulmonary edema 3. Elevated D dimer  4. New onset A fib - Heparin gtt is   5. Shock, cardiogenic vs hypovolemic vs distributive - Levophed to maintain MAP>65.   6. Anemia 7. AKI/CKD, worse - on bicarb gtt and NG tabs.  Stop ascorbic acid IV and bicarb gtt.  Obtain renal ultrasound  8. Diabetes, type 2 - insulin per Endo
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Fall, Fibrin D dimer increased, Fraction of inspired oxygen, Full blood count
Clinical narrative: 70yr old female who presents via Ambulance for c/o increased confusion and falls at home. Patient states that she fell Thursday at home and has had cough and sore throat since that time.   Sore Throat  Confusion  (10/8/21) : 1. Acute hypoxic respiratory failure due to pulmonary edema + SARS-CoV-2 pneumonia  o ABG shows compensation.  Wean FiO2.  Keep peep at 12 till FiO2 is stable at 40%.  ABG daily  o CXR is about the same as yesterday  o Wean sedation for RASS goal -1 o Duo nebs q6hr, Pulmicort nebs   1. SARS-CoV-2 Pneumonia o + 10/5/21 o Solumedrol 60mg q8hr o Pepcid, Doxy, Vitamins o S/P Tocilizumab  1. Possible bacterial sepsis - Ceftriaxone (d3) 2. Diastolic heart failure with pulmonary edema 3. Elevated D dimer  4. New onset A fib - Heparin gtt is   5. Shock, cardiogenic vs hypovolemic vs distributive - Levophed to maintain MAP>65.   6. Anemia 7. AKI/CKD, worse - on bicarb gtt and NG tabs.  Stop ascorbic acid IV and bicarb gtt.  Obtain renal ultrasound  8. Diabetes, type 2 - insulin per Endo
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Haematuria, Hyperglycaemia, Hypovolaemic shock, Hypoxia, Influenza A virus test
Clinical narrative: 70yr old female who presents via Ambulance for c/o increased confusion and falls at home. Patient states that she fell Thursday at home and has had cough and sore throat since that time.   Sore Throat  Confusion  (10/8/21) : 1. Acute hypoxic respiratory failure due to pulmonary edema + SARS-CoV-2 pneumonia  o ABG shows compensation.  Wean FiO2.  Keep peep at 12 till FiO2 is stable at 40%.  ABG daily  o CXR is about the same as yesterday  o Wean sedation for RASS goal -1 o Duo nebs q6hr, Pulmicort nebs   1. SARS-CoV-2 Pneumonia o + 10/5/21 o Solumedrol 60mg q8hr o Pepcid, Doxy, Vitamins o S/P Tocilizumab  1. Possible bacterial sepsis - Ceftriaxone (d3) 2. Diastolic heart failure with pulmonary edema 3. Elevated D dimer  4. New onset A fib - Heparin gtt is   5. Shock, cardiogenic vs hypovolemic vs distributive - Levophed to maintain MAP>65.   6. Anemia 7. AKI/CKD, worse - on bicarb gtt and NG tabs.  Stop ascorbic acid IV and bicarb gtt.  Obtain renal ultrasound  8. Diabetes, type 2 - insulin per Endo
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Left ventricular failure, Mean arterial pressure, Metabolic function test, Oropharyngeal pain
Clinical narrative: 70yr old female who presents via Ambulance for c/o increased confusion and falls at home. Patient states that she fell Thursday at home and has had cough and sore throat since that time.   Sore Throat  Confusion  (10/8/21) : 1. Acute hypoxic respiratory failure due to pulmonary edema + SARS-CoV-2 pneumonia  o ABG shows compensation.  Wean FiO2.  Keep peep at 12 till FiO2 is stable at 40%.  ABG daily  o CXR is about the same as yesterday  o Wean sedation for RASS goal -1 o Duo nebs q6hr, Pulmicort nebs   1. SARS-CoV-2 Pneumonia o + 10/5/21 o Solumedrol 60mg q8hr o Pepcid, Doxy, Vitamins o S/P Tocilizumab  1. Possible bacterial sepsis - Ceftriaxone (d3) 2. Diastolic heart failure with pulmonary edema 3. Elevated D dimer  4. New onset A fib - Heparin gtt is   5. Shock, cardiogenic vs hypovolemic vs distributive - Levophed to maintain MAP>65.   6. Anemia 7. AKI/CKD, worse - on bicarb gtt and NG tabs.  Stop ascorbic acid IV and bicarb gtt.  Obtain renal ultrasound  8. Diabetes, type 2 - insulin per Endo
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Positive end-expiratory pressure, Procalcitonin, Pulmonary oedema, Red blood cell sedimentation rate, Respiratory syncytial virus test
Clinical narrative: 70yr old female who presents via Ambulance for c/o increased confusion and falls at home. Patient states that she fell Thursday at home and has had cough and sore throat since that time.   Sore Throat  Confusion  (10/8/21) : 1. Acute hypoxic respiratory failure due to pulmonary edema + SARS-CoV-2 pneumonia  o ABG shows compensation.  Wean FiO2.  Keep peep at 12 till FiO2 is stable at 40%.  ABG daily  o CXR is about the same as yesterday  o Wean sedation for RASS goal -1 o Duo nebs q6hr, Pulmicort nebs   1. SARS-CoV-2 Pneumonia o + 10/5/21 o Solumedrol 60mg q8hr o Pepcid, Doxy, Vitamins o S/P Tocilizumab  1. Possible bacterial sepsis - Ceftriaxone (d3) 2. Diastolic heart failure with pulmonary edema 3. Elevated D dimer  4. New onset A fib - Heparin gtt is   5. Shock, cardiogenic vs hypovolemic vs distributive - Levophed to maintain MAP>65.   6. Anemia 7. AKI/CKD, worse - on bicarb gtt and NG tabs.  Stop ascorbic acid IV and bicarb gtt.  Obtain renal ultrasound  8. Diabetes, type 2 - insulin per Endo
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Serum ferritin, Streptococcus test, Troponin I, Troponin increased
Clinical narrative: 70yr old female who presents via Ambulance for c/o increased confusion and falls at home. Patient states that she fell Thursday at home and has had cough and sore throat since that time.   Sore Throat  Confusion  (10/8/21) : 1. Acute hypoxic respiratory failure due to pulmonary edema + SARS-CoV-2 pneumonia  o ABG shows compensation.  Wean FiO2.  Keep peep at 12 till FiO2 is stable at 40%.  ABG daily  o CXR is about the same as yesterday  o Wean sedation for RASS goal -1 o Duo nebs q6hr, Pulmicort nebs   1. SARS-CoV-2 Pneumonia o + 10/5/21 o Solumedrol 60mg q8hr o Pepcid, Doxy, Vitamins o S/P Tocilizumab  1. Possible bacterial sepsis - Ceftriaxone (d3) 2. Diastolic heart failure with pulmonary edema 3. Elevated D dimer  4. New onset A fib - Heparin gtt is   5. Shock, cardiogenic vs hypovolemic vs distributive - Levophed to maintain MAP>65.   6. Anemia 7. AKI/CKD, worse - on bicarb gtt and NG tabs.  Stop ascorbic acid IV and bicarb gtt.  Obtain renal ultrasound  8. Diabetes, type 2 - insulin per Endo
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Type 2 diabetes mellitus, Urine analysis
Clinical narrative: 70yr old female who presents via Ambulance for c/o increased confusion and falls at home. Patient states that she fell Thursday at home and has had cough and sore throat since that time.   Sore Throat  Confusion  (10/8/21) : 1. Acute hypoxic respiratory failure due to pulmonary edema + SARS-CoV-2 pneumonia  o ABG shows compensation.  Wean FiO2.  Keep peep at 12 till FiO2 is stable at 40%.  ABG daily  o CXR is about the same as yesterday  o Wean sedation for RASS goal -1 o Duo nebs q6hr, Pulmicort nebs   1. SARS-CoV-2 Pneumonia o + 10/5/21 o Solumedrol 60mg q8hr o Pepcid, Doxy, Vitamins o S/P Tocilizumab  1. Possible bacterial sepsis - Ceftriaxone (d3) 2. Diastolic heart failure with pulmonary edema 3. Elevated D dimer  4. New onset A fib - Heparin gtt is   5. Shock, cardiogenic vs hypovolemic vs distributive - Levophed to maintain MAP>65.   6. Anemia 7. AKI/CKD, worse - on bicarb gtt and NG tabs.  Stop ascorbic acid IV and bicarb gtt.  Obtain renal ultrasound  8. Diabetes, type 2 - insulin per Endo
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Periorbital swelling
Clinical narrative: patient developed puffy eye next morning
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient fully vaccinated for Covid-19 and deceased.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Catheterisation cardiac, Chest pain, Cold sweat, Myocardial infarction
Clinical narrative: chest pain, cold sweats - hospitalization for MI
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea, Fatigue, Ocular hyperaemia, Respiratory tract congestion
Clinical narrative: Cough, congestion, fatigue, Shortness of breath and eye redness.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Intensive care, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID case. Fully vaccinated, COVID+ on 11/27/21. Admitted to ICU, but admitted for reasons other than COVID. COVID positive was incidental, and patient asymptomatic.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Induration, Pain, Pruritus
Clinical narrative: gigantic wheel, hardness, itching, pain, extreme headache
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Gait inability, Pyrexia
Clinical narrative: High fever and unable to walk.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactate dehydrogenase decreased, Chemotherapy, Differential white blood cell count, Disorientation, Dizziness
Clinical narrative: Pt developed chicken pox and was admitted to hospital after vaccination d/t syncope, dizziness, and disorientation. Pt also received transfusion and chemo d/t decreased RBC, Hgb, and LDH.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Haemoglobin decreased, Red blood cell count decreased, Syncope, Transfusion
Clinical narrative: Pt developed chicken pox and was admitted to hospital after vaccination d/t syncope, dizziness, and disorientation. Pt also received transfusion and chemo d/t decreased RBC, Hgb, and LDH.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Varicella
Clinical narrative: Pt developed chicken pox and was admitted to hospital after vaccination d/t syncope, dizziness, and disorientation. Pt also received transfusion and chemo d/t decreased RBC, Hgb, and LDH.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Aspartate aminotransferase increased, C-reactive protein normal, COVID-19, COVID-19 pneumonia
Clinical narrative: Case was vaccinated x3 for Covid and was hospitalized for Covid.  * Acute hypoxemic respiratory failure due to COVID-19  Assessment & Plan Presented initially 10/25 with intractable nausea and vomiting and poor appetite in the setting of recent COVID 19 diagnosis. Developed symptoms and tested positive 10/20. URI symptoms and cough improving as are fevers and chills. Did not ever feel SOB. O2 86% on RA on arrival. On exam, rales throughout with sparse wheezing. CXR with COVID PNA.  - Given hypoxic and duration of symptoms <10 days, will initiate therapy with dexamethasone (day # 5 of 10) and remdesivir (completed five days on 10/19). Note mild AST bump to 44 on admission (likely 2/2 to COVID infection). Still well below the 10x ULN limit for remdesivir but will monitor.  - Currently stable on 2L via NC and will monitor, weaning as tolerated. CRP of 2.52 - DNR/DNI but is amenable to NIPPV, HFNC, and ICU transfer for pressors if needed.  - Encouraged self-proning, IS, ambulation.  - did run IVF 12/27-12/28 as pt had had no appreciable oral intake, so will try a bit of diuresis 10/30 - goes home on 2 lpm, so far stable, and hopefully getting through the time frame when we would expect worsening respiratory failure, as she had onset of symptoms 10/19.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chills, Cough, Decreased appetite, Hypoxia
Clinical narrative: Case was vaccinated x3 for Covid and was hospitalized for Covid.  * Acute hypoxemic respiratory failure due to COVID-19  Assessment & Plan Presented initially 10/25 with intractable nausea and vomiting and poor appetite in the setting of recent COVID 19 diagnosis. Developed symptoms and tested positive 10/20. URI symptoms and cough improving as are fevers and chills. Did not ever feel SOB. O2 86% on RA on arrival. On exam, rales throughout with sparse wheezing. CXR with COVID PNA.  - Given hypoxic and duration of symptoms <10 days, will initiate therapy with dexamethasone (day # 5 of 10) and remdesivir (completed five days on 10/19). Note mild AST bump to 44 on admission (likely 2/2 to COVID infection). Still well below the 10x ULN limit for remdesivir but will monitor.  - Currently stable on 2L via NC and will monitor, weaning as tolerated. CRP of 2.52 - DNR/DNI but is amenable to NIPPV, HFNC, and ICU transfer for pressors if needed.  - Encouraged self-proning, IS, ambulation.  - did run IVF 12/27-12/28 as pt had had no appreciable oral intake, so will try a bit of diuresis 10/30 - goes home on 2 lpm, so far stable, and hopefully getting through the time frame when we would expect worsening respiratory failure, as she had onset of symptoms 10/19.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Polyuria, Pyrexia, Rales, Respiratory symptom
Clinical narrative: Case was vaccinated x3 for Covid and was hospitalized for Covid.  * Acute hypoxemic respiratory failure due to COVID-19  Assessment & Plan Presented initially 10/25 with intractable nausea and vomiting and poor appetite in the setting of recent COVID 19 diagnosis. Developed symptoms and tested positive 10/20. URI symptoms and cough improving as are fevers and chills. Did not ever feel SOB. O2 86% on RA on arrival. On exam, rales throughout with sparse wheezing. CXR with COVID PNA.  - Given hypoxic and duration of symptoms <10 days, will initiate therapy with dexamethasone (day # 5 of 10) and remdesivir (completed five days on 10/19). Note mild AST bump to 44 on admission (likely 2/2 to COVID infection). Still well below the 10x ULN limit for remdesivir but will monitor.  - Currently stable on 2L via NC and will monitor, weaning as tolerated. CRP of 2.52 - DNR/DNI but is amenable to NIPPV, HFNC, and ICU transfer for pressors if needed.  - Encouraged self-proning, IS, ambulation.  - did run IVF 12/27-12/28 as pt had had no appreciable oral intake, so will try a bit of diuresis 10/30 - goes home on 2 lpm, so far stable, and hopefully getting through the time frame when we would expect worsening respiratory failure, as she had onset of symptoms 10/19.