chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Joint swelling, Magnetic resonance imaging, Neck pain, Pain in jaw
Clinical narrative: About 30 days after receiving my last vaccine, I started to experience neck pain. I attributed it to possibly doing something wrong, because I'm a very active person. I began to have head and jaw pain as well. I went to the dentist, and he didn't see any problems. He told me to see a neurologist. That neurologist performed temporal biopsies and diagnosed me with temporal arteritis. This doctor told me that I needed to see a Rheumatologist. All three physicians put me on an 80mg dosage of prednisone. The day I started taking the pills, I was experiencing color flashes in my eyes, so the prednisone helped me. I had an appointment with my internist, and he noticed swelling in my ankle. He did a doppler test and noticed there was a blood clot from my calf to just above my knee. I was given ELIQUIS to take twice a day. I have my blood checked every two weeks. I have been taken off of the prednisone after lowering the dosage over time.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Photopsia, Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: About 30 days after receiving my last vaccine, I started to experience neck pain. I attributed it to possibly doing something wrong, because I'm a very active person. I began to have head and jaw pain as well. I went to the dentist, and he didn't see any problems. He told me to see a neurologist. That neurologist performed temporal biopsies and diagnosed me with temporal arteritis. This doctor told me that I needed to see a Rheumatologist. All three physicians put me on an 80mg dosage of prednisone. The day I started taking the pills, I was experiencing color flashes in my eyes, so the prednisone helped me. I had an appointment with my internist, and he noticed swelling in my ankle. He did a doppler test and noticed there was a blood clot from my calf to just above my knee. I was given ELIQUIS to take twice a day. I have my blood checked every two weeks. I have been taken off of the prednisone after lowering the dosage over time.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Allergy test, Idiopathic urticaria, Pruritus
Clinical narrative: Intense itching through out body starting day after 1 st injection worsening after 2 md injection then progressively worsening. I continue sx dx idopathic urticaria using several meds to control somewhat currently
Age: 43.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Headache, Pain, Peripheral swelling
Clinical narrative: The next day after receiving the vaccine my arm was very swollen, with severe headaches and body aches to the point my teeth hurt. I was fatigued and had a slight fever. The swelling lasted a week, the fatigue lasted a few days, and everything else went away after 48 hours. Last week however I ended up contracting COVID and got RSV as a result. I am not taking any medication for it but I am recovering slowly, it has been about a week.
Age: 43.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pyrexia, Respiratory syncytial virus infection, Toothache
Clinical narrative: The next day after receiving the vaccine my arm was very swollen, with severe headaches and body aches to the point my teeth hurt. I was fatigued and had a slight fever. The swelling lasted a week, the fatigue lasted a few days, and everything else went away after 48 hours. Last week however I ended up contracting COVID and got RSV as a result. I am not taking any medication for it but I am recovering slowly, it has been about a week.
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Cellulitis, Erythema, Injection site erythema, Injection site swelling, Peripheral swelling
Clinical narrative: The day after vaccines were given, redness and swelling occurred at injection sites. Redness and swelling would not respond to Benadryl or Ibuprofen given at home. Parents took pt to ER on 11/20/22 due to increased swelling (had spread to entire arm, neck and back), and redness. She was dx'd with cellulitis, was prescribed an antibiotic X 10d  (unsure what ABX).
Age: 11.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Swelling
Clinical narrative: The day after vaccines were given, redness and swelling occurred at injection sites. Redness and swelling would not respond to Benadryl or Ibuprofen given at home. Parents took pt to ER on 11/20/22 due to increased swelling (had spread to entire arm, neck and back), and redness. She was dx'd with cellulitis, was prescribed an antibiotic X 10d  (unsure what ABX).
Age: 47.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Product storage error, Product use issue
Clinical narrative: There was a temperature excursion of Temp 82.3F for 4 hours.  The drug should not have been used.  Patient has had no adverse symptoms.
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was here for 1st dose Pfizer monovalent and received Pfizer Bivalent on the left deltoid by LVN. Patient was observed for 15 minutes without a adverse reaction. Called LVN Immunization Manager at 3:58 pm advised medication error done LVN. As per Recommended patient is to receive primary series in 4 weeks at one of the clinics near the patient. Advised patient to set up an appointment at the clinic near her and patient voiced understanding. Will follow up with on proper education information.
Age: 18.0
Sex: F
Vaccine: FLU4
Symptoms: Product storage error, Product use issue
Clinical narrative: After temperature excursion of 82 degrees F for 4 hours, vaccine should have been discarded.  Vaccine was administered to patient.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Chills, Cough, Hypoxia
Clinical narrative: Discharge Provider: , MD Primary Care Provider at Discharge:  Admission Date: 11/15/2022 Discharge Date: 11/17/2022 COVID positive Date: 11/15/2022 PRESENTING PROBLEM: COVID-19    HOSPITAL COURSE:    Patient is a 76 y.o. female, peripheral neuropathy, osteoarthritis, Barrett's esophagus, anemia and arthritis. She presented to a local hospital on 11/15/2022 with chills, nasal congestion, coughing, sore throat, runny nose x 3 days.  The patient was found to be COVID positive upon admission to the emergency department with hypoxia requiring 3 L nasal cannula supplemental oxygen.  Chest x-ray was performed and showed hyperinflated lungs without any infiltrates.  While hospitalized the patient was treated with Decadron and remdesivir.  She received a total of 2 days of treatment.  Her hypoxia improved quickly with treatment and she will be returning home without additional skilled services. Will continue supportive care with scheduled Mucinex and p.r.n. Tessalon Perles upon discharge. The patient also complained of urinary symptoms and her urine was consistent with UTI. She was started on bactrim which will be continued upon discharge.  Recommend outpatient follow-up with PCP in 1-2 weeks for post hospitalization follow-up and coordination of care.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Lung hyperinflation, Nasal congestion, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: , MD Primary Care Provider at Discharge:  Admission Date: 11/15/2022 Discharge Date: 11/17/2022 COVID positive Date: 11/15/2022 PRESENTING PROBLEM: COVID-19    HOSPITAL COURSE:    Patient is a 76 y.o. female, peripheral neuropathy, osteoarthritis, Barrett's esophagus, anemia and arthritis. She presented to a local hospital on 11/15/2022 with chills, nasal congestion, coughing, sore throat, runny nose x 3 days.  The patient was found to be COVID positive upon admission to the emergency department with hypoxia requiring 3 L nasal cannula supplemental oxygen.  Chest x-ray was performed and showed hyperinflated lungs without any infiltrates.  While hospitalized the patient was treated with Decadron and remdesivir.  She received a total of 2 days of treatment.  Her hypoxia improved quickly with treatment and she will be returning home without additional skilled services. Will continue supportive care with scheduled Mucinex and p.r.n. Tessalon Perles upon discharge. The patient also complained of urinary symptoms and her urine was consistent with UTI. She was started on bactrim which will be continued upon discharge.  Recommend outpatient follow-up with PCP in 1-2 weeks for post hospitalization follow-up and coordination of care.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract disorder, Urinary tract infection, Urine analysis abnormal
Clinical narrative: Discharge Provider: , MD Primary Care Provider at Discharge:  Admission Date: 11/15/2022 Discharge Date: 11/17/2022 COVID positive Date: 11/15/2022 PRESENTING PROBLEM: COVID-19    HOSPITAL COURSE:    Patient is a 76 y.o. female, peripheral neuropathy, osteoarthritis, Barrett's esophagus, anemia and arthritis. She presented to a local hospital on 11/15/2022 with chills, nasal congestion, coughing, sore throat, runny nose x 3 days.  The patient was found to be COVID positive upon admission to the emergency department with hypoxia requiring 3 L nasal cannula supplemental oxygen.  Chest x-ray was performed and showed hyperinflated lungs without any infiltrates.  While hospitalized the patient was treated with Decadron and remdesivir.  She received a total of 2 days of treatment.  Her hypoxia improved quickly with treatment and she will be returning home without additional skilled services. Will continue supportive care with scheduled Mucinex and p.r.n. Tessalon Perles upon discharge. The patient also complained of urinary symptoms and her urine was consistent with UTI. She was started on bactrim which will be continued upon discharge.  Recommend outpatient follow-up with PCP in 1-2 weeks for post hospitalization follow-up and coordination of care.
Age: 24.0
Sex: M
Vaccine: FLU4
Symptoms: Poor quality product administered, Product storage error
Clinical narrative: After temperature excursion of 83 degrees F for hours, vaccine should have not been administered.  Patient received dose of nonviable medication
Age: 54.0
Sex: F
Vaccine: FLUC4
Symptoms: Rash, Skin exfoliation, Urticaria
Clinical narrative: Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash Generalized-Medium, Additional Details: Rash that was peeling and hives
Age: 16.0
Sex: M
Vaccine: COVID19-2
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild
Age: 32.0
Sex: M
Vaccine: COVID19-2
Symptoms: Dizziness, Headache
Clinical narrative: Patient being given Moderna Bivalen Booster shot on 11/22/22.  Last COVID shot was Janssen on 7/29/21.   About 20min after administration patient complained of feeling lightheaded and a having a headache.  Patient denied any chest pain, SOB, or other resp problems.  LS clear bilat.  No wheezing.  HRR.  VS  BP 118/76, T 98, R 16, o2 96% RA, P 54.  Patient was prescribed tylenol and monitored.  symptoms resolved on there own.
Age: 94.0
Sex: F
Vaccine: FLUA4
Symptoms: Poor quality product administered, Product storage error
Clinical narrative: After temperature excursion of 82.3 degrees F, vaccine is nonviable.  Patient received nonviable vaccine
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Required hospitalization for COVID positive after fully vaccinated.
Age: 15.0
Sex: M
Vaccine: FLUC4
Symptoms: Cough, Facial discomfort, Flushing, Headache, Hyperhidrosis
Clinical narrative: Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: throat felt scratchy without difficulty swallowing or pain-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Nausea-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: Patient started coughing almost immediately after administration of influenza vaccine.  Facial flushing, facial tightness, nausea, headache and scratchy throat were accompanying symptoms.  There were no symptoms of dyspnea or facial swelling.  I took his blood pressure and it was 96/68 with a pulse of 90, but his mother confirmed that he is an athlete.  Flushing, facial tightness and nausea symptoms abated after patient consumed water and orange juice.  Monitored for 30 minutes.
Age: 15.0
Sex: M
Vaccine: FLUC4
Symptoms: Hypersensitivity, Immediate post-injection reaction, Nausea, Paraesthesia, Pruritus
Clinical narrative: Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: throat felt scratchy without difficulty swallowing or pain-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Nausea-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: Patient started coughing almost immediately after administration of influenza vaccine.  Facial flushing, facial tightness, nausea, headache and scratchy throat were accompanying symptoms.  There were no symptoms of dyspnea or facial swelling.  I took his blood pressure and it was 96/68 with a pulse of 90, but his mother confirmed that he is an athlete.  Flushing, facial tightness and nausea symptoms abated after patient consumed water and orange juice.  Monitored for 30 minutes.
Age: 15.0
Sex: M
Vaccine: FLUC4
Symptoms: Throat irritation
Clinical narrative: Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: throat felt scratchy without difficulty swallowing or pain-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Nausea-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: Patient started coughing almost immediately after administration of influenza vaccine.  Facial flushing, facial tightness, nausea, headache and scratchy throat were accompanying symptoms.  There were no symptoms of dyspnea or facial swelling.  I took his blood pressure and it was 96/68 with a pulse of 90, but his mother confirmed that he is an athlete.  Flushing, facial tightness and nausea symptoms abated after patient consumed water and orange juice.  Monitored for 30 minutes.
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: This is not really an adverse event.  I gave the pediatric Pfizer instead of the adult.  The patient did not have an adverse effects yet
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three vaccines Pfizer 4/9/21 Lot# EW0150;  Pfizer 4/30/21 Lot# EW0172;  Pfizer 11/20/21 Lot# 320308D
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Decreased appetite, Headache, Hunger
Clinical narrative: Very bad headache 11/19/2022 fever; slept all day; was hungry with no appetite. Cough remains
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersomnia, Influenza virus test negative, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Very bad headache 11/19/2022 fever; slept all day; was hungry with no appetite. Cough remains
Age: 0.92
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: No adverse event
Clinical narrative: No symptoms were shown after 15 mins.
Sex: M
Vaccine: PNC13
Symptoms: Product storage error
Clinical narrative: Vaccine was placed in a fridge with no data logger
Age: 31.0
Sex: F
Vaccine: FLUA4
Symptoms: Chest pain, Hypoaesthesia, Hypoaesthesia oral, Immediate post-injection reaction, Pain in extremity
Clinical narrative: 11/15/22. I received the flu shot on my unit, immediately after I felt numbness going down my right calf, then left, sharp pain on right hand then numbness in tongue 5-10 mins after. I was told by my director to call for help. They came and asked questions and assessed me, like chest pain. I had no chest pain until ended and started walking"
Age: 28.0
Sex: F
Vaccine: JEV1, RAB, TYP
Symptoms: Rash, Urticaria
Clinical narrative: Diffuse hive-like rash to extremities and body trunk
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Biopsy oesophagus abnormal, COVID-19, Condition aggravated
Clinical narrative: PRESENTING PROBLEM: Hypomagnesemia [E83.42] Weakness [R53.1] COVID-19 [U07.1]   HOSPITAL COURSE: 67-year-old female with past medical history of alcohol abuse, chronic hyponatremia, severe protein calorie malnutrition, chronic obstructive pulmonary disease, presented with complaints of generalized weakness, diarrhea, right hip pain and fall.     She tested positive for COVID-19.  Right hip x-ray showed greater trochanteric fracture adjacent to right total hip arthroplasty.  She had multiple electrolyte abnormalities.  She was admitted and started on IV hydration and electrolyte replacement.  The next day, she had a big drop of her hemoglobin initially history of black tarry stools a few days ago.  Patient was seen by GI and an EGD revealed multiple nonbleeding gastric and duodenal ulcers.  Patient started on Protonix twice a day which she needs to continue for at least 4 weeks, then go down to once a day.  Her hemoglobin was monitored continuously.  She did have a drop of her hemoglobin down to 6.5 that required 1 unit of packed RBC blood transfusion.     Her oral intake gradually improved, she did not have any further episodes of diarrhea.  Her electrolytes were replaced as needed.  Orthopedic surgery was consulted who did not recommend any surgical intervention for the type of fracture that she has and they recommended outpatient follow-up.   Concern about adequate oral intake and calorie count completed and was meeting caloric needs. PT/OT consulted and recommended SAR but patient refused. Patient was therefore discharged home in stable condition. She was discharged on Diflucan as esophogeal biopsy was consistent with candida esophagitis.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Duodenal ulcer, Electrolyte imbalance, Electrolyte substitution therapy, Faeces discoloured
Clinical narrative: PRESENTING PROBLEM: Hypomagnesemia [E83.42] Weakness [R53.1] COVID-19 [U07.1]   HOSPITAL COURSE: 67-year-old female with past medical history of alcohol abuse, chronic hyponatremia, severe protein calorie malnutrition, chronic obstructive pulmonary disease, presented with complaints of generalized weakness, diarrhea, right hip pain and fall.     She tested positive for COVID-19.  Right hip x-ray showed greater trochanteric fracture adjacent to right total hip arthroplasty.  She had multiple electrolyte abnormalities.  She was admitted and started on IV hydration and electrolyte replacement.  The next day, she had a big drop of her hemoglobin initially history of black tarry stools a few days ago.  Patient was seen by GI and an EGD revealed multiple nonbleeding gastric and duodenal ulcers.  Patient started on Protonix twice a day which she needs to continue for at least 4 weeks, then go down to once a day.  Her hemoglobin was monitored continuously.  She did have a drop of her hemoglobin down to 6.5 that required 1 unit of packed RBC blood transfusion.     Her oral intake gradually improved, she did not have any further episodes of diarrhea.  Her electrolytes were replaced as needed.  Orthopedic surgery was consulted who did not recommend any surgical intervention for the type of fracture that she has and they recommended outpatient follow-up.   Concern about adequate oral intake and calorie count completed and was meeting caloric needs. PT/OT consulted and recommended SAR but patient refused. Patient was therefore discharged home in stable condition. She was discharged on Diflucan as esophogeal biopsy was consistent with candida esophagitis.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Femur fracture, Gastric ulcer, Haemoglobin decreased, Hypomagnesaemia
Clinical narrative: PRESENTING PROBLEM: Hypomagnesemia [E83.42] Weakness [R53.1] COVID-19 [U07.1]   HOSPITAL COURSE: 67-year-old female with past medical history of alcohol abuse, chronic hyponatremia, severe protein calorie malnutrition, chronic obstructive pulmonary disease, presented with complaints of generalized weakness, diarrhea, right hip pain and fall.     She tested positive for COVID-19.  Right hip x-ray showed greater trochanteric fracture adjacent to right total hip arthroplasty.  She had multiple electrolyte abnormalities.  She was admitted and started on IV hydration and electrolyte replacement.  The next day, she had a big drop of her hemoglobin initially history of black tarry stools a few days ago.  Patient was seen by GI and an EGD revealed multiple nonbleeding gastric and duodenal ulcers.  Patient started on Protonix twice a day which she needs to continue for at least 4 weeks, then go down to once a day.  Her hemoglobin was monitored continuously.  She did have a drop of her hemoglobin down to 6.5 that required 1 unit of packed RBC blood transfusion.     Her oral intake gradually improved, she did not have any further episodes of diarrhea.  Her electrolytes were replaced as needed.  Orthopedic surgery was consulted who did not recommend any surgical intervention for the type of fracture that she has and they recommended outpatient follow-up.   Concern about adequate oral intake and calorie count completed and was meeting caloric needs. PT/OT consulted and recommended SAR but patient refused. Patient was therefore discharged home in stable condition. She was discharged on Diflucan as esophogeal biopsy was consistent with candida esophagitis.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Hypophagia, Melaena, Oesophageal candidiasis, Oesophagogastroduodenoscopy abnormal, Red blood cell transfusion
Clinical narrative: PRESENTING PROBLEM: Hypomagnesemia [E83.42] Weakness [R53.1] COVID-19 [U07.1]   HOSPITAL COURSE: 67-year-old female with past medical history of alcohol abuse, chronic hyponatremia, severe protein calorie malnutrition, chronic obstructive pulmonary disease, presented with complaints of generalized weakness, diarrhea, right hip pain and fall.     She tested positive for COVID-19.  Right hip x-ray showed greater trochanteric fracture adjacent to right total hip arthroplasty.  She had multiple electrolyte abnormalities.  She was admitted and started on IV hydration and electrolyte replacement.  The next day, she had a big drop of her hemoglobin initially history of black tarry stools a few days ago.  Patient was seen by GI and an EGD revealed multiple nonbleeding gastric and duodenal ulcers.  Patient started on Protonix twice a day which she needs to continue for at least 4 weeks, then go down to once a day.  Her hemoglobin was monitored continuously.  She did have a drop of her hemoglobin down to 6.5 that required 1 unit of packed RBC blood transfusion.     Her oral intake gradually improved, she did not have any further episodes of diarrhea.  Her electrolytes were replaced as needed.  Orthopedic surgery was consulted who did not recommend any surgical intervention for the type of fracture that she has and they recommended outpatient follow-up.   Concern about adequate oral intake and calorie count completed and was meeting caloric needs. PT/OT consulted and recommended SAR but patient refused. Patient was therefore discharged home in stable condition. She was discharged on Diflucan as esophogeal biopsy was consistent with candida esophagitis.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, X-ray of pelvis and hip abnormal
Clinical narrative: PRESENTING PROBLEM: Hypomagnesemia [E83.42] Weakness [R53.1] COVID-19 [U07.1]   HOSPITAL COURSE: 67-year-old female with past medical history of alcohol abuse, chronic hyponatremia, severe protein calorie malnutrition, chronic obstructive pulmonary disease, presented with complaints of generalized weakness, diarrhea, right hip pain and fall.     She tested positive for COVID-19.  Right hip x-ray showed greater trochanteric fracture adjacent to right total hip arthroplasty.  She had multiple electrolyte abnormalities.  She was admitted and started on IV hydration and electrolyte replacement.  The next day, she had a big drop of her hemoglobin initially history of black tarry stools a few days ago.  Patient was seen by GI and an EGD revealed multiple nonbleeding gastric and duodenal ulcers.  Patient started on Protonix twice a day which she needs to continue for at least 4 weeks, then go down to once a day.  Her hemoglobin was monitored continuously.  She did have a drop of her hemoglobin down to 6.5 that required 1 unit of packed RBC blood transfusion.     Her oral intake gradually improved, she did not have any further episodes of diarrhea.  Her electrolytes were replaced as needed.  Orthopedic surgery was consulted who did not recommend any surgical intervention for the type of fracture that she has and they recommended outpatient follow-up.   Concern about adequate oral intake and calorie count completed and was meeting caloric needs. PT/OT consulted and recommended SAR but patient refused. Patient was therefore discharged home in stable condition. She was discharged on Diflucan as esophogeal biopsy was consistent with candida esophagitis.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three vaccines Moderna 1/28/21 Lot# 007M20A;  Moderna 2/25/21 Lot# 031L20A;  Moderna 12/16/21 Lot# 005C21A
Age: 71.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Client came in to receive HD flu vaccine. Paperwork was filled out accurately, client verbally verified that she was there for HD flu-vaccine. When entering the information into Immunization Record, discovered that client had a previous HD flu vaccine 13 days ago.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Covid vaccine was given without being diluted with 0.9% Sodium Chloride first.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Patient experienced headache, soreness, chills, nausea and fever shortly after her vaccination.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Chest X-ray normal, Dyspnoea, Inflammatory marker increased
Clinical narrative: The patient is a 75-year-old gentleman who presented the hospital complaints shortness of breath and cough.  On presentation the patient was found to have acute respiratory failure and sepsis secondary to COVID-19.  The patient was placed on supplementary oxygen and started steroids.  The patient ended up recovering faster than anticipated and was quickly able to be weaned from oxygen.  The day after admission the patient was noted be on room air at rest.  With ambulation the patient had saturations at lowest of 93%.  He reported feeling significantly improved.  We discussed symptoms to monitor at home.  Inflammatory markers were only mildly elevated during patient's admission.  The patient was felt stable for discharge home.  The patient reports he has a pulse oximetry monitor to continue watching his saturations at home.  Questions have been answered to patient's satisfaction and he is being discharged in stable condition.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Productive cough, SARS-CoV-2 test positive, Sepsis
Clinical narrative: The patient is a 75-year-old gentleman who presented the hospital complaints shortness of breath and cough.  On presentation the patient was found to have acute respiratory failure and sepsis secondary to COVID-19.  The patient was placed on supplementary oxygen and started steroids.  The patient ended up recovering faster than anticipated and was quickly able to be weaned from oxygen.  The day after admission the patient was noted be on room air at rest.  With ambulation the patient had saturations at lowest of 93%.  He reported feeling significantly improved.  We discussed symptoms to monitor at home.  Inflammatory markers were only mildly elevated during patient's admission.  The patient was felt stable for discharge home.  The patient reports he has a pulse oximetry monitor to continue watching his saturations at home.  Questions have been answered to patient's satisfaction and he is being discharged in stable condition.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Anion gap, Aspartate aminotransferase normal, Blood albumin decreased, Blood alkaline phosphatase normal
Clinical narrative: HOSPITAL COURSE: Patient is an 81-year-old male with history of OSA, hypertension and type 2 diabetes mellitus who presented with cough, sore throat and fever.  In the ED, he was noted to become hypoxemic with ambulation, so was placed on 2 L oxygen.  Chest x-ray showed patchy bibasilar airspace opacities, and COVID-19 testing was positive.  He was admitted to the hospitalist service for further care.   Upon admission, he was started on oral Decadron and IV Remdesivir.  He was able to be weaned off supplemental oxygen over the next 24 hours, and noted improving viral symptoms.   He was felt stable for discharge home on 11/18/22.  He may continue with symptomatic treatment including Tylenol, Tessalon perles and Mucinex.  He should follow-up with his PCP in 1 week.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatinine increased, Blood glucose normal
Clinical narrative: HOSPITAL COURSE: Patient is an 81-year-old male with history of OSA, hypertension and type 2 diabetes mellitus who presented with cough, sore throat and fever.  In the ED, he was noted to become hypoxemic with ambulation, so was placed on 2 L oxygen.  Chest x-ray showed patchy bibasilar airspace opacities, and COVID-19 testing was positive.  He was admitted to the hospitalist service for further care.   Upon admission, he was started on oral Decadron and IV Remdesivir.  He was able to be weaned off supplemental oxygen over the next 24 hours, and noted improving viral symptoms.   He was felt stable for discharge home on 11/18/22.  He may continue with symptomatic treatment including Tylenol, Tessalon perles and Mucinex.  He should follow-up with his PCP in 1 week.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium normal, Blood sodium normal, Blood urea increased, COVID-19, Carbon dioxide increased
Clinical narrative: HOSPITAL COURSE: Patient is an 81-year-old male with history of OSA, hypertension and type 2 diabetes mellitus who presented with cough, sore throat and fever.  In the ED, he was noted to become hypoxemic with ambulation, so was placed on 2 L oxygen.  Chest x-ray showed patchy bibasilar airspace opacities, and COVID-19 testing was positive.  He was admitted to the hospitalist service for further care.   Upon admission, he was started on oral Decadron and IV Remdesivir.  He was able to be weaned off supplemental oxygen over the next 24 hours, and noted improving viral symptoms.   He was felt stable for discharge home on 11/18/22.  He may continue with symptomatic treatment including Tylenol, Tessalon perles and Mucinex.  He should follow-up with his PCP in 1 week.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Cough, Globulins increased, Glomerular filtration rate decreased, Haematocrit normal
Clinical narrative: HOSPITAL COURSE: Patient is an 81-year-old male with history of OSA, hypertension and type 2 diabetes mellitus who presented with cough, sore throat and fever.  In the ED, he was noted to become hypoxemic with ambulation, so was placed on 2 L oxygen.  Chest x-ray showed patchy bibasilar airspace opacities, and COVID-19 testing was positive.  He was admitted to the hospitalist service for further care.   Upon admission, he was started on oral Decadron and IV Remdesivir.  He was able to be weaned off supplemental oxygen over the next 24 hours, and noted improving viral symptoms.   He was felt stable for discharge home on 11/18/22.  He may continue with symptomatic treatment including Tylenol, Tessalon perles and Mucinex.  He should follow-up with his PCP in 1 week.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin normal, Hypoxia, Laboratory test, Lung opacity, Mean cell volume normal
Clinical narrative: HOSPITAL COURSE: Patient is an 81-year-old male with history of OSA, hypertension and type 2 diabetes mellitus who presented with cough, sore throat and fever.  In the ED, he was noted to become hypoxemic with ambulation, so was placed on 2 L oxygen.  Chest x-ray showed patchy bibasilar airspace opacities, and COVID-19 testing was positive.  He was admitted to the hospitalist service for further care.   Upon admission, he was started on oral Decadron and IV Remdesivir.  He was able to be weaned off supplemental oxygen over the next 24 hours, and noted improving viral symptoms.   He was felt stable for discharge home on 11/18/22.  He may continue with symptomatic treatment including Tylenol, Tessalon perles and Mucinex.  He should follow-up with his PCP in 1 week.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Neutrophil count increased, Oropharyngeal pain, Platelet count normal, Protein total normal, Pyrexia
Clinical narrative: HOSPITAL COURSE: Patient is an 81-year-old male with history of OSA, hypertension and type 2 diabetes mellitus who presented with cough, sore throat and fever.  In the ED, he was noted to become hypoxemic with ambulation, so was placed on 2 L oxygen.  Chest x-ray showed patchy bibasilar airspace opacities, and COVID-19 testing was positive.  He was admitted to the hospitalist service for further care.   Upon admission, he was started on oral Decadron and IV Remdesivir.  He was able to be weaned off supplemental oxygen over the next 24 hours, and noted improving viral symptoms.   He was felt stable for discharge home on 11/18/22.  He may continue with symptomatic treatment including Tylenol, Tessalon perles and Mucinex.  He should follow-up with his PCP in 1 week.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell count decreased, SARS-CoV-2 test positive, White blood cell count increased
Clinical narrative: HOSPITAL COURSE: Patient is an 81-year-old male with history of OSA, hypertension and type 2 diabetes mellitus who presented with cough, sore throat and fever.  In the ED, he was noted to become hypoxemic with ambulation, so was placed on 2 L oxygen.  Chest x-ray showed patchy bibasilar airspace opacities, and COVID-19 testing was positive.  He was admitted to the hospitalist service for further care.   Upon admission, he was started on oral Decadron and IV Remdesivir.  He was able to be weaned off supplemental oxygen over the next 24 hours, and noted improving viral symptoms.   He was felt stable for discharge home on 11/18/22.  He may continue with symptomatic treatment including Tylenol, Tessalon perles and Mucinex.  He should follow-up with his PCP in 1 week.
Age: 81.0
Sex: F
Vaccine: VARZOS
Symptoms: Product preparation issue
Clinical narrative: Pt was given dilutent only not mixed with vaccine
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, COVID-19, Cough, Fatigue, Oropharyngeal pain
Clinical narrative: I received the Pfizer Bivalent booster for COVID-19 on 9/12/2022. On the morning of 11/18/2022, I woke up with a very sore throat. I took a home antigen test at 7 AM and got a negative result. I thought it was a probably just a cold. The symptoms then improved. Later in the afternoon, though, the symptoms returned. I had sore throat and fatigue. At about 4:30 PM or so, I took another home antigen test and got a positive result. I then took another antigen test just to be sure and got yet another positive result. I immediately called my doctor's office. My PCP and all the other GPs in the practice were unavailable at the time, so they took my information. Over the weekend of 11/19/2022 and 11/20/2022, I developed head congestion, chest congestion, cough, and extreme fatigue. On 11/21/2022, I got a call back from a NP, who prescribed me PAXLOVID and an albuterol inhaler. I began taking the medication that day. At the time of this writing, I feel like I have finally turned a corner and am improving. I can breathe better, my energy levels are improving, and I'm coughing less. I have also been treating symptoms with NYQUIL, DAYQUIL, and SUDAFED. At first, I didn't notice any improvement in my symptoms, especially not during the weekend of 11/19/2022 and 11/20/2022. However, I feel that the OTC medicines are beginning to have a positive effect on my symptoms.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I received the Pfizer Bivalent booster for COVID-19 on 9/12/2022. On the morning of 11/18/2022, I woke up with a very sore throat. I took a home antigen test at 7 AM and got a negative result. I thought it was a probably just a cold. The symptoms then improved. Later in the afternoon, though, the symptoms returned. I had sore throat and fatigue. At about 4:30 PM or so, I took another home antigen test and got a positive result. I then took another antigen test just to be sure and got yet another positive result. I immediately called my doctor's office. My PCP and all the other GPs in the practice were unavailable at the time, so they took my information. Over the weekend of 11/19/2022 and 11/20/2022, I developed head congestion, chest congestion, cough, and extreme fatigue. On 11/21/2022, I got a call back from a NP, who prescribed me PAXLOVID and an albuterol inhaler. I began taking the medication that day. At the time of this writing, I feel like I have finally turned a corner and am improving. I can breathe better, my energy levels are improving, and I'm coughing less. I have also been treating symptoms with NYQUIL, DAYQUIL, and SUDAFED. At first, I didn't notice any improvement in my symptoms, especially not during the weekend of 11/19/2022 and 11/20/2022. However, I feel that the OTC medicines are beginning to have a positive effect on my symptoms.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary normal, Asthenia, Blood pressure increased, Blood sodium decreased, Bronchitis
Clinical narrative: ?  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute COVID-19 infection Acute bronchitis due to COVID Acute hyponatremia, resolved   HOSPITAL COURSE: Pt is a 84 yr old F with PMHx of Chronic diastolic CHF, CAD, HTN, Obesity, OSA, Hypothyroidism, Hx of Renal Cell Ca, CKD III, Hx of paroxysmal atrial fibrillation presented to ED on 11/16 with shortness of breath, cough, congestion, weakness and home COVID test that was positive on 11/15.   In the ED - vitals w/elevated blood pressures but otherwise breathing on room air. Labs showed sodium of 122. CTA thorax ruled out PE.    Patient admitted for hyponatremia and COVID infection. Her Hyponatremia was gradually corrected and for her COVID infection - she was provided supportive care. She had significant wheezing on exam - started on Albuterol PRN, 3% nebulized saline to help with congested cough and oral Prednisone.    Hospital course was also complicated by hyponatremia that improved with supportive treatment.  Patient's sodium was back to normal at the time of discharge.   She also has poorly controlled hypertension which prompted change in her blood pressure medications by stopping her Toprol XL as switching to Coreg 25 mg 2 times a day.  Hydralazine was increased to 100 mg 3 times a day.  She will continue home losartan and Lasix.  Blood pressure was well controlled with above measures.   PT/OT recommend Home with Home PT.   Her symptoms improved - she is discharged home on 11/22 in stable condition.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Cough, Dyspnoea, Hypertension
Clinical narrative: ?  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute COVID-19 infection Acute bronchitis due to COVID Acute hyponatremia, resolved   HOSPITAL COURSE: Pt is a 84 yr old F with PMHx of Chronic diastolic CHF, CAD, HTN, Obesity, OSA, Hypothyroidism, Hx of Renal Cell Ca, CKD III, Hx of paroxysmal atrial fibrillation presented to ED on 11/16 with shortness of breath, cough, congestion, weakness and home COVID test that was positive on 11/15.   In the ED - vitals w/elevated blood pressures but otherwise breathing on room air. Labs showed sodium of 122. CTA thorax ruled out PE.    Patient admitted for hyponatremia and COVID infection. Her Hyponatremia was gradually corrected and for her COVID infection - she was provided supportive care. She had significant wheezing on exam - started on Albuterol PRN, 3% nebulized saline to help with congested cough and oral Prednisone.    Hospital course was also complicated by hyponatremia that improved with supportive treatment.  Patient's sodium was back to normal at the time of discharge.   She also has poorly controlled hypertension which prompted change in her blood pressure medications by stopping her Toprol XL as switching to Coreg 25 mg 2 times a day.  Hydralazine was increased to 100 mg 3 times a day.  She will continue home losartan and Lasix.  Blood pressure was well controlled with above measures.   PT/OT recommend Home with Home PT.   Her symptoms improved - she is discharged home on 11/22 in stable condition.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Hyponatraemia, Respiratory tract congestion, SARS-CoV-2 test positive, Wheezing
Clinical narrative: ?  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute COVID-19 infection Acute bronchitis due to COVID Acute hyponatremia, resolved   HOSPITAL COURSE: Pt is a 84 yr old F with PMHx of Chronic diastolic CHF, CAD, HTN, Obesity, OSA, Hypothyroidism, Hx of Renal Cell Ca, CKD III, Hx of paroxysmal atrial fibrillation presented to ED on 11/16 with shortness of breath, cough, congestion, weakness and home COVID test that was positive on 11/15.   In the ED - vitals w/elevated blood pressures but otherwise breathing on room air. Labs showed sodium of 122. CTA thorax ruled out PE.    Patient admitted for hyponatremia and COVID infection. Her Hyponatremia was gradually corrected and for her COVID infection - she was provided supportive care. She had significant wheezing on exam - started on Albuterol PRN, 3% nebulized saline to help with congested cough and oral Prednisone.    Hospital course was also complicated by hyponatremia that improved with supportive treatment.  Patient's sodium was back to normal at the time of discharge.   She also has poorly controlled hypertension which prompted change in her blood pressure medications by stopping her Toprol XL as switching to Coreg 25 mg 2 times a day.  Hydralazine was increased to 100 mg 3 times a day.  She will continue home losartan and Lasix.  Blood pressure was well controlled with above measures.   PT/OT recommend Home with Home PT.   Her symptoms improved - she is discharged home on 11/22 in stable condition.
Age: 9.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Nausea
Clinical narrative: Patient  received the COVID and Flu vaccien on the same day (mom thinks around November 1st,2022. He had nausea the next day and has had  intermittent nausea since then  no other symptoms
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Blood culture negative, COVID-19, COVID-19 pneumonia, Cardiomegaly, Chest X-ray abnormal
Clinical narrative: 78 y.o. female with past medical history of HTN, CKD 3, OSA with nocturnal oxygen, pulmonary HTN, obesity, and chronic back pain who presented to the ED with chief complaint of dyspnea subsequently found to be have to COVID-19 pneumonia. Patient reported symptoms one day prior to admission. Found to have leukocytosis. Infiltrate on CXR. Nightly o2 needs are CPAP-5L and 2L thorughout the day as needed. She has chronic cough and dyspnea related to vocal cord paralysis however her respiratory symptoms were above baseline. She was started on decadron in lieu of her normal home prednisone. Treated with bronchodilators. Remdesivir was added to help with viral replication. She had symptomatic improvement. Renal and hepatic function remained stable. Appropriate dvt prophylaxis was given. She now feels closer to her respiratory baseline. She is to discharge home with family transport. Leukocytosis improving. Consider CXR in 4-6 weeks to ensure radiographic resolution of COVID pneumonia. Counseled on isolation precautions to complete total 10days of isolation. Discharged in stable condition.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Leukocytosis, Liver function test, Lung infiltration, Lung opacity
Clinical narrative: 78 y.o. female with past medical history of HTN, CKD 3, OSA with nocturnal oxygen, pulmonary HTN, obesity, and chronic back pain who presented to the ED with chief complaint of dyspnea subsequently found to be have to COVID-19 pneumonia. Patient reported symptoms one day prior to admission. Found to have leukocytosis. Infiltrate on CXR. Nightly o2 needs are CPAP-5L and 2L thorughout the day as needed. She has chronic cough and dyspnea related to vocal cord paralysis however her respiratory symptoms were above baseline. She was started on decadron in lieu of her normal home prednisone. Treated with bronchodilators. Remdesivir was added to help with viral replication. She had symptomatic improvement. Renal and hepatic function remained stable. Appropriate dvt prophylaxis was given. She now feels closer to her respiratory baseline. She is to discharge home with family transport. Leukocytosis improving. Consider CXR in 4-6 weeks to ensure radiographic resolution of COVID pneumonia. Counseled on isolation precautions to complete total 10days of isolation. Discharged in stable condition.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Pulmonary oedema, Renal function test, Respiratory symptom, SARS-CoV-2 test positive
Clinical narrative: 78 y.o. female with past medical history of HTN, CKD 3, OSA with nocturnal oxygen, pulmonary HTN, obesity, and chronic back pain who presented to the ED with chief complaint of dyspnea subsequently found to be have to COVID-19 pneumonia. Patient reported symptoms one day prior to admission. Found to have leukocytosis. Infiltrate on CXR. Nightly o2 needs are CPAP-5L and 2L thorughout the day as needed. She has chronic cough and dyspnea related to vocal cord paralysis however her respiratory symptoms were above baseline. She was started on decadron in lieu of her normal home prednisone. Treated with bronchodilators. Remdesivir was added to help with viral replication. She had symptomatic improvement. Renal and hepatic function remained stable. Appropriate dvt prophylaxis was given. She now feels closer to her respiratory baseline. She is to discharge home with family transport. Leukocytosis improving. Consider CXR in 4-6 weeks to ensure radiographic resolution of COVID pneumonia. Counseled on isolation precautions to complete total 10days of isolation. Discharged in stable condition.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Pain, Pyrexia, Respiratory tract congestion
Clinical narrative: Congestion, runny nose, cough, fever, aches. Home test for Covid 19 positive on 11/22.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Congestion, runny nose, cough, fever, aches. Home test for Covid 19 positive on 11/22.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Cough
Clinical narrative: patient symptoms include some coughing
Age: 24.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Pain in extremity
Clinical narrative: Pt complained of arm pain/soreness in the arm that the vaccines were administered.
Age: 27.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Fatigue, Headache, Wrong product administered
Clinical narrative: Patient was here to receive her second dose of Spikevax for primary series but was accidentally vaccinated with Moderna Bivalent.  I made a phone call to patient today 11/23/2022 @ 11:30 am to inform her about the error. The patient stated the symptoms she was having are tiredness, dizziness and headaches.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19-2, COVID19-2
Symptoms: Blood test, Cardiac failure, Chest pain, Echocardiogram, Ejection fraction decreased
Clinical narrative: After first booster {shot 3} declined into heart failure with ejection fraction of 21-23%.  Hospitalized by 11/25.  Recently got booster #3. Pericarditis returned within a month. Pericardium thickened.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19-2, COVID19-2
Symptoms: Laboratory test, Magnetic resonance imaging heart, Pericardial fibrosis, Pericarditis
Clinical narrative: After first booster {shot 3} declined into heart failure with ejection fraction of 21-23%.  Hospitalized by 11/25.  Recently got booster #3. Pericarditis returned within a month. Pericardium thickened.
Age: 61.0
Sex: F
Vaccine: TDAP
Symptoms: Swelling
Clinical narrative: raised skin 3 cc