chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Biopsy bone marrow abnormal, Blood bilirubin, Blood creatinine increased, Blood fibrinogen decreased, Blood urea increased
Clinical narrative: 3 days after 2nd dose of Pfizer vaccine  started with high-grade fevers with chills and rigors at night with associated rash neck and under arms,  continued to have fevers for several weeks. diagnosed w/ mono on 9/5/21, completed prednisone, prescribed gabapentin on 9/19/21 for HA, + sob w/ exertion. Presented to ED on 9/20/21 and had low platelet, low white blood cell count.  He reportedly has an enlarged spleen.  His LFTs were elevated.  Hospitalized in October (10/21/21-11/7/21) with fever of unknown origin. Found to have Pancytopenia and suspected hemophagocytic lymphohistiocytosis (HLH).Diagnosed with adult onset Stills disease (AOSD) with MAS in November 2021.   In December he started taking ivermectin, cyprohepadine, glutathione injections and multiple other supplements in attempt to detox COVID vaccine. Patient presented to ED 12/14/21  after outpatient labs drawn yesterday showed significant agranulocytosis WBC 1.6 and thrombocytopenia platelet 22. He continues to have daily fever related to AOSD. He was re-admitted and confirmed diagnosis of refractory HLH via bone marrow biopsy on 1/10/21. HLH complicated by cytopenias, polymicrobial infections resulting in multi-organ failure. Patient discharged with home hospice on 1/27/22 and died on 1/28/22.  His family believes his disease was directly linked to COVID-19 vaccination.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Death, Fatigue, Haematocrit decreased, Haemoglobin decreased, Haemophagocytic lymphohistiocytosis
Clinical narrative: 3 days after 2nd dose of Pfizer vaccine  started with high-grade fevers with chills and rigors at night with associated rash neck and under arms,  continued to have fevers for several weeks. diagnosed w/ mono on 9/5/21, completed prednisone, prescribed gabapentin on 9/19/21 for HA, + sob w/ exertion. Presented to ED on 9/20/21 and had low platelet, low white blood cell count.  He reportedly has an enlarged spleen.  His LFTs were elevated.  Hospitalized in October (10/21/21-11/7/21) with fever of unknown origin. Found to have Pancytopenia and suspected hemophagocytic lymphohistiocytosis (HLH).Diagnosed with adult onset Stills disease (AOSD) with MAS in November 2021.   In December he started taking ivermectin, cyprohepadine, glutathione injections and multiple other supplements in attempt to detox COVID vaccine. Patient presented to ED 12/14/21  after outpatient labs drawn yesterday showed significant agranulocytosis WBC 1.6 and thrombocytopenia platelet 22. He continues to have daily fever related to AOSD. He was re-admitted and confirmed diagnosis of refractory HLH via bone marrow biopsy on 1/10/21. HLH complicated by cytopenias, polymicrobial infections resulting in multi-organ failure. Patient discharged with home hospice on 1/27/22 and died on 1/28/22.  His family believes his disease was directly linked to COVID-19 vaccination.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Headache, Hepatic enzyme increased, Multiple organ dysfunction syndrome, Platelet count decreased, Pyrexia
Clinical narrative: 3 days after 2nd dose of Pfizer vaccine  started with high-grade fevers with chills and rigors at night with associated rash neck and under arms,  continued to have fevers for several weeks. diagnosed w/ mono on 9/5/21, completed prednisone, prescribed gabapentin on 9/19/21 for HA, + sob w/ exertion. Presented to ED on 9/20/21 and had low platelet, low white blood cell count.  He reportedly has an enlarged spleen.  His LFTs were elevated.  Hospitalized in October (10/21/21-11/7/21) with fever of unknown origin. Found to have Pancytopenia and suspected hemophagocytic lymphohistiocytosis (HLH).Diagnosed with adult onset Stills disease (AOSD) with MAS in November 2021.   In December he started taking ivermectin, cyprohepadine, glutathione injections and multiple other supplements in attempt to detox COVID vaccine. Patient presented to ED 12/14/21  after outpatient labs drawn yesterday showed significant agranulocytosis WBC 1.6 and thrombocytopenia platelet 22. He continues to have daily fever related to AOSD. He was re-admitted and confirmed diagnosis of refractory HLH via bone marrow biopsy on 1/10/21. HLH complicated by cytopenias, polymicrobial infections resulting in multi-organ failure. Patient discharged with home hospice on 1/27/22 and died on 1/28/22.  His family believes his disease was directly linked to COVID-19 vaccination.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Serum ferritin increased, Still's disease, Thrombocytopenia
Clinical narrative: 3 days after 2nd dose of Pfizer vaccine  started with high-grade fevers with chills and rigors at night with associated rash neck and under arms,  continued to have fevers for several weeks. diagnosed w/ mono on 9/5/21, completed prednisone, prescribed gabapentin on 9/19/21 for HA, + sob w/ exertion. Presented to ED on 9/20/21 and had low platelet, low white blood cell count.  He reportedly has an enlarged spleen.  His LFTs were elevated.  Hospitalized in October (10/21/21-11/7/21) with fever of unknown origin. Found to have Pancytopenia and suspected hemophagocytic lymphohistiocytosis (HLH).Diagnosed with adult onset Stills disease (AOSD) with MAS in November 2021.   In December he started taking ivermectin, cyprohepadine, glutathione injections and multiple other supplements in attempt to detox COVID vaccine. Patient presented to ED 12/14/21  after outpatient labs drawn yesterday showed significant agranulocytosis WBC 1.6 and thrombocytopenia platelet 22. He continues to have daily fever related to AOSD. He was re-admitted and confirmed diagnosis of refractory HLH via bone marrow biopsy on 1/10/21. HLH complicated by cytopenias, polymicrobial infections resulting in multi-organ failure. Patient discharged with home hospice on 1/27/22 and died on 1/28/22.  His family believes his disease was directly linked to COVID-19 vaccination.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Autoimmune disorder, Chills, Fatigue, Full blood count abnormal, Haemophagocytic lymphohistiocytosis
Clinical narrative: 3 days after 2nd dose of Pfizer vaccine  started with high-grade fevers with chills and rigors at night with associated rash neck and under arms,  continued to have fevers for several weeks. diagnosed w/ mono on 9/5/21, completed prednisone, prescribed gabapentin on 9/19/21 for HA, + sob w/ exertion. Presented to ED on 9/20/21 and had low platelet, low white blood cell count.  He reportedly has an enlarged spleen.  His LFTs were elevated.  Hospitalized in October (10/21/21-11/7/21) with fever of unknown origin. Found to have Pancytopenia and suspected hemophagocytic lymphohistiocytosis (HLH).Diagnosed with adult onset Stills disease (AOSD) with MAS in November 2021.   In December he started taking ivermectin, cyprohepadine, glutathione injections and multiple other supplements in attempt to detox COVID vaccine. Patient presented to ED 12/14/21  after outpatient labs drawn yesterday showed significant agranulocytosis WBC 1.6 and thrombocytopenia platelet 22. He continues to have daily fever related to AOSD. He was re-admitted and confirmed diagnosis of refractory HLH via bone marrow biopsy on 1/10/21. HLH complicated by cytopenias, polymicrobial infections resulting in multi-organ failure. Patient discharged with home hospice on 1/27/22 and died on 1/28/22.  His family believes his disease was directly linked to COVID-19 vaccination.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Headache, Hepatic enzyme increased, Multiple organ dysfunction syndrome, Night sweats, Pyrexia
Clinical narrative: 3 days after 2nd dose of Pfizer vaccine  started with high-grade fevers with chills and rigors at night with associated rash neck and under arms,  continued to have fevers for several weeks. diagnosed w/ mono on 9/5/21, completed prednisone, prescribed gabapentin on 9/19/21 for HA, + sob w/ exertion. Presented to ED on 9/20/21 and had low platelet, low white blood cell count.  He reportedly has an enlarged spleen.  His LFTs were elevated.  Hospitalized in October (10/21/21-11/7/21) with fever of unknown origin. Found to have Pancytopenia and suspected hemophagocytic lymphohistiocytosis (HLH).Diagnosed with adult onset Stills disease (AOSD) with MAS in November 2021.   In December he started taking ivermectin, cyprohepadine, glutathione injections and multiple other supplements in attempt to detox COVID vaccine. Patient presented to ED 12/14/21  after outpatient labs drawn yesterday showed significant agranulocytosis WBC 1.6 and thrombocytopenia platelet 22. He continues to have daily fever related to AOSD. He was re-admitted and confirmed diagnosis of refractory HLH via bone marrow biopsy on 1/10/21. HLH complicated by cytopenias, polymicrobial infections resulting in multi-organ failure. Patient discharged with home hospice on 1/27/22 and died on 1/28/22.  His family believes his disease was directly linked to COVID-19 vaccination.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: An adult dose (0.3ml) of Pfizer's adult formula was inadvertently administered to a six your old child for her second dose. At this time (2 1/2 hours after vaccination), no adverse reaction has been noted. Mother was notified of the error and encouraged to watch for any adverse reactions. She was encouraged to call her pediatrician which she did. He advised she bring the child to his office to be seen.  Her pediatrician spoke with the department's administrator and stated he plans to advise mom of possible signs and symptoms to watch for.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: contracted COVID and tested on 1/3/22 due to stuffy nose, headache, cough, runny nose, general body aches
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram, Electrocardiogram, Laboratory test, Palpitations, Ventricular extrasystoles
Clinical narrative: Heart palpitations, which were later diagnosed as pre ventricular contractions.
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Palpitations, SARS-CoV-2 test, Ventricular extrasystoles
Clinical narrative: Heart palpitations, which were later diagnosed as pre ventricular contractions.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: A pre-diluted grey-top Pfizer covid vaccine vial (adult) was diluted with 1.8 mL of normal saline. Subsequently, an over-diluted 0.3 mL vaccine was administered to the patient for their booster. The patient was called and notified of this and the CDC recommendation that they are to repeat the dose immediately. The patient stated that she prefers to not repeat the dose. No adverse events or clinical consequences were reported.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cerebrovascular accident, Computerised tomogram, Impaired work ability, Intensive care
Clinical narrative: Brain Aneurysm, Blood Clots And Stroke- 17 Days In ICU At local Hospital. I Missed 6 Months Of Work.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Intracranial aneurysm, Magnetic resonance imaging, Surgery, Thrombosis, Ultrasound scan
Clinical narrative: Brain Aneurysm, Blood Clots And Stroke- 17 Days In ICU At local Hospital. I Missed 6 Months Of Work.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Vena cava filter insertion, Vena cava filter removal
Clinical narrative: Brain Aneurysm, Blood Clots And Stroke- 17 Days In ICU At local Hospital. I Missed 6 Months Of Work.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Pulmonary thrombosis, Thrombosis
Clinical narrative: I received the vaccine at local hospital. I had the previous injection of J&J in April 2021. I had an adverse reaction to the injection and was reported by my PCP. I had superficial clots on my right arm; the same side of the injection. The injection of the Moderna booster also resulted in blood clots on the left side, the same side of the injection. I was hospitalized from 01/05/2022 to 01/06/2022 at alternate local hospital to treat the five blood clots in my lungs.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Death
Clinical narrative: 12/3/2021- Resident Passed away on Hospice services with comfort measures in place.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy, Interchange of vaccine products
Clinical narrative: Miscarriage after receiving both vaccines - I was due 9/8/22 so 8 weeks when I had my miscarriage.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dizziness, Dyspnoea, Fatigue, Respiratory tract congestion
Clinical narrative: Patient is fully vaccinated. Chief complaint COVID and dizziness. 23 y/o with a Med Hx of anxiety and recent COVID-19 diagnosis presenting to the ED today with the concern of dizziness. She reports she tested positive for COVID-19 last Friday and has been taking steroids that she was prescribed for her shortness of breathe. She no longer endorses SOB but is concerned about intense fatigue. She states that earlier today she went to rise from her chair to use the bathroom when she felt dizzy and saw stars. She denies any shortness of breath, chest pain or palpations. She denies any previous syncopal history. Positive for congestion and sinus pain. Discharged from ED.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus pain
Clinical narrative: Patient is fully vaccinated. Chief complaint COVID and dizziness. 23 y/o with a Med Hx of anxiety and recent COVID-19 diagnosis presenting to the ED today with the concern of dizziness. She reports she tested positive for COVID-19 last Friday and has been taking steroids that she was prescribed for her shortness of breathe. She no longer endorses SOB but is concerned about intense fatigue. She states that earlier today she went to rise from her chair to use the bathroom when she felt dizzy and saw stars. She denies any shortness of breath, chest pain or palpations. She denies any previous syncopal history. Positive for congestion and sinus pain. Discharged from ED.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Sore arm, redness at site of injection, hot at site of injection, swelling at site of injection, itching at site of injection, headache
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: Sore arm, redness at site of injection, hot at site of injection, swelling at site of injection, itching at site of injection, headache
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Bursitis, Discomfort, Injected limb mobility decreased
Clinical narrative: Vaccine may have been administered too high on right shoulder. Patient reported reduced movement of shoulder and provider confirmed signs of bursitis. Patient still reports limited movement and some discomfort.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Confusional state, Dementia, Lethargy
Clinical narrative: CHIEF COMPLAINT:   Sent from Nsg home for lethargy  since yesterday Covid + about 7-9 days ago. History of UTI. Alert responsive upon arrival  Is confused- baseline dementia   HISTORY OF PRESENT ILLNESS:     Presents with: _covid, and not well  Duration: _cosntnat  Onset: _acute  Course: _same  Location Pain Onset: _genrela aches  Location Pain at Present: _same  Pain Radiation: _denies  Pain Quality: _achey, dementia, limits hx
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pain, SARS-CoV-2 test positive
Clinical narrative: CHIEF COMPLAINT:   Sent from Nsg home for lethargy  since yesterday Covid + about 7-9 days ago. History of UTI. Alert responsive upon arrival  Is confused- baseline dementia   HISTORY OF PRESENT ILLNESS:     Presents with: _covid, and not well  Duration: _cosntnat  Onset: _acute  Course: _same  Location Pain Onset: _genrela aches  Location Pain at Present: _same  Pain Radiation: _denies  Pain Quality: _achey, dementia, limits hx
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Urticaria
Clinical narrative: Hives on neck, flushed cheeks and neck for about 1-2 hours.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: A pre-diluted grey-top Pfizer covid vaccine vial (adult) was diluted with 1.8 mL of normal saline. Subsequently, an over-diluted 0.3 mL vaccine was administered to the patient for their booster. The patient was notified of this and the CDC recommendation that they are to repeat the dose immediately. He was able to return to the clinic the same day and receive the correct dose. No adverse events or clinical consequences were reported.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Bursitis, Haematoma, Inflammation, Joint range of motion decreased, Magnetic resonance imaging abnormal
Clinical narrative: Injection was given on top of shoulder and could hear "tearing" as injected.  Evening of injection and throughout night- could not move my arm and very painful.  Believed to be hematoma, after about 5 days, was able to regain motion in arm but still painful and unable to execute full range of motion.  Kept thinking it would subside and get better.  After several months- no improvement.  Visited Doctor in August, started Physical Therapy. MRI revealed Adhesive Capsulitis, inflammation, 3 torn rotator cuffs, bursitis.  Received 2 cortisone injections in past 6 months, still in Physical Therapy.  Improving but still very limited range of motion in back movement of arm. Discussing manipulation under anesthesia and/or possible surgery.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity, Periarthritis, Product administered at inappropriate site, Rotator cuff syndrome
Clinical narrative: Injection was given on top of shoulder and could hear "tearing" as injected.  Evening of injection and throughout night- could not move my arm and very painful.  Believed to be hematoma, after about 5 days, was able to regain motion in arm but still painful and unable to execute full range of motion.  Kept thinking it would subside and get better.  After several months- no improvement.  Visited Doctor in August, started Physical Therapy. MRI revealed Adhesive Capsulitis, inflammation, 3 torn rotator cuffs, bursitis.  Received 2 cortisone injections in past 6 months, still in Physical Therapy.  Improving but still very limited range of motion in back movement of arm. Discussing manipulation under anesthesia and/or possible surgery.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Cardiac stress test, Chest discomfort, Chest pain, Dyspnoea
Clinical narrative: On 11/15 experienced shortness of breath and high-blood pressure. Saw PCP 11/16. I was put on a beta-blocker and saw a cardiologists. By 11/20 my shortness and pain in my chest was so bad I had to go to urgent care. Went to the ER the same day. Had abnormalities in my chest. I received a dose of aspirin. I was discharged but diagnosed w/ POTS. I had an improvement over the next couple of weeks. On 12/08 during a flight I had to put on oxygen in midair and take to the ER immediately after my flight. I was put on aspirin again which made a massive improvement over the following 3 weeks. I'm still having occasional shortness of breath. I began Eliquis on 2/1. I will be returning to rheumatologist.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Electrocardiogram, Hypertension, Magnetic resonance imaging, Postural orthostatic tachycardia syndrome
Clinical narrative: On 11/15 experienced shortness of breath and high-blood pressure. Saw PCP 11/16. I was put on a beta-blocker and saw a cardiologists. By 11/20 my shortness and pain in my chest was so bad I had to go to urgent care. Went to the ER the same day. Had abnormalities in my chest. I received a dose of aspirin. I was discharged but diagnosed w/ POTS. I had an improvement over the next couple of weeks. On 12/08 during a flight I had to put on oxygen in midair and take to the ER immediately after my flight. I was put on aspirin again which made a massive improvement over the following 3 weeks. I'm still having occasional shortness of breath. I began Eliquis on 2/1. I will be returning to rheumatologist.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Bacterial infection, Cystitis, SARS-CoV-2 test positive
Clinical narrative: Patient was admitted for acute cystitis with gram negative rod and was found to be COVID-19 positive on 01/25/22. Patient is asymptomatic without hypoxemia, this is not considered a breakthrough case.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Nasal congestion
Clinical narrative: shortness of breath, nasal congestion
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Patient received Moderna booster shot 0.25ml  at 0852 on left arm. 20 mintues after patient experiencing numbness and tingling on left deltoid, travelling upward to left face. This RN arrived at 0920 and performed Befast. Negative BEFAST. 132/74 (95) P 85 RA 98% RR20. Pt was anxious about reaction. Dr arrived. Care handed off to RN.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient presented to Outdoor Tent Clinic requesting booster dose Pfizer vaccine. Pt stated he did not bring his card. When questioned about the date of his last dose and if it were 5-6 months ago, pt stated he did not recall the date but agreed that it was 5 months ago. Pt vaccinated with booster dose Pfizer Adult  covid vaccine. During documentation of vaccine administration in EHR, it was discovered patient received booster dose too early, 28 days after 2nd dose.  Pt did not have side effects from this dose.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Pt states they have tingles going down their arm.  It happened right away pt states.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for Covid-19.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Chest X-ray normal, Dyspnoea, Lung opacity, Scan with contrast abnormal
Clinical narrative: Patient presents to the ED with a Chief Complaint of Shortness of Breath
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray, Cough, Dizziness, Dyspnoea
Clinical narrative: Patient is fully vaccinated. COVID + on 1/7/2022 at ED visit. 13-year-old female who presents to the ED complaining of 2 days of headache, cough, subjective fever, general malaise, nausea, dizziness, lightheadedness. Denies loss of consciousness. No chest pain. No abdominal pain and constipation or diarrhea. No leg pain or swelling, denies history of DVT/PE. She does have a history of diabetes. Positive for shortness of breath and cough and fatigue. BP (!) 148/72  | Pulse (!) 130  | Temp 99.4 °F (37.4 °C) (Oral)  | Resp 18  | SpO2 100% CXR: no acute process. She was given an IV fluid bolus, Toradol, Zofran.  Discharged from ED
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Malaise, Nausea, Pyrexia
Clinical narrative: Patient is fully vaccinated. COVID + on 1/7/2022 at ED visit. 13-year-old female who presents to the ED complaining of 2 days of headache, cough, subjective fever, general malaise, nausea, dizziness, lightheadedness. Denies loss of consciousness. No chest pain. No abdominal pain and constipation or diarrhea. No leg pain or swelling, denies history of DVT/PE. She does have a history of diabetes. Positive for shortness of breath and cough and fatigue. BP (!) 148/72  | Pulse (!) 130  | Temp 99.4 °F (37.4 °C) (Oral)  | Resp 18  | SpO2 100% CXR: no acute process. She was given an IV fluid bolus, Toradol, Zofran.  Discharged from ED
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Injection site mass, Injection site pain, Injection site rash
Clinical narrative: Painful upper left arm, lumps and rash.  Triamcinolone Acetonide Cream USP, 0.1 for rash, and Diclofenac Sodium Topical Gel for upper arm pain.
Age: 18.0
Sex: F
Vaccine: HEPA
Symptoms: Unevaluable event
Clinical narrative: patient was given adult dose of hep a
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: NO ADVERSE EVENT; GIVEN PEDS 0.2 mL IM INSTEAD OF THE OVER 12 VACCINE 0.3 mL DOSE
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: It was discovered that the vaccine  received was stored in a freezer longer than recommended by the manufacturer.  Per the manufacturer, since the potency of the vaccine cannot be determined, it's unclear of the level of immunity this dose was expected to deliver.  After consulting with our immunization experts, and with the vaccine manufacturer, it's recommended to repeat the dose to ensure full protection.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Death
Clinical narrative: 11/25/2021- Patient passed away on Hospice services with comfort measures in place
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head abnormal, Haemorrhage, Immune thrombocytopenia, Immunoglobulin therapy, Intraventricular haemorrhage
Clinical narrative: Immune thrombocytopenia, platelet count of 1,000, also with intraventricular hemorrhage. Presented to Urgent Care on 1/22/22 with petechiae and bleeding. Then came to ED @ Hospital 1/24/22, platelet count 1, treated with  IVIG and high dose steroids. CT head and MRI head noted to have bleeding in ventricle.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head abnormal, Petechiae, Platelet count decreased
Clinical narrative: Immune thrombocytopenia, platelet count of 1,000, also with intraventricular hemorrhage. Presented to Urgent Care on 1/22/22 with petechiae and bleeding. Then came to ED @ Hospital 1/24/22, platelet count 1, treated with  IVIG and high dose steroids. CT head and MRI head noted to have bleeding in ventricle.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: admitted for treatment of COVID pna
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Dyspnoea, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: This is an instance of breakthrough COVID-19 disease after which death occurred.   The individual was vaccinated with the Jansen product on 04/05/2021. Symptom onset is not specifically known, but the individual presented to emergency department with shortness of breath on 01/16/2022 and tested positive for COVID-19 via PCR test on 01/16/2021. They were hospitalized from 01/16/2022 to 01/22/2022, when they were discharged to home hospice. They died on 01/23/2021.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Asthma, COVID-19, Cardiac failure congestive, Condition aggravated
Clinical narrative: CHIEF COMPLAINT:   Pt BIBA for SOB, CHF and asthma hx on 3L NC at home. COVID + 1/18. Pt very anxious on arrival.   HISTORY OF PRESENT ILLNESS:     pt with covid for about 8 days.  3 L nasal cannula at home and has been increasing it without significant effect reports severe shortness of breath with movement.  Johnson & Johnson vaccine several months ago and has had no boosters or other vaccinations.  Reports fever chills and feeling terrible at home poor p.o. intake. Denies nausea, vomiting, diarrhea, or abdominal pain. Movement makes worse, rest improves. Course variable.  No radiation of pain. No headache, photophobia, stiff neck, or rash reported.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Feeling abnormal, Hypophagia, Pyrexia
Clinical narrative: CHIEF COMPLAINT:   Pt BIBA for SOB, CHF and asthma hx on 3L NC at home. COVID + 1/18. Pt very anxious on arrival.   HISTORY OF PRESENT ILLNESS:     pt with covid for about 8 days.  3 L nasal cannula at home and has been increasing it without significant effect reports severe shortness of breath with movement.  Johnson & Johnson vaccine several months ago and has had no boosters or other vaccinations.  Reports fever chills and feeling terrible at home poor p.o. intake. Denies nausea, vomiting, diarrhea, or abdominal pain. Movement makes worse, rest improves. Course variable.  No radiation of pain. No headache, photophobia, stiff neck, or rash reported.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: CHIEF COMPLAINT:   Pt BIBA for SOB, CHF and asthma hx on 3L NC at home. COVID + 1/18. Pt very anxious on arrival.   HISTORY OF PRESENT ILLNESS:     pt with covid for about 8 days.  3 L nasal cannula at home and has been increasing it without significant effect reports severe shortness of breath with movement.  Johnson & Johnson vaccine several months ago and has had no boosters or other vaccinations.  Reports fever chills and feeling terrible at home poor p.o. intake. Denies nausea, vomiting, diarrhea, or abdominal pain. Movement makes worse, rest improves. Course variable.  No radiation of pain. No headache, photophobia, stiff neck, or rash reported.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Burning sensation, Condition aggravated, Imaging procedure, Magnetic resonance imaging
Clinical narrative: Severe burning and pain in lower half of my body. Required ER visit. Still severe pain and muscle spasms going on.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscle spasms, Pain
Clinical narrative: Severe burning and pain in lower half of my body. Required ER visit. Still severe pain and muscle spasms going on.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: It was discovered that the vaccine  received was stored in a freezer longer than recommended by the manufacturer.  Per the manufacturer, since the potency of the vaccine cannot be determined, it's unclear of the level of immunity this dose was expected to deliver.  After consulting with our immunization experts, and with the vaccine manufacturer, it's recommended to repeat the dose to ensure full protection.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Infection, Sepsis
Clinical narrative: Patient presented to the emergency department due to sepsis, positive for COVID-19 on 01/25/2022 and progressed to acute hypoxic respiratory failure requiring mechanical ventilation which is likely multifactorial, this is considered a breakthrough case
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Fibrin D dimer normal, International normalised ratio normal, Pruritus
Clinical narrative: Vaccine administered 12/29/2021. Reports of itching and dyspnea. Treated with Benadryl 50mg  which improved symptoms. Reports of dyspnea, cough, SOB, and itching on abdomen, chest, back, and neck persisting  on 12/30/21 and appointment made at MD office.  MD treated with Duoneb nebs, Benadryl 25mg PO, and prednisone 20mg daily x5 days ordered. Symptoms improved. Ruled out  PE/DVT.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiogram cerebral normal, Angiogram normal, Blood thyroid stimulating hormone normal, Cardiac failure, Cardiomyopathy
Clinical narrative: PRESENTED 1/27 WITH DYSPNEA, ORTHOPNEA, CHEST PRESSURE. FOUND TO BE IN NEWLY DIAGNOSED HEART FAILURE WITH EF 30-35%. NO PRIOR ECHO FOR COMPARISON. WORK UP CONSISTENT WITH NON-ISCHEMIC CARDIOMYOPATHY. STARTED ON ASPIRIN, DIURETIC, ANTIHYPERTENSIVES. ALSO DIAGNOSED WITH NEW DIABETES.  DISCHARGED HOME 1/31 AND RETURNED 2/1 WITH LEFT VISUAL FIELD DEFICIT, FOUND TO HAVE RIGHT PCA STROKE AND PUNCTATE LEFT HEMISPHERE STROKES SUGESTIVE OF EMBOLIC ETIOLOGY.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cerebral infarction, Chest discomfort, Computerised tomogram head normal, Diabetes mellitus, Diastolic dysfunction
Clinical narrative: PRESENTED 1/27 WITH DYSPNEA, ORTHOPNEA, CHEST PRESSURE. FOUND TO BE IN NEWLY DIAGNOSED HEART FAILURE WITH EF 30-35%. NO PRIOR ECHO FOR COMPARISON. WORK UP CONSISTENT WITH NON-ISCHEMIC CARDIOMYOPATHY. STARTED ON ASPIRIN, DIURETIC, ANTIHYPERTENSIVES. ALSO DIAGNOSED WITH NEW DIABETES.  DISCHARGED HOME 1/31 AND RETURNED 2/1 WITH LEFT VISUAL FIELD DEFICIT, FOUND TO HAVE RIGHT PCA STROKE AND PUNCTATE LEFT HEMISPHERE STROKES SUGESTIVE OF EMBOLIC ETIOLOGY.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Echocardiogram, Ejection fraction, Electrocardiogram normal, Embolic stroke
Clinical narrative: PRESENTED 1/27 WITH DYSPNEA, ORTHOPNEA, CHEST PRESSURE. FOUND TO BE IN NEWLY DIAGNOSED HEART FAILURE WITH EF 30-35%. NO PRIOR ECHO FOR COMPARISON. WORK UP CONSISTENT WITH NON-ISCHEMIC CARDIOMYOPATHY. STARTED ON ASPIRIN, DIURETIC, ANTIHYPERTENSIVES. ALSO DIAGNOSED WITH NEW DIABETES.  DISCHARGED HOME 1/31 AND RETURNED 2/1 WITH LEFT VISUAL FIELD DEFICIT, FOUND TO HAVE RIGHT PCA STROKE AND PUNCTATE LEFT HEMISPHERE STROKES SUGESTIVE OF EMBOLIC ETIOLOGY.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Glycosylated haemoglobin increased, Hypokinesia, Low density lipoprotein increased, Magnetic resonance imaging head abnormal, Mitral valve incompetence
Clinical narrative: PRESENTED 1/27 WITH DYSPNEA, ORTHOPNEA, CHEST PRESSURE. FOUND TO BE IN NEWLY DIAGNOSED HEART FAILURE WITH EF 30-35%. NO PRIOR ECHO FOR COMPARISON. WORK UP CONSISTENT WITH NON-ISCHEMIC CARDIOMYOPATHY. STARTED ON ASPIRIN, DIURETIC, ANTIHYPERTENSIVES. ALSO DIAGNOSED WITH NEW DIABETES.  DISCHARGED HOME 1/31 AND RETURNED 2/1 WITH LEFT VISUAL FIELD DEFICIT, FOUND TO HAVE RIGHT PCA STROKE AND PUNCTATE LEFT HEMISPHERE STROKES SUGESTIVE OF EMBOLIC ETIOLOGY.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Orthopnoea, Pulmonary hypertension, Scan myocardial perfusion normal, Tricuspid valve incompetence, Visual field defect
Clinical narrative: PRESENTED 1/27 WITH DYSPNEA, ORTHOPNEA, CHEST PRESSURE. FOUND TO BE IN NEWLY DIAGNOSED HEART FAILURE WITH EF 30-35%. NO PRIOR ECHO FOR COMPARISON. WORK UP CONSISTENT WITH NON-ISCHEMIC CARDIOMYOPATHY. STARTED ON ASPIRIN, DIURETIC, ANTIHYPERTENSIVES. ALSO DIAGNOSED WITH NEW DIABETES.  DISCHARGED HOME 1/31 AND RETURNED 2/1 WITH LEFT VISUAL FIELD DEFICIT, FOUND TO HAVE RIGHT PCA STROKE AND PUNCTATE LEFT HEMISPHERE STROKES SUGESTIVE OF EMBOLIC ETIOLOGY.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Mobility decreased, Neuralgic amyotrophy, Pain
Clinical narrative: Extreme loss of strength and function in left arm. Went from being able to do 100 pushups and bench pressing 190 lbs. x 10 reps to fighting my way back to being able to do a pushup at all, with severe pain, and able to bench press 80 lbs. x 2 reps, again with severe pain during the lifting portion. Unable to dress normally, finding myself using my right arm to accomplish most tasks since left arm use will result in surprising pain. Difficulty working, I had to maneuver under a desk to plug in some PC cables, was unable to crawl and shift weight to left arm. Had to hang some 24" computer displays, approx. 20lbs, and had to brace my left elbow on work surface to assist.
Age: 12.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Nervous system disorder
Clinical narrative: Since he received the vaccine I have seen a change in his nervous systems gradually more every day that he no longer has control of his nervous system, before the vaccine he was a great athlete he was in a club and with his classes he was number one in his class, everything began after the shot.
Age: 12.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Abnormal behaviour, Anxiety, CSF test, Culture negative, Depression
Clinical narrative: Since he received the vaccine I have seen a change in his nervous systems gradually more every day that he no longer has control of his nervous system, before the vaccine he was a great athlete he was in a club and with his classes he was number one in his class, everything began after the shot.
Age: 12.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Fatigue, Immunology test normal, Metabolic function test normal, Social avoidant behaviour, Toxicologic test
Clinical narrative: Since he received the vaccine I have seen a change in his nervous systems gradually more every day that he no longer has control of his nervous system, before the vaccine he was a great athlete he was in a club and with his classes he was number one in his class, everything began after the shot.
Age: 12.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Urine analysis normal
Clinical narrative: Since he received the vaccine I have seen a change in his nervous systems gradually more every day that he no longer has control of his nervous system, before the vaccine he was a great athlete he was in a club and with his classes he was number one in his class, everything began after the shot.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Condition aggravated, Diarrhoea, Gastric ulcer, Oesophagogastroduodenoscopy abnormal
Clinical narrative: CHIEF COMPLAINT:   Pt reports he has chronic pancreatitis. is tearful at triage as he reports abdominal pain, vomiting, and diarrhea for three weeks.Hx DM, has not taken insulin X3 days.   HISTORY OF PRESENT ILLNESS:     Patient is a 72-year-old male who presents with chronic intermittent abdominal pain, states that he has a history of chronic pancreatitis, gastric ulcers has had worsening abdominal pain with vomiting and diarrhea that has been progressive over the past week.  Patient has family members we have been tested positive for Covid, however he denies any fever cough or sore throat.  Denies chest pain or shortness of breath.  Patient states that he had a EGD in October that showed the ulcers, is taking PPI and H2 blocker as directed.  Denies blood in his vomit, or blood in his stool.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Tearfulness, Vomiting
Clinical narrative: CHIEF COMPLAINT:   Pt reports he has chronic pancreatitis. is tearful at triage as he reports abdominal pain, vomiting, and diarrhea for three weeks.Hx DM, has not taken insulin X3 days.   HISTORY OF PRESENT ILLNESS:     Patient is a 72-year-old male who presents with chronic intermittent abdominal pain, states that he has a history of chronic pancreatitis, gastric ulcers has had worsening abdominal pain with vomiting and diarrhea that has been progressive over the past week.  Patient has family members we have been tested positive for Covid, however he denies any fever cough or sore throat.  Denies chest pain or shortness of breath.  Patient states that he had a EGD in October that showed the ulcers, is taking PPI and H2 blocker as directed.  Denies blood in his vomit, or blood in his stool.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Computerised tomogram, Hypertension, Hypoaesthesia oral, Lymphadenopathy
Clinical narrative: Body aches and fever caused me to be unable to open my eyes. The next day I started to feel that my armpit became swollen for about 4 days long. On the 27th, I was unable to close my left eye, and on the 28th my mouth was numbed on the left side. I went to the ER and they stated I had high blood pressure and was given medicine to treat it. Treated as a stroke however, MRI and CT Scans showed no stroke symptoms and stated that I have Bell's Palsy. I still have paralysis and it will take a few months to recover from it. No more swelling in arm areas.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Ocular discomfort, Pain, Pyrexia
Clinical narrative: Body aches and fever caused me to be unable to open my eyes. The next day I started to feel that my armpit became swollen for about 4 days long. On the 27th, I was unable to close my left eye, and on the 28th my mouth was numbed on the left side. I went to the ER and they stated I had high blood pressure and was given medicine to treat it. Treated as a stroke however, MRI and CT Scans showed no stroke symptoms and stated that I have Bell's Palsy. I still have paralysis and it will take a few months to recover from it. No more swelling in arm areas.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Moraxella infection, Pneumonia bacterial
Clinical narrative: Patient presented covid-19 positive on 01/26/22 with a mix of COVID-19 pneumonia as well as bacterial pneumonia secondary to Moraxella. Pt progressed to acute on chronic hypoxic respiratory failure. This is considered a breakthrough case.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient presented covid-19 positive on 01/26/22 with a mix of COVID-19 pneumonia as well as bacterial pneumonia secondary to Moraxella. Pt progressed to acute on chronic hypoxic respiratory failure. This is considered a breakthrough case.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness unilateral, Sudden hearing loss
Clinical narrative: My husband experienced sudden onset hearing loss in his left ear, near complete hearing loss.  He did also have a head cold following his third Moderna covid vaccine booster shot.  However, I thought it pertinent to report this even though there may be confounding factors (his head cold).   It is as yet unclear how much hearing he will regain.  He is currently steriods to reduce inflammation.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chest pain, Lymphadenopathy, Pain in extremity
Clinical narrative: Pain in arm, underarm and side of chest, swollen lymph nodes under arm
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products, No adverse event
Clinical narrative: Patient claimed to be unvaccinated prior to being vaccinated. We later received a call from his university informing us that the patient had in fact received a first dose of Moderna one day before, Jan 31, and had sought a Janssen vaccine in order to meet a need to be "fully vaccinated" sooner. No adverse effects reported as of yet.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Headache, Lethargy, Oropharyngeal pain, Pain
Clinical narrative: I had body aches without fever, a headache, lethargy, mild chest tightness, and a sore throat. I went to an urgent care facility to get a covid test. They did 2 tests, and they both came back negative.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: I had body aches without fever, a headache, lethargy, mild chest tightness, and a sore throat. I went to an urgent care facility to get a covid test. They did 2 tests, and they both came back negative.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, Back pain, Dysuria, Loss of personal independence in daily activities
Clinical narrative: CHIEF COMPLAINT:   BIBA from home with c/o pain with urination x 2 days, hx dementia, pt poor historian but denies any other complaints, awake and alert, oriented to person and place   HISTORY OF PRESENT ILLNESS:     Patient is a 99-year-old female coming from home with abdominal pain and back pain over the past 2 days, has been weak since this morning when she woke up, normally is able to make her bed and dress herself, she was unable to do those things this morning.  Denies chest pain or shortness of breath.  Denies fever chills.  Denies any known Covid contacts.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Dyspnoea, Headache, Malaise, Pain
Clinical narrative: I had pain all over my body and I was still sick within a month. I am assuming that I had COVID in December of 2019 because I had the same symptoms I had after having the vaccine. I had body aches, headaches and was unbalanced. I went to see my doctor after speaking to a nurse at my job. I went to the doctor 3 or 4 months after having vaccine and he indicated that I had post covid symptoms. In my opinion, the vaccine gave me covid, I took a treatment for about 2 months and was given celecoxib and gabapentin. I am still having shortness of breath. I am now on another medication bacloaen.
Sex: M
Vaccine: RV5
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was not due for rotavirus vaccine due to age.  Medical assistant gave dose inadvertently.  Patient did not have any adverse events while in the office.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral infarction, Death, Drooling, Facial paralysis, Hypotonia
Clinical narrative: Pt was found to have flacid left side with left sided facial droop with drooling, became unresponsive,  at approximately 10 am 1/17/2022, MD updated, Pt sent to ER for eval. ADMITTED WITH ACUTE CEREBRAL INFARCT. RETURNED TO FACILITY ON 1/20/22 COMFORT MEASURES ONLY AND ON HOSPICE. PASSED AWAY ON 1/28/22
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Pt was found to have flacid left side with left sided facial droop with drooling, became unresponsive,  at approximately 10 am 1/17/2022, MD updated, Pt sent to ER for eval. ADMITTED WITH ACUTE CEREBRAL INFARCT. RETURNED TO FACILITY ON 1/20/22 COMFORT MEASURES ONLY AND ON HOSPICE. PASSED AWAY ON 1/28/22
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Computerised tomogram neck, Laboratory test, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient is fully vaccinated and boosted 10/24/2021. COVID positive. 64 y/o female with CAD, COPD, Hx of 7 reported cardiac stents with multiple cardiac catheretization, most recently in '21 who presents to the ED today with the concern of heart palpations. Positive for neck pain. She denies any chest pain or diaphoresis at this time. She reports numbness and tingling in her right hand. Positive for congestion.CXR: no acute pulmonary process.  BP (!) 200/85  | Pulse 100  | Temp 98.2 °F (36.8 °C) (Oral)  | Resp 18  | Ht 157.5 cm (5' 2")  | Wt 64 kg (141 lb)  | SpO2 98%  | BMI 25.79 kg/m² She was given Toradol and IVF. Cardiac work up was unremarkable. She completed cervical spine and head CT that was negative for any acute process.She was given a prescription for Motrin 800 mg for pain control.Pt discharged from ED.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Bradycardia, COVID-19, Cerebrovascular accident, Computerised tomogram head abnormal, Confusional state
Clinical narrative: admitted on 9/5/21 and found to be positive for COVID; prescription given for prednisone; dc'd the following day; 9/19/21 pt to ED with increased confusion; never got prescription filled; bradycardic, hyponatremia, UTI; CT showed old MCA stroke; DNR/comfort care; pt's condition worsened and she died in the hosp
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Death, General physical health deterioration, Hyponatraemia, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: admitted on 9/5/21 and found to be positive for COVID; prescription given for prednisone; dc'd the following day; 9/19/21 pt to ED with increased confusion; never got prescription filled; bradycardic, hyponatremia, UTI; CT showed old MCA stroke; DNR/comfort care; pt's condition worsened and she died in the hosp
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Dyspnoea, Fatigue
Clinical narrative: Patient is a 51 yo white woman with PMH of ILD followed by (pulmonology) Doctor as well as an ILD specialist.. Her husband tested positive for COVID on 1/17/22. She started having cough and rhinorrhea on 1/19/22. She tells me she normally uses 6L O2 at home, but she has turned her O2 up to 10L as she has become progressively more short of breath and fatigued just moving from room to room in her home. She was prescribed OFEV for her ILD, but she has been off of OFEV for over 3 weeks because she was unable to tolerate the side effects. She had her first doses of the Pfizer COVID vaccine in April/May 2021 and a booster in August 2021. She was using Dayquil at home and did reduce her cough. She is is currently requiring 10 L O2. Her labs are WNL. Her chest imaging showed no PE, but reticular changes are seen throughout with bullous changes most suggestive of emphysematous change due to her ILD. Review of Systems: 10 point review of system was done and was negative except what was mentioned in subjective. PT REMAINS INPATIENT AT THIS TIME.