chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: M
Vaccine: COVID19, SMALLMNK
Symptoms: Alopecia, Arthralgia, Biopsy lymph gland normal, Blood test, Inflammation
Clinical narrative: I had swollen lymph nodes that started 09/04/2022 and a rash develop on my abdominal area. I started having severe joint pain and flu-like symptoms. I'm still having these symptoms currently. I called my doctor who suggested me to get a biopsy. I got the biopsy done on 11/10/2022; they said they couldn't determine any illnesses or infections based on the results and said I must've had a reaction to the vaccine. I also began losing my hair and inflammation. They also took blood for testing did a test for inflammation (SED rate test) on 10/12/2022, which came back with 100mm/h on the scale. They prescribed me hydroxychloroquine 200mg to be taken daily to try to help with my symptoms. I have a follow-up appointment in 3 months in March with my physician and an immunologist to conduct more tests. As of now waiting for my follow-up appointment, I'm doing okay; I'm still having the swollen lymph nodes, joint pain, and abdominal rash sometimes.
Age: 26.0
Sex: M
Vaccine: COVID19, SMALLMNK
Symptoms: Influenza like illness, Lymphadenopathy, Rash, Red blood cell sedimentation rate increased
Clinical narrative: I had swollen lymph nodes that started 09/04/2022 and a rash develop on my abdominal area. I started having severe joint pain and flu-like symptoms. I'm still having these symptoms currently. I called my doctor who suggested me to get a biopsy. I got the biopsy done on 11/10/2022; they said they couldn't determine any illnesses or infections based on the results and said I must've had a reaction to the vaccine. I also began losing my hair and inflammation. They also took blood for testing did a test for inflammation (SED rate test) on 10/12/2022, which came back with 100mm/h on the scale. They prescribed me hydroxychloroquine 200mg to be taken daily to try to help with my symptoms. I have a follow-up appointment in 3 months in March with my physician and an immunologist to conduct more tests. As of now waiting for my follow-up appointment, I'm doing okay; I'm still having the swollen lymph nodes, joint pain, and abdominal rash sometimes.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Autopsy, Condition aggravated, Dyspnoea, Impaired driving ability
Clinical narrative: My sister became SOB within weeks of receiving the Vaccine She sought medical treatment but they treated her Asthma with Prednisone. She called me at 8pm on 12/8 and was complaining of leg pain and SOB . She worked at a hospital so was going to go to the ER when she got there. They had to pull over on the way and call an ambulance. She never made it. The autopsy showed large Embolism in her Calf that she was C/O of pain and multiple lung clots. The health dept. didn't offer her the Vsafe testing to check on her They didn't explain anything to her. and She should have never received the Johnson and Johnson because the benefit did NOT out weight the risk. She was going to make more money an hour which is the only reason she agreed to the Vaccine.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral embolism, Pulmonary thrombosis
Clinical narrative: My sister became SOB within weeks of receiving the Vaccine She sought medical treatment but they treated her Asthma with Prednisone. She called me at 8pm on 12/8 and was complaining of leg pain and SOB . She worked at a hospital so was going to go to the ER when she got there. They had to pull over on the way and call an ambulance. She never made it. The autopsy showed large Embolism in her Calf that she was C/O of pain and multiple lung clots. The health dept. didn't offer her the Vsafe testing to check on her They didn't explain anything to her. and She should have never received the Johnson and Johnson because the benefit did NOT out weight the risk. She was going to make more money an hour which is the only reason she agreed to the Vaccine.
Age: 8.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dental care, Fall, Syncope, Tooth fracture
Clinical narrative: After receiving covid-19 Pfizer updated pediatric vaccine (between 15 to 30 minutes after receiving the dose), she fainted, fell on the ground and broke/chipped two front teeth.  The mother brought the girl to the emergency dentist and got treated.
Age: 9.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product administered to patient of inappropriate age, Underdose
Clinical narrative: Child was given a half dose out of the 12+ Pfizer bivalent.  It was split between his sister who is 12 years old and should have gotten a full dose.  This child should have gotten the 5-11 year old bivalent.  Not sure what the next steps are for either child.  See E-number.
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 37.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation error, Product storage error
Clinical narrative: The patient was given a dose of the undiluted (Gray cap) Pfizer COVID-19 Bivalent booster that was not stored in an ultra-cold temperature freezer and was instead stored in the regular freezer (between -30 to -20 F). It was moved out of the regular freezer to the refrigerator after more than 3 weeks in the regular freezer. The doses were then used after more than 24 hours in the refrigerator. We have contacted Pfizer about this and according to their off-label studies they provided via PDF file, they are not able to support the temperature excursions that occurred. As per guidance, the recommendation is to re-vaccinate the individual with the full authorized dose of any Bivalent vaccine (either Pfizer or Moderna) and we have communicated with the patient for re-vaccination.
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Albumin globulin ratio normal, Blood albumin normal, Blood creatinine increased, Blood urea increased, Blood urea nitrogen/creatinine ratio increased
Clinical narrative: My skin started burning icy hot and was sensitive to touch. It's not disabling, but it is irritating. The symptoms are worse at night and have been ongoing since November 23, 2022. My doctor prescribed Methyl Prednisone. I started it last week. I'm finished with it now. I did general lab work yesterday, but I do not have the results yet. I have my regular appointment with my doctor next week.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Glomerular filtration rate normal, Glycosylated haemoglobin normal, Hyperaesthesia, Irritability, Laboratory test normal
Clinical narrative: My skin started burning icy hot and was sensitive to touch. It's not disabling, but it is irritating. The symptoms are worse at night and have been ongoing since November 23, 2022. My doctor prescribed Methyl Prednisone. I started it last week. I'm finished with it now. I did general lab work yesterday, but I do not have the results yet. I have my regular appointment with my doctor next week.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Peripheral coldness, Skin burning sensation, Skin warm
Clinical narrative: My skin started burning icy hot and was sensitive to touch. It's not disabling, but it is irritating. The symptoms are worse at night and have been ongoing since November 23, 2022. My doctor prescribed Methyl Prednisone. I started it last week. I'm finished with it now. I did general lab work yesterday, but I do not have the results yet. I have my regular appointment with my doctor next week.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Middle ear effusion, Pharyngeal erythema, SARS-CoV-2 test positive, Sinus headache
Clinical narrative: I had a slight sinus headache and a small bout of Vertigo. I went to the doctor, and she checked my ears, and my throat was red. She said that my ears had fluid in them. I was prescribed some mediation for Sinusitis. The next night my grandson was having some stomach issues and I took him to the doctor at his primary care office. They tested both of us and we both tested positive for COVID-19 on 12/21/22. I was prescribed 5 days' worth of Paxlovid. I am feeling better, but still dealing with most of the symptoms.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Sinusitis, Vertigo
Clinical narrative: I had a slight sinus headache and a small bout of Vertigo. I went to the doctor, and she checked my ears, and my throat was red. She said that my ears had fluid in them. I was prescribed some mediation for Sinusitis. The next night my grandson was having some stomach issues and I took him to the doctor at his primary care office. They tested both of us and we both tested positive for COVID-19 on 12/21/22. I was prescribed 5 days' worth of Paxlovid. I am feeling better, but still dealing with most of the symptoms.
Age: 0.5
Sex: F
Vaccine: RV5
Symptoms: Blood test, Dehydration, Discoloured vomit, Hyporesponsive to stimuli, Intussusception
Clinical narrative: Intussusception, projectile yellow vomit, pale, dehydration, lethargic, little response to pain.
Age: 0.5
Sex: F
Vaccine: RV5
Symptoms: Lethargy, Magnetic resonance imaging, Pallor, Ultrasound scan, Vomiting projectile
Clinical narrative: Intussusception, projectile yellow vomit, pale, dehydration, lethargic, little response to pain.
Age: 9.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine was removed from freezer 10-12-2022. Vaccine was viable for 30 days and expired 11-11-2022. Vaccine was administered 12-12-2022.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was given high dose flu vaccine under the age of 65. Patient had no concerns or side effects
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, Blood test normal, COVID-19, Cognitive disorder, Cough
Clinical narrative: It started as a horrible cough with headache, sinus pain and brain fog. My mind was not working very well. I had no shortness of breath, but I did have fever, fatigue, and congestion. I had some change in my taste as well. I had no go at all. The coughing started the night before and I tested myself for COVID-19 on the side of the road and it was positive. They recommended that I take Paxlovid. My symptoms began improving on day 2 and by day 3 when I started the Paxlovid I was getting better. The thing that lingered is fatigue and a lingering cough, but I feel like I am back to normal.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Fatigue, Feeling abnormal, Headache, Pyrexia, Respiratory tract congestion
Clinical narrative: It started as a horrible cough with headache, sinus pain and brain fog. My mind was not working very well. I had no shortness of breath, but I did have fever, fatigue, and congestion. I had some change in my taste as well. I had no go at all. The coughing started the night before and I tested myself for COVID-19 on the side of the road and it was positive. They recommended that I take Paxlovid. My symptoms began improving on day 2 and by day 3 when I started the Paxlovid I was getting better. The thing that lingered is fatigue and a lingering cough, but I feel like I am back to normal.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Sinus pain, Taste disorder
Clinical narrative: It started as a horrible cough with headache, sinus pain and brain fog. My mind was not working very well. I had no shortness of breath, but I did have fever, fatigue, and congestion. I had some change in my taste as well. I had no go at all. The coughing started the night before and I tested myself for COVID-19 on the side of the road and it was positive. They recommended that I take Paxlovid. My symptoms began improving on day 2 and by day 3 when I started the Paxlovid I was getting better. The thing that lingered is fatigue and a lingering cough, but I feel like I am back to normal.
Age: 31.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 18.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given Moderna Bivalent as a first does.  No treatment required.
Age: 56.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation error, Product storage error
Clinical narrative: The patient was given a dose of the undiluted (Gray cap) Pfizer COVID-19 Bivalent booster that was not stored in an ultra-cold temperature freezer and was instead stored in the regular freezer (between -30 to -20 F). It was moved out of the regular freezer to the refrigerator after more than 3 weeks in the regular freezer. The doses were then used after more than 24 hours in the refrigerator. We have contacted Pfizer about this and according to their off-label studies they provided via PDF file, they are not able to support the temperature excursions that occurred. As per guidance, the recommendation is to re-vaccinate the individual with the full authorized dose of any Bivalent vaccine (either Pfizer or Moderna) and we have communicated with the patient for re-vaccination.
Age: 43.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 55.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Feeling abnormal, Impaired work ability, SARS-CoV-2 test positive
Clinical narrative: On 12/07/2022, I started to experience symptoms, but I figured it was just allergies. I took a COVID test and it was negative. I stayed home from work, the following day because I felt awful. I went to an Urgent Care and they did a PCR COVID-19 test and called me on 12/10/2022 to inform me that the test came back positive. I was prescribed Paxlovid, which I feel helped me. I could notice an improvement every day.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Cough, Feeling abnormal, Gait disturbance
Clinical narrative: I felt uneasy the first night but no clear symptoms on November 8, 2022.  The next day I had a dry cough, chills and a lot of nasal drip.  I took home COVID-19 test and it was positive.  I took another COVID-19 the next day and it was also positive.  I consulted with my doctor and received Paxlovid.  The following day I had muscle aches, and this made it difficult to sleep.  The fourth day I had a tendon pain from my mid leg to my foot and I was having trouble walking.  This pain lasted for about 4 days.  These symptoms have disappeared, but I now have pain my arm that is lingering.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Insomnia, Myalgia, Pain in extremity, SARS-CoV-2 test positive, Tendon pain
Clinical narrative: I felt uneasy the first night but no clear symptoms on November 8, 2022.  The next day I had a dry cough, chills and a lot of nasal drip.  I took home COVID-19 test and it was positive.  I took another COVID-19 the next day and it was also positive.  I consulted with my doctor and received Paxlovid.  The following day I had muscle aches, and this made it difficult to sleep.  The fourth day I had a tendon pain from my mid leg to my foot and I was having trouble walking.  This pain lasted for about 4 days.  These symptoms have disappeared, but I now have pain my arm that is lingering.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Upper-airway cough syndrome
Clinical narrative: I felt uneasy the first night but no clear symptoms on November 8, 2022.  The next day I had a dry cough, chills and a lot of nasal drip.  I took home COVID-19 test and it was positive.  I took another COVID-19 the next day and it was also positive.  I consulted with my doctor and received Paxlovid.  The following day I had muscle aches, and this made it difficult to sleep.  The fourth day I had a tendon pain from my mid leg to my foot and I was having trouble walking.  This pain lasted for about 4 days.  These symptoms have disappeared, but I now have pain my arm that is lingering.
Age: 44.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 78.0
Sex: F
Vaccine: COVID19-2, VARZOS
Symptoms: Chills, Diarrhoea, Nausea, Pain, Pyrexia
Clinical narrative: FEVER, CHILLS, BODY ACHES, DIARRHEA, NAUSEA LASTING FOR 4 DAY. FEELING BETTER ON DECEMBER 23RD 2022
Age: 38.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Angiogram pulmonary abnormal, Asthenia, Bronchiectasis
Clinical narrative: The patient is a 81 y.o. male admitted to hospital on 11/12/22 due to complaints of chest pain.    Per Hospital Admission Information: Patient is a 81 y.o. year-old male, who presented with Chest Pain.  Patient is an 81-year-old male who presents with complaints of chest pain, left-sided that started prior to ED arrival.  No radiation, no shortness of breath.  He reports relief in pain after receiving nitro at the sending facility.  He states he is concerned because present pain is similar to when he had a heart attack last year.  He reports a hx of cardiac stents x4 placed Sept and Oct of 2021.     Hospital Course and Diagnoses: 1. Atypical chest Pain             -In the setting of COVID-19 and likely GI related             -Recent negative cardiac stress test 4/22/2022, last cardiac catheterization 10/8/2021             -Cardiology evaluated and no plans for any ischemic work-up.  Consider adding Imdur 30 mg daily if symptoms persist     2. Acute hypoxemic respiratory failure/COVID-19 with superimposed pneumonia, likely bacterial (resolved)             -Required 2 L of oxygen during hospitalization is not on oxygen at baseline             -COVID-19--- (dx on last admission) Date of onset of symptoms:  11/2/22 Symptoms present on admission: weakness/ cough Date of covid positive test:  11/6/22 Vaccination status:  3 vaccines Imaging: Patient with CTPA findings consistent with bronchiectasis and interstitial subpleural changes in both lower lobes and in the anterior left upper lobe assistant with interstitial pneumonia. no chest x-ray performed this admission to date Oxygen requirements on admission: none Current oxygen requirements:none Medical therapy: Decadron, ceftriaxone azithromycin Consultants following:  none Anticipated special isolation end date: 11/16/22 -isolation has been discontinued Sputum cultures normal flora after 48 hours   3. Transaminitis, hepatic steatosis -improved             -Daily hepatic function panel.             -Gastroenterology assisted with management last hospital stay.             -Gallbladder ultrasound -11/7             -Normal HIDA scan.             -May also benefit from an EGD as OP, however gen surg does not think it is prudent to do that at this time d/t COVID   4. Acute on Chronic Renal Failure             -Resolved             -Continue to monitor     5.  Generalized weakness             -Continue PT/OT 6.  Obstructive sleep apnea             -CPAP ordered   7.  Rheumatoid arthritis             -Chronic steroid use   8.  Obesity with BMI 34             -Once medically stable encourage weight loss   9. GERD             - Seen by gen surg - hold on EGD for now given COVID             - Optomized PPI IV BID             - Small frequent meals encouraged             - HOB elevated - avoid lying down during the day             - Avoid acidic and GERD promoting foods             -Cardiac, anti-reflux diet
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac stress test normal, Chest pain, Cough, Hepatic steatosis
Clinical narrative: The patient is a 81 y.o. male admitted to hospital on 11/12/22 due to complaints of chest pain.    Per Hospital Admission Information: Patient is a 81 y.o. year-old male, who presented with Chest Pain.  Patient is an 81-year-old male who presents with complaints of chest pain, left-sided that started prior to ED arrival.  No radiation, no shortness of breath.  He reports relief in pain after receiving nitro at the sending facility.  He states he is concerned because present pain is similar to when he had a heart attack last year.  He reports a hx of cardiac stents x4 placed Sept and Oct of 2021.     Hospital Course and Diagnoses: 1. Atypical chest Pain             -In the setting of COVID-19 and likely GI related             -Recent negative cardiac stress test 4/22/2022, last cardiac catheterization 10/8/2021             -Cardiology evaluated and no plans for any ischemic work-up.  Consider adding Imdur 30 mg daily if symptoms persist     2. Acute hypoxemic respiratory failure/COVID-19 with superimposed pneumonia, likely bacterial (resolved)             -Required 2 L of oxygen during hospitalization is not on oxygen at baseline             -COVID-19--- (dx on last admission) Date of onset of symptoms:  11/2/22 Symptoms present on admission: weakness/ cough Date of covid positive test:  11/6/22 Vaccination status:  3 vaccines Imaging: Patient with CTPA findings consistent with bronchiectasis and interstitial subpleural changes in both lower lobes and in the anterior left upper lobe assistant with interstitial pneumonia. no chest x-ray performed this admission to date Oxygen requirements on admission: none Current oxygen requirements:none Medical therapy: Decadron, ceftriaxone azithromycin Consultants following:  none Anticipated special isolation end date: 11/16/22 -isolation has been discontinued Sputum cultures normal flora after 48 hours   3. Transaminitis, hepatic steatosis -improved             -Daily hepatic function panel.             -Gastroenterology assisted with management last hospital stay.             -Gallbladder ultrasound -11/7             -Normal HIDA scan.             -May also benefit from an EGD as OP, however gen surg does not think it is prudent to do that at this time d/t COVID   4. Acute on Chronic Renal Failure             -Resolved             -Continue to monitor     5.  Generalized weakness             -Continue PT/OT 6.  Obstructive sleep apnea             -CPAP ordered   7.  Rheumatoid arthritis             -Chronic steroid use   8.  Obesity with BMI 34             -Once medically stable encourage weight loss   9. GERD             - Seen by gen surg - hold on EGD for now given COVID             - Optomized PPI IV BID             - Small frequent meals encouraged             - HOB elevated - avoid lying down during the day             - Avoid acidic and GERD promoting foods             -Cardiac, anti-reflux diet
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Hepatobiliary scan normal, Hypertransaminasaemia, Interstitial lung disease, Liver function test, Pneumonia bacterial
Clinical narrative: The patient is a 81 y.o. male admitted to hospital on 11/12/22 due to complaints of chest pain.    Per Hospital Admission Information: Patient is a 81 y.o. year-old male, who presented with Chest Pain.  Patient is an 81-year-old male who presents with complaints of chest pain, left-sided that started prior to ED arrival.  No radiation, no shortness of breath.  He reports relief in pain after receiving nitro at the sending facility.  He states he is concerned because present pain is similar to when he had a heart attack last year.  He reports a hx of cardiac stents x4 placed Sept and Oct of 2021.     Hospital Course and Diagnoses: 1. Atypical chest Pain             -In the setting of COVID-19 and likely GI related             -Recent negative cardiac stress test 4/22/2022, last cardiac catheterization 10/8/2021             -Cardiology evaluated and no plans for any ischemic work-up.  Consider adding Imdur 30 mg daily if symptoms persist     2. Acute hypoxemic respiratory failure/COVID-19 with superimposed pneumonia, likely bacterial (resolved)             -Required 2 L of oxygen during hospitalization is not on oxygen at baseline             -COVID-19--- (dx on last admission) Date of onset of symptoms:  11/2/22 Symptoms present on admission: weakness/ cough Date of covid positive test:  11/6/22 Vaccination status:  3 vaccines Imaging: Patient with CTPA findings consistent with bronchiectasis and interstitial subpleural changes in both lower lobes and in the anterior left upper lobe assistant with interstitial pneumonia. no chest x-ray performed this admission to date Oxygen requirements on admission: none Current oxygen requirements:none Medical therapy: Decadron, ceftriaxone azithromycin Consultants following:  none Anticipated special isolation end date: 11/16/22 -isolation has been discontinued Sputum cultures normal flora after 48 hours   3. Transaminitis, hepatic steatosis -improved             -Daily hepatic function panel.             -Gastroenterology assisted with management last hospital stay.             -Gallbladder ultrasound -11/7             -Normal HIDA scan.             -May also benefit from an EGD as OP, however gen surg does not think it is prudent to do that at this time d/t COVID   4. Acute on Chronic Renal Failure             -Resolved             -Continue to monitor     5.  Generalized weakness             -Continue PT/OT 6.  Obstructive sleep apnea             -CPAP ordered   7.  Rheumatoid arthritis             -Chronic steroid use   8.  Obesity with BMI 34             -Once medically stable encourage weight loss   9. GERD             - Seen by gen surg - hold on EGD for now given COVID             - Optomized PPI IV BID             - Small frequent meals encouraged             - HOB elevated - avoid lying down during the day             - Avoid acidic and GERD promoting foods             -Cardiac, anti-reflux diet
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sputum culture, Superinfection, Ultrasound biliary tract
Clinical narrative: The patient is a 81 y.o. male admitted to hospital on 11/12/22 due to complaints of chest pain.    Per Hospital Admission Information: Patient is a 81 y.o. year-old male, who presented with Chest Pain.  Patient is an 81-year-old male who presents with complaints of chest pain, left-sided that started prior to ED arrival.  No radiation, no shortness of breath.  He reports relief in pain after receiving nitro at the sending facility.  He states he is concerned because present pain is similar to when he had a heart attack last year.  He reports a hx of cardiac stents x4 placed Sept and Oct of 2021.     Hospital Course and Diagnoses: 1. Atypical chest Pain             -In the setting of COVID-19 and likely GI related             -Recent negative cardiac stress test 4/22/2022, last cardiac catheterization 10/8/2021             -Cardiology evaluated and no plans for any ischemic work-up.  Consider adding Imdur 30 mg daily if symptoms persist     2. Acute hypoxemic respiratory failure/COVID-19 with superimposed pneumonia, likely bacterial (resolved)             -Required 2 L of oxygen during hospitalization is not on oxygen at baseline             -COVID-19--- (dx on last admission) Date of onset of symptoms:  11/2/22 Symptoms present on admission: weakness/ cough Date of covid positive test:  11/6/22 Vaccination status:  3 vaccines Imaging: Patient with CTPA findings consistent with bronchiectasis and interstitial subpleural changes in both lower lobes and in the anterior left upper lobe assistant with interstitial pneumonia. no chest x-ray performed this admission to date Oxygen requirements on admission: none Current oxygen requirements:none Medical therapy: Decadron, ceftriaxone azithromycin Consultants following:  none Anticipated special isolation end date: 11/16/22 -isolation has been discontinued Sputum cultures normal flora after 48 hours   3. Transaminitis, hepatic steatosis -improved             -Daily hepatic function panel.             -Gastroenterology assisted with management last hospital stay.             -Gallbladder ultrasound -11/7             -Normal HIDA scan.             -May also benefit from an EGD as OP, however gen surg does not think it is prudent to do that at this time d/t COVID   4. Acute on Chronic Renal Failure             -Resolved             -Continue to monitor     5.  Generalized weakness             -Continue PT/OT 6.  Obstructive sleep apnea             -CPAP ordered   7.  Rheumatoid arthritis             -Chronic steroid use   8.  Obesity with BMI 34             -Once medically stable encourage weight loss   9. GERD             - Seen by gen surg - hold on EGD for now given COVID             - Optomized PPI IV BID             - Small frequent meals encouraged             - HOB elevated - avoid lying down during the day             - Avoid acidic and GERD promoting foods             -Cardiac, anti-reflux diet
Age: 56.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The patient was given a dose of the undiluted (Gray cap) Pfizer COVID-19 Bivalent booster that was not stored in an ultra-cold temperature freezer and was instead stored in the regular freezer (between -30 to -20 F). It was moved out of the regular freezer to the refrigerator after more than 3 weeks in the regular freezer. The doses were then used after more than 24 hours in the refrigerator. We have contacted Pfizer about this and according to their off-label studies they provided via PDF file, they are not able to support the temperature excursions that occurred. As per guidance, the recommendation is to re-vaccinate the individual with the full authorized dose of any Bivalent vaccine (either Pfizer or Moderna) and we have communicated with the patient for re-vaccination.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Pain in extremity, X-ray limb normal
Clinical narrative: Starting around 08/08/2022 swelling in the right knee went to emergency the next day; swelling progressed further, entire right leg was swollen.  X-ray didn't find anything referred to specialist nothing found; swelling subsided.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: High dose flu vaccine given to 54 yo
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Dry mouth, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: I had a slight runny nose for the first 2 days on the 19th and 20th. I developed a sore throat and a dry mouth. I tested negative twice. I tested positive on the 22nd of December.  By that time I had head and chest congestion and a cough. I talk to the doctor who prescribed Paxlovid. Today I woke up feeling better. I still have a cough and head congestion but I am feeling better.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had a slight runny nose for the first 2 days on the 19th and 20th. I developed a sore throat and a dry mouth. I tested negative twice. I tested positive on the 22nd of December.  By that time I had head and chest congestion and a cough. I talk to the doctor who prescribed Paxlovid. Today I woke up feeling better. I still have a cough and head congestion but I am feeling better.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Malaise, Oropharyngeal pain, Oxygen saturation decreased
Clinical narrative: 11 months after dose 3 of COVID-19 vaccination started getting a sore throat and felt sick. Took a COVID-19 test, two days in a row and they were negative.  By the third day Oxygen levels started dropping; Took another Home COVID-19 test and it was positive; Was having a hard time breathing and went to the ER. Was examined and when Oxygen levels became normal he was released.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 11 months after dose 3 of COVID-19 vaccination started getting a sore throat and felt sick. Took a COVID-19 test, two days in a row and they were negative.  By the third day Oxygen levels started dropping; Took another Home COVID-19 test and it was positive; Was having a hard time breathing and went to the ER. Was examined and when Oxygen levels became normal he was released.
Age: 36.0
Sex: M
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration, Incorrect product formulation administered, No adverse event, Product administration error
Clinical narrative: Patient received a monovalent Pfizer vaccine on 12-15-2022 in error by a Medical Assistant and patient was recalled and received the correct vaccine too soon by Medical Assistant and received the BiValent Pfizer booster on 12-20-2022 five days later, which should have been given 28 days later per Pfizer recommendation. Patient have not experienced any adverse reactions from this error at this time.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Asthenia, Blood bicarbonate normal, Blood creatinine increased
Clinical narrative: Patient is a 83 y.o. female patient of DO with history of COPD, hypertension, DM type 2, CAD, CKD presented to Hospital with AMS .   AMS Likely multifactorial with COVID, hypoglycemia Slurred speech and slow to respond reported by family, glucose by medics 101 Febrile T max 100.8  CT head negative for acute intracranial abnormality, moderate large amount of chronic microvascular ischemic change in supratentorial white matter UDS - negative  S/b Neurology AMS likely from covid and hypoglycemia  No indication for MRI Brain    Acute Hypoxic Respiratory Failure No home o2 at baseline RA 88% 2L NC on admission Supportive care as below  Now on room air.   Covid-19 Virus Infection Date of onset of symptoms: 11/24/2022 Symptoms present on admission: fever, cough  Date of covid positive test: 11/24/2022 Vaccination status: vaccinated Imaging: CXR cardiomegaly, pulmonary vascular congestion  Oxygen requirements on admission: 2L Current oxygen requirements: 2L Medical therapy: steroids and remdesivir Consultants following: ID Anticipated special isolation end date: 12/4/2022 Completed 5-day course of remdesivir. Switch to oral dexamethasone to 6 mg daily for 4 more days to complete a 10-day course.   COPD Exacerbation In setting of COVID and tobacco abuse  Diffuse wheezing on exam VBG 7.41 co2 45 po2 102 Hco3 28 Requiring 2L nc on admission Completed Zithromax dose.   DM type 2 Episode Hypoglycemia  Glucose in ED 41 treated with dextrose repeat 500 likely inaccurate  Repeat chem 128  Resume home regimen.  Elevated Troponin  CAD HFpEF Echo 1/2020 EF 60%, mild diastolic dysfunction Trop 27 ECG non ischemic  CXR pulm vascular congestion, bilateral lower extremity edema Was on 40 mg IV lasix daily, now on hold due to elevated creatinine Repeat 2D echocardiogram on 1128 showed EF of 50 to 60% and grade 2 diastolic dysfunction. Continue to monitor on tele, delta essentially flat Continue Lipitor   AKI on CKD stage 3 Creatine 1.26 on admission Slightly better then baseline (2.23-1.52) Avoid nephrotoxic medications  Cr 1.6 - monitor Creatinine back to baseline   Tobacco Abuse Continues to smoke NRT  Debility. PT and OT recommended home with home health. She will be discharged home today.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Blood gases, Blood glucose decreased, Blood pH normal, COVID-19, Cardiac telemetry
Clinical narrative: Patient is a 83 y.o. female patient of DO with history of COPD, hypertension, DM type 2, CAD, CKD presented to Hospital with AMS .   AMS Likely multifactorial with COVID, hypoglycemia Slurred speech and slow to respond reported by family, glucose by medics 101 Febrile T max 100.8  CT head negative for acute intracranial abnormality, moderate large amount of chronic microvascular ischemic change in supratentorial white matter UDS - negative  S/b Neurology AMS likely from covid and hypoglycemia  No indication for MRI Brain    Acute Hypoxic Respiratory Failure No home o2 at baseline RA 88% 2L NC on admission Supportive care as below  Now on room air.   Covid-19 Virus Infection Date of onset of symptoms: 11/24/2022 Symptoms present on admission: fever, cough  Date of covid positive test: 11/24/2022 Vaccination status: vaccinated Imaging: CXR cardiomegaly, pulmonary vascular congestion  Oxygen requirements on admission: 2L Current oxygen requirements: 2L Medical therapy: steroids and remdesivir Consultants following: ID Anticipated special isolation end date: 12/4/2022 Completed 5-day course of remdesivir. Switch to oral dexamethasone to 6 mg daily for 4 more days to complete a 10-day course.   COPD Exacerbation In setting of COVID and tobacco abuse  Diffuse wheezing on exam VBG 7.41 co2 45 po2 102 Hco3 28 Requiring 2L nc on admission Completed Zithromax dose.   DM type 2 Episode Hypoglycemia  Glucose in ED 41 treated with dextrose repeat 500 likely inaccurate  Repeat chem 128  Resume home regimen.  Elevated Troponin  CAD HFpEF Echo 1/2020 EF 60%, mild diastolic dysfunction Trop 27 ECG non ischemic  CXR pulm vascular congestion, bilateral lower extremity edema Was on 40 mg IV lasix daily, now on hold due to elevated creatinine Repeat 2D echocardiogram on 1128 showed EF of 50 to 60% and grade 2 diastolic dysfunction. Continue to monitor on tele, delta essentially flat Continue Lipitor   AKI on CKD stage 3 Creatine 1.26 on admission Slightly better then baseline (2.23-1.52) Avoid nephrotoxic medications  Cr 1.6 - monitor Creatinine back to baseline   Tobacco Abuse Continues to smoke NRT  Debility. PT and OT recommended home with home health. She will be discharged home today.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiomegaly, Cerebral small vessel ischaemic disease, Chest X-ray abnormal, Chronic obstructive pulmonary disease, Computerised tomogram head abnormal
Clinical narrative: Patient is a 83 y.o. female patient of DO with history of COPD, hypertension, DM type 2, CAD, CKD presented to Hospital with AMS .   AMS Likely multifactorial with COVID, hypoglycemia Slurred speech and slow to respond reported by family, glucose by medics 101 Febrile T max 100.8  CT head negative for acute intracranial abnormality, moderate large amount of chronic microvascular ischemic change in supratentorial white matter UDS - negative  S/b Neurology AMS likely from covid and hypoglycemia  No indication for MRI Brain    Acute Hypoxic Respiratory Failure No home o2 at baseline RA 88% 2L NC on admission Supportive care as below  Now on room air.   Covid-19 Virus Infection Date of onset of symptoms: 11/24/2022 Symptoms present on admission: fever, cough  Date of covid positive test: 11/24/2022 Vaccination status: vaccinated Imaging: CXR cardiomegaly, pulmonary vascular congestion  Oxygen requirements on admission: 2L Current oxygen requirements: 2L Medical therapy: steroids and remdesivir Consultants following: ID Anticipated special isolation end date: 12/4/2022 Completed 5-day course of remdesivir. Switch to oral dexamethasone to 6 mg daily for 4 more days to complete a 10-day course.   COPD Exacerbation In setting of COVID and tobacco abuse  Diffuse wheezing on exam VBG 7.41 co2 45 po2 102 Hco3 28 Requiring 2L nc on admission Completed Zithromax dose.   DM type 2 Episode Hypoglycemia  Glucose in ED 41 treated with dextrose repeat 500 likely inaccurate  Repeat chem 128  Resume home regimen.  Elevated Troponin  CAD HFpEF Echo 1/2020 EF 60%, mild diastolic dysfunction Trop 27 ECG non ischemic  CXR pulm vascular congestion, bilateral lower extremity edema Was on 40 mg IV lasix daily, now on hold due to elevated creatinine Repeat 2D echocardiogram on 1128 showed EF of 50 to 60% and grade 2 diastolic dysfunction. Continue to monitor on tele, delta essentially flat Continue Lipitor   AKI on CKD stage 3 Creatine 1.26 on admission Slightly better then baseline (2.23-1.52) Avoid nephrotoxic medications  Cr 1.6 - monitor Creatinine back to baseline   Tobacco Abuse Continues to smoke NRT  Debility. PT and OT recommended home with home health. She will be discharged home today.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Diastolic dysfunction, Drug screen negative, Dysarthria
Clinical narrative: Patient is a 83 y.o. female patient of DO with history of COPD, hypertension, DM type 2, CAD, CKD presented to Hospital with AMS .   AMS Likely multifactorial with COVID, hypoglycemia Slurred speech and slow to respond reported by family, glucose by medics 101 Febrile T max 100.8  CT head negative for acute intracranial abnormality, moderate large amount of chronic microvascular ischemic change in supratentorial white matter UDS - negative  S/b Neurology AMS likely from covid and hypoglycemia  No indication for MRI Brain    Acute Hypoxic Respiratory Failure No home o2 at baseline RA 88% 2L NC on admission Supportive care as below  Now on room air.   Covid-19 Virus Infection Date of onset of symptoms: 11/24/2022 Symptoms present on admission: fever, cough  Date of covid positive test: 11/24/2022 Vaccination status: vaccinated Imaging: CXR cardiomegaly, pulmonary vascular congestion  Oxygen requirements on admission: 2L Current oxygen requirements: 2L Medical therapy: steroids and remdesivir Consultants following: ID Anticipated special isolation end date: 12/4/2022 Completed 5-day course of remdesivir. Switch to oral dexamethasone to 6 mg daily for 4 more days to complete a 10-day course.   COPD Exacerbation In setting of COVID and tobacco abuse  Diffuse wheezing on exam VBG 7.41 co2 45 po2 102 Hco3 28 Requiring 2L nc on admission Completed Zithromax dose.   DM type 2 Episode Hypoglycemia  Glucose in ED 41 treated with dextrose repeat 500 likely inaccurate  Repeat chem 128  Resume home regimen.  Elevated Troponin  CAD HFpEF Echo 1/2020 EF 60%, mild diastolic dysfunction Trop 27 ECG non ischemic  CXR pulm vascular congestion, bilateral lower extremity edema Was on 40 mg IV lasix daily, now on hold due to elevated creatinine Repeat 2D echocardiogram on 1128 showed EF of 50 to 60% and grade 2 diastolic dysfunction. Continue to monitor on tele, delta essentially flat Continue Lipitor   AKI on CKD stage 3 Creatine 1.26 on admission Slightly better then baseline (2.23-1.52) Avoid nephrotoxic medications  Cr 1.6 - monitor Creatinine back to baseline   Tobacco Abuse Continues to smoke NRT  Debility. PT and OT recommended home with home health. She will be discharged home today.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Ejection fraction, Electrocardiogram, Hypoglycaemia, Mental status changes
Clinical narrative: Patient is a 83 y.o. female patient of DO with history of COPD, hypertension, DM type 2, CAD, CKD presented to Hospital with AMS .   AMS Likely multifactorial with COVID, hypoglycemia Slurred speech and slow to respond reported by family, glucose by medics 101 Febrile T max 100.8  CT head negative for acute intracranial abnormality, moderate large amount of chronic microvascular ischemic change in supratentorial white matter UDS - negative  S/b Neurology AMS likely from covid and hypoglycemia  No indication for MRI Brain    Acute Hypoxic Respiratory Failure No home o2 at baseline RA 88% 2L NC on admission Supportive care as below  Now on room air.   Covid-19 Virus Infection Date of onset of symptoms: 11/24/2022 Symptoms present on admission: fever, cough  Date of covid positive test: 11/24/2022 Vaccination status: vaccinated Imaging: CXR cardiomegaly, pulmonary vascular congestion  Oxygen requirements on admission: 2L Current oxygen requirements: 2L Medical therapy: steroids and remdesivir Consultants following: ID Anticipated special isolation end date: 12/4/2022 Completed 5-day course of remdesivir. Switch to oral dexamethasone to 6 mg daily for 4 more days to complete a 10-day course.   COPD Exacerbation In setting of COVID and tobacco abuse  Diffuse wheezing on exam VBG 7.41 co2 45 po2 102 Hco3 28 Requiring 2L nc on admission Completed Zithromax dose.   DM type 2 Episode Hypoglycemia  Glucose in ED 41 treated with dextrose repeat 500 likely inaccurate  Repeat chem 128  Resume home regimen.  Elevated Troponin  CAD HFpEF Echo 1/2020 EF 60%, mild diastolic dysfunction Trop 27 ECG non ischemic  CXR pulm vascular congestion, bilateral lower extremity edema Was on 40 mg IV lasix daily, now on hold due to elevated creatinine Repeat 2D echocardiogram on 1128 showed EF of 50 to 60% and grade 2 diastolic dysfunction. Continue to monitor on tele, delta essentially flat Continue Lipitor   AKI on CKD stage 3 Creatine 1.26 on admission Slightly better then baseline (2.23-1.52) Avoid nephrotoxic medications  Cr 1.6 - monitor Creatinine back to baseline   Tobacco Abuse Continues to smoke NRT  Debility. PT and OT recommended home with home health. She will be discharged home today.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral, PCO2 normal, PO2 increased, Pulmonary congestion, Pyrexia
Clinical narrative: Patient is a 83 y.o. female patient of DO with history of COPD, hypertension, DM type 2, CAD, CKD presented to Hospital with AMS .   AMS Likely multifactorial with COVID, hypoglycemia Slurred speech and slow to respond reported by family, glucose by medics 101 Febrile T max 100.8  CT head negative for acute intracranial abnormality, moderate large amount of chronic microvascular ischemic change in supratentorial white matter UDS - negative  S/b Neurology AMS likely from covid and hypoglycemia  No indication for MRI Brain    Acute Hypoxic Respiratory Failure No home o2 at baseline RA 88% 2L NC on admission Supportive care as below  Now on room air.   Covid-19 Virus Infection Date of onset of symptoms: 11/24/2022 Symptoms present on admission: fever, cough  Date of covid positive test: 11/24/2022 Vaccination status: vaccinated Imaging: CXR cardiomegaly, pulmonary vascular congestion  Oxygen requirements on admission: 2L Current oxygen requirements: 2L Medical therapy: steroids and remdesivir Consultants following: ID Anticipated special isolation end date: 12/4/2022 Completed 5-day course of remdesivir. Switch to oral dexamethasone to 6 mg daily for 4 more days to complete a 10-day course.   COPD Exacerbation In setting of COVID and tobacco abuse  Diffuse wheezing on exam VBG 7.41 co2 45 po2 102 Hco3 28 Requiring 2L nc on admission Completed Zithromax dose.   DM type 2 Episode Hypoglycemia  Glucose in ED 41 treated with dextrose repeat 500 likely inaccurate  Repeat chem 128  Resume home regimen.  Elevated Troponin  CAD HFpEF Echo 1/2020 EF 60%, mild diastolic dysfunction Trop 27 ECG non ischemic  CXR pulm vascular congestion, bilateral lower extremity edema Was on 40 mg IV lasix daily, now on hold due to elevated creatinine Repeat 2D echocardiogram on 1128 showed EF of 50 to 60% and grade 2 diastolic dysfunction. Continue to monitor on tele, delta essentially flat Continue Lipitor   AKI on CKD stage 3 Creatine 1.26 on admission Slightly better then baseline (2.23-1.52) Avoid nephrotoxic medications  Cr 1.6 - monitor Creatinine back to baseline   Tobacco Abuse Continues to smoke NRT  Debility. PT and OT recommended home with home health. She will be discharged home today.