chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Musculoskeletal stiffness, Neck pain, Nervousness, Oropharyngeal pain, Pain
Clinical narrative: Sore throat and swollen lymph nodes along jaw 25 minutes after injection.  Headache with some migraine-type symptoms 9 minutes after injection.  Please note:  these headaches shortly after the shot have been problems for me with each dose of mRNA vaccine.  Moderna was my first two; Pfizer the next two.  The swollen lymph nodes and sore throat happened approx. 10 hours after my first shot (Moderna), 1 /12 hours after the second (Moderna), and 30 minutes after the third (Pfizer). Within 1 1/2 hours after my bivalent Pfizer booster, the lymph nodes from my neck up were all swollen badly including the ones in the back of my neck to the occipital area.  Bad sore throat.  Headache was gone in about 2 hours vs. on and off for 24 hours.  Do not know if that is bc I took migraine meds this time right away or not.  Felt like I was coming down with something and was in bed.  Took a  lot of advil to keep the inflammation and pain from it as far down as I could.  But it didn't do much.  Stiff and thick back of neck which hurt upon showering later. The back of neck nodes went down enough over night.  The neck and jaw did not. Neither did the sore throat.  About 30 hours after the shot, these got better.  I then broke out in a rash I am prone to when my body is overwhelmed.  I can't remember the name of it.  This lasted about 2 days during which  my glands and sore throat felt better.  Still taking advil and benadryl now too.  After resolution of rash, about 12hours later, my sore throat and glands along neck and jaw started all over again.  Hurt enough I could not sleep with  jaw on pillow.  Taking a lot  of advil.  On Sat., one week after shot, I went to ER where I was told it was a natural process and to gut it out.  On the 17th, 9 days after the vaccination, my doctor prescribed prednisone as it was still not resolved.  The prednisone helped very quickly.  I was on a 5 day course at 10mg, then 5 mg  then 2.5 mg.  I felt much better on the 20th.  When I had the shot on the 8th. The ER put it down as "vaccine reaction" and I am getting nervous as I am having weird things happen with each mRNA shot and the lymph node/sore throat thing is happening faster and faster.
Age: 71.0
Sex: M
Vaccine: UNK
Symptoms: Arthralgia, C-reactive protein, Full blood count, Metabolic function test, Pyrexia
Clinical narrative: Patient developed sxs of vasculitis after taking Pneumovax 23 2 days ago. He developed a painful, non-blanching, erythematous, maculopapular rash with fever and joint pain. Treated with IM dexamethasone and a prednisone taper.
Age: 71.0
Sex: M
Vaccine: UNK
Symptoms: Rash, Rash erythematous, Rash maculo-papular, Red blood cell sedimentation rate, Vasculitis
Clinical narrative: Patient developed sxs of vasculitis after taking Pneumovax 23 2 days ago. He developed a painful, non-blanching, erythematous, maculopapular rash with fever and joint pain. Treated with IM dexamethasone and a prednisone taper.
Age: 50.0
Sex: M
Vaccine: FLUC4
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was given a flu vaccine instead of a COVID booster vaccine No adverse reactions reported
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blister, Chills, Dry skin, Rash, Skin exfoliation
Clinical narrative: Patient had rash and blisters on right arm and hand in the evening on October 19th (same day as administration). The next day patient had chills. Today (8 days after vaccine administration) patient said she still has chills. Today she also has very dry skin on her arms and the rash / blisters are peeling off.  She has used topical oils and lotions to help control the dry skin. She did not seek any other medical attention.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Feeling abnormal, Head discomfort, Musculoskeletal stiffness, SARS-CoV-2 test
Clinical narrative: Started out with chest burning, stiff neck, sinus congestion, head pressure and a little spacey feeling.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus congestion
Clinical narrative: Started out with chest burning, stiff neck, sinus congestion, head pressure and a little spacey feeling.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Herpes zoster, Injection site cellulitis, Injection site swelling, Pyrexia
Clinical narrative: High fever, severe swelling upper arm and shoulder, cellulitis at injection site and facial shingles breakout.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Blood bilirubin normal, C-reactive protein abnormal, COVID-19, COVID-19 pneumonia, Computerised tomogram thorax abnormal
Clinical narrative: Patient presented to Covenant on 01/07 for loss of appetite for the past 3 days . Patient noted to have generalized myalgias.  Patient has chronic shortness of breath secondary to lung cancer. Patient noted to have this productive cough for the past 3 days which appeared to be bloody intermittently.  He never experiences before.  Patient denies any chest pain.  No fever, vomiting, diarrhea. \  Per patient, he states he lost 8-10 lbs in 3 days. Patient was admitted with Sepsis secondary to COVID-19 pneumonia with possible concomitant bacterial community-acquired pneumonia.  Patient on room air.  Patient was given IVF, Rocephin, azithromycin.    Azithromycin switched to doxycycline.   Remdesivir ordered. Patient developed back pain with monoclonal antibodies; hence it was stopped.  Back pain resolved after stopping monoclonal antibody.   On 01/09, WBC WNL.  HGB 9.3.  ALC stable.  Total bili WNL.  CRP/PCT improved.  2D echo:  LVEF 50-55%, mild MR.   Today, HGB improved to 10.5.  ALC improved. Negative Sputum culture. Negative HS troponin/EKG.  CRP/PCT improved.  Patient is being discharged on oral antibiotics.    Patient passed home O2 eval.  There was a concern for chest discomfort per CT chest:  No PE; it showed consolidation in the left lower lobe with diffuse emphysematous changes.   Patient is being discharged in stable condition.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Decreased appetite, Dyspnoea, Echocardiogram abnormal, Ejection fraction
Clinical narrative: Patient presented to Covenant on 01/07 for loss of appetite for the past 3 days . Patient noted to have generalized myalgias.  Patient has chronic shortness of breath secondary to lung cancer. Patient noted to have this productive cough for the past 3 days which appeared to be bloody intermittently.  He never experiences before.  Patient denies any chest pain.  No fever, vomiting, diarrhea. \  Per patient, he states he lost 8-10 lbs in 3 days. Patient was admitted with Sepsis secondary to COVID-19 pneumonia with possible concomitant bacterial community-acquired pneumonia.  Patient on room air.  Patient was given IVF, Rocephin, azithromycin.    Azithromycin switched to doxycycline.   Remdesivir ordered. Patient developed back pain with monoclonal antibodies; hence it was stopped.  Back pain resolved after stopping monoclonal antibody.   On 01/09, WBC WNL.  HGB 9.3.  ALC stable.  Total bili WNL.  CRP/PCT improved.  2D echo:  LVEF 50-55%, mild MR.   Today, HGB improved to 10.5.  ALC improved. Negative Sputum culture. Negative HS troponin/EKG.  CRP/PCT improved.  Patient is being discharged on oral antibiotics.    Patient passed home O2 eval.  There was a concern for chest discomfort per CT chest:  No PE; it showed consolidation in the left lower lobe with diffuse emphysematous changes.   Patient is being discharged in stable condition.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Emphysema, Haemoglobin decreased, Haemoptysis, Lung consolidation
Clinical narrative: Patient presented to Covenant on 01/07 for loss of appetite for the past 3 days . Patient noted to have generalized myalgias.  Patient has chronic shortness of breath secondary to lung cancer. Patient noted to have this productive cough for the past 3 days which appeared to be bloody intermittently.  He never experiences before.  Patient denies any chest pain.  No fever, vomiting, diarrhea. \  Per patient, he states he lost 8-10 lbs in 3 days. Patient was admitted with Sepsis secondary to COVID-19 pneumonia with possible concomitant bacterial community-acquired pneumonia.  Patient on room air.  Patient was given IVF, Rocephin, azithromycin.    Azithromycin switched to doxycycline.   Remdesivir ordered. Patient developed back pain with monoclonal antibodies; hence it was stopped.  Back pain resolved after stopping monoclonal antibody.   On 01/09, WBC WNL.  HGB 9.3.  ALC stable.  Total bili WNL.  CRP/PCT improved.  2D echo:  LVEF 50-55%, mild MR.   Today, HGB improved to 10.5.  ALC improved. Negative Sputum culture. Negative HS troponin/EKG.  CRP/PCT improved.  Patient is being discharged on oral antibiotics.    Patient passed home O2 eval.  There was a concern for chest discomfort per CT chest:  No PE; it showed consolidation in the left lower lobe with diffuse emphysematous changes.   Patient is being discharged in stable condition.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Lung neoplasm malignant, Mitral valve incompetence, Myalgia, Productive cough, SARS-CoV-2 test positive
Clinical narrative: Patient presented to Covenant on 01/07 for loss of appetite for the past 3 days . Patient noted to have generalized myalgias.  Patient has chronic shortness of breath secondary to lung cancer. Patient noted to have this productive cough for the past 3 days which appeared to be bloody intermittently.  He never experiences before.  Patient denies any chest pain.  No fever, vomiting, diarrhea. \  Per patient, he states he lost 8-10 lbs in 3 days. Patient was admitted with Sepsis secondary to COVID-19 pneumonia with possible concomitant bacterial community-acquired pneumonia.  Patient on room air.  Patient was given IVF, Rocephin, azithromycin.    Azithromycin switched to doxycycline.   Remdesivir ordered. Patient developed back pain with monoclonal antibodies; hence it was stopped.  Back pain resolved after stopping monoclonal antibody.   On 01/09, WBC WNL.  HGB 9.3.  ALC stable.  Total bili WNL.  CRP/PCT improved.  2D echo:  LVEF 50-55%, mild MR.   Today, HGB improved to 10.5.  ALC improved. Negative Sputum culture. Negative HS troponin/EKG.  CRP/PCT improved.  Patient is being discharged on oral antibiotics.    Patient passed home O2 eval.  There was a concern for chest discomfort per CT chest:  No PE; it showed consolidation in the left lower lobe with diffuse emphysematous changes.   Patient is being discharged in stable condition.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis, Sputum culture, Troponin normal, Weight decreased, White blood cell count normal
Clinical narrative: Patient presented to Covenant on 01/07 for loss of appetite for the past 3 days . Patient noted to have generalized myalgias.  Patient has chronic shortness of breath secondary to lung cancer. Patient noted to have this productive cough for the past 3 days which appeared to be bloody intermittently.  He never experiences before.  Patient denies any chest pain.  No fever, vomiting, diarrhea. \  Per patient, he states he lost 8-10 lbs in 3 days. Patient was admitted with Sepsis secondary to COVID-19 pneumonia with possible concomitant bacterial community-acquired pneumonia.  Patient on room air.  Patient was given IVF, Rocephin, azithromycin.    Azithromycin switched to doxycycline.   Remdesivir ordered. Patient developed back pain with monoclonal antibodies; hence it was stopped.  Back pain resolved after stopping monoclonal antibody.   On 01/09, WBC WNL.  HGB 9.3.  ALC stable.  Total bili WNL.  CRP/PCT improved.  2D echo:  LVEF 50-55%, mild MR.   Today, HGB improved to 10.5.  ALC improved. Negative Sputum culture. Negative HS troponin/EKG.  CRP/PCT improved.  Patient is being discharged on oral antibiotics.    Patient passed home O2 eval.  There was a concern for chest discomfort per CT chest:  No PE; it showed consolidation in the left lower lobe with diffuse emphysematous changes.   Patient is being discharged in stable condition.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anaemia, Blood test, Computerised tomogram thorax abnormal, Depression, Feeling abnormal
Clinical narrative: I went to a wellness visit with severe anemia ferritin. We did a CT scan I have a hernia that has moved up to my esophagus. I took four weeks of iron infusions. I just ended that last Monday I am still waiting for blood results to see if further treatment is needed. I had leg cramps and depression, and my mind was very foggy. It was all caused because of lack of blood I have a colonoscopy schedule as well GI appointment.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hiatus hernia, Infusion, Muscle spasms
Clinical narrative: I went to a wellness visit with severe anemia ferritin. We did a CT scan I have a hernia that has moved up to my esophagus. I took four weeks of iron infusions. I just ended that last Monday I am still waiting for blood results to see if further treatment is needed. I had leg cramps and depression, and my mind was very foggy. It was all caused because of lack of blood I have a colonoscopy schedule as well GI appointment.
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Feeling abnormal, Headache, Influenza like illness, Injection site reaction, Limb discomfort
Clinical narrative: He got his vaccine, when he got the vaccine he got just a little bit of headache which went away.  He smelled something chlorine smell when he got his vaccine and then it went away.  Had no further symptoms and didn't feel anything.  Then Wednesday night he went to bed and started getting muscle aches in his arms like he had the flu.  He also then noticed a headache.  He got up because he was feeling weird around 3:00 AM this morning, with the arm bothering him.  He kept feeling on the outer arm where the shot was he could feel something.  He raised his left arm up and he noticed that it was swelling under it.  I thinks it was his lymph nodes in his armpit area.  Then all of a sudden he laid back down and when he woke up all of the symptoms went away except for the armpit which is still a little puffy.  He did not take anything for his symptoms.   He did call his doctor and they told him that it was very normal for that to happen, that the lymph nodes swell up sometimes but should go away within 2 weeks.  He then called his job and spoke with the nurse and he told her that he was having a reaction, and she told him that it was perfectly  normal, and told him the same thing that his doctor told him.     On Tuesday he ate dinner and he was talking his dog out for a walk, and he started throwing up like crazy outside.  Then it just went away.  It did not happen again.
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Lymphadenopathy, Myalgia, Parosmia, Peripheral swelling, Skin swelling
Clinical narrative: He got his vaccine, when he got the vaccine he got just a little bit of headache which went away.  He smelled something chlorine smell when he got his vaccine and then it went away.  Had no further symptoms and didn't feel anything.  Then Wednesday night he went to bed and started getting muscle aches in his arms like he had the flu.  He also then noticed a headache.  He got up because he was feeling weird around 3:00 AM this morning, with the arm bothering him.  He kept feeling on the outer arm where the shot was he could feel something.  He raised his left arm up and he noticed that it was swelling under it.  I thinks it was his lymph nodes in his armpit area.  Then all of a sudden he laid back down and when he woke up all of the symptoms went away except for the armpit which is still a little puffy.  He did not take anything for his symptoms.   He did call his doctor and they told him that it was very normal for that to happen, that the lymph nodes swell up sometimes but should go away within 2 weeks.  He then called his job and spoke with the nurse and he told her that he was having a reaction, and she told him that it was perfectly  normal, and told him the same thing that his doctor told him.     On Tuesday he ate dinner and he was talking his dog out for a walk, and he started throwing up like crazy outside.  Then it just went away.  It did not happen again.
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Vomiting
Clinical narrative: He got his vaccine, when he got the vaccine he got just a little bit of headache which went away.  He smelled something chlorine smell when he got his vaccine and then it went away.  Had no further symptoms and didn't feel anything.  Then Wednesday night he went to bed and started getting muscle aches in his arms like he had the flu.  He also then noticed a headache.  He got up because he was feeling weird around 3:00 AM this morning, with the arm bothering him.  He kept feeling on the outer arm where the shot was he could feel something.  He raised his left arm up and he noticed that it was swelling under it.  I thinks it was his lymph nodes in his armpit area.  Then all of a sudden he laid back down and when he woke up all of the symptoms went away except for the armpit which is still a little puffy.  He did not take anything for his symptoms.   He did call his doctor and they told him that it was very normal for that to happen, that the lymph nodes swell up sometimes but should go away within 2 weeks.  He then called his job and spoke with the nurse and he told her that he was having a reaction, and she told him that it was perfectly  normal, and told him the same thing that his doctor told him.     On Tuesday he ate dinner and he was talking his dog out for a walk, and he started throwing up like crazy outside.  Then it just went away.  It did not happen again.
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test normal, Burning sensation, Laboratory test normal, Neuropathy peripheral, Pain
Clinical narrative: On the day of the booster, I noticed tingling and pin pricking started in my face, chin, upper lip and tongue.  I also had this feeling in my hands, feet, and genital area.  This last for two or three days.  On the Saturday after the booster, I was feeling better.  On Sunday night the symptoms came back, and it was an acute neuropathy in these areas but primarily in my hands and feet.  There was burning in my feet after riding the stationary bike.  I saw my doctor on October 20, 2022.  I was prescribed Gabapentin and a shot of Toradol.  I will see a neurologist appointment soon.  I am monitoring the symptoms for now.  As of today, I still have the symptoms but am able to manage okay.
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Paraesthesia, Paraesthesia oral, Reflex test normal, Symptom recurrence
Clinical narrative: On the day of the booster, I noticed tingling and pin pricking started in my face, chin, upper lip and tongue.  I also had this feeling in my hands, feet, and genital area.  This last for two or three days.  On the Saturday after the booster, I was feeling better.  On Sunday night the symptoms came back, and it was an acute neuropathy in these areas but primarily in my hands and feet.  There was burning in my feet after riding the stationary bike.  I saw my doctor on October 20, 2022.  I was prescribed Gabapentin and a shot of Toradol.  I will see a neurologist appointment soon.  I am monitoring the symptoms for now.  As of today, I still have the symptoms but am able to manage okay.
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood glucose increased
Clinical narrative: high glucose readings for two weeks
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: None; Patient was supposed to receive Pfizer BioNtech Bivalent but instead was given the monovalent version
Age: 10.0
Sex: M
Vaccine: FLUR4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Child less than 18 years of age was administered flublok by mistake. they experienced no major reaction and left the facility in the care of their parents
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site cellulitis, Injection site erythema
Clinical narrative: redness at the injection site caused cellulitis
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Confusional state, Death, Gastrointestinal tube insertion, Hypophagia
Clinical narrative: ADMITTED 1-31-22, TESTED + FOR COVID 2-2-22.   PASSED AWAY ON 2-24-22   ADMITTED WITH CONFUSION.  HAD PROBLEMS WITH MENTAL STATUS DURING HOSPITAL STAY.  GIVEN REMDESIVIR AND ALSO DECADRON.  HAD SPECIALTY CONSULTS.  HAD POOR ORAL INTAKE.  HAD FEEDING TUBE.  GIVEN TX FOR BACTERIAL PNEUMONIA.  HAD SET BACK WITH MENTAL STATUS, WORSENING RENAL FX N AND WAS EVENTUALLY PLACED ON COMFORT MEASURES.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Mental status changes, Pneumonia bacterial, Renal impairment, SARS-CoV-2 test positive
Clinical narrative: ADMITTED 1-31-22, TESTED + FOR COVID 2-2-22.   PASSED AWAY ON 2-24-22   ADMITTED WITH CONFUSION.  HAD PROBLEMS WITH MENTAL STATUS DURING HOSPITAL STAY.  GIVEN REMDESIVIR AND ALSO DECADRON.  HAD SPECIALTY CONSULTS.  HAD POOR ORAL INTAKE.  HAD FEEDING TUBE.  GIVEN TX FOR BACTERIAL PNEUMONIA.  HAD SET BACK WITH MENTAL STATUS, WORSENING RENAL FX N AND WAS EVENTUALLY PLACED ON COMFORT MEASURES.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen normal, Faeces discoloured, Haematochezia, Haemoglobin decreased, Pneumonia
Clinical narrative: 81-year-old female presents emergency department by private automobile no acute distress.  Vital signs are stable.  5-hour ago she had a bowel movement and there was blood in her stool.  Initially her granddaughter stated it was bright red within a centimeter been dark red.  She does not have a history of diverticulosis or rectal bleeding or hemorrhoids.  No blood thinners.  No abdominal pain or diarrhea.  She was released from Bay med last week for pneumonia and UTI.  She is done with her antibiotics.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Renal function test normal, Spinal compression fracture, Transfusion, Urinary tract infection
Clinical narrative: 81-year-old female presents emergency department by private automobile no acute distress.  Vital signs are stable.  5-hour ago she had a bowel movement and there was blood in her stool.  Initially her granddaughter stated it was bright red within a centimeter been dark red.  She does not have a history of diverticulosis or rectal bleeding or hemorrhoids.  No blood thinners.  No abdominal pain or diarrhea.  She was released from Bay med last week for pneumonia and UTI.  She is done with her antibiotics.
Age: 55.0
Sex: F
Vaccine: FLUC4
Symptoms: Erythema, Heart rate increased, Immediate post-injection reaction, Peripheral swelling, Rash
Clinical narrative: After giving the shot immediately the arm started to swell and get red. Then the rash started to travel down the arm within minutes. Her heart rate was raised per patient but when took hr and bp-- 138/81 and 90 beats per minute so although not low wasn't vastly out of normal range
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received MODERNA MONOVALENT instead of MODERNA BIVALENT
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspnoea, Fatigue, Fibrin D dimer, Laboratory test
Clinical narrative: Patient presented with multiple complaints including shortness of breath, cough, nausea, vomiting, diarrhea, weakness and fatigue.   His workup was notable for COVID-19 positive.  He is immune suppressed due to his transplant status.   He has been treated with dexamethasone, Remdesivir, ceftriaxone, azithromycin, and oxygen support. ID and Pulmonology have been following. He worsened and required HFNC.      March 20, has high-flow nasal cannula requirement has increased to 60L 70%. BUN/Cr 59/1.2. D Dimer on March 18 1,616. PCT on March 17 0.32. Will start IVF, doxycyline, and check CTA Chest. Encouraged incentive spirometer.   March 22, O2 requirement had been trending down yesterday and this morning it increased. He was not in distress and complained of only minimal dyspnea. He had been weaned to 50L 50% but then increased to 60L 90% with NRB overlay. CXR is consistent with covid without evidence of acute changes. CTA is negative for PE and notable multifocal infiltrates consistent with covid.    March 23, O2 requirement HFNC 60 L 75%. CRP down-trending, now 1.29; will reduce dexamethasone to 6 mg by mouth once daily from twice daily. BMP notes stable renal function BUN/Cr 47/0.8.    March 24, patient had brief episode where his O2 requirement dramatic the increased.  He denied any shortness of breath during that episode.  Pulmonology has encouraged him to lay prone.  His CRP has continuously trended down so we will not change his dexamethasone dose at this time.  Laboratory studies demonstrate stable kidney function with BUN creatinine 44/0.8.  Potassium was 5.3 reported as hemolyzed.  Nephrology has made no changes to his medications or attempted to correct that potassium.   March 25, his O2 requirement has been reasonably stable at 60 L and 75% high-flow nasal cannula.  He is encouraged to prone and alternate side laying.  Will begin weaning dexamethasone currently at 6 mg daily.  Will wean to 4 mg and then 2 mg and then resume his prior to admission prednisone 5 mg daily.   March 26, O2 requirement improved to HFNC 50 L 60%. He has oral thrush. Dexamethasone is stopped and home dose of prednisone 5 mg daily is resumed; Nystatin suspension S/S is ordered.    March 27, O2 requirement is continuing to improve he is now at 45 L 45%.  Will try him on nasal cannula today.  We will try to get him out of bed today as well.  Renal function stable with BUN creatinine 51/0.9.  Chest x-ray notes improvement in his multifocal bilateral opacities.  Patient has no new complaints today.  March 28, patient complained of an episode of chest pain last night, currently on HFNC 55 L 70%.  Chest x-ray stable infiltrate in the left mid lung with possible increasing consolidation in the retrocardiac space with mention of possible left pleural effusion.  Neither Pulmonology nor Nephrology have significant changes to the POC today.  Labs are essentially unchanged BUN creatinine again 51/0.9.   Patient was reevaluated by specialty HCF on March 28 and accepted. He will discharge from 1st HCF and transfer to the Specialty Hospital
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Oral candidiasis, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient presented with multiple complaints including shortness of breath, cough, nausea, vomiting, diarrhea, weakness and fatigue.   His workup was notable for COVID-19 positive.  He is immune suppressed due to his transplant status.   He has been treated with dexamethasone, Remdesivir, ceftriaxone, azithromycin, and oxygen support. ID and Pulmonology have been following. He worsened and required HFNC.      March 20, has high-flow nasal cannula requirement has increased to 60L 70%. BUN/Cr 59/1.2. D Dimer on March 18 1,616. PCT on March 17 0.32. Will start IVF, doxycyline, and check CTA Chest. Encouraged incentive spirometer.   March 22, O2 requirement had been trending down yesterday and this morning it increased. He was not in distress and complained of only minimal dyspnea. He had been weaned to 50L 50% but then increased to 60L 90% with NRB overlay. CXR is consistent with covid without evidence of acute changes. CTA is negative for PE and notable multifocal infiltrates consistent with covid.    March 23, O2 requirement HFNC 60 L 75%. CRP down-trending, now 1.29; will reduce dexamethasone to 6 mg by mouth once daily from twice daily. BMP notes stable renal function BUN/Cr 47/0.8.    March 24, patient had brief episode where his O2 requirement dramatic the increased.  He denied any shortness of breath during that episode.  Pulmonology has encouraged him to lay prone.  His CRP has continuously trended down so we will not change his dexamethasone dose at this time.  Laboratory studies demonstrate stable kidney function with BUN creatinine 44/0.8.  Potassium was 5.3 reported as hemolyzed.  Nephrology has made no changes to his medications or attempted to correct that potassium.   March 25, his O2 requirement has been reasonably stable at 60 L and 75% high-flow nasal cannula.  He is encouraged to prone and alternate side laying.  Will begin weaning dexamethasone currently at 6 mg daily.  Will wean to 4 mg and then 2 mg and then resume his prior to admission prednisone 5 mg daily.   March 26, O2 requirement improved to HFNC 50 L 60%. He has oral thrush. Dexamethasone is stopped and home dose of prednisone 5 mg daily is resumed; Nystatin suspension S/S is ordered.    March 27, O2 requirement is continuing to improve he is now at 45 L 45%.  Will try him on nasal cannula today.  We will try to get him out of bed today as well.  Renal function stable with BUN creatinine 51/0.9.  Chest x-ray notes improvement in his multifocal bilateral opacities.  Patient has no new complaints today.  March 28, patient complained of an episode of chest pain last night, currently on HFNC 55 L 70%.  Chest x-ray stable infiltrate in the left mid lung with possible increasing consolidation in the retrocardiac space with mention of possible left pleural effusion.  Neither Pulmonology nor Nephrology have significant changes to the POC today.  Labs are essentially unchanged BUN creatinine again 51/0.9.   Patient was reevaluated by specialty HCF on March 28 and accepted. He will discharge from 1st HCF and transfer to the Specialty Hospital
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient presented for well child exam.  School advised mom that child needed vaccines.  Per system patient was due for Kinrix, Proquad and influenza.  These vaccinations were administered at visit.  Upon charting of vaccinations, nurse realized patient was given Kinrix and Proquad in August of 2021.  The vaccinations did not cross over into system.  Patient was given extra set of vaccines.  No adverse reactions noted.
Age: 6.0
Sex: M
Vaccine: FLUC4
Symptoms: Anaphylactic reaction, Cough, Dyspnoea, Erythema, Flushing
Clinical narrative: AFTER LEAVING PHARMACY, PATIENT EXPERIENCED REDNESS AND SWELLING IN RIGHT ARM. PATIENT THEN BEGAN TO COUGH AND CLEAR  THROAT FREQUENTLY.  STATED TO PARENT THAT THROAT FELT "ITCHY" AND "WEIRD". PARENT NOTICED FACE FLUSHING. PARENT GAVE DIPHENHYDRAMINE. PATIENT HAD DIFFICULTY BREATHING AND WAS BROUGHT TO HOSPITAL.
Age: 6.0
Sex: M
Vaccine: FLUC4
Symptoms: Oropharyngeal discomfort, Peripheral swelling, Stridor, Throat clearing, Throat irritation
Clinical narrative: AFTER LEAVING PHARMACY, PATIENT EXPERIENCED REDNESS AND SWELLING IN RIGHT ARM. PATIENT THEN BEGAN TO COUGH AND CLEAR  THROAT FREQUENTLY.  STATED TO PARENT THAT THROAT FELT "ITCHY" AND "WEIRD". PARENT NOTICED FACE FLUSHING. PARENT GAVE DIPHENHYDRAMINE. PATIENT HAD DIFFICULTY BREATHING AND WAS BROUGHT TO HOSPITAL.
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Immunization was administered before being diluted
Age: 34.0
Sex: M
Vaccine: COVID19-2, FLUR4
Symptoms: Swelling, Tenderness
Clinical narrative: Same night of COVID-19 vaccine developed left armpit swelling and some tenderness about ~ 8 hours after vaccination.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Mammogram, Ultrasound scan
Clinical narrative: Left side where shot was administered. Inner arm, left side of chest, armpit, inflamed and sore for over 3 months. Lymph nodes swollen and sore .
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Myalgia, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: I had sore throat, congestion, runny nose, dry cough which was not productive, sneezing and muscular aches. I was in the home with someone testing positive so within 2 hours I tested positive for COVID 19 on Saturday October 23, 2022. I went to urgent care. They did not recommend any treatment since my symptoms were mild. They suggested that I take over the counter SUDAFED. My symptoms improved fast. I had improved by Sunday afternoon and by Monday I felt like most of it was gone. I feel as if I have completely recovered, the same as prior to having it.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
Clinical narrative: I had sore throat, congestion, runny nose, dry cough which was not productive, sneezing and muscular aches. I was in the home with someone testing positive so within 2 hours I tested positive for COVID 19 on Saturday October 23, 2022. I went to urgent care. They did not recommend any treatment since my symptoms were mild. They suggested that I take over the counter SUDAFED. My symptoms improved fast. I had improved by Sunday afternoon and by Monday I felt like most of it was gone. I feel as if I have completely recovered, the same as prior to having it.
Age: 51.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Chills, Fatigue, Myalgia, Pain, Pyrexia
Clinical narrative: So I got pretty high fever it started around 03:30AM in the morning at 7AM I still had fever so I took TYLENOL. I had muscle aches and body aches it felt like someone had been kicking me, I had chills with more severe body aches. The next day it slowly got better although fatigued.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Infectious mononucleosis
Clinical narrative: Mono-5 days after vaccine
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Infectious mononucleosis, SARS-CoV-2 test
Clinical narrative: Mono-5 days after vaccine
Age: 81.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: RAsh and redness at the site of injection which is slightly itchy
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Myalgia, Oropharyngeal pain, Oxygen saturation decreased
Clinical narrative: I had very bad sore throat, I was really sleepy. I was sleeping all the time. My joints and muscles ached. My nurse practitioner started me on Paxlovid. After 10 days my oxygen saturation dropped into the 80s. My pulmonologist put me on home oxygen, and I have been on that for 2 months. My doctor said I have long post covid.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Somnolence
Clinical narrative: I had very bad sore throat, I was really sleepy. I was sleeping all the time. My joints and muscles ached. My nurse practitioner started me on Paxlovid. After 10 days my oxygen saturation dropped into the 80s. My pulmonologist put me on home oxygen, and I have been on that for 2 months. My doctor said I have long post covid.
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthma, Condition aggravated, Cough, Impaired work ability, SARS-CoV-2 test negative
Clinical narrative: Every time I have gotten my Covid vaccine within 12 hours my asthma flares typically day two I?m already at an urgent care or somewhere being taken care of and receiving oral steroids. I have to use my albuterol rescue inhaler more which is every four hours. I started the prednisone yesterday and had to call out of work today cause I was coughing too much
Age: 40.0
Sex: F
Vaccine: TD
Symptoms: Lymphoedema
Clinical narrative: lymphoedema in the left supraclavicular node
Age: 28.0
Sex: F
Vaccine: COVID19-2
Symptoms: Axillary pain, Injection site pain, Injection site swelling, Pain in extremity, Swelling
Clinical narrative: Patient received COVID Bivalent booster on 10/25/2022 in left deltoid. Noted pain in arm and armpit the same night. Yesterday felt swelling and increased pain in the left shoulder and arm pit. She took Tylenol and Ibuprofen with fair to moderate relief. Today the swelling has increased to the size of a baseball in her left arm pit and is extremely painful. No relief with OTC pain reliever. Has been taking mostly Tylenol today because she has no Ibuprofen. Patient denies rash, fever, swelling of mouth, lips eyes, tongue or throat. Is having no difficulty breathing or swallowing.  Recommended patient be seen right away. States she cannot leave work but will go when she is off. I highly recommended she leave as soon as possible . Patient verbalized understanding.
Age: 76.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Extra dose administered, Malaise, Peripheral swelling, Pruritus
Clinical narrative: received a distressed call from a patient this morning concerned she received a vaccine she didn't need and feels it is the reason she is ill and having reactions.  The patient came in to get Flu shot on 10/25/2022 at 5383 and was advised she need Prevnar 20, based on further inspection patient vaccine series are complete as of 12/11/2019 after 65 years receiving ppsv23 and previous Prevnar 13 on 12/02/2015.  Patient called and stated she relayed this information to the pharmacist but was Still told she still needed Prevnar 20. Patient called 10/27/2022 to report she has severe arm swelling and itching and is very ill since the vaccine.  She stated she is concerned because she didn't need the Prevnar 20.  Confirmed with patient that she was not immunocompromised or any other health condition needing a further dose.  She states she isn't able to get out of bed and fills extremely ill. Her arm is swollen red and itchy.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine with expiration date of 09/30/22 was administered to patient on 10/7/2022.  Pt did not report any side effects/symptoms.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Imaging procedure, Lymph node pain, Mastication disorder, Pain in jaw
Clinical narrative: Left side general jaw pain. Neck and lymph nodes. Pain when chewing on that side. Dentist confirmed not tooth issue. Pain persists 6 days after  injection.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Nausea
Clinical narrative: I experienced chronic diarrhea, stomach pain and nausea.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cardiac failure, Cardiac failure acute, Cardiac failure congestive
Clinical narrative: Admission Date: 10/19/2022 Discharge Date:  10/21/2022  PRESENTING PROBLEM: Hypoxia Acute on chronic congestive heart failure, unspecified heart failure type COVID-19 virus infection Acute on chronic systolic heart failure   HOSPITAL COURSE: The patient is an 80-year-old male with a history of chronic systolic heart failure, atrial fibrillation on Eliquis, hypertension, dyslipidemia and coronary artery disease who presented on 10/19 with increased shortness of breath.  Patient's symptoms had been present since 10/18, and had not improved, prompting him to come to the ER on 10/19.  The patient does weigh himself daily, and states that his weight had been stable.  In the emergency room the patient was noted to be mildly hypoxic, requiring 2 L/min per nasal cannula.  Patient was also positive for COVID infection.  ProBNP was elevated at 35 95, with chest x-ray showing mild pulmonary venous congestion.  Patient was started on Decadron as well as IV Lasix and admitted to the hospital service.  In the ER, the patient was also noted to have intermediate troponins with positive delta, although EKG was nonischemic.   After admission, the patient was treated with Decadron and remdesivir.  He was also treated with IV Lasix.  Echocardiogram was performed showing and EF of 55% with moderate mitral annular calcification and mild mitral stenosis.  With Decadron, remdesivir and diuresis the patient had significant improvement in his dyspnea, energy level and appetite.  The patient did have improvement in his O2 requirements.  He was evaluated by pulmonary rehab prior to discharge, and found to have no O2 requirements.   As patient was clinically stable, he was discharged to home on 10/21/2022.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Condition aggravated, Decreased appetite, Diuretic therapy, Dyspnoea
Clinical narrative: Admission Date: 10/19/2022 Discharge Date:  10/21/2022  PRESENTING PROBLEM: Hypoxia Acute on chronic congestive heart failure, unspecified heart failure type COVID-19 virus infection Acute on chronic systolic heart failure   HOSPITAL COURSE: The patient is an 80-year-old male with a history of chronic systolic heart failure, atrial fibrillation on Eliquis, hypertension, dyslipidemia and coronary artery disease who presented on 10/19 with increased shortness of breath.  Patient's symptoms had been present since 10/18, and had not improved, prompting him to come to the ER on 10/19.  The patient does weigh himself daily, and states that his weight had been stable.  In the emergency room the patient was noted to be mildly hypoxic, requiring 2 L/min per nasal cannula.  Patient was also positive for COVID infection.  ProBNP was elevated at 35 95, with chest x-ray showing mild pulmonary venous congestion.  Patient was started on Decadron as well as IV Lasix and admitted to the hospital service.  In the ER, the patient was also noted to have intermediate troponins with positive delta, although EKG was nonischemic.   After admission, the patient was treated with Decadron and remdesivir.  He was also treated with IV Lasix.  Echocardiogram was performed showing and EF of 55% with moderate mitral annular calcification and mild mitral stenosis.  With Decadron, remdesivir and diuresis the patient had significant improvement in his dyspnea, energy level and appetite.  The patient did have improvement in his O2 requirements.  He was evaluated by pulmonary rehab prior to discharge, and found to have no O2 requirements.   As patient was clinically stable, he was discharged to home on 10/21/2022.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Ejection fraction normal, Electrocardiogram normal, Hypoxia, Left ventricular failure
Clinical narrative: Admission Date: 10/19/2022 Discharge Date:  10/21/2022  PRESENTING PROBLEM: Hypoxia Acute on chronic congestive heart failure, unspecified heart failure type COVID-19 virus infection Acute on chronic systolic heart failure   HOSPITAL COURSE: The patient is an 80-year-old male with a history of chronic systolic heart failure, atrial fibrillation on Eliquis, hypertension, dyslipidemia and coronary artery disease who presented on 10/19 with increased shortness of breath.  Patient's symptoms had been present since 10/18, and had not improved, prompting him to come to the ER on 10/19.  The patient does weigh himself daily, and states that his weight had been stable.  In the emergency room the patient was noted to be mildly hypoxic, requiring 2 L/min per nasal cannula.  Patient was also positive for COVID infection.  ProBNP was elevated at 35 95, with chest x-ray showing mild pulmonary venous congestion.  Patient was started on Decadron as well as IV Lasix and admitted to the hospital service.  In the ER, the patient was also noted to have intermediate troponins with positive delta, although EKG was nonischemic.   After admission, the patient was treated with Decadron and remdesivir.  He was also treated with IV Lasix.  Echocardiogram was performed showing and EF of 55% with moderate mitral annular calcification and mild mitral stenosis.  With Decadron, remdesivir and diuresis the patient had significant improvement in his dyspnea, energy level and appetite.  The patient did have improvement in his O2 requirements.  He was evaluated by pulmonary rehab prior to discharge, and found to have no O2 requirements.   As patient was clinically stable, he was discharged to home on 10/21/2022.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Mitral valve calcification, Mitral valve stenosis, Prohormone brain natriuretic peptide increased, Pulmonary congestion, SARS-CoV-2 test positive
Clinical narrative: Admission Date: 10/19/2022 Discharge Date:  10/21/2022  PRESENTING PROBLEM: Hypoxia Acute on chronic congestive heart failure, unspecified heart failure type COVID-19 virus infection Acute on chronic systolic heart failure   HOSPITAL COURSE: The patient is an 80-year-old male with a history of chronic systolic heart failure, atrial fibrillation on Eliquis, hypertension, dyslipidemia and coronary artery disease who presented on 10/19 with increased shortness of breath.  Patient's symptoms had been present since 10/18, and had not improved, prompting him to come to the ER on 10/19.  The patient does weigh himself daily, and states that his weight had been stable.  In the emergency room the patient was noted to be mildly hypoxic, requiring 2 L/min per nasal cannula.  Patient was also positive for COVID infection.  ProBNP was elevated at 35 95, with chest x-ray showing mild pulmonary venous congestion.  Patient was started on Decadron as well as IV Lasix and admitted to the hospital service.  In the ER, the patient was also noted to have intermediate troponins with positive delta, although EKG was nonischemic.   After admission, the patient was treated with Decadron and remdesivir.  He was also treated with IV Lasix.  Echocardiogram was performed showing and EF of 55% with moderate mitral annular calcification and mild mitral stenosis.  With Decadron, remdesivir and diuresis the patient had significant improvement in his dyspnea, energy level and appetite.  The patient did have improvement in his O2 requirements.  He was evaluated by pulmonary rehab prior to discharge, and found to have no O2 requirements.   As patient was clinically stable, he was discharged to home on 10/21/2022.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin abnormal
Clinical narrative: Admission Date: 10/19/2022 Discharge Date:  10/21/2022  PRESENTING PROBLEM: Hypoxia Acute on chronic congestive heart failure, unspecified heart failure type COVID-19 virus infection Acute on chronic systolic heart failure   HOSPITAL COURSE: The patient is an 80-year-old male with a history of chronic systolic heart failure, atrial fibrillation on Eliquis, hypertension, dyslipidemia and coronary artery disease who presented on 10/19 with increased shortness of breath.  Patient's symptoms had been present since 10/18, and had not improved, prompting him to come to the ER on 10/19.  The patient does weigh himself daily, and states that his weight had been stable.  In the emergency room the patient was noted to be mildly hypoxic, requiring 2 L/min per nasal cannula.  Patient was also positive for COVID infection.  ProBNP was elevated at 35 95, with chest x-ray showing mild pulmonary venous congestion.  Patient was started on Decadron as well as IV Lasix and admitted to the hospital service.  In the ER, the patient was also noted to have intermediate troponins with positive delta, although EKG was nonischemic.   After admission, the patient was treated with Decadron and remdesivir.  He was also treated with IV Lasix.  Echocardiogram was performed showing and EF of 55% with moderate mitral annular calcification and mild mitral stenosis.  With Decadron, remdesivir and diuresis the patient had significant improvement in his dyspnea, energy level and appetite.  The patient did have improvement in his O2 requirements.  He was evaluated by pulmonary rehab prior to discharge, and found to have no O2 requirements.   As patient was clinically stable, he was discharged to home on 10/21/2022.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Wrong product administered
Clinical narrative: Patient was given the incorrect type of covid vaccine as his second primary dose. Patient started series with Moderna monovalent, however was given Pfizer monovalent as second vaccine. Primary series should not be mixed.
Age: 27.0
Sex: F
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received Fluzone HD which is only indicated for 65 years and older and the patient is only 27 years old
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received MODERNA MONOVALENT instead of MODERNA BIVALENT