chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 83.0
Sex: F
Vaccine: UNK, COVID19, COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: My mom got a Covid-19 vaccination on Thursday 11/4. It was given by a nurse at Dr office. On Tuesday, 11/9/21 my mom called me to take her back to Dr. office because she was given an expired vaccination. She said she needed another one on Tuesday and it couldn't wait. I tried to talk her into to talking to someone from the health department, Pfizer or an infamous disease doctor. She insisted that we she needed to go right away and she does what Dr. tells her to do. It turned out that Dr. knew nothing about the expired shot or the second one. She told us that Dr. was on top of it and she said it was safe for her to get the shot. We realized something was wrong when she did not let us come in contact with anyone else at the office. She made the follow up appointment. When my mom got the first shot on 11/4, we went to the check out desk to make the appointment for the second vaccine  I started calling around and my sisiter did too. We learned that Dr. is not famaliar with protocols is someone was given an expired shot and the nurse did not tell him. The second-first shot was in the system as a Covid shot but the first one had a different code. By calling the CDC we learned that she never reported the expired shot being given on 11/4/21. She also took the first covid immunization card. She told my mom to give it to her so that she didn't get them mixed up.
Age: 83.0
Sex: F
Vaccine: UNK, COVID19, COVID19
Symptoms: Expired product administered, Immunisation
Clinical narrative: My mom got a Covid-19 vaccination on Thursday 11/4. It was given by a nurse at Dr office. On Tuesday, 11/9/21 my mom called me to take her back to Dr. office because she was given an expired vaccination. She said she needed another one on Tuesday and it couldn't wait. I tried to talk her into to talking to someone from the health department, Pfizer or an infamous disease doctor. She insisted that we she needed to go right away and she does what Dr. tells her to do. It turned out that Dr. knew nothing about the expired shot or the second one. She told us that Dr. was on top of it and she said it was safe for her to get the shot. We realized something was wrong when she did not let us come in contact with anyone else at the office. She made the follow up appointment. When my mom got the first shot on 11/4, we went to the check out desk to make the appointment for the second vaccine  I started calling around and my sisiter did too. We learned that Dr. is not famaliar with protocols is someone was given an expired shot and the nurse did not tell him. The second-first shot was in the system as a Covid shot but the first one had a different code. By calling the CDC we learned that she never reported the expired shot being given on 11/4/21. She also took the first covid immunization card. She told my mom to give it to her so that she didn't get them mixed up.
Age: 83.0
Sex: F
Vaccine: UNK, COVID19, COVID19
Symptoms: Back pain, Expired product administered, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: My mom got a Covid-19 vaccination on Thursday 11/4. It was given by a nurse at Dr office. On Tuesday, 11/9/21 my mom called me to take her back to Dr. office because she was given an expired vaccination. She said she needed another one on Tuesday and it couldn't wait. I tried to talk her into to talking to someone from the health department, Pfizer or an infamous disease doctor. She insisted that we she needed to go right away and she does what Dr. tells her to do. It turned out that Dr. knew nothing about the expired shot or the second one. She told us that Dr. was on top of it and she said it was safe for her to get the shot. We realized something was wrong when she did not let us come in contact with anyone else at the office. She made the follow up appointment. When my mom got the first shot on 11/4, we went to the check out desk to make the appointment for the second vaccine  I started calling around and my sisiter did too. We learned that Dr. is not famaliar with protocols is someone was given an expired shot and the nurse did not tell him. The second-first shot was in the system as a Covid shot but the first one had a different code. By calling the CDC we learned that she never reported the expired shot being given on 11/4/21. She also took the first covid immunization card. She told my mom to give it to her so that she didn't get them mixed up.
Age: 83.0
Sex: F
Vaccine: UNK, COVID19, COVID19
Symptoms: Poor quality product administered, Vascular test
Clinical narrative: My mom got a Covid-19 vaccination on Thursday 11/4. It was given by a nurse at Dr office. On Tuesday, 11/9/21 my mom called me to take her back to Dr. office because she was given an expired vaccination. She said she needed another one on Tuesday and it couldn't wait. I tried to talk her into to talking to someone from the health department, Pfizer or an infamous disease doctor. She insisted that we she needed to go right away and she does what Dr. tells her to do. It turned out that Dr. knew nothing about the expired shot or the second one. She told us that Dr. was on top of it and she said it was safe for her to get the shot. We realized something was wrong when she did not let us come in contact with anyone else at the office. She made the follow up appointment. When my mom got the first shot on 11/4, we went to the check out desk to make the appointment for the second vaccine  I started calling around and my sisiter did too. We learned that Dr. is not famaliar with protocols is someone was given an expired shot and the nurse did not tell him. The second-first shot was in the system as a Covid shot but the first one had a different code. By calling the CDC we learned that she never reported the expired shot being given on 11/4/21. She also took the first covid immunization card. She told my mom to give it to her so that she didn't get them mixed up.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest X-ray abnormal, Disorientation, Gastrostomy, Lumbar puncture
Clinical narrative: Fever of 102, elevated blood pressure 180/120, and disoriented. Healthcare professional attempted a lumbar puncture. PEG was inserted into patient. No diagnoses.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Lung disorder, Pyrexia
Clinical narrative: Fever of 102, elevated blood pressure 180/120, and disoriented. Healthcare professional attempted a lumbar puncture. PEG was inserted into patient. No diagnoses.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Sudden cardiac death
Clinical narrative: Sudden Cardiac Death
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Eye swelling, Feeling abnormal, Headache, Lip swelling
Clinical narrative: Shortly after my second vaccine, I had a normal reaction, I had body aches, headache, and all of it was gone in 24 hours. September 11, my left eye swelled. It was like a semi-circle inside of my left eye and extended to above and below. September 12, my other eye (right) did the same thing. My other eye was still swollen but it had started to come down. On the 13th, My lips swelled. My eye swelling was starting to fade that day. I started having migrating hives randomly around my body. They were tolerable, but I didn't like it. Those would continue through two weeks. I got my Moderna Booster on the October 7th; I was still having the hives randomly. I think they gave me a full dose of the booster. I had sore arm, body aches and headaches for 24 hours, too. My hives continued to appear randomly on my body through the time when on October 21st, I had two vaccines: flu shot, and second shingles shot. On the 23rd, ever since then, I've been pretty awful. The hives turned into huge welts, like dinner plate sized welts that I would get anywhere on my body. They were painful. On October 15th, she gave me treatment, Pepcid twice a day; Xyzal 3 times a day; Singulair once a day; Benadryl once a day. On October 23rd, I received a steroid injection at urgent care or after hours that is on the weekend and been on prednisone. I got on prednisone on the 30th after the steroid injection wore off and the hives/welts came back with a vengeance, and they put me on prednisone. I was on that for 10 days. That calmed it down greatly. I am still taking all the meds that she originally told me to take but the symptoms are much better. Today I have three hives. I am doing so much better. I am 95% better but still on meds. I have an appt with my doctor next week for follow up.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Urine analysis normal, Urticaria
Clinical narrative: Shortly after my second vaccine, I had a normal reaction, I had body aches, headache, and all of it was gone in 24 hours. September 11, my left eye swelled. It was like a semi-circle inside of my left eye and extended to above and below. September 12, my other eye (right) did the same thing. My other eye was still swollen but it had started to come down. On the 13th, My lips swelled. My eye swelling was starting to fade that day. I started having migrating hives randomly around my body. They were tolerable, but I didn't like it. Those would continue through two weeks. I got my Moderna Booster on the October 7th; I was still having the hives randomly. I think they gave me a full dose of the booster. I had sore arm, body aches and headaches for 24 hours, too. My hives continued to appear randomly on my body through the time when on October 21st, I had two vaccines: flu shot, and second shingles shot. On the 23rd, ever since then, I've been pretty awful. The hives turned into huge welts, like dinner plate sized welts that I would get anywhere on my body. They were painful. On October 15th, she gave me treatment, Pepcid twice a day; Xyzal 3 times a day; Singulair once a day; Benadryl once a day. On October 23rd, I received a steroid injection at urgent care or after hours that is on the weekend and been on prednisone. I got on prednisone on the 30th after the steroid injection wore off and the hives/welts came back with a vengeance, and they put me on prednisone. I was on that for 10 days. That calmed it down greatly. I am still taking all the meds that she originally told me to take but the symptoms are much better. Today I have three hives. I am doing so much better. I am 95% better but still on meds. I have an appt with my doctor next week for follow up.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Eye infection, Eye pain, Eye swelling
Clinical narrative: Had fever, nausea, weakness, dizziness, chills, and headache like I did with dose 1 and 2.  However, this time (and it cold be unrelated) I developed a sty / eye infection that was unlike one I have ever had before.  It was extremely red, swollen and painful.  Infection / redness spread down to m y cheek and eye socket.  I had to reach out to Telemedicine and start taking antibiotics.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hordeolum, Nausea, Ocular hyperaemia, Pyrexia
Clinical narrative: Had fever, nausea, weakness, dizziness, chills, and headache like I did with dose 1 and 2.  However, this time (and it cold be unrelated) I developed a sty / eye infection that was unlike one I have ever had before.  It was extremely red, swollen and painful.  Infection / redness spread down to m y cheek and eye socket.  I had to reach out to Telemedicine and start taking antibiotics.
Age: 10.0
Sex: F
Vaccine: FLU4, HPV9
Symptoms: Seizure
Clinical narrative: Patient had a seizure lasting less than 1 minute. No treatment given, only monitoring of vital signs. Patient is alert and verbal.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Chest X-ray normal, Computerised tomogram thorax abnormal, Dyspnoea, Echocardiogram normal
Clinical narrative: INITIALLY SHORT OF BREATH. CHECKED 02 LIVELS  VIA PULSE OXIMETER - AS LOW AS 78% AFTER CLIMBING STAIRS.  ENTERED EMERGENCY WARD 10/25 AM. DIAGNOSED WITH PULMONARY EMBOLISM. LARGE CLOTS BLOCKING BOTH LUNGUS SHOWN ON CAT SCAN. INITIALLY TREATED WITH HEPARIN. EMBOLI REMOLVED MECHANICALLY ON 10/27. PUT ON ANTICOAGULANT ELIQUIS  AND RELEASED ON 10/29
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fibrin D dimer increased, Oxygen saturation decreased, Pulmonary embolism, Pulmonary thrombosis
Clinical narrative: INITIALLY SHORT OF BREATH. CHECKED 02 LIVELS  VIA PULSE OXIMETER - AS LOW AS 78% AFTER CLIMBING STAIRS.  ENTERED EMERGENCY WARD 10/25 AM. DIAGNOSED WITH PULMONARY EMBOLISM. LARGE CLOTS BLOCKING BOTH LUNGUS SHOWN ON CAT SCAN. INITIALLY TREATED WITH HEPARIN. EMBOLI REMOLVED MECHANICALLY ON 10/27. PUT ON ANTICOAGULANT ELIQUIS  AND RELEASED ON 10/29
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombectomy
Clinical narrative: INITIALLY SHORT OF BREATH. CHECKED 02 LIVELS  VIA PULSE OXIMETER - AS LOW AS 78% AFTER CLIMBING STAIRS.  ENTERED EMERGENCY WARD 10/25 AM. DIAGNOSED WITH PULMONARY EMBOLISM. LARGE CLOTS BLOCKING BOTH LUNGUS SHOWN ON CAT SCAN. INITIALLY TREATED WITH HEPARIN. EMBOLI REMOLVED MECHANICALLY ON 10/27. PUT ON ANTICOAGULANT ELIQUIS  AND RELEASED ON 10/29
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives on forearms, chest, and upper thighs, last 24 hours and went away with use of Benadryl
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Anion gap normal, Anticoagulant therapy, Arthralgia, Asthenia, Bacteraemia
Clinical narrative: 96 Y female h/o of Hypothyroidism, constipation, prior hx of diverticular abscess who was brought in to ED for evaluation of worsening generalized weakness for last 2 days and cough; patient admitted on 10/23/21.   Plan: 1) COVID Pneumonia; Symptom onset on 10/21/21.  COVID positive on 10/23/21. Patient remains stable 02 sats on RA. -ED discussed patient with ID on admission who recommended starting Remdesivir. Last dose Remdesivir on 10/27/21. - On Pepcid for GI prophylaxis - Patient received Heparin 5,000 units SQ q12h for prophylaxis during hospitalization.  On 10/29/21, I discussed options with daughter for one month for DVT prophylaxis vs SQ Lovenox for DVT prophylaxis vs no medications for DVT prophylaxis on discharge and daughter prefers no medications for DVT prophylaxis on discharge out of concern for side effects and she reports her mom does not like to take medications.  Patient has HHPT arranged . - Per Dr, on discharge, recommendation is for isolation for 20 days since symptom onset (through 11/10/21)   2)Bacteremia due to contaminant; Blood cultures from 10/23/21 1/2 blood culture Preliminary report gram + cocci in clusters.  Contaminant was suspected.  Final Blood cx report from 10/28/21 with viridans streptococci group isolated.  Per Dr on 10/28/21, most likely contaminant and he recommended stopping IV Ceftriaxone and no need to repeat blood cx unless patient becomes febrile.   IV Ceftriaxone was stopped on 10/28/21 and patient remained afebrile and WBC ct WNL at 5.6 on 10/29/21. Urine cx from 10/23/21 Final report: No growth at 24 hours   3)Weakness; likely in setting of COVID pneumonia. PT initially recommended HHPT.  Patient very deconditioned per RN and PT re-assessment on 10/27/21 recommended SNF.  Daughter prefers that patient come home with Home Health PT which PCC has arranged.   4)Cognitive impairment; patient remains awake and alert.   5)Hypothyroidism; stable. Prior TSH 7.7 from 3/10/21.  On Levothyroxine.   6)Rt knee pain; suspect most likely due to OA.  Continue Tylenol 500 mg PO TID PRN and Rx Voltaren gel 4 times a day PRN pain on discharge.   7)FEN: Na 139 and K 3.9 on 10/28/21.  Patient on pureed diet. Patient had poor PO intake during hospitalization; dietician recommended Boost supplements with breakfast and dinner.  Patient's daughter feels patient will eat better once she is at home.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Bacterial infection, Basophil percentage decreased, Blood albumin decreased, Blood chloride normal, Blood creatinine normal
Clinical narrative: 96 Y female h/o of Hypothyroidism, constipation, prior hx of diverticular abscess who was brought in to ED for evaluation of worsening generalized weakness for last 2 days and cough; patient admitted on 10/23/21.   Plan: 1) COVID Pneumonia; Symptom onset on 10/21/21.  COVID positive on 10/23/21. Patient remains stable 02 sats on RA. -ED discussed patient with ID on admission who recommended starting Remdesivir. Last dose Remdesivir on 10/27/21. - On Pepcid for GI prophylaxis - Patient received Heparin 5,000 units SQ q12h for prophylaxis during hospitalization.  On 10/29/21, I discussed options with daughter for one month for DVT prophylaxis vs SQ Lovenox for DVT prophylaxis vs no medications for DVT prophylaxis on discharge and daughter prefers no medications for DVT prophylaxis on discharge out of concern for side effects and she reports her mom does not like to take medications.  Patient has HHPT arranged . - Per Dr, on discharge, recommendation is for isolation for 20 days since symptom onset (through 11/10/21)   2)Bacteremia due to contaminant; Blood cultures from 10/23/21 1/2 blood culture Preliminary report gram + cocci in clusters.  Contaminant was suspected.  Final Blood cx report from 10/28/21 with viridans streptococci group isolated.  Per Dr on 10/28/21, most likely contaminant and he recommended stopping IV Ceftriaxone and no need to repeat blood cx unless patient becomes febrile.   IV Ceftriaxone was stopped on 10/28/21 and patient remained afebrile and WBC ct WNL at 5.6 on 10/29/21. Urine cx from 10/23/21 Final report: No growth at 24 hours   3)Weakness; likely in setting of COVID pneumonia. PT initially recommended HHPT.  Patient very deconditioned per RN and PT re-assessment on 10/27/21 recommended SNF.  Daughter prefers that patient come home with Home Health PT which PCC has arranged.   4)Cognitive impairment; patient remains awake and alert.   5)Hypothyroidism; stable. Prior TSH 7.7 from 3/10/21.  On Levothyroxine.   6)Rt knee pain; suspect most likely due to OA.  Continue Tylenol 500 mg PO TID PRN and Rx Voltaren gel 4 times a day PRN pain on discharge.   7)FEN: Na 139 and K 3.9 on 10/28/21.  Patient on pureed diet. Patient had poor PO intake during hospitalization; dietician recommended Boost supplements with breakfast and dinner.  Patient's daughter feels patient will eat better once she is at home.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Blood culture, Blood glucose normal, Blood lactate dehydrogenase normal, Blood magnesium normal, Blood phosphorus normal
Clinical narrative: 96 Y female h/o of Hypothyroidism, constipation, prior hx of diverticular abscess who was brought in to ED for evaluation of worsening generalized weakness for last 2 days and cough; patient admitted on 10/23/21.   Plan: 1) COVID Pneumonia; Symptom onset on 10/21/21.  COVID positive on 10/23/21. Patient remains stable 02 sats on RA. -ED discussed patient with ID on admission who recommended starting Remdesivir. Last dose Remdesivir on 10/27/21. - On Pepcid for GI prophylaxis - Patient received Heparin 5,000 units SQ q12h for prophylaxis during hospitalization.  On 10/29/21, I discussed options with daughter for one month for DVT prophylaxis vs SQ Lovenox for DVT prophylaxis vs no medications for DVT prophylaxis on discharge and daughter prefers no medications for DVT prophylaxis on discharge out of concern for side effects and she reports her mom does not like to take medications.  Patient has HHPT arranged . - Per Dr, on discharge, recommendation is for isolation for 20 days since symptom onset (through 11/10/21)   2)Bacteremia due to contaminant; Blood cultures from 10/23/21 1/2 blood culture Preliminary report gram + cocci in clusters.  Contaminant was suspected.  Final Blood cx report from 10/28/21 with viridans streptococci group isolated.  Per Dr on 10/28/21, most likely contaminant and he recommended stopping IV Ceftriaxone and no need to repeat blood cx unless patient becomes febrile.   IV Ceftriaxone was stopped on 10/28/21 and patient remained afebrile and WBC ct WNL at 5.6 on 10/29/21. Urine cx from 10/23/21 Final report: No growth at 24 hours   3)Weakness; likely in setting of COVID pneumonia. PT initially recommended HHPT.  Patient very deconditioned per RN and PT re-assessment on 10/27/21 recommended SNF.  Daughter prefers that patient come home with Home Health PT which PCC has arranged.   4)Cognitive impairment; patient remains awake and alert.   5)Hypothyroidism; stable. Prior TSH 7.7 from 3/10/21.  On Levothyroxine.   6)Rt knee pain; suspect most likely due to OA.  Continue Tylenol 500 mg PO TID PRN and Rx Voltaren gel 4 times a day PRN pain on discharge.   7)FEN: Na 139 and K 3.9 on 10/28/21.  Patient on pureed diet. Patient had poor PO intake during hospitalization; dietician recommended Boost supplements with breakfast and dinner.  Patient's daughter feels patient will eat better once she is at home.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium normal, Blood sodium decreased, Blood thyroid stimulating hormone normal, Blood urea normal, Brain natriuretic peptide increased
Clinical narrative: 96 Y female h/o of Hypothyroidism, constipation, prior hx of diverticular abscess who was brought in to ED for evaluation of worsening generalized weakness for last 2 days and cough; patient admitted on 10/23/21.   Plan: 1) COVID Pneumonia; Symptom onset on 10/21/21.  COVID positive on 10/23/21. Patient remains stable 02 sats on RA. -ED discussed patient with ID on admission who recommended starting Remdesivir. Last dose Remdesivir on 10/27/21. - On Pepcid for GI prophylaxis - Patient received Heparin 5,000 units SQ q12h for prophylaxis during hospitalization.  On 10/29/21, I discussed options with daughter for one month for DVT prophylaxis vs SQ Lovenox for DVT prophylaxis vs no medications for DVT prophylaxis on discharge and daughter prefers no medications for DVT prophylaxis on discharge out of concern for side effects and she reports her mom does not like to take medications.  Patient has HHPT arranged . - Per Dr, on discharge, recommendation is for isolation for 20 days since symptom onset (through 11/10/21)   2)Bacteremia due to contaminant; Blood cultures from 10/23/21 1/2 blood culture Preliminary report gram + cocci in clusters.  Contaminant was suspected.  Final Blood cx report from 10/28/21 with viridans streptococci group isolated.  Per Dr on 10/28/21, most likely contaminant and he recommended stopping IV Ceftriaxone and no need to repeat blood cx unless patient becomes febrile.   IV Ceftriaxone was stopped on 10/28/21 and patient remained afebrile and WBC ct WNL at 5.6 on 10/29/21. Urine cx from 10/23/21 Final report: No growth at 24 hours   3)Weakness; likely in setting of COVID pneumonia. PT initially recommended HHPT.  Patient very deconditioned per RN and PT re-assessment on 10/27/21 recommended SNF.  Daughter prefers that patient come home with Home Health PT which PCC has arranged.   4)Cognitive impairment; patient remains awake and alert.   5)Hypothyroidism; stable. Prior TSH 7.7 from 3/10/21.  On Levothyroxine.   6)Rt knee pain; suspect most likely due to OA.  Continue Tylenol 500 mg PO TID PRN and Rx Voltaren gel 4 times a day PRN pain on discharge.   7)FEN: Na 139 and K 3.9 on 10/28/21.  Patient on pureed diet. Patient had poor PO intake during hospitalization; dietician recommended Boost supplements with breakfast and dinner.  Patient's daughter feels patient will eat better once she is at home.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein normal, COVID-19, COVID-19 pneumonia, Carbon dioxide normal, Cognitive disorder
Clinical narrative: 96 Y female h/o of Hypothyroidism, constipation, prior hx of diverticular abscess who was brought in to ED for evaluation of worsening generalized weakness for last 2 days and cough; patient admitted on 10/23/21.   Plan: 1) COVID Pneumonia; Symptom onset on 10/21/21.  COVID positive on 10/23/21. Patient remains stable 02 sats on RA. -ED discussed patient with ID on admission who recommended starting Remdesivir. Last dose Remdesivir on 10/27/21. - On Pepcid for GI prophylaxis - Patient received Heparin 5,000 units SQ q12h for prophylaxis during hospitalization.  On 10/29/21, I discussed options with daughter for one month for DVT prophylaxis vs SQ Lovenox for DVT prophylaxis vs no medications for DVT prophylaxis on discharge and daughter prefers no medications for DVT prophylaxis on discharge out of concern for side effects and she reports her mom does not like to take medications.  Patient has HHPT arranged . - Per Dr, on discharge, recommendation is for isolation for 20 days since symptom onset (through 11/10/21)   2)Bacteremia due to contaminant; Blood cultures from 10/23/21 1/2 blood culture Preliminary report gram + cocci in clusters.  Contaminant was suspected.  Final Blood cx report from 10/28/21 with viridans streptococci group isolated.  Per Dr on 10/28/21, most likely contaminant and he recommended stopping IV Ceftriaxone and no need to repeat blood cx unless patient becomes febrile.   IV Ceftriaxone was stopped on 10/28/21 and patient remained afebrile and WBC ct WNL at 5.6 on 10/29/21. Urine cx from 10/23/21 Final report: No growth at 24 hours   3)Weakness; likely in setting of COVID pneumonia. PT initially recommended HHPT.  Patient very deconditioned per RN and PT re-assessment on 10/27/21 recommended SNF.  Daughter prefers that patient come home with Home Health PT which PCC has arranged.   4)Cognitive impairment; patient remains awake and alert.   5)Hypothyroidism; stable. Prior TSH 7.7 from 3/10/21.  On Levothyroxine.   6)Rt knee pain; suspect most likely due to OA.  Continue Tylenol 500 mg PO TID PRN and Rx Voltaren gel 4 times a day PRN pain on discharge.   7)FEN: Na 139 and K 3.9 on 10/28/21.  Patient on pureed diet. Patient had poor PO intake during hospitalization; dietician recommended Boost supplements with breakfast and dinner.  Patient's daughter feels patient will eat better once she is at home.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Culture urine negative, Eosinophil percentage, Fibrin D dimer, Haematocrit decreased
Clinical narrative: 96 Y female h/o of Hypothyroidism, constipation, prior hx of diverticular abscess who was brought in to ED for evaluation of worsening generalized weakness for last 2 days and cough; patient admitted on 10/23/21.   Plan: 1) COVID Pneumonia; Symptom onset on 10/21/21.  COVID positive on 10/23/21. Patient remains stable 02 sats on RA. -ED discussed patient with ID on admission who recommended starting Remdesivir. Last dose Remdesivir on 10/27/21. - On Pepcid for GI prophylaxis - Patient received Heparin 5,000 units SQ q12h for prophylaxis during hospitalization.  On 10/29/21, I discussed options with daughter for one month for DVT prophylaxis vs SQ Lovenox for DVT prophylaxis vs no medications for DVT prophylaxis on discharge and daughter prefers no medications for DVT prophylaxis on discharge out of concern for side effects and she reports her mom does not like to take medications.  Patient has HHPT arranged . - Per Dr, on discharge, recommendation is for isolation for 20 days since symptom onset (through 11/10/21)   2)Bacteremia due to contaminant; Blood cultures from 10/23/21 1/2 blood culture Preliminary report gram + cocci in clusters.  Contaminant was suspected.  Final Blood cx report from 10/28/21 with viridans streptococci group isolated.  Per Dr on 10/28/21, most likely contaminant and he recommended stopping IV Ceftriaxone and no need to repeat blood cx unless patient becomes febrile.   IV Ceftriaxone was stopped on 10/28/21 and patient remained afebrile and WBC ct WNL at 5.6 on 10/29/21. Urine cx from 10/23/21 Final report: No growth at 24 hours   3)Weakness; likely in setting of COVID pneumonia. PT initially recommended HHPT.  Patient very deconditioned per RN and PT re-assessment on 10/27/21 recommended SNF.  Daughter prefers that patient come home with Home Health PT which PCC has arranged.   4)Cognitive impairment; patient remains awake and alert.   5)Hypothyroidism; stable. Prior TSH 7.7 from 3/10/21.  On Levothyroxine.   6)Rt knee pain; suspect most likely due to OA.  Continue Tylenol 500 mg PO TID PRN and Rx Voltaren gel 4 times a day PRN pain on discharge.   7)FEN: Na 139 and K 3.9 on 10/28/21.  Patient on pureed diet. Patient had poor PO intake during hospitalization; dietician recommended Boost supplements with breakfast and dinner.  Patient's daughter feels patient will eat better once she is at home.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Hypophagia, Immature granulocyte count, International normalised ratio increased, Lymphocyte percentage
Clinical narrative: 96 Y female h/o of Hypothyroidism, constipation, prior hx of diverticular abscess who was brought in to ED for evaluation of worsening generalized weakness for last 2 days and cough; patient admitted on 10/23/21.   Plan: 1) COVID Pneumonia; Symptom onset on 10/21/21.  COVID positive on 10/23/21. Patient remains stable 02 sats on RA. -ED discussed patient with ID on admission who recommended starting Remdesivir. Last dose Remdesivir on 10/27/21. - On Pepcid for GI prophylaxis - Patient received Heparin 5,000 units SQ q12h for prophylaxis during hospitalization.  On 10/29/21, I discussed options with daughter for one month for DVT prophylaxis vs SQ Lovenox for DVT prophylaxis vs no medications for DVT prophylaxis on discharge and daughter prefers no medications for DVT prophylaxis on discharge out of concern for side effects and she reports her mom does not like to take medications.  Patient has HHPT arranged . - Per Dr, on discharge, recommendation is for isolation for 20 days since symptom onset (through 11/10/21)   2)Bacteremia due to contaminant; Blood cultures from 10/23/21 1/2 blood culture Preliminary report gram + cocci in clusters.  Contaminant was suspected.  Final Blood cx report from 10/28/21 with viridans streptococci group isolated.  Per Dr on 10/28/21, most likely contaminant and he recommended stopping IV Ceftriaxone and no need to repeat blood cx unless patient becomes febrile.   IV Ceftriaxone was stopped on 10/28/21 and patient remained afebrile and WBC ct WNL at 5.6 on 10/29/21. Urine cx from 10/23/21 Final report: No growth at 24 hours   3)Weakness; likely in setting of COVID pneumonia. PT initially recommended HHPT.  Patient very deconditioned per RN and PT re-assessment on 10/27/21 recommended SNF.  Daughter prefers that patient come home with Home Health PT which PCC has arranged.   4)Cognitive impairment; patient remains awake and alert.   5)Hypothyroidism; stable. Prior TSH 7.7 from 3/10/21.  On Levothyroxine.   6)Rt knee pain; suspect most likely due to OA.  Continue Tylenol 500 mg PO TID PRN and Rx Voltaren gel 4 times a day PRN pain on discharge.   7)FEN: Na 139 and K 3.9 on 10/28/21.  Patient on pureed diet. Patient had poor PO intake during hospitalization; dietician recommended Boost supplements with breakfast and dinner.  Patient's daughter feels patient will eat better once she is at home.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell volume increased, Monocyte percentage increased, Neutrophil count, Neutrophil percentage decreased, Osteoarthritis
Clinical narrative: 96 Y female h/o of Hypothyroidism, constipation, prior hx of diverticular abscess who was brought in to ED for evaluation of worsening generalized weakness for last 2 days and cough; patient admitted on 10/23/21.   Plan: 1) COVID Pneumonia; Symptom onset on 10/21/21.  COVID positive on 10/23/21. Patient remains stable 02 sats on RA. -ED discussed patient with ID on admission who recommended starting Remdesivir. Last dose Remdesivir on 10/27/21. - On Pepcid for GI prophylaxis - Patient received Heparin 5,000 units SQ q12h for prophylaxis during hospitalization.  On 10/29/21, I discussed options with daughter for one month for DVT prophylaxis vs SQ Lovenox for DVT prophylaxis vs no medications for DVT prophylaxis on discharge and daughter prefers no medications for DVT prophylaxis on discharge out of concern for side effects and she reports her mom does not like to take medications.  Patient has HHPT arranged . - Per Dr, on discharge, recommendation is for isolation for 20 days since symptom onset (through 11/10/21)   2)Bacteremia due to contaminant; Blood cultures from 10/23/21 1/2 blood culture Preliminary report gram + cocci in clusters.  Contaminant was suspected.  Final Blood cx report from 10/28/21 with viridans streptococci group isolated.  Per Dr on 10/28/21, most likely contaminant and he recommended stopping IV Ceftriaxone and no need to repeat blood cx unless patient becomes febrile.   IV Ceftriaxone was stopped on 10/28/21 and patient remained afebrile and WBC ct WNL at 5.6 on 10/29/21. Urine cx from 10/23/21 Final report: No growth at 24 hours   3)Weakness; likely in setting of COVID pneumonia. PT initially recommended HHPT.  Patient very deconditioned per RN and PT re-assessment on 10/27/21 recommended SNF.  Daughter prefers that patient come home with Home Health PT which PCC has arranged.   4)Cognitive impairment; patient remains awake and alert.   5)Hypothyroidism; stable. Prior TSH 7.7 from 3/10/21.  On Levothyroxine.   6)Rt knee pain; suspect most likely due to OA.  Continue Tylenol 500 mg PO TID PRN and Rx Voltaren gel 4 times a day PRN pain on discharge.   7)FEN: Na 139 and K 3.9 on 10/28/21.  Patient on pureed diet. Patient had poor PO intake during hospitalization; dietician recommended Boost supplements with breakfast and dinner.  Patient's daughter feels patient will eat better once she is at home.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Physical deconditioning, Platelet count normal, Protein total decreased, Prothrombin time prolonged, Red blood cell count decreased
Clinical narrative: 96 Y female h/o of Hypothyroidism, constipation, prior hx of diverticular abscess who was brought in to ED for evaluation of worsening generalized weakness for last 2 days and cough; patient admitted on 10/23/21.   Plan: 1) COVID Pneumonia; Symptom onset on 10/21/21.  COVID positive on 10/23/21. Patient remains stable 02 sats on RA. -ED discussed patient with ID on admission who recommended starting Remdesivir. Last dose Remdesivir on 10/27/21. - On Pepcid for GI prophylaxis - Patient received Heparin 5,000 units SQ q12h for prophylaxis during hospitalization.  On 10/29/21, I discussed options with daughter for one month for DVT prophylaxis vs SQ Lovenox for DVT prophylaxis vs no medications for DVT prophylaxis on discharge and daughter prefers no medications for DVT prophylaxis on discharge out of concern for side effects and she reports her mom does not like to take medications.  Patient has HHPT arranged . - Per Dr, on discharge, recommendation is for isolation for 20 days since symptom onset (through 11/10/21)   2)Bacteremia due to contaminant; Blood cultures from 10/23/21 1/2 blood culture Preliminary report gram + cocci in clusters.  Contaminant was suspected.  Final Blood cx report from 10/28/21 with viridans streptococci group isolated.  Per Dr on 10/28/21, most likely contaminant and he recommended stopping IV Ceftriaxone and no need to repeat blood cx unless patient becomes febrile.   IV Ceftriaxone was stopped on 10/28/21 and patient remained afebrile and WBC ct WNL at 5.6 on 10/29/21. Urine cx from 10/23/21 Final report: No growth at 24 hours   3)Weakness; likely in setting of COVID pneumonia. PT initially recommended HHPT.  Patient very deconditioned per RN and PT re-assessment on 10/27/21 recommended SNF.  Daughter prefers that patient come home with Home Health PT which PCC has arranged.   4)Cognitive impairment; patient remains awake and alert.   5)Hypothyroidism; stable. Prior TSH 7.7 from 3/10/21.  On Levothyroxine.   6)Rt knee pain; suspect most likely due to OA.  Continue Tylenol 500 mg PO TID PRN and Rx Voltaren gel 4 times a day PRN pain on discharge.   7)FEN: Na 139 and K 3.9 on 10/28/21.  Patient on pureed diet. Patient had poor PO intake during hospitalization; dietician recommended Boost supplements with breakfast and dinner.  Patient's daughter feels patient will eat better once she is at home.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell nucleated morphology, Red cell distribution width normal, SARS-CoV-2 test positive, White blood cell count normal
Clinical narrative: 96 Y female h/o of Hypothyroidism, constipation, prior hx of diverticular abscess who was brought in to ED for evaluation of worsening generalized weakness for last 2 days and cough; patient admitted on 10/23/21.   Plan: 1) COVID Pneumonia; Symptom onset on 10/21/21.  COVID positive on 10/23/21. Patient remains stable 02 sats on RA. -ED discussed patient with ID on admission who recommended starting Remdesivir. Last dose Remdesivir on 10/27/21. - On Pepcid for GI prophylaxis - Patient received Heparin 5,000 units SQ q12h for prophylaxis during hospitalization.  On 10/29/21, I discussed options with daughter for one month for DVT prophylaxis vs SQ Lovenox for DVT prophylaxis vs no medications for DVT prophylaxis on discharge and daughter prefers no medications for DVT prophylaxis on discharge out of concern for side effects and she reports her mom does not like to take medications.  Patient has HHPT arranged . - Per Dr, on discharge, recommendation is for isolation for 20 days since symptom onset (through 11/10/21)   2)Bacteremia due to contaminant; Blood cultures from 10/23/21 1/2 blood culture Preliminary report gram + cocci in clusters.  Contaminant was suspected.  Final Blood cx report from 10/28/21 with viridans streptococci group isolated.  Per Dr on 10/28/21, most likely contaminant and he recommended stopping IV Ceftriaxone and no need to repeat blood cx unless patient becomes febrile.   IV Ceftriaxone was stopped on 10/28/21 and patient remained afebrile and WBC ct WNL at 5.6 on 10/29/21. Urine cx from 10/23/21 Final report: No growth at 24 hours   3)Weakness; likely in setting of COVID pneumonia. PT initially recommended HHPT.  Patient very deconditioned per RN and PT re-assessment on 10/27/21 recommended SNF.  Daughter prefers that patient come home with Home Health PT which PCC has arranged.   4)Cognitive impairment; patient remains awake and alert.   5)Hypothyroidism; stable. Prior TSH 7.7 from 3/10/21.  On Levothyroxine.   6)Rt knee pain; suspect most likely due to OA.  Continue Tylenol 500 mg PO TID PRN and Rx Voltaren gel 4 times a day PRN pain on discharge.   7)FEN: Na 139 and K 3.9 on 10/28/21.  Patient on pureed diet. Patient had poor PO intake during hospitalization; dietician recommended Boost supplements with breakfast and dinner.  Patient's daughter feels patient will eat better once she is at home.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: 17-year old pregnant female received Moderna covid - 19 vaccine. No adverse reaction reported so far.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Aspartate aminotransferase increased, Blood electrolytes, Blood glucose normal, Laboratory test normal, Mean cell haemoglobin concentration increased
Clinical narrative: one week (7 days) after injection - left radial nerve palsy - hospitalized for three days still currently in therapy
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Mean cell haemoglobin increased, Radial nerve palsy, Specific gravity urine normal
Clinical narrative: one week (7 days) after injection - left radial nerve palsy - hospitalized for three days still currently in therapy
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Hypoaesthesia
Clinical narrative: I had numbness in my left and right foot after receiving my J&J vaccine. After the Moderna, I had a sore arm that lasted for about a week. Three days after receiving the Moderna booster (half dose). I started to have numbness in my hands, but it's usually in my feet and legs. It gradually worsened over the following week and has remained the same since it first started.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Fatigue, Injection site pain, Lymphadenopathy, Tinnitus
Clinical narrative: Pain in right arm, swelling of lymph nodes under arm right ear and neck area. Right ear ringing and pain. extremely tired. This are the same issues I had previously after the 2nd dose of Moderna vaccine in 3/10/2021 (010m20a). My Lymph nodes on left side were swollen with same symptoms as above and continue to periodically swell on the left side only. Left arm has a hard lump still present at injection site. Went to urgent care and has prescribed antibiotics a few months ago. Appears that every time a get slight ill I have a lymph node flare up issue. Recent booster on 11/9/2021 appears to have cause this issue again but on the right side this time (same side as the injection)
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation
Clinical narrative: On Feb 1, started noticing A-Fib episodes; subsequent went to heart doctor; ended up on medication; then, I recently received my booster shot last Saturday, the 6th of November.  Since then, i have had two episodes of A-Fib.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: THE MODERNA ADMINISTERED   HAS BEEN STORED IN THE FRIDGE  FOR MORE THAN 30 DAYS AS REQUIRED BY THE MANUFACTURER
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: THE MODERNA ADMINISTERED   HAS BEEN STORED IN THE FRIDGE  FOR MORE THAN 30 DAYS AS REQUIRED BY THE MANUFACTURER
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Fall, Hypopnoea, Pallor
Clinical narrative: 1310:1st dose Pfizer vaccine administered (client is an employee at facility). Client was anxious about receiving vaccine.  1314: client slumped/ head down in chair unresponsive. Assisted to floor (no injury with transfer) legs placed up on chair. Pallor appearance, radial pulse 1+, 67bpm, RR 14, BP 118/82 1315: drowsy but slowly responds to voice, A&Ox4, ice packs applied, radial pulse thready, continuous pulse/ox applied. BG 102. sp02 94% 1316: drowsy, sternal rubbed to get vocal response. A&Ox4. EMS called. pulse thready 67 bpm. Pupils 3mm.  1323: 108/78. drowsy, responsive to loud voice. RR 20, shallow breathing, sp02 97% radial pulse 2+ 70 bpm.  1325: EMS arrival. client continues to be pale and drowsy. Assisted to chair x3. Client immediately felt dizzy again and asked to lay down. Complete transfer to stretcher. Client agreed to go to hospital for assessment.  1330: client left with EMS. Daughter working at facility at time of incident. Updated daughter in person and husband over the phone.  1339: client arrived at Hospital ED2
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pulse abnormal, Somnolence, Unresponsive to stimuli
Clinical narrative: 1310:1st dose Pfizer vaccine administered (client is an employee at facility). Client was anxious about receiving vaccine.  1314: client slumped/ head down in chair unresponsive. Assisted to floor (no injury with transfer) legs placed up on chair. Pallor appearance, radial pulse 1+, 67bpm, RR 14, BP 118/82 1315: drowsy but slowly responds to voice, A&Ox4, ice packs applied, radial pulse thready, continuous pulse/ox applied. BG 102. sp02 94% 1316: drowsy, sternal rubbed to get vocal response. A&Ox4. EMS called. pulse thready 67 bpm. Pupils 3mm.  1323: 108/78. drowsy, responsive to loud voice. RR 20, shallow breathing, sp02 97% radial pulse 2+ 70 bpm.  1325: EMS arrival. client continues to be pale and drowsy. Assisted to chair x3. Client immediately felt dizzy again and asked to lay down. Complete transfer to stretcher. Client agreed to go to hospital for assessment.  1330: client left with EMS. Daughter working at facility at time of incident. Updated daughter in person and husband over the phone.  1339: client arrived at Hospital ED2
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: This is the Moderna Booster I received on 11/6/21 and the next day I had swelling of my arm from the elbow to my shoulder.  It has been hot to the touch, and itchy.  I am on day 4 and the swelling has gone down but still red and itchy.  I have taken Benadryl orally, at night  and put anti-itch cream on it and icing it a couple times a day.  I received my initial Moderna vaccine on 2/12/21, and the second one on 3/12/21 with no problem except a sore arm for a day.
Age: 54.0
Sex: M
Vaccine: VARZOS
Symptoms: Diarrhoea, Fatigue, Headache, Pain
Clinical narrative: Headache diarrhea fatigue body aches
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Dizziness postural, Dysphagia, Dyspnoea
Clinical narrative: Shortly after my shot swollen tongue, difficulty swallowing, hard to catch my breathe, took Benedryl at the recommendation of the pharmacy. Symptoms didnt worsen so I stayed home. Next morning I noticed my eyes were swollen(they might have been swollen the day before but I didnt notice until the next morning ), red splotchy skin, extreme fatigue, shortness of breathe, fever, cough, difficulty lifting my right arm(where I got the injection). Injection site is still red and painful to touch and with certain muscle movements. Today Wednesday(shot was on Monday) I still have a fever of 99.9(with Tylenol), shortness of breathe, occasional cough, lack of appetite, dizziness when standing, headaches(with Tylenol), arms are no longer splotchy but still minor splotchy redness on my trunk(stomach and chest)and fatigue fluctuates between extreme to medium.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: Shortly after my shot swollen tongue, difficulty swallowing, hard to catch my breathe, took Benedryl at the recommendation of the pharmacy. Symptoms didnt worsen so I stayed home. Next morning I noticed my eyes were swollen(they might have been swollen the day before but I didnt notice until the next morning ), red splotchy skin, extreme fatigue, shortness of breathe, fever, cough, difficulty lifting my right arm(where I got the injection). Injection site is still red and painful to touch and with certain muscle movements. Today Wednesday(shot was on Monday) I still have a fever of 99.9(with Tylenol), shortness of breathe, occasional cough, lack of appetite, dizziness when standing, headaches(with Tylenol), arms are no longer splotchy but still minor splotchy redness on my trunk(stomach and chest)and fatigue fluctuates between extreme to medium.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash macular, Swollen tongue
Clinical narrative: Shortly after my shot swollen tongue, difficulty swallowing, hard to catch my breathe, took Benedryl at the recommendation of the pharmacy. Symptoms didnt worsen so I stayed home. Next morning I noticed my eyes were swollen(they might have been swollen the day before but I didnt notice until the next morning ), red splotchy skin, extreme fatigue, shortness of breathe, fever, cough, difficulty lifting my right arm(where I got the injection). Injection site is still red and painful to touch and with certain muscle movements. Today Wednesday(shot was on Monday) I still have a fever of 99.9(with Tylenol), shortness of breathe, occasional cough, lack of appetite, dizziness when standing, headaches(with Tylenol), arms are no longer splotchy but still minor splotchy redness on my trunk(stomach and chest)and fatigue fluctuates between extreme to medium.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Deafness unilateral, Ear disorder, Ear pain, Fatigue
Clinical narrative: Sick after first shot for four days tired achy. Two weeks after second shot I begain having ear problems and ear aches and fluid in the ear. Ringing in the hear and minor hearing loss in right ear.  Coughing and extreme fatigue. Treatment has been pendi ng since Oct 13th.  Antibiotics, predisone, nasal inhalers given. Still in treatment.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Illness, Middle ear effusion, Tinnitus
Clinical narrative: Sick after first shot for four days tired achy. Two weeks after second shot I begain having ear problems and ear aches and fluid in the ear. Ringing in the hear and minor hearing loss in right ear.  Coughing and extreme fatigue. Treatment has been pendi ng since Oct 13th.  Antibiotics, predisone, nasal inhalers given. Still in treatment.