chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Anaemia, Aortic valve sclerosis, Atelectasis, Blood creatinine increased
Clinical narrative: Patient is a 79 y.o. male who presented to Hospital 11/15/2023 with SOB   Covid 19  - CXR with mild stable cardiomegaly  - Covid + on 11/15  - on RA; no hypoxia  - supportive care  - Not a candidate for Paxlovid d/t GFR less than 30 - repeat CXR patient rotated; mild increased markings; recommend repeat.  - Repeat CXR in 11/22 Stable subtle right perihilar and infrahilar airspace disease.  - decadron daily initiated: CRP 138  - procalcitonin normal    AKI on CKD stage 3  - CR baseline around 2.4 - stable at baseline now   Elevated trop  - cardio signed off  - echo-  borderline LVH, EF 67%, grade 2 diastolic dysfunction, moderate aortic valve sclerosis without significant stenosis, moderate pulmonary h Elevated trop  - cardio signed off  - echo-  borderline LVH, EF 67%, grade 2 diastolic dysfunction, moderate aortic valve sclerosis without significant stenosis, moderate pulmonary hypertension, estimated RVSP 64 mmHg.  - 38/43/51 - EKG sinus brady    Chronic anemia  - daily CBC/monitor - Hg stable around  9.0 - ferritin normal    Transient left sided paralysis with AMS (somnolence) - RRT called 11/19 for brief episodes of left sided weakness <5 minutes; resolved  - DDX include: delirium on dementia, TIA, CVA, metabolic encephalopathy - Head CT NAD; increased diffuse cerebral volume loss with periventricular and subcortical white matter hypodensity; chronic small vessel ischemic disease  - Exam is back to baseline at this time   Leg swelling/Left leg pain - Doppler US negative  - Xray : Moderate osteoarthrosis remains in the left hip and left sacroiliac joint, with joint space narrowing and marginal osteophytes.  Multilevel degenerative changes of lumbar spine are incompletely evaluated.   Diffuse osteopenia.   Hyperkalemia (resolved)  Parkinson's disease  HTN HLD  Fall PVD  Overweight POA; BMI 32    Patient is a 79-year-old male who presented with history of Parkinson's residing who went to the restroom using his walker he tripped and fell onto his right side.  Did not strike his head and denied any injury.  Patient seemed fatigued and they had had a COVID outbreak recently.  Patient tested positive for COVID.  Was placed on dexamethasone.  Patient was found to have an AKI, COVID with elevated troponin, admitted for observation and symptomatic care.  Was seen by cardiology this admission.   Repeat CXR revealed likely right lower lobe atelectasis.     Due to increasing needs patient will need to be discharged.  Care management is involved.  Patient has returned to his baseline.    Placement at bed today   Rechecking K as blood was slightly hemolyzed likely causing K+ 5.5; repeat was normal.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium normal, C-reactive protein increased, COVID-19, Cardiomegaly, Cerebral atrophy
Clinical narrative: Patient is a 79 y.o. male who presented to Hospital 11/15/2023 with SOB   Covid 19  - CXR with mild stable cardiomegaly  - Covid + on 11/15  - on RA; no hypoxia  - supportive care  - Not a candidate for Paxlovid d/t GFR less than 30 - repeat CXR patient rotated; mild increased markings; recommend repeat.  - Repeat CXR in 11/22 Stable subtle right perihilar and infrahilar airspace disease.  - decadron daily initiated: CRP 138  - procalcitonin normal    AKI on CKD stage 3  - CR baseline around 2.4 - stable at baseline now   Elevated trop  - cardio signed off  - echo-  borderline LVH, EF 67%, grade 2 diastolic dysfunction, moderate aortic valve sclerosis without significant stenosis, moderate pulmonary h Elevated trop  - cardio signed off  - echo-  borderline LVH, EF 67%, grade 2 diastolic dysfunction, moderate aortic valve sclerosis without significant stenosis, moderate pulmonary hypertension, estimated RVSP 64 mmHg.  - 38/43/51 - EKG sinus brady    Chronic anemia  - daily CBC/monitor - Hg stable around  9.0 - ferritin normal    Transient left sided paralysis with AMS (somnolence) - RRT called 11/19 for brief episodes of left sided weakness <5 minutes; resolved  - DDX include: delirium on dementia, TIA, CVA, metabolic encephalopathy - Head CT NAD; increased diffuse cerebral volume loss with periventricular and subcortical white matter hypodensity; chronic small vessel ischemic disease  - Exam is back to baseline at this time   Leg swelling/Left leg pain - Doppler US negative  - Xray : Moderate osteoarthrosis remains in the left hip and left sacroiliac joint, with joint space narrowing and marginal osteophytes.  Multilevel degenerative changes of lumbar spine are incompletely evaluated.   Diffuse osteopenia.   Hyperkalemia (resolved)  Parkinson's disease  HTN HLD  Fall PVD  Overweight POA; BMI 32    Patient is a 79-year-old male who presented with history of Parkinson's residing who went to the restroom using his walker he tripped and fell onto his right side.  Did not strike his head and denied any injury.  Patient seemed fatigued and they had had a COVID outbreak recently.  Patient tested positive for COVID.  Was placed on dexamethasone.  Patient was found to have an AKI, COVID with elevated troponin, admitted for observation and symptomatic care.  Was seen by cardiology this admission.   Repeat CXR revealed likely right lower lobe atelectasis.     Due to increasing needs patient will need to be discharged.  Care management is involved.  Patient has returned to his baseline.    Placement at bed today   Rechecking K as blood was slightly hemolyzed likely causing K+ 5.5; repeat was normal.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral small vessel ischaemic disease, Chest X-ray abnormal, Computerised tomogram head abnormal, Diastolic dysfunction, Dyspnoea
Clinical narrative: Patient is a 79 y.o. male who presented to Hospital 11/15/2023 with SOB   Covid 19  - CXR with mild stable cardiomegaly  - Covid + on 11/15  - on RA; no hypoxia  - supportive care  - Not a candidate for Paxlovid d/t GFR less than 30 - repeat CXR patient rotated; mild increased markings; recommend repeat.  - Repeat CXR in 11/22 Stable subtle right perihilar and infrahilar airspace disease.  - decadron daily initiated: CRP 138  - procalcitonin normal    AKI on CKD stage 3  - CR baseline around 2.4 - stable at baseline now   Elevated trop  - cardio signed off  - echo-  borderline LVH, EF 67%, grade 2 diastolic dysfunction, moderate aortic valve sclerosis without significant stenosis, moderate pulmonary h Elevated trop  - cardio signed off  - echo-  borderline LVH, EF 67%, grade 2 diastolic dysfunction, moderate aortic valve sclerosis without significant stenosis, moderate pulmonary hypertension, estimated RVSP 64 mmHg.  - 38/43/51 - EKG sinus brady    Chronic anemia  - daily CBC/monitor - Hg stable around  9.0 - ferritin normal    Transient left sided paralysis with AMS (somnolence) - RRT called 11/19 for brief episodes of left sided weakness <5 minutes; resolved  - DDX include: delirium on dementia, TIA, CVA, metabolic encephalopathy - Head CT NAD; increased diffuse cerebral volume loss with periventricular and subcortical white matter hypodensity; chronic small vessel ischemic disease  - Exam is back to baseline at this time   Leg swelling/Left leg pain - Doppler US negative  - Xray : Moderate osteoarthrosis remains in the left hip and left sacroiliac joint, with joint space narrowing and marginal osteophytes.  Multilevel degenerative changes of lumbar spine are incompletely evaluated.   Diffuse osteopenia.   Hyperkalemia (resolved)  Parkinson's disease  HTN HLD  Fall PVD  Overweight POA; BMI 32    Patient is a 79-year-old male who presented with history of Parkinson's residing who went to the restroom using his walker he tripped and fell onto his right side.  Did not strike his head and denied any injury.  Patient seemed fatigued and they had had a COVID outbreak recently.  Patient tested positive for COVID.  Was placed on dexamethasone.  Patient was found to have an AKI, COVID with elevated troponin, admitted for observation and symptomatic care.  Was seen by cardiology this admission.   Repeat CXR revealed likely right lower lobe atelectasis.     Due to increasing needs patient will need to be discharged.  Care management is involved.  Patient has returned to his baseline.    Placement at bed today   Rechecking K as blood was slightly hemolyzed likely causing K+ 5.5; repeat was normal.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Ejection fraction normal, Electrocardiogram abnormal, Exostosis, Fall
Clinical narrative: Patient is a 79 y.o. male who presented to Hospital 11/15/2023 with SOB   Covid 19  - CXR with mild stable cardiomegaly  - Covid + on 11/15  - on RA; no hypoxia  - supportive care  - Not a candidate for Paxlovid d/t GFR less than 30 - repeat CXR patient rotated; mild increased markings; recommend repeat.  - Repeat CXR in 11/22 Stable subtle right perihilar and infrahilar airspace disease.  - decadron daily initiated: CRP 138  - procalcitonin normal    AKI on CKD stage 3  - CR baseline around 2.4 - stable at baseline now   Elevated trop  - cardio signed off  - echo-  borderline LVH, EF 67%, grade 2 diastolic dysfunction, moderate aortic valve sclerosis without significant stenosis, moderate pulmonary h Elevated trop  - cardio signed off  - echo-  borderline LVH, EF 67%, grade 2 diastolic dysfunction, moderate aortic valve sclerosis without significant stenosis, moderate pulmonary hypertension, estimated RVSP 64 mmHg.  - 38/43/51 - EKG sinus brady    Chronic anemia  - daily CBC/monitor - Hg stable around  9.0 - ferritin normal    Transient left sided paralysis with AMS (somnolence) - RRT called 11/19 for brief episodes of left sided weakness <5 minutes; resolved  - DDX include: delirium on dementia, TIA, CVA, metabolic encephalopathy - Head CT NAD; increased diffuse cerebral volume loss with periventricular and subcortical white matter hypodensity; chronic small vessel ischemic disease  - Exam is back to baseline at this time   Leg swelling/Left leg pain - Doppler US negative  - Xray : Moderate osteoarthrosis remains in the left hip and left sacroiliac joint, with joint space narrowing and marginal osteophytes.  Multilevel degenerative changes of lumbar spine are incompletely evaluated.   Diffuse osteopenia.   Hyperkalemia (resolved)  Parkinson's disease  HTN HLD  Fall PVD  Overweight POA; BMI 32    Patient is a 79-year-old male who presented with history of Parkinson's residing who went to the restroom using his walker he tripped and fell onto his right side.  Did not strike his head and denied any injury.  Patient seemed fatigued and they had had a COVID outbreak recently.  Patient tested positive for COVID.  Was placed on dexamethasone.  Patient was found to have an AKI, COVID with elevated troponin, admitted for observation and symptomatic care.  Was seen by cardiology this admission.   Repeat CXR revealed likely right lower lobe atelectasis.     Due to increasing needs patient will need to be discharged.  Care management is involved.  Patient has returned to his baseline.    Placement at bed today   Rechecking K as blood was slightly hemolyzed likely causing K+ 5.5; repeat was normal.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Glomerular filtration rate, Haemoglobin decreased, Hemiparesis, Hemiplegia
Clinical narrative: Patient is a 79 y.o. male who presented to Hospital 11/15/2023 with SOB   Covid 19  - CXR with mild stable cardiomegaly  - Covid + on 11/15  - on RA; no hypoxia  - supportive care  - Not a candidate for Paxlovid d/t GFR less than 30 - repeat CXR patient rotated; mild increased markings; recommend repeat.  - Repeat CXR in 11/22 Stable subtle right perihilar and infrahilar airspace disease.  - decadron daily initiated: CRP 138  - procalcitonin normal    AKI on CKD stage 3  - CR baseline around 2.4 - stable at baseline now   Elevated trop  - cardio signed off  - echo-  borderline LVH, EF 67%, grade 2 diastolic dysfunction, moderate aortic valve sclerosis without significant stenosis, moderate pulmonary h Elevated trop  - cardio signed off  - echo-  borderline LVH, EF 67%, grade 2 diastolic dysfunction, moderate aortic valve sclerosis without significant stenosis, moderate pulmonary hypertension, estimated RVSP 64 mmHg.  - 38/43/51 - EKG sinus brady    Chronic anemia  - daily CBC/monitor - Hg stable around  9.0 - ferritin normal    Transient left sided paralysis with AMS (somnolence) - RRT called 11/19 for brief episodes of left sided weakness <5 minutes; resolved  - DDX include: delirium on dementia, TIA, CVA, metabolic encephalopathy - Head CT NAD; increased diffuse cerebral volume loss with periventricular and subcortical white matter hypodensity; chronic small vessel ischemic disease  - Exam is back to baseline at this time   Leg swelling/Left leg pain - Doppler US negative  - Xray : Moderate osteoarthrosis remains in the left hip and left sacroiliac joint, with joint space narrowing and marginal osteophytes.  Multilevel degenerative changes of lumbar spine are incompletely evaluated.   Diffuse osteopenia.   Hyperkalemia (resolved)  Parkinson's disease  HTN HLD  Fall PVD  Overweight POA; BMI 32    Patient is a 79-year-old male who presented with history of Parkinson's residing who went to the restroom using his walker he tripped and fell onto his right side.  Did not strike his head and denied any injury.  Patient seemed fatigued and they had had a COVID outbreak recently.  Patient tested positive for COVID.  Was placed on dexamethasone.  Patient was found to have an AKI, COVID with elevated troponin, admitted for observation and symptomatic care.  Was seen by cardiology this admission.   Repeat CXR revealed likely right lower lobe atelectasis.     Due to increasing needs patient will need to be discharged.  Care management is involved.  Patient has returned to his baseline.    Placement at bed today   Rechecking K as blood was slightly hemolyzed likely causing K+ 5.5; repeat was normal.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperkalaemia, Joint space narrowing, Lung disorder, Mental status changes, Osteoarthritis
Clinical narrative: Patient is a 79 y.o. male who presented to Hospital 11/15/2023 with SOB   Covid 19  - CXR with mild stable cardiomegaly  - Covid + on 11/15  - on RA; no hypoxia  - supportive care  - Not a candidate for Paxlovid d/t GFR less than 30 - repeat CXR patient rotated; mild increased markings; recommend repeat.  - Repeat CXR in 11/22 Stable subtle right perihilar and infrahilar airspace disease.  - decadron daily initiated: CRP 138  - procalcitonin normal    AKI on CKD stage 3  - CR baseline around 2.4 - stable at baseline now   Elevated trop  - cardio signed off  - echo-  borderline LVH, EF 67%, grade 2 diastolic dysfunction, moderate aortic valve sclerosis without significant stenosis, moderate pulmonary h Elevated trop  - cardio signed off  - echo-  borderline LVH, EF 67%, grade 2 diastolic dysfunction, moderate aortic valve sclerosis without significant stenosis, moderate pulmonary hypertension, estimated RVSP 64 mmHg.  - 38/43/51 - EKG sinus brady    Chronic anemia  - daily CBC/monitor - Hg stable around  9.0 - ferritin normal    Transient left sided paralysis with AMS (somnolence) - RRT called 11/19 for brief episodes of left sided weakness <5 minutes; resolved  - DDX include: delirium on dementia, TIA, CVA, metabolic encephalopathy - Head CT NAD; increased diffuse cerebral volume loss with periventricular and subcortical white matter hypodensity; chronic small vessel ischemic disease  - Exam is back to baseline at this time   Leg swelling/Left leg pain - Doppler US negative  - Xray : Moderate osteoarthrosis remains in the left hip and left sacroiliac joint, with joint space narrowing and marginal osteophytes.  Multilevel degenerative changes of lumbar spine are incompletely evaluated.   Diffuse osteopenia.   Hyperkalemia (resolved)  Parkinson's disease  HTN HLD  Fall PVD  Overweight POA; BMI 32    Patient is a 79-year-old male who presented with history of Parkinson's residing who went to the restroom using his walker he tripped and fell onto his right side.  Did not strike his head and denied any injury.  Patient seemed fatigued and they had had a COVID outbreak recently.  Patient tested positive for COVID.  Was placed on dexamethasone.  Patient was found to have an AKI, COVID with elevated troponin, admitted for observation and symptomatic care.  Was seen by cardiology this admission.   Repeat CXR revealed likely right lower lobe atelectasis.     Due to increasing needs patient will need to be discharged.  Care management is involved.  Patient has returned to his baseline.    Placement at bed today   Rechecking K as blood was slightly hemolyzed likely causing K+ 5.5; repeat was normal.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Osteopenia, Pain in extremity, Paralysis, Peripheral swelling, Procalcitonin normal
Clinical narrative: Patient is a 79 y.o. male who presented to Hospital 11/15/2023 with SOB   Covid 19  - CXR with mild stable cardiomegaly  - Covid + on 11/15  - on RA; no hypoxia  - supportive care  - Not a candidate for Paxlovid d/t GFR less than 30 - repeat CXR patient rotated; mild increased markings; recommend repeat.  - Repeat CXR in 11/22 Stable subtle right perihilar and infrahilar airspace disease.  - decadron daily initiated: CRP 138  - procalcitonin normal    AKI on CKD stage 3  - CR baseline around 2.4 - stable at baseline now   Elevated trop  - cardio signed off  - echo-  borderline LVH, EF 67%, grade 2 diastolic dysfunction, moderate aortic valve sclerosis without significant stenosis, moderate pulmonary h Elevated trop  - cardio signed off  - echo-  borderline LVH, EF 67%, grade 2 diastolic dysfunction, moderate aortic valve sclerosis without significant stenosis, moderate pulmonary hypertension, estimated RVSP 64 mmHg.  - 38/43/51 - EKG sinus brady    Chronic anemia  - daily CBC/monitor - Hg stable around  9.0 - ferritin normal    Transient left sided paralysis with AMS (somnolence) - RRT called 11/19 for brief episodes of left sided weakness <5 minutes; resolved  - DDX include: delirium on dementia, TIA, CVA, metabolic encephalopathy - Head CT NAD; increased diffuse cerebral volume loss with periventricular and subcortical white matter hypodensity; chronic small vessel ischemic disease  - Exam is back to baseline at this time   Leg swelling/Left leg pain - Doppler US negative  - Xray : Moderate osteoarthrosis remains in the left hip and left sacroiliac joint, with joint space narrowing and marginal osteophytes.  Multilevel degenerative changes of lumbar spine are incompletely evaluated.   Diffuse osteopenia.   Hyperkalemia (resolved)  Parkinson's disease  HTN HLD  Fall PVD  Overweight POA; BMI 32    Patient is a 79-year-old male who presented with history of Parkinson's residing who went to the restroom using his walker he tripped and fell onto his right side.  Did not strike his head and denied any injury.  Patient seemed fatigued and they had had a COVID outbreak recently.  Patient tested positive for COVID.  Was placed on dexamethasone.  Patient was found to have an AKI, COVID with elevated troponin, admitted for observation and symptomatic care.  Was seen by cardiology this admission.   Repeat CXR revealed likely right lower lobe atelectasis.     Due to increasing needs patient will need to be discharged.  Care management is involved.  Patient has returned to his baseline.    Placement at bed today   Rechecking K as blood was slightly hemolyzed likely causing K+ 5.5; repeat was normal.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary hypertension, SARS-CoV-2 test positive, Serum ferritin normal, Sinus bradycardia, Somnolence
Clinical narrative: Patient is a 79 y.o. male who presented to Hospital 11/15/2023 with SOB   Covid 19  - CXR with mild stable cardiomegaly  - Covid + on 11/15  - on RA; no hypoxia  - supportive care  - Not a candidate for Paxlovid d/t GFR less than 30 - repeat CXR patient rotated; mild increased markings; recommend repeat.  - Repeat CXR in 11/22 Stable subtle right perihilar and infrahilar airspace disease.  - decadron daily initiated: CRP 138  - procalcitonin normal    AKI on CKD stage 3  - CR baseline around 2.4 - stable at baseline now   Elevated trop  - cardio signed off  - echo-  borderline LVH, EF 67%, grade 2 diastolic dysfunction, moderate aortic valve sclerosis without significant stenosis, moderate pulmonary h Elevated trop  - cardio signed off  - echo-  borderline LVH, EF 67%, grade 2 diastolic dysfunction, moderate aortic valve sclerosis without significant stenosis, moderate pulmonary hypertension, estimated RVSP 64 mmHg.  - 38/43/51 - EKG sinus brady    Chronic anemia  - daily CBC/monitor - Hg stable around  9.0 - ferritin normal    Transient left sided paralysis with AMS (somnolence) - RRT called 11/19 for brief episodes of left sided weakness <5 minutes; resolved  - DDX include: delirium on dementia, TIA, CVA, metabolic encephalopathy - Head CT NAD; increased diffuse cerebral volume loss with periventricular and subcortical white matter hypodensity; chronic small vessel ischemic disease  - Exam is back to baseline at this time   Leg swelling/Left leg pain - Doppler US negative  - Xray : Moderate osteoarthrosis remains in the left hip and left sacroiliac joint, with joint space narrowing and marginal osteophytes.  Multilevel degenerative changes of lumbar spine are incompletely evaluated.   Diffuse osteopenia.   Hyperkalemia (resolved)  Parkinson's disease  HTN HLD  Fall PVD  Overweight POA; BMI 32    Patient is a 79-year-old male who presented with history of Parkinson's residing who went to the restroom using his walker he tripped and fell onto his right side.  Did not strike his head and denied any injury.  Patient seemed fatigued and they had had a COVID outbreak recently.  Patient tested positive for COVID.  Was placed on dexamethasone.  Patient was found to have an AKI, COVID with elevated troponin, admitted for observation and symptomatic care.  Was seen by cardiology this admission.   Repeat CXR revealed likely right lower lobe atelectasis.     Due to increasing needs patient will need to be discharged.  Care management is involved.  Patient has returned to his baseline.    Placement at bed today   Rechecking K as blood was slightly hemolyzed likely causing K+ 5.5; repeat was normal.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased, Ultrasound Doppler normal, White matter lesion, X-ray abnormal
Clinical narrative: Patient is a 79 y.o. male who presented to Hospital 11/15/2023 with SOB   Covid 19  - CXR with mild stable cardiomegaly  - Covid + on 11/15  - on RA; no hypoxia  - supportive care  - Not a candidate for Paxlovid d/t GFR less than 30 - repeat CXR patient rotated; mild increased markings; recommend repeat.  - Repeat CXR in 11/22 Stable subtle right perihilar and infrahilar airspace disease.  - decadron daily initiated: CRP 138  - procalcitonin normal    AKI on CKD stage 3  - CR baseline around 2.4 - stable at baseline now   Elevated trop  - cardio signed off  - echo-  borderline LVH, EF 67%, grade 2 diastolic dysfunction, moderate aortic valve sclerosis without significant stenosis, moderate pulmonary h Elevated trop  - cardio signed off  - echo-  borderline LVH, EF 67%, grade 2 diastolic dysfunction, moderate aortic valve sclerosis without significant stenosis, moderate pulmonary hypertension, estimated RVSP 64 mmHg.  - 38/43/51 - EKG sinus brady    Chronic anemia  - daily CBC/monitor - Hg stable around  9.0 - ferritin normal    Transient left sided paralysis with AMS (somnolence) - RRT called 11/19 for brief episodes of left sided weakness <5 minutes; resolved  - DDX include: delirium on dementia, TIA, CVA, metabolic encephalopathy - Head CT NAD; increased diffuse cerebral volume loss with periventricular and subcortical white matter hypodensity; chronic small vessel ischemic disease  - Exam is back to baseline at this time   Leg swelling/Left leg pain - Doppler US negative  - Xray : Moderate osteoarthrosis remains in the left hip and left sacroiliac joint, with joint space narrowing and marginal osteophytes.  Multilevel degenerative changes of lumbar spine are incompletely evaluated.   Diffuse osteopenia.   Hyperkalemia (resolved)  Parkinson's disease  HTN HLD  Fall PVD  Overweight POA; BMI 32    Patient is a 79-year-old male who presented with history of Parkinson's residing who went to the restroom using his walker he tripped and fell onto his right side.  Did not strike his head and denied any injury.  Patient seemed fatigued and they had had a COVID outbreak recently.  Patient tested positive for COVID.  Was placed on dexamethasone.  Patient was found to have an AKI, COVID with elevated troponin, admitted for observation and symptomatic care.  Was seen by cardiology this admission.   Repeat CXR revealed likely right lower lobe atelectasis.     Due to increasing needs patient will need to be discharged.  Care management is involved.  Patient has returned to his baseline.    Placement at bed today   Rechecking K as blood was slightly hemolyzed likely causing K+ 5.5; repeat was normal.
Age: 15.0
Sex: M
Vaccine: FLUN4
Symptoms: Expired product administered
Clinical narrative: Vaccine was given one day after expiration date.
Age: 7.0
Sex: M
Vaccine: FLUN4
Symptoms: Expired product administered
Clinical narrative: Vaccine was given one day after expiration date.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Heart rate increased, Malaise
Clinical narrative: Rapid heart rate all through the night then 5 days of extreme fatigue, malaise resulting in bed rest. I have not experienced these symptoms with any previous Covid vaccine.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Computerised tomogram thorax, SARS-CoV-2 test
Clinical narrative: Patient diagnosed with COVID-19 on 7/10/23 resulting in hospitalization and use of nasal cannula
Age: 55.0
Sex: F
Vaccine: MMR
Symptoms: Rash, Urticaria
Clinical narrative: Rash and hives on hands 1 day after vaccine administration, progressing  to back.
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Back pain, Burning sensation, Impaired work ability, Mobility decreased
Clinical narrative: Since receiving the influenza vaccine on 11/10/23 the vaccine recipient experienced the following: severe neck and lower back pain; deep muscle aches; tension; intermittent burning through cervical and lumbar region; widespread joint pain (shoulders, wrists, hips, knees and ankles) and decreased mobility in the spine. Rest did not resolve the effects. Self-management included: Ibuprofen, acetaminophen, nightly heating pad; home vibration unit; gentle yoga stretching and deep breathing. Visited urgent Care on 11/20/23 and received ketorolac injection and prescribed naproxen and cyclobenzaprine as well as nightly epsom salts baths.  The vaccine recipient received only minimal relief from the ketorolac injection, meds and epsom salt baths. She supplemented her treatment with TENS, Heating pad and OTC menthol topical patches. She was out of work for several weeks as she could not tolerate periods of sitting/standing and typing-all of which are job requirements.
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Myalgia, Neck pain, Tension
Clinical narrative: Since receiving the influenza vaccine on 11/10/23 the vaccine recipient experienced the following: severe neck and lower back pain; deep muscle aches; tension; intermittent burning through cervical and lumbar region; widespread joint pain (shoulders, wrists, hips, knees and ankles) and decreased mobility in the spine. Rest did not resolve the effects. Self-management included: Ibuprofen, acetaminophen, nightly heating pad; home vibration unit; gentle yoga stretching and deep breathing. Visited urgent Care on 11/20/23 and received ketorolac injection and prescribed naproxen and cyclobenzaprine as well as nightly epsom salts baths.  The vaccine recipient received only minimal relief from the ketorolac injection, meds and epsom salt baths. She supplemented her treatment with TENS, Heating pad and OTC menthol topical patches. She was out of work for several weeks as she could not tolerate periods of sitting/standing and typing-all of which are job requirements.
Age: 28.0
Sex: F
Vaccine: HPV9, MNQ, VARCEL
Symptoms: Exposure during pregnancy, No adverse event
Clinical narrative: patient was early pregnant at the time of administration. No immediate symptoms following injections. EDD 6/22/24. Unknown adverse effects to fetus
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Back pain, Mobility decreased
Clinical narrative: Roughly two hours after administration, patient started feeling joint and back pain, similar to that experienced when he had the Chikungunya virus.  He can barely use his hands from the pain.
Age: 63.0
Sex: M
Vaccine: PPV
Symptoms: Headache, Pyrexia, Tremor
Clinical narrative: pt states that 90 mins after injection he experienced, headache, fevers for 2 weeks, and incontrollable shakes 24hrs post injection
Age: 71.0
Sex: F
Vaccine: UNK
Symptoms: Back pain, Dizziness, Electric shock sensation, Feeling abnormal, Gait disturbance
Clinical narrative: At the time of injection, I immediately felt 2 electric shocks: 1) The jolt travelled down my right arm to my right hand.  Within 24 hrs I noticed that my right hand became swollen and painful above my right pointer finger.  The pain increases when I sleep and move my hand, which continues until today.  2) The second shock travelled to my head and this jolt gave me an immediate headache that lasted for 2 days.  I could not walk around with a steady gait as I felt fuzzy headed and dizzy which I am still experiencing.  The injection site remained painful, bright red and swollen for one week.  I experienced muscle weakness, fatigue and pain in lower right back to this date.
Age: 71.0
Sex: F
Vaccine: UNK
Symptoms: Headache, Immediate post-injection reaction, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: At the time of injection, I immediately felt 2 electric shocks: 1) The jolt travelled down my right arm to my right hand.  Within 24 hrs I noticed that my right hand became swollen and painful above my right pointer finger.  The pain increases when I sleep and move my hand, which continues until today.  2) The second shock travelled to my head and this jolt gave me an immediate headache that lasted for 2 days.  I could not walk around with a steady gait as I felt fuzzy headed and dizzy which I am still experiencing.  The injection site remained painful, bright red and swollen for one week.  I experienced muscle weakness, fatigue and pain in lower right back to this date.
Age: 71.0
Sex: F
Vaccine: UNK
Symptoms: Muscle fatigue, Muscular weakness, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: At the time of injection, I immediately felt 2 electric shocks: 1) The jolt travelled down my right arm to my right hand.  Within 24 hrs I noticed that my right hand became swollen and painful above my right pointer finger.  The pain increases when I sleep and move my hand, which continues until today.  2) The second shock travelled to my head and this jolt gave me an immediate headache that lasted for 2 days.  I could not walk around with a steady gait as I felt fuzzy headed and dizzy which I am still experiencing.  The injection site remained painful, bright red and swollen for one week.  I experienced muscle weakness, fatigue and pain in lower right back to this date.
Age: 67.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Patient reported soreness and swelling after first injection on 5/2/23 that persisted until she received second dose. After second dose she continued to experience soreness and swelling that has still not resolved nearly 6 months after injection. Patient has seen her provider about this and has received steroid injection to symptom management.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Blood pressure decreased, Dizziness, Headache, Hyperhidrosis, Hypoacusis
Clinical narrative: After receiving vaccine about 4-5 min patient complained of lightheaded with ringing /trouble hearing, nausea, headache and near syncope. With a drop in blood pressure, shaking and sweating.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Nausea, Presyncope, Tinnitus, Tremor
Clinical narrative: After receiving vaccine about 4-5 min patient complained of lightheaded with ringing /trouble hearing, nausea, headache and near syncope. With a drop in blood pressure, shaking and sweating.
Age: 77.0
Sex: F
Vaccine: RSV
Symptoms: Pruritus
Clinical narrative: bilateral itchy 1-2 days after injection. Site below breast/anterior chest
Age: 9.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site discolouration, Injection site erythema, Injection site vesicles
Clinical narrative: the patient removed the Band-Aid the following morning after receiving this vaccine and noted 3-4 blisters.  these blisters were not painful but they did enlarge  over the next couple of days.   there was also surrounding erythema noted.  he came to our clinic on 01/03/2024 for an unrelated follow-up appointment,  at which time he showed me his arm and mom showed me pictures from her phone.  there is a rather large area of hyperpigmented skin  surrounding 3-4 hypopigmented areas where the blisters were previously located.  he has no pain  or tenderness and denies any other symptoms.  the skin does appear to be healing.
Age: 1.08
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, PNC15, VARCEL, DTAP, HIBV, IPV, MMR, PNC15, VARCEL
Symptoms: Device leakage, Incorrect dose administered, Product leakage, Underdose
Clinical narrative: When vaccine VAXNEUVANCE was given, it was not administered fully it was coming out of where the prefilled syringe and needle connect so only about half of vaccine was administered and the other spilled out on the table.
Age: 1.08
Sex: M
Vaccine: DTAP, HIBV, IPV, MMR, PNC15, VARCEL, DTAP, HIBV, IPV, MMR, PNC15, VARCEL
Symptoms: Device leakage
Clinical narrative: When vaccine VAXNEUVANCE was given, it was not administered fully it was coming out of where the prefilled syringe and needle connect so only about half of vaccine was administered and the other spilled out on the table.
Age: 72.0
Sex: F
Vaccine: UNK
Symptoms: Burning sensation, Limb mass, Pyrexia, Rash
Clinical narrative: Big lump on arm feverish rash burns sting and hurts. Feverish at times. From my shoulder to my elbow.
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Blood test, Cardiac monitoring, Chest X-ray, Chest discomfort, Electrocardiogram
Clinical narrative: Chest pressure left side. Upper back intense shoulder blade pain left side.
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Musculoskeletal pain
Clinical narrative: Chest pressure left side. Upper back intense shoulder blade pain left side.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN AFTER VIABILITY DATE
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Bursitis, Condition aggravated, Injection site induration, Periarthritis
Clinical narrative: Note, record shows left arm but it was right arm. Pain in shoulder after shot and hard spot around site. Site was high on shoulder, higher than I normally would have. I had adhesive capsulitis before and it was improving considerably and after this vaccine, it rapidly worsened to point of constant low pain and inability to put pressure on it (sleeping). Saw Orthopedist and received corticosteroid which improved it  - orthopedist saw indication of bursitis and indicated based on my description it could have been injection to bursa or near bursa which created the condition. Also see for case study on this happening.
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product administered at inappropriate site, Sleep disorder
Clinical narrative: Note, record shows left arm but it was right arm. Pain in shoulder after shot and hard spot around site. Site was high on shoulder, higher than I normally would have. I had adhesive capsulitis before and it was improving considerably and after this vaccine, it rapidly worsened to point of constant low pain and inability to put pressure on it (sleeping). Saw Orthopedist and received corticosteroid which improved it  - orthopedist saw indication of bursitis and indicated based on my description it could have been injection to bursa or near bursa which created the condition. Also see for case study on this happening.
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB, PNC20, RV5
Symptoms: Death, Pulse absent, Resuscitation, Treatment failure, Unresponsive to stimuli
Clinical narrative: Patient was well at her 4 month visit on 12/29/23.  We received a phone call on 1/2/24 from Hospital Emergency department.  Patient was found pulseless and unresponsive at daycare in the early afternoon on 1/2/24.   Once in ED, life saving attempts were not successful and patient was pronounced dead in the ED around 3 pm on 1/2/24.  She was known to be healthy and acting normally about 1 hour prior to finding her unresponsive per ED documentation.
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Swollen tongue
Clinical narrative: patient experienced tongue swelling after she received covid vaccine. I gave patient 2 pills of benadryl 25mg and patient informed me that she has epi-pen injector at home so I instructed the patient to use it if sypmtoms worsens or do not improve. patient not pregnant.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Swollen , soreness, redness
Age: 13.0
Sex: M
Vaccine: FLU4, HPV9
Symptoms: Dizziness, Syncope
Clinical narrative: Patient after being vaccinated, was proceeding to leave when he started to feel dizzy. Patient faints in the facility. The patient is put to bed with his legs elevated and vital signs are taken and reported to the pediatrician who was in the area. She indicated that they were within their normal parameters. Questions are asked to the patient to verify time, place and person. Patient's mother was present at the time of the intervention. Patient was taken to the emergency room in a wheelchair.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy, Lymphoma, Nodule, Pain in extremity, Radiotherapy
Clinical narrative: He got his vaccines up to the third one, and had not too much problems other than his arm being sore.  Then all of a sudden in 2022 he got some growths in his throat near his tonsil, and was hard and he tried brushing it and it would not pop.  Then he called his doctor and they sent him to an ENT.  He then saw the ENT and felt it was his tonsil and set up an APT for surgery, where he took out the nodule and did a biopsy at the end of April of 2022.  The biopsy came back and he told them that he had lymph node cancer, and sent to oncology for treatment.  He had radiation and did not need chemo.  He had 30 radiation treatments, which he has been cancer free since that time.  He started radiation in June of 2022. He read an article about children getting lymph node cancer after getting vaccinated.  The radiation burns out the throat so your saliva glands are shot and tastebuds are shot.  He is not able to enjoy food now as the vaccine has affected his sense of taste as well as the radiation.  He is of culanary arts and he is not able to taste the food that he prepares.    He did not have any cancer prior to this and nobody in his family has had cancer.    He is a paraplegic due to having a total knee replacement in 2019.  He walked into the hospital to have surgery, and now he is not able to walk and is bound to a wheelchair due to it.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Loss of consciousness
Clinical narrative: I am/was otherwise healthy.  I stood up the night of the event, immediately felt flush and dizzy.  Walked to the bathroom 40ish feet away and about 45 seconds after standing I passed out.  was unconscious for just a second or two.  Stood back up and passed back out, unconscious for another second or two.  911 was called, they looked at me, I declined to go to the hospital. Just stared hearing about potential heart issues with the vaccine so I felt like i should report this
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None stated
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: This pt was reported with a confirmed COVID-19 case on 11/18/23.  They passed away the following month on 12/18/23
Age: 66.0
Sex: F
Vaccine: RSV
Symptoms: Palpitations, Rash, Rash pruritic, Sleep disorder
Clinical narrative: on 12/14/23 I developed an itchy rash on all areas of my body where clothing made contact, ie waistband, etc. On 12/16 and 12/17 I was awakened in the middle of the night by a brief episode of racing heart beat. Rashgradually subsided after about 9 days. No further racing heart episodes.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: RN gave shot from back of arm at a 45 degree angle toward scapula. Patient reports this caused extreme pain during injection which lasted for 9 days.
Age: 31.0
Sex: F
Vaccine: RSV
Symptoms: Exposure during pregnancy, Hand-foot-and-mouth disease
Clinical narrative: Developed hand, foot, mouth disease on 12/28/2023. I do not believe this was associated with the vaccine but rather an illness I picked up from my son who brought it home from daycare.  Have previously been pregnant once before with delivery on 10/XX/2021. Current estimated delivery date is 1/8/2024.
Age: 12.0
Sex: F
Vaccine: DTAP, HEP, MMR
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Used DTap instead of Tdap, pt didn't experience any adverse effects
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Migraine
Clinical narrative: The day after I recieved the vaccine, a migraine started. It didn't feel like a typical migraine. I was prescribed a 4.5 day course of naratriptan followed by a methylprednisolone dose pack. The migraine lasted about 3 weeks.
Age: 2.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Expired product administered
Clinical narrative: The Moderna COVID 19 Vaccine (2023-2024 Formula) was administered after expiration.  THe vaccine was given after the 30 day Use by Date.
Age: 15.0
Sex: M
Vaccine: HEPA
Symptoms: Macrocephaly, Product administered to patient of inappropriate age
Clinical narrative: Patient is 15 years old given adult 1 ml dose of Vaqta .  No reaction to vaccination.  Inventory count caught the vaccine error.
Age: 73.0
Sex: M
Vaccine: RSV
Symptoms: COVID-19, Influenza B virus test positive, SARS-CoV-2 test positive
Clinical narrative: Tested positive for Covid 19 and flu B on 12/31/2023
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna Covid-19 Vaccine for 6 months through 11 years, single vial each dose of 0.25ml was administered to 6-year-old patient on 1/2/24. After it was administered, and patient left clinic without reaction, it was discovered that the sticker on the Moderna Covid 19 vaccine box the vaccine was pulled from was labeled from Freezer to Refrigerator on 11/27/23 and Exp Date 12/27/23.
Age: 1.0
Sex: M
Vaccine: HEPA
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Pediatric Hep A was ordered but Adult Hep A was given to patient. No reaction or adverse event occurred.  Pediatrician notified.
Age: 61.0
Sex: F
Vaccine: MMR
Symptoms: Erythema, Inflammation
Clinical narrative: Red with inflammation started a little more than a hour after vaccine was administered
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired.
Age: 65.0
Sex: M
Vaccine: RSV
Symptoms: Blood test, Computerised tomogram, Dehydration, Head injury, Influenza like illness
Clinical narrative: Severe flu like symptoms, dehydration, nausea, lethargy, passed out, hit head.
Age: 65.0
Sex: M
Vaccine: RSV
Symptoms: Lethargy, Loss of consciousness, Nausea
Clinical narrative: Severe flu like symptoms, dehydration, nausea, lethargy, passed out, hit head.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received an expired Pfizer covid-19 vaccine on 1/2/24. Manufacturer expiration is 4/30/24, however beyond use date was 12/28/23. Per CDC guidelines, pt will need to return to clinic for a repeat dose.
Age: 26.0
Sex: M
Vaccine: MMR
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: Immediately after injection patient had a syncope event, requiring staff to call 911
Age: 83.0
Sex: M
Vaccine: RSV
Symptoms: Product administered at inappropriate site
Clinical narrative: Patient states administering pharmacist hit his Bursa and he has been undergoing physical therapy since vaccination because of this.
Age: 32.0
Sex: M
Vaccine: RAB
Symptoms: Animal bite
Clinical narrative: customer got bit by dog need to see doctor
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chills, Cough, Oropharyngeal pain, Pain
Clinical narrative: Decreased energy, congested, sore throat, coughing, fever, chills, body aches, vomiting
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Respiratory tract congestion, Vomiting
Clinical narrative: Decreased energy, congested, sore throat, coughing, fever, chills, body aches, vomiting
Age: 4.0
Sex: F
Vaccine: HEP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: NO SYMPTOMS
Age: 73.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Arthralgia, Pain in extremity, Product administered at inappropriate site
Clinical narrative: patient has arm and shoulder pain since the shor was administered. Patient went to doctor, doctor explained to patient that the shot had been given too high on the arm and was causing the pain and soreness.  Patient has been in pt ever since
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: Exposure to SARS-CoV-2, SARS-CoV-2 test
Clinical narrative: Post exposure
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Injection site pain, Pain in extremity, Shoulder injury related to vaccine administration
Clinical narrative: The patient experienced pain at the time of the vaccination and also later that night that was more than with previous vaccines she had received. After 2 weeks she was still experiencing pain in her arm/shoulder, which lead her to make an appointment with her primary care physician. The doctor diagnosed her with a shoulder injury related to vaccine administration. She is currently undergoing physical therapy that was recommended by her primary care physician. She plans to have imagining done to determine the amount of damage.
Age: 0.67
Sex: M
Vaccine: MENB
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: none
Age: 19.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Blister, Blister infected, Blister rupture, Immediate post-injection reaction, Vaccination site rash
Clinical narrative: vaccination area had immediate rash. Blister appeared appx 3 days after date of vaccine. Blister popped c. 12/30/2023 and becameinfected- today is the worst that the infection has been. Primary care has not given any antibiotics as of this reporting
Age: 72.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Hyperlipidaemia, Retinal vein occlusion
Clinical narrative: R retinal vein occlusion.  Given COVID 19 Moderna vaccine and flu vaccine at her pharmacy on 10/19/23.  Developed retinal vein occlusion 10/24/23.   + older age and mild hyperlipidemia - though no other risk factor for retinal vein occlusion.
Age: 8.0
Sex: F
Vaccine: IPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: dose given from vial designated for adult doses rather than pediatric designated vial. Correct dose given.
Age: 65.0
Sex: M
Vaccine: RSV
Symptoms: Injection site pain, Sleep disorder
Clinical narrative: Patient states muscle soreness from injection site (deltoid) down to the elbow.   Pain in not radiating.  It has been a month since injection and still sore.  It has even woken him up at night from sleeping.
Age: 0.33
Sex: F
Vaccine: MENB
Symptoms: Pyrexia
Clinical narrative: FEVER, RESOLVED AFTER 24 HOURS
Age: 0.83
Sex: F
Vaccine: DTPPVHBHPB, PNC20
Symptoms: Circumstance or information capable of leading to medication error, Extra dose administered, No adverse event
Clinical narrative: Vaccine history was incomplete. Child's record in state reporting system had not been accurately updated. Based on no record vaccines were administered per recommendation. After administering  recommended vaccines, the mother produced a hand written record reflecting the vaccines as already given. Patient was observed for 30 minutes post injection. No S/S of distress or adverse reactions. Injection site was clear. V/S within normal limits.