chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 13.0
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Pt presented to clinic for vaccines. According to the Report Summary and Forecast that was included in the chart folder the pt needed MMR, Varicella, and Polio vaccines. Additional Certified shot records were included in the patient chart folder but not compared to summary report. Pt received MMR, Polio, and Varicella vaccines when Pt needed only Tdap vaccine. Pt went to check out after vaccines when the discrepancy was discovered. Staff notified RN of the discrepancy. Pt has received previous doses of MMR, Varicella, and Polio vaccines that fulfilled requirements prior to being given those vaccines today. Upon review, additional records were put into system after initial Vaccine Summary and Forecast were printed and placed into chart folder. Informed Pt mother about inadvertent doses. Pt is scheduled to RTC in 4 weeks to receive Tdap vaccine that is still required. Pt monitored per protocol and had no adverse reactions.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia
Clinical narrative: HYPOXIA
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test abnormal, Condition aggravated, Gait disturbance, Mobility decreased, Osteoarthritis
Clinical narrative: (?)MAY21 Bloodwork abnormal (?); (?)MAY 23, different bloodwork, Polymyalgia Rheumatica.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Polymyalgia rheumatica
Clinical narrative: (?)MAY21 Bloodwork abnormal (?); (?)MAY 23, different bloodwork, Polymyalgia Rheumatica.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Cholelithiasis, Computerised tomogram abdomen abnormal, Flank pain, Herpes zoster, Rash
Clinical narrative: I had a rash on my belly and back, it was not itching or painful I was thinking I may be having an allergic reaction to something. I made an appointment with my doctor. He knew immediately upon looking at my rash what it was. He prescribed three different medications and I started on them immediately. I have recovered from having shingles. Not long after this I started vomiting and had pain on my right side. I went to the emergency room. They did a CT scan and found that I had gallstones and I need to have my gall bladder removed. I was admitted to the hospital for two days and given antibiotics to help clear the infection. I am awaiting a date to get in for a gallbladder removal.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: I had a rash on my belly and back, it was not itching or painful I was thinking I may be having an allergic reaction to something. I made an appointment with my doctor. He knew immediately upon looking at my rash what it was. He prescribed three different medications and I started on them immediately. I have recovered from having shingles. Not long after this I started vomiting and had pain on my right side. I went to the emergency room. They did a CT scan and found that I had gallstones and I need to have my gall bladder removed. I was admitted to the hospital for two days and given antibiotics to help clear the infection. I am awaiting a date to get in for a gallbladder removal.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Symptom recurrence
Clinical narrative: ALLERGIC REACTION, INIT 1/27/2022 --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine was given 3 weeks post expiration date. No adverse effects experienced by patient.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral
Clinical narrative: PERIPHERAL NEUROPATHY
Age: 51.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given vaccine 3 weeks post vaccine expiration date. No physical symptoms or adverse reactions experienced by patient.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Deep vein thrombosis, Hypoxia, Respiratory failure, Shock
Clinical narrative: ACUTE DVT OF LEFT FEMORAL VEIN ACUTE RESPIRATORY FAILURE RESPIRATORY FAILURE, UNSPECIFIED ACUITY HYPOXIA SHOCK, UNSPECIFIED
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Cough, Dyspnoea, Pain
Clinical narrative: Patient with history of COPD, on 3.5 L O2 as needed. She was brought to the ED by EMS on 3/12/23 with cough, worsening shortness of breath, and body aches that have been present for several days. A COVID PCR test performed in the ED resulted positive. The patient was admitted 3/12/23 - 3/16/23 with discharge diagnoses including acute on chronic hypoxic respiratory failure. During admission, she was on increased supplemental O2 but was able to be weaned back to her baseline 3.5L O2. Of note, she has received the primary COVID vaccine series and two boosters.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Patient with history of COPD, on 3.5 L O2 as needed. She was brought to the ED by EMS on 3/12/23 with cough, worsening shortness of breath, and body aches that have been present for several days. A COVID PCR test performed in the ED resulted positive. The patient was admitted 3/12/23 - 3/16/23 with discharge diagnoses including acute on chronic hypoxic respiratory failure. During admission, she was on increased supplemental O2 but was able to be weaned back to her baseline 3.5L O2. Of note, she has received the primary COVID vaccine series and two boosters.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood test normal, Fatigue, Gait disturbance, Magnetic resonance imaging normal, Pain in extremity
Clinical narrative: I had leg pain in both legs, causing me to have paraplegia which resulted in me walking with drop foot. I went the local Urgent Care where they ran a blood panel that came back within the normal limits. They referred me to a Neurologist and to get an MRI, that came back just showing normal aging issues. The neurologist has not found anything that should be causing my issues. I am going for a second opinion in a week with another neurologist I can barely walk a few feet before getting tired, this in not me.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Paraplegia, Peroneal nerve palsy
Clinical narrative: I had leg pain in both legs, causing me to have paraplegia which resulted in me walking with drop foot. I went the local Urgent Care where they ran a blood panel that came back within the normal limits. They referred me to a Neurologist and to get an MRI, that came back just showing normal aging issues. The neurologist has not found anything that should be causing my issues. I am going for a second opinion in a week with another neurologist I can barely walk a few feet before getting tired, this in not me.
Age: 92.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site reaction, Injection site swelling
Clinical narrative: Pt has redness, swelling, burning, and itching at reaction site
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Moderna Vaccine given to patient by nurse. Nurse unaware of fridge excursion from pharmacy on Saturday. Medication was out of range and after calling manufacturer, told not to give.   Patients call back for an immediate repeat dose per CDC guidelines.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Asthenia, Back disorder, Biopsy lip abnormal, Brain fog
Clinical narrative: Side Effects post COVID-19 jab: Some immediately, some took several weeks, some took 4-6 weeks: ? Brain fog, word finding & name finding difficulty ? Decreased strength & stamina ? Erectile dysfunction x2 months ? Extreme fatigue (worsens with work & activity) ? Headaches ? Limb jerks, twitching, spasms ? Muscle pain throughout body ? Pain and/or pressure in and/or behind left eye ? Testicle/scrotal pain ? Weakness, numbness, pain, & tingling in legs & arms & face (predominantly left side); generalized clumsiness, dropping things accidently out of hands, difficulty writing fast, difficulty walking, clumsy gait, heavy feeling limbs, left leg buckles & gives out, left foot drop ? Worsening tinnitus ? fast drum beat in left ear (felt & heard) that can last for hours to days ? dry eyes, blurry vision, eye haze & sensitivity to sunlight ? dry mouth, throat, nose, skin ? sinus issues ? difficulty swallowing (especially dry food & bread)
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Clumsiness, Computerised tomogram head normal, Condition aggravated, Conversion disorder, Dry eye
Clinical narrative: Side Effects post COVID-19 jab: Some immediately, some took several weeks, some took 4-6 weeks: ? Brain fog, word finding & name finding difficulty ? Decreased strength & stamina ? Erectile dysfunction x2 months ? Extreme fatigue (worsens with work & activity) ? Headaches ? Limb jerks, twitching, spasms ? Muscle pain throughout body ? Pain and/or pressure in and/or behind left eye ? Testicle/scrotal pain ? Weakness, numbness, pain, & tingling in legs & arms & face (predominantly left side); generalized clumsiness, dropping things accidently out of hands, difficulty writing fast, difficulty walking, clumsy gait, heavy feeling limbs, left leg buckles & gives out, left foot drop ? Worsening tinnitus ? fast drum beat in left ear (felt & heard) that can last for hours to days ? dry eyes, blurry vision, eye haze & sensitivity to sunlight ? dry mouth, throat, nose, skin ? sinus issues ? difficulty swallowing (especially dry food & bread)
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Dry mouth, Dry skin, Dry throat, Dysgraphia, Dyskinesia
Clinical narrative: Side Effects post COVID-19 jab: Some immediately, some took several weeks, some took 4-6 weeks: ? Brain fog, word finding & name finding difficulty ? Decreased strength & stamina ? Erectile dysfunction x2 months ? Extreme fatigue (worsens with work & activity) ? Headaches ? Limb jerks, twitching, spasms ? Muscle pain throughout body ? Pain and/or pressure in and/or behind left eye ? Testicle/scrotal pain ? Weakness, numbness, pain, & tingling in legs & arms & face (predominantly left side); generalized clumsiness, dropping things accidently out of hands, difficulty writing fast, difficulty walking, clumsy gait, heavy feeling limbs, left leg buckles & gives out, left foot drop ? Worsening tinnitus ? fast drum beat in left ear (felt & heard) that can last for hours to days ? dry eyes, blurry vision, eye haze & sensitivity to sunlight ? dry mouth, throat, nose, skin ? sinus issues ? difficulty swallowing (especially dry food & bread)
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphagia, Erectile dysfunction, Eye pain, Facial pain, Facial paresis
Clinical narrative: Side Effects post COVID-19 jab: Some immediately, some took several weeks, some took 4-6 weeks: ? Brain fog, word finding & name finding difficulty ? Decreased strength & stamina ? Erectile dysfunction x2 months ? Extreme fatigue (worsens with work & activity) ? Headaches ? Limb jerks, twitching, spasms ? Muscle pain throughout body ? Pain and/or pressure in and/or behind left eye ? Testicle/scrotal pain ? Weakness, numbness, pain, & tingling in legs & arms & face (predominantly left side); generalized clumsiness, dropping things accidently out of hands, difficulty writing fast, difficulty walking, clumsy gait, heavy feeling limbs, left leg buckles & gives out, left foot drop ? Worsening tinnitus ? fast drum beat in left ear (felt & heard) that can last for hours to days ? dry eyes, blurry vision, eye haze & sensitivity to sunlight ? dry mouth, throat, nose, skin ? sinus issues ? difficulty swallowing (especially dry food & bread)
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Gait disturbance, Grip strength decreased, Headache, Hypoaesthesia
Clinical narrative: Side Effects post COVID-19 jab: Some immediately, some took several weeks, some took 4-6 weeks: ? Brain fog, word finding & name finding difficulty ? Decreased strength & stamina ? Erectile dysfunction x2 months ? Extreme fatigue (worsens with work & activity) ? Headaches ? Limb jerks, twitching, spasms ? Muscle pain throughout body ? Pain and/or pressure in and/or behind left eye ? Testicle/scrotal pain ? Weakness, numbness, pain, & tingling in legs & arms & face (predominantly left side); generalized clumsiness, dropping things accidently out of hands, difficulty writing fast, difficulty walking, clumsy gait, heavy feeling limbs, left leg buckles & gives out, left foot drop ? Worsening tinnitus ? fast drum beat in left ear (felt & heard) that can last for hours to days ? dry eyes, blurry vision, eye haze & sensitivity to sunlight ? dry mouth, throat, nose, skin ? sinus issues ? difficulty swallowing (especially dry food & bread)
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Limb discomfort, Magnetic resonance imaging abnormal, Muscle spasms, Muscle twitching
Clinical narrative: Side Effects post COVID-19 jab: Some immediately, some took several weeks, some took 4-6 weeks: ? Brain fog, word finding & name finding difficulty ? Decreased strength & stamina ? Erectile dysfunction x2 months ? Extreme fatigue (worsens with work & activity) ? Headaches ? Limb jerks, twitching, spasms ? Muscle pain throughout body ? Pain and/or pressure in and/or behind left eye ? Testicle/scrotal pain ? Weakness, numbness, pain, & tingling in legs & arms & face (predominantly left side); generalized clumsiness, dropping things accidently out of hands, difficulty writing fast, difficulty walking, clumsy gait, heavy feeling limbs, left leg buckles & gives out, left foot drop ? Worsening tinnitus ? fast drum beat in left ear (felt & heard) that can last for hours to days ? dry eyes, blurry vision, eye haze & sensitivity to sunlight ? dry mouth, throat, nose, skin ? sinus issues ? difficulty swallowing (especially dry food & bread)
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness, Myalgia, Nasal dryness, Neurological symptom, Ocular discomfort
Clinical narrative: Side Effects post COVID-19 jab: Some immediately, some took several weeks, some took 4-6 weeks: ? Brain fog, word finding & name finding difficulty ? Decreased strength & stamina ? Erectile dysfunction x2 months ? Extreme fatigue (worsens with work & activity) ? Headaches ? Limb jerks, twitching, spasms ? Muscle pain throughout body ? Pain and/or pressure in and/or behind left eye ? Testicle/scrotal pain ? Weakness, numbness, pain, & tingling in legs & arms & face (predominantly left side); generalized clumsiness, dropping things accidently out of hands, difficulty writing fast, difficulty walking, clumsy gait, heavy feeling limbs, left leg buckles & gives out, left foot drop ? Worsening tinnitus ? fast drum beat in left ear (felt & heard) that can last for hours to days ? dry eyes, blurry vision, eye haze & sensitivity to sunlight ? dry mouth, throat, nose, skin ? sinus issues ? difficulty swallowing (especially dry food & bread)
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia, Peroneal nerve palsy, Photosensitivity reaction, Scrotal pain
Clinical narrative: Side Effects post COVID-19 jab: Some immediately, some took several weeks, some took 4-6 weeks: ? Brain fog, word finding & name finding difficulty ? Decreased strength & stamina ? Erectile dysfunction x2 months ? Extreme fatigue (worsens with work & activity) ? Headaches ? Limb jerks, twitching, spasms ? Muscle pain throughout body ? Pain and/or pressure in and/or behind left eye ? Testicle/scrotal pain ? Weakness, numbness, pain, & tingling in legs & arms & face (predominantly left side); generalized clumsiness, dropping things accidently out of hands, difficulty writing fast, difficulty walking, clumsy gait, heavy feeling limbs, left leg buckles & gives out, left foot drop ? Worsening tinnitus ? fast drum beat in left ear (felt & heard) that can last for hours to days ? dry eyes, blurry vision, eye haze & sensitivity to sunlight ? dry mouth, throat, nose, skin ? sinus issues ? difficulty swallowing (especially dry food & bread)
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus disorder, Sjogren's syndrome, Testicular pain, Tinnitus, Vision blurred
Clinical narrative: Side Effects post COVID-19 jab: Some immediately, some took several weeks, some took 4-6 weeks: ? Brain fog, word finding & name finding difficulty ? Decreased strength & stamina ? Erectile dysfunction x2 months ? Extreme fatigue (worsens with work & activity) ? Headaches ? Limb jerks, twitching, spasms ? Muscle pain throughout body ? Pain and/or pressure in and/or behind left eye ? Testicle/scrotal pain ? Weakness, numbness, pain, & tingling in legs & arms & face (predominantly left side); generalized clumsiness, dropping things accidently out of hands, difficulty writing fast, difficulty walking, clumsy gait, heavy feeling limbs, left leg buckles & gives out, left foot drop ? Worsening tinnitus ? fast drum beat in left ear (felt & heard) that can last for hours to days ? dry eyes, blurry vision, eye haze & sensitivity to sunlight ? dry mouth, throat, nose, skin ? sinus issues ? difficulty swallowing (especially dry food & bread)
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Product preparation error
Clinical narrative: patient was given 0.2 ml of toddler dose undiluted   no adverser effects noted
Age: 73.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Computerised tomogram thorax abnormal, Death, General physical health deterioration, Hypotension, Intensive care
Clinical narrative: Discharge Provider: MD Primary Care Physician at Discharge: DO Admission Date: 5/16/2023  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Shock [R57.9] Septic shock [A41.9, R65.21] Pneumonia of right lower lobe due to infectious organism [J18.9]   HOSPITAL COURSE: Patient is a 73-year-old female with multiple medical comorbidities including ESRD on HD, CVA with left-sided residual deficits and dysphagia, seizure disorder, chronic obstructive pulmonary disease, who presented from dialysis with hypotension.  She was given IV fluids but ultimately required vasopressors.  CT scan of her lungs revealed right lower lobe pneumonia and concern for septic shock.  She was admitted to the intensive care unit on broad-spectrum antibiotics.  Given her deterioration from a poor quality of life at baseline she/family decided to pursue hospice care.  She met hospice inpatient criteria and was initiated on a fentanyl drip.    Date of Death: 5/20/23 Time of Death:  5:17 AM Preliminary Cause of Death: Shock
Age: 73.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Pneumonia, Shock
Clinical narrative: Discharge Provider: MD Primary Care Physician at Discharge: DO Admission Date: 5/16/2023  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Shock [R57.9] Septic shock [A41.9, R65.21] Pneumonia of right lower lobe due to infectious organism [J18.9]   HOSPITAL COURSE: Patient is a 73-year-old female with multiple medical comorbidities including ESRD on HD, CVA with left-sided residual deficits and dysphagia, seizure disorder, chronic obstructive pulmonary disease, who presented from dialysis with hypotension.  She was given IV fluids but ultimately required vasopressors.  CT scan of her lungs revealed right lower lobe pneumonia and concern for septic shock.  She was admitted to the intensive care unit on broad-spectrum antibiotics.  Given her deterioration from a poor quality of life at baseline she/family decided to pursue hospice care.  She met hospice inpatient criteria and was initiated on a fentanyl drip.    Date of Death: 5/20/23 Time of Death:  5:17 AM Preliminary Cause of Death: Shock
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Dyspnoea, Exposure to SARS-CoV-2, Oxygen saturation increased
Clinical narrative: Patient with history of ESRD on nightly peritoneal dialysis and diabetes. He was brought to the ED by EMS on 3/12/23 with shortness of breath and productive cough that has been present for the past three days. Notably, he lives with someone who was recently ill with COVID. When EMS arrived, the patient's O2 saturations were 30% on room air and increased to 80% after being placed on a non-rebreather mask. A COVID PCR test done in the ED also resulted positive. Ultimately, the patient was admitted 3/12/23 - 3/16/23 with discharge diagnoses including acute respiratory with hypoxia and COVID-19. Notably, the patient was on Decadron in the hospital. During admission, eh required BiPAP, but was weaned off oxygen by discharge. Of note, the patient has received the primary COVID vaccine series and one booster dose.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Productive cough, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Patient with history of ESRD on nightly peritoneal dialysis and diabetes. He was brought to the ED by EMS on 3/12/23 with shortness of breath and productive cough that has been present for the past three days. Notably, he lives with someone who was recently ill with COVID. When EMS arrived, the patient's O2 saturations were 30% on room air and increased to 80% after being placed on a non-rebreather mask. A COVID PCR test done in the ED also resulted positive. Ultimately, the patient was admitted 3/12/23 - 3/16/23 with discharge diagnoses including acute respiratory with hypoxia and COVID-19. Notably, the patient was on Decadron in the hospital. During admission, eh required BiPAP, but was weaned off oxygen by discharge. Of note, the patient has received the primary COVID vaccine series and one booster dose.
Age: 93.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Blood potassium decreased, Brain natriuretic peptide increased, COVID-19
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 5/10/2023 Discharge Date:  05/12/2023 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxemia  Hypokalemia  COVID-19  Acute respiratory failure with hypoxia (HCC)   HOSPITAL COURSE: 94-year-old female with history of hypertension, chronic obstructive pulmonary disease and dementia presents to the hospital for cough and shortness of breath.  Resides at a long-term care facility for advanced dementia.  Was reportedly treated for pneumonia 2 weeks ago however did not tolerate oral steroids given with antibiotics.  Was found to be more lethargic at facility requiring oxygen as a result brought to the ER.  In the ER patient was hypoxic and continued on 2 L nasal cannula.  Routine labs did show a slightly elevated BNP.  Procalcitonin was normal.  Potassium was low, D-dimer elevated.  Patient did test positive for COVID-19.  CTA chest did not demonstrate PE however very small pleural effusions were noted.  Patient was hospitalized and treated with Decadron and remdesivir.  Patient was also treated with Lasix once potassium corrected.  Patient is breathing quickly returned back to baseline and patient is weaned off of oxygen.  Patient did react to the steroids as predicted and became more confused however was redirectable.  Patient will return back to prior facility and resume care there.  Will be discharged with remaining course of Decadron, Lasix and increase blood pressure medications
Age: 93.0
Sex: F
Vaccine: COVID19-2
Symptoms: Confusional state, Cough, Dyspnoea, Fibrin D dimer increased, Hypokalaemia
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 5/10/2023 Discharge Date:  05/12/2023 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxemia  Hypokalemia  COVID-19  Acute respiratory failure with hypoxia (HCC)   HOSPITAL COURSE: 94-year-old female with history of hypertension, chronic obstructive pulmonary disease and dementia presents to the hospital for cough and shortness of breath.  Resides at a long-term care facility for advanced dementia.  Was reportedly treated for pneumonia 2 weeks ago however did not tolerate oral steroids given with antibiotics.  Was found to be more lethargic at facility requiring oxygen as a result brought to the ER.  In the ER patient was hypoxic and continued on 2 L nasal cannula.  Routine labs did show a slightly elevated BNP.  Procalcitonin was normal.  Potassium was low, D-dimer elevated.  Patient did test positive for COVID-19.  CTA chest did not demonstrate PE however very small pleural effusions were noted.  Patient was hospitalized and treated with Decadron and remdesivir.  Patient was also treated with Lasix once potassium corrected.  Patient is breathing quickly returned back to baseline and patient is weaned off of oxygen.  Patient did react to the steroids as predicted and became more confused however was redirectable.  Patient will return back to prior facility and resume care there.  Will be discharged with remaining course of Decadron, Lasix and increase blood pressure medications
Age: 93.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoxia, Lethargy, Pleural effusion, Pneumonia, Procalcitonin normal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 5/10/2023 Discharge Date:  05/12/2023 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxemia  Hypokalemia  COVID-19  Acute respiratory failure with hypoxia (HCC)   HOSPITAL COURSE: 94-year-old female with history of hypertension, chronic obstructive pulmonary disease and dementia presents to the hospital for cough and shortness of breath.  Resides at a long-term care facility for advanced dementia.  Was reportedly treated for pneumonia 2 weeks ago however did not tolerate oral steroids given with antibiotics.  Was found to be more lethargic at facility requiring oxygen as a result brought to the ER.  In the ER patient was hypoxic and continued on 2 L nasal cannula.  Routine labs did show a slightly elevated BNP.  Procalcitonin was normal.  Potassium was low, D-dimer elevated.  Patient did test positive for COVID-19.  CTA chest did not demonstrate PE however very small pleural effusions were noted.  Patient was hospitalized and treated with Decadron and remdesivir.  Patient was also treated with Lasix once potassium corrected.  Patient is breathing quickly returned back to baseline and patient is weaned off of oxygen.  Patient did react to the steroids as predicted and became more confused however was redirectable.  Patient will return back to prior facility and resume care there.  Will be discharged with remaining course of Decadron, Lasix and increase blood pressure medications
Age: 93.0
Sex: F
Vaccine: COVID19-2
Symptoms: Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 5/10/2023 Discharge Date:  05/12/2023 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxemia  Hypokalemia  COVID-19  Acute respiratory failure with hypoxia (HCC)   HOSPITAL COURSE: 94-year-old female with history of hypertension, chronic obstructive pulmonary disease and dementia presents to the hospital for cough and shortness of breath.  Resides at a long-term care facility for advanced dementia.  Was reportedly treated for pneumonia 2 weeks ago however did not tolerate oral steroids given with antibiotics.  Was found to be more lethargic at facility requiring oxygen as a result brought to the ER.  In the ER patient was hypoxic and continued on 2 L nasal cannula.  Routine labs did show a slightly elevated BNP.  Procalcitonin was normal.  Potassium was low, D-dimer elevated.  Patient did test positive for COVID-19.  CTA chest did not demonstrate PE however very small pleural effusions were noted.  Patient was hospitalized and treated with Decadron and remdesivir.  Patient was also treated with Lasix once potassium corrected.  Patient is breathing quickly returned back to baseline and patient is weaned off of oxygen.  Patient did react to the steroids as predicted and became more confused however was redirectable.  Patient will return back to prior facility and resume care there.  Will be discharged with remaining course of Decadron, Lasix and increase blood pressure medications
Age: 8.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: no adverse effects reported
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Abdominal pain upper, Chest pain, Dizziness, Headache, Myalgia
Clinical narrative: Terrible Headaches, muscle pain, dizziness, nausea, stomach pain, chest pain, and rash around my torso, front and back.
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Nausea, Rash
Clinical narrative: Terrible Headaches, muscle pain, dizziness, nausea, stomach pain, chest pain, and rash around my torso, front and back.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute kidney injury, Acute respiratory failure, Blood creatinine, Brain natriuretic peptide increased, COVID-19
Clinical narrative: BRIEF OVERVIEW: Admission Date: 5/9/2023 Discharge Date: May 21, 2023 Discharge Disposition:  skilled nursing facility   5/9/2023 - 5/21/2023 (12 days)   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia (HCC)   HOSPITAL COURSE: Patient is a 77-year-old man with a history of coronary artery disease status post CABG, chronic systolic and diastolic heart failure, chronic obstructive pulmonary disease, insulin-dependent diabetes who presented to Emergency Department within lower extremity swelling, productive cough, worsening shortness of breath and chills.  Found to be febrile with temperature of 38.1° , hypoxic on room air saturating about 85% requiring 5 L of oxygen.  Creatinine was at 4.57 along with BNP at 47,233 elevated troponin with delta of 130. Patient was given IV Rocephin and azithromycin along with 500 mL bolus of IV fluids and transferred to Hospital for further evaluation of acute hypoxic respiratory failure and possibly CHF exacerbation and elevated troponin.  Patient's respiratory status got worse in spite of IV Rocephin and azithromycin.  He was extremely wheezy hence treated for severe COPD exacerbation, also was positive for COVID-19 and Metapneumovirus likely as primary trigger for event.  His symptoms significantly got better with scheduled DuoNebs and Symbicort along with Decadron. Overtime patient improved and transitioned to room air.     Due to elevated troponins in 1400s cardiology was consulted, restarted aspirin and statin. Repeat echo did show a drop in LVEF to 30% with consistent wall motion abnormalities. Shared decision was made between Cardiology and patient where ischemic workup was not performed in the setting of significant kidney disease would not want to perform angiography/expose to contrast. Nephrology was consulted, signficant AKI was thought to be secondary to sepsis in the setting of pneumonia rather than CHF exacerbation as he did not appear to be fluid overloaded.  With time kidney function slowly returned to baseline. Since kidney's did improve cardiology eventually proceeded with nuclear stress testing which showed evidence of large infarction, without underlying residual ischemia.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chills, Chronic obstructive pulmonary disease, Condition aggravated, Dyspnoea, Echocardiogram abnormal
Clinical narrative: BRIEF OVERVIEW: Admission Date: 5/9/2023 Discharge Date: May 21, 2023 Discharge Disposition:  skilled nursing facility   5/9/2023 - 5/21/2023 (12 days)   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia (HCC)   HOSPITAL COURSE: Patient is a 77-year-old man with a history of coronary artery disease status post CABG, chronic systolic and diastolic heart failure, chronic obstructive pulmonary disease, insulin-dependent diabetes who presented to Emergency Department within lower extremity swelling, productive cough, worsening shortness of breath and chills.  Found to be febrile with temperature of 38.1° , hypoxic on room air saturating about 85% requiring 5 L of oxygen.  Creatinine was at 4.57 along with BNP at 47,233 elevated troponin with delta of 130. Patient was given IV Rocephin and azithromycin along with 500 mL bolus of IV fluids and transferred to Hospital for further evaluation of acute hypoxic respiratory failure and possibly CHF exacerbation and elevated troponin.  Patient's respiratory status got worse in spite of IV Rocephin and azithromycin.  He was extremely wheezy hence treated for severe COPD exacerbation, also was positive for COVID-19 and Metapneumovirus likely as primary trigger for event.  His symptoms significantly got better with scheduled DuoNebs and Symbicort along with Decadron. Overtime patient improved and transitioned to room air.     Due to elevated troponins in 1400s cardiology was consulted, restarted aspirin and statin. Repeat echo did show a drop in LVEF to 30% with consistent wall motion abnormalities. Shared decision was made between Cardiology and patient where ischemic workup was not performed in the setting of significant kidney disease would not want to perform angiography/expose to contrast. Nephrology was consulted, signficant AKI was thought to be secondary to sepsis in the setting of pneumonia rather than CHF exacerbation as he did not appear to be fluid overloaded.  With time kidney function slowly returned to baseline. Since kidney's did improve cardiology eventually proceeded with nuclear stress testing which showed evidence of large infarction, without underlying residual ischemia.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Ejection fraction decreased, Human metapneumovirus test positive, Hypoxia, Infarction, Ischaemia
Clinical narrative: BRIEF OVERVIEW: Admission Date: 5/9/2023 Discharge Date: May 21, 2023 Discharge Disposition:  skilled nursing facility   5/9/2023 - 5/21/2023 (12 days)   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia (HCC)   HOSPITAL COURSE: Patient is a 77-year-old man with a history of coronary artery disease status post CABG, chronic systolic and diastolic heart failure, chronic obstructive pulmonary disease, insulin-dependent diabetes who presented to Emergency Department within lower extremity swelling, productive cough, worsening shortness of breath and chills.  Found to be febrile with temperature of 38.1° , hypoxic on room air saturating about 85% requiring 5 L of oxygen.  Creatinine was at 4.57 along with BNP at 47,233 elevated troponin with delta of 130. Patient was given IV Rocephin and azithromycin along with 500 mL bolus of IV fluids and transferred to Hospital for further evaluation of acute hypoxic respiratory failure and possibly CHF exacerbation and elevated troponin.  Patient's respiratory status got worse in spite of IV Rocephin and azithromycin.  He was extremely wheezy hence treated for severe COPD exacerbation, also was positive for COVID-19 and Metapneumovirus likely as primary trigger for event.  His symptoms significantly got better with scheduled DuoNebs and Symbicort along with Decadron. Overtime patient improved and transitioned to room air.     Due to elevated troponins in 1400s cardiology was consulted, restarted aspirin and statin. Repeat echo did show a drop in LVEF to 30% with consistent wall motion abnormalities. Shared decision was made between Cardiology and patient where ischemic workup was not performed in the setting of significant kidney disease would not want to perform angiography/expose to contrast. Nephrology was consulted, signficant AKI was thought to be secondary to sepsis in the setting of pneumonia rather than CHF exacerbation as he did not appear to be fluid overloaded.  With time kidney function slowly returned to baseline. Since kidney's did improve cardiology eventually proceeded with nuclear stress testing which showed evidence of large infarction, without underlying residual ischemia.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Metapneumovirus infection, Peripheral swelling, Pneumonia, Productive cough, Pyrexia
Clinical narrative: BRIEF OVERVIEW: Admission Date: 5/9/2023 Discharge Date: May 21, 2023 Discharge Disposition:  skilled nursing facility   5/9/2023 - 5/21/2023 (12 days)   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia (HCC)   HOSPITAL COURSE: Patient is a 77-year-old man with a history of coronary artery disease status post CABG, chronic systolic and diastolic heart failure, chronic obstructive pulmonary disease, insulin-dependent diabetes who presented to Emergency Department within lower extremity swelling, productive cough, worsening shortness of breath and chills.  Found to be febrile with temperature of 38.1° , hypoxic on room air saturating about 85% requiring 5 L of oxygen.  Creatinine was at 4.57 along with BNP at 47,233 elevated troponin with delta of 130. Patient was given IV Rocephin and azithromycin along with 500 mL bolus of IV fluids and transferred to Hospital for further evaluation of acute hypoxic respiratory failure and possibly CHF exacerbation and elevated troponin.  Patient's respiratory status got worse in spite of IV Rocephin and azithromycin.  He was extremely wheezy hence treated for severe COPD exacerbation, also was positive for COVID-19 and Metapneumovirus likely as primary trigger for event.  His symptoms significantly got better with scheduled DuoNebs and Symbicort along with Decadron. Overtime patient improved and transitioned to room air.     Due to elevated troponins in 1400s cardiology was consulted, restarted aspirin and statin. Repeat echo did show a drop in LVEF to 30% with consistent wall motion abnormalities. Shared decision was made between Cardiology and patient where ischemic workup was not performed in the setting of significant kidney disease would not want to perform angiography/expose to contrast. Nephrology was consulted, signficant AKI was thought to be secondary to sepsis in the setting of pneumonia rather than CHF exacerbation as he did not appear to be fluid overloaded.  With time kidney function slowly returned to baseline. Since kidney's did improve cardiology eventually proceeded with nuclear stress testing which showed evidence of large infarction, without underlying residual ischemia.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Renal impairment, Respiratory distress, SARS-CoV-2 test positive, Scan myocardial perfusion abnormal, Sepsis
Clinical narrative: BRIEF OVERVIEW: Admission Date: 5/9/2023 Discharge Date: May 21, 2023 Discharge Disposition:  skilled nursing facility   5/9/2023 - 5/21/2023 (12 days)   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia (HCC)   HOSPITAL COURSE: Patient is a 77-year-old man with a history of coronary artery disease status post CABG, chronic systolic and diastolic heart failure, chronic obstructive pulmonary disease, insulin-dependent diabetes who presented to Emergency Department within lower extremity swelling, productive cough, worsening shortness of breath and chills.  Found to be febrile with temperature of 38.1° , hypoxic on room air saturating about 85% requiring 5 L of oxygen.  Creatinine was at 4.57 along with BNP at 47,233 elevated troponin with delta of 130. Patient was given IV Rocephin and azithromycin along with 500 mL bolus of IV fluids and transferred to Hospital for further evaluation of acute hypoxic respiratory failure and possibly CHF exacerbation and elevated troponin.  Patient's respiratory status got worse in spite of IV Rocephin and azithromycin.  He was extremely wheezy hence treated for severe COPD exacerbation, also was positive for COVID-19 and Metapneumovirus likely as primary trigger for event.  His symptoms significantly got better with scheduled DuoNebs and Symbicort along with Decadron. Overtime patient improved and transitioned to room air.     Due to elevated troponins in 1400s cardiology was consulted, restarted aspirin and statin. Repeat echo did show a drop in LVEF to 30% with consistent wall motion abnormalities. Shared decision was made between Cardiology and patient where ischemic workup was not performed in the setting of significant kidney disease would not want to perform angiography/expose to contrast. Nephrology was consulted, signficant AKI was thought to be secondary to sepsis in the setting of pneumonia rather than CHF exacerbation as he did not appear to be fluid overloaded.  With time kidney function slowly returned to baseline. Since kidney's did improve cardiology eventually proceeded with nuclear stress testing which showed evidence of large infarction, without underlying residual ischemia.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Troponin increased, Wall motion score index abnormal, Wheezing
Clinical narrative: BRIEF OVERVIEW: Admission Date: 5/9/2023 Discharge Date: May 21, 2023 Discharge Disposition:  skilled nursing facility   5/9/2023 - 5/21/2023 (12 days)   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia (HCC)   HOSPITAL COURSE: Patient is a 77-year-old man with a history of coronary artery disease status post CABG, chronic systolic and diastolic heart failure, chronic obstructive pulmonary disease, insulin-dependent diabetes who presented to Emergency Department within lower extremity swelling, productive cough, worsening shortness of breath and chills.  Found to be febrile with temperature of 38.1° , hypoxic on room air saturating about 85% requiring 5 L of oxygen.  Creatinine was at 4.57 along with BNP at 47,233 elevated troponin with delta of 130. Patient was given IV Rocephin and azithromycin along with 500 mL bolus of IV fluids and transferred to Hospital for further evaluation of acute hypoxic respiratory failure and possibly CHF exacerbation and elevated troponin.  Patient's respiratory status got worse in spite of IV Rocephin and azithromycin.  He was extremely wheezy hence treated for severe COPD exacerbation, also was positive for COVID-19 and Metapneumovirus likely as primary trigger for event.  His symptoms significantly got better with scheduled DuoNebs and Symbicort along with Decadron. Overtime patient improved and transitioned to room air.     Due to elevated troponins in 1400s cardiology was consulted, restarted aspirin and statin. Repeat echo did show a drop in LVEF to 30% with consistent wall motion abnormalities. Shared decision was made between Cardiology and patient where ischemic workup was not performed in the setting of significant kidney disease would not want to perform angiography/expose to contrast. Nephrology was consulted, signficant AKI was thought to be secondary to sepsis in the setting of pneumonia rather than CHF exacerbation as he did not appear to be fluid overloaded.  With time kidney function slowly returned to baseline. Since kidney's did improve cardiology eventually proceeded with nuclear stress testing which showed evidence of large infarction, without underlying residual ischemia.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: ACUTE MI
Age: 13.0
Sex: M
Vaccine: HEP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Hepislav-B, approved for people 18 years and older, was given incorrectly to a 13 year old. no adverse reaction was noted, and clinic will be looking into systems level changes to prevent future vaccination errors like this. Client has been informed.
Age: 86.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Constipation, Cough, Nausea
Clinical narrative: The patient has a history of COPD on daily prednisone. She was brought to the ED by EMS on 3/13/23 with constipation, nausea, chills, runny nose, and cough. The patient was admitted 3/13/23 for community acquired pneumonia, and she was started on ceftriaxone and azithromycin. Additionally, a COVID-19 PCR test resulted positive. She did not require steroids during her hospital stay.  She was discharged 3/20/23. Of note, the patient has received the primary COVID vaccine series and three booster doses.
Age: 86.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pneumonia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: The patient has a history of COPD on daily prednisone. She was brought to the ED by EMS on 3/13/23 with constipation, nausea, chills, runny nose, and cough. The patient was admitted 3/13/23 for community acquired pneumonia, and she was started on ceftriaxone and azithromycin. Additionally, a COVID-19 PCR test resulted positive. She did not require steroids during her hospital stay.  She was discharged 3/20/23. Of note, the patient has received the primary COVID vaccine series and three booster doses.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: This is not an adverse event. This report is regarding a possible administration error of a monovalent Pfizer 12+ Covid-19 of a  12 yo and older vaccine dose given to a 3-year-old patient.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Deep vein thrombosis
Clinical narrative: ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY ACUTE DVT OF LEFT LEG, UNSPECIFIED VEIN
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Hospitalization: 4/28/2023 - 5/2/2023 (4 days) Presentation to the ED: nausea and vomiting COVID + date: 4/28/2023 Treatment: no indication for treatment. Discharge to: home.  031L20A 2/3/2021 03M20A 2/23/2021 031H21A 11/20/2021
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood glucose, Blood pressure decreased, Dizziness, Dyspnoea, Hyporesponsive to stimuli
Clinical narrative: Patient came in for the shingles vaccination around 2.30pm, I gave the vaccine around 2.37pm. After the shot was done she went to pick up her medications. she started to feel dizzy after that and sat in the chair. I saw her holding her head, and I rushed to be with her and her body started to tremble a little. I held her upper body and supported her and  asked if she can breath and if she is feeling okay. She could not respond clearly when I told the technicians to call EMS. Meanwhile, patient body started to go limp, there was another customer standing there who helped me hold half of her weight. One of the front store staff helped us moved her body on the floor. She had a seizure for about a minute. We moved her to her side and she vomited twice. She also called patient niece from her cellphone. After her seizure and vomiting, patient became aware of her surrounding after couple of minutes of vomiting. she was breathing heavily, she also had a pulse. she started to respond to our questions and said she is little better. Emergency services teams arrived around 5 minutes after that. they took her blood pressure, pulse and blood glucose levels. They tried to sit her up and she was little dizzy and her blood pressure dropped.  They laid her down on the ground again until the emergency staff brought the stretcher to take her to ER.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypotonia, Seizure, Tremor, Vomiting
Clinical narrative: Patient came in for the shingles vaccination around 2.30pm, I gave the vaccine around 2.37pm. After the shot was done she went to pick up her medications. she started to feel dizzy after that and sat in the chair. I saw her holding her head, and I rushed to be with her and her body started to tremble a little. I held her upper body and supported her and  asked if she can breath and if she is feeling okay. She could not respond clearly when I told the technicians to call EMS. Meanwhile, patient body started to go limp, there was another customer standing there who helped me hold half of her weight. One of the front store staff helped us moved her body on the floor. She had a seizure for about a minute. We moved her to her side and she vomited twice. She also called patient niece from her cellphone. After her seizure and vomiting, patient became aware of her surrounding after couple of minutes of vomiting. she was breathing heavily, she also had a pulse. she started to respond to our questions and said she is little better. Emergency services teams arrived around 5 minutes after that. they took her blood pressure, pulse and blood glucose levels. They tried to sit her up and she was little dizzy and her blood pressure dropped.  They laid her down on the ground again until the emergency staff brought the stretcher to take her to ER.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Fall, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 4/25/2023 - 4/30/2023 (5 days) Presentation to the ED: mechanical fall. COVID + date: 4/29/2023 Treatment: supportive management with vitamin C  & Zinc. asymptomatic.  Discharge to: SNF.   006B21A 3/19/2021 037B21A 4/16/2021