chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Hypoxia, Oxygen saturation decreased
Clinical narrative: Admit date: 11/28/2023  Discharge date: 12/1/2023  Admitting Physician: MD  Discharge Physician: MD  Reason for Admission: 91-year-old widowed male with past medical history significant for cardiac pacemaker insight to with history of sick sinus syndrome, ventriculoperitoneal shunt with history of NPH, chronic obstructive pulmonary disease with occupational exposure, hypertension, type 2 diabetes mellitus, hyperlipidemia, glaucoma bilateral hearing loss presented with generalized weakness and fever in the setting of positive COVID-19 virus after being found on the floor by his daughters. Hospital Course: Patient was initially admitted for supportive care was given a 1 L normal saline fluid bolus and then started on maintenance IV fluids while monitor respiratory status.  Both physical and occupational therapy were consulted in both recommended acute inpatient rehab.  There was discussion of considering Paxlovid however cost was initially prohibitive for family.  Patient then developed worsening cough with some relative hypoxia with peripheral oxygen saturations dropping from 97% to 91% with increasing rales on pulmonary exam.  After discussion with Infectious disease's recommendation was made to start Decadron 6 mg daily plus IV remdesivir protocol with plans to initiate this at acute inpatient rehab as patient had been accepted there.  Discharged to Rehab Facility.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Rales, SARS-CoV-2 test positive
Clinical narrative: Admit date: 11/28/2023  Discharge date: 12/1/2023  Admitting Physician: MD  Discharge Physician: MD  Reason for Admission: 91-year-old widowed male with past medical history significant for cardiac pacemaker insight to with history of sick sinus syndrome, ventriculoperitoneal shunt with history of NPH, chronic obstructive pulmonary disease with occupational exposure, hypertension, type 2 diabetes mellitus, hyperlipidemia, glaucoma bilateral hearing loss presented with generalized weakness and fever in the setting of positive COVID-19 virus after being found on the floor by his daughters. Hospital Course: Patient was initially admitted for supportive care was given a 1 L normal saline fluid bolus and then started on maintenance IV fluids while monitor respiratory status.  Both physical and occupational therapy were consulted in both recommended acute inpatient rehab.  There was discussion of considering Paxlovid however cost was initially prohibitive for family.  Patient then developed worsening cough with some relative hypoxia with peripheral oxygen saturations dropping from 97% to 91% with increasing rales on pulmonary exam.  After discussion with Infectious disease's recommendation was made to start Decadron 6 mg daily plus IV remdesivir protocol with plans to initiate this at acute inpatient rehab as patient had been accepted there.  Discharged to Rehab Facility.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU4, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient received a number of vaccinations as a part of her routine 4 year old well visit on 11/29/2023. Her mother called on 12/1/2023 stating the site on the patient's right thigh, where she had received Quadracel and influenza vaccinations was red and swollen and was increased from the day prior. Patient was started on oral antibiotics (clindamycin) and given an appointment to be seen in clinic on 12/1/2023, the next available appointment. She was evaulated on 12/1/2023 in our clinic with improvement of the erythema and swelling.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Bronchial wall thickening, Bronchitis, Chest X-ray abnormal, Dyspnoea
Clinical narrative: Admit date: 11/30/2023  Discharge date: 12/02/2023  Admitting Physician: MD   Attending Physician at the Time of Discharge: DO  Primary Care Physician: DO Reason for Admission: Acute Respiratory Failure 2/2 to Influenza A, bacterial pna, and bronchitis   Hospital Course: This is a 46yo M with pmhx of MM, light chain kappa disease, and T2DM who presents to the ED for worsening shortness of breath.Patient was previously diagnosed with Influenza A by his PCP and prescribed tamiflu along with prednisone, however his symptoms continued to worsen, prompting him to come to the ED.  Workup was significant for Influenza A positive viral test, chest x-ray showing bilateral lower lobe consolidation consistent with bacterial pneumonia, elevated procalcitonin to 7.35, and bronchial thickening consistent with bronchitis. He initially was requiring 4L by NC and was started on ceftriaxone, doxycycline, mucinex, flutter therapy and was continued on tamiflu and prednisone to complete his 5 day course.  Patient improved significantly on day 2 of hospitalization. He no longer required supplemental oxygen, and a walk test was completed showing no desaturation during rest or on exertion. Tamiflu and prednisone therapies were competed. He will be discharged with augmentin and doxycycline to complete his antibiotic regimen for bacterial pneumonia with close follow-up with his PCP to assess need for additional therapies.   Disposition on discharge was stable and improving.  Discharged to home.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza, Influenza A virus test positive, Lung consolidation, Pneumonia bacterial, Positive expiratory pressure therapy
Clinical narrative: Admit date: 11/30/2023  Discharge date: 12/02/2023  Admitting Physician: MD   Attending Physician at the Time of Discharge: DO  Primary Care Physician: DO Reason for Admission: Acute Respiratory Failure 2/2 to Influenza A, bacterial pna, and bronchitis   Hospital Course: This is a 46yo M with pmhx of MM, light chain kappa disease, and T2DM who presents to the ED for worsening shortness of breath.Patient was previously diagnosed with Influenza A by his PCP and prescribed tamiflu along with prednisone, however his symptoms continued to worsen, prompting him to come to the ED.  Workup was significant for Influenza A positive viral test, chest x-ray showing bilateral lower lobe consolidation consistent with bacterial pneumonia, elevated procalcitonin to 7.35, and bronchial thickening consistent with bronchitis. He initially was requiring 4L by NC and was started on ceftriaxone, doxycycline, mucinex, flutter therapy and was continued on tamiflu and prednisone to complete his 5 day course.  Patient improved significantly on day 2 of hospitalization. He no longer required supplemental oxygen, and a walk test was completed showing no desaturation during rest or on exertion. Tamiflu and prednisone therapies were competed. He will be discharged with augmentin and doxycycline to complete his antibiotic regimen for bacterial pneumonia with close follow-up with his PCP to assess need for additional therapies.   Disposition on discharge was stable and improving.  Discharged to home.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Procalcitonin, Walking distance test normal
Clinical narrative: Admit date: 11/30/2023  Discharge date: 12/02/2023  Admitting Physician: MD   Attending Physician at the Time of Discharge: DO  Primary Care Physician: DO Reason for Admission: Acute Respiratory Failure 2/2 to Influenza A, bacterial pna, and bronchitis   Hospital Course: This is a 46yo M with pmhx of MM, light chain kappa disease, and T2DM who presents to the ED for worsening shortness of breath.Patient was previously diagnosed with Influenza A by his PCP and prescribed tamiflu along with prednisone, however his symptoms continued to worsen, prompting him to come to the ED.  Workup was significant for Influenza A positive viral test, chest x-ray showing bilateral lower lobe consolidation consistent with bacterial pneumonia, elevated procalcitonin to 7.35, and bronchial thickening consistent with bronchitis. He initially was requiring 4L by NC and was started on ceftriaxone, doxycycline, mucinex, flutter therapy and was continued on tamiflu and prednisone to complete his 5 day course.  Patient improved significantly on day 2 of hospitalization. He no longer required supplemental oxygen, and a walk test was completed showing no desaturation during rest or on exertion. Tamiflu and prednisone therapies were competed. He will be discharged with augmentin and doxycycline to complete his antibiotic regimen for bacterial pneumonia with close follow-up with his PCP to assess need for additional therapies.   Disposition on discharge was stable and improving.  Discharged to home.
Age: 55.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Axillary mass, Fear, Food allergy, Frequent bowel movements, Gluten free diet
Clinical narrative: My immunity fought back and I'm lucky to be alive first my arm pit developed a lump went to the hospital they sad it will go away it hasn't to date then the food allergies set in every thing I ate had to poop gluten free poop until nothing was left it was horrible pick me up off the floor after each and every attack constantly couldn't go no where needed a constant bathroom for months felt like years today still lingering some effects it beyond scary stuff nightmarish no one to really help had to endure it until gone , I'm alive and thankful ! End hopefully all out of my system !????
Age: 55.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Malaise
Clinical narrative: My immunity fought back and I'm lucky to be alive first my arm pit developed a lump went to the hospital they sad it will go away it hasn't to date then the food allergies set in every thing I ate had to poop gluten free poop until nothing was left it was horrible pick me up off the floor after each and every attack constantly couldn't go no where needed a constant bathroom for months felt like years today still lingering some effects it beyond scary stuff nightmarish no one to really help had to endure it until gone , I'm alive and thankful ! End hopefully all out of my system !????
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age, Vaccine positive rechallenge
Clinical narrative: Patient given entire contents of pediatric vaccine vial, undiluted.  No known reaction. Patient monitored at clinic and instructed to revisit the clinic the following day.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Asymptomatic bacteriuria, Blood creatinine abnormal, Blood folate, Blood iron decreased
Clinical narrative: Admit date: 11/29/2023  Discharge date: 12/3/23  Admitting Physician:  MD   Attending Physician at the Time of Discharge:  MD  Primary Care Physician: MD,   Reason for Admission: Amazingly well 96 F. Has been at the terraces for almost 2 years now. (Assisted Living). She walks around with cane assist.  Not feeling well after 6 days ago. Could not describe well what exactly ailed her.  3 days PTA noted to be on the toilet for 45 mnutes. ?loose stools. Had dark stools when she wiped.  2 days ago felt unwell again. +sore throat. Stool was soft, no longer dark. No fever or chills. Poor PO and fluid intake. No resp or pain issues. Sore throat resolved.  Daughter brought her in for evaluation. ED eval shows unremarkable labwork save for some AKI. Baseline GFR is 40-50's. Current GFR is 17. Hospitalist called to evaluate for admission.Admitting patient for further eval and MGT of AKI. BP noted to be on the soft side (SBP 90's). She is not symptomatic from her low BP.  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)   Principal Problem:  COVID pneumonia - with acute hypoxia - Rx with  steroids, remdesevir. Need 2L for few days but came off O2 today. Cough+ - no crackles. No wheeze. Robitussin for cough. Finish course of steroids.    AKI (acute kidney injury) (HCC) - likely prerenal from dehydration and recent diarrhea. No diarrhea now. Creat has improved Encourage po fluids Asymptomatic bacteriuria - UA abnormal - no urinary Sx. No need to treat.   Normocytic anemia - no GI bleed evident.  B12, TSh, folate okay. Low on Iron and Fe Def - replaced on DC. .  Active Problems:   HTN (hypertension) - not on meds.   Hypothyroidism - continue supplement. Discharged to Home Health Care.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, COVID-19 pneumonia, Cough, Dehydration, Diarrhoea
Clinical narrative: Admit date: 11/29/2023  Discharge date: 12/3/23  Admitting Physician:  MD   Attending Physician at the Time of Discharge:  MD  Primary Care Physician: MD,   Reason for Admission: Amazingly well 96 F. Has been at the terraces for almost 2 years now. (Assisted Living). She walks around with cane assist.  Not feeling well after 6 days ago. Could not describe well what exactly ailed her.  3 days PTA noted to be on the toilet for 45 mnutes. ?loose stools. Had dark stools when she wiped.  2 days ago felt unwell again. +sore throat. Stool was soft, no longer dark. No fever or chills. Poor PO and fluid intake. No resp or pain issues. Sore throat resolved.  Daughter brought her in for evaluation. ED eval shows unremarkable labwork save for some AKI. Baseline GFR is 40-50's. Current GFR is 17. Hospitalist called to evaluate for admission.Admitting patient for further eval and MGT of AKI. BP noted to be on the soft side (SBP 90's). She is not symptomatic from her low BP.  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)   Principal Problem:  COVID pneumonia - with acute hypoxia - Rx with  steroids, remdesevir. Need 2L for few days but came off O2 today. Cough+ - no crackles. No wheeze. Robitussin for cough. Finish course of steroids.    AKI (acute kidney injury) (HCC) - likely prerenal from dehydration and recent diarrhea. No diarrhea now. Creat has improved Encourage po fluids Asymptomatic bacteriuria - UA abnormal - no urinary Sx. No need to treat.   Normocytic anemia - no GI bleed evident.  B12, TSh, folate okay. Low on Iron and Fe Def - replaced on DC. .  Active Problems:   HTN (hypertension) - not on meds.   Hypothyroidism - continue supplement. Discharged to Home Health Care.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Faeces discoloured, Faeces soft, Fluid intake reduced, Glomerular filtration rate decreased, Hypertension
Clinical narrative: Admit date: 11/29/2023  Discharge date: 12/3/23  Admitting Physician:  MD   Attending Physician at the Time of Discharge:  MD  Primary Care Physician: MD,   Reason for Admission: Amazingly well 96 F. Has been at the terraces for almost 2 years now. (Assisted Living). She walks around with cane assist.  Not feeling well after 6 days ago. Could not describe well what exactly ailed her.  3 days PTA noted to be on the toilet for 45 mnutes. ?loose stools. Had dark stools when she wiped.  2 days ago felt unwell again. +sore throat. Stool was soft, no longer dark. No fever or chills. Poor PO and fluid intake. No resp or pain issues. Sore throat resolved.  Daughter brought her in for evaluation. ED eval shows unremarkable labwork save for some AKI. Baseline GFR is 40-50's. Current GFR is 17. Hospitalist called to evaluate for admission.Admitting patient for further eval and MGT of AKI. BP noted to be on the soft side (SBP 90's). She is not symptomatic from her low BP.  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)   Principal Problem:  COVID pneumonia - with acute hypoxia - Rx with  steroids, remdesevir. Need 2L for few days but came off O2 today. Cough+ - no crackles. No wheeze. Robitussin for cough. Finish course of steroids.    AKI (acute kidney injury) (HCC) - likely prerenal from dehydration and recent diarrhea. No diarrhea now. Creat has improved Encourage po fluids Asymptomatic bacteriuria - UA abnormal - no urinary Sx. No need to treat.   Normocytic anemia - no GI bleed evident.  B12, TSh, folate okay. Low on Iron and Fe Def - replaced on DC. .  Active Problems:   HTN (hypertension) - not on meds.   Hypothyroidism - continue supplement. Discharged to Home Health Care.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Hypophagia, Hypotension, Hypothyroidism, Hypoxia, Iron deficiency
Clinical narrative: Admit date: 11/29/2023  Discharge date: 12/3/23  Admitting Physician:  MD   Attending Physician at the Time of Discharge:  MD  Primary Care Physician: MD,   Reason for Admission: Amazingly well 96 F. Has been at the terraces for almost 2 years now. (Assisted Living). She walks around with cane assist.  Not feeling well after 6 days ago. Could not describe well what exactly ailed her.  3 days PTA noted to be on the toilet for 45 mnutes. ?loose stools. Had dark stools when she wiped.  2 days ago felt unwell again. +sore throat. Stool was soft, no longer dark. No fever or chills. Poor PO and fluid intake. No resp or pain issues. Sore throat resolved.  Daughter brought her in for evaluation. ED eval shows unremarkable labwork save for some AKI. Baseline GFR is 40-50's. Current GFR is 17. Hospitalist called to evaluate for admission.Admitting patient for further eval and MGT of AKI. BP noted to be on the soft side (SBP 90's). She is not symptomatic from her low BP.  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)   Principal Problem:  COVID pneumonia - with acute hypoxia - Rx with  steroids, remdesevir. Need 2L for few days but came off O2 today. Cough+ - no crackles. No wheeze. Robitussin for cough. Finish course of steroids.    AKI (acute kidney injury) (HCC) - likely prerenal from dehydration and recent diarrhea. No diarrhea now. Creat has improved Encourage po fluids Asymptomatic bacteriuria - UA abnormal - no urinary Sx. No need to treat.   Normocytic anemia - no GI bleed evident.  B12, TSh, folate okay. Low on Iron and Fe Def - replaced on DC. .  Active Problems:   HTN (hypertension) - not on meds.   Hypothyroidism - continue supplement. Discharged to Home Health Care.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Normocytic anaemia, Oropharyngeal pain, Urine analysis abnormal, Vitamin B12
Clinical narrative: Admit date: 11/29/2023  Discharge date: 12/3/23  Admitting Physician:  MD   Attending Physician at the Time of Discharge:  MD  Primary Care Physician: MD,   Reason for Admission: Amazingly well 96 F. Has been at the terraces for almost 2 years now. (Assisted Living). She walks around with cane assist.  Not feeling well after 6 days ago. Could not describe well what exactly ailed her.  3 days PTA noted to be on the toilet for 45 mnutes. ?loose stools. Had dark stools when she wiped.  2 days ago felt unwell again. +sore throat. Stool was soft, no longer dark. No fever or chills. Poor PO and fluid intake. No resp or pain issues. Sore throat resolved.  Daughter brought her in for evaluation. ED eval shows unremarkable labwork save for some AKI. Baseline GFR is 40-50's. Current GFR is 17. Hospitalist called to evaluate for admission.Admitting patient for further eval and MGT of AKI. BP noted to be on the soft side (SBP 90's). She is not symptomatic from her low BP.  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)   Principal Problem:  COVID pneumonia - with acute hypoxia - Rx with  steroids, remdesevir. Need 2L for few days but came off O2 today. Cough+ - no crackles. No wheeze. Robitussin for cough. Finish course of steroids.    AKI (acute kidney injury) (HCC) - likely prerenal from dehydration and recent diarrhea. No diarrhea now. Creat has improved Encourage po fluids Asymptomatic bacteriuria - UA abnormal - no urinary Sx. No need to treat.   Normocytic anemia - no GI bleed evident.  B12, TSh, folate okay. Low on Iron and Fe Def - replaced on DC. .  Active Problems:   HTN (hypertension) - not on meds.   Hypothyroidism - continue supplement. Discharged to Home Health Care.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Walking aid user
Clinical narrative: Admit date: 11/29/2023  Discharge date: 12/3/23  Admitting Physician:  MD   Attending Physician at the Time of Discharge:  MD  Primary Care Physician: MD,   Reason for Admission: Amazingly well 96 F. Has been at the terraces for almost 2 years now. (Assisted Living). She walks around with cane assist.  Not feeling well after 6 days ago. Could not describe well what exactly ailed her.  3 days PTA noted to be on the toilet for 45 mnutes. ?loose stools. Had dark stools when she wiped.  2 days ago felt unwell again. +sore throat. Stool was soft, no longer dark. No fever or chills. Poor PO and fluid intake. No resp or pain issues. Sore throat resolved.  Daughter brought her in for evaluation. ED eval shows unremarkable labwork save for some AKI. Baseline GFR is 40-50's. Current GFR is 17. Hospitalist called to evaluate for admission.Admitting patient for further eval and MGT of AKI. BP noted to be on the soft side (SBP 90's). She is not symptomatic from her low BP.  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)   Principal Problem:  COVID pneumonia - with acute hypoxia - Rx with  steroids, remdesevir. Need 2L for few days but came off O2 today. Cough+ - no crackles. No wheeze. Robitussin for cough. Finish course of steroids.    AKI (acute kidney injury) (HCC) - likely prerenal from dehydration and recent diarrhea. No diarrhea now. Creat has improved Encourage po fluids Asymptomatic bacteriuria - UA abnormal - no urinary Sx. No need to treat.   Normocytic anemia - no GI bleed evident.  B12, TSh, folate okay. Low on Iron and Fe Def - replaced on DC. .  Active Problems:   HTN (hypertension) - not on meds.   Hypothyroidism - continue supplement. Discharged to Home Health Care.
Age: 8.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Bilateral breast buds
Clinical narrative: Breast buds noted about 1 month after vaccine administered
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site cellulitis, Injection site erythema, Injection site oedema
Clinical narrative: Reported mild erythema on 12/7 then on 12/8 assessment showed left upper arm erythema and edematous, non-tender to palpation. CRNP - Cellulitis of the Left upper arm-stable, keflex 500 mg po Q8hrs x 7 days, continue prn ice packs.
Age: 72.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Oral pain, Scar, Scar pain
Clinical narrative: Pt experienced mouth pain in the days following vaccination. Pt scheduled appt with dentist later that month.  Dentist informed her that she had "pock marks" in a line on the roof of her mouth and the pain was originating from there.
Age: 6.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site inflammation
Clinical narrative: inflammation/redness at  injection site
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Nausea, Vertigo
Clinical narrative: vertigo, nausea, diarrhea
Age: 34.0
Sex: F
Vaccine: RSV
Symptoms: Exposure during pregnancy, No adverse event, Product use issue
Clinical narrative: Patient was 34.5 weeks gestation.  Arexvy RSV vaccine received.  No side effects or adverse reaction.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Lethargy, Pyrexia
Clinical narrative: Admit date: 11/29/2023  Discharge date:  12/03/2023  Admitting Physician: MD   Attending Physician at the Time of Discharge: MD  Primary Care Physician: NP Reason for Admission:  SOB  61 YO male with a past medical history of severe intracranial bleed and TBI 1985, HTN, HLD, and depression that lives at AFC with complaints of lethargy, fever and dyspnea. Patient was recently diagnosed with COVID-19. Per EMS report, patient was noted to have SpO2 80% on RA and was placed on 2L nasal canula . Discharged to home.
Age: 27.0
Sex: F
Vaccine: RSV
Symptoms: Exposure during pregnancy, No adverse event, Product use issue
Clinical narrative: Patient was 30.6 weeks gestation when she received Arexvy RSV vaccine.  There were no side effect or adverse reactions.
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Local reaction
Clinical narrative: Patient received vaccine with out incident. Patient waited for fifteen minutes in observations area with out incident. Several hours after the patient received the vaccine he had what was described as a localized reaction at the injection site that was red, swollen and sore. School nurse was called to evaluate and treat. Several days later the patient went to the PCP and the PCP requested the reaction be recorded. Reaction did not happen during clinic or while clinic staff was on sight. I am unsure if the trip to the PCP was because of the vaccine or if it was a regular scheduled appointment.
Age: 30.0
Sex: F
Vaccine: RSV
Symptoms: Exposure during pregnancy, No adverse event, Product use issue
Clinical narrative: Patient was 31.1 weeks gestation when she received the Arexvy RSV vaccine.  No side effects or adverse reactions have occurred.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Hypoxia, Lethargy, Oxygen saturation decreased, Pneumonia bacterial
Clinical narrative: Admit date: 11/26/2023  Discharge date:  12/04/2023  Admitting Physician: MD   Attending Physician at the Time of Discharge: No att. providers found  Primary Care Physician: NP Reason for Admission: Hypoxia 76 YO male with a PMHx of hypertension, hyperlipidemia, morbid obesity prediabetic, spinal stenosis with neuropathy, osteoarthritis, chronic back pain, bed bound x 2 years, prostate cancer, and history of CVA who presents via EMS for lethargy and low oxygen saturations  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)   treated for COVID, and bacterial pneumonia Discharged to Skilled Nursing Facility.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: Cerebellar ataxia, Magnetic resonance imaging head normal, Neurological examination abnormal, Scan with contrast normal
Clinical narrative: acute cerebellar ataxia
Age: 34.0
Sex: F
Vaccine: RSV
Symptoms: Exposure during pregnancy, No adverse event, Product use issue
Clinical narrative: Patient was 34 weeks and 1 day gestation and received the Arexvy RSV vaccine.  No adverse effects or side effects observed.
Age: 67.0
Sex: F
Vaccine: RSV
Symptoms: Flushing, Pruritus
Clinical narrative: Within 24 hours of the shot injection I experienced "flushing" of my body in various areas-a histamine reaction? By Monday 12/4/2023, I was still experiencing the flushing and started itching all over my body. I couldn't relieve the problems with OTC medications. I went to Urgent Care on 12/7/23 and was prescribed Prednisone oral doses for 5 days.  In addition, I had a new patient  appointment later the same day with my new provider, and recovered this problem.
Age: 33.0
Sex: F
Vaccine: RSV
Symptoms: Exposure during pregnancy, No adverse event, Product use issue
Clinical narrative: Patient was 36 weeks and 1 day gestation when she received the Arexvy RSV vaccine.  No side effects or adverse reactions have been observed.
Age: 67.0
Sex: M
Vaccine: RSV
Symptoms: Atrial fibrillation
Clinical narrative: Atrial Fibrillation
Age: 68.0
Sex: M
Vaccine: RSV
Symptoms: Blood pressure decreased, Bone pain, Computerised tomogram, Decreased appetite, Dehydration
Clinical narrative: He got his vaccine, was feeling OK, but then about 5:00 PM started feeling bad, and then went to bed, had some nausea, really feeling weird, achy, bone aching, no appetite and went to bed.  Then he woke up around feeling restless and then went to sleep, slept good and then awoke 7:00 AM and had a funeral to go and felt well enough to go to.  He went to the church, arrived about ½ hour early, and was talking to the people, socializing, felt fine, and had something to eat on the way down.  Then the service started in the church, back of the church, warmth, dizziness and light headedness hit him.  He walked to the back of the church, felt woozy and the gentleman caught him, and he then fell to the flooring passing out. They got him into a chair in the back of the church and that they had called an ambulance and told them that he felt better.  He then passed out again and carried him into the lobby, had no pulse, did chest compressions, put the pads on him and started CPR, and ambulance arrived.  He was conscious and alert, and they put him in the ambulance, BP was 120/80 and then dropped to 90/60.  They were feeling that he had a heart attack, and took him to the hospital.  They did EKG, blood work, and wanted to keep him overnight, but he had an appointment the next day at facility and did not want to stay, his blood work did not show any heart issues.  They gave him some fluids and diagnosed him as having dehydration and syncope.   The next day at facility your white count was high at 135,000 and told them that it was low as he has CLL, and 2 months ago it was 215,000.  At facility it was 61,000 the following day and that does not do that especially in a days time so feels that it is definitely related to the vaccine itself, good or bad.  The concern that he has is the passing out from it, and wonders if other people have experienced that and that it is too coincidental that this happened to him and that his WBC count has come down.   In 2021, he had very similar symptoms when he had the first COVID vaccine, and was concerned about his CLL and he had COVID.  He went into hospital, had COVID at the time, and was waiting for the monoclonal infusion, and informed them that he was going to pass out and his BP was 70/45 from either COVID and they gave him intravenous fluids that day and then got the monoclonal infusion after he felt better.  He had the infusion without any problems, and never had any other symptoms.      Yesterday they did a CAT scan and Pulmonary function study that were previously scheduled.  He also went to his cardiologist yesterday to see about his Afib and this was also scheduled.  He had a nuclear stress test and everything came back without any problems.
Age: 68.0
Sex: M
Vaccine: RSV
Symptoms: Dizziness, Electrocardiogram, Fall, Feeling abnormal, Feeling hot
Clinical narrative: He got his vaccine, was feeling OK, but then about 5:00 PM started feeling bad, and then went to bed, had some nausea, really feeling weird, achy, bone aching, no appetite and went to bed.  Then he woke up around feeling restless and then went to sleep, slept good and then awoke 7:00 AM and had a funeral to go and felt well enough to go to.  He went to the church, arrived about ½ hour early, and was talking to the people, socializing, felt fine, and had something to eat on the way down.  Then the service started in the church, back of the church, warmth, dizziness and light headedness hit him.  He walked to the back of the church, felt woozy and the gentleman caught him, and he then fell to the flooring passing out. They got him into a chair in the back of the church and that they had called an ambulance and told them that he felt better.  He then passed out again and carried him into the lobby, had no pulse, did chest compressions, put the pads on him and started CPR, and ambulance arrived.  He was conscious and alert, and they put him in the ambulance, BP was 120/80 and then dropped to 90/60.  They were feeling that he had a heart attack, and took him to the hospital.  They did EKG, blood work, and wanted to keep him overnight, but he had an appointment the next day at facility and did not want to stay, his blood work did not show any heart issues.  They gave him some fluids and diagnosed him as having dehydration and syncope.   The next day at facility your white count was high at 135,000 and told them that it was low as he has CLL, and 2 months ago it was 215,000.  At facility it was 61,000 the following day and that does not do that especially in a days time so feels that it is definitely related to the vaccine itself, good or bad.  The concern that he has is the passing out from it, and wonders if other people have experienced that and that it is too coincidental that this happened to him and that his WBC count has come down.   In 2021, he had very similar symptoms when he had the first COVID vaccine, and was concerned about his CLL and he had COVID.  He went into hospital, had COVID at the time, and was waiting for the monoclonal infusion, and informed them that he was going to pass out and his BP was 70/45 from either COVID and they gave him intravenous fluids that day and then got the monoclonal infusion after he felt better.  He had the infusion without any problems, and never had any other symptoms.      Yesterday they did a CAT scan and Pulmonary function study that were previously scheduled.  He also went to his cardiologist yesterday to see about his Afib and this was also scheduled.  He had a nuclear stress test and everything came back without any problems.
Age: 68.0
Sex: M
Vaccine: RSV
Symptoms: Loss of consciousness, Nausea, Pain, Pulmonary function test, Pulse absent
Clinical narrative: He got his vaccine, was feeling OK, but then about 5:00 PM started feeling bad, and then went to bed, had some nausea, really feeling weird, achy, bone aching, no appetite and went to bed.  Then he woke up around feeling restless and then went to sleep, slept good and then awoke 7:00 AM and had a funeral to go and felt well enough to go to.  He went to the church, arrived about ½ hour early, and was talking to the people, socializing, felt fine, and had something to eat on the way down.  Then the service started in the church, back of the church, warmth, dizziness and light headedness hit him.  He walked to the back of the church, felt woozy and the gentleman caught him, and he then fell to the flooring passing out. They got him into a chair in the back of the church and that they had called an ambulance and told them that he felt better.  He then passed out again and carried him into the lobby, had no pulse, did chest compressions, put the pads on him and started CPR, and ambulance arrived.  He was conscious and alert, and they put him in the ambulance, BP was 120/80 and then dropped to 90/60.  They were feeling that he had a heart attack, and took him to the hospital.  They did EKG, blood work, and wanted to keep him overnight, but he had an appointment the next day at facility and did not want to stay, his blood work did not show any heart issues.  They gave him some fluids and diagnosed him as having dehydration and syncope.   The next day at facility your white count was high at 135,000 and told them that it was low as he has CLL, and 2 months ago it was 215,000.  At facility it was 61,000 the following day and that does not do that especially in a days time so feels that it is definitely related to the vaccine itself, good or bad.  The concern that he has is the passing out from it, and wonders if other people have experienced that and that it is too coincidental that this happened to him and that his WBC count has come down.   In 2021, he had very similar symptoms when he had the first COVID vaccine, and was concerned about his CLL and he had COVID.  He went into hospital, had COVID at the time, and was waiting for the monoclonal infusion, and informed them that he was going to pass out and his BP was 70/45 from either COVID and they gave him intravenous fluids that day and then got the monoclonal infusion after he felt better.  He had the infusion without any problems, and never had any other symptoms.      Yesterday they did a CAT scan and Pulmonary function study that were previously scheduled.  He also went to his cardiologist yesterday to see about his Afib and this was also scheduled.  He had a nuclear stress test and everything came back without any problems.
Age: 68.0
Sex: M
Vaccine: RSV
Symptoms: Restlessness, Resuscitation, Scan myocardial perfusion, Syncope, White blood cell count decreased
Clinical narrative: He got his vaccine, was feeling OK, but then about 5:00 PM started feeling bad, and then went to bed, had some nausea, really feeling weird, achy, bone aching, no appetite and went to bed.  Then he woke up around feeling restless and then went to sleep, slept good and then awoke 7:00 AM and had a funeral to go and felt well enough to go to.  He went to the church, arrived about ½ hour early, and was talking to the people, socializing, felt fine, and had something to eat on the way down.  Then the service started in the church, back of the church, warmth, dizziness and light headedness hit him.  He walked to the back of the church, felt woozy and the gentleman caught him, and he then fell to the flooring passing out. They got him into a chair in the back of the church and that they had called an ambulance and told them that he felt better.  He then passed out again and carried him into the lobby, had no pulse, did chest compressions, put the pads on him and started CPR, and ambulance arrived.  He was conscious and alert, and they put him in the ambulance, BP was 120/80 and then dropped to 90/60.  They were feeling that he had a heart attack, and took him to the hospital.  They did EKG, blood work, and wanted to keep him overnight, but he had an appointment the next day at facility and did not want to stay, his blood work did not show any heart issues.  They gave him some fluids and diagnosed him as having dehydration and syncope.   The next day at facility your white count was high at 135,000 and told them that it was low as he has CLL, and 2 months ago it was 215,000.  At facility it was 61,000 the following day and that does not do that especially in a days time so feels that it is definitely related to the vaccine itself, good or bad.  The concern that he has is the passing out from it, and wonders if other people have experienced that and that it is too coincidental that this happened to him and that his WBC count has come down.   In 2021, he had very similar symptoms when he had the first COVID vaccine, and was concerned about his CLL and he had COVID.  He went into hospital, had COVID at the time, and was waiting for the monoclonal infusion, and informed them that he was going to pass out and his BP was 70/45 from either COVID and they gave him intravenous fluids that day and then got the monoclonal infusion after he felt better.  He had the infusion without any problems, and never had any other symptoms.      Yesterday they did a CAT scan and Pulmonary function study that were previously scheduled.  He also went to his cardiologist yesterday to see about his Afib and this was also scheduled.  He had a nuclear stress test and everything came back without any problems.
Age: 68.0
Sex: M
Vaccine: RSV
Symptoms: White blood cell count increased
Clinical narrative: He got his vaccine, was feeling OK, but then about 5:00 PM started feeling bad, and then went to bed, had some nausea, really feeling weird, achy, bone aching, no appetite and went to bed.  Then he woke up around feeling restless and then went to sleep, slept good and then awoke 7:00 AM and had a funeral to go and felt well enough to go to.  He went to the church, arrived about ½ hour early, and was talking to the people, socializing, felt fine, and had something to eat on the way down.  Then the service started in the church, back of the church, warmth, dizziness and light headedness hit him.  He walked to the back of the church, felt woozy and the gentleman caught him, and he then fell to the flooring passing out. They got him into a chair in the back of the church and that they had called an ambulance and told them that he felt better.  He then passed out again and carried him into the lobby, had no pulse, did chest compressions, put the pads on him and started CPR, and ambulance arrived.  He was conscious and alert, and they put him in the ambulance, BP was 120/80 and then dropped to 90/60.  They were feeling that he had a heart attack, and took him to the hospital.  They did EKG, blood work, and wanted to keep him overnight, but he had an appointment the next day at facility and did not want to stay, his blood work did not show any heart issues.  They gave him some fluids and diagnosed him as having dehydration and syncope.   The next day at facility your white count was high at 135,000 and told them that it was low as he has CLL, and 2 months ago it was 215,000.  At facility it was 61,000 the following day and that does not do that especially in a days time so feels that it is definitely related to the vaccine itself, good or bad.  The concern that he has is the passing out from it, and wonders if other people have experienced that and that it is too coincidental that this happened to him and that his WBC count has come down.   In 2021, he had very similar symptoms when he had the first COVID vaccine, and was concerned about his CLL and he had COVID.  He went into hospital, had COVID at the time, and was waiting for the monoclonal infusion, and informed them that he was going to pass out and his BP was 70/45 from either COVID and they gave him intravenous fluids that day and then got the monoclonal infusion after he felt better.  He had the infusion without any problems, and never had any other symptoms.      Yesterday they did a CAT scan and Pulmonary function study that were previously scheduled.  He also went to his cardiologist yesterday to see about his Afib and this was also scheduled.  He had a nuclear stress test and everything came back without any problems.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Ocular hyperaemia, Paraesthesia, Swollen tongue, Vision blurred
Clinical narrative: 12/08/2023  Patient received the Moderna Vaccine around 11:36 AM    Left eye red and swollen tingling tongue  blurry vision   12/08/2023       12:05PM patient was given 1 Cetirizine HCI 10 mg  BP: 132/91 Oxygen Saturation  98% 12:26 PM  Patient was given EPI pen  EMS was called before epi pen was given
Age: 12.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Pt given incorrect dosage. Pt received dosage recommended for ages 5-11 years. Pt suppose to receive 12 years and older.
Age: 75.0
Sex: M
Vaccine: TDAP
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient presented on 12/8/23 inquiring about his vaccination history. It was discovered that patient received 2 Boostrix vaccinations, first on 5/11/23 (lot # 2LG35) and again on 11/22/23 (lot # DH3A2). Patient reported having no side effects or adverse reactions from either injection.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal behaviour, Asthenia, Blood culture positive, COVID-19, Chills
Clinical narrative: Admit date: 12/2/2023  Discharge date: 12/04/23   Admitting Physician:   Attending Physician at the Time of Discharge: Primary Care Physician:  Reason for Admission:  Sepsis secondary to urinary tract infection, COVID  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  "This is a 70 YO female with h/o chronic obstructive pulmonary disease, heart disease, rheumatoid arthritis who presented to the emergency department today after not acting like herself at home and progressive weakness over the last week.  Patient lives with her 2 grandsons who may have brought and COVID into the house.  Patient was elderly not able to answer many questions as she was fairly quiet but her grandson to answer most of the questions.  Grandson stated that patient smoked a little less than a pack a day for a good portion of her life but quit 20 years ago.  Patient is a nondrinker.  Patient had 1 urinary tract infection about a year ago.  Patient denies any urinary frequency or urgency or pain with urination.  Patient endorsed fevers and chills slightly however no nausea or vomiting.  She was not overtly dyspneic in the room however on nasal cannula.  Patient had no other questions or concerns at this time. "  Patient was continued on Rocephin and blood cultures returned with E coli so Rocephin was appropriate.  Patient's sepsis resolved by the next day.  Patient was not dyspneic or had any questions or concerns with urination while she was here.  Patient was placed on oxygen at 1-2 L and she is not on oxygen at home.  By day 2 patient was feeling at her baseline and was deemed clinically stable for discharge with continued antibiotics with Augmentin for the next 5 days and short term.  Of oxygen therapy to aid with her COVID. Discharged to home.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Escherichia test positive, Pyrexia, Sepsis, Urinary tract infection
Clinical narrative: Admit date: 12/2/2023  Discharge date: 12/04/23   Admitting Physician:   Attending Physician at the Time of Discharge: Primary Care Physician:  Reason for Admission:  Sepsis secondary to urinary tract infection, COVID  Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  "This is a 70 YO female with h/o chronic obstructive pulmonary disease, heart disease, rheumatoid arthritis who presented to the emergency department today after not acting like herself at home and progressive weakness over the last week.  Patient lives with her 2 grandsons who may have brought and COVID into the house.  Patient was elderly not able to answer many questions as she was fairly quiet but her grandson to answer most of the questions.  Grandson stated that patient smoked a little less than a pack a day for a good portion of her life but quit 20 years ago.  Patient is a nondrinker.  Patient had 1 urinary tract infection about a year ago.  Patient denies any urinary frequency or urgency or pain with urination.  Patient endorsed fevers and chills slightly however no nausea or vomiting.  She was not overtly dyspneic in the room however on nasal cannula.  Patient had no other questions or concerns at this time. "  Patient was continued on Rocephin and blood cultures returned with E coli so Rocephin was appropriate.  Patient's sepsis resolved by the next day.  Patient was not dyspneic or had any questions or concerns with urination while she was here.  Patient was placed on oxygen at 1-2 L and she is not on oxygen at home.  By day 2 patient was feeling at her baseline and was deemed clinically stable for discharge with continued antibiotics with Augmentin for the next 5 days and short term.  Of oxygen therapy to aid with her COVID. Discharged to home.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: ringing in ears
Age: 0.25
Sex: F
Vaccine: HEPA
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Vaquta was given; patient was to receive the vaxelis. This was a result of vaccine confusion by nursing staff. Patient's guardian has reported no reaction.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, Cough, Dizziness
Clinical narrative: Admit date: 10/26/2023 Discharge date: 12/5/2023  Admitting Physician: MD   Attending Physician at the Time of Discharge: No att. providers found  Primary Care Physician: MD,  Reason for Admission: Acute hypoxic respiratory failure  Brief Summary of Hospital Stay:  Per HPI, a 85 YO male with PMHx of CKD 3A, CLL ibrutinib, hypertension, hyperlipidemia, cardiomyopathy, paroxysmal Afib, and history prostate cancer and squamous cell carcinoma of skin who presents to the emergency department for 1 day of fatigue and shortness of breath found to be COVID-19 positive.  Patient states that he has been feelingFatigued for the past day, and was unable to get up out of chair earlier today which prompted him to come to the emergency department.  He also states that he has been feeling short of breath for the past day.  He endorses weakness, shortness of breath, dizziness, and nonproductive cough.  He denies any dizziness/headaches, nausea/vomiting, chest pain, abdominal pain, changes in bowel habits, dysuria, and numbness/tingling. Hospital Course: Acute hypoxic respiratory failure secondary to COVID Infection with likely superimposed bacterial pneumonia likely resolved, patient now using supplemental oxygen at rest for comfort Discharged to home.