chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyponatraemia, Hypophagia, Nausea, Oxygen saturation decreased
Clinical narrative: Discharge Provider:  MD Primary Care Provider at Discharge: MD    Admission Date: 2/15/2023 Discharge Date: 2/17/2023   a 58 y.o. female with past medical history of interstitial lung disease/pulmonary fibrosis from COVID 19 infection back in 2021 currently on 2 L nasal cannula with activity, DM type II, hypertension, hypothyroidism, obstructive sleep apnea, coronary artery disease, recently diagnosed ductal cell carcinoma in situ of left breast.   She presented to the emergency department on 2/15/23 with fever, chills, headache and shortness of breath, nausea and vomiting. She was not able to eat or drink anything today, she started feeling more short of breath so she presented to the emergency department for evaluation. In the emergency department she was noted to be afebrile, with T max of 38.7 rectally, patient was saturating well on room air, labs were significant for sodium of 132, serum creatinine of 1.11 and blood glucose level of 335, complete blood count was unremarkable, lactic acid was 1.8.  Chest x-ray shows subsegmental atelectasis in the right lower lung without focal infiltrate.  Viral PCR came back positive for COVID-19 infection, patient desaturated to 87% with ambulation without oxygen.  She received Tylenol and albuterol and 1 L normal saline bolus, fever resolved. She was admitted for observation.  She clinically improved, Pox was 99% on RA at rest. Nausea and vomiting resolved, and she tolerated well DM liberal diet. Hyponatremia and AKI resolved, creat. on admission was 1.2, at discharge 1.09.  DM II well controlled with current meds.  She was discharged home on 2/17/2023 Should follow up with PCP as needed and with her onco/ rad onco as scheduled before.  She should stay in respiratory isolation until 2/25/23.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Discharge Provider:  MD Primary Care Provider at Discharge: MD    Admission Date: 2/15/2023 Discharge Date: 2/17/2023   a 58 y.o. female with past medical history of interstitial lung disease/pulmonary fibrosis from COVID 19 infection back in 2021 currently on 2 L nasal cannula with activity, DM type II, hypertension, hypothyroidism, obstructive sleep apnea, coronary artery disease, recently diagnosed ductal cell carcinoma in situ of left breast.   She presented to the emergency department on 2/15/23 with fever, chills, headache and shortness of breath, nausea and vomiting. She was not able to eat or drink anything today, she started feeling more short of breath so she presented to the emergency department for evaluation. In the emergency department she was noted to be afebrile, with T max of 38.7 rectally, patient was saturating well on room air, labs were significant for sodium of 132, serum creatinine of 1.11 and blood glucose level of 335, complete blood count was unremarkable, lactic acid was 1.8.  Chest x-ray shows subsegmental atelectasis in the right lower lung without focal infiltrate.  Viral PCR came back positive for COVID-19 infection, patient desaturated to 87% with ambulation without oxygen.  She received Tylenol and albuterol and 1 L normal saline bolus, fever resolved. She was admitted for observation.  She clinically improved, Pox was 99% on RA at rest. Nausea and vomiting resolved, and she tolerated well DM liberal diet. Hyponatremia and AKI resolved, creat. on admission was 1.2, at discharge 1.09.  DM II well controlled with current meds.  She was discharged home on 2/17/2023 Should follow up with PCP as needed and with her onco/ rad onco as scheduled before.  She should stay in respiratory isolation until 2/25/23.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-cyclic citrullinated peptide antibody, Arthralgia, Blood immunoglobulin A increased, Blood immunoglobulin A normal, Blood test
Clinical narrative: Two weeks after vaccine my right thumb to my wrist were swollen and sore. I could not make a fist. I took ibuprofen and wore a compression glove. Pain subsided some. Two weeks later I had pain in my left pointer finger and knuckle. Family doctor said I may have RA so she had me do blood work. Result showed RA so I made appointment with RA doctor. Flew before visit with RA doctor. My left ankle hurt when I got off the plane. It was swollen and sore by the end of the night and so was my left wrist.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Joint swelling, Muscular weakness, Pain in extremity, Peripheral swelling
Clinical narrative: Two weeks after vaccine my right thumb to my wrist were swollen and sore. I could not make a fist. I took ibuprofen and wore a compression glove. Pain subsided some. Two weeks later I had pain in my left pointer finger and knuckle. Family doctor said I may have RA so she had me do blood work. Result showed RA so I made appointment with RA doctor. Flew before visit with RA doctor. My left ankle hurt when I got off the plane. It was swollen and sore by the end of the night and so was my left wrist.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell count increased, Rheumatoid arthritis
Clinical narrative: Two weeks after vaccine my right thumb to my wrist were swollen and sore. I could not make a fist. I took ibuprofen and wore a compression glove. Pain subsided some. Two weeks later I had pain in my left pointer finger and knuckle. Family doctor said I may have RA so she had me do blood work. Result showed RA so I made appointment with RA doctor. Flew before visit with RA doctor. My left ankle hurt when I got off the plane. It was swollen and sore by the end of the night and so was my left wrist.
Age: 27.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: Expired product administered, No adverse event
Clinical narrative: diluent used past expiration date, T014588 11/25/2022. No known ADR
Age: 27.0
Sex: M
Vaccine: VARCEL, VARCEL
Symptoms: No adverse event, Product preparation error
Clinical narrative: diluent used past expiration date, T014588 11/25/2022. No known ADR
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Haemoglobin decreased, Pain in extremity
Clinical narrative: On 03/03/2021 I received my Covid-19 vaccine and i started feeling tired and sore arm. On 05/24/2021 my hemoglobin went down .6 points. On 10/27/2021 I received my next booster and on 04/05/2022 my hemoglobin was tested and decreased 1 point to 10.5 points.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal pain, Pain, Pain of skin, Pruritus
Clinical narrative: In the afternoon I started getting a burning and stinging pain in my shoulder blade area. This was the same side where I got the vaccine. I had a Telehealth with my doctor, who prescribed some medication that was not helpful. Valacyclovir was the medication, but it made the sensation into an itch rather than burn. The sensation diminished on its own after about 4 weeks. Did not take full course of medication. Sensation is gone as of time of report.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was inadvertently administered 5 days after the BUD of refrigerated vaccine. Pfizer was contacted and their recommendation was for the dose to be repeated, CDC appendix D.  Vaccine administration errors and deviations guidance was also followed Patient was contacted and advised to return for another dose.
Age: 62.0
Sex: F
Vaccine: HEPA
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Pt was administered pediatric/adolescent Havrix vaccine, rather than the adult dose of Havrix vaccine.  No adverse reaction.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was inadvertently administered 1 day after the BUD of refrigerated vaccine. Pfizer was contacted and their recommendation was for the dose to be repeated, CDC appendix D.  Vaccine administration errors and deviations guidance was also followed Patient was contacted and advised to return for another dose.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Blood test, Computerised tomogram, Dysphagia, Fatigue
Clinical narrative: Elevated heart rate, twitching, tingling, numbness, insomnia, anxiety, flu like symptoms, brain fog, troubling swallowing food, inability to walk, fatigue, exhaustion, inability to work, inability to drive, pain everywhere
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Feeling abnormal, Gait inability, Heart rate increased, Hypoaesthesia, Impaired driving ability
Clinical narrative: Elevated heart rate, twitching, tingling, numbness, insomnia, anxiety, flu like symptoms, brain fog, troubling swallowing food, inability to walk, fatigue, exhaustion, inability to work, inability to drive, pain everywhere
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Impaired work ability, Influenza like illness, Insomnia, Lumbar puncture, Magnetic resonance imaging
Clinical narrative: Elevated heart rate, twitching, tingling, numbness, insomnia, anxiety, flu like symptoms, brain fog, troubling swallowing food, inability to walk, fatigue, exhaustion, inability to work, inability to drive, pain everywhere
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Muscle twitching, Nerve conduction studies, Pain, Paraesthesia
Clinical narrative: Elevated heart rate, twitching, tingling, numbness, insomnia, anxiety, flu like symptoms, brain fog, troubling swallowing food, inability to walk, fatigue, exhaustion, inability to work, inability to drive, pain everywhere
Age: 89.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Underdose
Clinical narrative: injected 0.2 ml of  Pfizer Bivalent instead of 0.3 ml.  Patient has not had any adverse reactions or events due to this immunization.
Age: 62.0
Sex: M
Vaccine: MMR
Symptoms: Aphthous ulcer, Fatigue, Influenza like illness, Influenza virus test negative, SARS-CoV-2 test negative
Clinical narrative: Received #2 MMR in clinic for low titre and no documented hx of MMR on Wed 2/15; called into clinic today 2/24 to report that he started with flu like sx's on 2/17 (2 days after receiving vaccine); denied issues at injection site, instead noted fatigue, scratchy throat and then developed canker sores; evaluated at Urgent Care  on 2/20, reports he was neg for flu/covid; re-eval at PCP on 2/23, still suffering from the sores, otherwise feels better as of today.  Did not lose work time/continued working
Age: 62.0
Sex: M
Vaccine: MMR
Symptoms: Throat irritation
Clinical narrative: Received #2 MMR in clinic for low titre and no documented hx of MMR on Wed 2/15; called into clinic today 2/24 to report that he started with flu like sx's on 2/17 (2 days after receiving vaccine); denied issues at injection site, instead noted fatigue, scratchy throat and then developed canker sores; evaluated at Urgent Care  on 2/20, reports he was neg for flu/covid; re-eval at PCP on 2/23, still suffering from the sores, otherwise feels better as of today.  Did not lose work time/continued working
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine was inadvertently administered 1 days after the BUD of refrigerated vaccine. Pfizer was contacted and their recommendation was for the dose to be repeated, CDC appendix D.  Vaccine administration errors and deviations guidance was also followed Patient was contacted and advised to return for another dose.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site swelling, Pain in extremity, Pyrexia, Rash pruritic
Clinical narrative: left arm pain, swelling at injection site the next morning, more swelling below the injection site the day after, low fever 24 hours after injection,  Early on 3rd day itchy rash, bubbles appear at lower swelling site (below injection point)
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain, Computerised tomogram abnormal, Diverticulitis
Clinical narrative: Feb 8 started having severe abdominal pain intermittently, continue Feb 20th when I went to doctor, received cat scan, diagnosed with diverticulitis.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Blood pressure increased, COVID-19, Drug level, Dyspnoea
Clinical narrative: Patient with 4 COVID vaccines who admitted with COVID detected PCR.  Provider d/c note: "Hospital Course: No notes on file  These were his acute medical issues addressed:   1. Intractable N/V. -- may have been a viral gastroenteritis vs COVID infection. -- resolved with supportive care. -- tolerating a full diet at discharge.   2. COVID-19 patient; Vaccinated x 2 (Moderna); NOT boosted. -- No fever, cough, SOB or hypoxia.   3. CKD-3 baseline GFR in the 20's. -- sl decreased GFR into the teens after presenting symptoms. -- needs repeat BMP next week.  -- did resume ARB at discharge.   4. AKI due to #1 -- ARB held this hospitalization, but continued at discharge as BP was rising.   5. Kidney transplant patient (Cadaveric- 2004). 6. Chronically immunosuppressed from #5 (Prednisone/ Cellcept/ Tacrolimus). -- Tacrolimus levels WNL.   7. HTN -- ARB resumed at discharge.   8. PVD   DC home in stable condition.   To return to ED is +fever/ SOB/ difficulty breathing, or any untoward symptom.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Glomerular filtration rate decreased, Metabolic function test, Nausea, Peripheral vascular disorder, Pyrexia
Clinical narrative: Patient with 4 COVID vaccines who admitted with COVID detected PCR.  Provider d/c note: "Hospital Course: No notes on file  These were his acute medical issues addressed:   1. Intractable N/V. -- may have been a viral gastroenteritis vs COVID infection. -- resolved with supportive care. -- tolerating a full diet at discharge.   2. COVID-19 patient; Vaccinated x 2 (Moderna); NOT boosted. -- No fever, cough, SOB or hypoxia.   3. CKD-3 baseline GFR in the 20's. -- sl decreased GFR into the teens after presenting symptoms. -- needs repeat BMP next week.  -- did resume ARB at discharge.   4. AKI due to #1 -- ARB held this hospitalization, but continued at discharge as BP was rising.   5. Kidney transplant patient (Cadaveric- 2004). 6. Chronically immunosuppressed from #5 (Prednisone/ Cellcept/ Tacrolimus). -- Tacrolimus levels WNL.   7. HTN -- ARB resumed at discharge.   8. PVD   DC home in stable condition.   To return to ED is +fever/ SOB/ difficulty breathing, or any untoward symptom.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient with 4 COVID vaccines who admitted with COVID detected PCR.  Provider d/c note: "Hospital Course: No notes on file  These were his acute medical issues addressed:   1. Intractable N/V. -- may have been a viral gastroenteritis vs COVID infection. -- resolved with supportive care. -- tolerating a full diet at discharge.   2. COVID-19 patient; Vaccinated x 2 (Moderna); NOT boosted. -- No fever, cough, SOB or hypoxia.   3. CKD-3 baseline GFR in the 20's. -- sl decreased GFR into the teens after presenting symptoms. -- needs repeat BMP next week.  -- did resume ARB at discharge.   4. AKI due to #1 -- ARB held this hospitalization, but continued at discharge as BP was rising.   5. Kidney transplant patient (Cadaveric- 2004). 6. Chronically immunosuppressed from #5 (Prednisone/ Cellcept/ Tacrolimus). -- Tacrolimus levels WNL.   7. HTN -- ARB resumed at discharge.   8. PVD   DC home in stable condition.   To return to ED is +fever/ SOB/ difficulty breathing, or any untoward symptom.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia
Clinical narrative: Hospitalization for acute respiratory failure and pneumonia from COVID-19  on dates 1/21/2023-  2/9/2023. Treated with  baricitinib, Remdesivir, vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anticoagulant therapy, Asthenia, Blood culture positive, Blood glucose increased, COVID-19
Clinical narrative: Patient with history of COVID vaccines who admited to hospital with COVID detected PCR.  Provider d/c note:  "Reason for Admission: Weakness, altered mental status, hyperglycemia 86-year-old male patient with past medical history of hypertension, diabetes mellitus, CVA, polymyalgia rheumatica on steroid,  patient lives at Assisted Living Facility was brought here by EMS due to febrile, and hyperglycemia of 515, tested positive for COVID   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) treated for acute metabolic encephalopathy, improving   Case was discussed with son  1/2 blood cultures positive for MRSA, being treated with IV vancomycin for now, initially thought to be contaminant, follow-up blood cultures, from 12/20 shows positive for MRSA    12/ 22 Right shoulder x-ray, MRI of the spine, requested  periods of confusion, getting MRI of the brain Continued positive MRSA bacteremia   11/ 23 MRI of the brain showed small late acute/subacute left postcentral gyrus, requested neurology consultation, added aspirin to Eliquis   12/24 Improving, PICC line requested for 6 weeks course of IV vancomycin   12/25 Stable, appreciate neurology consultation for acute to subacute CVA  12/ 27 Stable  PICC line done 12/27    COVID illness , positive since 12/18 with mild sepsis ( fever and tachycardia ), sepsis has resolved        Acute metabolic encephalopathy likely from the combination of hyperglycemia and fever and COVID illness - admit  - no evidence of desaturation but will continue to monitor pulse oximetry closely - not a candidate for Decadron or remdesivir as he is not a very high risk patient - supportive management and treatment Improving   Failure to thrive, generalized weakness PT/OT evaluation SNF was recommended   Poorly controlled diabetes last hemoglobin A1 c of 8.4 on 11/29  Outpatient metformin on hold, started Lantus insulin, on correction insulin
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Central venous catheterisation, Cerebrovascular accident, Condition aggravated, Confusional state, Diabetes mellitus inadequate control
Clinical narrative: Patient with history of COVID vaccines who admited to hospital with COVID detected PCR.  Provider d/c note:  "Reason for Admission: Weakness, altered mental status, hyperglycemia 86-year-old male patient with past medical history of hypertension, diabetes mellitus, CVA, polymyalgia rheumatica on steroid,  patient lives at Assisted Living Facility was brought here by EMS due to febrile, and hyperglycemia of 515, tested positive for COVID   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) treated for acute metabolic encephalopathy, improving   Case was discussed with son  1/2 blood cultures positive for MRSA, being treated with IV vancomycin for now, initially thought to be contaminant, follow-up blood cultures, from 12/20 shows positive for MRSA    12/ 22 Right shoulder x-ray, MRI of the spine, requested  periods of confusion, getting MRI of the brain Continued positive MRSA bacteremia   11/ 23 MRI of the brain showed small late acute/subacute left postcentral gyrus, requested neurology consultation, added aspirin to Eliquis   12/24 Improving, PICC line requested for 6 weeks course of IV vancomycin   12/25 Stable, appreciate neurology consultation for acute to subacute CVA  12/ 27 Stable  PICC line done 12/27    COVID illness , positive since 12/18 with mild sepsis ( fever and tachycardia ), sepsis has resolved        Acute metabolic encephalopathy likely from the combination of hyperglycemia and fever and COVID illness - admit  - no evidence of desaturation but will continue to monitor pulse oximetry closely - not a candidate for Decadron or remdesivir as he is not a very high risk patient - supportive management and treatment Improving   Failure to thrive, generalized weakness PT/OT evaluation SNF was recommended   Poorly controlled diabetes last hemoglobin A1 c of 8.4 on 11/29  Outpatient metformin on hold, started Lantus insulin, on correction insulin
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Failure to thrive, Glycosylated haemoglobin increased, Hyperglycaemia, Insulin therapy, Magnetic resonance imaging head abnormal
Clinical narrative: Patient with history of COVID vaccines who admited to hospital with COVID detected PCR.  Provider d/c note:  "Reason for Admission: Weakness, altered mental status, hyperglycemia 86-year-old male patient with past medical history of hypertension, diabetes mellitus, CVA, polymyalgia rheumatica on steroid,  patient lives at Assisted Living Facility was brought here by EMS due to febrile, and hyperglycemia of 515, tested positive for COVID   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) treated for acute metabolic encephalopathy, improving   Case was discussed with son  1/2 blood cultures positive for MRSA, being treated with IV vancomycin for now, initially thought to be contaminant, follow-up blood cultures, from 12/20 shows positive for MRSA    12/ 22 Right shoulder x-ray, MRI of the spine, requested  periods of confusion, getting MRI of the brain Continued positive MRSA bacteremia   11/ 23 MRI of the brain showed small late acute/subacute left postcentral gyrus, requested neurology consultation, added aspirin to Eliquis   12/24 Improving, PICC line requested for 6 weeks course of IV vancomycin   12/25 Stable, appreciate neurology consultation for acute to subacute CVA  12/ 27 Stable  PICC line done 12/27    COVID illness , positive since 12/18 with mild sepsis ( fever and tachycardia ), sepsis has resolved        Acute metabolic encephalopathy likely from the combination of hyperglycemia and fever and COVID illness - admit  - no evidence of desaturation but will continue to monitor pulse oximetry closely - not a candidate for Decadron or remdesivir as he is not a very high risk patient - supportive management and treatment Improving   Failure to thrive, generalized weakness PT/OT evaluation SNF was recommended   Poorly controlled diabetes last hemoglobin A1 c of 8.4 on 11/29  Outpatient metformin on hold, started Lantus insulin, on correction insulin
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Mental status changes, Metabolic encephalopathy, Pyrexia, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Patient with history of COVID vaccines who admited to hospital with COVID detected PCR.  Provider d/c note:  "Reason for Admission: Weakness, altered mental status, hyperglycemia 86-year-old male patient with past medical history of hypertension, diabetes mellitus, CVA, polymyalgia rheumatica on steroid,  patient lives at Assisted Living Facility was brought here by EMS due to febrile, and hyperglycemia of 515, tested positive for COVID   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) treated for acute metabolic encephalopathy, improving   Case was discussed with son  1/2 blood cultures positive for MRSA, being treated with IV vancomycin for now, initially thought to be contaminant, follow-up blood cultures, from 12/20 shows positive for MRSA    12/ 22 Right shoulder x-ray, MRI of the spine, requested  periods of confusion, getting MRI of the brain Continued positive MRSA bacteremia   11/ 23 MRI of the brain showed small late acute/subacute left postcentral gyrus, requested neurology consultation, added aspirin to Eliquis   12/24 Improving, PICC line requested for 6 weeks course of IV vancomycin   12/25 Stable, appreciate neurology consultation for acute to subacute CVA  12/ 27 Stable  PICC line done 12/27    COVID illness , positive since 12/18 with mild sepsis ( fever and tachycardia ), sepsis has resolved        Acute metabolic encephalopathy likely from the combination of hyperglycemia and fever and COVID illness - admit  - no evidence of desaturation but will continue to monitor pulse oximetry closely - not a candidate for Decadron or remdesivir as he is not a very high risk patient - supportive management and treatment Improving   Failure to thrive, generalized weakness PT/OT evaluation SNF was recommended   Poorly controlled diabetes last hemoglobin A1 c of 8.4 on 11/29  Outpatient metformin on hold, started Lantus insulin, on correction insulin
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Staphylococcal bacteraemia, Staphylococcus test positive, Tachycardia
Clinical narrative: Patient with history of COVID vaccines who admited to hospital with COVID detected PCR.  Provider d/c note:  "Reason for Admission: Weakness, altered mental status, hyperglycemia 86-year-old male patient with past medical history of hypertension, diabetes mellitus, CVA, polymyalgia rheumatica on steroid,  patient lives at Assisted Living Facility was brought here by EMS due to febrile, and hyperglycemia of 515, tested positive for COVID   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) treated for acute metabolic encephalopathy, improving   Case was discussed with son  1/2 blood cultures positive for MRSA, being treated with IV vancomycin for now, initially thought to be contaminant, follow-up blood cultures, from 12/20 shows positive for MRSA    12/ 22 Right shoulder x-ray, MRI of the spine, requested  periods of confusion, getting MRI of the brain Continued positive MRSA bacteremia   11/ 23 MRI of the brain showed small late acute/subacute left postcentral gyrus, requested neurology consultation, added aspirin to Eliquis   12/24 Improving, PICC line requested for 6 weeks course of IV vancomycin   12/25 Stable, appreciate neurology consultation for acute to subacute CVA  12/ 27 Stable  PICC line done 12/27    COVID illness , positive since 12/18 with mild sepsis ( fever and tachycardia ), sepsis has resolved        Acute metabolic encephalopathy likely from the combination of hyperglycemia and fever and COVID illness - admit  - no evidence of desaturation but will continue to monitor pulse oximetry closely - not a candidate for Decadron or remdesivir as he is not a very high risk patient - supportive management and treatment Improving   Failure to thrive, generalized weakness PT/OT evaluation SNF was recommended   Poorly controlled diabetes last hemoglobin A1 c of 8.4 on 11/29  Outpatient metformin on hold, started Lantus insulin, on correction insulin
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was inadvertently administered 1 day after the BUD of refrigerated vaccine. Pfizer was contacted and their recommendation was for the dose to be repeated, CDC appendix D.  Vaccine administration errors and deviations guidance was also followed Patient was contacted and advised to return for another dose.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Carotid artery occlusion, Cerebrovascular accident, Magnetic resonance imaging
Clinical narrative: cva pe complete occlusion ica
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient received the Pfizer original strain vaccine and should of received the Pfizer bivalent omicron coverage.
Age: 16.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Pfizer BioNTech covid 19 Bivalent administered as primary dose. No adverse signs or symptoms.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Anaemia, Bacteriuria, COVID-19, Condition aggravated, Fall
Clinical narrative: Patient with COVID detected PCR found upon admission after ground level fall.  Provider d/c note:  "71-year-old female past medical history of lung cancer and dementia she presented for chief complaint of ground level fall.  Emergency department workup notable for hypertension tachycardia leukocytosis and anemia.  Shoulder x-rays obtained showing impacted humeral neck fracture.  Orthopedic was consulted recommending closed reduction nonweightbearing and shoulder immobilizer with outpatient follow-up.  Urinalysis was notable for pyuria/bacteriuria.  Patient was started on Levaquin and treated for urinary tract infection.  Patient's initial workup concerning for sepsis received IV fluids and clinically improved prior to discharge.  Patient completed course of IV antibiotics prior to discharge."
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Humerus fracture, Hypertension, Impacted fracture, Laboratory test abnormal, Leukocytosis
Clinical narrative: Patient with COVID detected PCR found upon admission after ground level fall.  Provider d/c note:  "71-year-old female past medical history of lung cancer and dementia she presented for chief complaint of ground level fall.  Emergency department workup notable for hypertension tachycardia leukocytosis and anemia.  Shoulder x-rays obtained showing impacted humeral neck fracture.  Orthopedic was consulted recommending closed reduction nonweightbearing and shoulder immobilizer with outpatient follow-up.  Urinalysis was notable for pyuria/bacteriuria.  Patient was started on Levaquin and treated for urinary tract infection.  Patient's initial workup concerning for sepsis received IV fluids and clinically improved prior to discharge.  Patient completed course of IV antibiotics prior to discharge."
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Pyuria, SARS-CoV-2 test positive, Tachycardia, Urinary tract infection, Urine analysis abnormal
Clinical narrative: Patient with COVID detected PCR found upon admission after ground level fall.  Provider d/c note:  "71-year-old female past medical history of lung cancer and dementia she presented for chief complaint of ground level fall.  Emergency department workup notable for hypertension tachycardia leukocytosis and anemia.  Shoulder x-rays obtained showing impacted humeral neck fracture.  Orthopedic was consulted recommending closed reduction nonweightbearing and shoulder immobilizer with outpatient follow-up.  Urinalysis was notable for pyuria/bacteriuria.  Patient was started on Levaquin and treated for urinary tract infection.  Patient's initial workup concerning for sepsis received IV fluids and clinically improved prior to discharge.  Patient completed course of IV antibiotics prior to discharge."
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: X-ray limb abnormal
Clinical narrative: Patient with COVID detected PCR found upon admission after ground level fall.  Provider d/c note:  "71-year-old female past medical history of lung cancer and dementia she presented for chief complaint of ground level fall.  Emergency department workup notable for hypertension tachycardia leukocytosis and anemia.  Shoulder x-rays obtained showing impacted humeral neck fracture.  Orthopedic was consulted recommending closed reduction nonweightbearing and shoulder immobilizer with outpatient follow-up.  Urinalysis was notable for pyuria/bacteriuria.  Patient was started on Levaquin and treated for urinary tract infection.  Patient's initial workup concerning for sepsis received IV fluids and clinically improved prior to discharge.  Patient completed course of IV antibiotics prior to discharge."
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Pneumonia, Sepsis
Clinical narrative: Hospitalization for Sepsis due to pneumonia/COVID-19 on dates 1/24/2023- 2/1/2023. Treated with dexamethasone, baricitinib, Remdesivir, vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Gait inability, Laboratory test abnormal, Muscular weakness, Pain
Clinical narrative: Unable to walk with knee pain and foot pain Legs weak, painful  Pain affects ambulation
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain in extremity, Renal disorder
Clinical narrative: Unable to walk with knee pain and foot pain Legs weak, painful  Pain affects ambulation
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was inadvertently administered 1 day after the BUD of refrigerated vaccine. Pfizer was contacted and their recommendation was for the dose to be repeated, CDC appendix D.  Vaccine administration errors and deviations guidance was also followed Patient was contacted and advised to return for another dose.
Age: 15.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Pfizer BioNTech covid 19 Bivalent administered as primary dose. No adverse signs or symptoms.
Age: 17.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Pfizer BioNTech covid 19 Bivalent administered as primary dose. No adverse signs or symptoms.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Formication, Headache, Myalgia
Clinical narrative: Directly after vaccine felt like my skin was crawling and then developed a headache and muscle aches.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was inadvertently administered 1 day after the BUD of refrigerated vaccine. Pfizer was contacted and their recommendation was for the dose to be repeated, CDC appendix D.  Vaccine administration errors and deviations guidance was also followed Patient was contacted and advised to return for another dose.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Tachycardia
Clinical narrative: NEXT MORNING ON ARISING TACHYCARDIA = 164, POSSIBLE Afib for several hours.  KNOWN problem/dx but NEVER SO SEVERE.   Next day fatigue - went to bed 3:30.  today, 2 days after = baselines NO MEDICAL CARE REQUIRED. WILL REPORT TO MD
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain, Colitis, Computerised tomogram abnormal, Diarrhoea, Diarrhoea haemorrhagic
Clinical narrative: The evening of February 4, 2023, I started to have abdominal pain. It proceeded to diarrhea. Within two hours, it turned into bloody diarrhea. On February 5, 2023, it was just blood which caused me to seek immediate care by the night of February 6, 2023. I was prescribed FLAGYL. I was told to take it every 8 hours for 10 days. In addition to that, I was given CIPRO 500mg and was told to take one tablet every 5 hours for 10 days. The diagnosis was Colitis with Rectal Bleeding. I have finished treatment, but I'm still experiencing irritable bowel and diarrhea. I am supposed to follow-up with my GI doctor.
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: Irritable bowel syndrome, Rectal haemorrhage
Clinical narrative: The evening of February 4, 2023, I started to have abdominal pain. It proceeded to diarrhea. Within two hours, it turned into bloody diarrhea. On February 5, 2023, it was just blood which caused me to seek immediate care by the night of February 6, 2023. I was prescribed FLAGYL. I was told to take it every 8 hours for 10 days. In addition to that, I was given CIPRO 500mg and was told to take one tablet every 5 hours for 10 days. The diagnosis was Colitis with Rectal Bleeding. I have finished treatment, but I'm still experiencing irritable bowel and diarrhea. I am supposed to follow-up with my GI doctor.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalization for COVID-19 on dates 1/25/2023- 1/27/2023. Treated with dexamethasone, baricitinib, Remdesivir, vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient expired
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Pancreatitis acute
Clinical narrative: Hospitalization for acute pancreatitis (incidental COVID-19) on dates 1/28/2023- 2/1/2023. Treated with no COVID-19 medications.
Age: 90.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine was past the beyond use date  of 2/18/2023
Age: 12.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was inadvertently administered 1 day after the BUD of refrigerated vaccine. Pfizer was contacted and their recommendation was for the dose to be repeated, CDC appendix D.  Vaccine administration errors and deviations guidance was also followed Patient was contacted and advised to return for another dose.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Pneumonia
Clinical narrative: Hospitalization for pneumonia due to COVID-19 on dates 1/28/2023- 2/7/2023. Treated with dexamethasone, baricitinib, Remdesivir, vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic encephalopathy, Sepsis, Urinary tract infection
Clinical narrative: Hospitalization for severe sepsis likely due to UTI with metabolic encephalopathy on dates 1/27/2023- 2/1/2023. Treated with  vitamin D 25 mcg PO daily.
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine was past the beyond use date of 2/18/23
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: Hospitalization for COPD with acute exacerbation and pneumonia from COVID-19 on dates 2/12/2023- 2/14/2023. Treated with dexamethasone.
Age: 90.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Pt asked for booster covid vaccine.   (Had  reportedly received one dose of a vaccine in another country but was unable to provide information on what it was or when, exactly received.)   Bivalent was given rather than original formulation to assure completion of primary series.   Pt does not report any adverse event.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Sepsis, Urinary tract infection
Clinical narrative: Hospitalization for Sepsis due to UTI and COVID on dates 2/12/2023- 2/14/2023. Treated with dexamethasone, Remdesivir, vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19, UNK
Symptoms: Computerised tomogram, Dysphagia, Endoscopy, Gastrooesophageal reflux disease, Headache
Clinical narrative: Swollen lymph node, dysphagia, sore throat, headaches, extreme acid reflux for six months.  Went to multiple doctors for treating including PT, ENT, GI and endocrinologist.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19, UNK
Symptoms: Laboratory test, Lymphadenopathy, Magnetic resonance imaging, Oropharyngeal pain, Swallow study
Clinical narrative: Swollen lymph node, dysphagia, sore throat, headaches, extreme acid reflux for six months.  Went to multiple doctors for treating including PT, ENT, GI and endocrinologist.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19, UNK
Symptoms: pH body fluid
Clinical narrative: Swollen lymph node, dysphagia, sore throat, headaches, extreme acid reflux for six months.  Went to multiple doctors for treating including PT, ENT, GI and endocrinologist.
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine was past the beyond use date of 2/18/23
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Blood test, Chronic inflammatory demyelinating polyradiculoneuropathy, Hypoaesthesia, Lumbar puncture
Clinical narrative: In process of treatment for CIDP, Chronic Inflammatory Demyelinating Polyneuropathy Diagnosed in December2021 . Loss of balance, numbness, tingling in feet, arms, and hands.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: In process of treatment for CIDP, Chronic Inflammatory Demyelinating Polyneuropathy Diagnosed in December2021 . Loss of balance, numbness, tingling in feet, arms, and hands.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthma, COVID-19, Chest X-ray normal, Condition aggravated
Clinical narrative: Discharge Provider:  MD Primary Care Provider at Discharge:  MD   Admission Date: 2/14/2023 Discharge Date: 2/15/2023   PRESENTING PROBLEM: Hypoxia [R09.02] COVID-19 [U07.1] Respiratory failure with hypoxia [J96.91]   HOSPITAL COURSE: The patient has a 61-year-old female presented with complaints of shortness of breath and cough.  On presentation the patient was noted to be hypoxic requiring supplementary oxygen.  Patient was felt to be suffering from acute respiratory failure secondary to asthma exacerbation from acute COVID infection.  On presentation the patient had a normal chest x-ray.  Patient was quickly weaned from oxygen.  Labs and vitals remained stable throughout her hospitalization.  Inflammatory markers were checked and noted to be negative.  On day of discharge the patient was maintaining appropriate saturations on room air.  She noted improvement of her respiratory status.  We discussed recommendations for continued rest at home along with continued oral prednisone.  Questions have been answered to patient's satisfaction she is being discharged home today in stable condition. Prior to becoming ill the patient reported using her albuterol inhaler on a daily basis.  Based on this her asthma is felt to be poorly controlled and therefore a maintenance inhaler of Symbicort is being added at discharge in hopes reducing patient's need for her rescue inhaler.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Hypoxia, Inflammatory marker test, Laboratory test normal
Clinical narrative: Discharge Provider:  MD Primary Care Provider at Discharge:  MD   Admission Date: 2/14/2023 Discharge Date: 2/15/2023   PRESENTING PROBLEM: Hypoxia [R09.02] COVID-19 [U07.1] Respiratory failure with hypoxia [J96.91]   HOSPITAL COURSE: The patient has a 61-year-old female presented with complaints of shortness of breath and cough.  On presentation the patient was noted to be hypoxic requiring supplementary oxygen.  Patient was felt to be suffering from acute respiratory failure secondary to asthma exacerbation from acute COVID infection.  On presentation the patient had a normal chest x-ray.  Patient was quickly weaned from oxygen.  Labs and vitals remained stable throughout her hospitalization.  Inflammatory markers were checked and noted to be negative.  On day of discharge the patient was maintaining appropriate saturations on room air.  She noted improvement of her respiratory status.  We discussed recommendations for continued rest at home along with continued oral prednisone.  Questions have been answered to patient's satisfaction she is being discharged home today in stable condition. Prior to becoming ill the patient reported using her albuterol inhaler on a daily basis.  Based on this her asthma is felt to be poorly controlled and therefore a maintenance inhaler of Symbicort is being added at discharge in hopes reducing patient's need for her rescue inhaler.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Respiratory failure
Clinical narrative: Discharge Provider:  MD Primary Care Provider at Discharge:  MD   Admission Date: 2/14/2023 Discharge Date: 2/15/2023   PRESENTING PROBLEM: Hypoxia [R09.02] COVID-19 [U07.1] Respiratory failure with hypoxia [J96.91]   HOSPITAL COURSE: The patient has a 61-year-old female presented with complaints of shortness of breath and cough.  On presentation the patient was noted to be hypoxic requiring supplementary oxygen.  Patient was felt to be suffering from acute respiratory failure secondary to asthma exacerbation from acute COVID infection.  On presentation the patient had a normal chest x-ray.  Patient was quickly weaned from oxygen.  Labs and vitals remained stable throughout her hospitalization.  Inflammatory markers were checked and noted to be negative.  On day of discharge the patient was maintaining appropriate saturations on room air.  She noted improvement of her respiratory status.  We discussed recommendations for continued rest at home along with continued oral prednisone.  Questions have been answered to patient's satisfaction she is being discharged home today in stable condition. Prior to becoming ill the patient reported using her albuterol inhaler on a daily basis.  Based on this her asthma is felt to be poorly controlled and therefore a maintenance inhaler of Symbicort is being added at discharge in hopes reducing patient's need for her rescue inhaler.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Drug resistance, Eye infection viral, Fatigue
Clinical narrative: The first time I was seen was on 11/23/2022. My symptoms were headaches, runny nose, chills, and that was it. I tested because I thought I just had a cold. When I tested, I tested positive for COVID-19 and I was shocked. I went to urgent care and they gave me PAXLOVID 300mg. By the next day, I didn't have the headache anymore but I was exhausted. I still had congestion. I stayed home for 5 days and after the 5th day, I could go out and wear a mask. After that, I started feeling like I had a cold again on 12/03/2022 and I tested again and tested positive. I went back to the urgent care, and the doctor said that it's uncommon but it can happen for a rebound case. He prescribed a Z-PAK and said it use it if I really needed to, but I ended up not using it. 8-9 days later, my eyes were blood shot and red, and I went back to urgent care again and they said it seemed as though the COVID-19 infection went to my eyes. They gave me eye drops and told me to quarantine for another 5 days and that seemed to be the last of the COVID-19 infection. On 12/06/2022 was when I went back to urgent care for my eyes. On 12/09/2022, I went to another care facility and they noted I also had a UTI and prescribed some medication. The medication they gave me was resistant to the UTI. So I went back on 12/13/2022 and they did some tests and gave me medication that actually worked. They noted that my immune system must have been ran down because they said I could have fought it off without medication, but my body couldn't do it at that time. I always wore a mask and I was fully vaccinated, so I was a bit shocked when I did get COVID-19.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Laboratory test, Nasopharyngitis, Ocular hyperaemia, Respiratory tract congestion
Clinical narrative: The first time I was seen was on 11/23/2022. My symptoms were headaches, runny nose, chills, and that was it. I tested because I thought I just had a cold. When I tested, I tested positive for COVID-19 and I was shocked. I went to urgent care and they gave me PAXLOVID 300mg. By the next day, I didn't have the headache anymore but I was exhausted. I still had congestion. I stayed home for 5 days and after the 5th day, I could go out and wear a mask. After that, I started feeling like I had a cold again on 12/03/2022 and I tested again and tested positive. I went back to the urgent care, and the doctor said that it's uncommon but it can happen for a rebound case. He prescribed a Z-PAK and said it use it if I really needed to, but I ended up not using it. 8-9 days later, my eyes were blood shot and red, and I went back to urgent care again and they said it seemed as though the COVID-19 infection went to my eyes. They gave me eye drops and told me to quarantine for another 5 days and that seemed to be the last of the COVID-19 infection. On 12/06/2022 was when I went back to urgent care for my eyes. On 12/09/2022, I went to another care facility and they noted I also had a UTI and prescribed some medication. The medication they gave me was resistant to the UTI. So I went back on 12/13/2022 and they did some tests and gave me medication that actually worked. They noted that my immune system must have been ran down because they said I could have fought it off without medication, but my body couldn't do it at that time. I always wore a mask and I was fully vaccinated, so I was a bit shocked when I did get COVID-19.