chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized with covid; fully vaccinated with booster
Age: 7.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cough, Ear infection, Infection, Insomnia, Laboratory test normal
Clinical narrative: He has been having postnasal drip, runny nose, deep coughing for a month, trouble sleeping. All this has led to both a sinus and ear infection. I made an appointment to see his pediatrician, who upon examination referred him to an ENT to try and determine what is causing these events as both the ear infections and sinus infections are reoccurring.
Age: 7.0
Sex: M
Vaccine: COVID19-2
Symptoms: Rhinorrhoea, Sinusitis, Upper-airway cough syndrome
Clinical narrative: He has been having postnasal drip, runny nose, deep coughing for a month, trouble sleeping. All this has led to both a sinus and ear infection. I made an appointment to see his pediatrician, who upon examination referred him to an ENT to try and determine what is causing these events as both the ear infections and sinus infections are reoccurring.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine had just expired from being pulled from the ultra cold freezer.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Adenocarcinoma pancreas, Intestinal obstruction, Neuropathy peripheral, Pancreatic mass, Pulmonary embolism
Clinical narrative: NEUROPATHY 9/8/2021 PANCREATIC MASS  ACUTE PULMONARY EMBOLISM 1/9/2022 PANCREATIC MASS  NEUROPATHY 9/8/2021 BOWEL OBSTRUCTION  ACUTE PULMONARY EMBOLISM 1/9/2022 BOWEL OBSTRUCTION  NEUROPATHY 9/8/2021 ADENOCARCINOMA, BODY OF PANCREAS  ACUTE PULMONARY EMBOLISM 1/9/2022 ADENOCARCINOMA, BODY OF PANCREAS
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cognitive disorder, Death, Mobility decreased, SARS-CoV-2 test positive
Clinical narrative: 3RD DOSE OF MODERNA COVID VACCINE GIVEN 11/29/21, #069F21A;  due to decline in functioning mobility and cognitive decline; pt had a positive COVID test on 10/31/22 and passed away in the facility on 11/4/22.
Age: 1.25
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Expired product administered
Clinical narrative: Vaccine expired on 4/27/23 and was administered on 5/5/23.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Cholangiocarcinoma, Diabetic nephropathy, Metastases to abdominal cavity, Neoplasm malignant, Pulmonary embolism
Clinical narrative: I26.99 PULMONARY EMBOLISM, UNSPECIFIED. 1/25/2022 CHOLANGIOCARCINOMA I26.99 PULMONARY EMBOLISM, UNSPECIFIED. 1/25/2022 CANCER METASTATIC TO ABDOMINAL ORGAN I26.99 PULMONARY EMBOLISM, UNSPECIFIED. 1/25/2022 DM 2 W RENAL MANIFESTATION
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Symptom recurrence
Clinical narrative: CHEMOTHERAPY INDUCED PERIPHERAL NEUROPATHY, SUBSEQ 7/25/2022 -- RECURRENCE OF SAME SYMPTOMS
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Embolic stroke, Embolism arterial, Haemorrhage
Clinical narrative: I63.9 ACUTE STROKE DUE TO EMBOLISM OF UNSPECIFIED ARTERY 10/30/2021 BLEEDING
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Blood glucose normal, Computerised tomogram normal, Dizziness, Electrocardiogram normal
Clinical narrative: I had low blood pressure and I was very dizzy and faint. My muscles in my arms and legs were cramping or tingling. My tongue was swollen, and I was weak and nauseous. I went to the emergency room on 04/24/2023 and they gave me some fluids. They did not prescribe any medications. They did a CT scan, EKG, and blood glucose to check for a stroke. I got better that afternoon.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypotension, Muscle spasms, Nausea, Paraesthesia, Swollen tongue
Clinical narrative: I had low blood pressure and I was very dizzy and faint. My muscles in my arms and legs were cramping or tingling. My tongue was swollen, and I was weak and nauseous. I went to the emergency room on 04/24/2023 and they gave me some fluids. They did not prescribe any medications. They did a CT scan, EKG, and blood glucose to check for a stroke. I got better that afternoon.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging normal, Visual impairment
Clinical narrative: I was having a hard time judging depth when I was walking.  It looked like the floor or ground was wet. I went to the doctor and had an MRI to determine if I had a stroke, but I did not. They sent me to physical therapy twice a week for almost 14 weeks. It isn't as bad as it used to be, but I still have flare ups.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anaemia, Bacteraemia, Blood culture positive, Blood glucose, COVID-19
Clinical narrative: Admission Date: 3/29/2023 Discharge Date: 4/2/2023   Clinical Narrative: 67 y/o female patient was admitted for evaluation and treatment of G+ bacteremia 1 of 2 blood cultures.  She has a previous history of COVID 19 infection, but no pneumonia on CXR and RA oxygen requirements.  COVID 14 days ago.  Repeat blood cultures were negative.  CT thorax/abd/pelvis unrevealing.     Telemedicine consult was obtained.  Please see the consult note and follow up progress notes for details.  On 4/2/23, ID recommended TEE and hematology consult.  The infectious disease specialist said that the MV had thickening during this admission echo which was not present on the previous echo.  They are still waiting on CMV labs.     Patient was anemic and thrombocytopenic.  Patient was given 2 units of pRBC's and 2 units of platelets during this admission.  Hemoglobin stable.  Platelets were low today.  Patient is not actively bleeding.  Transfusion of 2 units ordered and pending prior to transfer.  She has an anti-a antibody history.  She has received leuopoor blood also.  Cellcept anti-rejection med as been held as directed by her transplant physician.  Sepsis was a potential etiology of her thrombocytopenia.  Stool for OB was positive.  Her Protonix was increased to BID.  Her stool was formed, brown with no BRB.  Antiplatelet meds held.  Hold Lovenox for DVT prophylaxis.     She is on Lantus and sliding scale for blood sugar and carbs consulted with Humalog insulin.  She was on a carb controlled diet.  Her blood sugars were relatively well controlled during this admission despite addition of stress dose steroids.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest X-ray normal, Computerised tomogram abdomen normal, Computerised tomogram thorax normal, Echocardiogram abnormal, Haemoglobin
Clinical narrative: Admission Date: 3/29/2023 Discharge Date: 4/2/2023   Clinical Narrative: 67 y/o female patient was admitted for evaluation and treatment of G+ bacteremia 1 of 2 blood cultures.  She has a previous history of COVID 19 infection, but no pneumonia on CXR and RA oxygen requirements.  COVID 14 days ago.  Repeat blood cultures were negative.  CT thorax/abd/pelvis unrevealing.     Telemedicine consult was obtained.  Please see the consult note and follow up progress notes for details.  On 4/2/23, ID recommended TEE and hematology consult.  The infectious disease specialist said that the MV had thickening during this admission echo which was not present on the previous echo.  They are still waiting on CMV labs.     Patient was anemic and thrombocytopenic.  Patient was given 2 units of pRBC's and 2 units of platelets during this admission.  Hemoglobin stable.  Platelets were low today.  Patient is not actively bleeding.  Transfusion of 2 units ordered and pending prior to transfer.  She has an anti-a antibody history.  She has received leuopoor blood also.  Cellcept anti-rejection med as been held as directed by her transplant physician.  Sepsis was a potential etiology of her thrombocytopenia.  Stool for OB was positive.  Her Protonix was increased to BID.  Her stool was formed, brown with no BRB.  Antiplatelet meds held.  Hold Lovenox for DVT prophylaxis.     She is on Lantus and sliding scale for blood sugar and carbs consulted with Humalog insulin.  She was on a carb controlled diet.  Her blood sugars were relatively well controlled during this admission despite addition of stress dose steroids.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Insulin therapy, Low carbohydrate diet, Mitral valve thickening, Occult blood positive, Platelet count decreased
Clinical narrative: Admission Date: 3/29/2023 Discharge Date: 4/2/2023   Clinical Narrative: 67 y/o female patient was admitted for evaluation and treatment of G+ bacteremia 1 of 2 blood cultures.  She has a previous history of COVID 19 infection, but no pneumonia on CXR and RA oxygen requirements.  COVID 14 days ago.  Repeat blood cultures were negative.  CT thorax/abd/pelvis unrevealing.     Telemedicine consult was obtained.  Please see the consult note and follow up progress notes for details.  On 4/2/23, ID recommended TEE and hematology consult.  The infectious disease specialist said that the MV had thickening during this admission echo which was not present on the previous echo.  They are still waiting on CMV labs.     Patient was anemic and thrombocytopenic.  Patient was given 2 units of pRBC's and 2 units of platelets during this admission.  Hemoglobin stable.  Platelets were low today.  Patient is not actively bleeding.  Transfusion of 2 units ordered and pending prior to transfer.  She has an anti-a antibody history.  She has received leuopoor blood also.  Cellcept anti-rejection med as been held as directed by her transplant physician.  Sepsis was a potential etiology of her thrombocytopenia.  Stool for OB was positive.  Her Protonix was increased to BID.  Her stool was formed, brown with no BRB.  Antiplatelet meds held.  Hold Lovenox for DVT prophylaxis.     She is on Lantus and sliding scale for blood sugar and carbs consulted with Humalog insulin.  She was on a carb controlled diet.  Her blood sugars were relatively well controlled during this admission despite addition of stress dose steroids.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Platelet transfusion, Red blood cell transfusion, Thrombocytopenia, Transfusion
Clinical narrative: Admission Date: 3/29/2023 Discharge Date: 4/2/2023   Clinical Narrative: 67 y/o female patient was admitted for evaluation and treatment of G+ bacteremia 1 of 2 blood cultures.  She has a previous history of COVID 19 infection, but no pneumonia on CXR and RA oxygen requirements.  COVID 14 days ago.  Repeat blood cultures were negative.  CT thorax/abd/pelvis unrevealing.     Telemedicine consult was obtained.  Please see the consult note and follow up progress notes for details.  On 4/2/23, ID recommended TEE and hematology consult.  The infectious disease specialist said that the MV had thickening during this admission echo which was not present on the previous echo.  They are still waiting on CMV labs.     Patient was anemic and thrombocytopenic.  Patient was given 2 units of pRBC's and 2 units of platelets during this admission.  Hemoglobin stable.  Platelets were low today.  Patient is not actively bleeding.  Transfusion of 2 units ordered and pending prior to transfer.  She has an anti-a antibody history.  She has received leuopoor blood also.  Cellcept anti-rejection med as been held as directed by her transplant physician.  Sepsis was a potential etiology of her thrombocytopenia.  Stool for OB was positive.  Her Protonix was increased to BID.  Her stool was formed, brown with no BRB.  Antiplatelet meds held.  Hold Lovenox for DVT prophylaxis.     She is on Lantus and sliding scale for blood sugar and carbs consulted with Humalog insulin.  She was on a carb controlled diet.  Her blood sugars were relatively well controlled during this admission despite addition of stress dose steroids.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Symptom recurrence
Clinical narrative: ACUTE RESPIRATORY FAILURE 8/23/2022 -- RECURRENCE OF SAME SYMPTOMS
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ALLERGIC REACTION, INIT
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Angina pectoris, Hypersensitivity
Clinical narrative: STABLE ANGINA ACUTE NON ST ELEVATION MI ALLERGIC REACTION, INIT
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Metastases to lung, Neoplasm malignant, Obstructive sleep apnoea syndrome, Pulmonary embolism
Clinical narrative: Pfizer vaccine was administered outside of office - reported by patient- ? NO LOT NUMBER WERE SUPPLIED --------------------------------------------------------------------------------------------------------------------------- G47.33 ADULT OBSTRUCTIVE SLEEP APNEA 12/14/2021 CANCER METASTATIC TO UNSPECIFIED LUNG I26.99 PULMONARY EMBOLISM, UNSPECIFIED. 12/14/2021 CANCER METASTATIC TO UNSPECIFIED LUNG J96.00 ACUTE RESPIRATORY FAILURE 12/14/2021 CANCER METASTATIC TO UNSPECIFIED LUNG J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 11/15/2021 CANCER METASTATIC TO UNSPECIFIED LUNG G47.33 ADULT OBSTRUCTIVE SLEEP APNEA 12/14/2021 CANCER METASTATIC TO UNSPECIFIED LUNG I26.99 PULMONARY EMBOLISM, UNSPECIFIED. 12/14/2021 CANCER METASTATIC TO UNSPECIFIED LUNG J96.00 ACUTE RESPIRATORY FAILURE 12/14/2021 CANCER METASTATIC TO UNSPECIFIED LUNG J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 11/15/2021 CANCER METASTATIC TO UNSPECIFIED LUNG
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral abnormal, Chest X-ray abnormal, Chest tube insertion, Death, General physical health deterioration
Clinical narrative: 3RD MODERNA COVID VACCINE GIVEN 8/19/21, #052E21A;  pt brought to ED after being found slumped over, abnormal speech, right sided weakness; CTA showed left A2 ischemic stroke; pt arrived for embolectomy and could move all extremities; not a candidate for TPA; large right pleural effusion on CXR; worsening respiratory status; DNI; Chest tube placed; pt's condition deteriorated and passed away in the hospital
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Hemiparesis, Ischaemic stroke, Pleural effusion, Posture abnormal, Speech disorder
Clinical narrative: 3RD MODERNA COVID VACCINE GIVEN 8/19/21, #052E21A;  pt brought to ED after being found slumped over, abnormal speech, right sided weakness; CTA showed left A2 ischemic stroke; pt arrived for embolectomy and could move all extremities; not a candidate for TPA; large right pleural effusion on CXR; worsening respiratory status; DNI; Chest tube placed; pt's condition deteriorated and passed away in the hospital
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, End stage renal disease, Haemodialysis, Hypoxia
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD   Admission Date: 4/1/2023 Discharge Date:  4/4/2023 PRESENTING PROBLEM: ESRD on hemodialysis [N18.6, Z99.2]   HOSPITAL COURSE: Patient is a 81-year-old male with a history of recurrent aspiration due to esophageal dysphagia status post feeding tube, vascular dementia, persistent atrial fibrillation status post Watchman, not on oral anticoagulation due to history of subdural hematoma, chronic respiratory failure on 2 L/minute baseline, history of lumbar spinal infection on chronic suppression with Augmentin as well as end-stage renal disease on HD TTS.  Patient currently resides at a long-term care facility, and was diagnosed with COVID infection, limiting his ability to pursue dialysis at his normal unit.  The patient was admitted on 04/01/2023 after missing his regularly scheduled dialysis.  The patient was seen by Nephrology and underwent dialysis on 04/01/23.  The patient was noted to have mild worsening of his hypoxia requiring 3 L/minute the time of admission.  Given his positive COVID test and worsening hypoxia he was started on dexamethasone at 6 mg daily.  With steroids and supportive care the patient's hypoxia returned to baseline.  Care management was consulted for arranging outpatient dialysis at a unit that could accommodate him being positive for COVID.  This was arranged at facility.  The family had also recently worked on changing long-term care facilities.  At the time of discharge, the patient is being sent to facility.   As patient was clinically stable, he was discharged to ALF on 04/04/2023.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD   Admission Date: 4/1/2023 Discharge Date:  4/4/2023 PRESENTING PROBLEM: ESRD on hemodialysis [N18.6, Z99.2]   HOSPITAL COURSE: Patient is a 81-year-old male with a history of recurrent aspiration due to esophageal dysphagia status post feeding tube, vascular dementia, persistent atrial fibrillation status post Watchman, not on oral anticoagulation due to history of subdural hematoma, chronic respiratory failure on 2 L/minute baseline, history of lumbar spinal infection on chronic suppression with Augmentin as well as end-stage renal disease on HD TTS.  Patient currently resides at a long-term care facility, and was diagnosed with COVID infection, limiting his ability to pursue dialysis at his normal unit.  The patient was admitted on 04/01/2023 after missing his regularly scheduled dialysis.  The patient was seen by Nephrology and underwent dialysis on 04/01/23.  The patient was noted to have mild worsening of his hypoxia requiring 3 L/minute the time of admission.  Given his positive COVID test and worsening hypoxia he was started on dexamethasone at 6 mg daily.  With steroids and supportive care the patient's hypoxia returned to baseline.  Care management was consulted for arranging outpatient dialysis at a unit that could accommodate him being positive for COVID.  This was arranged at facility.  The family had also recently worked on changing long-term care facilities.  At the time of discharge, the patient is being sent to facility.   As patient was clinically stable, he was discharged to ALF on 04/04/2023.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Lip swelling
Clinical narrative: patient called 5/4/23 and reported swollen lip. she was given 2nd dose shingles 5/1. when to doctor and was given steroid and seems to be helping-swelling decreased
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, COVID-19, Cough, Fatigue, No adverse event
Clinical narrative: I did not have an adverse reaction to the vaccine. I tested positive for COVID-19 in 03/2023 while on vacation on a cruise.  I went to the clinic on the boat.  I had coughing, weeing, fatigue and I lost the since of taste. This time it's taking longer to feel better. I also tested positive for COVID-19 in 09/2022 while out-of-state.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Wheezing
Clinical narrative: I did not have an adverse reaction to the vaccine. I tested positive for COVID-19 in 03/2023 while on vacation on a cruise.  I went to the clinic on the boat.  I had coughing, weeing, fatigue and I lost the since of taste. This time it's taking longer to feel better. I also tested positive for COVID-19 in 09/2022 while out-of-state.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, End stage renal disease, Hypotension, Intervertebral discitis, Respiratory failure
Clinical narrative: HYPOTENSION 7/31/2022 DISCITIS OF CERVICAL SPINE    ESRD (END STAGE RENAL DISEASE)  ACUTE RESPIRATORY FAILURE 9/1/2022 DISCITIS OF CERVICAL SPINE    ESRD (END STAGE RENAL DISEASE)  RESPIRATORY FAILURE, UNSPECIFIED ACUITY 8/22/2022 DISCITIS OF CERVICAL SPINE    ESRD (END STAGE RENAL DISEASE)  HYPOTENSION 7/31/2022 ESRD (END STAGE RENAL DISEASE)  ACUTE RESPIRATORY FAILURE 9/1/2022 ESRD (END STAGE RENAL DISEASE)  RESPIRATORY FAILURE, UNSPECIFIED ACUITY 8/22/2022 ESRD (END STAGE RENAL DISEASE)  HYPOTENSION 7/31/2022 ESRD (END STAGE RENAL DISEASE)  ACUTE RESPIRATORY FAILURE 9/1/2022 ESRD (END STAGE RENAL DISEASE)  RESPIRATORY FAILURE, UNSPECIFIED ACUITY 8/22/2022 ESRD (END STAGE RENAL DISEASE)
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Hypoxia
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE  ACUTE HYPOXEMIC RESPIRATORY FAILURE HYPOXEMIA
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood electrolytes, COVID-19, Cardiac failure acute, Cardiac failure congestive
Clinical narrative: Discharge Physician: MD, MPH Primary Care Physician: MD  Date of Admission: 4/2/2023 Discharge Date: 4/3/2023 Room Number:  PRESENTING PROBLEM: Shortness of breath [R06.02] Pleural effusion [J90] Chest pressure [R07.89] Hypoxia [R09.02] Acute decompensated heart failure [I50.9] Acute on chronic diastolic (congestive) heart failure [I50.33] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 85 y.o. very pleasant female who presents to ER today with worsening dyspnea over last few days, Chest pressure - pleuritic, new nonproductive cough, new onset orthopnea, last 2 nights couldn't sleep, barely can walk 6 feet with severe dyspnea. Edema in LE are improving.  Denies fever, chills, n/v, diarrhea, myalgias.  Reports improvement in LLE knee pain and swelling.  Patient's PCP referred her to the emergency room for further evaluation.   In the ED she was +COVID19 and did not require supplemental oxygen. She was noted to be hypoxic with exertion only. She was started on IV diuresis and continued on IV antibiotics. Patient had good urine output and improvement of symptoms. Electrolytes were monitored and repleted PRN throughout the admission. Patient clinically improved and hemodynamically stable for discharge.  Discussed plan of care discharge with patient including outpatient follow-up PCP within 7 days. Patient voiced understanding was agreeable with plan of care discharge.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Condition aggravated, Cough, Diuretic therapy, Dyspnoea
Clinical narrative: Discharge Physician: MD, MPH Primary Care Physician: MD  Date of Admission: 4/2/2023 Discharge Date: 4/3/2023 Room Number:  PRESENTING PROBLEM: Shortness of breath [R06.02] Pleural effusion [J90] Chest pressure [R07.89] Hypoxia [R09.02] Acute decompensated heart failure [I50.9] Acute on chronic diastolic (congestive) heart failure [I50.33] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 85 y.o. very pleasant female who presents to ER today with worsening dyspnea over last few days, Chest pressure - pleuritic, new nonproductive cough, new onset orthopnea, last 2 nights couldn't sleep, barely can walk 6 feet with severe dyspnea. Edema in LE are improving.  Denies fever, chills, n/v, diarrhea, myalgias.  Reports improvement in LLE knee pain and swelling.  Patient's PCP referred her to the emergency room for further evaluation.   In the ED she was +COVID19 and did not require supplemental oxygen. She was noted to be hypoxic with exertion only. She was started on IV diuresis and continued on IV antibiotics. Patient had good urine output and improvement of symptoms. Electrolytes were monitored and repleted PRN throughout the admission. Patient clinically improved and hemodynamically stable for discharge.  Discussed plan of care discharge with patient including outpatient follow-up PCP within 7 days. Patient voiced understanding was agreeable with plan of care discharge.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Electrolyte substitution therapy, Gait disturbance, Hypoxia, Insomnia
Clinical narrative: Discharge Physician: MD, MPH Primary Care Physician: MD  Date of Admission: 4/2/2023 Discharge Date: 4/3/2023 Room Number:  PRESENTING PROBLEM: Shortness of breath [R06.02] Pleural effusion [J90] Chest pressure [R07.89] Hypoxia [R09.02] Acute decompensated heart failure [I50.9] Acute on chronic diastolic (congestive) heart failure [I50.33] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 85 y.o. very pleasant female who presents to ER today with worsening dyspnea over last few days, Chest pressure - pleuritic, new nonproductive cough, new onset orthopnea, last 2 nights couldn't sleep, barely can walk 6 feet with severe dyspnea. Edema in LE are improving.  Denies fever, chills, n/v, diarrhea, myalgias.  Reports improvement in LLE knee pain and swelling.  Patient's PCP referred her to the emergency room for further evaluation.   In the ED she was +COVID19 and did not require supplemental oxygen. She was noted to be hypoxic with exertion only. She was started on IV diuresis and continued on IV antibiotics. Patient had good urine output and improvement of symptoms. Electrolytes were monitored and repleted PRN throughout the admission. Patient clinically improved and hemodynamically stable for discharge.  Discussed plan of care discharge with patient including outpatient follow-up PCP within 7 days. Patient voiced understanding was agreeable with plan of care discharge.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Left ventricular failure, Oedema peripheral, Orthopnoea, Pleural effusion
Clinical narrative: Discharge Physician: MD, MPH Primary Care Physician: MD  Date of Admission: 4/2/2023 Discharge Date: 4/3/2023 Room Number:  PRESENTING PROBLEM: Shortness of breath [R06.02] Pleural effusion [J90] Chest pressure [R07.89] Hypoxia [R09.02] Acute decompensated heart failure [I50.9] Acute on chronic diastolic (congestive) heart failure [I50.33] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 85 y.o. very pleasant female who presents to ER today with worsening dyspnea over last few days, Chest pressure - pleuritic, new nonproductive cough, new onset orthopnea, last 2 nights couldn't sleep, barely can walk 6 feet with severe dyspnea. Edema in LE are improving.  Denies fever, chills, n/v, diarrhea, myalgias.  Reports improvement in LLE knee pain and swelling.  Patient's PCP referred her to the emergency room for further evaluation.   In the ED she was +COVID19 and did not require supplemental oxygen. She was noted to be hypoxic with exertion only. She was started on IV diuresis and continued on IV antibiotics. Patient had good urine output and improvement of symptoms. Electrolytes were monitored and repleted PRN throughout the admission. Patient clinically improved and hemodynamically stable for discharge.  Discussed plan of care discharge with patient including outpatient follow-up PCP within 7 days. Patient voiced understanding was agreeable with plan of care discharge.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Urine output
Clinical narrative: Discharge Physician: MD, MPH Primary Care Physician: MD  Date of Admission: 4/2/2023 Discharge Date: 4/3/2023 Room Number:  PRESENTING PROBLEM: Shortness of breath [R06.02] Pleural effusion [J90] Chest pressure [R07.89] Hypoxia [R09.02] Acute decompensated heart failure [I50.9] Acute on chronic diastolic (congestive) heart failure [I50.33] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 85 y.o. very pleasant female who presents to ER today with worsening dyspnea over last few days, Chest pressure - pleuritic, new nonproductive cough, new onset orthopnea, last 2 nights couldn't sleep, barely can walk 6 feet with severe dyspnea. Edema in LE are improving.  Denies fever, chills, n/v, diarrhea, myalgias.  Reports improvement in LLE knee pain and swelling.  Patient's PCP referred her to the emergency room for further evaluation.   In the ED she was +COVID19 and did not require supplemental oxygen. She was noted to be hypoxic with exertion only. She was started on IV diuresis and continued on IV antibiotics. Patient had good urine output and improvement of symptoms. Electrolytes were monitored and repleted PRN throughout the admission. Patient clinically improved and hemodynamically stable for discharge.  Discussed plan of care discharge with patient including outpatient follow-up PCP within 7 days. Patient voiced understanding was agreeable with plan of care discharge.
Age: 68.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Bronchitis, COVID-19, Fatigue, Hypersensitivity, Pneumonia
Clinical narrative: Prior to having COVID-19 infection, I had three weeks of respiratory illness that lingered and became complicated with allergies. After three weeks of the respiratory illness, it moved to Bronchitis and Pneumonia. I was prescribed an antibiotic, erythromycin. At this time, I was testing negative for COVID-19. 2 days after taking the antibiotic, on 04/08/2023, I tested positive for COVID-19 with home test. I was prescribed PAXLOVID on 04/08/2023. I never really experienced any significant COVID-19 symptoms other than fatigue. Just the symptoms that I was already experiencing with the respiratory illness. After taking the PAXLOVID for 5 days I tested negative on 04/14/2023 and I was feeling pretty good. I have been healthy ever since.
Age: 68.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Respiratory disorder, SARS-CoV-2 test positive
Clinical narrative: Prior to having COVID-19 infection, I had three weeks of respiratory illness that lingered and became complicated with allergies. After three weeks of the respiratory illness, it moved to Bronchitis and Pneumonia. I was prescribed an antibiotic, erythromycin. At this time, I was testing negative for COVID-19. 2 days after taking the antibiotic, on 04/08/2023, I tested positive for COVID-19 with home test. I was prescribed PAXLOVID on 04/08/2023. I never really experienced any significant COVID-19 symptoms other than fatigue. Just the symptoms that I was already experiencing with the respiratory illness. After taking the PAXLOVID for 5 days I tested negative on 04/14/2023 and I was feeling pretty good. I have been healthy ever since.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE  OBSTRUCTIVE SLEEP APNEA
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, COVID-19, Chest pain, Chills, Computerised tomogram abdomen abnormal
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 4/2/2023 Discharge Date: Apr 4, 2023  PRESENTING PROBLEM: Weakness [R53.1] COVID-19 virus infection [U07.1]   HOSPITAL COURSE: Patient is a 87-year-old man who presents to the emergency department due to fevers, chills, generalized weakness, coughing, dyspnea and chest pain.  He was very weak and unable to go home and take care of himself.  He was tested for COVID-19 and positive.  Most of his symptoms were attributed to COVID-19 infection.  He had a CT abdomen and pelvis with contrast which revealed esophagitis but was otherwise grossly unremarkable.  He was seen by Physical therapy and Occupational therapy and was independent in his room.  He says that he was feeling much better after some rest.  His chest pain improved.  It seemed only be with coughing and was likely costochondritis.  Troponins were stable and EKG was unremarkable.  He was then discharged home in stable condition.
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Costochondritis, Cough, Dyspnoea, Electrocardiogram normal, Loss of personal independence in daily activities
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 4/2/2023 Discharge Date: Apr 4, 2023  PRESENTING PROBLEM: Weakness [R53.1] COVID-19 virus infection [U07.1]   HOSPITAL COURSE: Patient is a 87-year-old man who presents to the emergency department due to fevers, chills, generalized weakness, coughing, dyspnea and chest pain.  He was very weak and unable to go home and take care of himself.  He was tested for COVID-19 and positive.  Most of his symptoms were attributed to COVID-19 infection.  He had a CT abdomen and pelvis with contrast which revealed esophagitis but was otherwise grossly unremarkable.  He was seen by Physical therapy and Occupational therapy and was independent in his room.  He says that he was feeling much better after some rest.  His chest pain improved.  It seemed only be with coughing and was likely costochondritis.  Troponins were stable and EKG was unremarkable.  He was then discharged home in stable condition.
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Oesophagitis, Pyrexia, SARS-CoV-2 test positive, Scan with contrast abnormal, Troponin
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 4/2/2023 Discharge Date: Apr 4, 2023  PRESENTING PROBLEM: Weakness [R53.1] COVID-19 virus infection [U07.1]   HOSPITAL COURSE: Patient is a 87-year-old man who presents to the emergency department due to fevers, chills, generalized weakness, coughing, dyspnea and chest pain.  He was very weak and unable to go home and take care of himself.  He was tested for COVID-19 and positive.  Most of his symptoms were attributed to COVID-19 infection.  He had a CT abdomen and pelvis with contrast which revealed esophagitis but was otherwise grossly unremarkable.  He was seen by Physical therapy and Occupational therapy and was independent in his room.  He says that he was feeling much better after some rest.  His chest pain improved.  It seemed only be with coughing and was likely costochondritis.  Troponins were stable and EKG was unremarkable.  He was then discharged home in stable condition.
Age: 1.0
Sex: F
Vaccine: DTAPHEPBIP, HEPA, PNC13
Symptoms: Wrong product administered
Clinical narrative: Patient was given a Pediarix vaccine instead of a Hib vaccine.
Age: 1.33
Sex: M
Vaccine: DTAP, HEPA, MMR
Symptoms: Inappropriate schedule of product administration, Injection site erythema, Injection site mass, Irritability
Clinical narrative: Dtap and Hep A were administered at the incorrect interval. Patient had received forth dose of Dtap on 3/21/23 and first dose of Hep A on 3/21/23.  Mom called to report a small lump and an area of redness about the size of a pea on the right thigh on 4/25/23. Advised to apply a cold wash cloth and call back if the area of redness increased. Patient seen of other concern on 4/26/23 but reported nodule to right thigh and increased fussiness to provider. 1cm nodule per provider. Advised Tylenol/Ibuprofen for pain.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Antinuclear antibody positive, Arthralgia, Arthritis, Immunology test normal
Clinical narrative: 9/19/22 I woke up and all my joints from my neck to my toes ached. It was a strong ache. It lasted about a week or week and a half. It subsided except for my hands which got worse. It has never gone away. I now have arthritis in my thumb and take turmeric, ginger and ADVIL for the pain. I developed a rash on the bottom part of my shin that has never gone away. I have been tested and sent to a Rheumatologist and was tested for auto immune diseases and all came back negative except the ANA test which showed inflammation in my body.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Pain, Pain in extremity, Rash
Clinical narrative: 9/19/22 I woke up and all my joints from my neck to my toes ached. It was a strong ache. It lasted about a week or week and a half. It subsided except for my hands which got worse. It has never gone away. I now have arthritis in my thumb and take turmeric, ginger and ADVIL for the pain. I developed a rash on the bottom part of my shin that has never gone away. I have been tested and sent to a Rheumatologist and was tested for auto immune diseases and all came back negative except the ANA test which showed inflammation in my body.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE NON ST ELEVATION MI 10/29/2022 -- RECURRENCE OF SAME SYMPTOMS
Age: 89.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cough
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD     Admission Date: 3/21/2023 Discharge Date: Condition on discharge:  Patient is a 91 y.o. male with past medical history significant for CAD, DM type 2, CKD stage 3, and Waldenstrom  macroglbulinemia who presented to ED on 3/211/23 for weakness.  His wife was recently diagnosed with COVID-19, patient also developed symptoms with malaise, poor appetite, cough and diarrhea.  He became progressively weak.  He was too weak to get up from his chair therefore he presented to the emergency department.  He also reported dizziness.  In the emergency department he was found to be hemodynamically stable and not hypoxic.  He did test positive for COVID-19 and chest x-ray is consistent with COVID-19 pneumonia.  He was unable ambulate therefore he was admitted to the hospital to the general medicine service.   He was treated with remdesivir, dexamethasone initially was started but then discontinued after the patient was not requiring oxygen.   Does have a history of type 2 diabetes, and was experiencing significant hyperglycemia, which was controlled. Patient was seen by PT and OT initially felt patient required subacute rehab, ultimately he improved and they recommended home healthcare. Patient was discharged home on 4/1/2023 in stable condition. Follow up with PCP prn.
Age: 89.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Decreased appetite, Diarrhoea, Dizziness, Gait inability, Hyperglycaemia
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD     Admission Date: 3/21/2023 Discharge Date: Condition on discharge:  Patient is a 91 y.o. male with past medical history significant for CAD, DM type 2, CKD stage 3, and Waldenstrom  macroglbulinemia who presented to ED on 3/211/23 for weakness.  His wife was recently diagnosed with COVID-19, patient also developed symptoms with malaise, poor appetite, cough and diarrhea.  He became progressively weak.  He was too weak to get up from his chair therefore he presented to the emergency department.  He also reported dizziness.  In the emergency department he was found to be hemodynamically stable and not hypoxic.  He did test positive for COVID-19 and chest x-ray is consistent with COVID-19 pneumonia.  He was unable ambulate therefore he was admitted to the hospital to the general medicine service.   He was treated with remdesivir, dexamethasone initially was started but then discontinued after the patient was not requiring oxygen.   Does have a history of type 2 diabetes, and was experiencing significant hyperglycemia, which was controlled. Patient was seen by PT and OT initially felt patient required subacute rehab, ultimately he improved and they recommended home healthcare. Patient was discharged home on 4/1/2023 in stable condition. Follow up with PCP prn.
Age: 89.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Malaise, Mobility decreased, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD     Admission Date: 3/21/2023 Discharge Date: Condition on discharge:  Patient is a 91 y.o. male with past medical history significant for CAD, DM type 2, CKD stage 3, and Waldenstrom  macroglbulinemia who presented to ED on 3/211/23 for weakness.  His wife was recently diagnosed with COVID-19, patient also developed symptoms with malaise, poor appetite, cough and diarrhea.  He became progressively weak.  He was too weak to get up from his chair therefore he presented to the emergency department.  He also reported dizziness.  In the emergency department he was found to be hemodynamically stable and not hypoxic.  He did test positive for COVID-19 and chest x-ray is consistent with COVID-19 pneumonia.  He was unable ambulate therefore he was admitted to the hospital to the general medicine service.   He was treated with remdesivir, dexamethasone initially was started but then discontinued after the patient was not requiring oxygen.   Does have a history of type 2 diabetes, and was experiencing significant hyperglycemia, which was controlled. Patient was seen by PT and OT initially felt patient required subacute rehab, ultimately he improved and they recommended home healthcare. Patient was discharged home on 4/1/2023 in stable condition. Follow up with PCP prn.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia
Clinical narrative: HYPOXEMIA
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Blood electrolytes, COVID-19, Diarrhoea, Dysstasia
Clinical narrative: Date of Admission: 3/22/2023 Discharge Date: 3/25/2023   PRESENTING PROBLEM: Weakness  Generalized weakness  COVID    HOSPITAL COURSE: Patient is an 80 year old female recently admitted for syncope and discharged to SAR, she was diagnosed with Covid on 3/20, developed diarrhea and weakness, she was noted to be out of rehab days, and was sent to ED for evaluation.  Patient was noted to have significant weakness, having difficulty standing and ambulating.  Laboratories in the emergency department did reconfirm COVID infection, there were no other signs of infection.  The hospitalist team was consulted for admission for possible placement.  Patient did not have any significant diarrhea during admission.  Her vital signs remained stable.  His discussion with the patient's daughter with her case management team, they did not want to pay any copays for further rehab.  They decided to take her home with home health care, RN, PT, OT.  At this time the patient is medically stable for discharge to her daughter's house with home healthcare.   Electrolytes were monitored and repleted PRN throughout the admission. Patient clinically improved and hemodynamically stable for discharge.  Discussed plan of care discharge with patient including outpatient follow-up PCP within 7 days. Patient voiced understanding was agreeable with plan of care discharge.
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Electrolyte substitution therapy, Gait disturbance, SARS-CoV-2 test positive
Clinical narrative: Date of Admission: 3/22/2023 Discharge Date: 3/25/2023   PRESENTING PROBLEM: Weakness  Generalized weakness  COVID    HOSPITAL COURSE: Patient is an 80 year old female recently admitted for syncope and discharged to SAR, she was diagnosed with Covid on 3/20, developed diarrhea and weakness, she was noted to be out of rehab days, and was sent to ED for evaluation.  Patient was noted to have significant weakness, having difficulty standing and ambulating.  Laboratories in the emergency department did reconfirm COVID infection, there were no other signs of infection.  The hospitalist team was consulted for admission for possible placement.  Patient did not have any significant diarrhea during admission.  Her vital signs remained stable.  His discussion with the patient's daughter with her case management team, they did not want to pay any copays for further rehab.  They decided to take her home with home health care, RN, PT, OT.  At this time the patient is medically stable for discharge to her daughter's house with home healthcare.   Electrolytes were monitored and repleted PRN throughout the admission. Patient clinically improved and hemodynamically stable for discharge.  Discussed plan of care discharge with patient including outpatient follow-up PCP within 7 days. Patient voiced understanding was agreeable with plan of care discharge.
Age: 2.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was inadvertently given the incorrect Covid-19 Moderna bivalent formulation (dark pink cap NDC 80777-283-02 instead of dark blue cap NDC 80777-282-05) as their second dose.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Bacterial disease carrier, Bacterial infection, Bronchial secretion retention, Bronchoscopy abnormal, COVID-19
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 3/23/2023 Discharge Date: 3/28/23  PRESENTING PROBLEM: Cystic fibrosis [E84.9] Status post lung transplantation [Z94.2] COVID [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE:   47 yo s/p double bilateral lung transplant 1/11/1993, ESRD post renal transplant 1998, PTLD, right bronchial stenosis, bronchiectasis,  recurrent pneumonia (stenotrophomonas, pseudomonas, and MSSA) , recent rhino-enterovirus pneumonia Jan 2023, presented to ER with one week of worsening wheezing, fatigue, and night sweats. Did not have increased cough, sputum production, or hypoxemia. ER workup found RLL PNA and film array + COVID 19.  He was admitted for treatment.    Pt given a 5 day course of remdisivir. He was also treated for suspected secondary bacterial infection, initially with Doxycycline to cover his hx of MSSA then extended to minocycline that is sensitive to the stenotrophomonas he is colonized with (and grew on sputum). He developed worsening secretion retention once admitted therefore bronchoscopy was completed morning of discharge, moderate mucus plugging identified and BAL cultures pending . He overall was feeling well and discharged 3/28/23 with instructions to follow up with local pulmonary clinic and  transplant clinic.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Condition aggravated, Cystic fibrosis, Enterovirus infection, Fatigue
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 3/23/2023 Discharge Date: 3/28/23  PRESENTING PROBLEM: Cystic fibrosis [E84.9] Status post lung transplantation [Z94.2] COVID [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE:   47 yo s/p double bilateral lung transplant 1/11/1993, ESRD post renal transplant 1998, PTLD, right bronchial stenosis, bronchiectasis,  recurrent pneumonia (stenotrophomonas, pseudomonas, and MSSA) , recent rhino-enterovirus pneumonia Jan 2023, presented to ER with one week of worsening wheezing, fatigue, and night sweats. Did not have increased cough, sputum production, or hypoxemia. ER workup found RLL PNA and film array + COVID 19.  He was admitted for treatment.    Pt given a 5 day course of remdisivir. He was also treated for suspected secondary bacterial infection, initially with Doxycycline to cover his hx of MSSA then extended to minocycline that is sensitive to the stenotrophomonas he is colonized with (and grew on sputum). He developed worsening secretion retention once admitted therefore bronchoscopy was completed morning of discharge, moderate mucus plugging identified and BAL cultures pending . He overall was feeling well and discharged 3/28/23 with instructions to follow up with local pulmonary clinic and  transplant clinic.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Infection, Laboratory test abnormal, Night sweats, Pneumonia, Rhinovirus infection
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 3/23/2023 Discharge Date: 3/28/23  PRESENTING PROBLEM: Cystic fibrosis [E84.9] Status post lung transplantation [Z94.2] COVID [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE:   47 yo s/p double bilateral lung transplant 1/11/1993, ESRD post renal transplant 1998, PTLD, right bronchial stenosis, bronchiectasis,  recurrent pneumonia (stenotrophomonas, pseudomonas, and MSSA) , recent rhino-enterovirus pneumonia Jan 2023, presented to ER with one week of worsening wheezing, fatigue, and night sweats. Did not have increased cough, sputum production, or hypoxemia. ER workup found RLL PNA and film array + COVID 19.  He was admitted for treatment.    Pt given a 5 day course of remdisivir. He was also treated for suspected secondary bacterial infection, initially with Doxycycline to cover his hx of MSSA then extended to minocycline that is sensitive to the stenotrophomonas he is colonized with (and grew on sputum). He developed worsening secretion retention once admitted therefore bronchoscopy was completed morning of discharge, moderate mucus plugging identified and BAL cultures pending . He overall was feeling well and discharged 3/28/23 with instructions to follow up with local pulmonary clinic and  transplant clinic.