chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Exposure to SARS-CoV-2, Hypervolaemia, Hypoxia, Inferior vena cava dilatation
Clinical narrative: The patient is a 67 y.o. with past and current medical history of ICM EF 15-20% chronic systolic heart failure, CAD with hx of anterior STEMI in 2016 with PCI LAD, with 70-80% RCA not intervened at the time, EF25% at that time. He has followed with Cardiology but was referred to another healthcare facility Feb 2022.    He presented to the ED 6/15 with edema, dyspnea, orthopnea, and PND for 1-2 weeks prior to admission. He had admitted weight gain about 20-25 lbs. In the ED, CXR with pulmonary congestion, BNP 5k. He was admitted to care service for diuresis. An echo was updated on admit that showed severely dilated LV with EF 15%. He was diuresed aggressively with a lasix drip. He threatened to leave AMA multiple times, but ended up staying, lasix gtt transitioned to PO torsemide 40mg bid. His fluid status and symptoms greatly improved with aggressive diuresis.   GDMT; his coreg was cotninued. Lisinopril was continued but later held and transitioned to entresto on discharge. He reported a hx of dizziness with aldactone but this was trailed while inpatient and tolerated well. SGLT2i cost was prohibitive, therefore not prescribed.    Patient reported that his wife recently testes positive for COVID, he took a home test and was positive, PCR was positive on admit 6/16. Internal medicine was consulted to help treat COVID. He was hypoxic, unclear how much was from COVID vs fluid overload. He was treated with remdesivir x5 doses. He was offered decadron but declined due to possible edema side effects.    He qualified for home oxygen, especially required it at night, he initially refused home O2 due to the copay, but later okay with a lower copay and was delivered oxygen tanks.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Left atrial dilatation, Left ventricular dilatation, Left ventricular dysfunction, Lung opacity, Mitral valve incompetence
Clinical narrative: The patient is a 67 y.o. with past and current medical history of ICM EF 15-20% chronic systolic heart failure, CAD with hx of anterior STEMI in 2016 with PCI LAD, with 70-80% RCA not intervened at the time, EF25% at that time. He has followed with Cardiology but was referred to another healthcare facility Feb 2022.    He presented to the ED 6/15 with edema, dyspnea, orthopnea, and PND for 1-2 weeks prior to admission. He had admitted weight gain about 20-25 lbs. In the ED, CXR with pulmonary congestion, BNP 5k. He was admitted to care service for diuresis. An echo was updated on admit that showed severely dilated LV with EF 15%. He was diuresed aggressively with a lasix drip. He threatened to leave AMA multiple times, but ended up staying, lasix gtt transitioned to PO torsemide 40mg bid. His fluid status and symptoms greatly improved with aggressive diuresis.   GDMT; his coreg was cotninued. Lisinopril was continued but later held and transitioned to entresto on discharge. He reported a hx of dizziness with aldactone but this was trailed while inpatient and tolerated well. SGLT2i cost was prohibitive, therefore not prescribed.    Patient reported that his wife recently testes positive for COVID, he took a home test and was positive, PCR was positive on admit 6/16. Internal medicine was consulted to help treat COVID. He was hypoxic, unclear how much was from COVID vs fluid overload. He was treated with remdesivir x5 doses. He was offered decadron but declined due to possible edema side effects.    He qualified for home oxygen, especially required it at night, he initially refused home O2 due to the copay, but later okay with a lower copay and was delivered oxygen tanks.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Mitral valve thickening, Oedema, Orthopnoea, Polyuria, Pulmonary congestion
Clinical narrative: The patient is a 67 y.o. with past and current medical history of ICM EF 15-20% chronic systolic heart failure, CAD with hx of anterior STEMI in 2016 with PCI LAD, with 70-80% RCA not intervened at the time, EF25% at that time. He has followed with Cardiology but was referred to another healthcare facility Feb 2022.    He presented to the ED 6/15 with edema, dyspnea, orthopnea, and PND for 1-2 weeks prior to admission. He had admitted weight gain about 20-25 lbs. In the ED, CXR with pulmonary congestion, BNP 5k. He was admitted to care service for diuresis. An echo was updated on admit that showed severely dilated LV with EF 15%. He was diuresed aggressively with a lasix drip. He threatened to leave AMA multiple times, but ended up staying, lasix gtt transitioned to PO torsemide 40mg bid. His fluid status and symptoms greatly improved with aggressive diuresis.   GDMT; his coreg was cotninued. Lisinopril was continued but later held and transitioned to entresto on discharge. He reported a hx of dizziness with aldactone but this was trailed while inpatient and tolerated well. SGLT2i cost was prohibitive, therefore not prescribed.    Patient reported that his wife recently testes positive for COVID, he took a home test and was positive, PCR was positive on admit 6/16. Internal medicine was consulted to help treat COVID. He was hypoxic, unclear how much was from COVID vs fluid overload. He was treated with remdesivir x5 doses. He was offered decadron but declined due to possible edema side effects.    He qualified for home oxygen, especially required it at night, he initially refused home O2 due to the copay, but later okay with a lower copay and was delivered oxygen tanks.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary valve incompetence, SARS-CoV-2 test positive, Ventricular hypertrophy, Weight increased
Clinical narrative: The patient is a 67 y.o. with past and current medical history of ICM EF 15-20% chronic systolic heart failure, CAD with hx of anterior STEMI in 2016 with PCI LAD, with 70-80% RCA not intervened at the time, EF25% at that time. He has followed with Cardiology but was referred to another healthcare facility Feb 2022.    He presented to the ED 6/15 with edema, dyspnea, orthopnea, and PND for 1-2 weeks prior to admission. He had admitted weight gain about 20-25 lbs. In the ED, CXR with pulmonary congestion, BNP 5k. He was admitted to care service for diuresis. An echo was updated on admit that showed severely dilated LV with EF 15%. He was diuresed aggressively with a lasix drip. He threatened to leave AMA multiple times, but ended up staying, lasix gtt transitioned to PO torsemide 40mg bid. His fluid status and symptoms greatly improved with aggressive diuresis.   GDMT; his coreg was cotninued. Lisinopril was continued but later held and transitioned to entresto on discharge. He reported a hx of dizziness with aldactone but this was trailed while inpatient and tolerated well. SGLT2i cost was prohibitive, therefore not prescribed.    Patient reported that his wife recently testes positive for COVID, he took a home test and was positive, PCR was positive on admit 6/16. Internal medicine was consulted to help treat COVID. He was hypoxic, unclear how much was from COVID vs fluid overload. He was treated with remdesivir x5 doses. He was offered decadron but declined due to possible edema side effects.    He qualified for home oxygen, especially required it at night, he initially refused home O2 due to the copay, but later okay with a lower copay and was delivered oxygen tanks.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given the Moderna shot meant for adults 18 and older, Patient is16.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: None.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Ascites, Asthenia, COVID-19, Chest tube insertion, Death
Clinical narrative: MODERNA COVID VACCINE #3 GIVEN 10/26/21, LOT # 012F21A; 5/9/10 pt brought to ED via EMS with generalized weakness, SOB; found to be hypoxic and had a positive COVID test (although throughout hospital course, pt's COVID tests were all negative after the initial; possible false positive test); given O2, dexamethasone, admitted; worsening right pleural effusion and ascites; right chest tube placed with some improvement; decline later in status; family decided on comfort measures only and pt was put into hospice where he expired.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, General physical health deterioration, Hypoxia, Pleural effusion, SARS-CoV-2 test positive
Clinical narrative: MODERNA COVID VACCINE #3 GIVEN 10/26/21, LOT # 012F21A; 5/9/10 pt brought to ED via EMS with generalized weakness, SOB; found to be hypoxic and had a positive COVID test (although throughout hospital course, pt's COVID tests were all negative after the initial; possible false positive test); given O2, dexamethasone, admitted; worsening right pleural effusion and ascites; right chest tube placed with some improvement; decline later in status; family decided on comfort measures only and pt was put into hospice where he expired.
Age: 61.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: Cough, Exposure to SARS-CoV-2, Fatigue, Pain, Respiratory tract congestion
Clinical narrative: I attended a wedding on 6/19/2022. On 6/21/2022, I returned home late from a trip and got only about 3 hours of sleep. I woke up feeling achy and I had a persistent cough with a little bit of congestion. I did a neti pot to cleanse my sinuses, and it helped me sleep. I took an at-home test for COVID on the afternoon of 6/22/2022 after learning that some other wedding guests had tested positive. The test yielded a positive result. I called my doctor to inform her of the test result, and she prescribed me Paxlovid. I haven't yet picked up the prescription. In the meantime, I have been isolating at home, wearing a mask, having chicken soup, and taking mostly vitamin C and vitamin D supplements. At the time of this writing, I feel a little better than I did at the beginning. I now have mostly fatigue and a light cough.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Paraesthesia oral, Pharyngeal swelling, Urticaria
Clinical narrative: PATIENT EXPERIENCED URTICARIA AND SWELLING OF THE LIPS AND THROAT FROM PREVIOUS PFIZER VACCINATION, FOR 6/23/22 PFIZER DOSE, PATIENT PRE-TREATED HERSELF WITH 25MG BENADRYL AT 10:20AM, RECEIVED PFIZER AT 10:25AM, EXPERIENCED TINGLING LIPS AT 10:40AM, AGENT PROVIDED 50 MG BENADRYL LIQUID (20ML) AT 10:45AM, PATIENT EXPRESSED RELEIF FROM TINGLING LIPS AT 10:55AM. BENADRYL WAS CHOSEN D/T PREVIOUS SUCCESSFUL RESPONSE IN PREVIOUS EPISODES. EPIPEN WAS AVOIDED, UNLIKE PREVIOUS EPISODE; PATIENT WAS RELEASED TO HER MOTHER TO DRIVE HER. WE WILL FOLLOW UP WITH THE PATIENT TONIGHT AND TOMORROW
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cough, Fall, SARS-CoV-2 test positive
Clinical narrative: Patient seen in the emergency department on 5/30 via EMS for evaluation of a fall due to weakness. Patient was subsequently admitted. Patient also reported a cough and was found to be COVID-19 positive via PCR on 5/30. Was discharged on 6/2.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fall
Clinical narrative: patient became dizzy and fell twice. he bacome weak and was taken to hospital by ambulance
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Product administration error
Clinical narrative: admin error
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Blood culture negative, COVID-19, Chest X-ray abnormal, Cough, Dyspnoea
Clinical narrative: The patient is a 79-year-old lady who presented to the hospital with chief complaints of shortness of breath.  She was found to be positive for COVID.  She has a past medical history which is significant for adenocarcinoma of the lung on osimertinib, chronic obstructive pulmonary disease, hypertension, obstructive sleep apnea, history of pulmonary embolism, atrial fibrillation chronic kidney disease.  X-ray chest showed the infiltrates and she was noted to be hypoxic at 84% requiring 4 L of oxygen.  The patient was started on dexamethasone in view of hypoxia.  Her symptoms the were delayed therefore she was not a candidate for remdesivir.  The patient has history of dizziness that has been there for a long time.  She has been worked up as outpatient and now wears at last check Ted hoses.  She was encouraged to continue hydration.  The patient was treated conservatively and showed a good response with her oxygenation and did not require oxygen at rest.  The patient normally uses about 2-2-1/2 L at home.  She was seen by OT and PT and was found to be a good candidate to be able to go home.  She was continued on dexamethasone to complete 5 more days to finish a 10 days of treatment.  She was also started on Protonix while she is on dexamethasone and was subsequently discharged home.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Lung hyperinflation, Lung infiltration, Lung opacity, SARS-CoV-2 test positive
Clinical narrative: The patient is a 79-year-old lady who presented to the hospital with chief complaints of shortness of breath.  She was found to be positive for COVID.  She has a past medical history which is significant for adenocarcinoma of the lung on osimertinib, chronic obstructive pulmonary disease, hypertension, obstructive sleep apnea, history of pulmonary embolism, atrial fibrillation chronic kidney disease.  X-ray chest showed the infiltrates and she was noted to be hypoxic at 84% requiring 4 L of oxygen.  The patient was started on dexamethasone in view of hypoxia.  Her symptoms the were delayed therefore she was not a candidate for remdesivir.  The patient has history of dizziness that has been there for a long time.  She has been worked up as outpatient and now wears at last check Ted hoses.  She was encouraged to continue hydration.  The patient was treated conservatively and showed a good response with her oxygenation and did not require oxygen at rest.  The patient normally uses about 2-2-1/2 L at home.  She was seen by OT and PT and was found to be a good candidate to be able to go home.  She was continued on dexamethasone to complete 5 more days to finish a 10 days of treatment.  She was also started on Protonix while she is on dexamethasone and was subsequently discharged home.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error
Clinical narrative: Admin error.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Hysterectomy, Menstruation irregular, Ovarian cyst, Ovarian cyst ruptured
Clinical narrative: I have had all 3 doses of moderna, starting in ocotber of 2020 and last one was 10/21.  In August of 2021  I started to have irregular periods, abdominal pain. I went into the er in december and was found to have an ovarian cyst that was rupturing.  since then I had more cysts and issues.  On june 3rd 2022 I went in and had a hysterectomy.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond use date.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain lower, Abdominal tenderness, Blood potassium decreased, Blood sodium decreased, Blood urea normal
Clinical narrative: Pfizer Dose 1 3/24/21 (ER8732) Pfizer Dose 2 4/14/21 (EW0161) COVID Positive 1/24/22  1/20/22: 66-year-old male with recurrent GI bleeding from cecal AV malformation status post cauterization and Endoclip most recently January 5, 2022, heart failure with preserved ejection fraction, paroxysmal atrial fibrillation not on anticoagulation, coronary artery disease status post PTCA and stents most recently September 2021 LAD stent, DVT/PE status post IVC filter and COPD sent from nursing home for low hemoglobin.  Patient reports he was sent from the nursing home because his blood count was low, he is not sure how low.  Patient denies any coffee-ground emesis, hematemesis, melena or hematochezia.  In fact his last bowel movement was 1 week ago, has mild lower abdominal pain, no nausea or vomiting.  Denies any fever chills or rigors.  Patient had mild chest discomfort which is not shortness of breath is about the same no other complaints. In the emergency room patient was hypotensive with normal heart rate.  Initial hemoglobin was 7.9 recheck was 6.4 , sodium 132, potassium 2.8 normal WBC count.  Stool guaiac is negative and  BUN 13.  Abdominal CT showed large stool burden with  proctitis/stercoral colitis.  CT chest is negative for pulmonary embolism  or other acute abnormalities.  Patient is receiving 2 units of PRBC, received bolus of fluids and  Zosyn in the emergency room.  1/25/22: 66-year-old male with recurrent GI bleeding from cecal AV malformation status post cauterization and Endoclip most recently January 5, 2022, heart failure with preserved ejection fraction, paroxysmal atrial fibrillation not on anticoagulation, coronary artery disease status post PTCA and stents most recently September 2021 LAD stent, DVT/PE status post IVC filter and COPD sent from nursing home for low hemoglobin.   In the emergency room patient was hypotensive with normal heart rate.  Initial hemoglobin was 7.9 recheck was 6.4 , sodium 132, potassium 2.8 normal WBC count.  Stool guaiac is negative and  BUN 13. Abdominal CT showed large stool burden with proctitis/stercoral colitis.  CT chest is negative for pulmonary embolism  or other acute abnormalities.  Patient is received 2 units of PRBC on admission , received bolus of fluids and  Zosyn in the emergency room.   his hemoglobin has been stable with minimal fluctuation in the last 3 days.  Patient has multiple large bowel movements with improvement in his abdominal pain and tenderness  He  was treated with IV Zosyn that we  changed to oral Flagyl and levofloxacin today. The pt needs regular lactulose to move his bowels  and relieve chronic constipation  The patient will be discharged back to skilled nursing facility on oral antibiotics supplementation  He needs to follow with his PCP in 3-5 days of hospital discharge
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Colitis ischaemic, Computerised tomogram abdomen abnormal, Computerised tomogram thorax normal, Faecaloma
Clinical narrative: Pfizer Dose 1 3/24/21 (ER8732) Pfizer Dose 2 4/14/21 (EW0161) COVID Positive 1/24/22  1/20/22: 66-year-old male with recurrent GI bleeding from cecal AV malformation status post cauterization and Endoclip most recently January 5, 2022, heart failure with preserved ejection fraction, paroxysmal atrial fibrillation not on anticoagulation, coronary artery disease status post PTCA and stents most recently September 2021 LAD stent, DVT/PE status post IVC filter and COPD sent from nursing home for low hemoglobin.  Patient reports he was sent from the nursing home because his blood count was low, he is not sure how low.  Patient denies any coffee-ground emesis, hematemesis, melena or hematochezia.  In fact his last bowel movement was 1 week ago, has mild lower abdominal pain, no nausea or vomiting.  Denies any fever chills or rigors.  Patient had mild chest discomfort which is not shortness of breath is about the same no other complaints. In the emergency room patient was hypotensive with normal heart rate.  Initial hemoglobin was 7.9 recheck was 6.4 , sodium 132, potassium 2.8 normal WBC count.  Stool guaiac is negative and  BUN 13.  Abdominal CT showed large stool burden with  proctitis/stercoral colitis.  CT chest is negative for pulmonary embolism  or other acute abnormalities.  Patient is receiving 2 units of PRBC, received bolus of fluids and  Zosyn in the emergency room.  1/25/22: 66-year-old male with recurrent GI bleeding from cecal AV malformation status post cauterization and Endoclip most recently January 5, 2022, heart failure with preserved ejection fraction, paroxysmal atrial fibrillation not on anticoagulation, coronary artery disease status post PTCA and stents most recently September 2021 LAD stent, DVT/PE status post IVC filter and COPD sent from nursing home for low hemoglobin.   In the emergency room patient was hypotensive with normal heart rate.  Initial hemoglobin was 7.9 recheck was 6.4 , sodium 132, potassium 2.8 normal WBC count.  Stool guaiac is negative and  BUN 13. Abdominal CT showed large stool burden with proctitis/stercoral colitis.  CT chest is negative for pulmonary embolism  or other acute abnormalities.  Patient is received 2 units of PRBC on admission , received bolus of fluids and  Zosyn in the emergency room.   his hemoglobin has been stable with minimal fluctuation in the last 3 days.  Patient has multiple large bowel movements with improvement in his abdominal pain and tenderness  He  was treated with IV Zosyn that we  changed to oral Flagyl and levofloxacin today. The pt needs regular lactulose to move his bowels  and relieve chronic constipation  The patient will be discharged back to skilled nursing facility on oral antibiotics supplementation  He needs to follow with his PCP in 3-5 days of hospital discharge
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count abnormal, Haemoglobin decreased, Hypotension, Occult blood negative, Proctitis
Clinical narrative: Pfizer Dose 1 3/24/21 (ER8732) Pfizer Dose 2 4/14/21 (EW0161) COVID Positive 1/24/22  1/20/22: 66-year-old male with recurrent GI bleeding from cecal AV malformation status post cauterization and Endoclip most recently January 5, 2022, heart failure with preserved ejection fraction, paroxysmal atrial fibrillation not on anticoagulation, coronary artery disease status post PTCA and stents most recently September 2021 LAD stent, DVT/PE status post IVC filter and COPD sent from nursing home for low hemoglobin.  Patient reports he was sent from the nursing home because his blood count was low, he is not sure how low.  Patient denies any coffee-ground emesis, hematemesis, melena or hematochezia.  In fact his last bowel movement was 1 week ago, has mild lower abdominal pain, no nausea or vomiting.  Denies any fever chills or rigors.  Patient had mild chest discomfort which is not shortness of breath is about the same no other complaints. In the emergency room patient was hypotensive with normal heart rate.  Initial hemoglobin was 7.9 recheck was 6.4 , sodium 132, potassium 2.8 normal WBC count.  Stool guaiac is negative and  BUN 13.  Abdominal CT showed large stool burden with  proctitis/stercoral colitis.  CT chest is negative for pulmonary embolism  or other acute abnormalities.  Patient is receiving 2 units of PRBC, received bolus of fluids and  Zosyn in the emergency room.  1/25/22: 66-year-old male with recurrent GI bleeding from cecal AV malformation status post cauterization and Endoclip most recently January 5, 2022, heart failure with preserved ejection fraction, paroxysmal atrial fibrillation not on anticoagulation, coronary artery disease status post PTCA and stents most recently September 2021 LAD stent, DVT/PE status post IVC filter and COPD sent from nursing home for low hemoglobin.   In the emergency room patient was hypotensive with normal heart rate.  Initial hemoglobin was 7.9 recheck was 6.4 , sodium 132, potassium 2.8 normal WBC count.  Stool guaiac is negative and  BUN 13. Abdominal CT showed large stool burden with proctitis/stercoral colitis.  CT chest is negative for pulmonary embolism  or other acute abnormalities.  Patient is received 2 units of PRBC on admission , received bolus of fluids and  Zosyn in the emergency room.   his hemoglobin has been stable with minimal fluctuation in the last 3 days.  Patient has multiple large bowel movements with improvement in his abdominal pain and tenderness  He  was treated with IV Zosyn that we  changed to oral Flagyl and levofloxacin today. The pt needs regular lactulose to move his bowels  and relieve chronic constipation  The patient will be discharged back to skilled nursing facility on oral antibiotics supplementation  He needs to follow with his PCP in 3-5 days of hospital discharge
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell transfusion, White blood cell count normal
Clinical narrative: Pfizer Dose 1 3/24/21 (ER8732) Pfizer Dose 2 4/14/21 (EW0161) COVID Positive 1/24/22  1/20/22: 66-year-old male with recurrent GI bleeding from cecal AV malformation status post cauterization and Endoclip most recently January 5, 2022, heart failure with preserved ejection fraction, paroxysmal atrial fibrillation not on anticoagulation, coronary artery disease status post PTCA and stents most recently September 2021 LAD stent, DVT/PE status post IVC filter and COPD sent from nursing home for low hemoglobin.  Patient reports he was sent from the nursing home because his blood count was low, he is not sure how low.  Patient denies any coffee-ground emesis, hematemesis, melena or hematochezia.  In fact his last bowel movement was 1 week ago, has mild lower abdominal pain, no nausea or vomiting.  Denies any fever chills or rigors.  Patient had mild chest discomfort which is not shortness of breath is about the same no other complaints. In the emergency room patient was hypotensive with normal heart rate.  Initial hemoglobin was 7.9 recheck was 6.4 , sodium 132, potassium 2.8 normal WBC count.  Stool guaiac is negative and  BUN 13.  Abdominal CT showed large stool burden with  proctitis/stercoral colitis.  CT chest is negative for pulmonary embolism  or other acute abnormalities.  Patient is receiving 2 units of PRBC, received bolus of fluids and  Zosyn in the emergency room.  1/25/22: 66-year-old male with recurrent GI bleeding from cecal AV malformation status post cauterization and Endoclip most recently January 5, 2022, heart failure with preserved ejection fraction, paroxysmal atrial fibrillation not on anticoagulation, coronary artery disease status post PTCA and stents most recently September 2021 LAD stent, DVT/PE status post IVC filter and COPD sent from nursing home for low hemoglobin.   In the emergency room patient was hypotensive with normal heart rate.  Initial hemoglobin was 7.9 recheck was 6.4 , sodium 132, potassium 2.8 normal WBC count.  Stool guaiac is negative and  BUN 13. Abdominal CT showed large stool burden with proctitis/stercoral colitis.  CT chest is negative for pulmonary embolism  or other acute abnormalities.  Patient is received 2 units of PRBC on admission , received bolus of fluids and  Zosyn in the emergency room.   his hemoglobin has been stable with minimal fluctuation in the last 3 days.  Patient has multiple large bowel movements with improvement in his abdominal pain and tenderness  He  was treated with IV Zosyn that we  changed to oral Flagyl and levofloxacin today. The pt needs regular lactulose to move his bowels  and relieve chronic constipation  The patient will be discharged back to skilled nursing facility on oral antibiotics supplementation  He needs to follow with his PCP in 3-5 days of hospital discharge
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond use date.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Postmenopausal haemorrhage, Ultrasound scan vagina normal
Clinical narrative: Post-menopausal staining starting 3 weeks after the vaccine, duration  5 days
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: parents made an online appointment with the wrong date of birth 11/6/2008, so her record showed she was 12 years old and she got the adult pfizer when in fact she should have gotten pediatric.
Age: 16.0
Sex: F
Vaccine: HEPA
Symptoms: Inappropriate schedule of product administration
Clinical narrative: vaccine given to soon, Mother notified of early administration of vaccine informed of no harm and a third dose would be needed. Mother stated " should I schedule now for third dose" Instructed she will be due on or after 12/23/2022 and I would contact her with clinic dates at that time.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Back pain, COVID-19, Headache, Malaise
Clinical narrative: Covid symptoms started on 06/18/2022; tested positive on 06/19/2022. He had a really bad headache and was treated with Tylenol and rizatriptan, and in the morning his fever was 102. He has abdominal pain, nausea, stuffy nose, runny nose, and general aches and pains in the back and neck, a headache still, and the only fever he had was that morning of the 19th and no fever since. Symptoms are still ongoing and he just finished the 3 day infusion of Remdisivir.   Last dose of series was Pfizer- 10/15/2021 Lot #30145BA- Unknown ARM- IM
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Nausea, Neck pain, Pain, Pyrexia
Clinical narrative: Covid symptoms started on 06/18/2022; tested positive on 06/19/2022. He had a really bad headache and was treated with Tylenol and rizatriptan, and in the morning his fever was 102. He has abdominal pain, nausea, stuffy nose, runny nose, and general aches and pains in the back and neck, a headache still, and the only fever he had was that morning of the 19th and no fever since. Symptoms are still ongoing and he just finished the 3 day infusion of Remdisivir.   Last dose of series was Pfizer- 10/15/2021 Lot #30145BA- Unknown ARM- IM
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Covid symptoms started on 06/18/2022; tested positive on 06/19/2022. He had a really bad headache and was treated with Tylenol and rizatriptan, and in the morning his fever was 102. He has abdominal pain, nausea, stuffy nose, runny nose, and general aches and pains in the back and neck, a headache still, and the only fever he had was that morning of the 19th and no fever since. Symptoms are still ongoing and he just finished the 3 day infusion of Remdisivir.   Last dose of series was Pfizer- 10/15/2021 Lot #30145BA- Unknown ARM- IM
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Anticoagulant therapy, Atrial fibrillation, Cardiac pharmacologic stress test, Echocardiogram normal
Clinical narrative: I was rushed to hospital and diagnosed the next day with Afib and put on Xarelto and metoprolol. Had a pharmacological stress test and an echocardiogram - all normal.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising, Injection site rash, Rash, Rash pruritic, Skin reaction
Clinical narrative: Pt recieved 1st dose of Shingrix vaccination on 6/17/22.  In the days following her arm was a little red, but not painful and no other concerns. On the 21st, the patient developed a bruise at the injection site and a rash surrounding on her arm that was mildly itchy/painful and spreading out to cover most of her upper arm. I advised patient to try putting OTC hydrocortisone cream on it . Has yet to resolve
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Product administration error
Clinical narrative: admin error
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine given 4 days after the BUD. Manufacture expiration 7/13/22, stored in Freezer until 5/10/22, then transferred to refrigeration with new BUD of 6/9/2022. Vial stored in refrigerator until first puncture on 6/13/22 then discarded. No additional doses given out of this vial. No report of poor signs/symptoms.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Fatigue, Headache, Mobility decreased, Pain in extremity
Clinical narrative: Patient reports that arm has been so sore for the last three days that it is barely moveable. He also reports dry cough, mild headache and extreme fatigue.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Aspartate aminotransferase increased, Atelectasis, Blood creatinine increased, Blood urea increased
Clinical narrative: Pfizer Dose 1 3/23/21 (EN6208); Pfizer Dose 2 4/14/21 (EW0153); Pfizer Dose 3 10/23/21 (FF2593); COVID Positive 1/7/22; 1/7/22: Is a 61 year old male who presented to ED via EMS with complaints of a syncopal episode.  has felt unwell for the past several days. Decreased appetite and oral intake. He developed a fever and chills last night. He felt unsteady on his feet during ambulation, stating and hold onto walls to make it to his bedroom. He woke up early this morning ambulating to his kitchen to get a drink and had a syncopal episode. EMS was called at that time. He denies shortness of breath or chest pain.  He admits to chills, productive cough and sore throat.  He denies nausea or vomiting.  Denies diarrhea, patient states he feels constipated.  He has been fully vaccinated against Covid-19, as well as booster. Patient has a past medical history of moderate to poorly differentiated adenocarcinoma of the lung status post right upper lobectomy (July 2011) with metastatic disease to the adrenal glands, he underwent a right adrenalectomy in 2012 and left adrenalectomy in 2017, hypertension, obesity former tobacco use.. He is chronically on hydrocortisone and fludrocortisone. He is not currently undergoing treatment.  On arrival to ED the patient was severely hypotensive 69/50.  Laboratory findings were significant for hyponatremia 126. Acute kidney injury BUN 33 and creatinine 3.50.  Transaminitis AST 47.  Lactic acidosis 3.5.  FOBT positive.  Leukocytosis 11.85.  CT head no acute intracranial abnormalities.  V/Q scan low probability of acute thrombolytics disease.  Checks x-ray left basilar atelectasis.  Zosyn was initiated in ED.  Solu-Medrol 125 mg IV given an IV fluid hydration with NS 0.9% 6 L bolus. Patient was ultimately started on Levophed for pressor support.  1/10/22: 61-year-old man who presented with complaints of syncope and was found to be profoundly hypotensive on presentation.  Aggressive intravenous fluid resuscitation, pressor support and stress steroids were initiated in view of his history of adrenal insufficiency.  He was admitted, COVID-19 PCR was subsequently positive.  Clinical response was favorable with improvement in blood pressure and resolution of hypotension, pressor support was weaned off.  Stress dose steroids were weaned down and he was discharged home on home dose of hydrocortisone and fludrocortisone.  He has been discharged in stable medical condition to continue outpatient care.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Chills, Computerised tomogram head normal, Constipation
Clinical narrative: Pfizer Dose 1 3/23/21 (EN6208); Pfizer Dose 2 4/14/21 (EW0153); Pfizer Dose 3 10/23/21 (FF2593); COVID Positive 1/7/22; 1/7/22: Is a 61 year old male who presented to ED via EMS with complaints of a syncopal episode.  has felt unwell for the past several days. Decreased appetite and oral intake. He developed a fever and chills last night. He felt unsteady on his feet during ambulation, stating and hold onto walls to make it to his bedroom. He woke up early this morning ambulating to his kitchen to get a drink and had a syncopal episode. EMS was called at that time. He denies shortness of breath or chest pain.  He admits to chills, productive cough and sore throat.  He denies nausea or vomiting.  Denies diarrhea, patient states he feels constipated.  He has been fully vaccinated against Covid-19, as well as booster. Patient has a past medical history of moderate to poorly differentiated adenocarcinoma of the lung status post right upper lobectomy (July 2011) with metastatic disease to the adrenal glands, he underwent a right adrenalectomy in 2012 and left adrenalectomy in 2017, hypertension, obesity former tobacco use.. He is chronically on hydrocortisone and fludrocortisone. He is not currently undergoing treatment.  On arrival to ED the patient was severely hypotensive 69/50.  Laboratory findings were significant for hyponatremia 126. Acute kidney injury BUN 33 and creatinine 3.50.  Transaminitis AST 47.  Lactic acidosis 3.5.  FOBT positive.  Leukocytosis 11.85.  CT head no acute intracranial abnormalities.  V/Q scan low probability of acute thrombolytics disease.  Checks x-ray left basilar atelectasis.  Zosyn was initiated in ED.  Solu-Medrol 125 mg IV given an IV fluid hydration with NS 0.9% 6 L bolus. Patient was ultimately started on Levophed for pressor support.  1/10/22: 61-year-old man who presented with complaints of syncope and was found to be profoundly hypotensive on presentation.  Aggressive intravenous fluid resuscitation, pressor support and stress steroids were initiated in view of his history of adrenal insufficiency.  He was admitted, COVID-19 PCR was subsequently positive.  Clinical response was favorable with improvement in blood pressure and resolution of hypotension, pressor support was weaned off.  Stress dose steroids were weaned down and he was discharged home on home dose of hydrocortisone and fludrocortisone.  He has been discharged in stable medical condition to continue outpatient care.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Gait disturbance, Hypertransaminasaemia, Hyponatraemia, Hypophagia
Clinical narrative: Pfizer Dose 1 3/23/21 (EN6208); Pfizer Dose 2 4/14/21 (EW0153); Pfizer Dose 3 10/23/21 (FF2593); COVID Positive 1/7/22; 1/7/22: Is a 61 year old male who presented to ED via EMS with complaints of a syncopal episode.  has felt unwell for the past several days. Decreased appetite and oral intake. He developed a fever and chills last night. He felt unsteady on his feet during ambulation, stating and hold onto walls to make it to his bedroom. He woke up early this morning ambulating to his kitchen to get a drink and had a syncopal episode. EMS was called at that time. He denies shortness of breath or chest pain.  He admits to chills, productive cough and sore throat.  He denies nausea or vomiting.  Denies diarrhea, patient states he feels constipated.  He has been fully vaccinated against Covid-19, as well as booster. Patient has a past medical history of moderate to poorly differentiated adenocarcinoma of the lung status post right upper lobectomy (July 2011) with metastatic disease to the adrenal glands, he underwent a right adrenalectomy in 2012 and left adrenalectomy in 2017, hypertension, obesity former tobacco use.. He is chronically on hydrocortisone and fludrocortisone. He is not currently undergoing treatment.  On arrival to ED the patient was severely hypotensive 69/50.  Laboratory findings were significant for hyponatremia 126. Acute kidney injury BUN 33 and creatinine 3.50.  Transaminitis AST 47.  Lactic acidosis 3.5.  FOBT positive.  Leukocytosis 11.85.  CT head no acute intracranial abnormalities.  V/Q scan low probability of acute thrombolytics disease.  Checks x-ray left basilar atelectasis.  Zosyn was initiated in ED.  Solu-Medrol 125 mg IV given an IV fluid hydration with NS 0.9% 6 L bolus. Patient was ultimately started on Levophed for pressor support.  1/10/22: 61-year-old man who presented with complaints of syncope and was found to be profoundly hypotensive on presentation.  Aggressive intravenous fluid resuscitation, pressor support and stress steroids were initiated in view of his history of adrenal insufficiency.  He was admitted, COVID-19 PCR was subsequently positive.  Clinical response was favorable with improvement in blood pressure and resolution of hypotension, pressor support was weaned off.  Stress dose steroids were weaned down and he was discharged home on home dose of hydrocortisone and fludrocortisone.  He has been discharged in stable medical condition to continue outpatient care.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Laboratory test abnormal, Lactic acidosis, Leukocytosis, Malaise
Clinical narrative: Pfizer Dose 1 3/23/21 (EN6208); Pfizer Dose 2 4/14/21 (EW0153); Pfizer Dose 3 10/23/21 (FF2593); COVID Positive 1/7/22; 1/7/22: Is a 61 year old male who presented to ED via EMS with complaints of a syncopal episode.  has felt unwell for the past several days. Decreased appetite and oral intake. He developed a fever and chills last night. He felt unsteady on his feet during ambulation, stating and hold onto walls to make it to his bedroom. He woke up early this morning ambulating to his kitchen to get a drink and had a syncopal episode. EMS was called at that time. He denies shortness of breath or chest pain.  He admits to chills, productive cough and sore throat.  He denies nausea or vomiting.  Denies diarrhea, patient states he feels constipated.  He has been fully vaccinated against Covid-19, as well as booster. Patient has a past medical history of moderate to poorly differentiated adenocarcinoma of the lung status post right upper lobectomy (July 2011) with metastatic disease to the adrenal glands, he underwent a right adrenalectomy in 2012 and left adrenalectomy in 2017, hypertension, obesity former tobacco use.. He is chronically on hydrocortisone and fludrocortisone. He is not currently undergoing treatment.  On arrival to ED the patient was severely hypotensive 69/50.  Laboratory findings were significant for hyponatremia 126. Acute kidney injury BUN 33 and creatinine 3.50.  Transaminitis AST 47.  Lactic acidosis 3.5.  FOBT positive.  Leukocytosis 11.85.  CT head no acute intracranial abnormalities.  V/Q scan low probability of acute thrombolytics disease.  Checks x-ray left basilar atelectasis.  Zosyn was initiated in ED.  Solu-Medrol 125 mg IV given an IV fluid hydration with NS 0.9% 6 L bolus. Patient was ultimately started on Levophed for pressor support.  1/10/22: 61-year-old man who presented with complaints of syncope and was found to be profoundly hypotensive on presentation.  Aggressive intravenous fluid resuscitation, pressor support and stress steroids were initiated in view of his history of adrenal insufficiency.  He was admitted, COVID-19 PCR was subsequently positive.  Clinical response was favorable with improvement in blood pressure and resolution of hypotension, pressor support was weaned off.  Stress dose steroids were weaned down and he was discharged home on home dose of hydrocortisone and fludrocortisone.  He has been discharged in stable medical condition to continue outpatient care.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Occult blood positive, Oropharyngeal pain, Productive cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Pfizer Dose 1 3/23/21 (EN6208); Pfizer Dose 2 4/14/21 (EW0153); Pfizer Dose 3 10/23/21 (FF2593); COVID Positive 1/7/22; 1/7/22: Is a 61 year old male who presented to ED via EMS with complaints of a syncopal episode.  has felt unwell for the past several days. Decreased appetite and oral intake. He developed a fever and chills last night. He felt unsteady on his feet during ambulation, stating and hold onto walls to make it to his bedroom. He woke up early this morning ambulating to his kitchen to get a drink and had a syncopal episode. EMS was called at that time. He denies shortness of breath or chest pain.  He admits to chills, productive cough and sore throat.  He denies nausea or vomiting.  Denies diarrhea, patient states he feels constipated.  He has been fully vaccinated against Covid-19, as well as booster. Patient has a past medical history of moderate to poorly differentiated adenocarcinoma of the lung status post right upper lobectomy (July 2011) with metastatic disease to the adrenal glands, he underwent a right adrenalectomy in 2012 and left adrenalectomy in 2017, hypertension, obesity former tobacco use.. He is chronically on hydrocortisone and fludrocortisone. He is not currently undergoing treatment.  On arrival to ED the patient was severely hypotensive 69/50.  Laboratory findings were significant for hyponatremia 126. Acute kidney injury BUN 33 and creatinine 3.50.  Transaminitis AST 47.  Lactic acidosis 3.5.  FOBT positive.  Leukocytosis 11.85.  CT head no acute intracranial abnormalities.  V/Q scan low probability of acute thrombolytics disease.  Checks x-ray left basilar atelectasis.  Zosyn was initiated in ED.  Solu-Medrol 125 mg IV given an IV fluid hydration with NS 0.9% 6 L bolus. Patient was ultimately started on Levophed for pressor support.  1/10/22: 61-year-old man who presented with complaints of syncope and was found to be profoundly hypotensive on presentation.  Aggressive intravenous fluid resuscitation, pressor support and stress steroids were initiated in view of his history of adrenal insufficiency.  He was admitted, COVID-19 PCR was subsequently positive.  Clinical response was favorable with improvement in blood pressure and resolution of hypotension, pressor support was weaned off.  Stress dose steroids were weaned down and he was discharged home on home dose of hydrocortisone and fludrocortisone.  He has been discharged in stable medical condition to continue outpatient care.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Ventilation/perfusion scan
Clinical narrative: Pfizer Dose 1 3/23/21 (EN6208); Pfizer Dose 2 4/14/21 (EW0153); Pfizer Dose 3 10/23/21 (FF2593); COVID Positive 1/7/22; 1/7/22: Is a 61 year old male who presented to ED via EMS with complaints of a syncopal episode.  has felt unwell for the past several days. Decreased appetite and oral intake. He developed a fever and chills last night. He felt unsteady on his feet during ambulation, stating and hold onto walls to make it to his bedroom. He woke up early this morning ambulating to his kitchen to get a drink and had a syncopal episode. EMS was called at that time. He denies shortness of breath or chest pain.  He admits to chills, productive cough and sore throat.  He denies nausea or vomiting.  Denies diarrhea, patient states he feels constipated.  He has been fully vaccinated against Covid-19, as well as booster. Patient has a past medical history of moderate to poorly differentiated adenocarcinoma of the lung status post right upper lobectomy (July 2011) with metastatic disease to the adrenal glands, he underwent a right adrenalectomy in 2012 and left adrenalectomy in 2017, hypertension, obesity former tobacco use.. He is chronically on hydrocortisone and fludrocortisone. He is not currently undergoing treatment.  On arrival to ED the patient was severely hypotensive 69/50.  Laboratory findings were significant for hyponatremia 126. Acute kidney injury BUN 33 and creatinine 3.50.  Transaminitis AST 47.  Lactic acidosis 3.5.  FOBT positive.  Leukocytosis 11.85.  CT head no acute intracranial abnormalities.  V/Q scan low probability of acute thrombolytics disease.  Checks x-ray left basilar atelectasis.  Zosyn was initiated in ED.  Solu-Medrol 125 mg IV given an IV fluid hydration with NS 0.9% 6 L bolus. Patient was ultimately started on Levophed for pressor support.  1/10/22: 61-year-old man who presented with complaints of syncope and was found to be profoundly hypotensive on presentation.  Aggressive intravenous fluid resuscitation, pressor support and stress steroids were initiated in view of his history of adrenal insufficiency.  He was admitted, COVID-19 PCR was subsequently positive.  Clinical response was favorable with improvement in blood pressure and resolution of hypotension, pressor support was weaned off.  Stress dose steroids were weaned down and he was discharged home on home dose of hydrocortisone and fludrocortisone.  He has been discharged in stable medical condition to continue outpatient care.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error
Clinical narrative: admin error
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fall
Clinical narrative: dizziness and falling, weakness
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: One dose of moderna given beyond the BUD. Manufacturer expiration date 7/13/22, stored in freezer until 5/10/22 when transferred to the refrigerator with new BUD of 6/9/2022. Vial punctured for the first time on 6/14/22 (after BUD of 6/9/22) then discarded. No other doses dispensed form this vial.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond use date.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond use date.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Migraine, Mobility decreased, Muscle disorder, Neck pain
Clinical narrative: The next day after my vaccination,  a little less than 12 hrs, I started having severe neck pain . I didn't wake up with the neck pain or do strenuous activity I was just at work typing at my desk. It got so bad I couldn't look up or down, it then turned into a headache. It got so bad the next day I went to urgent care. The Dr. said that the muscle was knotted at the base of my neck and gave me a muscle relaxer and 800mg ibuprofen. I the next day the headache had gone away and the pain was a little better. I couldn't take muscle relaxer 3 times a day because I'm a mom so I went to a massage spa and that helped a little. Today I just feel like I have a migraine and the pain is gone, It was just really odd the way it came on.