chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 17.0
Sex: F
Vaccine: HPV9
Symptoms: Diarrhoea, Vomiting
Clinical narrative: pt and mom report emesis and diarrhea several hours after receiving the vaccine on 1/24/23 - was seen on 1/31/23 with decreased sx and benign exam.  Explained to pt and mom that unlikely to have been the vaccine and could also have been infectious diarrhea since she reported that the meat texture in her sandwich tasted different.  She did not look to see if there was a pink colour
Age: 30.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: patient was supposed to get dose 2 monovalent, gave bivalent in error
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Alcohol use, Blood magnesium, Cardiac flutter, Cardiac stress test normal, Chest discomfort
Clinical narrative: "Patient presents today [23FEB22] for Palpitations (He sometimes experiences chest tightness to the left side of his chest, which is intermittent.  Symptoms have been more frequent over the past 2-3 months. He has lightheadedness upon standing.  Palpitations and fluttering intermittently as well)." HPI: "Patient is a 30 y.o. male who presents with palpitations for about 2 months [FEB22].  They come and go.  Can occur at anytime. The palpitations last no longer than a minute.  Denies associated symptoms.  Resolves spontaneously.  Only consumes 1 cup of caffeine per day.  Also has been experiencing left-sided chest discomfort for about a month.  Not associated with his palpitations.  Feels like tightness. Can occur at anytime. Lasts a few minutes.  Resolves spontaneously. Denies respiratory symptoms.  Denies heartburn, belching, nausea, and vomiting.  Occasionally feels lightheaded on occasion which is unrelated to his chest pain and palpitations.  The lightheadedness can occur any time and lasts for seconds.  Drinks alcohol on occasion. Denies tobacco use.  Denies use of illicit drugs.  States he keeps hydrated.  Patient states his sister who lives out of state is experiencing palpitations and chest discomfort also.  She is also going through a cardiac workup and so far the results have been negative.  Father who is deceased had a heart problem.  Denies depression and denies suicide and homicide thoughts." Orders: ECG 12-lead Comprehensive metabolic panel CBC TSH Magnesium Holter Monitor - 48 Hour; Future Stress Echocardiogram; Future Lipid panel  -  CRNP, health care facility, 23FEB22  ---  "Palpitations: Started approximately  1 month after receiving Covid vaccine. Had workup at a HCF (negative 48h holter, TTE, and stress test). Currently, has rare symptoms but does have intermittent palpitations/chest tightness (improved since last year). Likely SVT or PVCs causing intermittent symptoms. seems to be improving - ordered CBC, CMP, TSH - ordered 2 week event monitor (pt states he will wear after January 1st) - f/u in 6 months to discuss results" - HCP 29NOV22.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Dizziness, Echocardiogram normal, Electrocardiogram, Electrocardiogram ambulatory normal, Lipids
Clinical narrative: "Patient presents today [23FEB22] for Palpitations (He sometimes experiences chest tightness to the left side of his chest, which is intermittent.  Symptoms have been more frequent over the past 2-3 months. He has lightheadedness upon standing.  Palpitations and fluttering intermittently as well)." HPI: "Patient is a 30 y.o. male who presents with palpitations for about 2 months [FEB22].  They come and go.  Can occur at anytime. The palpitations last no longer than a minute.  Denies associated symptoms.  Resolves spontaneously.  Only consumes 1 cup of caffeine per day.  Also has been experiencing left-sided chest discomfort for about a month.  Not associated with his palpitations.  Feels like tightness. Can occur at anytime. Lasts a few minutes.  Resolves spontaneously. Denies respiratory symptoms.  Denies heartburn, belching, nausea, and vomiting.  Occasionally feels lightheaded on occasion which is unrelated to his chest pain and palpitations.  The lightheadedness can occur any time and lasts for seconds.  Drinks alcohol on occasion. Denies tobacco use.  Denies use of illicit drugs.  States he keeps hydrated.  Patient states his sister who lives out of state is experiencing palpitations and chest discomfort also.  She is also going through a cardiac workup and so far the results have been negative.  Father who is deceased had a heart problem.  Denies depression and denies suicide and homicide thoughts." Orders: ECG 12-lead Comprehensive metabolic panel CBC TSH Magnesium Holter Monitor - 48 Hour; Future Stress Echocardiogram; Future Lipid panel  -  CRNP, health care facility, 23FEB22  ---  "Palpitations: Started approximately  1 month after receiving Covid vaccine. Had workup at a HCF (negative 48h holter, TTE, and stress test). Currently, has rare symptoms but does have intermittent palpitations/chest tightness (improved since last year). Likely SVT or PVCs causing intermittent symptoms. seems to be improving - ordered CBC, CMP, TSH - ordered 2 week event monitor (pt states he will wear after January 1st) - f/u in 6 months to discuss results" - HCP 29NOV22.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Palpitations, Supraventricular tachycardia, Ventricular extrasystoles
Clinical narrative: "Patient presents today [23FEB22] for Palpitations (He sometimes experiences chest tightness to the left side of his chest, which is intermittent.  Symptoms have been more frequent over the past 2-3 months. He has lightheadedness upon standing.  Palpitations and fluttering intermittently as well)." HPI: "Patient is a 30 y.o. male who presents with palpitations for about 2 months [FEB22].  They come and go.  Can occur at anytime. The palpitations last no longer than a minute.  Denies associated symptoms.  Resolves spontaneously.  Only consumes 1 cup of caffeine per day.  Also has been experiencing left-sided chest discomfort for about a month.  Not associated with his palpitations.  Feels like tightness. Can occur at anytime. Lasts a few minutes.  Resolves spontaneously. Denies respiratory symptoms.  Denies heartburn, belching, nausea, and vomiting.  Occasionally feels lightheaded on occasion which is unrelated to his chest pain and palpitations.  The lightheadedness can occur any time and lasts for seconds.  Drinks alcohol on occasion. Denies tobacco use.  Denies use of illicit drugs.  States he keeps hydrated.  Patient states his sister who lives out of state is experiencing palpitations and chest discomfort also.  She is also going through a cardiac workup and so far the results have been negative.  Father who is deceased had a heart problem.  Denies depression and denies suicide and homicide thoughts." Orders: ECG 12-lead Comprehensive metabolic panel CBC TSH Magnesium Holter Monitor - 48 Hour; Future Stress Echocardiogram; Future Lipid panel  -  CRNP, health care facility, 23FEB22  ---  "Palpitations: Started approximately  1 month after receiving Covid vaccine. Had workup at a HCF (negative 48h holter, TTE, and stress test). Currently, has rare symptoms but does have intermittent palpitations/chest tightness (improved since last year). Likely SVT or PVCs causing intermittent symptoms. seems to be improving - ordered CBC, CMP, TSH - ordered 2 week event monitor (pt states he will wear after January 1st) - f/u in 6 months to discuss results" - HCP 29NOV22.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Vaccination error
Clinical narrative: "Patient presents today [23FEB22] for Palpitations (He sometimes experiences chest tightness to the left side of his chest, which is intermittent.  Symptoms have been more frequent over the past 2-3 months. He has lightheadedness upon standing.  Palpitations and fluttering intermittently as well)." HPI: "Patient is a 30 y.o. male who presents with palpitations for about 2 months [FEB22].  They come and go.  Can occur at anytime. The palpitations last no longer than a minute.  Denies associated symptoms.  Resolves spontaneously.  Only consumes 1 cup of caffeine per day.  Also has been experiencing left-sided chest discomfort for about a month.  Not associated with his palpitations.  Feels like tightness. Can occur at anytime. Lasts a few minutes.  Resolves spontaneously. Denies respiratory symptoms.  Denies heartburn, belching, nausea, and vomiting.  Occasionally feels lightheaded on occasion which is unrelated to his chest pain and palpitations.  The lightheadedness can occur any time and lasts for seconds.  Drinks alcohol on occasion. Denies tobacco use.  Denies use of illicit drugs.  States he keeps hydrated.  Patient states his sister who lives out of state is experiencing palpitations and chest discomfort also.  She is also going through a cardiac workup and so far the results have been negative.  Father who is deceased had a heart problem.  Denies depression and denies suicide and homicide thoughts." Orders: ECG 12-lead Comprehensive metabolic panel CBC TSH Magnesium Holter Monitor - 48 Hour; Future Stress Echocardiogram; Future Lipid panel  -  CRNP, health care facility, 23FEB22  ---  "Palpitations: Started approximately  1 month after receiving Covid vaccine. Had workup at a HCF (negative 48h holter, TTE, and stress test). Currently, has rare symptoms but does have intermittent palpitations/chest tightness (improved since last year). Likely SVT or PVCs causing intermittent symptoms. seems to be improving - ordered CBC, CMP, TSH - ordered 2 week event monitor (pt states he will wear after January 1st) - f/u in 6 months to discuss results" - HCP 29NOV22.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Amnesia, Arthralgia, Blood test, Fatigue, Feeling abnormal
Clinical narrative: Extreme fatigue 3 to 4 times a week, must lay down for several hours and rest Brain fog, short-term memory loss  Muscle and joint pain
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myalgia
Clinical narrative: Extreme fatigue 3 to 4 times a week, must lay down for several hours and rest Brain fog, short-term memory loss  Muscle and joint pain
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acoustic stimulation tests abnormal, Deafness, Ear discomfort, Sinusitis, Tinnitus
Clinical narrative: Swollen sinuses, ear discomfort and tinnitus and hearing loss.  I have never had hearing loss , was tested in 2020.  Now I .Have had tinnitus since 12/25/2022 and hearing loss in both ears.  All this post bivalent booster shot.
Age: 75.0
Sex: F
Vaccine: HEPA
Symptoms: Abdominal pain upper, Ear discomfort, Headache, Muscular weakness, Oropharyngeal pain
Clinical narrative: Headache, possible slight dizziness short acting, throat ached & felt tight, ears felt tight, petechiae on inside right ankle, stomach ache, possible rash on back; legs weak the next morning
Age: 75.0
Sex: F
Vaccine: HEPA
Symptoms: Petechiae, Throat tightness
Clinical narrative: Headache, possible slight dizziness short acting, throat ached & felt tight, ears felt tight, petechiae on inside right ankle, stomach ache, possible rash on back; legs weak the next morning
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest discomfort, Chills, Fatigue, Hyperhidrosis, Mobility decreased
Clinical narrative: starting 12 hours after shot, fever of 100.4, muscle aches, chills, sweating, joint and spine pain and chest tightness. Increased in severity up to 24 hours after shot and continued for 24 hours. Was unable to do anything but lay in bed. 48 hours after shot, joint, spine and muscle aches continue as well as sweating and chills on and off. Extremely fatigued and have to lay down frequently. Continuing to improve, but not fully recovered at time of reporting, so marking unknown in Item 20.
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: Myalgia, Pyrexia, Spinal pain
Clinical narrative: starting 12 hours after shot, fever of 100.4, muscle aches, chills, sweating, joint and spine pain and chest tightness. Increased in severity up to 24 hours after shot and continued for 24 hours. Was unable to do anything but lay in bed. 48 hours after shot, joint, spine and muscle aches continue as well as sweating and chills on and off. Extremely fatigued and have to lay down frequently. Continuing to improve, but not fully recovered at time of reporting, so marking unknown in Item 20.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, Blood test normal, Carpal tunnel syndrome, Compartment syndrome, Fibrin D dimer normal
Clinical narrative: Patient Medical Update January 19, 2022 from May 14, 2021  May 14 2021 Moderna first vaccination  Sore left arm for 3 days. No other issues.  June 7, 2021 Moderna second vaccination Low blood pressure, nausea, pain for 3 days requiring two I.V.?s.  Then 3 weeks sore arm.  October 22, 2021  Left arm swelling, week.  Severe pain, went to emergency room.    Letter to Emergency Department   ACUTE PROGRESSIVE SWELLING OF NONDOMINANT LEFT ARM  ONE WEEK HISTORY OF PROGRESSIVE SWELLING OF LEFT ARM. NO HISTORY OF STRENESOUS ACTIVTY, INFECTION, AFEBRILE, OR TRAUMA TO THE LEFT ARM. IBUPROFEN 400 MG Q8H FOR ONE WEEK HAS NOT RELEIVED PAIN OR SWELLING.  COLD COMPRESSES AND ELEVATION FOR ONE WEEK  ALSO NOT EFFECTIVE.   PAIN IS INCREASING OVER THE COURSE OF ONE WEEK. STARTED ASPIRIN Q4-6H OCT 22 LATE EVENING.  EMERGENCY ROOM VISIT ON OCTOBER 22 RESULTED IN NO DIAGNOSIS WITH ONLY IBUPROFEN THERAPY.   REGULAR PEDIATRIC CARE.  DOG BITE TO CRANIUM AT 6 YEARS OF AGE. TWO CONCUSSIONS IN ADOLESCENCE TREATED BY DOCTOR, CONCUSSION AND NEUROLOGIST SPECIALIST IMMUNIZATIONS UP TO DATE. MODERNA MAY THEN JUNE 2021.    1) PAGET SCHROETTER SYNDROME AXIAL SUBCLAVIAN VEIN THROMBOSIS REQUIRING IMMEDIATE DIAGNOSIS AND THROMBOLYTIC THERAPY.  MOST COMMON IN ACTIVE YOUNG MEN.  2) CARPELL TUNNEL SYNDROME 3) RHABDOMYOLYSIS 4) MALIGNANCY  November early Swelling went down, no pain. Still sore left hand & arm when in use.  December 24, 2021 Moderna 3rd vaccination Sick and sore arm for a week.  January early Left and right arm both hurt, circular wrist pain, severe pain on tip of right index finger, minor in left.  Pain in right arm started first time in right arm.   Exam by doctor. Consults with Doctor for irregular heartbeat, clotting,  and ordered an echocardiogram. Hand Surgeon, whom suspects either a rare vaccination reaction, compartment syndrome with arm/hand nerves, or plain over usage. Ordered bilateral MRI?s.   Jan 6 Labs .48 D-Dimer mg/L, normal .19 for age.  Normal 0-49.  Jan 19th No relief to date from rest.  Started two days ago 250mg Naproxen q6h & 1% Diclofenac Sodium Topical.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Heart rate irregular, Hypotension, Immunisation reaction, Laboratory test, Magnetic resonance imaging normal
Clinical narrative: Patient Medical Update January 19, 2022 from May 14, 2021  May 14 2021 Moderna first vaccination  Sore left arm for 3 days. No other issues.  June 7, 2021 Moderna second vaccination Low blood pressure, nausea, pain for 3 days requiring two I.V.?s.  Then 3 weeks sore arm.  October 22, 2021  Left arm swelling, week.  Severe pain, went to emergency room.    Letter to Emergency Department   ACUTE PROGRESSIVE SWELLING OF NONDOMINANT LEFT ARM  ONE WEEK HISTORY OF PROGRESSIVE SWELLING OF LEFT ARM. NO HISTORY OF STRENESOUS ACTIVTY, INFECTION, AFEBRILE, OR TRAUMA TO THE LEFT ARM. IBUPROFEN 400 MG Q8H FOR ONE WEEK HAS NOT RELEIVED PAIN OR SWELLING.  COLD COMPRESSES AND ELEVATION FOR ONE WEEK  ALSO NOT EFFECTIVE.   PAIN IS INCREASING OVER THE COURSE OF ONE WEEK. STARTED ASPIRIN Q4-6H OCT 22 LATE EVENING.  EMERGENCY ROOM VISIT ON OCTOBER 22 RESULTED IN NO DIAGNOSIS WITH ONLY IBUPROFEN THERAPY.   REGULAR PEDIATRIC CARE.  DOG BITE TO CRANIUM AT 6 YEARS OF AGE. TWO CONCUSSIONS IN ADOLESCENCE TREATED BY DOCTOR, CONCUSSION AND NEUROLOGIST SPECIALIST IMMUNIZATIONS UP TO DATE. MODERNA MAY THEN JUNE 2021.    1) PAGET SCHROETTER SYNDROME AXIAL SUBCLAVIAN VEIN THROMBOSIS REQUIRING IMMEDIATE DIAGNOSIS AND THROMBOLYTIC THERAPY.  MOST COMMON IN ACTIVE YOUNG MEN.  2) CARPELL TUNNEL SYNDROME 3) RHABDOMYOLYSIS 4) MALIGNANCY  November early Swelling went down, no pain. Still sore left hand & arm when in use.  December 24, 2021 Moderna 3rd vaccination Sick and sore arm for a week.  January early Left and right arm both hurt, circular wrist pain, severe pain on tip of right index finger, minor in left.  Pain in right arm started first time in right arm.   Exam by doctor. Consults with Doctor for irregular heartbeat, clotting,  and ordered an echocardiogram. Hand Surgeon, whom suspects either a rare vaccination reaction, compartment syndrome with arm/hand nerves, or plain over usage. Ordered bilateral MRI?s.   Jan 6 Labs .48 D-Dimer mg/L, normal .19 for age.  Normal 0-49.  Jan 19th No relief to date from rest.  Started two days ago 250mg Naproxen q6h & 1% Diclofenac Sodium Topical.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Malaise, Nausea, Paget-Schroetter syndrome, Pain, Pain in extremity
Clinical narrative: Patient Medical Update January 19, 2022 from May 14, 2021  May 14 2021 Moderna first vaccination  Sore left arm for 3 days. No other issues.  June 7, 2021 Moderna second vaccination Low blood pressure, nausea, pain for 3 days requiring two I.V.?s.  Then 3 weeks sore arm.  October 22, 2021  Left arm swelling, week.  Severe pain, went to emergency room.    Letter to Emergency Department   ACUTE PROGRESSIVE SWELLING OF NONDOMINANT LEFT ARM  ONE WEEK HISTORY OF PROGRESSIVE SWELLING OF LEFT ARM. NO HISTORY OF STRENESOUS ACTIVTY, INFECTION, AFEBRILE, OR TRAUMA TO THE LEFT ARM. IBUPROFEN 400 MG Q8H FOR ONE WEEK HAS NOT RELEIVED PAIN OR SWELLING.  COLD COMPRESSES AND ELEVATION FOR ONE WEEK  ALSO NOT EFFECTIVE.   PAIN IS INCREASING OVER THE COURSE OF ONE WEEK. STARTED ASPIRIN Q4-6H OCT 22 LATE EVENING.  EMERGENCY ROOM VISIT ON OCTOBER 22 RESULTED IN NO DIAGNOSIS WITH ONLY IBUPROFEN THERAPY.   REGULAR PEDIATRIC CARE.  DOG BITE TO CRANIUM AT 6 YEARS OF AGE. TWO CONCUSSIONS IN ADOLESCENCE TREATED BY DOCTOR, CONCUSSION AND NEUROLOGIST SPECIALIST IMMUNIZATIONS UP TO DATE. MODERNA MAY THEN JUNE 2021.    1) PAGET SCHROETTER SYNDROME AXIAL SUBCLAVIAN VEIN THROMBOSIS REQUIRING IMMEDIATE DIAGNOSIS AND THROMBOLYTIC THERAPY.  MOST COMMON IN ACTIVE YOUNG MEN.  2) CARPELL TUNNEL SYNDROME 3) RHABDOMYOLYSIS 4) MALIGNANCY  November early Swelling went down, no pain. Still sore left hand & arm when in use.  December 24, 2021 Moderna 3rd vaccination Sick and sore arm for a week.  January early Left and right arm both hurt, circular wrist pain, severe pain on tip of right index finger, minor in left.  Pain in right arm started first time in right arm.   Exam by doctor. Consults with Doctor for irregular heartbeat, clotting,  and ordered an echocardiogram. Hand Surgeon, whom suspects either a rare vaccination reaction, compartment syndrome with arm/hand nerves, or plain over usage. Ordered bilateral MRI?s.   Jan 6 Labs .48 D-Dimer mg/L, normal .19 for age.  Normal 0-49.  Jan 19th No relief to date from rest.  Started two days ago 250mg Naproxen q6h & 1% Diclofenac Sodium Topical.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Peripheral swelling, Rhabdomyolysis, Subclavian vein thrombosis, Thrombosis
Clinical narrative: Patient Medical Update January 19, 2022 from May 14, 2021  May 14 2021 Moderna first vaccination  Sore left arm for 3 days. No other issues.  June 7, 2021 Moderna second vaccination Low blood pressure, nausea, pain for 3 days requiring two I.V.?s.  Then 3 weeks sore arm.  October 22, 2021  Left arm swelling, week.  Severe pain, went to emergency room.    Letter to Emergency Department   ACUTE PROGRESSIVE SWELLING OF NONDOMINANT LEFT ARM  ONE WEEK HISTORY OF PROGRESSIVE SWELLING OF LEFT ARM. NO HISTORY OF STRENESOUS ACTIVTY, INFECTION, AFEBRILE, OR TRAUMA TO THE LEFT ARM. IBUPROFEN 400 MG Q8H FOR ONE WEEK HAS NOT RELEIVED PAIN OR SWELLING.  COLD COMPRESSES AND ELEVATION FOR ONE WEEK  ALSO NOT EFFECTIVE.   PAIN IS INCREASING OVER THE COURSE OF ONE WEEK. STARTED ASPIRIN Q4-6H OCT 22 LATE EVENING.  EMERGENCY ROOM VISIT ON OCTOBER 22 RESULTED IN NO DIAGNOSIS WITH ONLY IBUPROFEN THERAPY.   REGULAR PEDIATRIC CARE.  DOG BITE TO CRANIUM AT 6 YEARS OF AGE. TWO CONCUSSIONS IN ADOLESCENCE TREATED BY DOCTOR, CONCUSSION AND NEUROLOGIST SPECIALIST IMMUNIZATIONS UP TO DATE. MODERNA MAY THEN JUNE 2021.    1) PAGET SCHROETTER SYNDROME AXIAL SUBCLAVIAN VEIN THROMBOSIS REQUIRING IMMEDIATE DIAGNOSIS AND THROMBOLYTIC THERAPY.  MOST COMMON IN ACTIVE YOUNG MEN.  2) CARPELL TUNNEL SYNDROME 3) RHABDOMYOLYSIS 4) MALIGNANCY  November early Swelling went down, no pain. Still sore left hand & arm when in use.  December 24, 2021 Moderna 3rd vaccination Sick and sore arm for a week.  January early Left and right arm both hurt, circular wrist pain, severe pain on tip of right index finger, minor in left.  Pain in right arm started first time in right arm.   Exam by doctor. Consults with Doctor for irregular heartbeat, clotting,  and ordered an echocardiogram. Hand Surgeon, whom suspects either a rare vaccination reaction, compartment syndrome with arm/hand nerves, or plain over usage. Ordered bilateral MRI?s.   Jan 6 Labs .48 D-Dimer mg/L, normal .19 for age.  Normal 0-49.  Jan 19th No relief to date from rest.  Started two days ago 250mg Naproxen q6h & 1% Diclofenac Sodium Topical.
Age: 80.0
Sex: F
Vaccine: UNK
Symptoms: Arrhythmia, Atrial fibrillation, Cardiac ablation
Clinical narrative: Untreatable atrial fibrillation requiring ablation surgery.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Abnormal dreams, Chills, Decreased appetite, Dehydration, Dissociative disorder
Clinical narrative: Two hours after the injection I started feeling unwell and very tired, so I went to bed.  While getting up to go to the bathroom, I started to lose control of my bladder. This happened several times. I lost my appetite and didn't eat for 3 days. I started to get dehydrated, so I tried to drink, but that resulted in more losing control of my bladder. I had a fever and chills and headache. I lost all sense of time and had disturbing dreams. I fell out of my bed and it knocked the wind out of me. While on the floor, I had to call for my husband because I couldn't get up because I couldn't find my feet nor move my legs. He helped me get up and get back to bed.  I received my shot on June 26 and by Saturday, July 1 at 4:00 PM I felt all the symptoms leave, but I was extremely tired and was that way for another week. I had no reaction at all to the first shot. I never have a reaction to any vaccinations.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Fall, Fatigue, Headache, Malaise, Mobility decreased
Clinical narrative: Two hours after the injection I started feeling unwell and very tired, so I went to bed.  While getting up to go to the bathroom, I started to lose control of my bladder. This happened several times. I lost my appetite and didn't eat for 3 days. I started to get dehydrated, so I tried to drink, but that resulted in more losing control of my bladder. I had a fever and chills and headache. I lost all sense of time and had disturbing dreams. I fell out of my bed and it knocked the wind out of me. While on the floor, I had to call for my husband because I couldn't get up because I couldn't find my feet nor move my legs. He helped me get up and get back to bed.  I received my shot on June 26 and by Saturday, July 1 at 4:00 PM I felt all the symptoms leave, but I was extremely tired and was that way for another week. I had no reaction at all to the first shot. I never have a reaction to any vaccinations.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Urinary incontinence
Clinical narrative: Two hours after the injection I started feeling unwell and very tired, so I went to bed.  While getting up to go to the bathroom, I started to lose control of my bladder. This happened several times. I lost my appetite and didn't eat for 3 days. I started to get dehydrated, so I tried to drink, but that resulted in more losing control of my bladder. I had a fever and chills and headache. I lost all sense of time and had disturbing dreams. I fell out of my bed and it knocked the wind out of me. While on the floor, I had to call for my husband because I couldn't get up because I couldn't find my feet nor move my legs. He helped me get up and get back to bed.  I received my shot on June 26 and by Saturday, July 1 at 4:00 PM I felt all the symptoms leave, but I was extremely tired and was that way for another week. I had no reaction at all to the first shot. I never have a reaction to any vaccinations.
Age: 13.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Erythema, Injection site swelling, Pruritus
Clinical narrative: right arm is red and itchy and has a bump where shot was received. mom is using an ice pack and benadryl to relieve symptoms.
Age: 60.0
Sex: F
Vaccine: COVID19-2, FLUR4, TDAP
Symptoms: Extra dose administered
Clinical narrative: Patient received tdap vaccine 1-6-23 from the hospital and also received it 1-26-23 along with covid and flu shots.  Patient stated that she didn't have any adverse reactions.
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vaccine was stored in the refrigerator for longer than the 10-week limit.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vaccine was stored in the refrigerator for longer than the 10-week limit.
Age: 24.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vaccine was stored in the refrigerator for longer than the 10-week limit.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vaccine was stored in the refrigerator for longer than the 10-week limit.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vaccine was stored in the refrigerator for longer than the 10-week limit.
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vaccine was stored in the refrigerator for longer than the 10-week limit.
Age: 20.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vaccine was stored in the refrigerator for longer than the 10-week limit.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: We were under the impression we were administering the Pfizer Bivalent COVID booster but we adminsitered the Pfizer Monovalent COVID vaccine in error. Patient was made aware of the error and given CDC guidance on how to proceed.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vaccine was stored in the refrigerator for longer than the 10-week limit.
Age: 74.0
Sex: F
Vaccine: HEPAB
Symptoms: Expired product administered
Clinical narrative: Patient was administered an expired vaccine (exp 01/31/2023) on 02/03/2023
Age: 45.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vaccine was stored in the refrigerator for longer than the 10-week limit.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient requested the Pfizer COVID19 bivalent dose.  Our pharmacy had accidentally ordered the Pfizer COVID19 monovalent doses, and since the vials are nearly identical, did not notice the error until the patient was dosed with the monovalent vaccine.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: We were under the impression we were administering the Pfizer Bivalent COVID vaccine but we administered the Pfizer Monovalent COVID vaccine in error. Patient was made aware and offered CDC guidance on how proceed.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient requested the Pfizer COVID19 bivalent dose.  Our pharmacy had accidentally ordered the Pfizer COVID19 monovalent doses, and since the vials are nearly identical, did not notice the error until the patient was dosed with the monovalent vaccine.
Age: 14.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vaccine was stored in the refrigerator for longer than the 10-week limit.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: We were under the impression we were administering the Pfizer Bivalent COVID vaccine but we administered the Pfizer Monovalent COVID vaccine in error. Patient was made aware and offered CDC guidance on how proceed.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient requested the Pfizer COVID19 bivalent dose.  Our pharmacy had accidentally ordered the Pfizer COVID19 monovalent doses, and since the vials are nearly identical, did not notice the error until the patient was dosed with the monovalent vaccine.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: We were under the impression we were administering the Pfizer Bivalent COVID vaccine but we administered the Pfizer Monovalent COVID vaccine in error. Patient was made aware and offered CDC guidance on how proceed.
Age: 13.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vaccine was stored in the refrigerator for longer than the 10-week limit.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: We were under the impression we were administering the Pfizer Bivalent COVID vaccine but we administered the Pfizer Monovalent COVID vaccine in error. Patient was made aware and offered CDC guidance on how proceed.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: We were under the impression we were administering the Pfizer Bivalent COVID vaccine but we administered the Pfizer Monovalent COVID vaccine in error. Patient was made aware and offered CDC guidance on how proceed.
Age: 36.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vaccine was stored in the refrigerator for longer than the 10-week limit.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: We were under the impression we were administering the Pfizer Bivalent COVID vaccine but we administered the Pfizer Monovalent COVID vaccine in error. Patient was made aware and offered CDC guidance on how proceed.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient requested the Pfizer COVID19 bivalent dose.  Our pharmacy had accidentally ordered the Pfizer COVID19 monovalent doses, and since the vials are nearly identical, did not notice the error until the patient was dosed with the monovalent vaccine.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient requested the Pfizer COVID19 bivalent dose.  Our pharmacy had accidentally ordered the Pfizer COVID19 monovalent doses, and since the vials are nearly identical, did not notice the error until the patient was dosed with the monovalent vaccine.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient requested the Pfizer COVID19 bivalent dose.  Our pharmacy had accidentally ordered the Pfizer COVID19 monovalent doses, and since the vials are nearly identical, did not notice the error until the patient was dosed with the monovalent vaccine.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient requested the Pfizer COVID19 bivalent dose.  Our pharmacy had accidentally ordered the Pfizer COVID19 monovalent doses, and since the vials are nearly identical, did not notice the error until the patient was dosed with the monovalent vaccine.
Age: 46.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vaccine was stored in the refrigerator for longer than the 10-week limit.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vaccine was stored in the refrigerator for longer than the 10-week limit.
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vaccine was stored in the refrigerator for longer than the 10-week limit.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: We were under the impression we administered the Pfizer Bivalent COVID booster but we actually administered the Pfizer Monovalent COVID vaccine in error. The patient was made aware and offered CDC guidance on how to proceed.
Age: 16.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vaccine was stored in the refrigerator for longer than the 10-week limit.
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vaccine was stored in the refrigerator for longer than the 10-week limit.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: We were under the impression we were administering the Pfizer Bivalent COVID vaccine but we administered the Pfizer Monovalent COVID vaccine in error. Patient was made aware and offered CDC guidance on how proceed.
Age: 90.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vaccine was stored in the refrigerator for longer than the 10-week limit.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC15, RV5
Symptoms: Drooling, Irritability, Pain, Screaming, Vomiting
Clinical narrative: 10 days of increased irritability, intermittent screaming from apparent pain, vomiting formula, increased drooling
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient requested the Pfizer COVID19 bivalent dose.  Our pharmacy had accidentally ordered the Pfizer COVID19 monovalent doses, and since the vials are nearly identical, did not notice the error until the patient was dosed with the monovalent vaccine.
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vaccine was stored in the refrigerator for longer than the 10-week limit.
Age: 56.0
Sex: F
Vaccine: COVID19, MNQ
Symptoms: Blood test normal, Computerised tomogram head normal, Lumbar puncture normal, Magnetic resonance imaging head normal, Visual impairment
Clinical narrative: Dose 1 on 3/21/21: no adverse event Dose 2 on 4/14/21: no adverse event  Booster on 12/1/21: vision in right eye diminished by 80% on 12/21/21.
Age: 55.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vaccine was stored in the refrigerator for longer than the 10-week limit.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: We were under the impression we administered the Pfizer Bivalent COVID booster but we actually administered Pfizer Monovalent COVID vaccine in error. The patient was notified and given CDC guidance on how to proceed with future dosing.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: We were under the impression we administered the Pfizer Bivalent COVID booster but we actually administered Pfizer Monovalent COVID vaccine in error. The patient was notified and given CDC guidance on how to proceed with future dosing.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vaccine was stored in the refrigerator for longer than the 10-week limit.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: We were under the impression we administered the Pfizer Bivalent COVID booster but we actually administered Pfizer Monovalent COVID vaccine in error. The patient was notified and given CDC guidance on how to proceed with future dosing.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: We were under the impression we administered the Pfizer Bivalent COVID booster but we actually administered Pfizer Monovalent COVID vaccine in error. The patient was notified and given CDC guidance on how to proceed with future dosing.
Age: 82.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vaccine was stored in the refrigerator for longer than the 10-week limit.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vaccine was stored in the refrigerator for longer than the 10-week limit.
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vaccine was stored in the refrigerator for longer than the 10-week limit.
Age: 58.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vaccine was stored in the refrigerator for longer than the 10-week limit.
Age: 30.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The vaccine was stored in the refrigerator for longer than the 10-week limit.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Head discomfort, Swelling face, Vertigo
Clinical narrative: She says she had what felt like a band across her forehead, also her cheeks bulging out. This is what she felt like. She says she has vertigo that has not gone away and this started after the begining of 2022, she had her 3rd Moderna shot in December 2021. She is currently in the hospital for persistent weakness and she does complain of the continued vertigo. She says her doctor has told her she is "just getting old."
Age: 62.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Hyperhidrosis, Nausea, Vomiting
Clinical narrative: Five days after getting the vaccine I got up, had breakfast and suddenly got really lightheaded and dizzy, then I got nauseous and began to vomit three times in a 15-min period. I was sweating. too. I kept my phone next to me in case I needed to call 911. I took a  pill of Dimenhydranate  for the nausea. I did not eat anything unusual, only home-cooked meals. I went back to bed for 1 hour and all the symptoms went away.
Age: 60.0
Sex: U
Vaccine: COVID19
Symptoms: Chills, Cough, Fatigue, Headache, Oropharyngeal pain
Clinical narrative: Tired, chills, headache , sore throat, horrible runny nose, sneezing, coughing, horrible body aches.
Age: 60.0
Sex: U
Vaccine: COVID19
Symptoms: Pain, Rhinorrhoea, Sneezing
Clinical narrative: Tired, chills, headache , sore throat, horrible runny nose, sneezing, coughing, horrible body aches.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy colon abnormal, Blood test abnormal, Colitis ulcerative, Colonoscopy abnormal, Computerised tomogram abdomen abnormal
Clinical narrative: Rectal bleeding started light, began getting very bad over a period of 3 weeks. Went to the hospital. Was admitted overnight. Bloodwork, ultrasound, scans, fecal samples, colonoscopy performed. After all tests were ran, and biopsies done was diagnosed with ulcerative colitis. Started taking Lialda and doing enemas with mesalimine to reduce inflammation  and help stop bleeding. Never had issues with any autoimmune disease until I was vaccinated with Pfizer.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Rectal haemorrhage, Stool analysis abnormal, Ultrasound abdomen abnormal
Clinical narrative: Rectal bleeding started light, began getting very bad over a period of 3 weeks. Went to the hospital. Was admitted overnight. Bloodwork, ultrasound, scans, fecal samples, colonoscopy performed. After all tests were ran, and biopsies done was diagnosed with ulcerative colitis. Started taking Lialda and doing enemas with mesalimine to reduce inflammation  and help stop bleeding. Never had issues with any autoimmune disease until I was vaccinated with Pfizer.
Age: 85.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cerebrovascular accident, Laboratory test
Clinical narrative: STROKE ...13 days after pfizer BOOSTER rec'd at local Pharmacy on 11-5-21 and stroke of 11-17-21  resulting in hospitalization at local Hospital.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Pain
Clinical narrative: pain, itchiness at injection site Narrative:
Age: 60.0
Sex: F
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Contracted COVID despite vax
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse event, vaccine may have been expired
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardio-respiratory arrest, Computerised tomogram head abnormal, Critical illness, Death, Endotracheal intubation
Clinical narrative: Patient is a 60 y.o. male with a PMH of Bipolar, Anxiety/Depression, Chronic back pain (Morphine pump), HTN, PVD/Stent, CAD/MI, HLD, COPD, OSA, bladder cancer, anemia, and GERD who presented to facility on 12/28/2022 as a transfer from an facility with an Isodense Right Subdural Hematoma (Traumatic) and Acute-on-Chronic Hypoxic/Hypercarbic Respiratory Failure   The patient was admitted with Right SDH after a fall 3 days prior to admission in the setting of Xarelto, pletal and plavix use. His Xarelto was reversed with PCC and no surgical intervention was indicated. During his work-up his ECHO revealed an EF of 40% and he required low dose levophed to maintain goal MAP > 65. His hospital course was further complicated by acute on chronic respiratory failure due to COVID. He was requiring HHF during the day and BIPAP at night, he wears oxygen at home at baseline.  He was noted to have acute hypotension and hypoxia on 1/5/2023 around 21:05. He was unresponsive and noted to be in PEA. CPR was started, he was emergently intubated, ACLS rounds for > 20 minutes with no ROSC. A bedside ECHO showed hypodynamic cardiac function concerning for cardiogenic shock. Time of death 21:33 Family arrived to bedside and were updated.   Discharge Diagnoses:   Deceased
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Subdural haematoma
Clinical narrative: Patient is a 60 y.o. male with a PMH of Bipolar, Anxiety/Depression, Chronic back pain (Morphine pump), HTN, PVD/Stent, CAD/MI, HLD, COPD, OSA, bladder cancer, anemia, and GERD who presented to facility on 12/28/2022 as a transfer from an facility with an Isodense Right Subdural Hematoma (Traumatic) and Acute-on-Chronic Hypoxic/Hypercarbic Respiratory Failure   The patient was admitted with Right SDH after a fall 3 days prior to admission in the setting of Xarelto, pletal and plavix use. His Xarelto was reversed with PCC and no surgical intervention was indicated. During his work-up his ECHO revealed an EF of 40% and he required low dose levophed to maintain goal MAP > 65. His hospital course was further complicated by acute on chronic respiratory failure due to COVID. He was requiring HHF during the day and BIPAP at night, he wears oxygen at home at baseline.  He was noted to have acute hypotension and hypoxia on 1/5/2023 around 21:05. He was unresponsive and noted to be in PEA. CPR was started, he was emergently intubated, ACLS rounds for > 20 minutes with no ROSC. A bedside ECHO showed hypodynamic cardiac function concerning for cardiogenic shock. Time of death 21:33 Family arrived to bedside and were updated.   Discharge Diagnoses:   Deceased
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Death, Echocardiogram abnormal, Ejection fraction decreased
Clinical narrative: Patient is a 60 y.o. male with a PMH of Bipolar, Anxiety/Depression, Chronic back pain (Morphine pump), HTN, PVD/Stent, CAD/MI, HLD, COPD, OSA, bladder cancer, anemia, and GERD who presented to facility on 12/28/2022 as a transfer from an facility with an Isodense Right Subdural Hematoma (Traumatic) and Acute-on-Chronic Hypoxic/Hypercarbic Respiratory Failure   The patient was admitted with Right SDH after a fall 3 days prior to admission in the setting of Xarelto, pletal and plavix use. His Xarelto was reversed with PCC and no surgical intervention was indicated. During his work-up his ECHO revealed an EF of 40% and he required low dose levophed to maintain goal MAP > 65. His hospital course was further complicated by acute on chronic respiratory failure due to COVID. He was requiring HHF during the day and BIPAP at night, he wears oxygen at home at baseline.  He was noted to have acute hypotension and hypoxia on 1/5/2023 around 21:05. He was unresponsive and noted to be in PEA. CPR was started, he was emergently intubated, ACLS rounds for > 20 minutes with no ROSC. A bedside ECHO showed hypodynamic cardiac function concerning for cardiogenic shock. Time of death 21:33 Family arrived to bedside and were updated.   Discharge Diagnoses:   Deceased
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Endotracheal intubation, Fall, Hypercapnia, Hypotension, Hypoxia
Clinical narrative: Patient is a 60 y.o. male with a PMH of Bipolar, Anxiety/Depression, Chronic back pain (Morphine pump), HTN, PVD/Stent, CAD/MI, HLD, COPD, OSA, bladder cancer, anemia, and GERD who presented to facility on 12/28/2022 as a transfer from an facility with an Isodense Right Subdural Hematoma (Traumatic) and Acute-on-Chronic Hypoxic/Hypercarbic Respiratory Failure   The patient was admitted with Right SDH after a fall 3 days prior to admission in the setting of Xarelto, pletal and plavix use. His Xarelto was reversed with PCC and no surgical intervention was indicated. During his work-up his ECHO revealed an EF of 40% and he required low dose levophed to maintain goal MAP > 65. His hospital course was further complicated by acute on chronic respiratory failure due to COVID. He was requiring HHF during the day and BIPAP at night, he wears oxygen at home at baseline.  He was noted to have acute hypotension and hypoxia on 1/5/2023 around 21:05. He was unresponsive and noted to be in PEA. CPR was started, he was emergently intubated, ACLS rounds for > 20 minutes with no ROSC. A bedside ECHO showed hypodynamic cardiac function concerning for cardiogenic shock. Time of death 21:33 Family arrived to bedside and were updated.   Discharge Diagnoses:   Deceased
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Life support, Positive airway pressure therapy, Pulseless electrical activity, Respiratory failure, Resuscitation
Clinical narrative: Patient is a 60 y.o. male with a PMH of Bipolar, Anxiety/Depression, Chronic back pain (Morphine pump), HTN, PVD/Stent, CAD/MI, HLD, COPD, OSA, bladder cancer, anemia, and GERD who presented to facility on 12/28/2022 as a transfer from an facility with an Isodense Right Subdural Hematoma (Traumatic) and Acute-on-Chronic Hypoxic/Hypercarbic Respiratory Failure   The patient was admitted with Right SDH after a fall 3 days prior to admission in the setting of Xarelto, pletal and plavix use. His Xarelto was reversed with PCC and no surgical intervention was indicated. During his work-up his ECHO revealed an EF of 40% and he required low dose levophed to maintain goal MAP > 65. His hospital course was further complicated by acute on chronic respiratory failure due to COVID. He was requiring HHF during the day and BIPAP at night, he wears oxygen at home at baseline.  He was noted to have acute hypotension and hypoxia on 1/5/2023 around 21:05. He was unresponsive and noted to be in PEA. CPR was started, he was emergently intubated, ACLS rounds for > 20 minutes with no ROSC. A bedside ECHO showed hypodynamic cardiac function concerning for cardiogenic shock. Time of death 21:33 Family arrived to bedside and were updated.   Discharge Diagnoses:   Deceased