chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Headache, Pain, Vaccine positive rechallenge
Clinical narrative: Body aches for 16 hours, headache lasted 2 days. Feeling miserable. Light headed for 10 hours took Tylenol but couldn't tell it helped any.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Chills, Dyspnoea, Pneumonia
Clinical narrative: Covid19 breakthrough.  1st Vaccine received on 03/01/2021.  74 y/o with PMHx Breast Cancer(DCIS), Dermatomyositis, asthma, T12 fracture and osteopenia presents to ED with 2 week complaint of SOB, chills, productive cough with brown sputum.  Intially at home pt was prescribed 5 day course of antibiotics and steroids but symptoms worsened.  Pt tested for + Covid 5 days ago after no response to home treatment.  Pt arrived to ED with room air sat 82%, placed on 5L NC.  CXR-new multilobar PNA, afebrile.  Started on IV ABX, Steroids, Baricitinib and Remdesivir.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Productive cough, SARS-CoV-2 test positive, Sputum discoloured, Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st Vaccine received on 03/01/2021.  74 y/o with PMHx Breast Cancer(DCIS), Dermatomyositis, asthma, T12 fracture and osteopenia presents to ED with 2 week complaint of SOB, chills, productive cough with brown sputum.  Intially at home pt was prescribed 5 day course of antibiotics and steroids but symptoms worsened.  Pt tested for + Covid 5 days ago after no response to home treatment.  Pt arrived to ED with room air sat 82%, placed on 5L NC.  CXR-new multilobar PNA, afebrile.  Started on IV ABX, Steroids, Baricitinib and Remdesivir.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Fatigue, SARS-CoV-2 test positive
Clinical narrative: Patient presented to emergency department on 12/13/2021 with weakness and fatigue after reporting testing positive for COVID-19 on 12/11/2021. Patient was admitted for management of symptoms. She was treated with dexamethasone, remdesivir, and supplemental oxygen. Patient was discharged to post-acute rehab facility on 1/3/2022.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac flutter, Dyspnoea, Heart rate increased, Hypoaesthesia, Palpitations
Clinical narrative: Shortness of breath / Feelings of having a fast-beating, fluttering, or pounding heart, in addition to tingling and numbness throughout extremities, beginning in the hands, moving upwards to the neck, and downwards into the lower back and legs.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Shortness of breath / Feelings of having a fast-beating, fluttering, or pounding heart, in addition to tingling and numbness throughout extremities, beginning in the hands, moving upwards to the neck, and downwards into the lower back and legs.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Feeling hot, Glycosylated haemoglobin, Haematology test, Laboratory test
Clinical narrative: Neuropathy, tingling in the hands and feet and burning sensations, constant heat and pins and needles.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Lipids, Neuropathy peripheral, Paraesthesia
Clinical narrative: Neuropathy, tingling in the hands and feet and burning sensations, constant heat and pins and needles.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Vaccine breakthrough infection
Clinical narrative: COVID-19 RELATED DEATH; BREAKTHROUGH CASE
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive COVID
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Arthralgia, Asthenia, Chills, Disturbance in attention
Clinical narrative: Day Of:            very tired,  sore arm,  burning eyes 1 Day After:  extremely tired, weak, - unable to focus or sit upright at desk to work,  in bed and slept most of day after vaccine                              Painful Arm,  extending some to shoulder & neck - vaccine arm side                              Unable to control body temp - chills, sweats (periodic)                              Aches - focused in previously susceptible areas - Hip, Back, Knee, elbows,                                stomach pain - heartburn feel lower left side (previously susceptible area) 2 Days After:  Same as day 1,  approx 35% improvement,  still tired, aches, body temp,  stomach,  - able to work at desk for 2 hrs in am  then rest required,  very tired  even with large additional doses of caffeine. Report filed Day 2,  anticipating full recovery by day 3.
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Dyspepsia, Eye irritation, Fatigue, Hyperhidrosis, Neck pain
Clinical narrative: Day Of:            very tired,  sore arm,  burning eyes 1 Day After:  extremely tired, weak, - unable to focus or sit upright at desk to work,  in bed and slept most of day after vaccine                              Painful Arm,  extending some to shoulder & neck - vaccine arm side                              Unable to control body temp - chills, sweats (periodic)                              Aches - focused in previously susceptible areas - Hip, Back, Knee, elbows,                                stomach pain - heartburn feel lower left side (previously susceptible area) 2 Days After:  Same as day 1,  approx 35% improvement,  still tired, aches, body temp,  stomach,  - able to work at desk for 2 hrs in am  then rest required,  very tired  even with large additional doses of caffeine. Report filed Day 2,  anticipating full recovery by day 3.
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain, Pain in extremity, Sitting disability, Somnolence
Clinical narrative: Day Of:            very tired,  sore arm,  burning eyes 1 Day After:  extremely tired, weak, - unable to focus or sit upright at desk to work,  in bed and slept most of day after vaccine                              Painful Arm,  extending some to shoulder & neck - vaccine arm side                              Unable to control body temp - chills, sweats (periodic)                              Aches - focused in previously susceptible areas - Hip, Back, Knee, elbows,                                stomach pain - heartburn feel lower left side (previously susceptible area) 2 Days After:  Same as day 1,  approx 35% improvement,  still tired, aches, body temp,  stomach,  - able to work at desk for 2 hrs in am  then rest required,  very tired  even with large additional doses of caffeine. Report filed Day 2,  anticipating full recovery by day 3.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive COVID
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest pain, Computerised tomogram thorax, Dyspnoea
Clinical narrative: SOB, having problems breathing, and chest pain.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Erythema, Induration
Clinical narrative: L upper arm red pink diffuse area 5cm x5cm with upper central induration soft 2cm not flluctuatnt, deprsible , not tender, no secretion
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, SARS-CoV-2 test positive
Clinical narrative: COVID positive 01/30/2022. chest pain 02/09/2022
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Immune system disorder, Infection, Migraine, Pharyngitis
Clinical narrative: vaccine induced migraines going on 16 days ---migraine "cocktail" of zofran, benadryl and naproxen for 5 days  throat infection due to weakened immune system--antibiotics for unknown infection
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Vaccine breakthrough infection
Clinical narrative: COVID-19 RELATED DEATH; BREAKTHROUGH CASE
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, COVID-19, Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: positive COVID, asymptomatic for respiratory, Nausea and vomiting
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Upper arm pain when I do any kind of reaching or movements of lifting my arm up - occurs daily for the last 11 month
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeling hot, Hyperhidrosis, Hypoaesthesia, Muscle spasms, Paraesthesia
Clinical narrative: About 1-2 minutes after receiving shingles vaccine  patient started with complaints of feeling hot with both hands cramping and numbness/tingling of both hands and feet. Pt diaphoretic but still awake, alert, oriented, muscles in forearms and upper arms relaxed but both hands flexed at MTP joints, radial pulses 2+ bilateral sensation to light touch intact and symmetric in hands . Provider massaged hands to assist patient to open up hands; ice pack applied. Patient monitored for 15 minutes and vital signs were stable. No further cramping; numbness or flexion of hands or feet.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Peripheral coldness
Clinical narrative: My right hand began tingling and became cold within 30 minutes of receiving the J & J booster. It still tingles some and is cold but now has also moved to my left hand. I had only achy bones for one day when I received the first J & J shot.    It seems that the booster was the culprit.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Neuralgia, Paraesthesia, X-ray
Clinical narrative: Ongoing severe nerve pain, numbness and tingling of the left shoulder, arm and hand.
Age: 54.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature)-
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Bronchitis, COVID-19, Chest X-ray, SARS-CoV-2 test
Clinical narrative: 01/19/2022 COVID-19, 01/31/2022 COVID-19 BRONCHITIS.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Pt experienced no adverse reactions.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dysmenorrhoea, Menstrual disorder
Clinical narrative: Seems like there may be some effect on my reproductive organs. Debilitating menstrual cramps which is very abnormal for me.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia
Clinical narrative: At 10:00pm on September 3, 2021 I started having intermittent cardiac arrhythmia. On occasions I administered a half dose of metoprolol which relieved the symptoms.
Age: 5.0
Sex: F
Vaccine: COVID19, DTAPIPV, FLUC4, MMRV
Symptoms: Expired product administered
Clinical narrative: We administered the Pediatric COVID Vaccine after the thawed expire date.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arrhythmia, Condition aggravated, Echocardiogram, Electrocardiogram, Electrocardiogram ambulatory
Clinical narrative: After the second dose, the next day, I had heart "palpitations"  which seemed to go away but returned later, as already stated.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Palpitations, Squamous cell carcinoma of the tongue, Surgery
Clinical narrative: After the second dose, the next day, I had heart "palpitations"  which seemed to go away but returned later, as already stated.
Age: 36.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature)-
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered COVID vaccine past thaw expiration date.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19
Clinical narrative: hospitalization due to acute respiratory failure due to COVID-19
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient received Pfizer COVID-19 vaccine which was beyond the manufacturer recommended use time of 31 days at the refrigerated temperature. Organization has been in direct contact with the vaccine manufacturer regarding this issue. Pfizer has data to support the stability of the vaccine up to 45 days at refrigerated temperatures. The vaccine given was within this range which is supported by the above data. No known adverse outcomes.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Head injury, Loss of consciousness, Nausea, Seizure
Clinical narrative: After receiving the second dose of  0.3ml of the Pfizer vaccine, the patient remain seated  and began to feel nauseous. After 5 mins, the patient passed out while seated and hit her head on the side of the barrier. At the time the patient exibited signs of a seizures and was placed on on her side. After she became coherent, she was sat up and grabbed the pharmacist arm. She was asked questions (Does she know where she is, Does she remember the pharmacist, Does she remeber her name). The patient was assited back into the chair. Upon arrival of the EMS she was examined and discharged to go home.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria, Weight increased
Clinical narrative: Started off as a few hives and patches. Subsequently spread over my entire body. It was pretty severe. I had 3 weeks of calls with my PCP but I was not seen. They put me on over the counter medications but they did not work. I was eventually seen on week 4 by a dermatologist. They started me on steroids and the first course did not work. So we got a second course. I ended up requiring 6 weeks of steroids. I gained 40 pounds. I went to the allergist after.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Depression, Mass
Clinical narrative: Depression, horrible pain and lumps under my armpits that extended throughout my body, who knows what the long term will be, I still feel it.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Pruritus, Rash
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash Generalized-Medium
Age: 74.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Neuralgia, Paraesthesia, X-ray normal
Clinical narrative: Neuralgia, Asthenia, Paraesthesia. Ongoing and continuing for two months. Subsiding after medicating with Gabapentin and Tramadol.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Myocarditis, Nausea
Clinical narrative: Patient has chest pain, difficulty breathing and nausea. Sent to ED then admitted to hospital. treated for acute myopericardits. Currently on Colchicine for 6 months. Follow-up with cardiologist in February indicated condition the result of Covid Vaccine
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received Moderna vaccine.  Age = 13.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Systemic: Allergic: Rash Generalized-Mild, Systemic: localized rash on right arm (opposite of injection); stated itchy, duration >14 days. Recommended hydrocortisone cream and to check with MD if rash worsens or persists.-Mild
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Condition aggravated, Fatigue, Feeling abnormal
Clinical narrative: 2 nd. Pfizer shot. I woke up freezing, had shivers all day. I had pains all over my body in odd places. Never felt this way in my life. Late morning, early afternoon hours, I was out of it, not aware of my surroundings. Husband and son took care of me. Four days after the shot I bled from my rectum again. This also happened with the first Pfizer shot. I missed work for two days. No strength on second day. My body was worn out from the first day.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Impaired work ability, Pain, Rectal haemorrhage
Clinical narrative: 2 nd. Pfizer shot. I woke up freezing, had shivers all day. I had pains all over my body in odd places. Never felt this way in my life. Late morning, early afternoon hours, I was out of it, not aware of my surroundings. Husband and son took care of me. Four days after the shot I bled from my rectum again. This also happened with the first Pfizer shot. I missed work for two days. No strength on second day. My body was worn out from the first day.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Positive COVID-19.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given second dose of covid vaccine 14 days after dose 1. Dose 2 should have not been given until 21 days after dose 1.
Age: 10.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: We administered the vaccine past the thawed expiration date.
Age: 10.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: COVID vaccine given past thaw expiration date.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Rec'd Moderna vaccine - age = 16.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Lethargy
Clinical narrative: Tired, lethargic, and headache.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Bradycardia, COVID-19, Death, Dyspnoea
Clinical narrative: Patient with 2 Pfizer COVID vaccinations, last dose 01/29/21 who admitted to ED with pulmonary embolism and tested detected for COVID upon admission who subsequently died.  Provider discharge summary below:  "Patient was admitted for massive pulmonary embolism.  Started on a heparin drip.  Given his metastatic cancer, bleeding risk outweighed any risk from tPA or thrombolysis.  He was admitted to the intensive care unit on BiPAP and vasopressors.  Interventional Radiology was contacted and took him for mechanical thrombectomy on 02/01/2021.  He required vasopressor and respiratory support afterwards.  He did improve and eventually was able to wean off of BiPAP onto high-flow nasal cannula.  He was started on midodrine and was able to wean off of vasopressors.  He was transferred to the progressive care floor.  On 02/07/2022 his respiratory status and mental status began to worsen.  He started becoming tachycardic and hypotensive.  His respiratory support required increasing high-flow nasal cannula to maximum settings with addition of non-rebreather mask.  He was transferred back to the intensive care unit early in the morning on 02/08/2022.  Discussed with family code status and they reiterated that he remained a full code.  Patient was subsequently intubated for respiratory distress and work of breathing.  Post intubation he had a bradycardic/PA arrest lasting 4 minutes with return of spontaneous circulation.  He remained intubated on vasopressors.  Family was present during the code.  Family decided that they did not want to escalate care further.  He was made do not resuscitate/DNI with aggressive care.   Despite maximal supportive therapy on norepinephrine, vasopressin, and phenylephrine the patient went into a bradycardic rhythm resulting in pulseless electrical activity.  Family was present at the bedside during this time.  Patient expired at 9:17 p.m.."
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Endotracheal intubation, Hypotension, Intensive care, Mental status changes, Positive airway pressure therapy
Clinical narrative: Patient with 2 Pfizer COVID vaccinations, last dose 01/29/21 who admitted to ED with pulmonary embolism and tested detected for COVID upon admission who subsequently died.  Provider discharge summary below:  "Patient was admitted for massive pulmonary embolism.  Started on a heparin drip.  Given his metastatic cancer, bleeding risk outweighed any risk from tPA or thrombolysis.  He was admitted to the intensive care unit on BiPAP and vasopressors.  Interventional Radiology was contacted and took him for mechanical thrombectomy on 02/01/2021.  He required vasopressor and respiratory support afterwards.  He did improve and eventually was able to wean off of BiPAP onto high-flow nasal cannula.  He was started on midodrine and was able to wean off of vasopressors.  He was transferred to the progressive care floor.  On 02/07/2022 his respiratory status and mental status began to worsen.  He started becoming tachycardic and hypotensive.  His respiratory support required increasing high-flow nasal cannula to maximum settings with addition of non-rebreather mask.  He was transferred back to the intensive care unit early in the morning on 02/08/2022.  Discussed with family code status and they reiterated that he remained a full code.  Patient was subsequently intubated for respiratory distress and work of breathing.  Post intubation he had a bradycardic/PA arrest lasting 4 minutes with return of spontaneous circulation.  He remained intubated on vasopressors.  Family was present during the code.  Family decided that they did not want to escalate care further.  He was made do not resuscitate/DNI with aggressive care.   Despite maximal supportive therapy on norepinephrine, vasopressin, and phenylephrine the patient went into a bradycardic rhythm resulting in pulseless electrical activity.  Family was present at the bedside during this time.  Patient expired at 9:17 p.m.."
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pulmonary embolism, Pulseless electrical activity, Respiratory arrest, Respiratory disorder, Respiratory distress
Clinical narrative: Patient with 2 Pfizer COVID vaccinations, last dose 01/29/21 who admitted to ED with pulmonary embolism and tested detected for COVID upon admission who subsequently died.  Provider discharge summary below:  "Patient was admitted for massive pulmonary embolism.  Started on a heparin drip.  Given his metastatic cancer, bleeding risk outweighed any risk from tPA or thrombolysis.  He was admitted to the intensive care unit on BiPAP and vasopressors.  Interventional Radiology was contacted and took him for mechanical thrombectomy on 02/01/2021.  He required vasopressor and respiratory support afterwards.  He did improve and eventually was able to wean off of BiPAP onto high-flow nasal cannula.  He was started on midodrine and was able to wean off of vasopressors.  He was transferred to the progressive care floor.  On 02/07/2022 his respiratory status and mental status began to worsen.  He started becoming tachycardic and hypotensive.  His respiratory support required increasing high-flow nasal cannula to maximum settings with addition of non-rebreather mask.  He was transferred back to the intensive care unit early in the morning on 02/08/2022.  Discussed with family code status and they reiterated that he remained a full code.  Patient was subsequently intubated for respiratory distress and work of breathing.  Post intubation he had a bradycardic/PA arrest lasting 4 minutes with return of spontaneous circulation.  He remained intubated on vasopressors.  Family was present during the code.  Family decided that they did not want to escalate care further.  He was made do not resuscitate/DNI with aggressive care.   Despite maximal supportive therapy on norepinephrine, vasopressin, and phenylephrine the patient went into a bradycardic rhythm resulting in pulseless electrical activity.  Family was present at the bedside during this time.  Patient expired at 9:17 p.m.."
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Tachycardia, Thrombectomy
Clinical narrative: Patient with 2 Pfizer COVID vaccinations, last dose 01/29/21 who admitted to ED with pulmonary embolism and tested detected for COVID upon admission who subsequently died.  Provider discharge summary below:  "Patient was admitted for massive pulmonary embolism.  Started on a heparin drip.  Given his metastatic cancer, bleeding risk outweighed any risk from tPA or thrombolysis.  He was admitted to the intensive care unit on BiPAP and vasopressors.  Interventional Radiology was contacted and took him for mechanical thrombectomy on 02/01/2021.  He required vasopressor and respiratory support afterwards.  He did improve and eventually was able to wean off of BiPAP onto high-flow nasal cannula.  He was started on midodrine and was able to wean off of vasopressors.  He was transferred to the progressive care floor.  On 02/07/2022 his respiratory status and mental status began to worsen.  He started becoming tachycardic and hypotensive.  His respiratory support required increasing high-flow nasal cannula to maximum settings with addition of non-rebreather mask.  He was transferred back to the intensive care unit early in the morning on 02/08/2022.  Discussed with family code status and they reiterated that he remained a full code.  Patient was subsequently intubated for respiratory distress and work of breathing.  Post intubation he had a bradycardic/PA arrest lasting 4 minutes with return of spontaneous circulation.  He remained intubated on vasopressors.  Family was present during the code.  Family decided that they did not want to escalate care further.  He was made do not resuscitate/DNI with aggressive care.   Despite maximal supportive therapy on norepinephrine, vasopressin, and phenylephrine the patient went into a bradycardic rhythm resulting in pulseless electrical activity.  Family was present at the bedside during this time.  Patient expired at 9:17 p.m.."
Age: 5.0
Sex: M
Vaccine: COVID19, HEPA
Symptoms: Product storage error
Clinical narrative: Administered COVID vaccine past thaw expiration date.
Age: 100.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature)-
Age: 10.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: We administered the vaccine past the thawed expiration date.
Age: 10.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: We administered the vaccine past the thawed expiration date.
Age: 10.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: COVID vaccine given past thaw expiration date.
Age: 10.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: COVID vaccine given past thaw expiration date.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Oropharyngeal pain, Pain in extremity
Clinical narrative: Patient reported a "very sore arm," feeling "funny," and having a "sore throat" 15 minutes after receiving her second COVID vaccine. Advised patient to continue to wait. Checked on patient 20 minutes post vaccine to question her about history of allergies. Patient was not experiencing any trouble breathing or talking. Offered patient water, which she accepted. After 30 minutes post vaccine, checked on patient again to see if symptoms had improved. She said her throat was still sore but still no trouble breathing or talking and no swelling. No signs of anaphylaxis. Patient had actually been talking on her phone. After more time passed, offered patient Benadryl (refused due to possibility of it causing migraine) and calling for an ambulance which was refused. Patient did take some Loratadine that she found in her purse as a precaution. Patient also had a pulse oximeter in her purse which read her oxygen levels 99%. After patient had waited an hour, she was advised on the signs and symptoms of anaphylaxis and to take Benadryl at home if she felt she needed it.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood creatinine normal, Blood thyroid stimulating hormone normal, Blood urea normal, Dysgeusia, Full blood count normal
Clinical narrative: I had the booster on Dec 6, 2021 around 10:30 a.m.  Later that day, had bitter taste in mouth.  This was on a Monday, and my dentist was closed.  I thought it might be a dental issue because I have a crown, bridge, and an implant.  Went to the dentist on Tuesday, Dec. 7, and I guessed at a specific tooth, but no problem found.  On January 4th, I had a cleaning and x-rays and still no problem found.  And my dentist will verify I have great oral hygiene.  I contacted my doctor and asked for labs to see if anything stood out.  Labs were done on 1/20/2022.  No problems found.  I still get a bitter taste in my mouth daily.  It isn't as strong or as often throughout the day, but it is still daily.  The bitter taste is fading.  I hope that my report combined with someone else's report, verifies the truth.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Laboratory test normal, Lipids normal, Metabolic function test, Urine analysis normal
Clinical narrative: I had the booster on Dec 6, 2021 around 10:30 a.m.  Later that day, had bitter taste in mouth.  This was on a Monday, and my dentist was closed.  I thought it might be a dental issue because I have a crown, bridge, and an implant.  Went to the dentist on Tuesday, Dec. 7, and I guessed at a specific tooth, but no problem found.  On January 4th, I had a cleaning and x-rays and still no problem found.  And my dentist will verify I have great oral hygiene.  I contacted my doctor and asked for labs to see if anything stood out.  Labs were done on 1/20/2022.  No problems found.  I still get a bitter taste in my mouth daily.  It isn't as strong or as often throughout the day, but it is still daily.  The bitter taste is fading.  I hope that my report combined with someone else's report, verifies the truth.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Limb mass, Pain in extremity, Thrombosis, Ultrasound scan
Clinical narrative: In late October I began experiencing pain in my right leg after walking for no more than 15min. I went to the Dr. on 11/2/2021. Dr. found a lump in my leg. After testing they found a thrombosis clot in my upper thigh of my right leg. I was RX'd Eliquis for 3 months. I was recommended to a hematologists whom I saw on 12/28.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Nurse gave 9yo client 0.2ml of COVID Pfizer (Pfizer 12+) vaccine to left deltoid.  Guardian notified of error while in clinic.  Client asked to stay additional 15 minutes (total of 30 minutes) to observe for adverse reaction. No adverse reaction observed.  Instructed client/guardian to follow up with PCP in case of delayed reaction.  Nursing Supervisor, District Nurse Manager and Nursing services notified.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Pain in hand and arm. Unable to move arm and neck properly.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered COVID-19 vaccine past thaw expiration date.
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Pt admitted to the hospital with covid related diagnosis.  Pt vaccinated against covid
Age: 68.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 7.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: We administered the vaccine past the thawed expiration date.
Age: 7.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: COVID vaccine given past thaw expiration date.
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Had covid vaccine.  Pt admitted with covid related diagnosis.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, COVID-19, Dehydration, Diarrhoea, Illness
Clinical narrative: Recent Covid19 infection (1/24/2022) and is admitted for diarrhea, vomitting and AKI likely 2/2 dehydration. Requires continued admission for mIVF and acute illness in the setting of immunosuppression
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Immunosuppression, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Recent Covid19 infection (1/24/2022) and is admitted for diarrhea, vomitting and AKI likely 2/2 dehydration. Requires continued admission for mIVF and acute illness in the setting of immunosuppression
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: PATIENT WAS GIVEN AN EXPIRED COVID VACCINTATION.  NO ADVERSE REACTIONS NOTED.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received Moderna vaccine Age = 14
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Paraesthesia, Pruritus
Clinical narrative: Pt. reported hives with previous doses of Moderna, as this was not a severe adverse event we proceeded with vaccination with Pfizer. We pre-administered 25mg of Benadryl orally, however pt. still had itching and tingling sensation in limbs a few minutes after receiving the vaccine. Approximately 15 minutes after injection, we orally administered 60mg of prednisolone, which decreased the itching. As itching was still present after about 45 min of observation after prednisolone administration, we gave pt. another oral dose of Benadryl 25mg. Pt. reported resolution of symptoms shortly thereafter, and we discharged pt. from clinic with prescriptions for oral cetirizine 10mg prn and oral prednisone 60mg prn.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Aplastic anaemia, Biopsy bone marrow abnormal, Haemoglobin decreased, Increased tendency to bruise, Pallor
Clinical narrative: Symptoms were noted January 8th 2022, increased bruising, pale,  palpitations.  First Hospitalization and diagnosis of Aplastic Anemia January 24th, second hospitalization Feb 2nd, third hospitalization Feb 7th. Disorder was suspected to have started 1-2 months prior. Treatments consisted of Blood and platelet transfusions performed multiple times up to current date.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Palpitations, Platelet count decreased, Platelet transfusion, Transfusion, White blood cell count decreased
Clinical narrative: Symptoms were noted January 8th 2022, increased bruising, pale,  palpitations.  First Hospitalization and diagnosis of Aplastic Anemia January 24th, second hospitalization Feb 2nd, third hospitalization Feb 7th. Disorder was suspected to have started 1-2 months prior. Treatments consisted of Blood and platelet transfusions performed multiple times up to current date.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: Death related to COVID-19
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received Moderna vaccine. Age = 12.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Blood test, Deafness unilateral, Headache, Magnetic resonance imaging
Clinical narrative: Sudden hearing loss in my left ear followed by Tinnitus. I have been to numerous hearing specialist and hearing test centers. They have injected steroids directly as well as an oral steroid with 0% improvement to my hearing or Tinnitus. I have headaches every day. I have been to the Neurologist and he is convinced that my condition was caused by this vaccine.  I take a daily pill now every morning to try and stave off the headaches from getting to severe. More visits will be required to figure out how to best combat my condition.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Sudden hearing loss, Tinnitus
Clinical narrative: Sudden hearing loss in my left ear followed by Tinnitus. I have been to numerous hearing specialist and hearing test centers. They have injected steroids directly as well as an oral steroid with 0% improvement to my hearing or Tinnitus. I have headaches every day. I have been to the Neurologist and he is convinced that my condition was caused by this vaccine.  I take a daily pill now every morning to try and stave off the headaches from getting to severe. More visits will be required to figure out how to best combat my condition.
Age: 5.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: We administered the vaccine past the thawed expiration date.
Age: 5.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: COVID vaccine given past thaw expiration date.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Intracranial pressure increased, Laboratory test
Clinical narrative: I develop intracranial tension and was put on eye drop.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Injection site pain
Clinical narrative: Patient presented dizziness and pain in the left arm. After 30 min, the patient reports being well and conscious.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Headache, Pain, Pain of skin
Clinical narrative: Headache within 3 hours. Extreme low back and hip joint pain began approximately 8 hours  after shot and continues to be present almost 23 hours after injection. Slight fever onset aprox within 12 hours of injection,  skin tenderness (likely secondary to fever.)
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Headache within 3 hours. Extreme low back and hip joint pain began approximately 8 hours  after shot and continues to be present almost 23 hours after injection. Slight fever onset aprox within 12 hours of injection,  skin tenderness (likely secondary to fever.)
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Aortic valve replacement, COVID-19, Chest pain, Computerised tomogram thorax abnormal, Dyspnoea
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 03/26/2021.  77 y/o with PMHx of CVA, COPD, HLD, HTN, Pacemaker, CAD/CABG, Valvular heart dz/TAVR, back surgery presents to ED with c/o CP, productive cough, SOB and fevers x1 week.  Room air sat 92%, placed on 2L NC, febrile and Ct with dense consolidation PNA.  Pt started on IV Abx, Steroids and Remdesivir.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lung consolidation, Pneumonia, Productive cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 03/26/2021.  77 y/o with PMHx of CVA, COPD, HLD, HTN, Pacemaker, CAD/CABG, Valvular heart dz/TAVR, back surgery presents to ED with c/o CP, productive cough, SOB and fevers x1 week.  Room air sat 92%, placed on 2L NC, febrile and Ct with dense consolidation PNA.  Pt started on IV Abx, Steroids and Remdesivir.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 03/26/2021.  77 y/o with PMHx of CVA, COPD, HLD, HTN, Pacemaker, CAD/CABG, Valvular heart dz/TAVR, back surgery presents to ED with c/o CP, productive cough, SOB and fevers x1 week.  Room air sat 92%, placed on 2L NC, febrile and Ct with dense consolidation PNA.  Pt started on IV Abx, Steroids and Remdesivir.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal hernia, Abdominal hernia obstructive, Abdominal hernia repair, Abdominal pain
Clinical narrative: Patient hospitalized within a month of receiving J&J vaccine (symptom onset reported two days after administration) INCARCERATED VENTRAL HERNIA; SMALL BOWEL OBSTRUCTION Received COVID vaccine (J&J) - 1.7.22 Symptoms started - 1.9.22 (diarrhea, body-aches, fatigue, vomiting, pain in stomach, wheezing)  - reported 1.18.22 Seen by PCP (1.19.22) - Fatigue, diarrhea, vomiting 1.9.22; body-aches, sneezing, no exposures - ill, nauseous, queasy, achy, miss work - DX: URI, obtain CXR (-), and COVID/flu swab (-).  started doxycycline for 'sinusitis'; prescribed zofran; albuterol for wheeze.  Labs - mild increase WBC, not peeing as much - abnormal CMP (SCR increased from 0.82 in 2018 - to 2.65; potassium 5.1; BUN 98; eGFR 25; triglycerides 229; hgb A1c - 7.1; glucose 143; BNP normal) 1.26.22 - PCP office visit - diagnosed with diabetes mellitus - -will start on metformin 500 mg bid (reviewed this may cause diarrhea) -monofilament and urine microalbumin completed for 2022 -positive for urine microalbumin but will hold off on restarting lisinopril at this time due to renal insufficiency -will re-evaluate if renal function is improving -will refer to diabetes education -will refer for diabetic eye exam -reviewed long term complications of uncontrolled diabetes including kidney failure, blindness, heart attack, and stroke -follow up in 3 months 2.4.22 - Office visit - PCP - abdominal pain. (reported to Nurse Triage on 2.3.22 - continued diarrhea, vomiting, has been seen multiple times; now on inhaler and meds for DM; wheezing; significant abdominal pain)  Hospitalized 2.7.22: Assessment & Plan: 60 y/o M with ventral incarcerated hernia. Given tenderness and obstruction, we are obligated to explore his abdomen.   HPI: Patient is a 60 y.o. male with history of primary UHR in 2018 for incarcerated hernia, EtOH abuse, HTN, and T2DM who presents today with one week of obstructive symptoms related to his ventral hernia. He says starting one week ago he noticed an abdominal bulge that was painful and with associated nausea and emesis. He also endorses belching. His last BM was this morning but was very small. He has not passed flatus in several days. He says he has been "living on slimfast, powerades."   Progress Note from 2.10.22:  ASSESSMENT / PLAN:  Assessment: Patient is a 60 y.o. male with  history significant for UHR who presents with incarcerated ventral hernia and associated SBO and is now s/p ventral hernia repair with JP placement in subQ space 2/8/22.   Plan: SBO 2/2 ventral hernia - S/p open repair of hernia in OR 2/8 - Diet: CLD, tolerating. Advance to general - Keep JP drain for now. Will pull once < 30 cc for two consecutive days. - NGT self-pulled 2/9 x2 - Analgesic regimen: sch tylenol/robaxin, prn oxy              - denied TAP blocks - Antiemetic regimen: PRN IV Zofran, PRN Compazine - Will initiate gentle bowel regimen
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Albumin urine present, Blood creatinine increased, Blood glucose normal, Blood potassium increased
Clinical narrative: Patient hospitalized within a month of receiving J&J vaccine (symptom onset reported two days after administration) INCARCERATED VENTRAL HERNIA; SMALL BOWEL OBSTRUCTION Received COVID vaccine (J&J) - 1.7.22 Symptoms started - 1.9.22 (diarrhea, body-aches, fatigue, vomiting, pain in stomach, wheezing)  - reported 1.18.22 Seen by PCP (1.19.22) - Fatigue, diarrhea, vomiting 1.9.22; body-aches, sneezing, no exposures - ill, nauseous, queasy, achy, miss work - DX: URI, obtain CXR (-), and COVID/flu swab (-).  started doxycycline for 'sinusitis'; prescribed zofran; albuterol for wheeze.  Labs - mild increase WBC, not peeing as much - abnormal CMP (SCR increased from 0.82 in 2018 - to 2.65; potassium 5.1; BUN 98; eGFR 25; triglycerides 229; hgb A1c - 7.1; glucose 143; BNP normal) 1.26.22 - PCP office visit - diagnosed with diabetes mellitus - -will start on metformin 500 mg bid (reviewed this may cause diarrhea) -monofilament and urine microalbumin completed for 2022 -positive for urine microalbumin but will hold off on restarting lisinopril at this time due to renal insufficiency -will re-evaluate if renal function is improving -will refer to diabetes education -will refer for diabetic eye exam -reviewed long term complications of uncontrolled diabetes including kidney failure, blindness, heart attack, and stroke -follow up in 3 months 2.4.22 - Office visit - PCP - abdominal pain. (reported to Nurse Triage on 2.3.22 - continued diarrhea, vomiting, has been seen multiple times; now on inhaler and meds for DM; wheezing; significant abdominal pain)  Hospitalized 2.7.22: Assessment & Plan: 60 y/o M with ventral incarcerated hernia. Given tenderness and obstruction, we are obligated to explore his abdomen.   HPI: Patient is a 60 y.o. male with history of primary UHR in 2018 for incarcerated hernia, EtOH abuse, HTN, and T2DM who presents today with one week of obstructive symptoms related to his ventral hernia. He says starting one week ago he noticed an abdominal bulge that was painful and with associated nausea and emesis. He also endorses belching. His last BM was this morning but was very small. He has not passed flatus in several days. He says he has been "living on slimfast, powerades."   Progress Note from 2.10.22:  ASSESSMENT / PLAN:  Assessment: Patient is a 60 y.o. male with  history significant for UHR who presents with incarcerated ventral hernia and associated SBO and is now s/p ventral hernia repair with JP placement in subQ space 2/8/22.   Plan: SBO 2/2 ventral hernia - S/p open repair of hernia in OR 2/8 - Diet: CLD, tolerating. Advance to general - Keep JP drain for now. Will pull once < 30 cc for two consecutive days. - NGT self-pulled 2/9 x2 - Analgesic regimen: sch tylenol/robaxin, prn oxy              - denied TAP blocks - Antiemetic regimen: PRN IV Zofran, PRN Compazine - Will initiate gentle bowel regimen
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Blood triglycerides increased, Blood urea increased, Bowel movement irregularity, Brain natriuretic peptide normal, Chest X-ray normal
Clinical narrative: Patient hospitalized within a month of receiving J&J vaccine (symptom onset reported two days after administration) INCARCERATED VENTRAL HERNIA; SMALL BOWEL OBSTRUCTION Received COVID vaccine (J&J) - 1.7.22 Symptoms started - 1.9.22 (diarrhea, body-aches, fatigue, vomiting, pain in stomach, wheezing)  - reported 1.18.22 Seen by PCP (1.19.22) - Fatigue, diarrhea, vomiting 1.9.22; body-aches, sneezing, no exposures - ill, nauseous, queasy, achy, miss work - DX: URI, obtain CXR (-), and COVID/flu swab (-).  started doxycycline for 'sinusitis'; prescribed zofran; albuterol for wheeze.  Labs - mild increase WBC, not peeing as much - abnormal CMP (SCR increased from 0.82 in 2018 - to 2.65; potassium 5.1; BUN 98; eGFR 25; triglycerides 229; hgb A1c - 7.1; glucose 143; BNP normal) 1.26.22 - PCP office visit - diagnosed with diabetes mellitus - -will start on metformin 500 mg bid (reviewed this may cause diarrhea) -monofilament and urine microalbumin completed for 2022 -positive for urine microalbumin but will hold off on restarting lisinopril at this time due to renal insufficiency -will re-evaluate if renal function is improving -will refer to diabetes education -will refer for diabetic eye exam -reviewed long term complications of uncontrolled diabetes including kidney failure, blindness, heart attack, and stroke -follow up in 3 months 2.4.22 - Office visit - PCP - abdominal pain. (reported to Nurse Triage on 2.3.22 - continued diarrhea, vomiting, has been seen multiple times; now on inhaler and meds for DM; wheezing; significant abdominal pain)  Hospitalized 2.7.22: Assessment & Plan: 60 y/o M with ventral incarcerated hernia. Given tenderness and obstruction, we are obligated to explore his abdomen.   HPI: Patient is a 60 y.o. male with history of primary UHR in 2018 for incarcerated hernia, EtOH abuse, HTN, and T2DM who presents today with one week of obstructive symptoms related to his ventral hernia. He says starting one week ago he noticed an abdominal bulge that was painful and with associated nausea and emesis. He also endorses belching. His last BM was this morning but was very small. He has not passed flatus in several days. He says he has been "living on slimfast, powerades."   Progress Note from 2.10.22:  ASSESSMENT / PLAN:  Assessment: Patient is a 60 y.o. male with  history significant for UHR who presents with incarcerated ventral hernia and associated SBO and is now s/p ventral hernia repair with JP placement in subQ space 2/8/22.   Plan: SBO 2/2 ventral hernia - S/p open repair of hernia in OR 2/8 - Diet: CLD, tolerating. Advance to general - Keep JP drain for now. Will pull once < 30 cc for two consecutive days. - NGT self-pulled 2/9 x2 - Analgesic regimen: sch tylenol/robaxin, prn oxy              - denied TAP blocks - Antiemetic regimen: PRN IV Zofran, PRN Compazine - Will initiate gentle bowel regimen