chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Renal failure, Respiratory rate increased, SARS-CoV-2 test positive, White blood cell count increased
Clinical narrative: Came to ED on 5/19 with hypoxia, O2 sat 72%. Diagnosed with pneumonia on 5/9 and had taken levaquin. Admitted and placed on broad spectrum anitbiotics.  Cardiology consulted due to drop in EF to 15%. Given amiodarone and metoprolol. Had espisodes of confusion. On 5/29 HR, respirations and WBC increased. Restarted antibiotics. 5/30 tested + for COVID 19. Placed on steroids with confusion increasing. Signs of worsening renal failure. Extended family met on 6/7 and decided on comfort care.
Age: 5.0
Sex: M
Vaccine: DTPPVHBHPB, HEPA, MMRV, DTPPVHBHPB, HEPA, MMRV
Symptoms: Extra dose administered, No adverse event, Wrong product administered
Clinical narrative: Vaxelis was given instead of quadracel. Extra dose of HIB and HEPB given. Client is okay, no reaction noticed. No symptoms at all after. No treatment needed. Will call client later today and check on client again to make sure he is still doing okay.
Age: 5.0
Sex: M
Vaccine: DTPPVHBHPB, HEPA, MMRV, DTPPVHBHPB, HEPA, MMRV
Symptoms: Extra dose administered
Clinical narrative: Vaxelis was given instead of quadracel. Extra dose of HIB and HEPB given. Client is okay, no reaction noticed. No symptoms at all after. No treatment needed. Will call client later today and check on client again to make sure he is still doing okay.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE WAS 04/29/2022 BUT WAS MARKED INCORRECTLY AND GIVEN TO THE PATIENT ON 05/24/2022.  THE VACCINE WAS KEPT AT THE CORRECT REFRIGERATED TEMPERATURE THROUGHOUT BUT WAS PAST.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure increased, COVID-19, Fatigue, Feeling abnormal
Clinical narrative: Within 5 minutes of the injection I developed a headache. That progressed and became stronger. There was paramedics on the site and a physician that came to help me. I had my blood pressure taking 190/95. They wanted to transport me to the hospital but I wanted to try to take BENADRYL first. It took almost a full day to get my blood pressure down. I took a water pill and that helped get my BP down. My normal BP is 120/65 and has always been normal. I had muscle aches as well too. Then on 3/16/2021 I had my 2nd dose of Pfizer, lot number EL9267. Within the first 5-10 minutes the same event happened with high blood pressure. My BP was 180/85. I waited there for 45 minutes. My BP stayed high for most of the day. I contacted my doctor and was suggested to take 2 water pills to lower the BP. Then within 24 hours it was back to normal. Also, before I went to get the vaccine, I took BENADRYL. I also had muscle aches as well. I had my 3rd dose on 12/15/2021, lot number FD8448. I took BENADRYL and 2 water pills before I went. I went to the hospital to get that dose due to having previous reactions. My BP was 160/78. I stayed there for 45 minutes. I had a mild headache but no muscle aches. I have to take hydrochlorothiazide for the blood pressure issues. I got COVID-19 on 5/18/2022. I was prescribed PAXLOVID. I had COVID symptoms for 4 days and the symptoms went away. I took a COVID-19 test a week after and it was negative. The next day, I had a headache and felt like I was getting COVID-19 again. I called my doctor and she said it could be rebound COVID-19. I tested and I was positive again. This is my 3rd week and I feel bad. I am still weak and fatigued with sinus issues.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, SARS-CoV-2 test positive, Sinus disorder
Clinical narrative: Within 5 minutes of the injection I developed a headache. That progressed and became stronger. There was paramedics on the site and a physician that came to help me. I had my blood pressure taking 190/95. They wanted to transport me to the hospital but I wanted to try to take BENADRYL first. It took almost a full day to get my blood pressure down. I took a water pill and that helped get my BP down. My normal BP is 120/65 and has always been normal. I had muscle aches as well too. Then on 3/16/2021 I had my 2nd dose of Pfizer, lot number EL9267. Within the first 5-10 minutes the same event happened with high blood pressure. My BP was 180/85. I waited there for 45 minutes. My BP stayed high for most of the day. I contacted my doctor and was suggested to take 2 water pills to lower the BP. Then within 24 hours it was back to normal. Also, before I went to get the vaccine, I took BENADRYL. I also had muscle aches as well. I had my 3rd dose on 12/15/2021, lot number FD8448. I took BENADRYL and 2 water pills before I went. I went to the hospital to get that dose due to having previous reactions. My BP was 160/78. I stayed there for 45 minutes. I had a mild headache but no muscle aches. I have to take hydrochlorothiazide for the blood pressure issues. I got COVID-19 on 5/18/2022. I was prescribed PAXLOVID. I had COVID symptoms for 4 days and the symptoms went away. I took a COVID-19 test a week after and it was negative. The next day, I had a headache and felt like I was getting COVID-19 again. I called my doctor and she said it could be rebound COVID-19. I tested and I was positive again. This is my 3rd week and I feel bad. I am still weak and fatigued with sinus issues.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Death
Clinical narrative: Patient expired 6/14/2022
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chest pain, Cough, Hypertension, Nasopharyngitis
Clinical narrative: Pt to ED 5/9 c/o chest pain and hypertension. Pt states she was on antibiotics last week for a "cold", only c/o cough  and congestion currently. COVID test positive. Pt with no resp distress, no audible wheezes, no acute distress, A&OX3. Pt discharged home with self care no apparent distress noted 5/9.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Pt to ED 5/9 c/o chest pain and hypertension. Pt states she was on antibiotics last week for a "cold", only c/o cough  and congestion currently. COVID test positive. Pt with no resp distress, no audible wheezes, no acute distress, A&OX3. Pt discharged home with self care no apparent distress noted 5/9.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dysuria, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Fever nausea burning of urine  body aches  headaches
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure, Computerised tomogram, Hypervolaemia, Percutaneous coronary intervention, Pulmonary alveolar haemorrhage
Clinical narrative: 1 week after 2nd covid vaccination, patient developed heart failure symptoms and was discovered to have newly diagnosed HFrEF (EF 15-20%).  Patient was COVID negative at that time.  Last known normal EF was several years prior at another hospital in 2017.  Patient also had alveolar hemorrhage around that time, bronch/CT non diagnostic for etiology, and was ultimately thought to be secondary to his heart failure with volume overload.  Patient has not recovered his ventricular function after 1 year despite medical therapy, PCI (never had anginal symptoms, or scar on imaging).
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: 1 week after 2nd covid vaccination, patient developed heart failure symptoms and was discovered to have newly diagnosed HFrEF (EF 15-20%).  Patient was COVID negative at that time.  Last known normal EF was several years prior at another hospital in 2017.  Patient also had alveolar hemorrhage around that time, bronch/CT non diagnostic for etiology, and was ultimately thought to be secondary to his heart failure with volume overload.  Patient has not recovered his ventricular function after 1 year despite medical therapy, PCI (never had anginal symptoms, or scar on imaging).
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: CLIENT RECEIVED PEDIATRIC PFIZER FORMULATION OF 0.2ML AT 12YO; VACCINE IS APPROVED FOR 5-11YO. CLIENT SHOULD'VE RECEIVED PFIZER GRAY CAP FORMULATION OF 0.3ML DUE TO AGE.
Age: 8.0
Sex: M
Vaccine: VARCEL
Symptoms: Extra dose administered
Clinical narrative: LPN on staff administered 3rd dose of varicella when only 2 doses are needed.  2nd dose was administered in March and this extra dose was administered June 1, 2022.  Patient outcomes are unknown at this time.  RN Supervisor has reached out to patient's parent via phone without success.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Injection site pain, Lymph node pain, Mammogram normal, Pain in extremity
Clinical narrative: SORE LYMPH NODES IN GROIN, AND UNDER BOTH ARMS---LEFT CONTINUED TO BE SORE FOR 2 MONTHS NOW WITH LEFT SHOULDER, AXILLA, AND ARM PAIN.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: No adverse event, Pediatric Pfizer dose 0.2 ml. administered to 13 year old instead of Pfizer 0.3 ml.  No adverse symptoms noted after 30 minutes of observation.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Immunisation reaction, Pain in extremity, Peripheral swelling, Ultrasound Doppler normal
Clinical narrative: One week after the vaccine I had terrible pain in my legs. It lasted for a week, I went to my doctor  because my calves were swollen he referred my to a vascular surgeon. The vascular surgeon did an ultrasound on my legs but did not find any clots or reasons for my calves to swell. I went back to my Primary Care Physician who order a complete blood panel that back negative for everything. I was referred to another vascular surgeon who specializes in the lymphatic system who did a physical exam and could not find any reason for my legs to be swelling and not going down. He felt it was a side affect of the vaccine and suggested that I wait for six months to see if the swelling in my calves go down.  Next week I will start lymphatic drainage massage to hopefully get some relief.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 doses Moderna 3/24/21 Lot# 017B21A Moderna 4/21/21 Lot# 043B21A
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Lacrimation increased, Paraesthesia, Paraesthesia oral, Swollen tongue
Clinical narrative: I had received a Pfizer vaccine for my first 3 doses. My second booster (the one being reported) was Moderna. Within an hour of the injection, I started having tingling of my face which expanded to my lips. I also developed watery eyes. I did not have any respiratory problem or swelling of the lips or face.  This persisted for a few hours. In addition, I developed something analogous to dermographism in the front of my tongue where it came into contact with the back of my teeth. This was accompanied by modest swelling of the tongue. I took an antihistamine that evening and everything had returned to normal by the next morning. I did not have recurrence of any of these.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Tongue eruption
Clinical narrative: I had received a Pfizer vaccine for my first 3 doses. My second booster (the one being reported) was Moderna. Within an hour of the injection, I started having tingling of my face which expanded to my lips. I also developed watery eyes. I did not have any respiratory problem or swelling of the lips or face.  This persisted for a few hours. In addition, I developed something analogous to dermographism in the front of my tongue where it came into contact with the back of my teeth. This was accompanied by modest swelling of the tongue. I took an antihistamine that evening and everything had returned to normal by the next morning. I did not have recurrence of any of these.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Neuralgia, Paraesthesia, Small fibre neuropathy
Clinical narrative: I started having burning and tingling all over my body that was nerve pain. I called my PCP because I had a similar reaction to my flu shot last year. She advised me to start taking the gabapentin that I took last year after my flu reaction.   Then I was referred to a Neurologist, and it was determined that I have Small Fiber Neuropathy. I was put on the 2 medications, that made me too sleepy. The medications are amitriptyline and duloxetine I have a follow up appointment today.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after two doses Pfizer 3/3/21 Lot# EN6202 Pfizer 3/24/21 Lot# ER8727
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three doses Moderna 2/24/21 Lot# 010A21A Moderna 3/24/21 Lot# 017F21A Moderna 11/24/21 Lot# J000429
Age: 11.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Wrong product administered
Clinical narrative: Patient should not have received this vaccine
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthropathy, Bowel movement irregularity, Injection site reaction, Loss of personal independence in daily activities, Pain in extremity
Clinical narrative: She got her vaccine, her arm was the most painful of all the other vaccines.  She ended up having later in the day like food poisoning symptoms, intense bowel movements several times a day.  She was literally house bound due to the episodes and intenseness of it.  This has lasted up until Friday, 6/10/2022.  This was the main symptom.  The other symptoms were that her knee caps like they have "rug burns", but was not crawling on concrete or anything.  They look they have been scraped.  She has never had a problem with her knees, and her left knee kept going out from under her to the point that she had to hold onto the railing to go down the steps, this also kept going until this past Friday, 6/10/22.  She was telling her sister this information who also got the Moderna vaccine at a different location and has the exact same symptom, but the right knee and the look of the same scraping area, and they both have the same lot# as well.  The bowel movements were 4-5 times a day daily up until Friday 6/10/22, and her sister was the same way and felt on Thursday 6/09/22 that she was finally coming to be normal again.   She did not take anything for the symptoms.    Where the vaccine site was it was burning hot and juts below where the injection was it was raised skin (welted), but not at the injection itself.  This went away first but took about a week to do so.   Her sister who is her twin also had this reaction as well.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Skin discolouration, Urticaria, Vaccination site warmth
Clinical narrative: She got her vaccine, her arm was the most painful of all the other vaccines.  She ended up having later in the day like food poisoning symptoms, intense bowel movements several times a day.  She was literally house bound due to the episodes and intenseness of it.  This has lasted up until Friday, 6/10/2022.  This was the main symptom.  The other symptoms were that her knee caps like they have "rug burns", but was not crawling on concrete or anything.  They look they have been scraped.  She has never had a problem with her knees, and her left knee kept going out from under her to the point that she had to hold onto the railing to go down the steps, this also kept going until this past Friday, 6/10/22.  She was telling her sister this information who also got the Moderna vaccine at a different location and has the exact same symptom, but the right knee and the look of the same scraping area, and they both have the same lot# as well.  The bowel movements were 4-5 times a day daily up until Friday 6/10/22, and her sister was the same way and felt on Thursday 6/09/22 that she was finally coming to be normal again.   She did not take anything for the symptoms.    Where the vaccine site was it was burning hot and juts below where the injection was it was raised skin (welted), but not at the injection itself.  This went away first but took about a week to do so.   Her sister who is her twin also had this reaction as well.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Illness, Oropharyngeal pain
Clinical narrative: I contracted COVID-19 on 05/03/2022 with symptoms of cough, sore throat, congestion and fatigue. I was not prescribed any medication when I went to the urgent care on 05/04/2022. My symptoms began to improve after 3 days of illness, and were fully resolved by day 4. I have no lingering symptoms.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 on 05/03/2022 with symptoms of cough, sore throat, congestion and fatigue. I was not prescribed any medication when I went to the urgent care on 05/04/2022. My symptoms began to improve after 3 days of illness, and were fully resolved by day 4. I have no lingering symptoms.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three doses Moderan 2/28/21 Lot# 025A21A Moderna 3/24/21 Lot# 045A21A Moderna 11/27/21 Lot# J000429
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, COVID-19, Chest X-ray normal, Computerised tomogram thorax normal, Cough
Clinical narrative: When I caught covid I first started feeling really really tired. Then I started coughing. I thought I had pneumonia because of my symptoms. I waited until it got bad to where I couldn't hardly walk. It felt like I was going septic. I had a fever. I went to the hospital where I was admitted. I was so sick I couldn't hold my eyes open, and I could barley move my body. I was septic and had pneumonia before. The doctor's tested me and said I didn't have pneumonia, but I did have covid. I still have a sore in my nose and the side of my mouth. I'm not coughing as bad anymore. When I got out of the hospital I couldn't stop coughing for about 4 weeks. My hair was also getting thin. I was achy and tired, but I'm doing a lot better now.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gait disturbance, Malaise, Mobility decreased, Nasal mucosal disorder
Clinical narrative: When I caught covid I first started feeling really really tired. Then I started coughing. I thought I had pneumonia because of my symptoms. I waited until it got bad to where I couldn't hardly walk. It felt like I was going septic. I had a fever. I went to the hospital where I was admitted. I was so sick I couldn't hold my eyes open, and I could barley move my body. I was septic and had pneumonia before. The doctor's tested me and said I didn't have pneumonia, but I did have covid. I still have a sore in my nose and the side of my mouth. I'm not coughing as bad anymore. When I got out of the hospital I couldn't stop coughing for about 4 weeks. My hair was also getting thin. I was achy and tired, but I'm doing a lot better now.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive, Stomatitis
Clinical narrative: When I caught covid I first started feeling really really tired. Then I started coughing. I thought I had pneumonia because of my symptoms. I waited until it got bad to where I couldn't hardly walk. It felt like I was going septic. I had a fever. I went to the hospital where I was admitted. I was so sick I couldn't hold my eyes open, and I could barley move my body. I was septic and had pneumonia before. The doctor's tested me and said I didn't have pneumonia, but I did have covid. I still have a sore in my nose and the side of my mouth. I'm not coughing as bad anymore. When I got out of the hospital I couldn't stop coughing for about 4 weeks. My hair was also getting thin. I was achy and tired, but I'm doing a lot better now.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three doses Pfizer 4/7/21 Lot# Er8733;  Pfizer 4/28/21 Lot# EW0164 Pfizer 11/3/21 Lot# FF2593
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Hypersensitivity, SARS-CoV-2 test positive
Clinical narrative: 6/6 Woke up with allergy symptoms.  Symptoms progressively got worse through 6/9.  It felt like it was a sinus infection that was turning in to bronchitis.  I made an appointment with telehealth and took an at home covid test that was positive. Doctor proscribed an anti-viral molnupiravir.  Doctor follow up on 6/14 doctor proscribed Augmentin, Flonase, and medtros dose.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case observation admission after three doses Moderna 3/4/21 Lot# 03021A Moderna 4/1/21 Lot# 025b21A Moderna 11/20/21 Lot# 067F21A
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Fatigue, Headache, Myalgia
Clinical narrative: On May 25 (five months after booster shot and 4 days after my wife tested positive for COVID), symptoms started with a mild sore throat. On May 26, tested negative for COVID but mild sore throat continued On May 27, sore throat increased and started having a headache with muscular aches.  Later that day, tested positive for COVID.  Highest temperature was 99.8 degrees F that evening. On May 28, symptoms started to subside but felt exhausted. On May 29 and onward, no more symptoms.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: On May 25 (five months after booster shot and 4 days after my wife tested positive for COVID), symptoms started with a mild sore throat. On May 26, tested negative for COVID but mild sore throat continued On May 27, sore throat increased and started having a headache with muscular aches.  Later that day, tested positive for COVID.  Highest temperature was 99.8 degrees F that evening. On May 28, symptoms started to subside but felt exhausted. On May 29 and onward, no more symptoms.
Age: 37.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Vaccination site erythema, Vaccination site induration, Vaccination site mass, Vaccination site pain, Vaccination site pruritus
Clinical narrative: The vaccine site did not have any issues for the first ~72 hours. The site then turned red and a soft lump appeared. Tenderness started and has remained. Over the course of the week following vaccination, the lump turned from soft to hard. There is occasional itchiness to the site, particularly upon waking.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Decreased appetite, Fatigue, Lower respiratory tract congestion
Clinical narrative: Breakthrough Case of COVID,  I started out with a scratchy throat, then it was a sore throat, coughing, head and chest congestion, very fatigue, and no appitite.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test positive, Sinus congestion, Throat irritation, Vaccine breakthrough infection
Clinical narrative: Breakthrough Case of COVID,  I started out with a scratchy throat, then it was a sore throat, coughing, head and chest congestion, very fatigue, and no appitite.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anaemia, Anti-thyroid antibody, Blood thyroid stimulating hormone increased, Chest pain, Depressed mood
Clinical narrative: Prior to receiving the vaccine, I was previously healthy with no personal or family history of anemia or hypothyroidism,  After receiving both doses of the vaccine, 2-3 months later I began to experience feelings of fatigue, shortness of breath and chest pain.  I saw my PMD who ordered labs.  The labs revealed anemia with an elevated sed rate, MCV and a low H/H with alow RBC count.  My PMD attributed my symptoms to anemia.  She ordered more labs which included a thyroid panel that revealed an elevated TSH, low T3 low T4 and elevated anti-thyroid antibodies (in the 300s).  I was then started on thyroid hormone replacement and despite therapy, I am still experiencing symptoms of fatigue, lethargy, malaise, depressed mood, and still some shortness of breath.  Again note that I was previously healthy with no personal or family history of anemia or Hypothyroidism.  And now I have both,
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Fatigue, Haematocrit decreased, Haemoglobin decreased, Hypothyroidism
Clinical narrative: Prior to receiving the vaccine, I was previously healthy with no personal or family history of anemia or hypothyroidism,  After receiving both doses of the vaccine, 2-3 months later I began to experience feelings of fatigue, shortness of breath and chest pain.  I saw my PMD who ordered labs.  The labs revealed anemia with an elevated sed rate, MCV and a low H/H with alow RBC count.  My PMD attributed my symptoms to anemia.  She ordered more labs which included a thyroid panel that revealed an elevated TSH, low T3 low T4 and elevated anti-thyroid antibodies (in the 300s).  I was then started on thyroid hormone replacement and despite therapy, I am still experiencing symptoms of fatigue, lethargy, malaise, depressed mood, and still some shortness of breath.  Again note that I was previously healthy with no personal or family history of anemia or Hypothyroidism.  And now I have both,
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lethargy, Malaise, Mean cell volume, Red blood cell count decreased, Red blood cell sedimentation rate increased
Clinical narrative: Prior to receiving the vaccine, I was previously healthy with no personal or family history of anemia or hypothyroidism,  After receiving both doses of the vaccine, 2-3 months later I began to experience feelings of fatigue, shortness of breath and chest pain.  I saw my PMD who ordered labs.  The labs revealed anemia with an elevated sed rate, MCV and a low H/H with alow RBC count.  My PMD attributed my symptoms to anemia.  She ordered more labs which included a thyroid panel that revealed an elevated TSH, low T3 low T4 and elevated anti-thyroid antibodies (in the 300s).  I was then started on thyroid hormone replacement and despite therapy, I am still experiencing symptoms of fatigue, lethargy, malaise, depressed mood, and still some shortness of breath.  Again note that I was previously healthy with no personal or family history of anemia or Hypothyroidism.  And now I have both,
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Thyroxine decreased, Tri-iodothyronine decreased
Clinical narrative: Prior to receiving the vaccine, I was previously healthy with no personal or family history of anemia or hypothyroidism,  After receiving both doses of the vaccine, 2-3 months later I began to experience feelings of fatigue, shortness of breath and chest pain.  I saw my PMD who ordered labs.  The labs revealed anemia with an elevated sed rate, MCV and a low H/H with alow RBC count.  My PMD attributed my symptoms to anemia.  She ordered more labs which included a thyroid panel that revealed an elevated TSH, low T3 low T4 and elevated anti-thyroid antibodies (in the 300s).  I was then started on thyroid hormone replacement and despite therapy, I am still experiencing symptoms of fatigue, lethargy, malaise, depressed mood, and still some shortness of breath.  Again note that I was previously healthy with no personal or family history of anemia or Hypothyroidism.  And now I have both,
Age: 98.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three doses Moderna 1/29/21 Lot# 027L20A Moderna 2/26/21 Lot# 043L20A Moderna 12/1/21 Lot# 027
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cardiac arrest, Death, Endotracheal intubation
Clinical narrative: 4/15/22 pt presented to ED with fever, nausea, generalized weakness, and shaking spells x past 24 hrs; found to have a UTI and positive for COVID; treated with dexamethasone, Vitamins C & D; not a candidate for remdesivir; suffered cardiac arrest twice, 2 minutes each before ROSC was achieved; intubated; family decided to transition to comfort measure; pt expired in the hospital
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, SARS-CoV-2 test positive, Tremor, Urinary tract infection
Clinical narrative: 4/15/22 pt presented to ED with fever, nausea, generalized weakness, and shaking spells x past 24 hrs; found to have a UTI and positive for COVID; treated with dexamethasone, Vitamins C & D; not a candidate for remdesivir; suffered cardiac arrest twice, 2 minutes each before ROSC was achieved; intubated; family decided to transition to comfort measure; pt expired in the hospital
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Injection site pain, Mobility decreased, Nausea
Clinical narrative: I had the vaccine on May 28. On the 29th, I was very sore at injection site and nauseous so I didn't move around much. The injection site was very sore for about 4 days. I noticed being dizzy on the 29th, but because of the nausea, I mainly stayed in bed, so it didn't seem so bad. The 30th, the nausea was tapering off, so I started moving around more. That's when I really noticed the dizziness. I ended up going to the doctor on June 2nd for dizziness. She ordered meclizine 25 mg three times a day. It was really making me very sleepy and not really helping the dizziness all of the time. Every once in a while after the medicine kicked in, I would feel ok for about an hour, but it would come right back. I have an appointment with an ENT on June 17th/
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three doses Pfizer 3/15/21 Lot# EN6207 Pfizer 4/6/21 Lot# ER8733 Pfizer 2/8/22 Lot# FM0698
Age: 0.08
Sex: M
Vaccine: HEPA
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Mom will monitor the baby for signs/symptoms.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after two doses Moderna 2/4/21 Lot# 027L20 Moderna 3/4/21 Lot# 010M20A
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: covid+
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Pfizer Covid 19 vial for 12+ years of age was diluted and given to patient.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest discomfort, Nasal congestion, Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: I was on vacation when I contracted COVID. We returned on 06/12/2022 and I tested positive on 06/13/2022. I contacted my Dr. that day and she ordered PAXLOVID. I started that on Tuesday Morning. I am feeling much better and by Tuesday afternoon I felt a little better and was surprised. I see an improvement on a daily basis. It started out as a head cold and my husband and I thought it was allergies. I had some slight chest tightness at the start of taking PAXLOVID and now only have minimal nasal congestion (more like sinus drainage). As of today, this is day 3 of the PAXLOVID treatment.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Drug ineffective, SARS-CoV-2 test
Clinical narrative: I was on vacation when I contracted COVID. We returned on 06/12/2022 and I tested positive on 06/13/2022. I contacted my Dr. that day and she ordered PAXLOVID. I started that on Tuesday Morning. I am feeling much better and by Tuesday afternoon I felt a little better and was surprised. I see an improvement on a daily basis. It started out as a head cold and my husband and I thought it was allergies. I had some slight chest tightness at the start of taking PAXLOVID and now only have minimal nasal congestion (more like sinus drainage). As of today, this is day 3 of the PAXLOVID treatment.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Viral test
Clinical narrative: Got a very mild case of COVID. Biggest symptom was fatigue
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer Covid 19 vial for 12+ years of age was diluted and given to patient.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Death, Encephalopathy, Pneumonia
Clinical narrative: PFIZER COVID VACCINATION #3 GIVEN 10/30/21, LOT #F63527; pt presents to ED on 2/7/22 with increasing weakness; found to be positive for COVID; encephalopathy; UTI; pneumonia; pt expired in the hospital; limited medical records sent from the hospital
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: PFIZER COVID VACCINATION #3 GIVEN 10/30/21, LOT #F63527; pt presents to ED on 2/7/22 with increasing weakness; found to be positive for COVID; encephalopathy; UTI; pneumonia; pt expired in the hospital; limited medical records sent from the hospital
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Cough, Fatigue, Headache, Nasal congestion, Oropharyngeal pain
Clinical narrative: 6/12/2022 noon - sore throat 6/13/2022 10 am - cough, headache, nasal conjestion 6/13/2022 4 pm - Took first dose of Paxlovid 6/14/2022 1 am - Chest congestion, heavy cough fever, tired 6/14/2022 4 am - felt better, eased cough, headache reduced not as tired 6/14/2022 10 am - second dose of Paxlovid 6/14/2022 1 pm - felt normal, slight fever, slight cough persists continued to take Paxlovid as directed, no change in symptoms to date: slight cough, slight fever.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Pulmonary congestion, Pyrexia
Clinical narrative: 6/12/2022 noon - sore throat 6/13/2022 10 am - cough, headache, nasal conjestion 6/13/2022 4 pm - Took first dose of Paxlovid 6/14/2022 1 am - Chest congestion, heavy cough fever, tired 6/14/2022 4 am - felt better, eased cough, headache reduced not as tired 6/14/2022 10 am - second dose of Paxlovid 6/14/2022 1 pm - felt normal, slight fever, slight cough persists continued to take Paxlovid as directed, no change in symptoms to date: slight cough, slight fever.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction, Acute respiratory failure, COVID-19, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: Pt has a PMH of COPD and presented to the ER with shortness of breath.  Prior to intubation, patient denied fevers, chills, or productive cough.  Pt is not on home oxygen.  Pt was admitted for acute hypercarbic hypoxic respiratory failure, COPD exacerbation, COVID-19 positivity, and NSTEMI.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Pt has a PMH of COPD and presented to the ER with shortness of breath.  Prior to intubation, patient denied fevers, chills, or productive cough.  Pt is not on home oxygen.  Pt was admitted for acute hypercarbic hypoxic respiratory failure, COPD exacerbation, COVID-19 positivity, and NSTEMI.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: covid+
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Pfizer Covid 19 vial for 12+ years of age was diluted and given to patient.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pfizer Covid 19 vial for 12+ years of age was diluted and given to patient.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive covid test in fully vaccinated pt
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: Starting on 06/11/2022, I developed a head cold (some congestion and runny nose) and a cough due to the drainage, and a sore throat. I was on vacation when I contracted COVID. We returned on 06/12/2022 and I tested positive on 06/13/2022. My wife and I contacted our Dr. that day and she ordered Paxlovid. I started that on Tuesday Morning and started feeling a little better that afternoon. No fever. As of today, I am feeling almost back to normal, just had a runny nose when I woke up but nothing now. As of today I am on day 3 of the Paxlovid Treatment.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Sinus operation
Clinical narrative: Starting on 06/11/2022, I developed a head cold (some congestion and runny nose) and a cough due to the drainage, and a sore throat. I was on vacation when I contracted COVID. We returned on 06/12/2022 and I tested positive on 06/13/2022. My wife and I contacted our Dr. that day and she ordered Paxlovid. I started that on Tuesday Morning and started feeling a little better that afternoon. No fever. As of today, I am feeling almost back to normal, just had a runny nose when I woke up but nothing now. As of today I am on day 3 of the Paxlovid Treatment.
Age: 55.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Dizziness, Nausea, Pain in extremity
Clinical narrative: Body weakness, nausea, arm soreness, and feeling light headed.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary incontinence
Clinical narrative: Have episodes where I cannot hold urine. After talking with friends who are experiencing the same thing we only have the Covid Vaccine in common. Only happens occasionally.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: covid+
Age: 23.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, COVID-19, Condition aggravated, Joint range of motion decreased, Pain in extremity
Clinical narrative: Pt to ED 5/7 c/o sickle cell crisis, with pain to both arms and right leg. COVID+ 5/7, No other respiratory symptoms, not a candidate for antiviral therapy for COVID-19 infection. 5/8 Pt states he is having more pain in his arms. It is hard for him to lift them. 5/9 pt has remained AO x 4 throughout shift. No complaints of pain or weakness. No COVID-19 symptoms. Pt discharged 5/10.
Age: 23.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sickle cell anaemia with crisis
Clinical narrative: Pt to ED 5/7 c/o sickle cell crisis, with pain to both arms and right leg. COVID+ 5/7, No other respiratory symptoms, not a candidate for antiviral therapy for COVID-19 infection. 5/8 Pt states he is having more pain in his arms. It is hard for him to lift them. 5/9 pt has remained AO x 4 throughout shift. No complaints of pain or weakness. No COVID-19 symptoms. Pt discharged 5/10.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Death, Dyspnoea
Clinical narrative: pt had a positive COVID test on 10/11/21 at local clinic; 10/20/21 pt to ED with fevers, aches, coughing, fatigue, increasing SOB; COVID pneumonia; Hypoxic Respiratory Failure; given ABX, dexamethasone, O2 supplementation; transferred to CCU; worsening respiratory status; intubated; condition worsened; poor prognosis; DNR; pt passed away in the hospital
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Endotracheal intubation, Fatigue, General physical health deterioration, Intensive care, Pain
Clinical narrative: pt had a positive COVID test on 10/11/21 at local clinic; 10/20/21 pt to ED with fevers, aches, coughing, fatigue, increasing SOB; COVID pneumonia; Hypoxic Respiratory Failure; given ABX, dexamethasone, O2 supplementation; transferred to CCU; worsening respiratory status; intubated; condition worsened; poor prognosis; DNR; pt passed away in the hospital
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: pt had a positive COVID test on 10/11/21 at local clinic; 10/20/21 pt to ED with fevers, aches, coughing, fatigue, increasing SOB; COVID pneumonia; Hypoxic Respiratory Failure; given ABX, dexamethasone, O2 supplementation; transferred to CCU; worsening respiratory status; intubated; condition worsened; poor prognosis; DNR; pt passed away in the hospital
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Prostatomegaly
Clinical narrative: About two weeks after I received the booster vaccine my prostate became even more enlarged than it was. I talked to my doctor in February and then went to see my doctor in March for testing. By early June I was admitted to the hospital where it was decided to add medication to my normal medication routine. I am feeling better.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Colonoscopy, Magnetic resonance imaging head, Magnetic resonance imaging neck, Magnetic resonance imaging spinal, Mammogram
Clinical narrative: muscle aches, burning pains
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Pain
Clinical narrative: muscle aches, burning pains
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive covid test in fully vaccinated and boostered pt
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure abnormal, Blood test, Computerised tomogram, Electrocardiogram, Eye haemorrhage
Clinical narrative: After I took the second shot my arm was sore, I was so fatigue and I had this headache that wouldn't go away. I slept the entire day after receiving the vaccine. I had to take off work that day from both jobs. I just couldn't functions. I had to go to the hospital because of the blood pressure. I can't seem to get it regulated for nothing. I had to go to the ER recently for this problem. I had a blood vessel burst in my eye. I feel like all this is due from the vaccine. The ER doctor prescribe  me on Hydrochlorothiazide 25 mgs, once daily. I am a very healthy person. I still have a lot of fatigue.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hypersomnia, Impaired work ability, Pain in extremity
Clinical narrative: After I took the second shot my arm was sore, I was so fatigue and I had this headache that wouldn't go away. I slept the entire day after receiving the vaccine. I had to take off work that day from both jobs. I just couldn't functions. I had to go to the hospital because of the blood pressure. I can't seem to get it regulated for nothing. I had to go to the ER recently for this problem. I had a blood vessel burst in my eye. I feel like all this is due from the vaccine. The ER doctor prescribe  me on Hydrochlorothiazide 25 mgs, once daily. I am a very healthy person. I still have a lot of fatigue.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive covid test in fully vaccinated and boostered pt
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: rash & itchiness around chest, back, and arms
Age: 60.0
Sex: F
Vaccine: UNK
Symptoms: Mydriasis, Photophobia
Clinical narrative: Dilated pupils/light hypersensitivity for more than 24 hours
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event.  Patient was vaccinated at 17 years of age.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Drain placement, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Pt to ED 5/13 c/o shortness of breath with history of lung cancer and end-stage renal disease on dialysis, pt was 80% RM air. COVID+ 5/13, pt weaned off of O2 NC, SpO2 94-96% on room air with RR 14 br/min. Pt tolerating well. 5/14 completed Pleur x drain care on patient. 375ml removed, pt medicated with pain meds after. No complications during sterile procedure. Pt stated relief afterwards. 5/14 discharge paperwork given to pt, pt understanding verified. Pt o2 98% on room air, no c/o pain, chest pain or sob. Discharged 5/15.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event.  Patient vaccinated at 17 years of age.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, COVID-19, Death, Endotracheal intubation, Intentional medical device removal by patient
Clinical narrative: 1/27/22 pt entered the hosp for scheduled esophagectomy; metastasis to lymph nodes; 2/2/22 pt found to be positive for COVID; 2/15/22 pt intubated for hypoxic respiratory failure; sputum culture grew Klebsiella pneumoniae; 2/18/22 self extubated; developed COVID ARDS, increase in O2 requirements; intubated and sedated; family decided to transition pt to Comfort Measures with DNR; pt expired in the hospital
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Klebsiella test positive, Metastases to lymph nodes, Oesophagectomy, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: 1/27/22 pt entered the hosp for scheduled esophagectomy; metastasis to lymph nodes; 2/2/22 pt found to be positive for COVID; 2/15/22 pt intubated for hypoxic respiratory failure; sputum culture grew Klebsiella pneumoniae; 2/18/22 self extubated; developed COVID ARDS, increase in O2 requirements; intubated and sedated; family decided to transition pt to Comfort Measures with DNR; pt expired in the hospital
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Sputum culture positive
Clinical narrative: 1/27/22 pt entered the hosp for scheduled esophagectomy; metastasis to lymph nodes; 2/2/22 pt found to be positive for COVID; 2/15/22 pt intubated for hypoxic respiratory failure; sputum culture grew Klebsiella pneumoniae; 2/18/22 self extubated; developed COVID ARDS, increase in O2 requirements; intubated and sedated; family decided to transition pt to Comfort Measures with DNR; pt expired in the hospital
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Injection site pain, Magnetic resonance imaging
Clinical narrative: As soon as the vaccine was administered, I immediately felt a pain as if it was administered incorrectly and yelled out.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Aspiration, Bradycardia, Condition aggravated, Death
Clinical narrative: 4/9 IV vanc for MRSA pneumonia completed 4/18 1 PRBC 4/20 R thoracentesis 350 ml 4/21 Moderna COVAX booster administered 4/28 bronch: moderate mucoid secretions, all lobar bronchi patent. Pooled wash sent for GS/cx post-bronch CXR not done. Nephrology consult 5/2 Zoster R face. FEES "moderate pharyngeal dysphagia, silent macro aspiration of mixed consistencies and thin liquids. 5/4 ID consult 5/7 1 PRBC, AKI worsening 5/9 MRI new small strokes, likely embolic 5/10 HD initiated, RIJ vascath placed. Trach changed to 8 Bivona. Acyclovir resumed for POSSIBLE varicella encephalitis 5/11 LP, varicella in CSF, bradycardia worse. I spoke with Dr. - he reviewed the MRI - large old strokes but the new lesions are tiny and do not require intervention, recommends ongoing observation 5/25 1 PRBC, Pseudomonas and Serratia pneumonia, Staph epi bacteremia 5/30 comfort care 6/1/22 pt died
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Embolic stroke, Haemodialysis, Herpes zoster, Magnetic resonance imaging abnormal
Clinical narrative: 4/9 IV vanc for MRSA pneumonia completed 4/18 1 PRBC 4/20 R thoracentesis 350 ml 4/21 Moderna COVAX booster administered 4/28 bronch: moderate mucoid secretions, all lobar bronchi patent. Pooled wash sent for GS/cx post-bronch CXR not done. Nephrology consult 5/2 Zoster R face. FEES "moderate pharyngeal dysphagia, silent macro aspiration of mixed consistencies and thin liquids. 5/4 ID consult 5/7 1 PRBC, AKI worsening 5/9 MRI new small strokes, likely embolic 5/10 HD initiated, RIJ vascath placed. Trach changed to 8 Bivona. Acyclovir resumed for POSSIBLE varicella encephalitis 5/11 LP, varicella in CSF, bradycardia worse. I spoke with Dr. - he reviewed the MRI - large old strokes but the new lesions are tiny and do not require intervention, recommends ongoing observation 5/25 1 PRBC, Pseudomonas and Serratia pneumonia, Staph epi bacteremia 5/30 comfort care 6/1/22 pt died