chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperglycaemia, Hypervolaemia, Magnetic resonance imaging head abnormal, Mental status changes, Muscle contractions involuntary
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 9/27/2022 Discharge Date: 10/7/2022  PRESENTING PROBLEM: Altered mental status [R41.82] Altered mental status, unspecified altered mental status type [R41.82]   HOSPITAL COURSE: Pt is a 79 year old male with PMH of DDM, diabetic neuropathy, CAD, HLD, HTN, prior CVA, vascular dementia. Pt. presented to the ED after an unwitnessed fall and AMS. He was admitted with concerns for stroke. CT head and neck studies showed only chronic changes, no acute findings. MRI brain was done and found to have an acute to subacute left pon infarct. Neuro has been consulted. ECHO with EF 61%. EEG with no evidence of epilepsy. Neuro recommended medical manage with home ASA and adding plavix for 90 days along with discharge with zio patch. Therapy evaluated the patient and recommended acute rehab at DC.    The patient was awaiting placement when he became febrile. He did not endorse infectious symptoms. As part of the work up a COVID test was checked and was positive. He completed 5 days of remdesivir inpatient and continued on dexamethasone at discharge to complete 10 days. Was consulted and assisted with management of steroid induced hyperglycemia. CTA thorax negative for PE but showed some mild fluid overload, so he was gently diuresed. Pt weaned from 6L NC to 2L on day of discharge. Zio patch was placed and pt discharged in stable condition.   While hospitalized, pt was noted to have mild asymptomatic bradycardia. His home metoprolol XL was decreased and pt encouraged to follow up with PCP as outpatient.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Polyuria, Pyrexia, Red cell distribution width normal, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 9/27/2022 Discharge Date: 10/7/2022  PRESENTING PROBLEM: Altered mental status [R41.82] Altered mental status, unspecified altered mental status type [R41.82]   HOSPITAL COURSE: Pt is a 79 year old male with PMH of DDM, diabetic neuropathy, CAD, HLD, HTN, prior CVA, vascular dementia. Pt. presented to the ED after an unwitnessed fall and AMS. He was admitted with concerns for stroke. CT head and neck studies showed only chronic changes, no acute findings. MRI brain was done and found to have an acute to subacute left pon infarct. Neuro has been consulted. ECHO with EF 61%. EEG with no evidence of epilepsy. Neuro recommended medical manage with home ASA and adding plavix for 90 days along with discharge with zio patch. Therapy evaluated the patient and recommended acute rehab at DC.    The patient was awaiting placement when he became febrile. He did not endorse infectious symptoms. As part of the work up a COVID test was checked and was positive. He completed 5 days of remdesivir inpatient and continued on dexamethasone at discharge to complete 10 days. Was consulted and assisted with management of steroid induced hyperglycemia. CTA thorax negative for PE but showed some mild fluid overload, so he was gently diuresed. Pt weaned from 6L NC to 2L on day of discharge. Zio patch was placed and pt discharged in stable condition.   While hospitalized, pt was noted to have mild asymptomatic bradycardia. His home metoprolol XL was decreased and pt encouraged to follow up with PCP as outpatient.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received original Pfizer vaccine when came in for the new bivalent Pfizer
Age: 1.08
Sex: F
Vaccine: FLU4, HIBV, PNC13
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given the wrong dose of Influenza .  She s/h/b given the 0.25mg.  This was her first influenza vaccination.
Age: 28.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the  Department of Health it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 30.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Confusional state, Ear haemorrhage, Face injury, Fall, Haemorrhage
Clinical narrative: Patient was given both flu and COVID vaccinations. After vaccinations (within 5 min) patient attempted to move from being seated on the ground to a nearby chair. Patient stood up, attempted to walk to the chair, fainted, and fell face down into the pavement. Patient regained consciousness and sat up. It was then discovered she had a large cut under her chin and was bleeding from the chin, teeth, and left ear. EMS was immediatley called. Patient was slightly confused and complaining of nausea at this time. Patient was transferred to a laying position with feet elevated. BP 86/46 and pulse 45 was taken by the school nurse. She also reported pupils round, equal and reactive, approx 2mm in size. Continued below
Age: 30.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Headache, Mouth haemorrhage, Nausea, Skin laceration, Syncope
Clinical narrative: Patient was given both flu and COVID vaccinations. After vaccinations (within 5 min) patient attempted to move from being seated on the ground to a nearby chair. Patient stood up, attempted to walk to the chair, fainted, and fell face down into the pavement. Patient regained consciousness and sat up. It was then discovered she had a large cut under her chin and was bleeding from the chin, teeth, and left ear. EMS was immediatley called. Patient was slightly confused and complaining of nausea at this time. Patient was transferred to a laying position with feet elevated. BP 86/46 and pulse 45 was taken by the school nurse. She also reported pupils round, equal and reactive, approx 2mm in size. Continued below
Age: 18.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Urticaria
Clinical narrative: Patient received the vaccine in the morning.  That evening  developed hives on bilateral posterior legs.  Was given loratadine and pepcid at an urgent care center and the hives resolved the following day.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: The patient was administered by mistake with a dose of covid vaccine outside of the 12 hours window of a punctured vial.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Anticoagulant therapy, Blood creatine phosphokinase MB, Blood creatinine increased, COVID-19
Clinical narrative: Presented to ED on 9/17 with signs of stroke. Had recently been at a local hospital after a MVA on 9/9 with bilateral leg hematomas and had started xarelto the evening before presentation to the ED.  Labs showed anemia, elevated creatinine which is at baseline, mild hyponatremia and elvated toponins but normal CK-MB, covid +.  Overnight developed worsening hypoxia and increased O2 requirments up to 15 L. Family confirmed wanting only conservative measures.Cardiology and Neurology consulted. Sudden decline on 9/20 with worening labs and chest xray.  Family requested comfort care.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, General physical health deterioration, Haematoma, Hyponatraemia, Hypoxia
Clinical narrative: Presented to ED on 9/17 with signs of stroke. Had recently been at a local hospital after a MVA on 9/9 with bilateral leg hematomas and had started xarelto the evening before presentation to the ED.  Labs showed anemia, elevated creatinine which is at baseline, mild hyponatremia and elvated toponins but normal CK-MB, covid +.  Overnight developed worsening hypoxia and increased O2 requirments up to 15 L. Family confirmed wanting only conservative measures.Cardiology and Neurology consulted. Sudden decline on 9/20 with worening labs and chest xray.  Family requested comfort care.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test abnormal, Neurological symptom, Road traffic accident, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Presented to ED on 9/17 with signs of stroke. Had recently been at a local hospital after a MVA on 9/9 with bilateral leg hematomas and had started xarelto the evening before presentation to the ED.  Labs showed anemia, elevated creatinine which is at baseline, mild hyponatremia and elvated toponins but normal CK-MB, covid +.  Overnight developed worsening hypoxia and increased O2 requirments up to 15 L. Family confirmed wanting only conservative measures.Cardiology and Neurology consulted. Sudden decline on 9/20 with worening labs and chest xray.  Family requested comfort care.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin, Burning sensation, Inflammation, Pruritus, Scab
Clinical narrative: two days after taking the moderna shot in 2021, I started with the burning and itching. I asked my daughter to put some alchol on it, and she stated she couldnt. I call my doctor. I have burning, and itching and then about a week later a scab came on both of them. But the scab fell off of the one on my back. By that time I went to the skins specialist. She did a biopsy on it. I have been going back to the skin specialist, she transferred me to alternate location, which is closer to where i am. Before last week, she gave me an injection, last week, I told her no more injections. She made an appointment to doctor on October 28th, 2022. She said after surgery, you will have to have radiation. I stated that I am not having radiation. So that's where we are at today. I cant touch it or scratch it, it's inflamed. It's bothering me. I never received a diagnosis, she just said they were going to start me on radiation, she gave me cream, but I was told to stop using it cause it wasnt working. Went to the ER but was not seen, it was too packed.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-GAD antibody positive, Blood glucose increased, Blood test, Hypoacusis, Pollakiuria
Clinical narrative: I started to have loss on weight, over the summer I started to become very thirsty and urinated frequently. I went to see a doctor and my glucose level was high and had dip tones in ears. this prompted more testing weather or not I have antibodies for insulin. Doctor referred me to endocrinologist and at that time doctor started me on type 2 diabetes medication. I had additional testing to determine whether or not I have type 1 diabetes and doctor also increased my medication. Two weeks later I had my results that shows that I had no antibodies, and I was positive for GAD, that confirms that I have diabetes type 1 and making small amount of insulin. One week later, they put me on cholesterol, maintain metformin.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Thirst, Type 1 diabetes mellitus, Weight decreased
Clinical narrative: I started to have loss on weight, over the summer I started to become very thirsty and urinated frequently. I went to see a doctor and my glucose level was high and had dip tones in ears. this prompted more testing weather or not I have antibodies for insulin. Doctor referred me to endocrinologist and at that time doctor started me on type 2 diabetes medication. I had additional testing to determine whether or not I have type 1 diabetes and doctor also increased my medication. Two weeks later I had my results that shows that I had no antibodies, and I was positive for GAD, that confirms that I have diabetes type 1 and making small amount of insulin. One week later, they put me on cholesterol, maintain metformin.
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: PATIENT REPORTED THAT SHE DEVELOPED AN ITCHY WARM RED INJECTION SITE RASH AFTER RECEIVING HER VACCINE.  SHE WAS TREATING IT WITH ICE AND HYDROCORTISONE CREAM. SHE WAS INSTRUCTED TO FOLLOW UP WITH AN MD IF IT DID NOT RESOLVE OR GOT LARGER.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired and given BUD
Age: 9.0
Sex: F
Vaccine: FLUR4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Flublok given to 9 year old by mistake
Age: 70.0
Sex: M
Vaccine: DTAP, PNC20, VARZOS
Symptoms: Back pain, Dry skin, Impaired work ability, Mobility decreased, Movement disorder
Clinical narrative: He got his vaccines all in the same day.  8 days later he was not able to get out of bed, could not bend down, had problems moving on Friday, Saturday or Sunday.  0n 9/26/22 he went in to see his Doctor, Dr. who wanted him to go to the ER.  He was examined and diagnosed with sciatica, gave him a referral to a center for therapy, therapy office.  He has been going to therapy this morning, which is helping.  He wants to go back to work, but wants to find out what's going on before he can go back to work.  He has very dry, ashy skin.  He has flaky skin, ashy.  He has to lotion them 2-3 times a day and they are still ashy.  He still has lower back pain and has an appointment to go back on Friday.    He had his COVID vaccines with no problems.
Age: 70.0
Sex: M
Vaccine: DTAP, PNC20, VARZOS
Symptoms: Sciatica, Skin exfoliation
Clinical narrative: He got his vaccines all in the same day.  8 days later he was not able to get out of bed, could not bend down, had problems moving on Friday, Saturday or Sunday.  0n 9/26/22 he went in to see his Doctor, Dr. who wanted him to go to the ER.  He was examined and diagnosed with sciatica, gave him a referral to a center for therapy, therapy office.  He has been going to therapy this morning, which is helping.  He wants to go back to work, but wants to find out what's going on before he can go back to work.  He has very dry, ashy skin.  He has flaky skin, ashy.  He has to lotion them 2-3 times a day and they are still ashy.  He still has lower back pain and has an appointment to go back on Friday.    He had his COVID vaccines with no problems.
Age: 35.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the  Department of Health it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 88.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: 0.25mL administered instead of 0.50mL.
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: 0.25mL administered instead of 0.50mL.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: 0.25 mL dose received; no adverse or untoward events associated with this administration.
Age: 37.0
Sex: F
Vaccine: COVID19-2
Symptoms: Axillary mass, Discomfort, Fatigue, Malaise, Pain
Clinical narrative: Got a large lump, soft ball sized in left arm pit. Lump very discomforting and painful. Had malaise, body aches, & extreme tiredness.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: 0.25mL administered instead of 0.50mL.
Age: 49.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Limb injury, Sleep disorder
Clinical narrative: Vaccine was administered to the upper arm, close to the acromium process. I experienced pain greater than I have experienced to other vaccines, including COVID, flu, PPSV-23. The over the initial 24 hrs post-vaccination, the arm/shoulder area became warm, red, and extremely painful. I am now  72 hours post-vaccination, and the warmth and redness persist. The pain is less intense, but still tender. Between the initial shoulder injury for which I was in PT and the vaccine, it is difficult to sleep on my right side.
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: 0.25mL administered instead of 0.50mL.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Computerised tomogram thorax normal, Cough, Dyspnoea, Hypoxia
Clinical narrative: Admission Date: 10/1/2022 Discharge Date: Oct 2, 2022  PRESENTING PROBLEM: Hypoxia [R09.02] Respiratory failure with hypoxia (HCC) [J96.91] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 52-year-old male with past medical history significant for type 2 diabetes, OSA and chronic diastolic heart failure presented to the emergency department with chief complaint of dyspnea shortness of breath.  Patient was having flu-like symptoms since 09/24/2022, worsening congestion shortness of breath with cough.  Patient was tachycardic and hypoxic on presentation, is placing 4 L of oxygen, he tested positive for COVID-19.  X-ray was negative for acute process, he had CT PE done which was negative for PE.  Patient was treated with DuoNebs, albuterol and dexamethasone.  Patient tolerated well, his tachycardia resolved, he was weaned off oxygen to room air with ambulation, no sputum production.  He was tolerating diet and back to baseline.  Patient was medically stable to be discharged on 10/02/2022 in afternoon.  Was given Decadron prescription for 5 more days.  He was also given prescription for albuterol as needed.  Instructed patient to return to the hospital if he has worsening symptoms.  Patient was vaccinated x2
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness, Respiratory failure, Respiratory tract congestion, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: Admission Date: 10/1/2022 Discharge Date: Oct 2, 2022  PRESENTING PROBLEM: Hypoxia [R09.02] Respiratory failure with hypoxia (HCC) [J96.91] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 52-year-old male with past medical history significant for type 2 diabetes, OSA and chronic diastolic heart failure presented to the emergency department with chief complaint of dyspnea shortness of breath.  Patient was having flu-like symptoms since 09/24/2022, worsening congestion shortness of breath with cough.  Patient was tachycardic and hypoxic on presentation, is placing 4 L of oxygen, he tested positive for COVID-19.  X-ray was negative for acute process, he had CT PE done which was negative for PE.  Patient was treated with DuoNebs, albuterol and dexamethasone.  Patient tolerated well, his tachycardia resolved, he was weaned off oxygen to room air with ambulation, no sputum production.  He was tolerating diet and back to baseline.  Patient was medically stable to be discharged on 10/02/2022 in afternoon.  Was given Decadron prescription for 5 more days.  He was also given prescription for albuterol as needed.  Instructed patient to return to the hospital if he has worsening symptoms.  Patient was vaccinated x2
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray normal
Clinical narrative: Admission Date: 10/1/2022 Discharge Date: Oct 2, 2022  PRESENTING PROBLEM: Hypoxia [R09.02] Respiratory failure with hypoxia (HCC) [J96.91] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 52-year-old male with past medical history significant for type 2 diabetes, OSA and chronic diastolic heart failure presented to the emergency department with chief complaint of dyspnea shortness of breath.  Patient was having flu-like symptoms since 09/24/2022, worsening congestion shortness of breath with cough.  Patient was tachycardic and hypoxic on presentation, is placing 4 L of oxygen, he tested positive for COVID-19.  X-ray was negative for acute process, he had CT PE done which was negative for PE.  Patient was treated with DuoNebs, albuterol and dexamethasone.  Patient tolerated well, his tachycardia resolved, he was weaned off oxygen to room air with ambulation, no sputum production.  He was tolerating diet and back to baseline.  Patient was medically stable to be discharged on 10/02/2022 in afternoon.  Was given Decadron prescription for 5 more days.  He was also given prescription for albuterol as needed.  Instructed patient to return to the hospital if he has worsening symptoms.  Patient was vaccinated x2
Age: 3.0
Sex: M
Vaccine: FLUR4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Flublox given to 3 year old by mistake
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acupuncture, Arthritis, Condition aggravated, Magnetic resonance imaging spinal abnormal
Clinical narrative: I have had 5 shots and I have continued to get worsening arthritis, I don?t know if it is related and didn?t think anything  about it but a few weeks ago I talked to some neighbors that I haven?t seen in awhile, they both said the hadn?t had arthritis before and had developed it in the last 2 years and it was severe now, they said after they got a shot it got worse
Age: 27.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: 0.25mL administered instead of 0.50mL.
Age: 53.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Lymphadenopathy, Paraesthesia
Clinical narrative: swollen lymphnodes in arms, tingling in fingers
Age: 53.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Arthralgia, Back pain, Breast mass, Ingrown hair, Injection site pain
Clinical narrative: swollen lymphnodes in arms, tingling in fingers
Age: 53.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Lymphadenopathy, Mammogram normal, Pain, Pain in extremity, Paraesthesia
Clinical narrative: swollen lymphnodes in arms, tingling in fingers
Age: 45.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the clinic it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 62.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: 0.25mL administered instead of 0.50mL.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood culture, Escherichia bacteraemia, Fatigue, Nephrolithiasis
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 10/1/2022 Discharge Date: Oct 3, 2022  PRESENTING PROBLEM: Generalized weakness [R53.1]   HOSPITAL COURSE: Patient is a 75 y.o. male with a pertinent past medical history of prostate cancer s/p TURP 2017, infected nephrolithiasis with Klebsiella and enterococcus UA, with klebsiella bacteremia and septic shock January 2022, s/p nephrostomy tube placement, Chronic diastolic CHF, severe AV stenosis s/p TAVR 4/5/22, arthritis s/p bilateral knee, right hip, right shoulder replacement, medically refractory Parkinson's disease, with recent admission for deep brain stimulation lead implantation with foley placement, who presented with generalized weakness, fatigue, urinary frequency found to have a complicated UTI with E. Coli Bacteremia noted on admission. Patient was given 2 days of Rocephin prior to discharge, as blood culture susceptibilities came back on 10/3, with notable susceptibility to ciprofloxacin. Patient is planned to be discharged with 8 days more of ciprofloxacin to complete a total 10d course. Patient was originally planned for generator placement for DBS during admission, but due to infection neurosurg declined intervention at this time with ongoing infection. He was also found to have a small left possible renal calculus on ultrasound. His symptoms resolved and patient was discharged on 10-/3 hemodynamically stable. All questions were answered prior to discharge, and patient was set up with his urologist OP for follow up planned 10/14.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pollakiuria, Ultrasound kidney abnormal, Urinary tract infection
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 10/1/2022 Discharge Date: Oct 3, 2022  PRESENTING PROBLEM: Generalized weakness [R53.1]   HOSPITAL COURSE: Patient is a 75 y.o. male with a pertinent past medical history of prostate cancer s/p TURP 2017, infected nephrolithiasis with Klebsiella and enterococcus UA, with klebsiella bacteremia and septic shock January 2022, s/p nephrostomy tube placement, Chronic diastolic CHF, severe AV stenosis s/p TAVR 4/5/22, arthritis s/p bilateral knee, right hip, right shoulder replacement, medically refractory Parkinson's disease, with recent admission for deep brain stimulation lead implantation with foley placement, who presented with generalized weakness, fatigue, urinary frequency found to have a complicated UTI with E. Coli Bacteremia noted on admission. Patient was given 2 days of Rocephin prior to discharge, as blood culture susceptibilities came back on 10/3, with notable susceptibility to ciprofloxacin. Patient is planned to be discharged with 8 days more of ciprofloxacin to complete a total 10d course. Patient was originally planned for generator placement for DBS during admission, but due to infection neurosurg declined intervention at this time with ongoing infection. He was also found to have a small left possible renal calculus on ultrasound. His symptoms resolved and patient was discharged on 10-/3 hemodynamically stable. All questions were answered prior to discharge, and patient was set up with his urologist OP for follow up planned 10/14.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Body temperature abnormal, Erythema, Headache, Inflammation, Injection site erythema
Clinical narrative: It seemed to be the usual tenderness and slight redness and puffy. Size = small a dime size maybe. Friday 10/7  Then in a few hours some itching, headache, mild temperature.Saturday 10/8 - I slept and when I woke I was REALLY itchy and looked at the sight.  It was Very red and TERRIBLY itchy and swollen and the size was about 1.5 - 1.75 inches.  It looked "mean". I took another tylenol and allegra as above. Then on Sunday 10/9 the red patch looked inflamed, itchy as before and a feeling of hives in my left hand*.   Meds taken as before.  10/10 - The size of the red spot remained about 1.5 inches. The itching lessened and while still red swelling reduced.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site pruritus, Injection site swelling, Pruritus, Skin swelling, Tenderness
Clinical narrative: It seemed to be the usual tenderness and slight redness and puffy. Size = small a dime size maybe. Friday 10/7  Then in a few hours some itching, headache, mild temperature.Saturday 10/8 - I slept and when I woke I was REALLY itchy and looked at the sight.  It was Very red and TERRIBLY itchy and swollen and the size was about 1.5 - 1.75 inches.  It looked "mean". I took another tylenol and allegra as above. Then on Sunday 10/9 the red patch looked inflamed, itchy as before and a feeling of hives in my left hand*.   Meds taken as before.  10/10 - The size of the red spot remained about 1.5 inches. The itching lessened and while still red swelling reduced.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Crepitations, Pyrexia, Respiratory tract congestion
Clinical narrative: Pt to ED 9/28 for fever and mild cough. PT COVID+ 9/28, rx for remdesivir for 3 days. 10/2 Pt. Shows no signs of distress. 10/3 No new complaints noted; stable; no acute cardiac issues. 10/5 Sepsis BPA firing score 9, pt has crackles in lower lungs and of moist congested cough. 10/9 Patient has no apparent distress, pt discharged.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Pt to ED 9/28 for fever and mild cough. PT COVID+ 9/28, rx for remdesivir for 3 days. 10/2 Pt. Shows no signs of distress. 10/3 No new complaints noted; stable; no acute cardiac issues. 10/5 Sepsis BPA firing score 9, pt has crackles in lower lungs and of moist congested cough. 10/9 Patient has no apparent distress, pt discharged.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: 0.25mL administered instead of 0.50mL.
Age: 74.0
Sex: F
Vaccine: UNK
Symptoms: Back pain, Computerised tomogram, Gait disturbance, Groin pain, Insomnia
Clinical narrative: Extreme muscle soreness and weakness especially in the lower back, the groin, and the leg with the orthopaedic knee, which has not had any pain for several months.  Pain , which was so severe I could not lie down, sleep or walk, has progressed for seven days.   Per the ER doctor, there is a bulging disc and arthritis in my lower back.  My daily routine is to walk three miles and work out at the gymn even though there was a bulging disc and arthritis.  I believe the pain is related to the shingrix shot and the fact that I have an orthopaedic knee, because the pain started within three hours of the shot and has concentrated in my lower back, groin, and the leg with the orthopaedic knee.
Age: 74.0
Sex: F
Vaccine: UNK
Symptoms: Intervertebral disc protrusion, Mobility decreased, Muscular weakness, Myalgia, Pain
Clinical narrative: Extreme muscle soreness and weakness especially in the lower back, the groin, and the leg with the orthopaedic knee, which has not had any pain for several months.  Pain , which was so severe I could not lie down, sleep or walk, has progressed for seven days.   Per the ER doctor, there is a bulging disc and arthritis in my lower back.  My daily routine is to walk three miles and work out at the gymn even though there was a bulging disc and arthritis.  I believe the pain is related to the shingrix shot and the fact that I have an orthopaedic knee, because the pain started within three hours of the shot and has concentrated in my lower back, groin, and the leg with the orthopaedic knee.
Age: 74.0
Sex: F
Vaccine: UNK
Symptoms: Pain in extremity, Spondylitis
Clinical narrative: Extreme muscle soreness and weakness especially in the lower back, the groin, and the leg with the orthopaedic knee, which has not had any pain for several months.  Pain , which was so severe I could not lie down, sleep or walk, has progressed for seven days.   Per the ER doctor, there is a bulging disc and arthritis in my lower back.  My daily routine is to walk three miles and work out at the gymn even though there was a bulging disc and arthritis.  I believe the pain is related to the shingrix shot and the fact that I have an orthopaedic knee, because the pain started within three hours of the shot and has concentrated in my lower back, groin, and the leg with the orthopaedic knee.
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site reaction, Urticaria
Clinical narrative: I developed a circular red welt around the injection site which was delayed by almost a day
Age: 31.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: GAVE BIVALENT BOOSTER AS INITIAL DOSE. THERE WAS A LANGUAGE BARRIER AND INITIALLY WHEN ASKED BY BOTH PHARMACIST AND TECHNICIAN THAT HE SAID YES WHEN ASKED IF WANTED BOOSTER. AFTER SHOT GIVEN, PATIENT ASKED WHEN NEXT SHOT WAS. PHARMACIST SAID NO EXTRA SHOT WAS NEEDED AFTER BOOSTER LIKE THE INITIAL SERIES.  PATIENT THEN SAID HAD NOT FIRST DOSE.
Age: 84.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: 0.25mL administered instead of 0.50mL.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Blood folate, Blood lactate dehydrogenase normal, Blood pressure abnormal, Blood test
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 10/1/2022 Discharge Date: Oct 4, 2022  PRESENTING PROBLEM: Acute hypoxemic respiratory failure COVID-19   HOSPITAL COURSE: "Patient is a 22-year-old male with past medical history of anxiety, migraines, celiac disease, hypoplastic left heart syndrome status post Norwood, hemi Fontan, and Fontan completion w/ associated liver disease who presented on 10/1 with septic shock in the setting of COVID. He was fluid resuscitated with 1.5 L IVF and remained hypotensive so was then started on norepinephrine. Further IVF not given due to pt's R ventricular failure. He was started on 5 day course of remdesivir. CAP coverage with azithromycin for total of 3 day course. He was not hypoxic initially so steroids were not started. Pt's BP improved and norepinephrine was discontinued. He did have desat on RA to 89% on morning of 10/2 with new O2 requirement of 2L via NC. Due to this, decision was made to keep pt for observation and to complete course of remdesivir. However, pt no longer required pressor support or ICU level care so transferred to general medicine." ICU transfer summary    After transfer out of the ICU, pt continued to do well and was weaned to RA. He was continued on Remdesivir and completed day #3 of Azithromycin. Congenital heart continued to follow him until discharge and given recent hypotension his Lisinopril/Spironolactone have been held. Asa was held for thrombocytopenia. For his cytopenias with thrombocytopenia Congenital heart recommended Heme consult. Heme felt pt with chronic thrombocytopenia at baseline which likely exacerbated from COVID-19 illness and checking labs with blood path, haptoglobin, LDH, folate/b12. Haptoglobin was normal, LDH normal, b12 399, folate 5.6. Blood path showed possible viral etiology. Pt discharged on 10/4/2022. Plt level day of discharge was 54.    He will follow up with hematology.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Cytopenia, Haptoglobin normal, Hypotension
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 10/1/2022 Discharge Date: Oct 4, 2022  PRESENTING PROBLEM: Acute hypoxemic respiratory failure COVID-19   HOSPITAL COURSE: "Patient is a 22-year-old male with past medical history of anxiety, migraines, celiac disease, hypoplastic left heart syndrome status post Norwood, hemi Fontan, and Fontan completion w/ associated liver disease who presented on 10/1 with septic shock in the setting of COVID. He was fluid resuscitated with 1.5 L IVF and remained hypotensive so was then started on norepinephrine. Further IVF not given due to pt's R ventricular failure. He was started on 5 day course of remdesivir. CAP coverage with azithromycin for total of 3 day course. He was not hypoxic initially so steroids were not started. Pt's BP improved and norepinephrine was discontinued. He did have desat on RA to 89% on morning of 10/2 with new O2 requirement of 2L via NC. Due to this, decision was made to keep pt for observation and to complete course of remdesivir. However, pt no longer required pressor support or ICU level care so transferred to general medicine." ICU transfer summary    After transfer out of the ICU, pt continued to do well and was weaned to RA. He was continued on Remdesivir and completed day #3 of Azithromycin. Congenital heart continued to follow him until discharge and given recent hypotension his Lisinopril/Spironolactone have been held. Asa was held for thrombocytopenia. For his cytopenias with thrombocytopenia Congenital heart recommended Heme consult. Heme felt pt with chronic thrombocytopenia at baseline which likely exacerbated from COVID-19 illness and checking labs with blood path, haptoglobin, LDH, folate/b12. Haptoglobin was normal, LDH normal, b12 399, folate 5.6. Blood path showed possible viral etiology. Pt discharged on 10/4/2022. Plt level day of discharge was 54.    He will follow up with hematology.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Oxygen saturation decreased, Platelet count decreased, Septic shock, Thrombocytopenia
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 10/1/2022 Discharge Date: Oct 4, 2022  PRESENTING PROBLEM: Acute hypoxemic respiratory failure COVID-19   HOSPITAL COURSE: "Patient is a 22-year-old male with past medical history of anxiety, migraines, celiac disease, hypoplastic left heart syndrome status post Norwood, hemi Fontan, and Fontan completion w/ associated liver disease who presented on 10/1 with septic shock in the setting of COVID. He was fluid resuscitated with 1.5 L IVF and remained hypotensive so was then started on norepinephrine. Further IVF not given due to pt's R ventricular failure. He was started on 5 day course of remdesivir. CAP coverage with azithromycin for total of 3 day course. He was not hypoxic initially so steroids were not started. Pt's BP improved and norepinephrine was discontinued. He did have desat on RA to 89% on morning of 10/2 with new O2 requirement of 2L via NC. Due to this, decision was made to keep pt for observation and to complete course of remdesivir. However, pt no longer required pressor support or ICU level care so transferred to general medicine." ICU transfer summary    After transfer out of the ICU, pt continued to do well and was weaned to RA. He was continued on Remdesivir and completed day #3 of Azithromycin. Congenital heart continued to follow him until discharge and given recent hypotension his Lisinopril/Spironolactone have been held. Asa was held for thrombocytopenia. For his cytopenias with thrombocytopenia Congenital heart recommended Heme consult. Heme felt pt with chronic thrombocytopenia at baseline which likely exacerbated from COVID-19 illness and checking labs with blood path, haptoglobin, LDH, folate/b12. Haptoglobin was normal, LDH normal, b12 399, folate 5.6. Blood path showed possible viral etiology. Pt discharged on 10/4/2022. Plt level day of discharge was 54.    He will follow up with hematology.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Vitamin B12 normal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 10/1/2022 Discharge Date: Oct 4, 2022  PRESENTING PROBLEM: Acute hypoxemic respiratory failure COVID-19   HOSPITAL COURSE: "Patient is a 22-year-old male with past medical history of anxiety, migraines, celiac disease, hypoplastic left heart syndrome status post Norwood, hemi Fontan, and Fontan completion w/ associated liver disease who presented on 10/1 with septic shock in the setting of COVID. He was fluid resuscitated with 1.5 L IVF and remained hypotensive so was then started on norepinephrine. Further IVF not given due to pt's R ventricular failure. He was started on 5 day course of remdesivir. CAP coverage with azithromycin for total of 3 day course. He was not hypoxic initially so steroids were not started. Pt's BP improved and norepinephrine was discontinued. He did have desat on RA to 89% on morning of 10/2 with new O2 requirement of 2L via NC. Due to this, decision was made to keep pt for observation and to complete course of remdesivir. However, pt no longer required pressor support or ICU level care so transferred to general medicine." ICU transfer summary    After transfer out of the ICU, pt continued to do well and was weaned to RA. He was continued on Remdesivir and completed day #3 of Azithromycin. Congenital heart continued to follow him until discharge and given recent hypotension his Lisinopril/Spironolactone have been held. Asa was held for thrombocytopenia. For his cytopenias with thrombocytopenia Congenital heart recommended Heme consult. Heme felt pt with chronic thrombocytopenia at baseline which likely exacerbated from COVID-19 illness and checking labs with blood path, haptoglobin, LDH, folate/b12. Haptoglobin was normal, LDH normal, b12 399, folate 5.6. Blood path showed possible viral etiology. Pt discharged on 10/4/2022. Plt level day of discharge was 54.    He will follow up with hematology.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Acidosis, Acute respiratory distress syndrome, Anaemia, Aspiration, COVID-19
Clinical narrative: Presented to ED on 9/24 after fall from standing hitting head on edge of table. Noted scalp laceration and right femur fx. 9/25 covid + and  had IM nail of right femur.  Next day had episode of hypotension and severe anemia with hemoglobin of 3.9. Transferred to ICU for crytalloid and product resuscitation and concern for possible hemolysis due to transfusions. Becoming more confused and vomited during NG tube placement with aspiration leading to a hypoxic event and cardiac arrest. Underwent code for approximately 15 minutes. Had severe acute respiratory distress syndrome with increasing pressor requirement and acidosis. Family elected to make patient DNR.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac arrest, Confusional state, Fall, Femur fracture, Gastrointestinal tube insertion
Clinical narrative: Presented to ED on 9/24 after fall from standing hitting head on edge of table. Noted scalp laceration and right femur fx. 9/25 covid + and  had IM nail of right femur.  Next day had episode of hypotension and severe anemia with hemoglobin of 3.9. Transferred to ICU for crytalloid and product resuscitation and concern for possible hemolysis due to transfusions. Becoming more confused and vomited during NG tube placement with aspiration leading to a hypoxic event and cardiac arrest. Underwent code for approximately 15 minutes. Had severe acute respiratory distress syndrome with increasing pressor requirement and acidosis. Family elected to make patient DNR.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Head injury, Hypotension, Hypoxia, Intensive care
Clinical narrative: Presented to ED on 9/24 after fall from standing hitting head on edge of table. Noted scalp laceration and right femur fx. 9/25 covid + and  had IM nail of right femur.  Next day had episode of hypotension and severe anemia with hemoglobin of 3.9. Transferred to ICU for crytalloid and product resuscitation and concern for possible hemolysis due to transfusions. Becoming more confused and vomited during NG tube placement with aspiration leading to a hypoxic event and cardiac arrest. Underwent code for approximately 15 minutes. Had severe acute respiratory distress syndrome with increasing pressor requirement and acidosis. Family elected to make patient DNR.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Intramedullary rod insertion, Resuscitation, SARS-CoV-2 test positive, Skin laceration, Transfusion
Clinical narrative: Presented to ED on 9/24 after fall from standing hitting head on edge of table. Noted scalp laceration and right femur fx. 9/25 covid + and  had IM nail of right femur.  Next day had episode of hypotension and severe anemia with hemoglobin of 3.9. Transferred to ICU for crytalloid and product resuscitation and concern for possible hemolysis due to transfusions. Becoming more confused and vomited during NG tube placement with aspiration leading to a hypoxic event and cardiac arrest. Underwent code for approximately 15 minutes. Had severe acute respiratory distress syndrome with increasing pressor requirement and acidosis. Family elected to make patient DNR.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Presented to ED on 9/24 after fall from standing hitting head on edge of table. Noted scalp laceration and right femur fx. 9/25 covid + and  had IM nail of right femur.  Next day had episode of hypotension and severe anemia with hemoglobin of 3.9. Transferred to ICU for crytalloid and product resuscitation and concern for possible hemolysis due to transfusions. Becoming more confused and vomited during NG tube placement with aspiration leading to a hypoxic event and cardiac arrest. Underwent code for approximately 15 minutes. Had severe acute respiratory distress syndrome with increasing pressor requirement and acidosis. Family elected to make patient DNR.
Age: 34.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the clinic it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 42.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: 0.25mL administered instead of 0.50mL.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: 0.25mL administered instead of 0.50mL.
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: 0.25mL administered instead of 0.50mL.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain, Back pain, Blood test abnormal, Pancreatitis, Renal atrophy
Clinical narrative: I went to the emergency room because I started having extreme abdominal pain. They told me that I had pancreatitis. The pain started moving to my back. They started me on some antibiotics and put me on morphine for the pain, but when I got home later that night the pain started back. The medication they sent me home with was Ciprofloxacin, Metronidazole, Dicyclomine, and Ondansetron ODT. They gave me Metronidazole, and Cipro through an IV and the hospital. When I went to the other emergency room, that doctor told me that they don't prescribe Cipro for Pancreatitis, and I told him that that this doctor did.  They told me they didn't see any Pancreatitis there and told me that the problem is that my kidney had shrunk. He told me to follow up with my primary care.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: 0.25mL administered instead of 0.50mL.
Age: 27.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Acute respiratory failure, Asthma, Blood bicarbonate decreased, Blood lactic acid decreased, Blood urea decreased
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO Admission Date: 9/29/2022 Discharge Date: 10/2/2022  PRESENTING PROBLEM: Acute respiratory failure with hypoxia  COVID-19 virus infection COVID-19    HOSPITAL COURSE:  Patient is a 28 y.o. female PMH asthma taking QVAR who presents today with shortness of breath.  Patient is vaccinated for COVID-19 with posterior.   Patient states that up until Tuesday 09/27/2022 she had been in her usual state of health.  She and her boyfriend went to the zoo on Tuesday.  Within several hours of returning home patient started to experience sore throat, body aches, decreased appetite and chills.  On 09/28/2022 she started to experience increased shortness of breath, wheezes, cough.  She required home nebulizer treatment 5 times on Wednesday.  She stated that on Wednesday body aches worsened.  Today, patient required 7 nebulizer treatments to improve shortness of breath.  She stated that this improved his shortness of breath for about an hour max.  Wheezing, shortness of breath, cough would reoccur within 15-30 minutes.  She also started to develop diarrhea.  She took a home COVID test which was positive.  The patient decided to seek further care in the ER.   Initial vitals in ER were reassuring.  Labs notable for bicarb 19, BUN 7, CRP 19.5, lactic 1.1, WBC 5.57.  D-dimer 340. Chest x-ray negative for acute process.  Patient had improved with albuterol treatments while in the ER.  However when obtaining a ambulatory pulse ox, patient's oxygen saturation decreased to 86% she was placed on 2 L nasal cannula oxygen saturating in the low 90s.  Additionally patient became afebrile with temp of 37.8.  While in the ER, patient received acetaminophen 1000 mg orally, methylprednisolone 125 mg IV.  Hospitalist asked to admit patient for management of asthma exacerbation and COVID-19.   Patient was treated with dexamethasone and remdesivir and respiratory treatments.  Her symptoms improved and she was weaned off oxygen.  She was able to tolerate a solid diet.  She did not qualify for home oxygen.   Patient was discharged home in good condition