chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Abdominal pain, Anaphylactic reaction, Arthralgia, Asthenia, Autoimmune disorder
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Abdominal Pain-Severe, Systemic: Autoimmune Disease (diagnosed by MD)-Severe, Systemic: Bell's Palsy-Severe, Systemic: Blood Disorder  (diagnosed by MD)-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Cardiac Disorder (diagnosed by MD)-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Severe, Systemic: soreness that was from the anterior deltoid to the interior of the elbow-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Systemic: Heart Attack-Severe, Systemic: Hypertension-Severe, Systemic: Hyperventilation-Severe, Systemic: Hypotension-Severe, Systemic: Joint Pain-Severe, Systemic: Lymph Node Swelling-Severe, Systemic: MIS (Multisystem Inflammatory Syndrome)(diagnosed by MD)-Severe, Systemic: Nausea-Severe, Systemic: Neurological Disorder (diagnosed by MD)-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Seizure-Severe, Systemic: Shakiness-Severe, Systemic: Stroke-Severe, Systemic: Tachycardia-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Tinnitus-Severe, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Severe, Systemic: Vomiting-Severe, Systemic: Weakness-Severe, Additional Details: no pain at injection, but anterior and not pain, but a soreness
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Bell's palsy, Blood disorder, Cardiac disorder, Cerebrovascular accident, Chest discomfort
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Abdominal Pain-Severe, Systemic: Autoimmune Disease (diagnosed by MD)-Severe, Systemic: Bell's Palsy-Severe, Systemic: Blood Disorder  (diagnosed by MD)-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Cardiac Disorder (diagnosed by MD)-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Severe, Systemic: soreness that was from the anterior deltoid to the interior of the elbow-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Systemic: Heart Attack-Severe, Systemic: Hypertension-Severe, Systemic: Hyperventilation-Severe, Systemic: Hypotension-Severe, Systemic: Joint Pain-Severe, Systemic: Lymph Node Swelling-Severe, Systemic: MIS (Multisystem Inflammatory Syndrome)(diagnosed by MD)-Severe, Systemic: Nausea-Severe, Systemic: Neurological Disorder (diagnosed by MD)-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Seizure-Severe, Systemic: Shakiness-Severe, Systemic: Stroke-Severe, Systemic: Tachycardia-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Tinnitus-Severe, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Severe, Systemic: Vomiting-Severe, Systemic: Weakness-Severe, Additional Details: no pain at injection, but anterior and not pain, but a soreness
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Chest pain, Chills, Confusional state, Diarrhoea, Dizziness
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Abdominal Pain-Severe, Systemic: Autoimmune Disease (diagnosed by MD)-Severe, Systemic: Bell's Palsy-Severe, Systemic: Blood Disorder  (diagnosed by MD)-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Cardiac Disorder (diagnosed by MD)-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Severe, Systemic: soreness that was from the anterior deltoid to the interior of the elbow-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Systemic: Heart Attack-Severe, Systemic: Hypertension-Severe, Systemic: Hyperventilation-Severe, Systemic: Hypotension-Severe, Systemic: Joint Pain-Severe, Systemic: Lymph Node Swelling-Severe, Systemic: MIS (Multisystem Inflammatory Syndrome)(diagnosed by MD)-Severe, Systemic: Nausea-Severe, Systemic: Neurological Disorder (diagnosed by MD)-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Seizure-Severe, Systemic: Shakiness-Severe, Systemic: Stroke-Severe, Systemic: Tachycardia-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Tinnitus-Severe, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Severe, Systemic: Vomiting-Severe, Systemic: Weakness-Severe, Additional Details: no pain at injection, but anterior and not pain, but a soreness
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Dysphagia, Dyspnoea, Eye swelling, Fatigue, Flushing
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Abdominal Pain-Severe, Systemic: Autoimmune Disease (diagnosed by MD)-Severe, Systemic: Bell's Palsy-Severe, Systemic: Blood Disorder  (diagnosed by MD)-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Cardiac Disorder (diagnosed by MD)-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Severe, Systemic: soreness that was from the anterior deltoid to the interior of the elbow-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Systemic: Heart Attack-Severe, Systemic: Hypertension-Severe, Systemic: Hyperventilation-Severe, Systemic: Hypotension-Severe, Systemic: Joint Pain-Severe, Systemic: Lymph Node Swelling-Severe, Systemic: MIS (Multisystem Inflammatory Syndrome)(diagnosed by MD)-Severe, Systemic: Nausea-Severe, Systemic: Neurological Disorder (diagnosed by MD)-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Seizure-Severe, Systemic: Shakiness-Severe, Systemic: Stroke-Severe, Systemic: Tachycardia-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Tinnitus-Severe, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Severe, Systemic: Vomiting-Severe, Systemic: Weakness-Severe, Additional Details: no pain at injection, but anterior and not pain, but a soreness
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Hyperhidrosis, Hypertension, Hyperventilation, Hypoaesthesia
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Abdominal Pain-Severe, Systemic: Autoimmune Disease (diagnosed by MD)-Severe, Systemic: Bell's Palsy-Severe, Systemic: Blood Disorder  (diagnosed by MD)-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Cardiac Disorder (diagnosed by MD)-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Severe, Systemic: soreness that was from the anterior deltoid to the interior of the elbow-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Systemic: Heart Attack-Severe, Systemic: Hypertension-Severe, Systemic: Hyperventilation-Severe, Systemic: Hypotension-Severe, Systemic: Joint Pain-Severe, Systemic: Lymph Node Swelling-Severe, Systemic: MIS (Multisystem Inflammatory Syndrome)(diagnosed by MD)-Severe, Systemic: Nausea-Severe, Systemic: Neurological Disorder (diagnosed by MD)-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Seizure-Severe, Systemic: Shakiness-Severe, Systemic: Stroke-Severe, Systemic: Tachycardia-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Tinnitus-Severe, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Severe, Systemic: Vomiting-Severe, Systemic: Weakness-Severe, Additional Details: no pain at injection, but anterior and not pain, but a soreness
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Hypotension, Injection site bruising, Injection site discomfort, Injection site erythema, Injection site pain
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Abdominal Pain-Severe, Systemic: Autoimmune Disease (diagnosed by MD)-Severe, Systemic: Bell's Palsy-Severe, Systemic: Blood Disorder  (diagnosed by MD)-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Cardiac Disorder (diagnosed by MD)-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Severe, Systemic: soreness that was from the anterior deltoid to the interior of the elbow-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Systemic: Heart Attack-Severe, Systemic: Hypertension-Severe, Systemic: Hyperventilation-Severe, Systemic: Hypotension-Severe, Systemic: Joint Pain-Severe, Systemic: Lymph Node Swelling-Severe, Systemic: MIS (Multisystem Inflammatory Syndrome)(diagnosed by MD)-Severe, Systemic: Nausea-Severe, Systemic: Neurological Disorder (diagnosed by MD)-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Seizure-Severe, Systemic: Shakiness-Severe, Systemic: Stroke-Severe, Systemic: Tachycardia-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Tinnitus-Severe, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Severe, Systemic: Vomiting-Severe, Systemic: Weakness-Severe, Additional Details: no pain at injection, but anterior and not pain, but a soreness
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pruritus, Injection site swelling, Insomnia, Lethargy, Lymphadenopathy
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Abdominal Pain-Severe, Systemic: Autoimmune Disease (diagnosed by MD)-Severe, Systemic: Bell's Palsy-Severe, Systemic: Blood Disorder  (diagnosed by MD)-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Cardiac Disorder (diagnosed by MD)-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Severe, Systemic: soreness that was from the anterior deltoid to the interior of the elbow-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Systemic: Heart Attack-Severe, Systemic: Hypertension-Severe, Systemic: Hyperventilation-Severe, Systemic: Hypotension-Severe, Systemic: Joint Pain-Severe, Systemic: Lymph Node Swelling-Severe, Systemic: MIS (Multisystem Inflammatory Syndrome)(diagnosed by MD)-Severe, Systemic: Nausea-Severe, Systemic: Neurological Disorder (diagnosed by MD)-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Seizure-Severe, Systemic: Shakiness-Severe, Systemic: Stroke-Severe, Systemic: Tachycardia-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Tinnitus-Severe, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Severe, Systemic: Vomiting-Severe, Systemic: Weakness-Severe, Additional Details: no pain at injection, but anterior and not pain, but a soreness
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Mouth swelling, Multisystem inflammatory syndrome, Myocardial infarction, Nausea, Neurological symptom
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Abdominal Pain-Severe, Systemic: Autoimmune Disease (diagnosed by MD)-Severe, Systemic: Bell's Palsy-Severe, Systemic: Blood Disorder  (diagnosed by MD)-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Cardiac Disorder (diagnosed by MD)-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Severe, Systemic: soreness that was from the anterior deltoid to the interior of the elbow-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Systemic: Heart Attack-Severe, Systemic: Hypertension-Severe, Systemic: Hyperventilation-Severe, Systemic: Hypotension-Severe, Systemic: Joint Pain-Severe, Systemic: Lymph Node Swelling-Severe, Systemic: MIS (Multisystem Inflammatory Syndrome)(diagnosed by MD)-Severe, Systemic: Nausea-Severe, Systemic: Neurological Disorder (diagnosed by MD)-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Seizure-Severe, Systemic: Shakiness-Severe, Systemic: Stroke-Severe, Systemic: Tachycardia-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Tinnitus-Severe, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Severe, Systemic: Vomiting-Severe, Systemic: Weakness-Severe, Additional Details: no pain at injection, but anterior and not pain, but a soreness
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Pain, Pain in extremity, Paraesthesia, Pruritus, Pyrexia
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Abdominal Pain-Severe, Systemic: Autoimmune Disease (diagnosed by MD)-Severe, Systemic: Bell's Palsy-Severe, Systemic: Blood Disorder  (diagnosed by MD)-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Cardiac Disorder (diagnosed by MD)-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Severe, Systemic: soreness that was from the anterior deltoid to the interior of the elbow-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Systemic: Heart Attack-Severe, Systemic: Hypertension-Severe, Systemic: Hyperventilation-Severe, Systemic: Hypotension-Severe, Systemic: Joint Pain-Severe, Systemic: Lymph Node Swelling-Severe, Systemic: MIS (Multisystem Inflammatory Syndrome)(diagnosed by MD)-Severe, Systemic: Nausea-Severe, Systemic: Neurological Disorder (diagnosed by MD)-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Seizure-Severe, Systemic: Shakiness-Severe, Systemic: Stroke-Severe, Systemic: Tachycardia-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Tinnitus-Severe, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Severe, Systemic: Vomiting-Severe, Systemic: Weakness-Severe, Additional Details: no pain at injection, but anterior and not pain, but a soreness
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Rash, Seizure, Swelling face, Swollen tongue, Syncope
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Abdominal Pain-Severe, Systemic: Autoimmune Disease (diagnosed by MD)-Severe, Systemic: Bell's Palsy-Severe, Systemic: Blood Disorder  (diagnosed by MD)-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Cardiac Disorder (diagnosed by MD)-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Severe, Systemic: soreness that was from the anterior deltoid to the interior of the elbow-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Systemic: Heart Attack-Severe, Systemic: Hypertension-Severe, Systemic: Hyperventilation-Severe, Systemic: Hypotension-Severe, Systemic: Joint Pain-Severe, Systemic: Lymph Node Swelling-Severe, Systemic: MIS (Multisystem Inflammatory Syndrome)(diagnosed by MD)-Severe, Systemic: Nausea-Severe, Systemic: Neurological Disorder (diagnosed by MD)-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Seizure-Severe, Systemic: Shakiness-Severe, Systemic: Stroke-Severe, Systemic: Tachycardia-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Tinnitus-Severe, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Severe, Systemic: Vomiting-Severe, Systemic: Weakness-Severe, Additional Details: no pain at injection, but anterior and not pain, but a soreness
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Tachycardia, Throat tightness, Tremor, Unresponsive to stimuli, Visual impairment
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Abdominal Pain-Severe, Systemic: Autoimmune Disease (diagnosed by MD)-Severe, Systemic: Bell's Palsy-Severe, Systemic: Blood Disorder  (diagnosed by MD)-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Cardiac Disorder (diagnosed by MD)-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Severe, Systemic: soreness that was from the anterior deltoid to the interior of the elbow-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Systemic: Heart Attack-Severe, Systemic: Hypertension-Severe, Systemic: Hyperventilation-Severe, Systemic: Hypotension-Severe, Systemic: Joint Pain-Severe, Systemic: Lymph Node Swelling-Severe, Systemic: MIS (Multisystem Inflammatory Syndrome)(diagnosed by MD)-Severe, Systemic: Nausea-Severe, Systemic: Neurological Disorder (diagnosed by MD)-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Seizure-Severe, Systemic: Shakiness-Severe, Systemic: Stroke-Severe, Systemic: Tachycardia-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Tinnitus-Severe, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Severe, Systemic: Vomiting-Severe, Systemic: Weakness-Severe, Additional Details: no pain at injection, but anterior and not pain, but a soreness
Age: 53.0
Sex: F
Vaccine: TDAP
Symptoms: Vomiting
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Abdominal Pain-Severe, Systemic: Autoimmune Disease (diagnosed by MD)-Severe, Systemic: Bell's Palsy-Severe, Systemic: Blood Disorder  (diagnosed by MD)-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Cardiac Disorder (diagnosed by MD)-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Diarrhea-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Severe, Systemic: soreness that was from the anterior deltoid to the interior of the elbow-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Systemic: Heart Attack-Severe, Systemic: Hypertension-Severe, Systemic: Hyperventilation-Severe, Systemic: Hypotension-Severe, Systemic: Joint Pain-Severe, Systemic: Lymph Node Swelling-Severe, Systemic: MIS (Multisystem Inflammatory Syndrome)(diagnosed by MD)-Severe, Systemic: Nausea-Severe, Systemic: Neurological Disorder (diagnosed by MD)-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Seizure-Severe, Systemic: Shakiness-Severe, Systemic: Stroke-Severe, Systemic: Tachycardia-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Tinnitus-Severe, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Severe, Systemic: Vomiting-Severe, Systemic: Weakness-Severe, Additional Details: no pain at injection, but anterior and not pain, but a soreness
Age: 27.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pruritus, Wrong product administered
Clinical narrative: Site: Itching at Injection Site-Mild, Additional Details: Patient presented with a paper stating Varicella. Patient was given shingrix which is approved for adults 18 plus who are immunocomprimed or at high risk for shingles(varicella zoster). Patient came back a week later stating they actually needed varicella for chickenpox(varivax). Pharmacist pulled up an article that supports shingrix can be accepted as a dose for chickenpox and provided it to the patient.
Age: 42.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: Mild to moderate injection site reaction following Prevnar 20 intramuscular injection in left deltoid, persisting longer than 5 days.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia
Clinical narrative: Loss of sense of taste
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood test, Colonoscopy, Feeding disorder, Impaired gastric emptying
Clinical narrative: The patient has developed Gastroparesis from the Covid vaccine he was required to take he cant eat, he pukes when he wakes up in the morning, has severe gastric pain, he is loosing weight, he recently was fired from his job, it has affected pretty much every part of his life
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Impaired quality of life, Laboratory test, Loss of employment, Vomiting, Weight decreased
Clinical narrative: The patient has developed Gastroparesis from the Covid vaccine he was required to take he cant eat, he pukes when he wakes up in the morning, has severe gastric pain, he is loosing weight, he recently was fired from his job, it has affected pretty much every part of his life
Age: 32.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: none
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None.
Age: 41.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: none
Age: 66.0
Sex: M
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Magnetic resonance imaging abnormal, Pain, Product administered at inappropriate site
Clinical narrative: Pain/soreness immediately. Pain lingered for 3+ months.  Patient sought medical care and MRI.  Per patient, MRI showed the vaccine was administered into the bursa.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: COVID-19, Hypoaesthesia, No adverse event, SARS-CoV-2 test positive
Clinical narrative: Tested Positive for Covid, 4/04/2023 There was no adverse reaction tied to any of the 5 vaccianations I've had. The first vaccination was Moderna, Lot 040A21A.   This was my second time testing positive for COVID. The first time was before I was eligible to receive a vaccination. The only out of the ordinary symptom I had the second time was facial numbness that came and went on the left side of my face. This lasted for about 10 days but has gotten better over time.
Age: 18.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: none
Age: 16.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: None.
Age: 43.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: none
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: None. Covid vaccine expired 11/22/2022 but given 12/19/2022.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: none covid 19 vaccine expired 11/22/2022 given 12/19/2022
Age: 12.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: none Given expired covid 19 vaccine. EXPIRED 11/22/2022 GIVEN 12/19/2022
Age: 44.0
Sex: F
Vaccine: DF
Symptoms: Expired product administered
Clinical narrative: NONE Given expired covid -19 vaccine: expired 11/22/2022 given 12/19/2022
Age: 43.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: NONE GAVE EXIPIRED COVID 19: EXPIRED 11/22/2022 GIVEN: 12/19/2022
Age: 24.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: NONE EXPIRED COVID-19 GIVEN: EXPIRED 11/22/2022 GIVEN: 12-19-2022
Age: 32.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: none given expired covid 19 : expired 11/22/2022 given: 12-19-2022
Age: 31.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: NONE GIVEN EXIPIRED COVID 19 : EXPIRED 11/22/22 GIVEN ON 12/19/22
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Fatigue, Nausea, Pyrexia
Clinical narrative: Joint ache, fever, exhaustion, nausea
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Blood test, Demyelination, Electromyogram abnormal, Gait disturbance
Clinical narrative: Muscle weakness in legs, arms. Muscle atrophy in right calf started after second vaccine  leading to demyelination of nerves in legs.  Balance and gait issues.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Muscle atrophy, Muscular weakness
Clinical narrative: Muscle weakness in legs, arms. Muscle atrophy in right calf started after second vaccine  leading to demyelination of nerves in legs.  Balance and gait issues.
Age: 26.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received the Moderna Bivalent vaccine on 4/5/23.  This was only the second vaccine of the series and was administered out of turn.  I contacted the CDC and was instructed to have the patient receive the second dose of an age-appropriate covid 19 monovalent vaccine since the Moderna monovalent is not available.  Patient did not have any adverse events.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Chills, headache, body aches, nausea, fatigue
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Erythema, Skin warm
Clinical narrative: Adverse Event: Distal half of the right thigh pink, warm, and edematous; pink surrounds entire circumference of thigh. This was noticed by parent 24 hours after the injection. Treatment: Ibuprofen and Benadryl Q 6-8 hours. Cold compresses and elevation. Mom will monitor for worsening.  Outcome: TBD
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, Asthma, Bacterial test negative, Blood culture negative, Blood lactate dehydrogenase increased
Clinical narrative: 3/25 Pt improved, pending discharge. Potential delay due to transport issues. Okay to transport by family if medical transport not available. Dc'd with steroid taper and 2 additional days of paxlovid to complete course.    Assessment and Plan Patient is a 87 y.o. male patient of, MD with history of BPH, hypertension, hyperlipidemia, osteoarthritis, obstructive sleep apnea presented with hypotension and COVID-19.   Generalized weakness Hypotension Likely secondary to COVID-19 infection and dehydration. No leukocytosis.  Dehydrated and hypotensive responded well to IVF Urine dipstick-unrevealing. No bacterial source of infection Blood culture sent from ED-no growth to date Consulted PT/OT -recommendation is SNF Resolving  Covid-19 Virus Infection Date of onset of symptoms: 3/19/2023 Symptoms present on admission: Generalized weakness, cough. Tmax 102.6 on 3/20/2023 and 101.2 on 3/21/2023. T max 101 on 3/22/2023 Date of covid positive test: 3/20/2023 Vaccination status: vaccinated Imaging: Chest x-ray nonacute CRP 55.3, LDH --208, ferritin 644 Oxygen requirements on admission: None Current oxygen requirements: None Medical therapy: Steroids and Paxlovid Consultants following: Infectious disease Anticipated special isolation end date: 3/27/2023   Continue Paxlovid, hold Sonata while completing course per ID 3 days of 5 completed in house, continue 2 additional days on DC Prednisone taper on discharge   Acute exacerbation of asthma Likely precipitated by COVID-19. Has wheezing on lung exam today with rhonchi PO steroids taper on DC Duonebs prn on DC then albuterol prn   NSVT 6 beats NSVT on 3/22/2023. Improved/did not recur with correction of electrolytes and treatment of covid Hypertension Home Rx: Toprol-XL 12.5 mg daily. Toprol-XL with holding parameters   Hyperlipidemia Resume statin   Elevated troponin Serial troponin 44> 40 No active chest pain.  Not consistent with ACS No further w/u needed at this time   Insomnia Sonata HELD with on Paxlovid  Obesity BMI 31.01   Dementia Reviewed OV notes from neurologist Dr. According to his notes, MRI consistent with a vascular parkinsonism and likely mild vascular dementia.  Did not respond to Sinemet Caregiver for wife who has severe vascular dementia who is verbally and physically violent. Continue Wellbutrin 300 mg daily
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Body temperature increased, C-reactive protein increased, COVID-19, Chest X-ray normal, Condition aggravated
Clinical narrative: 3/25 Pt improved, pending discharge. Potential delay due to transport issues. Okay to transport by family if medical transport not available. Dc'd with steroid taper and 2 additional days of paxlovid to complete course.    Assessment and Plan Patient is a 87 y.o. male patient of, MD with history of BPH, hypertension, hyperlipidemia, osteoarthritis, obstructive sleep apnea presented with hypotension and COVID-19.   Generalized weakness Hypotension Likely secondary to COVID-19 infection and dehydration. No leukocytosis.  Dehydrated and hypotensive responded well to IVF Urine dipstick-unrevealing. No bacterial source of infection Blood culture sent from ED-no growth to date Consulted PT/OT -recommendation is SNF Resolving  Covid-19 Virus Infection Date of onset of symptoms: 3/19/2023 Symptoms present on admission: Generalized weakness, cough. Tmax 102.6 on 3/20/2023 and 101.2 on 3/21/2023. T max 101 on 3/22/2023 Date of covid positive test: 3/20/2023 Vaccination status: vaccinated Imaging: Chest x-ray nonacute CRP 55.3, LDH --208, ferritin 644 Oxygen requirements on admission: None Current oxygen requirements: None Medical therapy: Steroids and Paxlovid Consultants following: Infectious disease Anticipated special isolation end date: 3/27/2023   Continue Paxlovid, hold Sonata while completing course per ID 3 days of 5 completed in house, continue 2 additional days on DC Prednisone taper on discharge   Acute exacerbation of asthma Likely precipitated by COVID-19. Has wheezing on lung exam today with rhonchi PO steroids taper on DC Duonebs prn on DC then albuterol prn   NSVT 6 beats NSVT on 3/22/2023. Improved/did not recur with correction of electrolytes and treatment of covid Hypertension Home Rx: Toprol-XL 12.5 mg daily. Toprol-XL with holding parameters   Hyperlipidemia Resume statin   Elevated troponin Serial troponin 44> 40 No active chest pain.  Not consistent with ACS No further w/u needed at this time   Insomnia Sonata HELD with on Paxlovid  Obesity BMI 31.01   Dementia Reviewed OV notes from neurologist Dr. According to his notes, MRI consistent with a vascular parkinsonism and likely mild vascular dementia.  Did not respond to Sinemet Caregiver for wife who has severe vascular dementia who is verbally and physically violent. Continue Wellbutrin 300 mg daily
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cough, Dehydration, Hypotension, Rhonchi, SARS-CoV-2 test positive
Clinical narrative: 3/25 Pt improved, pending discharge. Potential delay due to transport issues. Okay to transport by family if medical transport not available. Dc'd with steroid taper and 2 additional days of paxlovid to complete course.    Assessment and Plan Patient is a 87 y.o. male patient of, MD with history of BPH, hypertension, hyperlipidemia, osteoarthritis, obstructive sleep apnea presented with hypotension and COVID-19.   Generalized weakness Hypotension Likely secondary to COVID-19 infection and dehydration. No leukocytosis.  Dehydrated and hypotensive responded well to IVF Urine dipstick-unrevealing. No bacterial source of infection Blood culture sent from ED-no growth to date Consulted PT/OT -recommendation is SNF Resolving  Covid-19 Virus Infection Date of onset of symptoms: 3/19/2023 Symptoms present on admission: Generalized weakness, cough. Tmax 102.6 on 3/20/2023 and 101.2 on 3/21/2023. T max 101 on 3/22/2023 Date of covid positive test: 3/20/2023 Vaccination status: vaccinated Imaging: Chest x-ray nonacute CRP 55.3, LDH --208, ferritin 644 Oxygen requirements on admission: None Current oxygen requirements: None Medical therapy: Steroids and Paxlovid Consultants following: Infectious disease Anticipated special isolation end date: 3/27/2023   Continue Paxlovid, hold Sonata while completing course per ID 3 days of 5 completed in house, continue 2 additional days on DC Prednisone taper on discharge   Acute exacerbation of asthma Likely precipitated by COVID-19. Has wheezing on lung exam today with rhonchi PO steroids taper on DC Duonebs prn on DC then albuterol prn   NSVT 6 beats NSVT on 3/22/2023. Improved/did not recur with correction of electrolytes and treatment of covid Hypertension Home Rx: Toprol-XL 12.5 mg daily. Toprol-XL with holding parameters   Hyperlipidemia Resume statin   Elevated troponin Serial troponin 44> 40 No active chest pain.  Not consistent with ACS No further w/u needed at this time   Insomnia Sonata HELD with on Paxlovid  Obesity BMI 31.01   Dementia Reviewed OV notes from neurologist Dr. According to his notes, MRI consistent with a vascular parkinsonism and likely mild vascular dementia.  Did not respond to Sinemet Caregiver for wife who has severe vascular dementia who is verbally and physically violent. Continue Wellbutrin 300 mg daily
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Serum ferritin increased, Troponin increased, Urine analysis normal, Ventricular tachycardia, Wheezing
Clinical narrative: 3/25 Pt improved, pending discharge. Potential delay due to transport issues. Okay to transport by family if medical transport not available. Dc'd with steroid taper and 2 additional days of paxlovid to complete course.    Assessment and Plan Patient is a 87 y.o. male patient of, MD with history of BPH, hypertension, hyperlipidemia, osteoarthritis, obstructive sleep apnea presented with hypotension and COVID-19.   Generalized weakness Hypotension Likely secondary to COVID-19 infection and dehydration. No leukocytosis.  Dehydrated and hypotensive responded well to IVF Urine dipstick-unrevealing. No bacterial source of infection Blood culture sent from ED-no growth to date Consulted PT/OT -recommendation is SNF Resolving  Covid-19 Virus Infection Date of onset of symptoms: 3/19/2023 Symptoms present on admission: Generalized weakness, cough. Tmax 102.6 on 3/20/2023 and 101.2 on 3/21/2023. T max 101 on 3/22/2023 Date of covid positive test: 3/20/2023 Vaccination status: vaccinated Imaging: Chest x-ray nonacute CRP 55.3, LDH --208, ferritin 644 Oxygen requirements on admission: None Current oxygen requirements: None Medical therapy: Steroids and Paxlovid Consultants following: Infectious disease Anticipated special isolation end date: 3/27/2023   Continue Paxlovid, hold Sonata while completing course per ID 3 days of 5 completed in house, continue 2 additional days on DC Prednisone taper on discharge   Acute exacerbation of asthma Likely precipitated by COVID-19. Has wheezing on lung exam today with rhonchi PO steroids taper on DC Duonebs prn on DC then albuterol prn   NSVT 6 beats NSVT on 3/22/2023. Improved/did not recur with correction of electrolytes and treatment of covid Hypertension Home Rx: Toprol-XL 12.5 mg daily. Toprol-XL with holding parameters   Hyperlipidemia Resume statin   Elevated troponin Serial troponin 44> 40 No active chest pain.  Not consistent with ACS No further w/u needed at this time   Insomnia Sonata HELD with on Paxlovid  Obesity BMI 31.01   Dementia Reviewed OV notes from neurologist Dr. According to his notes, MRI consistent with a vascular parkinsonism and likely mild vascular dementia.  Did not respond to Sinemet Caregiver for wife who has severe vascular dementia who is verbally and physically violent. Continue Wellbutrin 300 mg daily
Age: 84.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute kidney injury, Acute respiratory failure, Antiplatelet therapy, Asthenia, Blood creatinine increased
Clinical narrative: Patient is a 84 y.o. female patient of a MD with history of CADm HF, CKD stage 4, hepatic cirrhosis and splenomegaly, hx GIB w/ PUD 7/2022, influenza A infection in December 2022 presented to a local Hospital on 3/13/2023 with complaints of polyuria.  Found to have mild hypoxia, COVID-19 infection  Acute respiratory failure with hypoxia Covid-19 Virus Infection Date of onset of symptoms: 3/10/2023 Symptoms present on admission: Myalgia, generalized weakness, chills Date of covid positive test: 3/13/2023 Vaccination status: vaccinated Imaging: Chest x-ray?no infiltrate or fluid overload Oxygen requirements on admission: 89% on room air, 94% on 2 L nasal cannula Current oxygen requirements: RA Medical therapy: steroids Consultants following: ID consulted Anticipated special isolation end date: 3/23/2023 Doing well, still c/o weakness but stable respiratory status off O2.   Chest pain Self limiting CP. Resolved at present. H/o CAD s/p LHC 1/4/22 with PCI On ASA, Plavix, Coreg and statin EKG showing new QT/ QRS prolongation 03/15, improving Had chronically elevated troponin in the setting of CKD, stable Has repeat episodes of chest pain since 3 days on 3/18.  EKG without any acute changes, troponins mildly elevated. Cardiology consult.GDMT in place including dual antiplatelet therapy.  Suspect her chest pain may be related to underlying COVID infection or other noncardiac etiology. Rec adding Imdur to GDMT. F/U with primary cardiologist as OP in 2-4 weeks   AKI on CKD stage III/IV  Cr 1.66, Baseline creatinine 1.1-1.3, GFR 45 Very cautious IV hydration in setting of COVID-19. Improved with IVF Cr 1.65> 1.2>1.5 today. Reduce Bumex on dc and start in 2 days with BMP on 3/23. Rec OP f/u with PCP in 1 week.    Hyperglycemia H/o DM but not on medication A1c 6.5, most likely elevated BS secondary to dexamethasone. BS should improve off steroids, will dc on low dose januvia X 1 month. OP f/u with PCP   Pancytopenia Likely infection induced Monitor; If no improvement, consider outpatient hematology follow up Stable for now.  Hypothyroidism Resume synthroid 175 mcg / day    CAD Chronic diastolic HF (congestive) Pulmonary HTN S/P staged PCI 12/30/21 and 1/4/22 after NSTEMI F/w Dr. (Cardio) Resume home regimen: aspirin 81, Lipitor 80, Plavix 75 mg daily, coreg 25 mg BID, Amlodipine 5>10 mg daily Resume Bumex at lower dose and rec OP f/u with PCP    Chronic pain Norco 5/325 every 6 hours as needed resumed   Hx GIB Hx PUD (7/2022) Resuming protonix 40 mg twice daily x 8 weeks (7/18/22-9/18/22), then daily 10/2022. Currently on PPI BID   Dementia w/o behavioral disturbances Currently alert awake oriented x3 Initiate delirium precautions Home regimen: Abilify, Prozac 20 mg daily, Atarax 25 mg 3 times daily as needed, Ditropan