chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: FLU4
Symptoms: Expired product administered, Medication error, No adverse event
Clinical narrative: expired dose of FLUZONE HIGH DOSE QIV was inadvertently administered at their long-term care facility with no reported adverse event; Initial information received on 01-Nov-2022 regarding an unsolicited valid  non-serious case received from a pharmacist.  This case involves an unknown age/gender patient to whom expired dose of INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE [FLUZONE HIGH-DOSE QUADRIVALENT] was inadvertently administered at their long-term care facility with no reported adverse event.  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.   On an unknown date, the patient received an expired dose of suspect INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE (strength, formulation, route: unknown) (lot number and expiry: not reported) for  prophylactic vaccination (Immunisation), which was inadvertently administered at their long-term care facility with no reported adverse event (Expired product administered) (latency: unknown).  Action taken with QUADRIVALENT INFLUENZA VACCINE (FLUZONE HIGH-DOSE QUADRIVALENT) was not applicable.  At time of reporting, the outcome was Unknown for the event expired dose of fluzone high dose qiv was inadvertently administered at their long-term care facility with no reported adverse event.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Site: Pain at Injection Site-Medium, Additional Details: PATIENT WIFE CAME IN PHARMACY 11/5/22  JUST  TO LET US KNOW HER HUSBAND HAD PAIN IN ARM AFTER VACCINE. AND HE WENT TO ORTHO. MD GAVE HIM  IBU AND MOVEMENTS TO TRY TO HELP. WIFE STATED HUSBAND WAS DOING FINE AND GETTING BETTER
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Dyspnoea, Fatigue, Flushing, Headache
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Chills-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium, Systemic: Tachycardia-Severe
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Hyperhidrosis, Lethargy, Tachycardia
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Chills-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium, Systemic: Tachycardia-Severe
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Error: Dose in Series Given Too Early-
Age: 17.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cold sweat, Dizziness, Flushing, Hyperhidrosis, Pallor
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: clammy skin, ringing in ears, pale skin, tunnel vision-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Visual Changes/Disturbances-Medium, Additional Details: Patient felt as if he was going pass out/faint
Age: 17.0
Sex: M
Vaccine: COVID19-2
Symptoms: Tinnitus, Tunnel vision, Visual impairment
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: clammy skin, ringing in ears, pale skin, tunnel vision-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Visual Changes/Disturbances-Medium, Additional Details: Patient felt as if he was going pass out/faint
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, C-reactive protein increased, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: 8/26/2022- Presents to Ed, EMS  found him, had fallen. confusion. o2 sat was in 80's  put on NRB.  CRP-140  covid + test. CXR: bibasilar opacities which may represent atelectasis. Admit sepsis s/t to aspiration pna, covid pna. Acute hypoxic resp failure s/t COPD. Given Vanco and clindamycin. Ordered remdesivir, dexamethasone, doxy, Afebrile. cefepime, Flagyl and vanco.  G Supplemental 02 HFC, 30L 90%.  8/28/2022-BC negative, taper antibiotics to ceftriaxone, Flagyl and doxy.  02 requirements down to 6L.  8/30/2022- improving, downgraded to 4L NC. Completed remdesivir. Continue ceftriaxone and doxy. VSS 9/2/2022-Tolerating room air. IV doxy and decadron continued.  9/7/2022- Tolerating 2L NC, cannot wean will need 02 at d/c. Completed remdesivir, Rocephin d/c. Continue doxy. VSS. D/C to Snf.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Chronic obstructive pulmonary disease, Confusional state, Fall, Lung opacity, Pneumonia aspiration
Clinical narrative: 8/26/2022- Presents to Ed, EMS  found him, had fallen. confusion. o2 sat was in 80's  put on NRB.  CRP-140  covid + test. CXR: bibasilar opacities which may represent atelectasis. Admit sepsis s/t to aspiration pna, covid pna. Acute hypoxic resp failure s/t COPD. Given Vanco and clindamycin. Ordered remdesivir, dexamethasone, doxy, Afebrile. cefepime, Flagyl and vanco.  G Supplemental 02 HFC, 30L 90%.  8/28/2022-BC negative, taper antibiotics to ceftriaxone, Flagyl and doxy.  02 requirements down to 6L.  8/30/2022- improving, downgraded to 4L NC. Completed remdesivir. Continue ceftriaxone and doxy. VSS 9/2/2022-Tolerating room air. IV doxy and decadron continued.  9/7/2022- Tolerating 2L NC, cannot wean will need 02 at d/c. Completed remdesivir, Rocephin d/c. Continue doxy. VSS. D/C to Snf.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis
Clinical narrative: 8/26/2022- Presents to Ed, EMS  found him, had fallen. confusion. o2 sat was in 80's  put on NRB.  CRP-140  covid + test. CXR: bibasilar opacities which may represent atelectasis. Admit sepsis s/t to aspiration pna, covid pna. Acute hypoxic resp failure s/t COPD. Given Vanco and clindamycin. Ordered remdesivir, dexamethasone, doxy, Afebrile. cefepime, Flagyl and vanco.  G Supplemental 02 HFC, 30L 90%.  8/28/2022-BC negative, taper antibiotics to ceftriaxone, Flagyl and doxy.  02 requirements down to 6L.  8/30/2022- improving, downgraded to 4L NC. Completed remdesivir. Continue ceftriaxone and doxy. VSS 9/2/2022-Tolerating room air. IV doxy and decadron continued.  9/7/2022- Tolerating 2L NC, cannot wean will need 02 at d/c. Completed remdesivir, Rocephin d/c. Continue doxy. VSS. D/C to Snf.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: Error: Wrong Vaccine/Product Administered-
Age: 68.0
Sex: M
Vaccine: UNK
Symptoms: Pain, Pyrexia
Clinical narrative: Fever, body aches
Age: 62.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Injection site pain, Mobility decreased
Clinical narrative: Site: Pain at Injection Site-Medium, Additional Details: pt arrived at the pharmacy 3 days after administration and complained of shoulder soreness that affected his ability to raise his arm.
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: Antineutrophil cytoplasmic antibody, Blood creatinine normal, Blood urea normal, C-reactive protein increased, Complement factor C3
Clinical narrative: I am the patient but I am also a primary care pediatrician.  On 11/6, I developed purpura on my legs and buttocks. I also developed swelling on my right palm. I took ibuprofen 400 mg q6 hours.  On 11/7, the right palm swelling improved but I developed swelling on the dorsum of the left hand, bilateral wrists and distal forearms, bilateral elbows and distal upper arms. I also developed a few purpura in the new areas of swelling and more purpura on the legs and buttocks. Continued ibuprofen.  On 11/8, all swelling noted the day before worsened and I also developed swelling on the dorsum of the right hand. There were also new purpura in all areas of swelling as well as areas that already had purpura. Went to Urgent Care clinic. I was prescribed a Medrol pack but instead started 60 mg prednisone that I had left over from a previous asthma exacerbation.  So far today on 11/9, all areas of swelling are improving and I do not see any new purpura though hard to tell in some of the areas heavily covered. I plan to take 40 mg prednisone today. Once swelling has completely resolved, I plan to switch to the Medrol pack.
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: Complement factor C4, Full blood count abnormal, Joint swelling, Metabolic function test, Metabolic function test normal
Clinical narrative: I am the patient but I am also a primary care pediatrician.  On 11/6, I developed purpura on my legs and buttocks. I also developed swelling on my right palm. I took ibuprofen 400 mg q6 hours.  On 11/7, the right palm swelling improved but I developed swelling on the dorsum of the left hand, bilateral wrists and distal forearms, bilateral elbows and distal upper arms. I also developed a few purpura in the new areas of swelling and more purpura on the legs and buttocks. Continued ibuprofen.  On 11/8, all swelling noted the day before worsened and I also developed swelling on the dorsum of the right hand. There were also new purpura in all areas of swelling as well as areas that already had purpura. Went to Urgent Care clinic. I was prescribed a Medrol pack but instead started 60 mg prednisone that I had left over from a previous asthma exacerbation.  So far today on 11/9, all areas of swelling are improving and I do not see any new purpura though hard to tell in some of the areas heavily covered. I plan to take 40 mg prednisone today. Once swelling has completely resolved, I plan to switch to the Medrol pack.
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: Peripheral swelling, Platelet count decreased, Purpura, Red blood cell sedimentation rate normal, Urine analysis normal
Clinical narrative: I am the patient but I am also a primary care pediatrician.  On 11/6, I developed purpura on my legs and buttocks. I also developed swelling on my right palm. I took ibuprofen 400 mg q6 hours.  On 11/7, the right palm swelling improved but I developed swelling on the dorsum of the left hand, bilateral wrists and distal forearms, bilateral elbows and distal upper arms. I also developed a few purpura in the new areas of swelling and more purpura on the legs and buttocks. Continued ibuprofen.  On 11/8, all swelling noted the day before worsened and I also developed swelling on the dorsum of the right hand. There were also new purpura in all areas of swelling as well as areas that already had purpura. Went to Urgent Care clinic. I was prescribed a Medrol pack but instead started 60 mg prednisone that I had left over from a previous asthma exacerbation.  So far today on 11/9, all areas of swelling are improving and I do not see any new purpura though hard to tell in some of the areas heavily covered. I plan to take 40 mg prednisone today. Once swelling has completely resolved, I plan to switch to the Medrol pack.
Age: 74.0
Sex: M
Vaccine: PNC20
Symptoms: Asthenia, Fatigue, Injection site pain, Lethargy, Pyrexia
Clinical narrative: Site: Pain at Injection Site-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fever-Medium, Systemic: Weakness-Medium, Additional Details: pt also received  a shingrix vaccine in other arm ( lot 9a77m exp 9/24/23), reports pain in both arms, weakness, fever that isnt getting better.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Received bivalent vaccine today, reported after vaccine that she received one 10/15/22
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 63.0
Sex: F
Vaccine: PNC20
Symptoms: Headache, Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Fever-Medium, Systemic: Headache-Mild
Age: 63.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Fever-Medium, Systemic: Headache-Mild
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 47.0
Sex: F
Vaccine: COVID19-2, FLUR4
Symptoms: Herpes zoster, Rash, Rash vesicular
Clinical narrative: Patient states she developed a shingles rash on her across her left chest, under her left arm and onto her left upper back.  Painful and blistery.  Symptoms started two days after vaccinations.  Patient prescribed Lidocaine cream.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling, Pain in extremity, Pruritus
Clinical narrative: Woke up on 10/28 around 7am - left arm hurt and was very itchy- - felt itchy all over- red patch around injection site was raised and red and swollen- took 50mg benadryl-  marked arm with black marker- as day went on- every 4-6 hours- arm would start hurting and be real itchy again- and red area would continue to grow and continued to itch all over body from inside out- took 175 mg benadryl on 10/28 as well as prednisone 20mg-  continued to take benadryl until 10/31- arm redness subsided a little each day and was back to normal on 11/1. Checked in with  nurse on morning of 10/28 who advised me to see primary provider and take benadryl and use hydrocortisone cream
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Confusional state, Hyperhidrosis, Insomnia
Clinical narrative: I woke up 2:00am my clothes were wet from high fever, and I was very confused. Then I realized I was feverish with chills then changed and went back to sleep. Woke up to another episode at 4:200am of wet clothes and fever changed and went back to sleep. Then I woke up at 9:00am for the day not wet like before. I took a COVID-19 test and it was positive. I work in the medical field, so I called my doctor, and medical health. When I called my doctor, I was instructed to isolate for at least 5 days and stay hydrated along with two prescriptions Paxlovid and Tessalon Perles. The doctor also told me to take Tylenol and Mucinex when needed because of my asthma.   I still have the insomnia issue but that's the only problem that I am having.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Sleep disorder
Clinical narrative: I woke up 2:00am my clothes were wet from high fever, and I was very confused. Then I realized I was feverish with chills then changed and went back to sleep. Woke up to another episode at 4:200am of wet clothes and fever changed and went back to sleep. Then I woke up at 9:00am for the day not wet like before. I took a COVID-19 test and it was positive. I work in the medical field, so I called my doctor, and medical health. When I called my doctor, I was instructed to isolate for at least 5 days and stay hydrated along with two prescriptions Paxlovid and Tessalon Perles. The doctor also told me to take Tylenol and Mucinex when needed because of my asthma.   I still have the insomnia issue but that's the only problem that I am having.
Age: 54.0
Sex: F
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: Patient received Pfizer Bivalent vaccine as the first vaccine in the primary series in error. Patient had not received any COVID vaccine and was given the Booster.
Age: 70.0
Sex: F
Vaccine: FLUA4
Symptoms: Rash
Clinical narrative: Patient was administered Flu (right arm) and Covid (left arm) vaccine together on Sunday, 11/06/22. Patient returned today (11/07/22) and presented with rash on her right arm (Flu). I advised her to take a Benadryl and consult with her doctor if not resolved within 24 hours.
Age: 58.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient had no history of Covid vaccines in EMR and did not have his covid vaccination card with him.  Patient refused to go home and bring back card.  Patient stated he had received a covid vaccine in the past.  Nurse administered a monovalent Pfizer vaccine.  When checking the vaccine log system patient patient had a documented J&J in March 2021.  Patient should have received a bivalent booster dose.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Back pain, Chest discomfort, Cough, Fatigue
Clinical narrative: She got her vaccine, the first thing she noticed is a headache like she never had before, her face felt hot from the inside, but not read when she looked in the mirror.  Then she noticed weakness and pain in her lower back and legs.  The arm hurting probably started around the weakness.  Then this overwhelming need to just lie down and take a nap.  When she did that she started coughing, which she states it is insane.  She also has a weird sensation in her chest, like she has on a bra that it way too tight and is putting pressure on her chest.  She has had a heart attack prior and has reflux and it does not feel anything like that, just a tightness.  The cough is deep, dry hacking cough, but sometimes rattly like.  She ended up taking some OTC Ibuprofen last night for the back and leg pain as she could not rest.  She did not take anything for the cough, but it persists.  Her leg and back pain is about the same.  The arm is actually worse than yesterday as she could move it yesterday without a problem, today as she put on her sweatshirt it felt like somebody hit her in the arm with a hammer.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Feeling hot, Headache, Pain, Pain in extremity, Sensory disturbance
Clinical narrative: She got her vaccine, the first thing she noticed is a headache like she never had before, her face felt hot from the inside, but not read when she looked in the mirror.  Then she noticed weakness and pain in her lower back and legs.  The arm hurting probably started around the weakness.  Then this overwhelming need to just lie down and take a nap.  When she did that she started coughing, which she states it is insane.  She also has a weird sensation in her chest, like she has on a bra that it way too tight and is putting pressure on her chest.  She has had a heart attack prior and has reflux and it does not feel anything like that, just a tightness.  The cough is deep, dry hacking cough, but sometimes rattly like.  She ended up taking some OTC Ibuprofen last night for the back and leg pain as she could not rest.  She did not take anything for the cough, but it persists.  Her leg and back pain is about the same.  The arm is actually worse than yesterday as she could move it yesterday without a problem, today as she put on her sweatshirt it felt like somebody hit her in the arm with a hammer.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No adverse reaction,  Covid vaccine was given 1 week too early.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Patient presented to clinic with mother for 2nd dose covid vaccine. Patient was seen by provider before administration of 2nd dose covid vaccine (6months-4yrs). An error occurred when administrating vaccine, patient was given 5-11 dose instead of age-appropriate dose. An error was reported to clinical operation manager, as well as mother of patient, and doctor. Per mother of patient, she was ok, and no issues arose from situation. Dr. stated that since the patient is close to 5 years of age the patient will be fine and will be monitored and appt was scheduled in 2 months to follow up. Pt was monitored in clinic for 1hr, and no signs of adverse effects were noted. Pt was alert and went home w/out complications. Dr also saw a patient before the patient left the clinic. Vaccine was administered by MA.
Age: 37.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Incorrect route of product administration
Clinical narrative: Not given IM, went in SUBQ and infiltrated, completely missed deltoid, needs reeducation
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: I experienced a sore throat, headache, heavy fatigue and nasal drip.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Laboratory test, Pain in extremity, Weight bearing difficulty, X-ray
Clinical narrative: Pain in left arm, difficulty lifting arm, difficulty straightening arm, difficulty holding anything with weight
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthma, COVID-19, Chest X-ray normal, Chills, Condition aggravated
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: Alternate MD  Admission Date: 10/31/2022 Discharge Date: 11/2/2022  PRESENTING PROBLEM: Mild persistent asthma with exacerbation [J45.31] Acute asthma exacerbation [J45.901] COVID-19 [U07.1]   HOSPITAL COURSE:    Patient is a 78 y.o. female  who presented to Health hospital on 10/31/2022. The patient states that she has been having coughing and shortness of breath since about 10/20. She presented with fevers and chills and presented to the hospital with worsened shortness of breath and coughing.  Chest x-ray was performed in the emergency department which shows no acute chest process.  She has leukocytosis of 18 upon admission she recently completed a oral steroid taper.  Given persistent fever. A film array was ordered to rule out a secondary viral infection due to a negative procalcitonin suggesting no secondary bacterial pneumonia.  The patient was also encouraged to use incentive spirometry and started on supportive care with cough suppressants and Mucinex.  While hospitalized she was treated with nebulizer treatments, IV Decadron and azithromycin.  She has not required supplemental oxygen during the hospital stay. Will continue robitussin with codeine for cough suppression and azithromycin for antiinflammatory properties. Recommend post-hospitalization follow-up with PCP in 1-2 weeks. Of note the patient has leukocytosis which is likely steroid induced. Recommend follow-up CBC with diff in 2 weeks.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cough, Dyspnoea, Procalcitonin normal, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: Alternate MD  Admission Date: 10/31/2022 Discharge Date: 11/2/2022  PRESENTING PROBLEM: Mild persistent asthma with exacerbation [J45.31] Acute asthma exacerbation [J45.901] COVID-19 [U07.1]   HOSPITAL COURSE:    Patient is a 78 y.o. female  who presented to Health hospital on 10/31/2022. The patient states that she has been having coughing and shortness of breath since about 10/20. She presented with fevers and chills and presented to the hospital with worsened shortness of breath and coughing.  Chest x-ray was performed in the emergency department which shows no acute chest process.  She has leukocytosis of 18 upon admission she recently completed a oral steroid taper.  Given persistent fever. A film array was ordered to rule out a secondary viral infection due to a negative procalcitonin suggesting no secondary bacterial pneumonia.  The patient was also encouraged to use incentive spirometry and started on supportive care with cough suppressants and Mucinex.  While hospitalized she was treated with nebulizer treatments, IV Decadron and azithromycin.  She has not required supplemental oxygen during the hospital stay. Will continue robitussin with codeine for cough suppression and azithromycin for antiinflammatory properties. Recommend post-hospitalization follow-up with PCP in 1-2 weeks. Of note the patient has leukocytosis which is likely steroid induced. Recommend follow-up CBC with diff in 2 weeks.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Sputum discoloured, Wheezing, White blood cell count increased
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: Alternate MD  Admission Date: 10/31/2022 Discharge Date: 11/2/2022  PRESENTING PROBLEM: Mild persistent asthma with exacerbation [J45.31] Acute asthma exacerbation [J45.901] COVID-19 [U07.1]   HOSPITAL COURSE:    Patient is a 78 y.o. female  who presented to Health hospital on 10/31/2022. The patient states that she has been having coughing and shortness of breath since about 10/20. She presented with fevers and chills and presented to the hospital with worsened shortness of breath and coughing.  Chest x-ray was performed in the emergency department which shows no acute chest process.  She has leukocytosis of 18 upon admission she recently completed a oral steroid taper.  Given persistent fever. A film array was ordered to rule out a secondary viral infection due to a negative procalcitonin suggesting no secondary bacterial pneumonia.  The patient was also encouraged to use incentive spirometry and started on supportive care with cough suppressants and Mucinex.  While hospitalized she was treated with nebulizer treatments, IV Decadron and azithromycin.  She has not required supplemental oxygen during the hospital stay. Will continue robitussin with codeine for cough suppression and azithromycin for antiinflammatory properties. Recommend post-hospitalization follow-up with PCP in 1-2 weeks. Of note the patient has leukocytosis which is likely steroid induced. Recommend follow-up CBC with diff in 2 weeks.
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Angiogram pulmonary abnormal, Pulmonary embolism
Clinical narrative: Left Pulmonary Embolism
Age: 57.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Lip blister, Lip swelling, Paraesthesia oral
Clinical narrative: Around 3 hour after receiving both vaccines, the patient developed swelling to her lower lip and tingling in her tongue. She then developed around 8 hours later a singular blister inside her bottom lip. The swelling was alleviated with famotidine and diphenhydramine but the blister remained and the swelling continued into the next day requiring additional doses of famotidine and diphenhydramine.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Toxic encephalopathy
Clinical narrative: Hospitalization for toxic metabolic encephalopathy likely due to COVID-19 on dates 9/28/22- 10/4/22.  Treated with dexamethasone, Remdesivir, vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Mental status changes
Clinical narrative: Hospitalization for acute mental changes likely due to COVID-19 on dates  9/28/22- 10/5/22.  Treated with dexamethasone, vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Ear discomfort, Feeling hot, Insomnia, Paranasal sinus discomfort
Clinical narrative: Starting 11/02/2022, I had a bit of a scratchy throat. The next day I had more of a scratchy throat and congestion/sinus pressure. I tested myself for COVID-19 at home and it was positive. The next day, on Friday, I had a lot of sinus pressure and periods of feeling hot without a fever. I had a hard time cooling off. I called my  doctor and they prescribed Paxlovid (which I started later that afternoon). No coughing to a large degree. The scratchy throat disappeared. Friday the symptoms were mainly sinus pressure, insomnia and temperature regulation. Today, I am still a little congested and my right ear is still clogged. I basically feel like I am recovering from a cold but doing better than expected.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: Starting 11/02/2022, I had a bit of a scratchy throat. The next day I had more of a scratchy throat and congestion/sinus pressure. I tested myself for COVID-19 at home and it was positive. The next day, on Friday, I had a lot of sinus pressure and periods of feeling hot without a fever. I had a hard time cooling off. I called my  doctor and they prescribed Paxlovid (which I started later that afternoon). No coughing to a large degree. The scratchy throat disappeared. Friday the symptoms were mainly sinus pressure, insomnia and temperature regulation. Today, I am still a little congested and my right ear is still clogged. I basically feel like I am recovering from a cold but doing better than expected.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19
Clinical narrative: Hospitalization for acute hypoxic respiratory issues due to COVID-19 on dates 9/29/22-10/2/22.  Treated with dexamethasone, vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 53.0
Sex: F
Vaccine: FLUR4
Symptoms: Wrong product administered
Clinical narrative: The patient was requesting a covid 19 booster vaccine and received a seasonal flu vaccine
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: 11yr old patient received adult dose of Pfizer bivalent booster instead of pediatric dose
Age: 40.0
Sex: M
Vaccine: COVID19-2
Symptoms: Ear infection, Pain
Clinical narrative: Ear infection and throbbing in the ear. Began about 1.5 days after vaccination. Originally thought was just wax, but still ongoing 10 days later. Possibly slight improvement.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Blood test, Imaging procedure, Injected limb mobility decreased
Clinical narrative: Around February 2022, I started to experience pain in my arms, back, neck and thighs. I was extremely stiff in the morning. I was given prednisone for that. I started with 5mg and now I'm down to 1mg. I can still feel the pain in my right shoulder. I couldn't raise my arms over my head, it was that bad. I was diagnosed with PMR (Poly Myalgia Rheumatica). I've never experienced anything like this in my life. I'm not sure where it came from. After receiving my COVID-19 vaccine, I also received the flu shot on 10/11/2021, Shingles on 11/17/2021 and 2nd shingles shot was 02/05/2022.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Mobility decreased, Musculoskeletal stiffness, Neck pain, Pain in extremity
Clinical narrative: Around February 2022, I started to experience pain in my arms, back, neck and thighs. I was extremely stiff in the morning. I was given prednisone for that. I started with 5mg and now I'm down to 1mg. I can still feel the pain in my right shoulder. I couldn't raise my arms over my head, it was that bad. I was diagnosed with PMR (Poly Myalgia Rheumatica). I've never experienced anything like this in my life. I'm not sure where it came from. After receiving my COVID-19 vaccine, I also received the flu shot on 10/11/2021, Shingles on 11/17/2021 and 2nd shingles shot was 02/05/2022.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Polymyalgia rheumatica
Clinical narrative: Around February 2022, I started to experience pain in my arms, back, neck and thighs. I was extremely stiff in the morning. I was given prednisone for that. I started with 5mg and now I'm down to 1mg. I can still feel the pain in my right shoulder. I couldn't raise my arms over my head, it was that bad. I was diagnosed with PMR (Poly Myalgia Rheumatica). I've never experienced anything like this in my life. I'm not sure where it came from. After receiving my COVID-19 vaccine, I also received the flu shot on 10/11/2021, Shingles on 11/17/2021 and 2nd shingles shot was 02/05/2022.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Pneumonia
Clinical narrative: Hospitalization for bilateral pneumonia likely due to COVID-19 on dates 10/5/22- 10/21/22.  Treated with dexamethasone, baricitinib, vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 97.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case  dose 1 2/27/21 no lot number doe 2 3/20/21 no lot number
Age: 9.0
Sex: M
Vaccine: FLU4
Symptoms: Pyrexia, Somnolence
Clinical narrative: Patient's mom called our office on 11/8/22 stating the patient was falling asleep in gym class and had a 101 fever. Advised mom to give tylenol and motrin if needed for comfort and assured her that this is a common reaction that should only last a day or two.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, COVID-19
Clinical narrative: Hospitalization for non-STEMI (incidental COVID-19) on dates 10/10/22- 10/14/22. Treated with vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac stress test normal, Cardiac telemetry normal, Chest X-ray abnormal, Chronic obstructive pulmonary disease
Clinical narrative: Discharge Attending of Record: MD Primary Care Provider: MD  Documenting Provider: PA-C Admission Date and Time:  10/31/2022  8:29 PM Discharge Date and Time: 11/03/2022 1:09 PM Positive Covid Date: 11/1/2022  Admission Diagnosis:   1. Dyspnea Discharge Diagnosis:   1. Dyspnea with history of severe pulmonary emphysema and hypoxia 2. COVID-19 infection with no evidence for COVID pneumonia   The patient is an 83-year-old male with history of severe emphysema, moderate chronic obstructive pulmonary disease with exacerbations who presented to the emergency department with increasing dyspnea.  He did have a workup in the emergency department of a chest x-ray that did show chronic changes of pulmonary emphysema along with persistent opacity along the lateral aspect to the left upper lung which could represent scar less likely pneumonia.  Emergency department did place the patient into the observation unit for further workup of the cause of his dyspnea.  His it did see that the patient was having a chronic obstructive pulmonary disease exacerbation he was given steroids along with duo nebulized treatments.  We also did order a Lexiscan Myoview cardiac stress test to ensure that his dyspnea was not a cardiac equivalent.  Patient had stable troponins with no life-threatening arrhythmias on telemetry.  Lexiscan Myoview did not show any signs of ischemia.  Secondary to patient's history of severe emphysema pulmonology was consulted who did recommend a film array.  His COVID-19 was negative initially been on film array it was positive.  Pulmonology did feel that steroids and DuoNebs were appropriate.  Patient was overall feeling improved.  He was desatting his oxygen on ambulation so pulmonary rehab was consulted and they did set him up for home oxygen.  Repeat chest x-ray does not show any evidence of infiltrate.  At this time pulmonology feels comfortable discharging home with a long week of steroids which was written.  He does have his inhalers at home and will have home oxygen.  He will follow-up with his pulmonologist in the next couple of weeks as he does have an appointment.  No antibiotics are recommended by pulmonology at this time.  He feels improved upon discharge.  He will come back with any progressive symptoms or concerns but is sent home feeling overall improved.  He did see physical therapy and occupational therapy while here who did not recommend any additional modalities.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspnoea, Emphysema, Lung opacity, Oxygen saturation decreased
Clinical narrative: Discharge Attending of Record: MD Primary Care Provider: MD  Documenting Provider: PA-C Admission Date and Time:  10/31/2022  8:29 PM Discharge Date and Time: 11/03/2022 1:09 PM Positive Covid Date: 11/1/2022  Admission Diagnosis:   1. Dyspnea Discharge Diagnosis:   1. Dyspnea with history of severe pulmonary emphysema and hypoxia 2. COVID-19 infection with no evidence for COVID pneumonia   The patient is an 83-year-old male with history of severe emphysema, moderate chronic obstructive pulmonary disease with exacerbations who presented to the emergency department with increasing dyspnea.  He did have a workup in the emergency department of a chest x-ray that did show chronic changes of pulmonary emphysema along with persistent opacity along the lateral aspect to the left upper lung which could represent scar less likely pneumonia.  Emergency department did place the patient into the observation unit for further workup of the cause of his dyspnea.  His it did see that the patient was having a chronic obstructive pulmonary disease exacerbation he was given steroids along with duo nebulized treatments.  We also did order a Lexiscan Myoview cardiac stress test to ensure that his dyspnea was not a cardiac equivalent.  Patient had stable troponins with no life-threatening arrhythmias on telemetry.  Lexiscan Myoview did not show any signs of ischemia.  Secondary to patient's history of severe emphysema pulmonology was consulted who did recommend a film array.  His COVID-19 was negative initially been on film array it was positive.  Pulmonology did feel that steroids and DuoNebs were appropriate.  Patient was overall feeling improved.  He was desatting his oxygen on ambulation so pulmonary rehab was consulted and they did set him up for home oxygen.  Repeat chest x-ray does not show any evidence of infiltrate.  At this time pulmonology feels comfortable discharging home with a long week of steroids which was written.  He does have his inhalers at home and will have home oxygen.  He will follow-up with his pulmonologist in the next couple of weeks as he does have an appointment.  No antibiotics are recommended by pulmonology at this time.  He feels improved upon discharge.  He will come back with any progressive symptoms or concerns but is sent home feeling overall improved.  He did see physical therapy and occupational therapy while here who did not recommend any additional modalities.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Troponin normal
Clinical narrative: Discharge Attending of Record: MD Primary Care Provider: MD  Documenting Provider: PA-C Admission Date and Time:  10/31/2022  8:29 PM Discharge Date and Time: 11/03/2022 1:09 PM Positive Covid Date: 11/1/2022  Admission Diagnosis:   1. Dyspnea Discharge Diagnosis:   1. Dyspnea with history of severe pulmonary emphysema and hypoxia 2. COVID-19 infection with no evidence for COVID pneumonia   The patient is an 83-year-old male with history of severe emphysema, moderate chronic obstructive pulmonary disease with exacerbations who presented to the emergency department with increasing dyspnea.  He did have a workup in the emergency department of a chest x-ray that did show chronic changes of pulmonary emphysema along with persistent opacity along the lateral aspect to the left upper lung which could represent scar less likely pneumonia.  Emergency department did place the patient into the observation unit for further workup of the cause of his dyspnea.  His it did see that the patient was having a chronic obstructive pulmonary disease exacerbation he was given steroids along with duo nebulized treatments.  We also did order a Lexiscan Myoview cardiac stress test to ensure that his dyspnea was not a cardiac equivalent.  Patient had stable troponins with no life-threatening arrhythmias on telemetry.  Lexiscan Myoview did not show any signs of ischemia.  Secondary to patient's history of severe emphysema pulmonology was consulted who did recommend a film array.  His COVID-19 was negative initially been on film array it was positive.  Pulmonology did feel that steroids and DuoNebs were appropriate.  Patient was overall feeling improved.  He was desatting his oxygen on ambulation so pulmonary rehab was consulted and they did set him up for home oxygen.  Repeat chest x-ray does not show any evidence of infiltrate.  At this time pulmonology feels comfortable discharging home with a long week of steroids which was written.  He does have his inhalers at home and will have home oxygen.  He will follow-up with his pulmonologist in the next couple of weeks as he does have an appointment.  No antibiotics are recommended by pulmonology at this time.  He feels improved upon discharge.  He will come back with any progressive symptoms or concerns but is sent home feeling overall improved.  He did see physical therapy and occupational therapy while here who did not recommend any additional modalities.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case  dose 1 2/27/21 EN6202 dose 2 3/20/21 EN6207 dose 3 8/17/21 FC3180
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia
Clinical narrative: Hospitalization for acute hypoxic respiratory failure and COVID-19 pneumonia on dates 10/14/22- 10/21/22.  Treated with dexamethasone, Remdesivir, vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Perioral dermatitis, Rash
Clinical narrative: Small rash one dot, then spread. Perioral dermatitis. Doubt related to vaccine.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Oropharyngeal pain
Clinical narrative: I experienced severe fatigue,  sore throat and a very long lasting headache.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue
Clinical narrative: Hospitalization for fatigue likely partly due to COVID-19 on dates 10/17/22-10/19/22. Treated with vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 61.0
Sex: F
Vaccine: HEP
Symptoms: Expired product administered
Clinical narrative: Vaccine given on 11/7/22 and expiratory date was 11/6/22
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Hypoxia
Clinical narrative: Hospitalization for pneumonia and hypoxia due to COVID-19 on dates 10/20/22- 10/25/22. Treated with dexamethasone, Remdesivir, vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Exposure to SARS-CoV-2, Fatigue, Laryngitis
Clinical narrative: On 08/27/2022 I was getting over a regular cold. I was exposed to COVID.  I began feeling more tired than usual, ached slightly, my throat was slightly sore. On 8/28/2022 I tested positive for COVID with home test. I continued to be tired, low energy and achy.  I tested a week later and my COVID home test was negative. I spoke with my physician on 9/1/22, telehealth. He had me take Vitamin D, Vitamin C and Zinc. Around 9/8/22, I developed sinusitis, constantly coughing up phlegm, blowing nose and clearing my throat. Around 9/17/22 I developed laryngitis. I was not as tired but felt worse.  I had a telehealth visit on 9/20/22 with my physician.  I was started on amoxicillin 500mg, three times a day for seven days. After I completed the antibiotic, I began to feel like myself and regaining strength. I have now completely recovered.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Nasopharyngitis, Oropharyngeal pain, Pain, Productive cough, SARS-CoV-2 test positive
Clinical narrative: On 08/27/2022 I was getting over a regular cold. I was exposed to COVID.  I began feeling more tired than usual, ached slightly, my throat was slightly sore. On 8/28/2022 I tested positive for COVID with home test. I continued to be tired, low energy and achy.  I tested a week later and my COVID home test was negative. I spoke with my physician on 9/1/22, telehealth. He had me take Vitamin D, Vitamin C and Zinc. Around 9/8/22, I developed sinusitis, constantly coughing up phlegm, blowing nose and clearing my throat. Around 9/17/22 I developed laryngitis. I was not as tired but felt worse.  I had a telehealth visit on 9/20/22 with my physician.  I was started on amoxicillin 500mg, three times a day for seven days. After I completed the antibiotic, I began to feel like myself and regaining strength. I have now completely recovered.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Sinusitis, Throat clearing
Clinical narrative: On 08/27/2022 I was getting over a regular cold. I was exposed to COVID.  I began feeling more tired than usual, ached slightly, my throat was slightly sore. On 8/28/2022 I tested positive for COVID with home test. I continued to be tired, low energy and achy.  I tested a week later and my COVID home test was negative. I spoke with my physician on 9/1/22, telehealth. He had me take Vitamin D, Vitamin C and Zinc. Around 9/8/22, I developed sinusitis, constantly coughing up phlegm, blowing nose and clearing my throat. Around 9/17/22 I developed laryngitis. I was not as tired but felt worse.  I had a telehealth visit on 9/20/22 with my physician.  I was started on amoxicillin 500mg, three times a day for seven days. After I completed the antibiotic, I began to feel like myself and regaining strength. I have now completely recovered.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Mother indicates, minor began to present rash and itching in the area of the hands.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Systemic inflammatory response syndrome
Clinical narrative: Hospitalization for SIRS due to COVID-19 on dates  10/23/22- 10/30/22. Treated with dexamethasone, Remdesivir, vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Injection site pain, Myalgia, Nausea
Clinical narrative: Muscle aches over entire body for one night, then muscle ache only at the injection site the next morning.  Also, a headache last night and nausea but no vomiting.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Atrioventricular block first degree, Blood thyroid stimulating hormone, Bradycardia, COVID-19
Clinical narrative: Discharge Provider: DO Primary Care Provider : DO    Admission Date: 11/2/2022 Discharge Date: 11/4/2022 COVID positive Date 11/2/2022 Admitting Diagnoses: Principal Problem:   COVID-19 Active Problems:   Hyperlipidemia   HTN (hypertension)   Type 2 diabetes mellitus without complication, with long-term current use of insulin    OSA (obstructive sleep apnea)   Back pain   Morbid obesity with BMI of 45.0-49.9, adult    Hypoxia PRESENTING PROBLEM: COVID-19   HOSPITAL COURSE: 68 y.o. male with past medical history significant for chronic obstructive pulmonary disease, hypertension, chronic back pain, GERD, depression, migraine headaches, insulin-dependent diabetes presents with complaints acute shortness of breath.  When EMS arrived, they reported that the patient was in the low 70% range on room air.  They placed the patient on a non-rebreather mask and the patient only improved to the upper 70% range.  Patient was placed on CPAP prior to arrival to the hospital.  Upon arrival to hospital, the patient was immediately placed on BiPAP.  Patient was admitted to the hospital with acute hypoxic respiratory failure, covid 19 infection, acute copd exacerbation. Patient did well with the addition of steriods. CT did not reveal PE or evidence of pneumonia. He was setup with 2l o2 at home prior to DC. He is to continue course of dexametasone for treatment of copd and covid19.    Patient's discharge was held on 11/3/22 due to hyperglycemia. Endocrinology team was consulted and patient was placed on insulin GTT. This was transitioned off and patient was discharged home on 11/4/22