chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.17
Sex: F
Vaccine: DTPPVHBHPB, PNC13, RV5, DTPPVHBHPB, PNC13, RV5
Symptoms: Abnormal faeces, Diarrhoea, Malaise, Pain
Clinical narrative: 7/10/23 FOC, called this nurse to ask what company manufactured the RotaTeq vaccine his daughter received on 6/16/23. He explained his daughter had a "bad reaction" and was wanting to see if they could try a different rotavirus vaccine. RN asked about pts reaction and FOC reported his daughter had loose and sometimes "jelly-like" stools every day, usually multiple times for weeks, and is "just not starting to feel better" (approx. 1 month after vaccine). FOC talked to their pediatrician, but would also appreciate talking to the medical director of the clinic. This RN informed Dr. who called pt. Dr. emailed RN with this summary:  "I called him and we discussed his child at some length.  It turns out she was in quite a bit of pain when she had her diarrhea and so though they didn't see any blood the possibility of a spontaneous resolution of intussusception is a possibility.  I advised to discuss with their pediatrician Dr. and deferred the decision to further vaccinate with rotavirus to them."
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Discomfort, Erythema, Induration, Pruritus, Skin warm
Clinical narrative: She got her vaccine, she had redness, swelling, the area was very hard, warm to touch.  Today she is saying after coming into the office she said that it is about 1/2 the size at it was yesterday, but improving, but still hard, warm to touch and very itchy.  She has been using Benadryl ointment and ice on the area.  The NP wanted her to continue icing, and to use the Benadryl ointment.  She was also instructed to take Benadryl at night and Zyrtec during the day and Ibuprofen or Tylenol for the discomfort if needed.  She is suggesting that she continue with the 2nd vaccine and premedicate prior to that vaccine. She has also been instructed to call back on Monday with an update and to check for spreading of the redness down to the arm and to seek medical attention if that happened.  The area of erythema was 7"x6", about the size of a fist.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Swelling
Clinical narrative: She got her vaccine, she had redness, swelling, the area was very hard, warm to touch.  Today she is saying after coming into the office she said that it is about 1/2 the size at it was yesterday, but improving, but still hard, warm to touch and very itchy.  She has been using Benadryl ointment and ice on the area.  The NP wanted her to continue icing, and to use the Benadryl ointment.  She was also instructed to take Benadryl at night and Zyrtec during the day and Ibuprofen or Tylenol for the discomfort if needed.  She is suggesting that she continue with the 2nd vaccine and premedicate prior to that vaccine. She has also been instructed to call back on Monday with an update and to check for spreading of the redness down to the arm and to seek medical attention if that happened.  The area of erythema was 7"x6", about the size of a fist.
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Client received Moderna vaccine that had an expiration date of 7/9/2023, administration of vaccine was on 7/12/2023. Client did not exhibit any immediate adverse reactions.
Age: 1.5
Sex: M
Vaccine: HEPA
Symptoms: Expired product administered
Clinical narrative: Vaccine expired on 7/13/2023
Age: 62.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chronic respiratory failure, Respiratory failure
Clinical narrative: CHRONIC HYPOXEMIC RESPIRATORY FAILURE
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Sleep apnoea syndrome
Clinical narrative: G47.30 SLEEP APNEA 3/29/2023 ARTHRITIS OF LEFT HIP
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Iron deficiency anaemia, Neuropathy peripheral
Clinical narrative: G62.9 PERIPHERAL NEUROPATHY 1/31/2023 IRON DEFICIENCY ANEMIA
Age: 12.0
Sex: M
Vaccine: TD
Symptoms: Extra dose administered
Clinical narrative: Tdap booster due and Td given
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Angina pectoris, Symptom recurrence
Clinical narrative: STABLE ANGINA 3/11/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Hypersensitivity, Iridocyclitis
Clinical narrative: T78.40XA ALLERGIC DISORDER, INIT 4/26/2023 BILAT ACUTE IRIDOCYCLITIS T78.40XA ALLERGIC DISORDER, INIT 4/26/2023 ASTHMA, UNSPECIFIED
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Colorectal adenoma
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE 4/1/2023 ADENOMATOUS POLYP, COLON ACUTE HYPOXEMIC RESPIRATORY FAILURE 4/1/2023 HX OF ACUTE KIDNEY INJURY
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: Patient received Pfizer Bivalent vaccine on 6/1/2023. Patient received another Pfizer Bivalent Vaccine on 07/13/2023.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Aortic valve stenosis, Diverticulitis, Hypersomnia, Sleep apnoea syndrome
Clinical narrative: HYPERSOMNIA W SLEEP APNEA 4/21/2023 DIVERTICULITIS HYPERSOMNIA W SLEEP APNEA 4/21/2023 AORTIC VALVE STENOSIS
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cerebrovascular accident
Clinical narrative: ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY
Age: 4.0
Sex: M
Vaccine: UNK, UNK, UNK
Symptoms: Unevaluable event
Clinical narrative: I looked at the box that had the flu shot too fast and mistaked the number of the month. After the vaccine was administered mom had left already so  the doctor gave the mom a call.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Subarachnoid haemorrhage
Clinical narrative: HYPOTENSION 4/2/2023 TRAUMATIC SUBARACHNOID HEMORRHAGE, INIT
Age: 93.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure
Clinical narrative: ACUTE RESPIRATORY FAILURE
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Blood lactic acid normal, Blood potassium normal, Computerised tomogram abdomen normal, Computerised tomogram head normal, Electrocardiogram normal
Clinical narrative: Hypokalemia, Altered mental status, nausea and vomiting, unable to walk, migraines,
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Full blood count normal, Gait inability, Hypokalaemia, Influenza virus test negative, Laboratory test normal
Clinical narrative: Hypokalemia, Altered mental status, nausea and vomiting, unable to walk, migraines,
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Mental status changes, Metabolic function test normal, Migraine, Nausea, SARS-CoV-2 test negative
Clinical narrative: Hypokalemia, Altered mental status, nausea and vomiting, unable to walk, migraines,
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Streptococcus test negative, Vomiting
Clinical narrative: Hypokalemia, Altered mental status, nausea and vomiting, unable to walk, migraines,
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Lung neoplasm malignant
Clinical narrative: R09.02 HYPOXIA 4/18/2023 LUNG CANCER LEFT LUNG, UNSPECIFIED PART
Age: 84.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypotension
Clinical narrative: HYPOTENSION
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient vaccinated on 7/12/2023, vaccine expired on 7/9/2023
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Erythema, Injection site erythema, Injection site swelling, Swelling face, Urticaria
Clinical narrative: GUARDIAN REPORTS THAT AFTER THE SHOTS PATIENT WAS FINE. THEY STOPPED TO GET LUNCH THROUGH A DRIVE THRU AND WHEN SHE ARRIVED AT HOME (1 HOUR LATER), SHE TURNED TO GET PATIENT OUT OF THE CAR AND NOTICED HIS FACE WAS "BEET RED" AND HIS BODY WAS RED WITH HIVES ON HIS BELLY AND BACK. SHE DECRIBED HIS ARM, INJECTION SITE AS RED AND SWOLLEN. SHE ALSO MENTIONED HIS FACE WAS SWOLLEN. SHE IMMEDIATLY GAVE HIM BENADRYL AT HOME AND TOOK HIM TO THE MEDICAL CENTER ER. ACCORDING TO HER: THERE HE WAS TREATED WITH STEROIDS, MONITORED AND WAS SENT HOME WITH A SCRIPT FOR BENADRYL. SHE REPORTS HE WAS NEVER APPPEARED IN DISTRESS OR SHORT OF BREATH. When he was RELEASED FROM THE ER. GUARDIAN CALLED THE HEALTH DEPARTMENT TO REPORT THE INCIDENT. (ABOUT 2:50 PM) AT THAT TIME, SHE REPORTED PATIENT WAS FINE. NO REDNESS VISIBLE, NO SOB, NO DISTRESS, AND APPEARED BACK TO HIS NORMAL SELF. 7/14/23 9:30 AM ON A FOLLOW UP CALL TO PATIENT'S GUARDIAN. SHE REPORTS PATIENT DOING FINE NO OTHER INCIDENCES OCCURRED.-RN
Age: 6.0
Sex: F
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: I looked at the box that had the flu shot and mistaked the number of the month. I told the doctor after it was administered but mom already had left and she called her to inform the mother what happened.
Age: 0.5
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: incorrect dosage administered to client. client received 2 doses of 0.2 ml instead of 0.25 ml. one dose on 4/25/23 and one dose 5/25/23 at 6 months of age and 7 months of age.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Transient ischaemic attack
Clinical narrative: TRANSIENT CEREBRAL ISCHEMIA
Age: 27.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine administered on 7/12/2023, vaccine expired on 7/9/2023
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Hypoxia, Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE HYPOXEMIC RESPIRATORY FAILURE HYPOXIA 1/10/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 11.0
Sex: F
Vaccine: UNK, UNK, UNK, UNK
Symptoms: Unevaluable event
Clinical narrative: I looked at the box that had the flu shot too fast and mistaked the number of the month. I told doctor after I administered the vaccines but mom had already left. The doctor then called the mom and explained what happned.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Polyneuropathy
Clinical narrative: DRUG INDUCED POLYNEUROPATHY
Age: 84.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Cardiogenic shock, Chronic respiratory failure, Hypoxia, Respiratory failure
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE CHRONIC HYPOXEMIC RESPIRATORY FAILURE HYPOXIA CARDIOGENIC SHOCK 2/17/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 84.0
Sex: M
Vaccine: COVID19-2
Symptoms: Symptom recurrence
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE CHRONIC HYPOXEMIC RESPIRATORY FAILURE HYPOXIA CARDIOGENIC SHOCK 2/17/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 82.0
Sex: M
Vaccine: COVID19-2
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: OBSTRUCTIVE SLEEP APNEA
Age: 1.5
Sex: F
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt given quadracel at 18 months - vaccine meant for 4-6 years of age, No s/s at this time.
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoxia
Clinical narrative: HYPOXEMIA
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypovolaemic shock
Clinical narrative: HYPOVOLEMIC SHOCK
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Oral disorder
Clinical narrative: patient developed a lesion on her lip and asked us to report it as a reaction to the shingrix immunization, she is not planning to seek treatment at this time
Age: 86.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chronic respiratory failure, Hypotension, Respiratory failure
Clinical narrative: HYPOTENSION CHRONIC HYPOXEMIC RESPIRATORY FAILURE
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Neuropathy peripheral
Clinical narrative: PERIPHERAL NEUROPATHY
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Transient ischaemic attack
Clinical narrative: TRANSIENT CEREBRAL ISCHEMIA
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Guillain-Barre syndrome
Clinical narrative: GUILLAIN BARRE SYNDROME
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event
Clinical narrative: Advance - I told the intake/paperwork personnel that I was taking topomirate (Topomax), in case the  blood thinning "qualities" were or would become a factor during or after the vaccination(s). They left the table and retrieve a HOT PINK covid Vaccination Record Card for me.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Neuropathy peripheral
Clinical narrative: NEUROPATHY
Age: 43.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cerebral artery occlusion, Cerebrovascular accident, Transient ischaemic attack
Clinical narrative: TRANSIENT CEREBRAL ISCHEMIA ACUTE STROKE DUE TO OCCLUSION OF RIGHT MIDDLE CEREBRAL ARTERY ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Pneumonia
Clinical narrative: Pt admitted to hospital with COVID diagnosis and pneumonia after being fully vaccinated.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Hemiparesis, Hemiplegia, Ischaemic stroke
Clinical narrative: ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY 4/29/2023 HEMIPLEGIA & HEMIPARESIS, RIGHT DOMINANT SIDE, LATE EFFECT OF ISCHEMIC STROKE
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Hypertension
Clinical narrative: ALLERGIC REACTION, INIT 4/1/2023 HTN (HYPERTENSION)
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Laboratory test, Pain, Swelling, Tinnitus
Clinical narrative: About 1 hour after injection, while resting, I avoided as long as possible the recommended dose of NSAID for swelling, pain at injection site, other pains, reported with VAERS at the time of the vaccination #2.  I started to hear synthesizer type violins. I waited to listen, so i would be able to describe the sounds to someone. they seemed to be coming from inside my brain, behind my left ear and lower, to the left corner side of my brain (where there is a bump on the lower left corner of my skull). I worried that the sounds might be symptoms of brain damage. Unsure if they were pleasant sounding or demonic, but somewhat in harmony. Even disharmony can be pleasant. It wasn't a set of disturbing sounds. On social media, I think I posted "I hear violins", or after news, I might have posted "I hear violence."  So long ago I don't remember the post exactly.  There was discord (ant?) notes within the harmonies/disharmonies. All plaing long, straight tones, synthesizer-like. This lasted for about 5-15 minutes, maxiumum.  I continued reporting with VAERS, and I might have reported the sounds I heard with the survey system which I signed up to participate in after each vaccination. I also reported the typical, expected adverse symptoms.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Angioedema, Aphasia
Clinical narrative: T78.3XXD ANGIOEDEMA, SUBSEQ 3/16/2023 EXPRESSIVE APHASIA
Age: 1.0
Sex: M
Vaccine: UNK, UNK, UNK, UNK
Symptoms: Rash
Clinical narrative: Parents stated the child broke into a rash with bumps all over the torso. front & back area. also had a little on the face. They also stated they had applied calamine lo the areas, which seemed to calm the area. there was no fever detected with in the time of him breaking into a rash. duration of the rash 24-31 hr.  Cleared on 7/14/2023 . seen by dr. in office
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ
Symptoms: Hypoaesthesia, Injection site erythema, Injection site pruritus, Injection site reaction, Peripheral swelling
Clinical narrative: Mother called the clinic on 7/13/23 and stated that the child had swelling in his arm, all the way to his hand and it was numb.  Mother was instructed to take the child to the ER for evaluation.   Per written ER Report, mother voiced that patient had redness and itchiness at the site.   Impression from ER physician was that it was a local reaction to the injection site.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Respiratory failure
Clinical narrative: J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/29/2023 ACUTE HYPOXEMIC RESPIRATORY FAILURE J96.90 RESPIRATORY FAILURE, UNSPECIFIED ACUITY 4/6/2023 ACUTE HYPOXEMIC RESPIRATORY FAILURE
Age: 90.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Hypoxia
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE HYPOXEMIA
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Presyncope
Clinical narrative: I95.9 HYPOTENSION 3/23/2023 NEAR SYNCOPE
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA, MILD
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Graves' disease, Obstructive sleep apnoea syndrome
Clinical narrative: G47.33 ADULT OBSTRUCTIVE SLEEP APNEA 4/14/2023 HX OF ACUTE KIDNEY INJURY G47.33 ADULT OBSTRUCTIVE SLEEP APNEA 4/14/2023 GRAVES DISEASE
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome, Pyelonephritis
Clinical narrative: G47.33 ADULT OBSTRUCTIVE SLEEP APNEA, MILD 4/28/2023 PYELONEPHRITIS
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Aortic arteriosclerosis, Respiratory failure
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE 4/25/2023 ATHEROSCLEROSIS OF AORTA ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 4/26/2023 ATHEROSCLEROSIS OF AORTA
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chronic respiratory failure, Neuropathy peripheral, Respiratory failure
Clinical narrative: PERIPHERAL NEUROPATHY CHRONIC HYPOXEMIC RESPIRATORY FAILURE
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: Deep vein thrombosis, Pulmonary embolism, Symptom recurrence
Clinical narrative: ACUTE DVT, UNSPECIFIED VEIN ACUTE DVT OF BILAT FEMORAL VEINS ACUTE PULMONARY EMBOLISM 3/14/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Peripheral swelling, Swelling
Clinical narrative: Patient came in 3 days later with a significant swelling in her left arm about 4 cm but she also had a little bit on rash on the left side of her neck with one possible small blister and she looked red in multiple areas of her skin that didn't have rash.  there were no breathing or throat findings.
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pulmonary embolism
Clinical narrative: ACUTE PULMONARY EMBOLISM
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypotension, Symptom recurrence
Clinical narrative: HYPOTENSION 1/20/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ
Symptoms: Axillary pain, Injection site oedema, Injection site pain, Injection site rash, Muscular weakness
Clinical narrative: Patient developed right upper arm pain, edema, and a macular, erythematous rash within several hours after receiving the Menveo vaccine. He also complained of weakness in that arm. The erythema, edema, and pain spread to include, at maximum, the upper arm from deltoid to elbow and laterally from bicep to triceps. He also reported axillary pain with movement of the arm.  This lasted for five days, with the peak occurring at around 48 hours s/p vaccination. There were no systemic symptoms.
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ
Symptoms: Pain, Rash erythematous, Rash macular
Clinical narrative: Patient developed right upper arm pain, edema, and a macular, erythematous rash within several hours after receiving the Menveo vaccine. He also complained of weakness in that arm. The erythema, edema, and pain spread to include, at maximum, the upper arm from deltoid to elbow and laterally from bicep to triceps. He also reported axillary pain with movement of the arm.  This lasted for five days, with the peak occurring at around 48 hours s/p vaccination. There were no systemic symptoms.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chronic respiratory failure, Respiratory failure, Symptom recurrence
Clinical narrative: CHRONIC HYPOXEMIC RESPIRATORY FAILURE 1/6/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 84.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction, Symptom recurrence
Clinical narrative: ACUTE NON ST ELEVATION MI 11/2/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 12.0
Sex: M
Vaccine: HPV9, TDAP
Symptoms: Immediate post-injection reaction, Vomiting
Clinical narrative: At 10:30am on 7/14/2023The  nurse administered TDaP (Adacel)  into right deltoid and then HPV (Gardasil 9) IM into Left Deltoid.  Immediately after administration, patient started to vomit The. Nurse Practitioner and Doctor were notified and patient was evaluated by the providers. Patient blood pressure was checked and  patient was given water and instructed to lie down on table. Patient stayed in office for extra 15 minutes.
Age: 1.25
Sex: F
Vaccine: DTAPIPV
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: There were no adverse events/outcomes. A early dose of Polio was given too soon. Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed and Inactivated Poliovirus Vaccine (Kinrix) was given to the patient instead of the suggested immunization Infanrix. No reported adverse effects
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood glucose increased, Hypotonia, Laboratory test, Loss of consciousness
Clinical narrative: Within 5 minutes of the administration of the shot, I realized that maybe I had been given a sedative. My left arm muscles felt more relaxed, and there was no pain at the injection site. The right arm felt, at the time what I thought was normal as per the first two covid shots. I worried that my left side was permanently, or at least in a long-term way, relaxed more than I thought it should be. It remained smaller, and less stressed/puffed out than the right side. Pretty normal size, and maybe a little inflamed. but the right side was hard to compare with  prior shots because usually the two sides reacted virtually the same.   Please check my post-vaccination VAERS survey form. I believe I was more worried about this shot due to the unusual reaction in my body. I was very concerned that my heart was going to be adversely affected. My stress and worry level frequently raised my blood sugar levels.  The first intake nurse seemed OK, to me, but the second took my hot pink card, I believe, and gave me a white one (that is, if it wasn't taken at the second vaccine administration site),   The second, male intake nurse had set out a shot to be administered to me. After taking my hot pink card, (I think0, he DEFINATELY switched out the shot for a different one, that was in a separate area from the first shot that had been set out for me. I wasn't sure, but maybe the syringe looked slightly slimmer, more narrow. The first intake nurse was VERY corrective of what he had done by her attitude, facial expression, and firm, but controlled tone of voice. She did not yell or scream in a way that anyone other than us three at the table would hear.  He/they directed me to table at the far end of the room. I thought he was an ex-boyfriend, but his hair looked different. I might have seen him in a car near looking "not well at all" for as long as I had known him. His hair was done like what I had seen two people do their hair (both of them were familiar to me in places). Dark black, plastered to the head, short bowl-type cut . . .  I cannot remember now, specifically, but I believe he was the one to administer the shot. I blanked out for a sec and did not pay attention for a minute or so.  I sat behind a lady who looked like a former Board of Directors Member. I thought I had seen her at the Post Office on a few weeks/month earlier Her hair was not looking like its stylish best either, like someone else, but looking female, and her height. Like the guy at the far end of the room, who I thought administered the shot.  A man, about 5'9" walked in afterward, and decided that he would wait until tomorrow to get his shot. His hair was about the same color as the lady in front of me, who also weighed more than I had seen looking in quite a long time.  I noticed him because I see him occasionally crossing the street. and because I thought I was going to wait another day before getting the #3 COVID shot myself.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Stress
Clinical narrative: Within 5 minutes of the administration of the shot, I realized that maybe I had been given a sedative. My left arm muscles felt more relaxed, and there was no pain at the injection site. The right arm felt, at the time what I thought was normal as per the first two covid shots. I worried that my left side was permanently, or at least in a long-term way, relaxed more than I thought it should be. It remained smaller, and less stressed/puffed out than the right side. Pretty normal size, and maybe a little inflamed. but the right side was hard to compare with  prior shots because usually the two sides reacted virtually the same.   Please check my post-vaccination VAERS survey form. I believe I was more worried about this shot due to the unusual reaction in my body. I was very concerned that my heart was going to be adversely affected. My stress and worry level frequently raised my blood sugar levels.  The first intake nurse seemed OK, to me, but the second took my hot pink card, I believe, and gave me a white one (that is, if it wasn't taken at the second vaccine administration site),   The second, male intake nurse had set out a shot to be administered to me. After taking my hot pink card, (I think0, he DEFINATELY switched out the shot for a different one, that was in a separate area from the first shot that had been set out for me. I wasn't sure, but maybe the syringe looked slightly slimmer, more narrow. The first intake nurse was VERY corrective of what he had done by her attitude, facial expression, and firm, but controlled tone of voice. She did not yell or scream in a way that anyone other than us three at the table would hear.  He/they directed me to table at the far end of the room. I thought he was an ex-boyfriend, but his hair looked different. I might have seen him in a car near looking "not well at all" for as long as I had known him. His hair was done like what I had seen two people do their hair (both of them were familiar to me in places). Dark black, plastered to the head, short bowl-type cut . . .  I cannot remember now, specifically, but I believe he was the one to administer the shot. I blanked out for a sec and did not pay attention for a minute or so.  I sat behind a lady who looked like a former Board of Directors Member. I thought I had seen her at the Post Office on a few weeks/month earlier Her hair was not looking like its stylish best either, like someone else, but looking female, and her height. Like the guy at the far end of the room, who I thought administered the shot.  A man, about 5'9" walked in afterward, and decided that he would wait until tomorrow to get his shot. His hair was about the same color as the lady in front of me, who also weighed more than I had seen looking in quite a long time.  I noticed him because I see him occasionally crossing the street. and because I thought I was going to wait another day before getting the #3 COVID shot myself.
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Chronic respiratory failure, Hypoxia, Respiratory failure, Symptom recurrence
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE CHRONIC HYPOXEMIC RESPIRATORY FAILURE HYPOXIA 1/18/2023  &  2/20/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 89.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Hypoxia
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE HYPOXIA
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Chronic respiratory failure, Symptom recurrence
Clinical narrative: ACUTE RESPIRATORY FAILURE ACUTE ON CHRONIC RESPIRATORY FAILURE 2/15/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chronic respiratory failure, Hypoxia, Respiratory failure
Clinical narrative: CHRONIC HYPOXEMIC RESPIRATORY FAILURE HYPOXIA
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Respiratory failure
Clinical narrative: ACUTE ON CHRONIC RESPIRATORY FAILURE ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Respiratory failure
Clinical narrative: ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hallucination, auditory, Hallucination, visual, Laboratory test
Clinical narrative: Please also see Covid Vaccine #2 report of 5/21/2021 (I am SURE of the date on that report). I checked repeatedly at my house on Street to make sure the proper number of weeks had transpired before getting dose #2.  Same auditory, exactly. See description in COVID Vaccine #2, of 5/21/2021.  Maybe, I looked within my mind to see if there were visuals accompanying. Not sure if I created a visual  to represent the sounds, in order to remember them and describe them, or if the visuals, colors, linear and curved, three dimensional, with texture, were a result of something I was trying to see and actually saw when I allowed myself to the ability to see "into" that part of my brain where the auditory was coming from.  I think I saw the same colors, textures, etc., the COVID shot #2, but I didn't try as hard the first adverse auditory reaction to "see", as I did the second COVID shot #4, reported here.  I am familiar with, eclectic musical tastes, familiar with art/terminology/styles/colors, and cultures from many countries around the world.  My family includes professionals in engineering, science, military, coal mining/trucking, many types of factory work, and 2nd/3rd generation immigrants, language scant, but cultural understanding of family gets stronger with more reading and education.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypotension
Clinical narrative: HYPOTENSION
Age: 17.0
Sex: F
Vaccine: HPV9, MENB
Symptoms: Dizziness, Laboratory test, Rash
Clinical narrative: A couple of hours after vaccination, pt became dizzy and lightheaded with a rash. This improved with treatment with Benadryl in the ER.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Transient ischaemic attack
Clinical narrative: TRANSIENT CEREBRAL ISCHEMIA
Age: 54.0
Sex: F
Vaccine: HPV9
Symptoms: Immediate post-injection reaction, Loss of personal independence in daily activities, Pain
Clinical narrative: Patient reported to prescribing MD on 7/13/23 that after receiving Gardasil-9 on 6/20/23 she had had immediate burning pain that lasted for weeks. She reported not being able to put on or her take off shirts easily since.
Age: 1.25
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Product preparation issue
Clinical narrative: I wanted to report an incident regarding a two-part mixed component vaccine that was not given correctly. After going through inventory, a vial on vaccine Pentacel was missing, I searched for all patients that were given the vaccine with lot# UJ799AA, three patients were a result. One out of the three patients were given only the DTap-IPV component and is missing the HIB.
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypotension
Clinical narrative: HYPOTENSION
Age: 1.25
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Product preparation issue
Clinical narrative: I wanted to report an incident regarding a two-part mixed component vaccine that was not given correctly. After going through inventory, a vial on vaccine Pentacel was missing, I searched for all patients that were given the vaccine with lot# UJ799AA, three patients were a result. One out of the three patients were given only the DTap-IPV component and is missing the HIB
Age: 15.0
Sex: F
Vaccine: VARCEL
Symptoms: Blister
Clinical narrative: small area fluid filled blisters on stomach, left breast and left wrist
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Respiratory failure, Symptom recurrence
Clinical narrative: RESPIRATORY FAILURE, UNSPECIFIED ACUITY 2/23/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 0.42
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Product preparation issue
Clinical narrative: I wanted to report an incident regarding a two-part mixed component vaccine that was not given correctly. After going through inventory, a vial on vaccine Pentacel was missing, I searched for all patients that were given the vaccine with lot# UJ799AA, three patients were a result. One out of the three patients were given only the DTap-IPV component and is missing the HIB
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Troponin I increased
Clinical narrative: I21.4 ACUTE NON ST ELEVATION MI 4/3/2023 ELEVATED TROPONIN I
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Cholecystitis acute, Deep vein thrombosis
Clinical narrative: I82.402 ACUTE DVT OF LEFT LEG, UNSPECIFIED VEIN 1/20/2023 ACUTE CHOLECYSTITIS
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Chronic respiratory failure, Respiratory failure, Symptom recurrence
Clinical narrative: ACUTE HYPERCAPNIC RESPIRATORY FAILURE CHRONIC HYPOXEMIC RESPIRATORY FAILURE 1/10/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Pain, Pulmonary embolism
Clinical narrative: ACUTE PULMONARY EMBOLISM 4/30/2023 PAIN ACUTE DVT OF RIGHT LEG, UNSPECIFIED VEIN 4/30/2023 PAIN
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic kidney disease, Glomerular filtration rate, Hypoxia
Clinical narrative: R09.02 HYPOXIA 4/14/2023 CKD STAGE 4 (GFR 15-29)
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Blood culture negative, COVID-19, Computerised tomogram thorax abnormal, Culture urine negative
Clinical narrative: Patient is a 67 y.o. female patient of, CNP with history of COVID lung cancer CHF CAD hypothyroidism presented to Hospital with worsening shortness of breath.   Acute on chronic respiratory failure with hypoxia POA Possible community-acquired pneumonia POA Possible radiation pneumonitis POA COVID-19 POA Patient uses 3 L at bedtime Currently requiring 4 L Cough suppressant Wean oxygen as tolerated Patient tested positive for COVID about 3 weeks ago.   Influenza negative CT scan did not show evidence of pulmonary embolism.  However showed patchy bilateral predominantly peripheral lung opacities consistent with known history of COVID. Legionella and strep antigens sent Blood culture done in the ED, no growth to date, follow results Urine culture with no growth, continue to follow results Check COVID and influenza tests.  COVID is positive but likely residual from previous infection.  Influenza is negative   Severe Sepsis present on admission, resolved Source community-acquired pneumonia Radiation pneumonitis Long COVID Due to tachycardia and tachypnea Patient was given Zosyn in the ED with allergic reaction that responded to Benadryl.  Start ceftriaxone and azithromycin Check urine antigens CT with multifocal infiltrates which can be seen in COVID pneumonia We will give decadron 6mg x 6 days  given worsening hypoxia   Lactic acidosis Likley in the setting of sepsis Cautious use of fluids.      Chronic systolic congestive heart failure CAD Hyperlipidemia Atrial fibrillation Stents in December 2022 Brilinta metoprolol Brilinta indefinitely per cardiac documentation EF of 40% One time dose of 40 lasix, continue with IV or transition to home oral dose as needed Metoprolol Entresto Lung cancer Follows with Dr.  Just finished radiation treatment
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypoxia, Influenza virus test negative, Lactic acidosis, Legionella test
Clinical narrative: Patient is a 67 y.o. female patient of, CNP with history of COVID lung cancer CHF CAD hypothyroidism presented to Hospital with worsening shortness of breath.   Acute on chronic respiratory failure with hypoxia POA Possible community-acquired pneumonia POA Possible radiation pneumonitis POA COVID-19 POA Patient uses 3 L at bedtime Currently requiring 4 L Cough suppressant Wean oxygen as tolerated Patient tested positive for COVID about 3 weeks ago.   Influenza negative CT scan did not show evidence of pulmonary embolism.  However showed patchy bilateral predominantly peripheral lung opacities consistent with known history of COVID. Legionella and strep antigens sent Blood culture done in the ED, no growth to date, follow results Urine culture with no growth, continue to follow results Check COVID and influenza tests.  COVID is positive but likely residual from previous infection.  Influenza is negative   Severe Sepsis present on admission, resolved Source community-acquired pneumonia Radiation pneumonitis Long COVID Due to tachycardia and tachypnea Patient was given Zosyn in the ED with allergic reaction that responded to Benadryl.  Start ceftriaxone and azithromycin Check urine antigens CT with multifocal infiltrates which can be seen in COVID pneumonia We will give decadron 6mg x 6 days  given worsening hypoxia   Lactic acidosis Likley in the setting of sepsis Cautious use of fluids.      Chronic systolic congestive heart failure CAD Hyperlipidemia Atrial fibrillation Stents in December 2022 Brilinta metoprolol Brilinta indefinitely per cardiac documentation EF of 40% One time dose of 40 lasix, continue with IV or transition to home oral dose as needed Metoprolol Entresto Lung cancer Follows with Dr.  Just finished radiation treatment
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Lung infiltration, Lung opacity, Pneumonia, Post-acute COVID-19 syndrome, Radiation pneumonitis
Clinical narrative: Patient is a 67 y.o. female patient of, CNP with history of COVID lung cancer CHF CAD hypothyroidism presented to Hospital with worsening shortness of breath.   Acute on chronic respiratory failure with hypoxia POA Possible community-acquired pneumonia POA Possible radiation pneumonitis POA COVID-19 POA Patient uses 3 L at bedtime Currently requiring 4 L Cough suppressant Wean oxygen as tolerated Patient tested positive for COVID about 3 weeks ago.   Influenza negative CT scan did not show evidence of pulmonary embolism.  However showed patchy bilateral predominantly peripheral lung opacities consistent with known history of COVID. Legionella and strep antigens sent Blood culture done in the ED, no growth to date, follow results Urine culture with no growth, continue to follow results Check COVID and influenza tests.  COVID is positive but likely residual from previous infection.  Influenza is negative   Severe Sepsis present on admission, resolved Source community-acquired pneumonia Radiation pneumonitis Long COVID Due to tachycardia and tachypnea Patient was given Zosyn in the ED with allergic reaction that responded to Benadryl.  Start ceftriaxone and azithromycin Check urine antigens CT with multifocal infiltrates which can be seen in COVID pneumonia We will give decadron 6mg x 6 days  given worsening hypoxia   Lactic acidosis Likley in the setting of sepsis Cautious use of fluids.      Chronic systolic congestive heart failure CAD Hyperlipidemia Atrial fibrillation Stents in December 2022 Brilinta metoprolol Brilinta indefinitely per cardiac documentation EF of 40% One time dose of 40 lasix, continue with IV or transition to home oral dose as needed Metoprolol Entresto Lung cancer Follows with Dr.  Just finished radiation treatment
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Radiotherapy, Respiratory failure, SARS-CoV-2 test positive, Sepsis, Streptococcus test
Clinical narrative: Patient is a 67 y.o. female patient of, CNP with history of COVID lung cancer CHF CAD hypothyroidism presented to Hospital with worsening shortness of breath.   Acute on chronic respiratory failure with hypoxia POA Possible community-acquired pneumonia POA Possible radiation pneumonitis POA COVID-19 POA Patient uses 3 L at bedtime Currently requiring 4 L Cough suppressant Wean oxygen as tolerated Patient tested positive for COVID about 3 weeks ago.   Influenza negative CT scan did not show evidence of pulmonary embolism.  However showed patchy bilateral predominantly peripheral lung opacities consistent with known history of COVID. Legionella and strep antigens sent Blood culture done in the ED, no growth to date, follow results Urine culture with no growth, continue to follow results Check COVID and influenza tests.  COVID is positive but likely residual from previous infection.  Influenza is negative   Severe Sepsis present on admission, resolved Source community-acquired pneumonia Radiation pneumonitis Long COVID Due to tachycardia and tachypnea Patient was given Zosyn in the ED with allergic reaction that responded to Benadryl.  Start ceftriaxone and azithromycin Check urine antigens CT with multifocal infiltrates which can be seen in COVID pneumonia We will give decadron 6mg x 6 days  given worsening hypoxia   Lactic acidosis Likley in the setting of sepsis Cautious use of fluids.      Chronic systolic congestive heart failure CAD Hyperlipidemia Atrial fibrillation Stents in December 2022 Brilinta metoprolol Brilinta indefinitely per cardiac documentation EF of 40% One time dose of 40 lasix, continue with IV or transition to home oral dose as needed Metoprolol Entresto Lung cancer Follows with Dr.  Just finished radiation treatment
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Tachypnoea
Clinical narrative: Patient is a 67 y.o. female patient of, CNP with history of COVID lung cancer CHF CAD hypothyroidism presented to Hospital with worsening shortness of breath.   Acute on chronic respiratory failure with hypoxia POA Possible community-acquired pneumonia POA Possible radiation pneumonitis POA COVID-19 POA Patient uses 3 L at bedtime Currently requiring 4 L Cough suppressant Wean oxygen as tolerated Patient tested positive for COVID about 3 weeks ago.   Influenza negative CT scan did not show evidence of pulmonary embolism.  However showed patchy bilateral predominantly peripheral lung opacities consistent with known history of COVID. Legionella and strep antigens sent Blood culture done in the ED, no growth to date, follow results Urine culture with no growth, continue to follow results Check COVID and influenza tests.  COVID is positive but likely residual from previous infection.  Influenza is negative   Severe Sepsis present on admission, resolved Source community-acquired pneumonia Radiation pneumonitis Long COVID Due to tachycardia and tachypnea Patient was given Zosyn in the ED with allergic reaction that responded to Benadryl.  Start ceftriaxone and azithromycin Check urine antigens CT with multifocal infiltrates which can be seen in COVID pneumonia We will give decadron 6mg x 6 days  given worsening hypoxia   Lactic acidosis Likley in the setting of sepsis Cautious use of fluids.      Chronic systolic congestive heart failure CAD Hyperlipidemia Atrial fibrillation Stents in December 2022 Brilinta metoprolol Brilinta indefinitely per cardiac documentation EF of 40% One time dose of 40 lasix, continue with IV or transition to home oral dose as needed Metoprolol Entresto Lung cancer Follows with Dr.  Just finished radiation treatment
Age: 74.0
Sex: F
Vaccine: PNC15
Symptoms: Balance disorder, Dizziness, Vertigo
Clinical narrative: Vertigo  lightheaded, unable to balance
Age: 73.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Necrosis, Pain in extremity, Skin discolouration, Wound
Clinical narrative: pt had sore arm to start, and it looked like a big black and blue mark.  however, the arm showed severe necrosis.  pt presented with the upper arm with a wound about 7.5 cm circumfrence.  pt has been doctoring with a specialist.  the wound currently looks like it is healing nicely.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Posture abnormal
Clinical narrative: patient slumped in his chair after immunization and immediately recovered, he waited several minutes and left, he was accompanied by a family member
Age: 69.0
Sex: F
Vaccine: COVID19-2, COVID19-2
Symptoms: Bursitis, Rotator cuff syndrome, Vaccination site joint movement impairment, Vaccination site pain
Clinical narrative: Shoulder Impairment Resulting from Vaccine Administration. Pain on left arm from vaccine site. Bursitis. Rotator cuff tear
Age: 69.0
Sex: F
Vaccine: COVID19-2, COVID19-2
Symptoms: Ear pain, Incorrect route of product administration, Injection site discomfort, Loss of personal independence in daily activities, Mobility decreased
Clinical narrative: Shoulder Impairment Resulting from Vaccine Administration. Pain on left arm from vaccine site. Bursitis. Rotator cuff tear
Age: 69.0
Sex: F
Vaccine: COVID19-2, COVID19-2
Symptoms: Musculoskeletal stiffness, Neck pain, Pain, Pain in extremity, Sleep disorder
Clinical narrative: Shoulder Impairment Resulting from Vaccine Administration. Pain on left arm from vaccine site. Bursitis. Rotator cuff tear
Age: 69.0
Sex: F
Vaccine: COVID19-2, COVID19-2
Symptoms: X-ray
Clinical narrative: Shoulder Impairment Resulting from Vaccine Administration. Pain on left arm from vaccine site. Bursitis. Rotator cuff tear
Age: 38.0
Sex: F
Vaccine: HPV9
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was ordered to receive a Meningococcal and a Gardasil 9 HPV Vaccine. The patient did receive the Gardasil 9 HPV Vaccine, however, instead of the Meningococcal vaccine the nurse inadvertently gave Tuberculin Purified Protein Derivative (Mantoux) Tubersol. Patient did not report any side effects at the time of administration.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, COVID-19, Chest X-ray, Cognitive disorder, Constipation
Clinical narrative: Patient is a 66 year old female patient of, PA-C with a past medical history of hypertension, hyperlipidemia, depression, GERD, NPH, prior TBI, frequent falls, physical deconditioning, non-ambulatory status, sarcoidosis of lung who presented to ED 4/8/2023 due to fever, dizziness, weakness.  Positive for COVID-19 in ED.  She has been placed in observation for further workup/management.  Course thus far is remarkable for:   Covid-19 Virus Infection Date of onset of symptoms:  Per ED documentation: "there were no family members that were tested, however, they did have flulike symptoms last week" as reported 4/8/23; patient is poor historian Symptoms present on admission: Fever, weakness, cough Date of covid positive test: 4/8/2023 Vaccination status: vaccinated Imaging: CXR non-acute Oxygen requirements on admission: Room air Current oxygen requirements: Room air Medical therapy: not indicated Consultants following: None Anticipated special isolation end date: S/p supportive IV fluids; now with adequate PO intake Out of isolation on 4-19-2023 Discharging patient to nursing home today in very stable condition Out of isolation Normal pressure hydrocephalus Generalized weakness Gait instability Impaired cognition Recently seen by Dr Neurosurgery on 4/3/2023 Per his documentation: "MRI brain shows enlarged ventricle system with Evans Ratio of 0.42" Noted patient's extremely de-conditioned state Recommended ongoing PT; did NOT recommend drain trial PT/OT/CM consults completed Planning for after 4-19 -2023 when out of isolation   Constipation, resolved Bowel regimen adjusted to PRN    Hypertension Continue home lisinopril, atenolol, amlodipine Hold for SBP<100   Hyperlipidemia Continue home statin   Depression Continue home Zoloft   Urinary incontinence Continue home Detrol   Chronic pain  Continue home PRN tramadol- controlled