chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Blood follicle stimulating hormone normal, Blood thyroid stimulating hormone, Chest X-ray normal, Chest discomfort
Clinical narrative: On 01/22/2021, I started getting specific pain in my heart in specific spots, shortness of breath, I felt tachycardia , fatigue, easily winded, hot flashes, chest pain. Discomfort in my chest was like a constant.  What made me see the doctor, 02/02/2021, is when it was coming more constant, it was like on the left side of my chest when I took a deep breath, and light headedness and dizziness at that time.  The hot flashes started with my 1st vaccine, but that is the least of my concern, compared to the cardiac stuff.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Differential white blood cell count normal, Dizziness, Dyspnoea, Electrocardiogram ambulatory normal
Clinical narrative: On 01/22/2021, I started getting specific pain in my heart in specific spots, shortness of breath, I felt tachycardia , fatigue, easily winded, hot flashes, chest pain. Discomfort in my chest was like a constant.  What made me see the doctor, 02/02/2021, is when it was coming more constant, it was like on the left side of my chest when I took a deep breath, and light headedness and dizziness at that time.  The hot flashes started with my 1st vaccine, but that is the least of my concern, compared to the cardiac stuff.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fatigue, Fibrin D dimer normal, Full blood count normal, Hot flush
Clinical narrative: On 01/22/2021, I started getting specific pain in my heart in specific spots, shortness of breath, I felt tachycardia , fatigue, easily winded, hot flashes, chest pain. Discomfort in my chest was like a constant.  What made me see the doctor, 02/02/2021, is when it was coming more constant, it was like on the left side of my chest when I took a deep breath, and light headedness and dizziness at that time.  The hot flashes started with my 1st vaccine, but that is the least of my concern, compared to the cardiac stuff.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Oestradiol normal, Tachycardia
Clinical narrative: On 01/22/2021, I started getting specific pain in my heart in specific spots, shortness of breath, I felt tachycardia , fatigue, easily winded, hot flashes, chest pain. Discomfort in my chest was like a constant.  What made me see the doctor, 02/02/2021, is when it was coming more constant, it was like on the left side of my chest when I took a deep breath, and light headedness and dizziness at that time.  The hot flashes started with my 1st vaccine, but that is the least of my concern, compared to the cardiac stuff.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Moderna 1/21/21 and 2/24/21. Positive on 1/23/22
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient partially vaccinated against and then tested positive for COVID19.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Decreased appetite, Dyspnoea, Pain
Clinical narrative: Body Aches;Shortness of Breath;Chest Pain;Weight Loss; Loss of Appetite.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Weight decreased
Clinical narrative: Body Aches;Shortness of Breath;Chest Pain;Weight Loss; Loss of Appetite.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna 5/6/21 and 6/3/21. Positive on 1/23/22
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Chest discomfort, Dyspnoea, Heart rate increased
Clinical narrative: hand blisters that I was treated for at my primary care physician. extreme chest discomfort of heaviness, difficulty breathing, and very rapid heart rate for 7 days.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Pfizer 8/20/21 and 10/1/21. Positive on 1/21/22
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Janssen 4/8/21. Positive on 1/16/22
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Pneumonia, Respiratory failure
Clinical narrative: The patient was admitted with the diagnosis of respiratory failure due to COVID-19, as well as pneumonia.  She was started on cefepime, Flagyl, and vancomycin, as well as remdesivir and dexamethasone.  She required fairly low-flow oxygen to obtain adequate oxygen saturations.  The patient was discharged home on day of hospitalization four.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Fatigue, Pain
Clinical narrative: chest pain: attempted to take tums in case it was heartburn, but that did not help. chest pain lasted about 4-6 hours. also had fatigue, chills, achiness which was expected and not a concern. but the chest pain is a concern and makes me afraid to get another mrna vaccine.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Headache, Pain, Sleep disorder
Clinical narrative: Headache, body aches (back and shoulder) for 48 hours following vaccination. Persistent tinnitus in the right ear, loud, distracting, impedes sleep and peace of mind. Has not subsided as other symptoms.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Headache, body aches (back and shoulder) for 48 hours following vaccination. Persistent tinnitus in the right ear, loud, distracting, impedes sleep and peace of mind. Has not subsided as other symptoms.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac arrest, Cardiac pacemaker insertion, Electrocardiogram, Loss of consciousness, Pulse absent
Clinical narrative: On 2/26/2021, I passed out on kitchen floor at 7:45 am, and was looking straight up with no movement. Husband shook and I snapped out of it and was taken to ER. While monitored in ER around 8:30am,  pulseless for 20 seconds and heart restarted on own. Pacemaker was determined to be needed. Pacemaker was inserted during that morning. Sick Sinus Syndrome was the diagnosis.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus node dysfunction
Clinical narrative: On 2/26/2021, I passed out on kitchen floor at 7:45 am, and was looking straight up with no movement. Husband shook and I snapped out of it and was taken to ER. While monitored in ER around 8:30am,  pulseless for 20 seconds and heart restarted on own. Pacemaker was determined to be needed. Pacemaker was inserted during that morning. Sick Sinus Syndrome was the diagnosis.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient vaccinated against and then tested positive for COVID-19.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Parosmia
Clinical narrative: 5 days after the covid vaccination some smells permanently changed. Some meals that used to smell pleasing now have a pungent repulsive smell. Have not identified what ingredients cause the smell but have smelled the same repulsive odor frequently in different meals and restaurants and stores. It's as if ~15% of my smell receptors have been replaced with this odor; like they've been reprogrammed to tell me it's a repulsive smell instead of pleasing like it used to be.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pruritus, Pyrexia, Rash
Clinical narrative: Visit today for a whole body rash. Received Moderna vaccine booster 1/10/22 - that night had chills, fever, fatigue.  Went away by the end of the day. Yesterday he woke up with itchy spots all over. Tried showering, didn't go away. Now raised bumps within the itchy spots. No fluid that patient has noticed. Tried Benadryl - seems to have helped a little.  Causes drowsiness though.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Neurogenic bladder, Pyrexia, Urinary tract infection, Urodynamics measurement
Clinical narrative: On 04/24/21 I did a telehealth visit because I thought I had a UTI and got antibiotics for it. On 04/26/21 in the early am, I woke up with a fever, and I had another telehealth visit which ultimately lead to me being diagnosed with Shingles. I went to the immediate care center later that same day (diagnosed with shingles) and, again on the 27th, where they wanted a urine sample but I was unable to provide one. I was sent to the ER where they gave me a catheter (diagnosed with neurogenic bladder). I was unable to urinate without a catheter for the next few weeks and after about 3 weeks total, it resolved.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient got the Pfizer Vaccination on October 1st didn't come back for the second shot until 1/24/22
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient vaccinated against and then tested positive for COVID-19.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: up to date w/ COVID vax- booster dose listed above, developed sx and tested pos for covid 1/22/22 on binax rapid antigen test
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hyperhidrosis, Hypopnoea, Pallor, Peripheral coldness
Clinical narrative: client received 3rd dose of Pfizer BIONTech COVID19 vaccine at 1450. At 1455 father/mother report syncopal episode with "seizure like" movement. Client noted to be pale, diaphoretic, shallow and even respirations, conscious with c/o SOB, unable to obtain BP with manual cuff, unable to obtain SpO2 R/T coldness of hands, lungs CTAB, pulse weak and regular. Administered Epi-Pen 0.3mg IM to LVL x 1 and Benadryl 50mg IM to RVL x 1, patient transported to ER for evaluation, report to ER staff at 1500.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Pulse abnormal, Seizure like phenomena, Syncope
Clinical narrative: client received 3rd dose of Pfizer BIONTech COVID19 vaccine at 1450. At 1455 father/mother report syncopal episode with "seizure like" movement. Client noted to be pale, diaphoretic, shallow and even respirations, conscious with c/o SOB, unable to obtain BP with manual cuff, unable to obtain SpO2 R/T coldness of hands, lungs CTAB, pulse weak and regular. Administered Epi-Pen 0.3mg IM to LVL x 1 and Benadryl 50mg IM to RVL x 1, patient transported to ER for evaluation, report to ER staff at 1500.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Pruritus, Urticaria, Vaccination site pruritus, Vaccination site rash
Clinical narrative: Day after vaccine I had a mild rash around the vaccination site, not bigger than the bandaid. Not much heat and only a little itchy. Honestly I chalked it up to the bandaid irritating my skin.  The next morning I woke up to swollen lips, hives all over my body, and super itchy. Honestly, it looked/felt like I had been out in the intense sun with burns/hives/sunburnt lips.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine stored out of temperature range - in the freezer for greater than 14 days
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Chest X-ray, Chronic respiratory failure, Fibrin D dimer
Clinical narrative: Confirmed COVID-19 infection/chronic hypercarbic respiratory failure. # Acute Hypoxic Respiratory Failure secondary to COVID-19 infection Oxygen: continue current support with 2 L nasal cannula; titrate to keep SpO2 between 90-96% - Labs: See below - Imaging: Chest x-ray - January 20, 2022 - Breathing treatments: Scheduled Combivent - IV fluids: not indicated at this time - Antibiotics: not indicated  - COVID-Focused Medications: Dexamethasone 12 mg x 10 days or until hospital discharge, started on January 20, 2022 and Remdesivir x 5 days or until hospital discharge, started on January 20, 2022. - DVT Prophylaxis: at high risk of thrombotic complications due to COVID-19 (DDimer = N/A ).         - PROPHYLACTIC dosing: lovenox 40mg daily       - consider anticoag on discharge for 30 days & until return to normal mobility Patient presented with altered mental status.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Mental status changes, Respiratory failure
Clinical narrative: Confirmed COVID-19 infection/chronic hypercarbic respiratory failure. # Acute Hypoxic Respiratory Failure secondary to COVID-19 infection Oxygen: continue current support with 2 L nasal cannula; titrate to keep SpO2 between 90-96% - Labs: See below - Imaging: Chest x-ray - January 20, 2022 - Breathing treatments: Scheduled Combivent - IV fluids: not indicated at this time - Antibiotics: not indicated  - COVID-Focused Medications: Dexamethasone 12 mg x 10 days or until hospital discharge, started on January 20, 2022 and Remdesivir x 5 days or until hospital discharge, started on January 20, 2022. - DVT Prophylaxis: at high risk of thrombotic complications due to COVID-19 (DDimer = N/A ).         - PROPHYLACTIC dosing: lovenox 40mg daily       - consider anticoag on discharge for 30 days & until return to normal mobility Patient presented with altered mental status.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: developed sx and tested positive for covid on binax rapid antigen test 1/22/2022
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Admitted to hospital with breakthrough COVID infection 1/21/22
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Syncope, Vomiting
Clinical narrative: After the observation time passed, I drove back home (7-10 miles). Syncope in vehicle one hour after injection. Intense vomiting resulting in several episodes of syncope for the next 36 hours.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: Resident complaining of cold symptoms, rapid covid test completed with a positive result.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Brain natriuretic peptide normal, C-reactive protein increased, Chest tube insertion, Fibrin D dimer increased, Intensive care
Clinical narrative: Pericardial effusion. Troponins and BNP NOT elevated.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Pericardial drainage, Pericardial effusion, Troponin normal
Clinical narrative: Pericardial effusion. Troponins and BNP NOT elevated.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, SARS-CoV-2 test positive
Clinical narrative: developed sx and tested positive for covid on binax rapid antigen test 1/23/2022
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: The patient started having numbness and tingling in his lower legs 2 days after vaccine.  The right leg has nearly resolved and the left leg symptoms persist.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: red itchy rash started in the evening after the shot and has appeared and disappeared across his body in various places
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Ammonia increased, Angiogram cerebral normal, Anticoagulant therapy, Blood culture positive, Blood glucose normal
Clinical narrative: TRAUMA PROGRESS NOTE 1/21/2022 REMAINS HOSPITALIZED 1/24/2022 ASSESSMENT/PLAN: The patient is a 52 y.o. male who was admitted on 1/13 with R-sided weakness and abnormal speech after unwitnessed fall on 1/8. HCT with left temporal lobe parenchymal hematoma with surrounding cerebral edema and local mass effect. He was also discovered to have COVID pneumonia, he was treated for CAP with 5 day course of ABX. Repeat HCT 1/14 was stable, MRI/MRA 1/14 without evidence of underlying vascular lesion, tumor, or pathologic reason for left temporal lobe hemorrhage. He did receive lactulose for elevated ammonia in context of ongoing encephalopathy likely attributed to TBI and medications. He was transferred to the floor 1/17. Tube feeds were initiated but he ended up self pulling this 1/18, however he is cleared for PO diet and he is doing well with this so decision was made to defer replacement of FT for now.    Active Hospital Problems Fall - tertiary completed    Left temporal lobe parenchymal hematoma with mass effect complicated by Acute Metabolic encephalopathy  - nsgy consulted.  - Repeat HCT 1/14 was stable - MRI/MRA 1/14 without evidence of underlying vascular lesion, tumor, or pathologic reason for left temporal lobe hemorrhage. - Na goal 140-145 - Na tabs 2g TID.  - Free Water restricted 1L  - SBP goal <160 and maintaining    Prediabetes - A1C 6.2 - low SSI  - BS goal <180 and maintaining. Did have a single reading of 190s last night but since his PO intake is somewhat inconsistent, will hold off on Lantus for now.   COVID pneumonia - Finished Zithromax and Rocephin course 5 days to cover for CAP - on RA.  - Deep breathing exercises, IS therapy. Up as able. - DDIMER 1.6 1/18  from 4.4.  - given TBI and thrombocytopenia, contraindicated for therapeutic AC. Continue on heparin ppx.  - PCT 1/17 0.04, no leukocytosis, afebrile.  - Blood cultures on admission 1 of 2 showing GPC. Likely contaminant. Hold off on ABX. Repeat BC pending. No growth so far.  - Off full barrier precautions on Sunday.    Chronic Pancytopenia due to chronic disease Chronic thrombocytopenia  - Outpatient records with PLT at ~50s. Now trend ~30s. Trend every other day. If continues to decrease will reevaluate ppx therapy, consider repeat HCT and stop dvt ppx if PLT <25. hgbs are stable. No evidence of active bleeding    Dysphagia - Due to TBI - Speech following, diet per them - much improved, having better PO intake    Urinary incontinence - UA neg, monitor. - Strict I&Os    Left upper arm hematoma - from in hospital fall  - mark with marker and compression wrapping - XRs negative for fracture.    Hx of hepatic cirrhosis, unspecified hepatic cirrhosis type, unspecified whether ascites present (HCC)  - Child-Pugh class B  - avoid hepatotoxic medications. - hold lactulose due to large vol. Stools. Ammonia 49 improved to 43. Low suspicion for encephalopathy of hepatic origin, suspect is largely due to TBI.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Brain oedema, COVID-19, COVID-19 pneumonia, Cerebral haematoma, Cerebral mass effect
Clinical narrative: TRAUMA PROGRESS NOTE 1/21/2022 REMAINS HOSPITALIZED 1/24/2022 ASSESSMENT/PLAN: The patient is a 52 y.o. male who was admitted on 1/13 with R-sided weakness and abnormal speech after unwitnessed fall on 1/8. HCT with left temporal lobe parenchymal hematoma with surrounding cerebral edema and local mass effect. He was also discovered to have COVID pneumonia, he was treated for CAP with 5 day course of ABX. Repeat HCT 1/14 was stable, MRI/MRA 1/14 without evidence of underlying vascular lesion, tumor, or pathologic reason for left temporal lobe hemorrhage. He did receive lactulose for elevated ammonia in context of ongoing encephalopathy likely attributed to TBI and medications. He was transferred to the floor 1/17. Tube feeds were initiated but he ended up self pulling this 1/18, however he is cleared for PO diet and he is doing well with this so decision was made to defer replacement of FT for now.    Active Hospital Problems Fall - tertiary completed    Left temporal lobe parenchymal hematoma with mass effect complicated by Acute Metabolic encephalopathy  - nsgy consulted.  - Repeat HCT 1/14 was stable - MRI/MRA 1/14 without evidence of underlying vascular lesion, tumor, or pathologic reason for left temporal lobe hemorrhage. - Na goal 140-145 - Na tabs 2g TID.  - Free Water restricted 1L  - SBP goal <160 and maintaining    Prediabetes - A1C 6.2 - low SSI  - BS goal <180 and maintaining. Did have a single reading of 190s last night but since his PO intake is somewhat inconsistent, will hold off on Lantus for now.   COVID pneumonia - Finished Zithromax and Rocephin course 5 days to cover for CAP - on RA.  - Deep breathing exercises, IS therapy. Up as able. - DDIMER 1.6 1/18  from 4.4.  - given TBI and thrombocytopenia, contraindicated for therapeutic AC. Continue on heparin ppx.  - PCT 1/17 0.04, no leukocytosis, afebrile.  - Blood cultures on admission 1 of 2 showing GPC. Likely contaminant. Hold off on ABX. Repeat BC pending. No growth so far.  - Off full barrier precautions on Sunday.    Chronic Pancytopenia due to chronic disease Chronic thrombocytopenia  - Outpatient records with PLT at ~50s. Now trend ~30s. Trend every other day. If continues to decrease will reevaluate ppx therapy, consider repeat HCT and stop dvt ppx if PLT <25. hgbs are stable. No evidence of active bleeding    Dysphagia - Due to TBI - Speech following, diet per them - much improved, having better PO intake    Urinary incontinence - UA neg, monitor. - Strict I&Os    Left upper arm hematoma - from in hospital fall  - mark with marker and compression wrapping - XRs negative for fracture.    Hx of hepatic cirrhosis, unspecified hepatic cirrhosis type, unspecified whether ascites present (HCC)  - Child-Pugh class B  - avoid hepatotoxic medications. - hold lactulose due to large vol. Stools. Ammonia 49 improved to 43. Low suspicion for encephalopathy of hepatic origin, suspect is largely due to TBI.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Child-Pugh-Turcotte score increased, Chronic disease, Compression garment application, Computerised tomogram head abnormal, Condition aggravated
Clinical narrative: TRAUMA PROGRESS NOTE 1/21/2022 REMAINS HOSPITALIZED 1/24/2022 ASSESSMENT/PLAN: The patient is a 52 y.o. male who was admitted on 1/13 with R-sided weakness and abnormal speech after unwitnessed fall on 1/8. HCT with left temporal lobe parenchymal hematoma with surrounding cerebral edema and local mass effect. He was also discovered to have COVID pneumonia, he was treated for CAP with 5 day course of ABX. Repeat HCT 1/14 was stable, MRI/MRA 1/14 without evidence of underlying vascular lesion, tumor, or pathologic reason for left temporal lobe hemorrhage. He did receive lactulose for elevated ammonia in context of ongoing encephalopathy likely attributed to TBI and medications. He was transferred to the floor 1/17. Tube feeds were initiated but he ended up self pulling this 1/18, however he is cleared for PO diet and he is doing well with this so decision was made to defer replacement of FT for now.    Active Hospital Problems Fall - tertiary completed    Left temporal lobe parenchymal hematoma with mass effect complicated by Acute Metabolic encephalopathy  - nsgy consulted.  - Repeat HCT 1/14 was stable - MRI/MRA 1/14 without evidence of underlying vascular lesion, tumor, or pathologic reason for left temporal lobe hemorrhage. - Na goal 140-145 - Na tabs 2g TID.  - Free Water restricted 1L  - SBP goal <160 and maintaining    Prediabetes - A1C 6.2 - low SSI  - BS goal <180 and maintaining. Did have a single reading of 190s last night but since his PO intake is somewhat inconsistent, will hold off on Lantus for now.   COVID pneumonia - Finished Zithromax and Rocephin course 5 days to cover for CAP - on RA.  - Deep breathing exercises, IS therapy. Up as able. - DDIMER 1.6 1/18  from 4.4.  - given TBI and thrombocytopenia, contraindicated for therapeutic AC. Continue on heparin ppx.  - PCT 1/17 0.04, no leukocytosis, afebrile.  - Blood cultures on admission 1 of 2 showing GPC. Likely contaminant. Hold off on ABX. Repeat BC pending. No growth so far.  - Off full barrier precautions on Sunday.    Chronic Pancytopenia due to chronic disease Chronic thrombocytopenia  - Outpatient records with PLT at ~50s. Now trend ~30s. Trend every other day. If continues to decrease will reevaluate ppx therapy, consider repeat HCT and stop dvt ppx if PLT <25. hgbs are stable. No evidence of active bleeding    Dysphagia - Due to TBI - Speech following, diet per them - much improved, having better PO intake    Urinary incontinence - UA neg, monitor. - Strict I&Os    Left upper arm hematoma - from in hospital fall  - mark with marker and compression wrapping - XRs negative for fracture.    Hx of hepatic cirrhosis, unspecified hepatic cirrhosis type, unspecified whether ascites present (HCC)  - Child-Pugh class B  - avoid hepatotoxic medications. - hold lactulose due to large vol. Stools. Ammonia 49 improved to 43. Low suspicion for encephalopathy of hepatic origin, suspect is largely due to TBI.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Craniocerebral injury, Dysphagia, Faecal volume increased, Fall, Fibrin D dimer
Clinical narrative: TRAUMA PROGRESS NOTE 1/21/2022 REMAINS HOSPITALIZED 1/24/2022 ASSESSMENT/PLAN: The patient is a 52 y.o. male who was admitted on 1/13 with R-sided weakness and abnormal speech after unwitnessed fall on 1/8. HCT with left temporal lobe parenchymal hematoma with surrounding cerebral edema and local mass effect. He was also discovered to have COVID pneumonia, he was treated for CAP with 5 day course of ABX. Repeat HCT 1/14 was stable, MRI/MRA 1/14 without evidence of underlying vascular lesion, tumor, or pathologic reason for left temporal lobe hemorrhage. He did receive lactulose for elevated ammonia in context of ongoing encephalopathy likely attributed to TBI and medications. He was transferred to the floor 1/17. Tube feeds were initiated but he ended up self pulling this 1/18, however he is cleared for PO diet and he is doing well with this so decision was made to defer replacement of FT for now.    Active Hospital Problems Fall - tertiary completed    Left temporal lobe parenchymal hematoma with mass effect complicated by Acute Metabolic encephalopathy  - nsgy consulted.  - Repeat HCT 1/14 was stable - MRI/MRA 1/14 without evidence of underlying vascular lesion, tumor, or pathologic reason for left temporal lobe hemorrhage. - Na goal 140-145 - Na tabs 2g TID.  - Free Water restricted 1L  - SBP goal <160 and maintaining    Prediabetes - A1C 6.2 - low SSI  - BS goal <180 and maintaining. Did have a single reading of 190s last night but since his PO intake is somewhat inconsistent, will hold off on Lantus for now.   COVID pneumonia - Finished Zithromax and Rocephin course 5 days to cover for CAP - on RA.  - Deep breathing exercises, IS therapy. Up as able. - DDIMER 1.6 1/18  from 4.4.  - given TBI and thrombocytopenia, contraindicated for therapeutic AC. Continue on heparin ppx.  - PCT 1/17 0.04, no leukocytosis, afebrile.  - Blood cultures on admission 1 of 2 showing GPC. Likely contaminant. Hold off on ABX. Repeat BC pending. No growth so far.  - Off full barrier precautions on Sunday.    Chronic Pancytopenia due to chronic disease Chronic thrombocytopenia  - Outpatient records with PLT at ~50s. Now trend ~30s. Trend every other day. If continues to decrease will reevaluate ppx therapy, consider repeat HCT and stop dvt ppx if PLT <25. hgbs are stable. No evidence of active bleeding    Dysphagia - Due to TBI - Speech following, diet per them - much improved, having better PO intake    Urinary incontinence - UA neg, monitor. - Strict I&Os    Left upper arm hematoma - from in hospital fall  - mark with marker and compression wrapping - XRs negative for fracture.    Hx of hepatic cirrhosis, unspecified hepatic cirrhosis type, unspecified whether ascites present (HCC)  - Child-Pugh class B  - avoid hepatotoxic medications. - hold lactulose due to large vol. Stools. Ammonia 49 improved to 43. Low suspicion for encephalopathy of hepatic origin, suspect is largely due to TBI.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Fluid intake restriction, Gastrointestinal tube insertion, Glucose tolerance impaired, Glycosylated haemoglobin increased, Gram stain positive
Clinical narrative: TRAUMA PROGRESS NOTE 1/21/2022 REMAINS HOSPITALIZED 1/24/2022 ASSESSMENT/PLAN: The patient is a 52 y.o. male who was admitted on 1/13 with R-sided weakness and abnormal speech after unwitnessed fall on 1/8. HCT with left temporal lobe parenchymal hematoma with surrounding cerebral edema and local mass effect. He was also discovered to have COVID pneumonia, he was treated for CAP with 5 day course of ABX. Repeat HCT 1/14 was stable, MRI/MRA 1/14 without evidence of underlying vascular lesion, tumor, or pathologic reason for left temporal lobe hemorrhage. He did receive lactulose for elevated ammonia in context of ongoing encephalopathy likely attributed to TBI and medications. He was transferred to the floor 1/17. Tube feeds were initiated but he ended up self pulling this 1/18, however he is cleared for PO diet and he is doing well with this so decision was made to defer replacement of FT for now.    Active Hospital Problems Fall - tertiary completed    Left temporal lobe parenchymal hematoma with mass effect complicated by Acute Metabolic encephalopathy  - nsgy consulted.  - Repeat HCT 1/14 was stable - MRI/MRA 1/14 without evidence of underlying vascular lesion, tumor, or pathologic reason for left temporal lobe hemorrhage. - Na goal 140-145 - Na tabs 2g TID.  - Free Water restricted 1L  - SBP goal <160 and maintaining    Prediabetes - A1C 6.2 - low SSI  - BS goal <180 and maintaining. Did have a single reading of 190s last night but since his PO intake is somewhat inconsistent, will hold off on Lantus for now.   COVID pneumonia - Finished Zithromax and Rocephin course 5 days to cover for CAP - on RA.  - Deep breathing exercises, IS therapy. Up as able. - DDIMER 1.6 1/18  from 4.4.  - given TBI and thrombocytopenia, contraindicated for therapeutic AC. Continue on heparin ppx.  - PCT 1/17 0.04, no leukocytosis, afebrile.  - Blood cultures on admission 1 of 2 showing GPC. Likely contaminant. Hold off on ABX. Repeat BC pending. No growth so far.  - Off full barrier precautions on Sunday.    Chronic Pancytopenia due to chronic disease Chronic thrombocytopenia  - Outpatient records with PLT at ~50s. Now trend ~30s. Trend every other day. If continues to decrease will reevaluate ppx therapy, consider repeat HCT and stop dvt ppx if PLT <25. hgbs are stable. No evidence of active bleeding    Dysphagia - Due to TBI - Speech following, diet per them - much improved, having better PO intake    Urinary incontinence - UA neg, monitor. - Strict I&Os    Left upper arm hematoma - from in hospital fall  - mark with marker and compression wrapping - XRs negative for fracture.    Hx of hepatic cirrhosis, unspecified hepatic cirrhosis type, unspecified whether ascites present (HCC)  - Child-Pugh class B  - avoid hepatotoxic medications. - hold lactulose due to large vol. Stools. Ammonia 49 improved to 43. Low suspicion for encephalopathy of hepatic origin, suspect is largely due to TBI.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Haematoma, Haemoglobin normal, Hemiparesis, Hepatic encephalopathy, Hypophagia
Clinical narrative: TRAUMA PROGRESS NOTE 1/21/2022 REMAINS HOSPITALIZED 1/24/2022 ASSESSMENT/PLAN: The patient is a 52 y.o. male who was admitted on 1/13 with R-sided weakness and abnormal speech after unwitnessed fall on 1/8. HCT with left temporal lobe parenchymal hematoma with surrounding cerebral edema and local mass effect. He was also discovered to have COVID pneumonia, he was treated for CAP with 5 day course of ABX. Repeat HCT 1/14 was stable, MRI/MRA 1/14 without evidence of underlying vascular lesion, tumor, or pathologic reason for left temporal lobe hemorrhage. He did receive lactulose for elevated ammonia in context of ongoing encephalopathy likely attributed to TBI and medications. He was transferred to the floor 1/17. Tube feeds were initiated but he ended up self pulling this 1/18, however he is cleared for PO diet and he is doing well with this so decision was made to defer replacement of FT for now.    Active Hospital Problems Fall - tertiary completed    Left temporal lobe parenchymal hematoma with mass effect complicated by Acute Metabolic encephalopathy  - nsgy consulted.  - Repeat HCT 1/14 was stable - MRI/MRA 1/14 without evidence of underlying vascular lesion, tumor, or pathologic reason for left temporal lobe hemorrhage. - Na goal 140-145 - Na tabs 2g TID.  - Free Water restricted 1L  - SBP goal <160 and maintaining    Prediabetes - A1C 6.2 - low SSI  - BS goal <180 and maintaining. Did have a single reading of 190s last night but since his PO intake is somewhat inconsistent, will hold off on Lantus for now.   COVID pneumonia - Finished Zithromax and Rocephin course 5 days to cover for CAP - on RA.  - Deep breathing exercises, IS therapy. Up as able. - DDIMER 1.6 1/18  from 4.4.  - given TBI and thrombocytopenia, contraindicated for therapeutic AC. Continue on heparin ppx.  - PCT 1/17 0.04, no leukocytosis, afebrile.  - Blood cultures on admission 1 of 2 showing GPC. Likely contaminant. Hold off on ABX. Repeat BC pending. No growth so far.  - Off full barrier precautions on Sunday.    Chronic Pancytopenia due to chronic disease Chronic thrombocytopenia  - Outpatient records with PLT at ~50s. Now trend ~30s. Trend every other day. If continues to decrease will reevaluate ppx therapy, consider repeat HCT and stop dvt ppx if PLT <25. hgbs are stable. No evidence of active bleeding    Dysphagia - Due to TBI - Speech following, diet per them - much improved, having better PO intake    Urinary incontinence - UA neg, monitor. - Strict I&Os    Left upper arm hematoma - from in hospital fall  - mark with marker and compression wrapping - XRs negative for fracture.    Hx of hepatic cirrhosis, unspecified hepatic cirrhosis type, unspecified whether ascites present (HCC)  - Child-Pugh class B  - avoid hepatotoxic medications. - hold lactulose due to large vol. Stools. Ammonia 49 improved to 43. Low suspicion for encephalopathy of hepatic origin, suspect is largely due to TBI.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Intentional medical device removal by patient, Magnetic resonance imaging head normal, Metabolic encephalopathy, Pancytopenia, Platelet count decreased
Clinical narrative: TRAUMA PROGRESS NOTE 1/21/2022 REMAINS HOSPITALIZED 1/24/2022 ASSESSMENT/PLAN: The patient is a 52 y.o. male who was admitted on 1/13 with R-sided weakness and abnormal speech after unwitnessed fall on 1/8. HCT with left temporal lobe parenchymal hematoma with surrounding cerebral edema and local mass effect. He was also discovered to have COVID pneumonia, he was treated for CAP with 5 day course of ABX. Repeat HCT 1/14 was stable, MRI/MRA 1/14 without evidence of underlying vascular lesion, tumor, or pathologic reason for left temporal lobe hemorrhage. He did receive lactulose for elevated ammonia in context of ongoing encephalopathy likely attributed to TBI and medications. He was transferred to the floor 1/17. Tube feeds were initiated but he ended up self pulling this 1/18, however he is cleared for PO diet and he is doing well with this so decision was made to defer replacement of FT for now.    Active Hospital Problems Fall - tertiary completed    Left temporal lobe parenchymal hematoma with mass effect complicated by Acute Metabolic encephalopathy  - nsgy consulted.  - Repeat HCT 1/14 was stable - MRI/MRA 1/14 without evidence of underlying vascular lesion, tumor, or pathologic reason for left temporal lobe hemorrhage. - Na goal 140-145 - Na tabs 2g TID.  - Free Water restricted 1L  - SBP goal <160 and maintaining    Prediabetes - A1C 6.2 - low SSI  - BS goal <180 and maintaining. Did have a single reading of 190s last night but since his PO intake is somewhat inconsistent, will hold off on Lantus for now.   COVID pneumonia - Finished Zithromax and Rocephin course 5 days to cover for CAP - on RA.  - Deep breathing exercises, IS therapy. Up as able. - DDIMER 1.6 1/18  from 4.4.  - given TBI and thrombocytopenia, contraindicated for therapeutic AC. Continue on heparin ppx.  - PCT 1/17 0.04, no leukocytosis, afebrile.  - Blood cultures on admission 1 of 2 showing GPC. Likely contaminant. Hold off on ABX. Repeat BC pending. No growth so far.  - Off full barrier precautions on Sunday.    Chronic Pancytopenia due to chronic disease Chronic thrombocytopenia  - Outpatient records with PLT at ~50s. Now trend ~30s. Trend every other day. If continues to decrease will reevaluate ppx therapy, consider repeat HCT and stop dvt ppx if PLT <25. hgbs are stable. No evidence of active bleeding    Dysphagia - Due to TBI - Speech following, diet per them - much improved, having better PO intake    Urinary incontinence - UA neg, monitor. - Strict I&Os    Left upper arm hematoma - from in hospital fall  - mark with marker and compression wrapping - XRs negative for fracture.    Hx of hepatic cirrhosis, unspecified hepatic cirrhosis type, unspecified whether ascites present (HCC)  - Child-Pugh class B  - avoid hepatotoxic medications. - hold lactulose due to large vol. Stools. Ammonia 49 improved to 43. Low suspicion for encephalopathy of hepatic origin, suspect is largely due to TBI.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Procalcitonin, SARS-CoV-2 test positive, Speech disorder, Thrombocytopenia
Clinical narrative: TRAUMA PROGRESS NOTE 1/21/2022 REMAINS HOSPITALIZED 1/24/2022 ASSESSMENT/PLAN: The patient is a 52 y.o. male who was admitted on 1/13 with R-sided weakness and abnormal speech after unwitnessed fall on 1/8. HCT with left temporal lobe parenchymal hematoma with surrounding cerebral edema and local mass effect. He was also discovered to have COVID pneumonia, he was treated for CAP with 5 day course of ABX. Repeat HCT 1/14 was stable, MRI/MRA 1/14 without evidence of underlying vascular lesion, tumor, or pathologic reason for left temporal lobe hemorrhage. He did receive lactulose for elevated ammonia in context of ongoing encephalopathy likely attributed to TBI and medications. He was transferred to the floor 1/17. Tube feeds were initiated but he ended up self pulling this 1/18, however he is cleared for PO diet and he is doing well with this so decision was made to defer replacement of FT for now.    Active Hospital Problems Fall - tertiary completed    Left temporal lobe parenchymal hematoma with mass effect complicated by Acute Metabolic encephalopathy  - nsgy consulted.  - Repeat HCT 1/14 was stable - MRI/MRA 1/14 without evidence of underlying vascular lesion, tumor, or pathologic reason for left temporal lobe hemorrhage. - Na goal 140-145 - Na tabs 2g TID.  - Free Water restricted 1L  - SBP goal <160 and maintaining    Prediabetes - A1C 6.2 - low SSI  - BS goal <180 and maintaining. Did have a single reading of 190s last night but since his PO intake is somewhat inconsistent, will hold off on Lantus for now.   COVID pneumonia - Finished Zithromax and Rocephin course 5 days to cover for CAP - on RA.  - Deep breathing exercises, IS therapy. Up as able. - DDIMER 1.6 1/18  from 4.4.  - given TBI and thrombocytopenia, contraindicated for therapeutic AC. Continue on heparin ppx.  - PCT 1/17 0.04, no leukocytosis, afebrile.  - Blood cultures on admission 1 of 2 showing GPC. Likely contaminant. Hold off on ABX. Repeat BC pending. No growth so far.  - Off full barrier precautions on Sunday.    Chronic Pancytopenia due to chronic disease Chronic thrombocytopenia  - Outpatient records with PLT at ~50s. Now trend ~30s. Trend every other day. If continues to decrease will reevaluate ppx therapy, consider repeat HCT and stop dvt ppx if PLT <25. hgbs are stable. No evidence of active bleeding    Dysphagia - Due to TBI - Speech following, diet per them - much improved, having better PO intake    Urinary incontinence - UA neg, monitor. - Strict I&Os    Left upper arm hematoma - from in hospital fall  - mark with marker and compression wrapping - XRs negative for fracture.    Hx of hepatic cirrhosis, unspecified hepatic cirrhosis type, unspecified whether ascites present (HCC)  - Child-Pugh class B  - avoid hepatotoxic medications. - hold lactulose due to large vol. Stools. Ammonia 49 improved to 43. Low suspicion for encephalopathy of hepatic origin, suspect is largely due to TBI.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary incontinence, Urine analysis normal, X-ray normal
Clinical narrative: TRAUMA PROGRESS NOTE 1/21/2022 REMAINS HOSPITALIZED 1/24/2022 ASSESSMENT/PLAN: The patient is a 52 y.o. male who was admitted on 1/13 with R-sided weakness and abnormal speech after unwitnessed fall on 1/8. HCT with left temporal lobe parenchymal hematoma with surrounding cerebral edema and local mass effect. He was also discovered to have COVID pneumonia, he was treated for CAP with 5 day course of ABX. Repeat HCT 1/14 was stable, MRI/MRA 1/14 without evidence of underlying vascular lesion, tumor, or pathologic reason for left temporal lobe hemorrhage. He did receive lactulose for elevated ammonia in context of ongoing encephalopathy likely attributed to TBI and medications. He was transferred to the floor 1/17. Tube feeds were initiated but he ended up self pulling this 1/18, however he is cleared for PO diet and he is doing well with this so decision was made to defer replacement of FT for now.    Active Hospital Problems Fall - tertiary completed    Left temporal lobe parenchymal hematoma with mass effect complicated by Acute Metabolic encephalopathy  - nsgy consulted.  - Repeat HCT 1/14 was stable - MRI/MRA 1/14 without evidence of underlying vascular lesion, tumor, or pathologic reason for left temporal lobe hemorrhage. - Na goal 140-145 - Na tabs 2g TID.  - Free Water restricted 1L  - SBP goal <160 and maintaining    Prediabetes - A1C 6.2 - low SSI  - BS goal <180 and maintaining. Did have a single reading of 190s last night but since his PO intake is somewhat inconsistent, will hold off on Lantus for now.   COVID pneumonia - Finished Zithromax and Rocephin course 5 days to cover for CAP - on RA.  - Deep breathing exercises, IS therapy. Up as able. - DDIMER 1.6 1/18  from 4.4.  - given TBI and thrombocytopenia, contraindicated for therapeutic AC. Continue on heparin ppx.  - PCT 1/17 0.04, no leukocytosis, afebrile.  - Blood cultures on admission 1 of 2 showing GPC. Likely contaminant. Hold off on ABX. Repeat BC pending. No growth so far.  - Off full barrier precautions on Sunday.    Chronic Pancytopenia due to chronic disease Chronic thrombocytopenia  - Outpatient records with PLT at ~50s. Now trend ~30s. Trend every other day. If continues to decrease will reevaluate ppx therapy, consider repeat HCT and stop dvt ppx if PLT <25. hgbs are stable. No evidence of active bleeding    Dysphagia - Due to TBI - Speech following, diet per them - much improved, having better PO intake    Urinary incontinence - UA neg, monitor. - Strict I&Os    Left upper arm hematoma - from in hospital fall  - mark with marker and compression wrapping - XRs negative for fracture.    Hx of hepatic cirrhosis, unspecified hepatic cirrhosis type, unspecified whether ascites present (HCC)  - Child-Pugh class B  - avoid hepatotoxic medications. - hold lactulose due to large vol. Stools. Ammonia 49 improved to 43. Low suspicion for encephalopathy of hepatic origin, suspect is largely due to TBI.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Rectal haemorrhage, Vaginal disorder
Clinical narrative: Pressure in rectum bleeding hemorrhoid and virginal bulging prolasp.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient vaccinated against and then tested positive for COVID-19.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: developed sx and tested positive for covid 1/22/2022 on binax rapid antigen test
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Oesophageal haemorrhage, Oesophageal mucosal tear, Vaccine positive rechallenge, Vomiting
Clinical narrative: Approximately 24 hours after vaccine syncope started with intense vomiting for the next 36 hours. Tissue lining of esophagus was torn from vomiting causing minor bleeding that did not need emergency service to heal. Phenergan was taking orally and rectally to combat vomiting sessions but did not work.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Asthenia, Decreased appetite, Fatigue, Feeling hot
Clinical narrative: I received the vaccine on Thursday, January 20, 2022, at 5:15 pm,  Having experienced side effects with the first shot, I took two Tylenol at about 9:30 p.m..  The symptoms started at 6:00 on Friday, January 21, 2022, and lasted most of the day. I felt achy in my joints and body, my skin felt very hot. I didn't take my temperature but whatever I was feeling was not like when you have temperature and it breaks, then you sweat and feel better.  I just felt hot all day.  I took one Tylenol at about 9:00 a.m. which helped with the symptoms a little. I did not feel like eating although I was not nauseous. I drank a 2-liter bottle of warm ginger ale during the day. I was very tired and kept falling asleep while doing nothing for the whole day.  I ate a light meal (cannot remember what it was) and felt a little nauseous afterwards but that was all and it went away after a couple of hours. I took one Tylenol at 3:00 p.m., then two more at 10:30 p.m. I slept well and was tired Saturday, January 22, 2022, but otherwise felt fine, although a little weak from not eating. The symptoms were totally gone by the end of the day Saturday. I will add that these symptoms were experienced after the first shot as well, which was in August and I don't know the date.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Pain, Skin warm, Somnolence
Clinical narrative: I received the vaccine on Thursday, January 20, 2022, at 5:15 pm,  Having experienced side effects with the first shot, I took two Tylenol at about 9:30 p.m..  The symptoms started at 6:00 on Friday, January 21, 2022, and lasted most of the day. I felt achy in my joints and body, my skin felt very hot. I didn't take my temperature but whatever I was feeling was not like when you have temperature and it breaks, then you sweat and feel better.  I just felt hot all day.  I took one Tylenol at about 9:00 a.m. which helped with the symptoms a little. I did not feel like eating although I was not nauseous. I drank a 2-liter bottle of warm ginger ale during the day. I was very tired and kept falling asleep while doing nothing for the whole day.  I ate a light meal (cannot remember what it was) and felt a little nauseous afterwards but that was all and it went away after a couple of hours. I took one Tylenol at 3:00 p.m., then two more at 10:30 p.m. I slept well and was tired Saturday, January 22, 2022, but otherwise felt fine, although a little weak from not eating. The symptoms were totally gone by the end of the day Saturday. I will add that these symptoms were experienced after the first shot as well, which was in August and I don't know the date.
Age: 65.0
Sex: F
Vaccine: FLUA4, PNC13, TDAP
Symptoms: Abdominal pain, Cardio-respiratory arrest, Computerised tomogram normal, Condition aggravated, Death
Clinical narrative: The decedent?s husband, reports that the decedent has been suffering abdominal pains regularly for several years, but claims they usually pass on their own. This morning, the decedent?s pain wouldn?t pass, and Mr. called 911 at approximately 1200hrs. Hospital staff reports decedent came to the ED at 1300hrs on 10/12/21 complaining of severe abdominal pains. CT scans were unremarkable and decedent was admitted for observation. At 2250hrs this evening, the decedent began to vomit water, began labored breathing, and and became unresponsive. Decedent coded, and hospital staff performed CPR and ALCS, but were unable to resuscitate. Death was pronounced by Dr., at 2315hrs.