chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Blood culture positive, Blood gases, Blood glucose increased, Blood lactic acid increased, Blood potassium normal
Clinical narrative: 76/F pt with obesity (current BMI 33), DM, diabetic CKD (baseline creatinine 1.01-1.07), HTN, HLD, asthma, fully vaccinated for COVID including booster, was in USOH until diagnosed with COVID on 12/21. She was having dysuria for 2 days prior, had a TAV as she started having fever and vomiting x 1. On AM of admit she woke up with shaking chills, and dyspnea -> called EMS and came to ED where she was noted to be hypoxic to 90% and hence was placed on 2 L of O2. She was given LR due to UTI + COVID. ROS on admit positive for back pain, and nausea. She lives with her family at home, independent for ADL's, daughter and grand daughter both had tested + for covid (12/20 and 12/17 respectively), her husband is negative. Vitals on arrival T-101.4, 84, 23, 96-99 % on 2 L, BP 115/56. Labs notable for cr of 1.28 (bl 1.0-1.07, GFR in CKD 3a range), elevated lactate at 2.0 (improved to 1.5 with LR total of 500 cc), CRP of 10.3, Covid positive, WBC normal on admit but with bandemia, d-dimer 1.71, UA was positive and CXR negative for focal infiltrates or congestion. She met criteria for severe sepsis on admit.        UTI with pyelonephritis Keflex given in ED, changed to Ceftriaxone on admit.  2/2 blood cx's growing E Coli. Urine cx also  with E.Coli (sensitive to cefazolin, no prior positive urine cx's in the system) - Continue Ctx per d/w ID through today, will change to Cipro at discharge to complete 14 day course.      Covid positive status. Brief hypoxia to 90% on RA on arrival. Brief dry cough per history.  Was started on dexamethasone (received total of 2 doses 12/25 and 12/26). Had brief hypoxia of 90% in ED (while febrile), since then recovered. Currently on RA saturating 98%. Also has negative CXR. - Stopped steroids per d/w ID, given she has active bacteremia and underlying DM.  - Not given Remdesivir d/t elevated creatinine. Also hypoxia was brief.  Enhanced isolation to continue for total of 10 days through 1/1/22, considered mild infection. D/W Dr./ID.  - CRP up from 10.3->13.8 but could be from bacterial infection.  - LFT's are normal. D-dimer 1.71->1.55.   Elevated troponin No EKG changes.  Likely type 2 MI in the setting of severe sepsis.  PTA ASA/statin continued. Telemetry monitoring for now Troponin peaked at 0.40 (0.08-> 0.40-> 0.21). Pt had no exertional symptoms prior to getting sick, hence no out pt ischemia w/u recommended per Dr./Cardiology.    Mild persistent asthma On Wixela and prn Albuterol.   DM2 with CKD stage 3A. Glipizide and Metformin on hold NPH (7 units BID new) with SSI started on admit.  Current FS values in 200-300's, from steroid use in the setting of DM.  Last A1C was 7.2 in 10/2021 (prior was 10.3 in 01/2021).  - Increased NPH to 10 U BID AC for elevated blood sugars while here. - Resume home regimen on discharge.   HTN/HLD On PTA Amlodipine and statin. ACEi held on admission d/t rise in creatinine.  Reason for Hospital Admission (Admitting Diagnosis):  SOB and UTI
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium decreased, Blood triglycerides normal, Blood urea increased, C-reactive protein increased, COVID-19
Clinical narrative: 76/F pt with obesity (current BMI 33), DM, diabetic CKD (baseline creatinine 1.01-1.07), HTN, HLD, asthma, fully vaccinated for COVID including booster, was in USOH until diagnosed with COVID on 12/21. She was having dysuria for 2 days prior, had a TAV as she started having fever and vomiting x 1. On AM of admit she woke up with shaking chills, and dyspnea -> called EMS and came to ED where she was noted to be hypoxic to 90% and hence was placed on 2 L of O2. She was given LR due to UTI + COVID. ROS on admit positive for back pain, and nausea. She lives with her family at home, independent for ADL's, daughter and grand daughter both had tested + for covid (12/20 and 12/17 respectively), her husband is negative. Vitals on arrival T-101.4, 84, 23, 96-99 % on 2 L, BP 115/56. Labs notable for cr of 1.28 (bl 1.0-1.07, GFR in CKD 3a range), elevated lactate at 2.0 (improved to 1.5 with LR total of 500 cc), CRP of 10.3, Covid positive, WBC normal on admit but with bandemia, d-dimer 1.71, UA was positive and CXR negative for focal infiltrates or congestion. She met criteria for severe sepsis on admit.        UTI with pyelonephritis Keflex given in ED, changed to Ceftriaxone on admit.  2/2 blood cx's growing E Coli. Urine cx also  with E.Coli (sensitive to cefazolin, no prior positive urine cx's in the system) - Continue Ctx per d/w ID through today, will change to Cipro at discharge to complete 14 day course.      Covid positive status. Brief hypoxia to 90% on RA on arrival. Brief dry cough per history.  Was started on dexamethasone (received total of 2 doses 12/25 and 12/26). Had brief hypoxia of 90% in ED (while febrile), since then recovered. Currently on RA saturating 98%. Also has negative CXR. - Stopped steroids per d/w ID, given she has active bacteremia and underlying DM.  - Not given Remdesivir d/t elevated creatinine. Also hypoxia was brief.  Enhanced isolation to continue for total of 10 days through 1/1/22, considered mild infection. D/W Dr./ID.  - CRP up from 10.3->13.8 but could be from bacterial infection.  - LFT's are normal. D-dimer 1.71->1.55.   Elevated troponin No EKG changes.  Likely type 2 MI in the setting of severe sepsis.  PTA ASA/statin continued. Telemetry monitoring for now Troponin peaked at 0.40 (0.08-> 0.40-> 0.21). Pt had no exertional symptoms prior to getting sick, hence no out pt ischemia w/u recommended per Dr./Cardiology.    Mild persistent asthma On Wixela and prn Albuterol.   DM2 with CKD stage 3A. Glipizide and Metformin on hold NPH (7 units BID new) with SSI started on admit.  Current FS values in 200-300's, from steroid use in the setting of DM.  Last A1C was 7.2 in 10/2021 (prior was 10.3 in 01/2021).  - Increased NPH to 10 U BID AC for elevated blood sugars while here. - Resume home regimen on discharge.   HTN/HLD On PTA Amlodipine and statin. ACEi held on admission d/t rise in creatinine.  Reason for Hospital Admission (Admitting Diagnosis):  SOB and UTI
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Carbon dioxide normal, Cardiac telemetry, Chest X-ray normal, Chills, Coagulation test
Clinical narrative: 76/F pt with obesity (current BMI 33), DM, diabetic CKD (baseline creatinine 1.01-1.07), HTN, HLD, asthma, fully vaccinated for COVID including booster, was in USOH until diagnosed with COVID on 12/21. She was having dysuria for 2 days prior, had a TAV as she started having fever and vomiting x 1. On AM of admit she woke up with shaking chills, and dyspnea -> called EMS and came to ED where she was noted to be hypoxic to 90% and hence was placed on 2 L of O2. She was given LR due to UTI + COVID. ROS on admit positive for back pain, and nausea. She lives with her family at home, independent for ADL's, daughter and grand daughter both had tested + for covid (12/20 and 12/17 respectively), her husband is negative. Vitals on arrival T-101.4, 84, 23, 96-99 % on 2 L, BP 115/56. Labs notable for cr of 1.28 (bl 1.0-1.07, GFR in CKD 3a range), elevated lactate at 2.0 (improved to 1.5 with LR total of 500 cc), CRP of 10.3, Covid positive, WBC normal on admit but with bandemia, d-dimer 1.71, UA was positive and CXR negative for focal infiltrates or congestion. She met criteria for severe sepsis on admit.        UTI with pyelonephritis Keflex given in ED, changed to Ceftriaxone on admit.  2/2 blood cx's growing E Coli. Urine cx also  with E.Coli (sensitive to cefazolin, no prior positive urine cx's in the system) - Continue Ctx per d/w ID through today, will change to Cipro at discharge to complete 14 day course.      Covid positive status. Brief hypoxia to 90% on RA on arrival. Brief dry cough per history.  Was started on dexamethasone (received total of 2 doses 12/25 and 12/26). Had brief hypoxia of 90% in ED (while febrile), since then recovered. Currently on RA saturating 98%. Also has negative CXR. - Stopped steroids per d/w ID, given she has active bacteremia and underlying DM.  - Not given Remdesivir d/t elevated creatinine. Also hypoxia was brief.  Enhanced isolation to continue for total of 10 days through 1/1/22, considered mild infection. D/W Dr./ID.  - CRP up from 10.3->13.8 but could be from bacterial infection.  - LFT's are normal. D-dimer 1.71->1.55.   Elevated troponin No EKG changes.  Likely type 2 MI in the setting of severe sepsis.  PTA ASA/statin continued. Telemetry monitoring for now Troponin peaked at 0.40 (0.08-> 0.40-> 0.21). Pt had no exertional symptoms prior to getting sick, hence no out pt ischemia w/u recommended per Dr./Cardiology.    Mild persistent asthma On Wixela and prn Albuterol.   DM2 with CKD stage 3A. Glipizide and Metformin on hold NPH (7 units BID new) with SSI started on admit.  Current FS values in 200-300's, from steroid use in the setting of DM.  Last A1C was 7.2 in 10/2021 (prior was 10.3 in 01/2021).  - Increased NPH to 10 U BID AC for elevated blood sugars while here. - Resume home regimen on discharge.   HTN/HLD On PTA Amlodipine and statin. ACEi held on admission d/t rise in creatinine.  Reason for Hospital Admission (Admitting Diagnosis):  SOB and UTI
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Culture urine positive, Dyspnoea, Dysuria, Electrocardiogram normal
Clinical narrative: 76/F pt with obesity (current BMI 33), DM, diabetic CKD (baseline creatinine 1.01-1.07), HTN, HLD, asthma, fully vaccinated for COVID including booster, was in USOH until diagnosed with COVID on 12/21. She was having dysuria for 2 days prior, had a TAV as she started having fever and vomiting x 1. On AM of admit she woke up with shaking chills, and dyspnea -> called EMS and came to ED where she was noted to be hypoxic to 90% and hence was placed on 2 L of O2. She was given LR due to UTI + COVID. ROS on admit positive for back pain, and nausea. She lives with her family at home, independent for ADL's, daughter and grand daughter both had tested + for covid (12/20 and 12/17 respectively), her husband is negative. Vitals on arrival T-101.4, 84, 23, 96-99 % on 2 L, BP 115/56. Labs notable for cr of 1.28 (bl 1.0-1.07, GFR in CKD 3a range), elevated lactate at 2.0 (improved to 1.5 with LR total of 500 cc), CRP of 10.3, Covid positive, WBC normal on admit but with bandemia, d-dimer 1.71, UA was positive and CXR negative for focal infiltrates or congestion. She met criteria for severe sepsis on admit.        UTI with pyelonephritis Keflex given in ED, changed to Ceftriaxone on admit.  2/2 blood cx's growing E Coli. Urine cx also  with E.Coli (sensitive to cefazolin, no prior positive urine cx's in the system) - Continue Ctx per d/w ID through today, will change to Cipro at discharge to complete 14 day course.      Covid positive status. Brief hypoxia to 90% on RA on arrival. Brief dry cough per history.  Was started on dexamethasone (received total of 2 doses 12/25 and 12/26). Had brief hypoxia of 90% in ED (while febrile), since then recovered. Currently on RA saturating 98%. Also has negative CXR. - Stopped steroids per d/w ID, given she has active bacteremia and underlying DM.  - Not given Remdesivir d/t elevated creatinine. Also hypoxia was brief.  Enhanced isolation to continue for total of 10 days through 1/1/22, considered mild infection. D/W Dr./ID.  - CRP up from 10.3->13.8 but could be from bacterial infection.  - LFT's are normal. D-dimer 1.71->1.55.   Elevated troponin No EKG changes.  Likely type 2 MI in the setting of severe sepsis.  PTA ASA/statin continued. Telemetry monitoring for now Troponin peaked at 0.40 (0.08-> 0.40-> 0.21). Pt had no exertional symptoms prior to getting sick, hence no out pt ischemia w/u recommended per Dr./Cardiology.    Mild persistent asthma On Wixela and prn Albuterol.   DM2 with CKD stage 3A. Glipizide and Metformin on hold NPH (7 units BID new) with SSI started on admit.  Current FS values in 200-300's, from steroid use in the setting of DM.  Last A1C was 7.2 in 10/2021 (prior was 10.3 in 01/2021).  - Increased NPH to 10 U BID AC for elevated blood sugars while here. - Resume home regimen on discharge.   HTN/HLD On PTA Amlodipine and statin. ACEi held on admission d/t rise in creatinine.  Reason for Hospital Admission (Admitting Diagnosis):  SOB and UTI
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Escherichia test positive, Fibrin D dimer, Full blood count, Glomerular filtration rate abnormal, Glucose urine absent
Clinical narrative: 76/F pt with obesity (current BMI 33), DM, diabetic CKD (baseline creatinine 1.01-1.07), HTN, HLD, asthma, fully vaccinated for COVID including booster, was in USOH until diagnosed with COVID on 12/21. She was having dysuria for 2 days prior, had a TAV as she started having fever and vomiting x 1. On AM of admit she woke up with shaking chills, and dyspnea -> called EMS and came to ED where she was noted to be hypoxic to 90% and hence was placed on 2 L of O2. She was given LR due to UTI + COVID. ROS on admit positive for back pain, and nausea. She lives with her family at home, independent for ADL's, daughter and grand daughter both had tested + for covid (12/20 and 12/17 respectively), her husband is negative. Vitals on arrival T-101.4, 84, 23, 96-99 % on 2 L, BP 115/56. Labs notable for cr of 1.28 (bl 1.0-1.07, GFR in CKD 3a range), elevated lactate at 2.0 (improved to 1.5 with LR total of 500 cc), CRP of 10.3, Covid positive, WBC normal on admit but with bandemia, d-dimer 1.71, UA was positive and CXR negative for focal infiltrates or congestion. She met criteria for severe sepsis on admit.        UTI with pyelonephritis Keflex given in ED, changed to Ceftriaxone on admit.  2/2 blood cx's growing E Coli. Urine cx also  with E.Coli (sensitive to cefazolin, no prior positive urine cx's in the system) - Continue Ctx per d/w ID through today, will change to Cipro at discharge to complete 14 day course.      Covid positive status. Brief hypoxia to 90% on RA on arrival. Brief dry cough per history.  Was started on dexamethasone (received total of 2 doses 12/25 and 12/26). Had brief hypoxia of 90% in ED (while febrile), since then recovered. Currently on RA saturating 98%. Also has negative CXR. - Stopped steroids per d/w ID, given she has active bacteremia and underlying DM.  - Not given Remdesivir d/t elevated creatinine. Also hypoxia was brief.  Enhanced isolation to continue for total of 10 days through 1/1/22, considered mild infection. D/W Dr./ID.  - CRP up from 10.3->13.8 but could be from bacterial infection.  - LFT's are normal. D-dimer 1.71->1.55.   Elevated troponin No EKG changes.  Likely type 2 MI in the setting of severe sepsis.  PTA ASA/statin continued. Telemetry monitoring for now Troponin peaked at 0.40 (0.08-> 0.40-> 0.21). Pt had no exertional symptoms prior to getting sick, hence no out pt ischemia w/u recommended per Dr./Cardiology.    Mild persistent asthma On Wixela and prn Albuterol.   DM2 with CKD stage 3A. Glipizide and Metformin on hold NPH (7 units BID new) with SSI started on admit.  Current FS values in 200-300's, from steroid use in the setting of DM.  Last A1C was 7.2 in 10/2021 (prior was 10.3 in 01/2021).  - Increased NPH to 10 U BID AC for elevated blood sugars while here. - Resume home regimen on discharge.   HTN/HLD On PTA Amlodipine and statin. ACEi held on admission d/t rise in creatinine.  Reason for Hospital Admission (Admitting Diagnosis):  SOB and UTI
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoglobin normal, Hypoxia, International normalised ratio, Lipase normal
Clinical narrative: 76/F pt with obesity (current BMI 33), DM, diabetic CKD (baseline creatinine 1.01-1.07), HTN, HLD, asthma, fully vaccinated for COVID including booster, was in USOH until diagnosed with COVID on 12/21. She was having dysuria for 2 days prior, had a TAV as she started having fever and vomiting x 1. On AM of admit she woke up with shaking chills, and dyspnea -> called EMS and came to ED where she was noted to be hypoxic to 90% and hence was placed on 2 L of O2. She was given LR due to UTI + COVID. ROS on admit positive for back pain, and nausea. She lives with her family at home, independent for ADL's, daughter and grand daughter both had tested + for covid (12/20 and 12/17 respectively), her husband is negative. Vitals on arrival T-101.4, 84, 23, 96-99 % on 2 L, BP 115/56. Labs notable for cr of 1.28 (bl 1.0-1.07, GFR in CKD 3a range), elevated lactate at 2.0 (improved to 1.5 with LR total of 500 cc), CRP of 10.3, Covid positive, WBC normal on admit but with bandemia, d-dimer 1.71, UA was positive and CXR negative for focal infiltrates or congestion. She met criteria for severe sepsis on admit.        UTI with pyelonephritis Keflex given in ED, changed to Ceftriaxone on admit.  2/2 blood cx's growing E Coli. Urine cx also  with E.Coli (sensitive to cefazolin, no prior positive urine cx's in the system) - Continue Ctx per d/w ID through today, will change to Cipro at discharge to complete 14 day course.      Covid positive status. Brief hypoxia to 90% on RA on arrival. Brief dry cough per history.  Was started on dexamethasone (received total of 2 doses 12/25 and 12/26). Had brief hypoxia of 90% in ED (while febrile), since then recovered. Currently on RA saturating 98%. Also has negative CXR. - Stopped steroids per d/w ID, given she has active bacteremia and underlying DM.  - Not given Remdesivir d/t elevated creatinine. Also hypoxia was brief.  Enhanced isolation to continue for total of 10 days through 1/1/22, considered mild infection. D/W Dr./ID.  - CRP up from 10.3->13.8 but could be from bacterial infection.  - LFT's are normal. D-dimer 1.71->1.55.   Elevated troponin No EKG changes.  Likely type 2 MI in the setting of severe sepsis.  PTA ASA/statin continued. Telemetry monitoring for now Troponin peaked at 0.40 (0.08-> 0.40-> 0.21). Pt had no exertional symptoms prior to getting sick, hence no out pt ischemia w/u recommended per Dr./Cardiology.    Mild persistent asthma On Wixela and prn Albuterol.   DM2 with CKD stage 3A. Glipizide and Metformin on hold NPH (7 units BID new) with SSI started on admit.  Current FS values in 200-300's, from steroid use in the setting of DM.  Last A1C was 7.2 in 10/2021 (prior was 10.3 in 01/2021).  - Increased NPH to 10 U BID AC for elevated blood sugars while here. - Resume home regimen on discharge.   HTN/HLD On PTA Amlodipine and statin. ACEi held on admission d/t rise in creatinine.  Reason for Hospital Admission (Admitting Diagnosis):  SOB and UTI
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Liver function test abnormal, Low density lipoprotein normal, Malaise, Mean cell volume increased, Nausea
Clinical narrative: 76/F pt with obesity (current BMI 33), DM, diabetic CKD (baseline creatinine 1.01-1.07), HTN, HLD, asthma, fully vaccinated for COVID including booster, was in USOH until diagnosed with COVID on 12/21. She was having dysuria for 2 days prior, had a TAV as she started having fever and vomiting x 1. On AM of admit she woke up with shaking chills, and dyspnea -> called EMS and came to ED where she was noted to be hypoxic to 90% and hence was placed on 2 L of O2. She was given LR due to UTI + COVID. ROS on admit positive for back pain, and nausea. She lives with her family at home, independent for ADL's, daughter and grand daughter both had tested + for covid (12/20 and 12/17 respectively), her husband is negative. Vitals on arrival T-101.4, 84, 23, 96-99 % on 2 L, BP 115/56. Labs notable for cr of 1.28 (bl 1.0-1.07, GFR in CKD 3a range), elevated lactate at 2.0 (improved to 1.5 with LR total of 500 cc), CRP of 10.3, Covid positive, WBC normal on admit but with bandemia, d-dimer 1.71, UA was positive and CXR negative for focal infiltrates or congestion. She met criteria for severe sepsis on admit.        UTI with pyelonephritis Keflex given in ED, changed to Ceftriaxone on admit.  2/2 blood cx's growing E Coli. Urine cx also  with E.Coli (sensitive to cefazolin, no prior positive urine cx's in the system) - Continue Ctx per d/w ID through today, will change to Cipro at discharge to complete 14 day course.      Covid positive status. Brief hypoxia to 90% on RA on arrival. Brief dry cough per history.  Was started on dexamethasone (received total of 2 doses 12/25 and 12/26). Had brief hypoxia of 90% in ED (while febrile), since then recovered. Currently on RA saturating 98%. Also has negative CXR. - Stopped steroids per d/w ID, given she has active bacteremia and underlying DM.  - Not given Remdesivir d/t elevated creatinine. Also hypoxia was brief.  Enhanced isolation to continue for total of 10 days through 1/1/22, considered mild infection. D/W Dr./ID.  - CRP up from 10.3->13.8 but could be from bacterial infection.  - LFT's are normal. D-dimer 1.71->1.55.   Elevated troponin No EKG changes.  Likely type 2 MI in the setting of severe sepsis.  PTA ASA/statin continued. Telemetry monitoring for now Troponin peaked at 0.40 (0.08-> 0.40-> 0.21). Pt had no exertional symptoms prior to getting sick, hence no out pt ischemia w/u recommended per Dr./Cardiology.    Mild persistent asthma On Wixela and prn Albuterol.   DM2 with CKD stage 3A. Glipizide and Metformin on hold NPH (7 units BID new) with SSI started on admit.  Current FS values in 200-300's, from steroid use in the setting of DM.  Last A1C was 7.2 in 10/2021 (prior was 10.3 in 01/2021).  - Increased NPH to 10 U BID AC for elevated blood sugars while here. - Resume home regimen on discharge.   HTN/HLD On PTA Amlodipine and statin. ACEi held on admission d/t rise in creatinine.  Reason for Hospital Admission (Admitting Diagnosis):  SOB and UTI
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil percentage, Nitrite urine present, PCO2, PO2, Platelet count decreased
Clinical narrative: 76/F pt with obesity (current BMI 33), DM, diabetic CKD (baseline creatinine 1.01-1.07), HTN, HLD, asthma, fully vaccinated for COVID including booster, was in USOH until diagnosed with COVID on 12/21. She was having dysuria for 2 days prior, had a TAV as she started having fever and vomiting x 1. On AM of admit she woke up with shaking chills, and dyspnea -> called EMS and came to ED where she was noted to be hypoxic to 90% and hence was placed on 2 L of O2. She was given LR due to UTI + COVID. ROS on admit positive for back pain, and nausea. She lives with her family at home, independent for ADL's, daughter and grand daughter both had tested + for covid (12/20 and 12/17 respectively), her husband is negative. Vitals on arrival T-101.4, 84, 23, 96-99 % on 2 L, BP 115/56. Labs notable for cr of 1.28 (bl 1.0-1.07, GFR in CKD 3a range), elevated lactate at 2.0 (improved to 1.5 with LR total of 500 cc), CRP of 10.3, Covid positive, WBC normal on admit but with bandemia, d-dimer 1.71, UA was positive and CXR negative for focal infiltrates or congestion. She met criteria for severe sepsis on admit.        UTI with pyelonephritis Keflex given in ED, changed to Ceftriaxone on admit.  2/2 blood cx's growing E Coli. Urine cx also  with E.Coli (sensitive to cefazolin, no prior positive urine cx's in the system) - Continue Ctx per d/w ID through today, will change to Cipro at discharge to complete 14 day course.      Covid positive status. Brief hypoxia to 90% on RA on arrival. Brief dry cough per history.  Was started on dexamethasone (received total of 2 doses 12/25 and 12/26). Had brief hypoxia of 90% in ED (while febrile), since then recovered. Currently on RA saturating 98%. Also has negative CXR. - Stopped steroids per d/w ID, given she has active bacteremia and underlying DM.  - Not given Remdesivir d/t elevated creatinine. Also hypoxia was brief.  Enhanced isolation to continue for total of 10 days through 1/1/22, considered mild infection. D/W Dr./ID.  - CRP up from 10.3->13.8 but could be from bacterial infection.  - LFT's are normal. D-dimer 1.71->1.55.   Elevated troponin No EKG changes.  Likely type 2 MI in the setting of severe sepsis.  PTA ASA/statin continued. Telemetry monitoring for now Troponin peaked at 0.40 (0.08-> 0.40-> 0.21). Pt had no exertional symptoms prior to getting sick, hence no out pt ischemia w/u recommended per Dr./Cardiology.    Mild persistent asthma On Wixela and prn Albuterol.   DM2 with CKD stage 3A. Glipizide and Metformin on hold NPH (7 units BID new) with SSI started on admit.  Current FS values in 200-300's, from steroid use in the setting of DM.  Last A1C was 7.2 in 10/2021 (prior was 10.3 in 01/2021).  - Increased NPH to 10 U BID AC for elevated blood sugars while here. - Resume home regimen on discharge.   HTN/HLD On PTA Amlodipine and statin. ACEi held on admission d/t rise in creatinine.  Reason for Hospital Admission (Admitting Diagnosis):  SOB and UTI
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Protein urine present, Prothrombin time, Pyelonephritis, Pyrexia, Red blood cells urine positive
Clinical narrative: 76/F pt with obesity (current BMI 33), DM, diabetic CKD (baseline creatinine 1.01-1.07), HTN, HLD, asthma, fully vaccinated for COVID including booster, was in USOH until diagnosed with COVID on 12/21. She was having dysuria for 2 days prior, had a TAV as she started having fever and vomiting x 1. On AM of admit she woke up with shaking chills, and dyspnea -> called EMS and came to ED where she was noted to be hypoxic to 90% and hence was placed on 2 L of O2. She was given LR due to UTI + COVID. ROS on admit positive for back pain, and nausea. She lives with her family at home, independent for ADL's, daughter and grand daughter both had tested + for covid (12/20 and 12/17 respectively), her husband is negative. Vitals on arrival T-101.4, 84, 23, 96-99 % on 2 L, BP 115/56. Labs notable for cr of 1.28 (bl 1.0-1.07, GFR in CKD 3a range), elevated lactate at 2.0 (improved to 1.5 with LR total of 500 cc), CRP of 10.3, Covid positive, WBC normal on admit but with bandemia, d-dimer 1.71, UA was positive and CXR negative for focal infiltrates or congestion. She met criteria for severe sepsis on admit.        UTI with pyelonephritis Keflex given in ED, changed to Ceftriaxone on admit.  2/2 blood cx's growing E Coli. Urine cx also  with E.Coli (sensitive to cefazolin, no prior positive urine cx's in the system) - Continue Ctx per d/w ID through today, will change to Cipro at discharge to complete 14 day course.      Covid positive status. Brief hypoxia to 90% on RA on arrival. Brief dry cough per history.  Was started on dexamethasone (received total of 2 doses 12/25 and 12/26). Had brief hypoxia of 90% in ED (while febrile), since then recovered. Currently on RA saturating 98%. Also has negative CXR. - Stopped steroids per d/w ID, given she has active bacteremia and underlying DM.  - Not given Remdesivir d/t elevated creatinine. Also hypoxia was brief.  Enhanced isolation to continue for total of 10 days through 1/1/22, considered mild infection. D/W Dr./ID.  - CRP up from 10.3->13.8 but could be from bacterial infection.  - LFT's are normal. D-dimer 1.71->1.55.   Elevated troponin No EKG changes.  Likely type 2 MI in the setting of severe sepsis.  PTA ASA/statin continued. Telemetry monitoring for now Troponin peaked at 0.40 (0.08-> 0.40-> 0.21). Pt had no exertional symptoms prior to getting sick, hence no out pt ischemia w/u recommended per Dr./Cardiology.    Mild persistent asthma On Wixela and prn Albuterol.   DM2 with CKD stage 3A. Glipizide and Metformin on hold NPH (7 units BID new) with SSI started on admit.  Current FS values in 200-300's, from steroid use in the setting of DM.  Last A1C was 7.2 in 10/2021 (prior was 10.3 in 01/2021).  - Increased NPH to 10 U BID AC for elevated blood sugars while here. - Resume home regimen on discharge.   HTN/HLD On PTA Amlodipine and statin. ACEi held on admission d/t rise in creatinine.  Reason for Hospital Admission (Admitting Diagnosis):  SOB and UTI
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis, Specific gravity urine normal, Telemedicine, Tremor
Clinical narrative: 76/F pt with obesity (current BMI 33), DM, diabetic CKD (baseline creatinine 1.01-1.07), HTN, HLD, asthma, fully vaccinated for COVID including booster, was in USOH until diagnosed with COVID on 12/21. She was having dysuria for 2 days prior, had a TAV as she started having fever and vomiting x 1. On AM of admit she woke up with shaking chills, and dyspnea -> called EMS and came to ED where she was noted to be hypoxic to 90% and hence was placed on 2 L of O2. She was given LR due to UTI + COVID. ROS on admit positive for back pain, and nausea. She lives with her family at home, independent for ADL's, daughter and grand daughter both had tested + for covid (12/20 and 12/17 respectively), her husband is negative. Vitals on arrival T-101.4, 84, 23, 96-99 % on 2 L, BP 115/56. Labs notable for cr of 1.28 (bl 1.0-1.07, GFR in CKD 3a range), elevated lactate at 2.0 (improved to 1.5 with LR total of 500 cc), CRP of 10.3, Covid positive, WBC normal on admit but with bandemia, d-dimer 1.71, UA was positive and CXR negative for focal infiltrates or congestion. She met criteria for severe sepsis on admit.        UTI with pyelonephritis Keflex given in ED, changed to Ceftriaxone on admit.  2/2 blood cx's growing E Coli. Urine cx also  with E.Coli (sensitive to cefazolin, no prior positive urine cx's in the system) - Continue Ctx per d/w ID through today, will change to Cipro at discharge to complete 14 day course.      Covid positive status. Brief hypoxia to 90% on RA on arrival. Brief dry cough per history.  Was started on dexamethasone (received total of 2 doses 12/25 and 12/26). Had brief hypoxia of 90% in ED (while febrile), since then recovered. Currently on RA saturating 98%. Also has negative CXR. - Stopped steroids per d/w ID, given she has active bacteremia and underlying DM.  - Not given Remdesivir d/t elevated creatinine. Also hypoxia was brief.  Enhanced isolation to continue for total of 10 days through 1/1/22, considered mild infection. D/W Dr./ID.  - CRP up from 10.3->13.8 but could be from bacterial infection.  - LFT's are normal. D-dimer 1.71->1.55.   Elevated troponin No EKG changes.  Likely type 2 MI in the setting of severe sepsis.  PTA ASA/statin continued. Telemetry monitoring for now Troponin peaked at 0.40 (0.08-> 0.40-> 0.21). Pt had no exertional symptoms prior to getting sick, hence no out pt ischemia w/u recommended per Dr./Cardiology.    Mild persistent asthma On Wixela and prn Albuterol.   DM2 with CKD stage 3A. Glipizide and Metformin on hold NPH (7 units BID new) with SSI started on admit.  Current FS values in 200-300's, from steroid use in the setting of DM.  Last A1C was 7.2 in 10/2021 (prior was 10.3 in 01/2021).  - Increased NPH to 10 U BID AC for elevated blood sugars while here. - Resume home regimen on discharge.   HTN/HLD On PTA Amlodipine and statin. ACEi held on admission d/t rise in creatinine.  Reason for Hospital Admission (Admitting Diagnosis):  SOB and UTI
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin increased, Urinary tract infection, Urine analysis abnormal, Urine ketone body absent, Urine leukocyte esterase positive
Clinical narrative: 76/F pt with obesity (current BMI 33), DM, diabetic CKD (baseline creatinine 1.01-1.07), HTN, HLD, asthma, fully vaccinated for COVID including booster, was in USOH until diagnosed with COVID on 12/21. She was having dysuria for 2 days prior, had a TAV as she started having fever and vomiting x 1. On AM of admit she woke up with shaking chills, and dyspnea -> called EMS and came to ED where she was noted to be hypoxic to 90% and hence was placed on 2 L of O2. She was given LR due to UTI + COVID. ROS on admit positive for back pain, and nausea. She lives with her family at home, independent for ADL's, daughter and grand daughter both had tested + for covid (12/20 and 12/17 respectively), her husband is negative. Vitals on arrival T-101.4, 84, 23, 96-99 % on 2 L, BP 115/56. Labs notable for cr of 1.28 (bl 1.0-1.07, GFR in CKD 3a range), elevated lactate at 2.0 (improved to 1.5 with LR total of 500 cc), CRP of 10.3, Covid positive, WBC normal on admit but with bandemia, d-dimer 1.71, UA was positive and CXR negative for focal infiltrates or congestion. She met criteria for severe sepsis on admit.        UTI with pyelonephritis Keflex given in ED, changed to Ceftriaxone on admit.  2/2 blood cx's growing E Coli. Urine cx also  with E.Coli (sensitive to cefazolin, no prior positive urine cx's in the system) - Continue Ctx per d/w ID through today, will change to Cipro at discharge to complete 14 day course.      Covid positive status. Brief hypoxia to 90% on RA on arrival. Brief dry cough per history.  Was started on dexamethasone (received total of 2 doses 12/25 and 12/26). Had brief hypoxia of 90% in ED (while febrile), since then recovered. Currently on RA saturating 98%. Also has negative CXR. - Stopped steroids per d/w ID, given she has active bacteremia and underlying DM.  - Not given Remdesivir d/t elevated creatinine. Also hypoxia was brief.  Enhanced isolation to continue for total of 10 days through 1/1/22, considered mild infection. D/W Dr./ID.  - CRP up from 10.3->13.8 but could be from bacterial infection.  - LFT's are normal. D-dimer 1.71->1.55.   Elevated troponin No EKG changes.  Likely type 2 MI in the setting of severe sepsis.  PTA ASA/statin continued. Telemetry monitoring for now Troponin peaked at 0.40 (0.08-> 0.40-> 0.21). Pt had no exertional symptoms prior to getting sick, hence no out pt ischemia w/u recommended per Dr./Cardiology.    Mild persistent asthma On Wixela and prn Albuterol.   DM2 with CKD stage 3A. Glipizide and Metformin on hold NPH (7 units BID new) with SSI started on admit.  Current FS values in 200-300's, from steroid use in the setting of DM.  Last A1C was 7.2 in 10/2021 (prior was 10.3 in 01/2021).  - Increased NPH to 10 U BID AC for elevated blood sugars while here. - Resume home regimen on discharge.   HTN/HLD On PTA Amlodipine and statin. ACEi held on admission d/t rise in creatinine.  Reason for Hospital Admission (Admitting Diagnosis):  SOB and UTI
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting, White blood cell count decreased, White blood cells urine positive, pH body fluid, pH urine normal
Clinical narrative: 76/F pt with obesity (current BMI 33), DM, diabetic CKD (baseline creatinine 1.01-1.07), HTN, HLD, asthma, fully vaccinated for COVID including booster, was in USOH until diagnosed with COVID on 12/21. She was having dysuria for 2 days prior, had a TAV as she started having fever and vomiting x 1. On AM of admit she woke up with shaking chills, and dyspnea -> called EMS and came to ED where she was noted to be hypoxic to 90% and hence was placed on 2 L of O2. She was given LR due to UTI + COVID. ROS on admit positive for back pain, and nausea. She lives with her family at home, independent for ADL's, daughter and grand daughter both had tested + for covid (12/20 and 12/17 respectively), her husband is negative. Vitals on arrival T-101.4, 84, 23, 96-99 % on 2 L, BP 115/56. Labs notable for cr of 1.28 (bl 1.0-1.07, GFR in CKD 3a range), elevated lactate at 2.0 (improved to 1.5 with LR total of 500 cc), CRP of 10.3, Covid positive, WBC normal on admit but with bandemia, d-dimer 1.71, UA was positive and CXR negative for focal infiltrates or congestion. She met criteria for severe sepsis on admit.        UTI with pyelonephritis Keflex given in ED, changed to Ceftriaxone on admit.  2/2 blood cx's growing E Coli. Urine cx also  with E.Coli (sensitive to cefazolin, no prior positive urine cx's in the system) - Continue Ctx per d/w ID through today, will change to Cipro at discharge to complete 14 day course.      Covid positive status. Brief hypoxia to 90% on RA on arrival. Brief dry cough per history.  Was started on dexamethasone (received total of 2 doses 12/25 and 12/26). Had brief hypoxia of 90% in ED (while febrile), since then recovered. Currently on RA saturating 98%. Also has negative CXR. - Stopped steroids per d/w ID, given she has active bacteremia and underlying DM.  - Not given Remdesivir d/t elevated creatinine. Also hypoxia was brief.  Enhanced isolation to continue for total of 10 days through 1/1/22, considered mild infection. D/W Dr./ID.  - CRP up from 10.3->13.8 but could be from bacterial infection.  - LFT's are normal. D-dimer 1.71->1.55.   Elevated troponin No EKG changes.  Likely type 2 MI in the setting of severe sepsis.  PTA ASA/statin continued. Telemetry monitoring for now Troponin peaked at 0.40 (0.08-> 0.40-> 0.21). Pt had no exertional symptoms prior to getting sick, hence no out pt ischemia w/u recommended per Dr./Cardiology.    Mild persistent asthma On Wixela and prn Albuterol.   DM2 with CKD stage 3A. Glipizide and Metformin on hold NPH (7 units BID new) with SSI started on admit.  Current FS values in 200-300's, from steroid use in the setting of DM.  Last A1C was 7.2 in 10/2021 (prior was 10.3 in 01/2021).  - Increased NPH to 10 U BID AC for elevated blood sugars while here. - Resume home regimen on discharge.   HTN/HLD On PTA Amlodipine and statin. ACEi held on admission d/t rise in creatinine.  Reason for Hospital Admission (Admitting Diagnosis):  SOB and UTI
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was not yet 18 years old. When registered this was not caught. She turned 18 eleven days later. No adverse reactions.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Pain, Pruritus, Urticaria
Clinical narrative: Severe hives all over body (particularly if skin is touched by clothing, scratched and etc.). Affected scalp, eyelids, mouth, inside ears, hands, arms, armpits, torso, groin, thighs, lower legs and feet. Difficult to walk as hives on bottoms of feet are painful. Prescribed Benadryl 25mg 3x daily, Zyrtec 1x daily, and prednisone 20mg 1x daily. Also prescribed Benadryl topical cream. Hives persist, but itch has somewhat subsided with treatment.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient vaccinated for COVID-19 tested positive for COVID-19.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: AT APPROXIMATLY 11:20AM  (ABOUT 5 MINUTES AFTER INJECTION) PATIENT STARTED TO FEEL NAUSEOUS. AN EMPTY GARBAGE WAS BROUGHT NEAR THE PATIENT, ALONG WITH A COLD WET PAPERTOWEL TOO APPY TOTHEIR NECK AND FOREHEAD. CHAIRS WERE ARRANGED NEXT TO EACHOTHER SO THEY COULD LAY DOWN IF THEY NEED TO. EMERGENCY WAS CALLED IMMEDIATELY AND ARRIVED AT ABOUT 11: 30AM. THEY THEN TALKED TO PATIENT AND PARENTS. AT ABOUT 11:40AM THE PARAMEDICS LEFT WITHOUT THE PATIENT AND THE PATIENT WENT HOME SAFELY WITH HIS PARENTS.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle tightness
Clinical narrative: Tight muscles.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Fatigue, Oropharyngeal pain, Pain, SARS-CoV-2 RNA
Clinical narrative: COUGH, ST, FATIGUE, BODY ACHES
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Asymptomatic
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Hypertension
Clinical narrative: The day after I got my second vaccine when I woke up there was a burning sensation in the left side of my chest. It was kind of sore. Later on down the line I developed high blood pressure and I am now on a blood pressure medicine. The ache in the side of my chest is still there and I have been to the hospital a couple of times.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: Vaccine administerd 1 day after the beyond use date. Pfizer corporation and Meijer clinical coordinator have been contacted in regards to stability of vaccine and revaccinate will be determined in the future.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Culture urine, Fatigue, Pain, SARS-CoV-2 test negative
Clinical narrative: Extreme Fatigue, lower left back and side pain
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis normal
Clinical narrative: Extreme Fatigue, lower left back and side pain
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Headache, Hypertension
Clinical narrative: Patient had a distant history of hypertension 5 years ago but his cardiologist had cleared him then. He has not had high blood pressure until about a week ago. He came in since the headache has become quite unbearable and his blood pressure is worrisome.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Colon cancer, Computerised tomogram abnormal, Dysmenorrhoea, Gene mutation
Clinical narrative: I experienced abdominal pain and cramps a week after getting my shot. The pain intensified over the course of the year, my menstruation cycle became 2 weeks shorter and extremely painful whereas I?ve never had any period pain in the past.  In January 2022 I was diagnosed with colon cancer with two tumors, one that is 3cm and one 5cm, in the exact spots where the pain was. The tumors became so large it caused complete bowel obstruction and I had half my colon removed through surgery to save my life. I have no cancer in my family and the pathology showed that it?s the gene mutation in the MRNA-DNA category. Dating the size of the tumor it would have started to grow at around May of last year when I first got the shot.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Gene mutation identification test positive, Intestinal obstruction, Muscle spasms, Polymenorrhoea, Tumour excision
Clinical narrative: I experienced abdominal pain and cramps a week after getting my shot. The pain intensified over the course of the year, my menstruation cycle became 2 weeks shorter and extremely painful whereas I?ve never had any period pain in the past.  In January 2022 I was diagnosed with colon cancer with two tumors, one that is 3cm and one 5cm, in the exact spots where the pain was. The tumors became so large it caused complete bowel obstruction and I had half my colon removed through surgery to save my life. I have no cancer in my family and the pathology showed that it?s the gene mutation in the MRNA-DNA category. Dating the size of the tumor it would have started to grow at around May of last year when I first got the shot.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Swollen tongue
Clinical narrative: second jandj vaccine on 12-17, that evening face and chest were red.  On 12-18 in the afternoon tongue started swelling, no problem swallowing or breathing. Says does have difficulty swallowing when mask in place. No chest pain or dysnpna , no nausea or vomiting or diarrhea. No rash but feels her tongue is swollen. Allergy to latex but denies exposure.  No history of anaphylaxis or adrenaline use. Patient took 25mg benadryl 1 hour prior to arrival in ED.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given a dose of Johnson & Johnson  Covid -19 vaccine at  a vaccine clinic by RN, on 12/04/2021.  She was 16 years of age at time of vaccine.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza virus test, Maternal exposure during pregnancy, Multigravida, Multiparous, Respiratory syncytial virus test
Clinical narrative: Vaginal bleeding she is pregnant 18 weeks 6 days. Pt has been pregant 14 times 9 para, 9 term 4 ab 8 living with 9 live births
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Vaginal haemorrhage
Clinical narrative: Vaginal bleeding she is pregnant 18 weeks 6 days. Pt has been pregant 14 times 9 para, 9 term 4 ab 8 living with 9 live births
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Immediate post-injection reaction, Pallor
Clinical narrative: The recipient felt dizzy, had a headache, and was very pale immediately following receiving the vaccine.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient vaccinated for COVID-19 tested positive for COVID-19.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Malaise
Clinical narrative: positive test and symptoms
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 16-old-year patient administered a Moderna COVID-19 vaccine as a booster shot on 1/14/2022. Patient previously vaccinated with Pfizer COVID-19 vaccine on 5/3/2021 and 5/24/2021. This is a medication error as booster shots with Moderna (rather than Pfizer) are not currently approved for this age group. No adverse events occurred.
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Abscess drainage, Incisional drainage, Injection site abscess, Injection site cellulitis, Ultrasound Doppler abnormal
Clinical narrative: Developed cellulitis and abscess at injection site requiring incision and drainage on 1/12
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired on 1/2/22 but still given
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Injection site pain, Nasopharyngitis, Respiratory tract congestion
Clinical narrative: headache, site soreness, head cold.  Since receiving vaccines, I've had more than normal congestion, and more than normal tiredness which have both persisted since April 2021.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Limb discomfort, Musculoskeletal stiffness, Pain in extremity, Sleep disorder
Clinical narrative: Two days following vaccine, returned to normal activities and legs felt extremely heavy. Within one week, began having painful leg episodes spanning both legs from groin to feet. Thought this was normal reaction and side effects. Pain was consistent and daily causing the need to take over-the-counter pain medication 2-3 times daily for nearly 3 months as the relief was temporary. Pain would wake me in the middle of the night. Side effects have now traveled to both arms and hands. Hands lock and get stuck in position. During those episodes very painful to move from those positions. Continue to take over-the-counter meds daily for pain.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Pain, Polymerase chain reaction, Respiratory tract congestion
Clinical narrative: Cough, Congestion, aches
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Decreased appetite, Malaise, Oliguria, SARS-CoV-2 test positive
Clinical narrative: Hospitalized malaise, anorexia, oliguria  COVID positive
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Incorrect dose administered, Injection site pain
Clinical narrative: Client presented to off-site COVID19 vaccination clinic (through Health Department) on 1/18/2022 for her first dose of Moderna Vaccine. Patient inadvertently received 1mg of Moderna vaccine instead of 0.5mg. Called client today (01/19/2022). Complains of mild side effects - sore arm (at injection site), headache, and fatigue. No other complaints noted.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Hives were noticed in the middle of the night. Raised red hives were itchy, but originally ignored as possible bug bites. Next morning there were a few more, but again ignored. Later that night, many hives were noticed on both left and right arms, which is when Equate nondrowsy antihistamine was taken. Extreme itchiness and redness was also at the area. Within an hour of taking the antihistamine, hives went down. The following day, no hives were visible. On the morning of 1/19/22, hives were once again present, but this time on the legs. The antihistamine once again was taken to reduce symptoms.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria, Pruritus, Rash, Urticaria
Clinical narrative: 2 weeks later on 12/16/21 I started itching really bad all over. A few hours later a rash developed and it come and go along with being be a mixture of bumps and hives.  The rash sometimes appears as skin writing. I am able to take Zyrtec to help minimize the symptoms, but it does not ever go away completely. It is now 1/19/2022 and still continuing.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered 1 day after the beyond use date. Pfizer corporation has been contacted in regards to stability issue, and the clinical coordinator on regard to revaccinate
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired on 1/2/22 but still given
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated for COVID-19 tested positive for COVID-19.