chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 86.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered, Medication error, No adverse event
Clinical narrative: fluzone high dose quadravalent vaccines were given to a patient twice once on 10OCT2023 and then on 13OCT2023 with no reported adverse event; Initial information received on 17-Oct-2023 regarding an unsolicited valid non-serious case received from an Other health professional.  This case involves a 86 years old female patient where influenza quadrival a-b high dose hv vaccine [Fluzone high-dose quadrivalent] were given to a patient twice once on 10oct2023 and then on 13oct2023 with no reported adverse event.  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.  On 10-Oct-2023, the patient received a dose of suspect influenza quadrival a-b high dose hv vaccine (lot- U8132BA) via intramuscular route in the left deltoid. On 13-Oct-2023 she also received a dose of the same vaccine (lot U8132BA) via intramuscular route in the right deltoid (dose, strength and expiration date: not provided) for Immunisation.  On 13-OCT-2023 the patient developed a non-serious fluzone high dose quadravalent vaccines were given to a patient twice once on 10oct2023 and then on 13oct2023 with no reported adverse event (extra dose administered) (latency- same day) following the administration of influenza quadrival a-b high dose hv vaccine.  Action taken- not applicable.  At time of reporting, the outcome was Unknown for the event.   This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive and Regulatory Authority Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster disseminated
Clinical narrative: Disseminated zoster
Age: 10.0
Sex: F
Vaccine: FLU4
Symptoms: Device connection issue, Syringe issue, Underdose
Clinical narrative: Needle not properly secured to syringe, vaccine was discharged to end of syringe.  PT received proper dose after counseling with parent.
Age: 1.58
Sex: F
Vaccine: FLU4
Symptoms: Wrong product administered
Clinical narrative: PT was given alfuria quad 0.5mL instead of fluzone quad
Age: 4.0
Sex: U
Vaccine: MMRV
Symptoms: No adverse event, Product storage error
Clinical narrative: no adverse event; HCP called to report a TE with PROQUAD.  Improperly stored. TE case reference 02490108.  No adverse effects reported.  Consent to contact is no. No additional AE/No PQC. AE cross reference cases 02490153, 02490133, 02490163, 02490160, 02490148, 02490; This spontaneous report was received from a medical assistant referring to a 04-month-old patient of unknown gender. The patient's medical history, historical drugs, past drug reactions or allergies, concurrent conditions, and concomitant drugs were not reported.   On 08-SEP-2023, the patient was vaccinated with Measles, Mumps, Rubella and Varicella (Oka-Merck) Virus Vaccine Live (PROQUAD) injection, rHA (0.5 ml, lot#: W029555, expiration date: 14-MAR-2024; strength, and route of administration were not reported) operated by a healthcare professional for prophylaxis. The vaccine administered was improperly stored and experienced temperature excursion (TE) (product storage error). No adverse effects were reported (no adverse event).    This is one of several reports received from the same reporter.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Incorrect dose administered, No adverse event, Product preparation error, Product storage error
Clinical narrative: nurse only gave the DTaP-IPV portion of Pentacel with no reported adverse event; Initial information received on 13-Oct-2023 regarding an unsolicited valid  non-serious case received from a other health professional.  This case involves 4 months old male patient for whom nurse only gave the DTAP-IPV portion of diphtheria/tetanus/5 hybrid AC pertussis/IPV(VERO)/HIB(PRP/T) vaccine [Pentacel (Vero)] with no reported adverse event.  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.  Concomitant medications included rotavirus vaccine and pneumococcal vaccine for Prophylactic vaccination (Immunisation).  On 12-Oct-2023, the patient received a standard dose 2 of suspect diphtheria/tetanus/5 hybrid AC pertussis/IPV(VERO)/HIB(PRP/T) vaccine Suspension for injection at a dose of 0.5 ml total (lot UJ840AA, expiry date- 16-FEB-2024) via intramuscular route in the left thigh for Immunization.  On 12-OCT-2023, the nurse only gave the DTAP-IPV portion of diphtheria/tetanus/5 hybrid AC pertussis/IPV(VERO)/HIB(PRP/T) vaccine with no reported adverse event (single component of a two-component product administered) (latency- same day).   Reportedly, Site manager reports that a nurse grabbed PENTACEL, and she did not reconstituted the DTaP-IPV portion into the HIB portion; reports that the nurse only gave the DTaP-IPV portion. She asks what they should do? She asks how much 0.4% NaCl (sodium chloride) should be used to dilute the HIB portion of Pentacel? Site manager reports that the HIB portion of the PENTACEL has been left out of the refrigerator since yesterday around 3:30PM; reports that excursion lasted around 17 hours and reached a maximum temperature of 70F; she asks for stability information. This excursion is covered by the extended stability data. Site manager asks if she can order just the 0.4% NaCl saline diluent. Treatment -no treatment   Action taken was not applicable.  At time of reporting, the outcome was Unknown for the event.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive and Regulatory Authority Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Unevaluable event
Clinical narrative: No Sign and Symptoms at the time of vaccination according to patient.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Bedridden, Cerebral venous thrombosis, Cognitive disorder, Impaired work ability, Laboratory test abnormal
Clinical narrative: Patient was working from home the day immediately prior to the day of vaccination. She was practicing as a Psych NP and remembered everything, patient names, dates of birth, medications, dosages, asked about adverse events , titrated medications, changed medications, pharmacy names and fax numbers etc. On Saturday she received the 1st Moderna shot, she came home and stayed home, no-one came into or out of our apartment then. She did not work on Monday, as previously agreed to. On Monday afternoon, she became flagrantly psychotic (no mental health history) and displayed and continues to display significant cognitive deficits, she is now wheelchair and bed bound, developed a blood clot in a vein in her brain, has had chronic UTIS, and her thyroid levels have been fluctuating quite a lot post vaccine. Her memory  continues to decline and her spike count is OVER 800. The working dx is Alzheimer's.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Memory impairment, Psychotic disorder, Thyroid function test abnormal, Urinary tract infection, Wheelchair user
Clinical narrative: Patient was working from home the day immediately prior to the day of vaccination. She was practicing as a Psych NP and remembered everything, patient names, dates of birth, medications, dosages, asked about adverse events , titrated medications, changed medications, pharmacy names and fax numbers etc. On Saturday she received the 1st Moderna shot, she came home and stayed home, no-one came into or out of our apartment then. She did not work on Monday, as previously agreed to. On Monday afternoon, she became flagrantly psychotic (no mental health history) and displayed and continues to display significant cognitive deficits, she is now wheelchair and bed bound, developed a blood clot in a vein in her brain, has had chronic UTIS, and her thyroid levels have been fluctuating quite a lot post vaccine. Her memory  continues to decline and her spike count is OVER 800. The working dx is Alzheimer's.
Age: 6.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site oedema, Local reaction, Nausea, Pruritus
Clinical narrative: About 15-30 minutes after receiving the injection, I noticed erythema and edema in the right deltoid muscle where the injection was given.  I called a pharmacist who verified that patient received Fluarix instead of Flucelvax as I had requested. As the evening went on, patient had nausea and felt like he was going to vomit.  The erythema and edema progressed on his R arm and I had him ice his arm and administered diphenhydramine before bed.  The nausea resolved within 12 hours, however the local adverse reactions on the R arm persisted for 48 hours with intermittent ice and diphenhydramine.  There was still minor itching 72 hours post vaccination.  2 weeks prior to vaccination, patient failed a baked egg challenge.  He currently follows with a pediatric allergist for his food allergies.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Exercise tolerance decreased, Nausea, Pyrexia, Quality of life decreased
Clinical narrative: Vertigo, nausea, tinnitus  Started 3 days after COVID vaccination  Started 6 days after flu vaccination  I?ve Never had a reaction to either before  aside from a sore arm with both and a day of fever/chills after the second Covid vaccine.  This is terrible quality of life! I?m unable to exercise and afraid to move. Just rolling over in bed causes the room to spin and feel like I?ll vomit. I wish I hadn?t taken the vaccine.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus, Vertigo
Clinical narrative: Vertigo, nausea, tinnitus  Started 3 days after COVID vaccination  Started 6 days after flu vaccination  I?ve Never had a reaction to either before  aside from a sore arm with both and a day of fever/chills after the second Covid vaccine.  This is terrible quality of life! I?m unable to exercise and afraid to move. Just rolling over in bed causes the room to spin and feel like I?ll vomit. I wish I hadn?t taken the vaccine.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administration error, Underdose
Clinical narrative: pharmacy was off site for a clinic/  vaccinator by accident picked up a box of moderna that was not fully thawed. There were other doses of Moderna that were thawed and ready for use, but she picked up the wrong box of Moderna.  The dose was half frozen.    The patient was administered only 1/2 of a dose as the vaccine had only 1/2 of the liquid in the syringe.  The patient was made aware of the 1/2 dose and was monitored.  There were no side effects or ill results from the 1/2 dose.  Awaiting guidance from Moderna as to whether or not to revaccinate.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, COVID-19, Confusional state, Metastases to spine, Metastatic squamous cell carcinoma
Clinical narrative: presented to the hospital on 01/23/2022 in the setting of recent diagnosis of metastatic s quamous cancer and recent back surgery for mets to the spine with recurrent back pain. While inpatient she experienced fever and was tested and found to have COVID.  She was initially on oxygen but weaned down. The patient was felt to have a poor prognosis.  Despite advanced cancer and likely and part thanks to vaccination she tolerated the COVID infection fairly well throughout her stay but her pain remained uncontrolled.  Was communicated to family that her prognosis was poor and that her functional status was poor which would make any interventions in the outpatient setting from Oncology perspective difficult. Palliative Care was consulted and the patient's son in consultation with his brothers elected on the patient's behalf (she was confused for the latter half of her stay) to pursue hospice care for her.  She is discharged today to home with home hospice.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive, Spinal operation
Clinical narrative: presented to the hospital on 01/23/2022 in the setting of recent diagnosis of metastatic s quamous cancer and recent back surgery for mets to the spine with recurrent back pain. While inpatient she experienced fever and was tested and found to have COVID.  She was initially on oxygen but weaned down. The patient was felt to have a poor prognosis.  Despite advanced cancer and likely and part thanks to vaccination she tolerated the COVID infection fairly well throughout her stay but her pain remained uncontrolled.  Was communicated to family that her prognosis was poor and that her functional status was poor which would make any interventions in the outpatient setting from Oncology perspective difficult. Palliative Care was consulted and the patient's son in consultation with his brothers elected on the patient's behalf (she was confused for the latter half of her stay) to pursue hospice care for her.  She is discharged today to home with home hospice.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19 pneumonia, Dysphagia, Feeding tube user, Gastrostomy
Clinical narrative: admitted for pneumonia with COVID/with possible aspiration pneumonia as well. Treated with antibiotics/and dexamethasone/ resolved, Also rec'd Vit C, Vit D3, Lovenox, Zinc;  maintaining oxygen saturations on room air; noted to have mild-to-moderate oropharyngeal dysphagia; decision for PEG placement/GI was consult consulted/PEG was placed.  Tolerated G-tube feeds/developed intestinal obstruction/which was managed conservatively with bowel rest/and suction, resolved. also had severe left hydronephrosis due to obstruction from cancer/ no intervention at this time; daughter has been advised hospice, is not ready yet to make that choice.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Hydronephrosis, Intestinal obstruction, Neoplasm malignant
Clinical narrative: admitted for pneumonia with COVID/with possible aspiration pneumonia as well. Treated with antibiotics/and dexamethasone/ resolved, Also rec'd Vit C, Vit D3, Lovenox, Zinc;  maintaining oxygen saturations on room air; noted to have mild-to-moderate oropharyngeal dysphagia; decision for PEG placement/GI was consult consulted/PEG was placed.  Tolerated G-tube feeds/developed intestinal obstruction/which was managed conservatively with bowel rest/and suction, resolved. also had severe left hydronephrosis due to obstruction from cancer/ no intervention at this time; daughter has been advised hospice, is not ready yet to make that choice.
Age: 8.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Injection site vesicles
Clinical narrative: Swelling started day one near injection site. Day 3 swelling and redness, tightness and a few blisters shoulder to elbow.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Death, Dyspnoea, Endotracheal intubation, Syncope
Clinical narrative: Presented with syncope; required oxygen 3 liters/minute to maintain his sats above 90%; started on remdesivir and Decadron.  Also, rec'd Vit C, Vit D3, lovenox, zinc;  Rec'd 3 days of remdesivir; patient feels significantly better and wants to go home; walk study required 3 L of O2 to maintain his sats above 90%; home oxygen will be arranged for the patient prior to discharge. Readmitted on 10/18 with increasing SOB and rec'd further steroids and toci, eventually intubated and then family chose comfort care.  Pt died on 10/26/21
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Walking distance test abnormal
Clinical narrative: Presented with syncope; required oxygen 3 liters/minute to maintain his sats above 90%; started on remdesivir and Decadron.  Also, rec'd Vit C, Vit D3, lovenox, zinc;  Rec'd 3 days of remdesivir; patient feels significantly better and wants to go home; walk study required 3 L of O2 to maintain his sats above 90%; home oxygen will be arranged for the patient prior to discharge. Readmitted on 10/18 with increasing SOB and rec'd further steroids and toci, eventually intubated and then family chose comfort care.  Pt died on 10/26/21
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, C-reactive protein, COVID-19 pneumonia, Cerebrovascular accident, Fall
Clinical narrative: presented with R side weakness and fall Dx  CVA, Covid PNA; Labs D dimer 2.0, CRP 1.33 ferritin 194; Tx: Decadron, Remdesivir (start 2/6), lovenox, Initially on 2 LPM O2, up to 4 LPM max and back to room air by d/c; going to rehab at d/c
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Hemiparesis, Serum ferritin normal
Clinical narrative: presented with R side weakness and fall Dx  CVA, Covid PNA; Labs D dimer 2.0, CRP 1.33 ferritin 194; Tx: Decadron, Remdesivir (start 2/6), lovenox, Initially on 2 LPM O2, up to 4 LPM max and back to room air by d/c; going to rehab at d/c
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Dehydration, Diarrhoea, Rotavirus infection, Rotavirus test positive
Clinical narrative: diarrhea dehydration hospitalized Diagnosed rotovirus
Sex: F
Vaccine: PPV
Symptoms: Injection site cellulitis, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Fever, Left arm paiN + swelling, cellulitis of  left upper extremity
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cough
Clinical narrative: Presented with cough, SOB x10 days; dx covid 10 days PTA; other s/s diarrhea, fever, myalgia, dry mouth; CXR with moderate severe Covid 19 PNA bilat; Labs: D dimer 1.50; CRP 11.84; Ferritin 975; Tx Maxipime, Vit C, Zithromax, vit D3, Doxycycline, lovenox, zinc; at time of d/c-- hypoxia resolved, steroids continued, and antibiotics continued for bil bacterial PNA
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dry mouth, Dyspnoea, Fibrin D dimer, Hypoxia
Clinical narrative: Presented with cough, SOB x10 days; dx covid 10 days PTA; other s/s diarrhea, fever, myalgia, dry mouth; CXR with moderate severe Covid 19 PNA bilat; Labs: D dimer 1.50; CRP 11.84; Ferritin 975; Tx Maxipime, Vit C, Zithromax, vit D3, Doxycycline, lovenox, zinc; at time of d/c-- hypoxia resolved, steroids continued, and antibiotics continued for bil bacterial PNA
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia, Serum ferritin increased
Clinical narrative: Presented with cough, SOB x10 days; dx covid 10 days PTA; other s/s diarrhea, fever, myalgia, dry mouth; CXR with moderate severe Covid 19 PNA bilat; Labs: D dimer 1.50; CRP 11.84; Ferritin 975; Tx Maxipime, Vit C, Zithromax, vit D3, Doxycycline, lovenox, zinc; at time of d/c-- hypoxia resolved, steroids continued, and antibiotics continued for bil bacterial PNA
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Dyspnoea, Inflammatory marker decreased
Clinical narrative: Presented with cough, congestion, SOB; + covid PTA on 10/27; rec'd monoclonal antibodies PTA but continued to have cough/nausea; admitted wtih hypozemic resp failure due to covid 19 PNA; Oxygen initially 2 LPM, down to room air by d/c; inflammatory markers down by d/c.  Tx: Decadron, Lovenox, Vit C, Pulmicort, Vit D3, Singulair, Zinc
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Respiratory failure, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Presented with cough, congestion, SOB; + covid PTA on 10/27; rec'd monoclonal antibodies PTA but continued to have cough/nausea; admitted wtih hypozemic resp failure due to covid 19 PNA; Oxygen initially 2 LPM, down to room air by d/c; inflammatory markers down by d/c.  Tx: Decadron, Lovenox, Vit C, Pulmicort, Vit D3, Singulair, Zinc
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Inflammatory marker decreased, SARS-CoV-2 test positive, Transient ischaemic attack
Clinical narrative: Presented with TIA in setting of + covid; low inflammatory markers; tx: Vit C, Vit D3, Lovenox, Singulair, Zinc; remained on room air during stay
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Acute respiratory distress syndrome, COVID-19 pneumonia, Cough, Dyspnoea
Clinical narrative: Presented with SOB/cough x 2 weeks, intubated in ED; + covd PNA; Patient was admitted to the ICU treated for ARDS and Covid-19pneumonia.  She received antibiotics for sepsis with septic shock, for UTI treatment;  also had NSTEMIl; Tx: Maxipime, decadron, lovenox; extubated 10/17; to tele 10/19; home on baseline O2
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Endotracheal intubation, Intensive care, SARS-CoV-2 test positive, Sepsis, Septic shock
Clinical narrative: Presented with SOB/cough x 2 weeks, intubated in ED; + covd PNA; Patient was admitted to the ICU treated for ARDS and Covid-19pneumonia.  She received antibiotics for sepsis with septic shock, for UTI treatment;  also had NSTEMIl; Tx: Maxipime, decadron, lovenox; extubated 10/17; to tele 10/19; home on baseline O2
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection
Clinical narrative: Presented with SOB/cough x 2 weeks, intubated in ED; + covd PNA; Patient was admitted to the ICU treated for ARDS and Covid-19pneumonia.  She received antibiotics for sepsis with septic shock, for UTI treatment;  also had NSTEMIl; Tx: Maxipime, decadron, lovenox; extubated 10/17; to tele 10/19; home on baseline O2
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Chills, Cough, Culture urine positive
Clinical narrative: presented to the ED complaining of worsening cough and shortness of breath on 2/3.  Patient started to have intermittent fever, chills, body aches and diarrhea since last week; Chest x-ray showed bilateral lung infiltrates consistent with COVID-19 disease. ID was consulted and she was started on Veklury along with Rocephin 1gm daily, Azithromycin 500mg daily, steroids and lovenox. HD #3, she required 4L NC but was stable. Her urine culture grew Klebsiella and she was started on Nitrofurantoin. Her inflammatory markers fell nicely. HD #4, her ddimer has a slight elevation and her 02 requirement fell to 2L NC; home on O2
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspnoea, Fibrin D dimer increased, Inflammatory marker increased, Klebsiella test positive
Clinical narrative: presented to the ED complaining of worsening cough and shortness of breath on 2/3.  Patient started to have intermittent fever, chills, body aches and diarrhea since last week; Chest x-ray showed bilateral lung infiltrates consistent with COVID-19 disease. ID was consulted and she was started on Veklury along with Rocephin 1gm daily, Azithromycin 500mg daily, steroids and lovenox. HD #3, she required 4L NC but was stable. Her urine culture grew Klebsiella and she was started on Nitrofurantoin. Her inflammatory markers fell nicely. HD #4, her ddimer has a slight elevation and her 02 requirement fell to 2L NC; home on O2
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Lung infiltration, Pain, Pyrexia
Clinical narrative: presented to the ED complaining of worsening cough and shortness of breath on 2/3.  Patient started to have intermittent fever, chills, body aches and diarrhea since last week; Chest x-ray showed bilateral lung infiltrates consistent with COVID-19 disease. ID was consulted and she was started on Veklury along with Rocephin 1gm daily, Azithromycin 500mg daily, steroids and lovenox. HD #3, she required 4L NC but was stable. Her urine culture grew Klebsiella and she was started on Nitrofurantoin. Her inflammatory markers fell nicely. HD #4, her ddimer has a slight elevation and her 02 requirement fell to 2L NC; home on O2
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, COVID-19 pneumonia, Computerised tomogram thorax abnormal, Cough, Fibrin D dimer increased
Clinical narrative: Presented with cough x 5 days; CT with bilat covid PNA; Labs: D dimer 1.73; CRP 7.82, Ferritin 1434.6; Tx: maxipime, lovenox, zinc; remained on room air during stay; On room air. Cont Zinc, Singulair, Lovenox.  No indication for steroids at this time. discharge on Xarelto given elevated D-dimer and risk factors; pt also dx with emphysematours pyelitis and Staghorn calculus with mild hydronephrosis: f/u with nephrology
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Hydronephrosis, Pyelitis, Serum ferritin increased, Stag horn calculus
Clinical narrative: Presented with cough x 5 days; CT with bilat covid PNA; Labs: D dimer 1.73; CRP 7.82, Ferritin 1434.6; Tx: maxipime, lovenox, zinc; remained on room air during stay; On room air. Cont Zinc, Singulair, Lovenox.  No indication for steroids at this time. discharge on Xarelto given elevated D-dimer and risk factors; pt also dx with emphysematours pyelitis and Staghorn calculus with mild hydronephrosis: f/u with nephrology
Age: 67.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Arthralgia, Back pain, Blood test, Chills, Decreased appetite
Clinical narrative: Alternating sweats and chills Headache (6 days) Fever 5 days Back pain Joint pain  Blotchy torso 2 weeks post injection Dehydration Loss of appetite
Age: 67.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Dehydration, Headache, Hyperhidrosis, Pyrexia, Rash macular
Clinical narrative: Alternating sweats and chills Headache (6 days) Fever 5 days Back pain Joint pain  Blotchy torso 2 weeks post injection Dehydration Loss of appetite
Age: 67.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Urine analysis
Clinical narrative: Alternating sweats and chills Headache (6 days) Fever 5 days Back pain Joint pain  Blotchy torso 2 weeks post injection Dehydration Loss of appetite
Age: 52.0
Sex: F
Vaccine: FLU4
Symptoms: Hypoaesthesia, Injection site erythema, Injection site swelling, Pain in extremity, Paraesthesia
Clinical narrative: After Flu vaccine administration on 10/5/2023, the employee developed redness and swelling at the injection site as well as pain in the arm.  Approximately a week later, she started experiencing numbness and tingling in her hand.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Pt received two COVID vaccines. Was supposed to receive one COVID vaccine and one Influenza vaccine, but instead received two COVID vaccines in error.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chronic lymphocytic leukaemia, Dyspnoea, Inflammatory marker test, Pyrexia
Clinical narrative: presented to the emergency room with complaints of fever of 102;  left lower lobe COVID-19 PNA. He was treated with IV Decadron,  empiric antibiotics, oxygen therapy and was seen by an ID specialist and his inflammatory markers being monitored. He was also seen by oncology since he had CLL. His shortness of breath gradually improved, he continued to require oxygen. He remained stable and was later discharged home on oral steroids and home oxygen.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Arteriovenous fistula, Arteriovenous fistula operation, COVID-19 pneumonia, Jugular vein thrombosis
Clinical narrative: admitted on 01/23/2022 with severe COVID-pneumonia.  Tx: antibiotics, steroids, no remdesivir due to kidney function; zinc, singulair, 2 LPM O2; During his clinical course found to have right internal jugular vein thrombosis and was instituted on anticoagulation therapy.  Also found to have nonfunctioning arteriovenous fistula and underwent ligation of right arm AV fistula on 04/28/2022. The patient had a prolonged hospital stay awaiting placement however was refused by multiple facilities and eventually is being planned for discharge home with home health. He also was unable to be enrolled in outpatient HD facility and has been advised for return to ER MWF every week for HD ; back to baseline at d/c
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Renal impairment
Clinical narrative: admitted on 01/23/2022 with severe COVID-pneumonia.  Tx: antibiotics, steroids, no remdesivir due to kidney function; zinc, singulair, 2 LPM O2; During his clinical course found to have right internal jugular vein thrombosis and was instituted on anticoagulation therapy.  Also found to have nonfunctioning arteriovenous fistula and underwent ligation of right arm AV fistula on 04/28/2022. The patient had a prolonged hospital stay awaiting placement however was refused by multiple facilities and eventually is being planned for discharge home with home health. He also was unable to be enrolled in outpatient HD facility and has been advised for return to ER MWF every week for HD ; back to baseline at d/c
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein, COVID-19, COVID-19 pneumonia, Computerised tomogram thorax abnormal, Fibrin D dimer
Clinical narrative: Presented with AMS x1 day; + covid in ED: CT with bilat pneumonitis suggestive of covid PNA; Labs: D dimer 5.36; CRP 5.51, Ferritin 980; Tx: Maxipime, Singulair, Zinc; Initially on room air, up to 3 LPM supplemental o2; back to room air by d/c
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Mental status changes, Pneumonitis, SARS-CoV-2 test positive, Serum ferritin increased
Clinical narrative: Presented with AMS x1 day; + covid in ED: CT with bilat pneumonitis suggestive of covid PNA; Labs: D dimer 5.36; CRP 5.51, Ferritin 980; Tx: Maxipime, Singulair, Zinc; Initially on room air, up to 3 LPM supplemental o2; back to room air by d/c
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac arrest, Cardiac ventricular thrombosis, Computerised tomogram head abnormal, Diabetes mellitus inadequate control
Clinical narrative: Patient presented to the ER initially at facility with stroke-like symptoms, CT perfusion study showed acute infarction with a large ischemic penumbra, patient was transferred to another facility on 12.20.21 for a mechanical thrombectomy. Patient was diagnosed with a left MCA ischemic stroke, suspected from uncontrolled DM and hypercoagulable state from Covid-19. On 1/1/22, patient returned to ICU after being hypotensive, hypoxic and went into PEA arrest. CT showed development of a R MCA stroke. TTE with evidence of an LV thrombus. Family transitioned patient to comfort care
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Echocardiogram abnormal, Hypercoagulation, Hypotension, Hypoxia
Clinical narrative: Patient presented to the ER initially at facility with stroke-like symptoms, CT perfusion study showed acute infarction with a large ischemic penumbra, patient was transferred to another facility on 12.20.21 for a mechanical thrombectomy. Patient was diagnosed with a left MCA ischemic stroke, suspected from uncontrolled DM and hypercoagulable state from Covid-19. On 1/1/22, patient returned to ICU after being hypotensive, hypoxic and went into PEA arrest. CT showed development of a R MCA stroke. TTE with evidence of an LV thrombus. Family transitioned patient to comfort care
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Ischaemic stroke, Middle cerebral artery stroke, Neurological symptom, Pulseless electrical activity
Clinical narrative: Patient presented to the ER initially at facility with stroke-like symptoms, CT perfusion study showed acute infarction with a large ischemic penumbra, patient was transferred to another facility on 12.20.21 for a mechanical thrombectomy. Patient was diagnosed with a left MCA ischemic stroke, suspected from uncontrolled DM and hypercoagulable state from Covid-19. On 1/1/22, patient returned to ICU after being hypotensive, hypoxic and went into PEA arrest. CT showed development of a R MCA stroke. TTE with evidence of an LV thrombus. Family transitioned patient to comfort care
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombectomy
Clinical narrative: Patient presented to the ER initially at facility with stroke-like symptoms, CT perfusion study showed acute infarction with a large ischemic penumbra, patient was transferred to another facility on 12.20.21 for a mechanical thrombectomy. Patient was diagnosed with a left MCA ischemic stroke, suspected from uncontrolled DM and hypercoagulable state from Covid-19. On 1/1/22, patient returned to ICU after being hypotensive, hypoxic and went into PEA arrest. CT showed development of a R MCA stroke. TTE with evidence of an LV thrombus. Family transitioned patient to comfort care
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Cerebrovascular accident, Cough, Encephalopathy
Clinical narrative: Patient had onset of cough 3 days prior to admission, patient had nausea and vomiting and went to bed early, the next morning her children found her poorly responsive in bed. In the ER, blood was noted in her mouth with gaze deviation, brain imaging supportive of PRES. Pt admitted for hypertensive emergency, acute respiratory failure, encephalopathy, concern for seizure at home, tested positive for Covid. Patient treated with Remdesivir, Solu-Medrol, IV abx. Patient also suffered a CVA. Patient discharged home.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Gaze palsy, Hypertensive emergency, Hyporesponsive to stimuli, Imaging procedure abnormal, Mouth haemorrhage
Clinical narrative: Patient had onset of cough 3 days prior to admission, patient had nausea and vomiting and went to bed early, the next morning her children found her poorly responsive in bed. In the ER, blood was noted in her mouth with gaze deviation, brain imaging supportive of PRES. Pt admitted for hypertensive emergency, acute respiratory failure, encephalopathy, concern for seizure at home, tested positive for Covid. Patient treated with Remdesivir, Solu-Medrol, IV abx. Patient also suffered a CVA. Patient discharged home.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Posterior reversible encephalopathy syndrome, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient had onset of cough 3 days prior to admission, patient had nausea and vomiting and went to bed early, the next morning her children found her poorly responsive in bed. In the ER, blood was noted in her mouth with gaze deviation, brain imaging supportive of PRES. Pt admitted for hypertensive emergency, acute respiratory failure, encephalopathy, concern for seizure at home, tested positive for Covid. Patient treated with Remdesivir, Solu-Medrol, IV abx. Patient also suffered a CVA. Patient discharged home.
Age: 37.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Blood test normal, Lumbar puncture normal, Magnetic resonance imaging normal, Paraesthesia
Clinical narrative: Paresthesia starting in feet, moving up legs, also in left arm. Over the last several weeks, mostly in feet and lower legs but occasional throughout the body. No treatment provided besides waiting to resolve. Currently in 5th week of experiencing symptoms.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, COVID-19 pneumonia, Cough, Dyspnoea
Clinical narrative: Patient presented to the ER with c/o cough and SOB. Patient was noted to be tachypneic and saturating 87% in the ER on room air. Found to be Covid positive and diagnosed with Covid pneumonia. Patient received IV abx, IV steroids, Remdesivir, Lovenox. Patient is on 2L NC PTA and was up to 6L during admission. Patient was discharged to a skilled nursing home.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Tachypnoea
Clinical narrative: Patient presented to the ER with c/o cough and SOB. Patient was noted to be tachypneic and saturating 87% in the ER on room air. Found to be Covid positive and diagnosed with Covid pneumonia. Patient received IV abx, IV steroids, Remdesivir, Lovenox. Patient is on 2L NC PTA and was up to 6L during admission. Patient was discharged to a skilled nursing home.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Dizziness, Feeling abnormal, Hypotension, Impaired driving ability
Clinical narrative: She got her vaccine, she probably ran fever during the night.  She got up the next morning and she took her temperature and on the 17th - 20th she ran from 99-102 fever, highest 102.9 and she started taking Tylenol back down.  Was achy, just did not feel great like if you had a bad flu.  On 21st she felt OK, wasn running a low grade temp.  On 10/22/23 she was sitting at work, doing her job and got dizzy, the room started spinning, the words were blurry and had to leave work over it and left around 3-4 PM, and did not stop until she went to bed.  She laid at 8:00 PM and the room was still spinning.  When she got up yesterday morning she felt ok, took the trash to the curb and woke up on the ground, does not remember being dizzy.  She cleaned up her cuts after that, drank some water, took her temperature and decided not to drive and decided not to ride her horse.  She works at a hospital and did not want to go there on her day off.  This morning she is not dizzy, feels a little off, not dizzy at the moment.  Her BP is really low today, 108/70, temp is 98.9 right now.  She is not taking anything for her symptoms.  She only took that while she was running fever.    She got her flu shot a month or so ago and other than a red spot on her arm she did not have a reaction.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Influenza like illness, Injury, Pain, Syncope
Clinical narrative: She got her vaccine, she probably ran fever during the night.  She got up the next morning and she took her temperature and on the 17th - 20th she ran from 99-102 fever, highest 102.9 and she started taking Tylenol back down.  Was achy, just did not feel great like if you had a bad flu.  On 21st she felt OK, wasn running a low grade temp.  On 10/22/23 she was sitting at work, doing her job and got dizzy, the room started spinning, the words were blurry and had to leave work over it and left around 3-4 PM, and did not stop until she went to bed.  She laid at 8:00 PM and the room was still spinning.  When she got up yesterday morning she felt ok, took the trash to the curb and woke up on the ground, does not remember being dizzy.  She cleaned up her cuts after that, drank some water, took her temperature and decided not to drive and decided not to ride her horse.  She works at a hospital and did not want to go there on her day off.  This morning she is not dizzy, feels a little off, not dizzy at the moment.  Her BP is really low today, 108/70, temp is 98.9 right now.  She is not taking anything for her symptoms.  She only took that while she was running fever.    She got her flu shot a month or so ago and other than a red spot on her arm she did not have a reaction.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo, Vision blurred
Clinical narrative: She got her vaccine, she probably ran fever during the night.  She got up the next morning and she took her temperature and on the 17th - 20th she ran from 99-102 fever, highest 102.9 and she started taking Tylenol back down.  Was achy, just did not feel great like if you had a bad flu.  On 21st she felt OK, wasn running a low grade temp.  On 10/22/23 she was sitting at work, doing her job and got dizzy, the room started spinning, the words were blurry and had to leave work over it and left around 3-4 PM, and did not stop until she went to bed.  She laid at 8:00 PM and the room was still spinning.  When she got up yesterday morning she felt ok, took the trash to the curb and woke up on the ground, does not remember being dizzy.  She cleaned up her cuts after that, drank some water, took her temperature and decided not to drive and decided not to ride her horse.  She works at a hospital and did not want to go there on her day off.  This morning she is not dizzy, feels a little off, not dizzy at the moment.  Her BP is really low today, 108/70, temp is 98.9 right now.  She is not taking anything for her symptoms.  She only took that while she was running fever.    She got her flu shot a month or so ago and other than a red spot on her arm she did not have a reaction.
Age: 16.0
Sex: F
Vaccine: PPV
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given a vaccine that expired 4 Days prior. No known reaction occurred. Awaiting call back from company to advise whether to revaccinate or not.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Confusional state, Dementia, Fall, Mental status changes
Clinical narrative: Patient presented to the ER with c/o altered mental status, confusion and fall. Symptoms thought to be multifactorial given the Covid-19 infection and underlying dementia. Patient received Remdesivir, IV abx. Neurosyphilis also suspected but family declined further testing and decided to transition patient to hospice. Patient discharged home with hospice care.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Neurosyphilis
Clinical narrative: Patient presented to the ER with c/o altered mental status, confusion and fall. Symptoms thought to be multifactorial given the Covid-19 infection and underlying dementia. Patient received Remdesivir, IV abx. Neurosyphilis also suspected but family declined further testing and decided to transition patient to hospice. Patient discharged home with hospice care.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: Itchy small bumps developed first on chest then back and now legs. Bumps on chest dissipating, but still appearing on legs
Age: 69.0
Sex: F
Vaccine: RSV
Symptoms: Abdominal distension, Abdominal pain upper, Vomiting
Clinical narrative: severe bloating, stomach pain and vomiting
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Flank pain, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient presented to the ER with c/o fatigue, flank pain and odorous urine x 5 days. Patient had a syncopal episode witnessed and documented in the ER. Patient found to have pneumonia. Patient experienced multiple syncopal events during admission. Patient was tested for Covid on 12.28.21 and tested positive. Patient received IV abx. Syncope was likely due to Covid-19 infection per Discharge Summary. No evidence of orthostatic htn, carotid ultrasound was unremarkable. Patient was discharged home.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Ultrasound Doppler, Ultrasound Doppler normal, Urine odour abnormal
Clinical narrative: Patient presented to the ER with c/o fatigue, flank pain and odorous urine x 5 days. Patient had a syncopal episode witnessed and documented in the ER. Patient found to have pneumonia. Patient experienced multiple syncopal events during admission. Patient was tested for Covid on 12.28.21 and tested positive. Patient received IV abx. Syncope was likely due to Covid-19 infection per Discharge Summary. No evidence of orthostatic htn, carotid ultrasound was unremarkable. Patient was discharged home.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Patient presented to the ER with compaints of SOB and cough x 2 days. Patient was noted to be hypoxic on arrival, placed on 2L of oxygen. Tested positive for Covid-19. Patient passed walk study and able to wean off oxygen. Patient received steroids, remdesivir.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Walking distance test normal
Clinical narrative: Patient presented to the ER with compaints of SOB and cough x 2 days. Patient was noted to be hypoxic on arrival, placed on 2L of oxygen. Tested positive for Covid-19. Patient passed walk study and able to wean off oxygen. Patient received steroids, remdesivir.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Confusional state, Dementia
Clinical narrative: Patient presented to the hospital with AMS. Patient is poor historian, HPI obtained from patient daughter and EMR. Long-term nursing home resident. Patient had been diagnosed with Covid-19 the previous week. Patient was becoming more confused at nursing home. Patient was noted to have severe UTI with sepsis. Patient diagnosed with pneumonia due to Covid-19 virus, acute metabolic encephalopathy likely secondary due to dementia, sepsis, UTI and Covid-19. Chest xray showed bilateral infiltrates. Patient was on 3L NC, received antibiotics. Patient was discharged back to nursing home.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Lung infiltration, Mental status changes, Metabolic encephalopathy, Sepsis, Urinary tract infection
Clinical narrative: Patient presented to the hospital with AMS. Patient is poor historian, HPI obtained from patient daughter and EMR. Long-term nursing home resident. Patient had been diagnosed with Covid-19 the previous week. Patient was becoming more confused at nursing home. Patient was noted to have severe UTI with sepsis. Patient diagnosed with pneumonia due to Covid-19 virus, acute metabolic encephalopathy likely secondary due to dementia, sepsis, UTI and Covid-19. Chest xray showed bilateral infiltrates. Patient was on 3L NC, received antibiotics. Patient was discharged back to nursing home.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, C-reactive protein normal, Chest pain, Diarrhoea, Full blood count normal
Clinical narrative: Systemic rash, diarrhea, headache, stomach upset, chest pain, photophobia. Continues to have symptoms to date.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Glomerular filtration rate normal, Headache, Metabolic function test, Photophobia, Rash
Clinical narrative: Systemic rash, diarrhea, headache, stomach upset, chest pain, photophobia. Continues to have symptoms to date.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate normal, Troponin normal
Clinical narrative: Systemic rash, diarrhea, headache, stomach upset, chest pain, photophobia. Continues to have symptoms to date.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after viability date.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Malaise, Mobility decreased, Night sweats, Pain
Clinical narrative: 10/11 = sore arm, general malaise the day after, body aches, sweats at night, ear ache, frequent urination. 10/20 = could not lift head.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pollakiuria
Clinical narrative: 10/11 = sore arm, general malaise the day after, body aches, sweats at night, ear ache, frequent urination. 10/20 = could not lift head.
Age: 27.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Pruritus, Skin lesion
Clinical narrative: Patient noted multiple red lesions, pruritic, over upper and lower limbs and chest.  Treat with Benadryl and observation.
Age: 84.0
Sex: F
Vaccine: RSV
Symptoms: Blood pressure increased, Blood test, Condition aggravated, Hypertension
Clinical narrative: She got her vaccine, she had no problems at first.  Then her BP went ski high, over 200.  She went to the ER on Monday, 9/25/23 it was 190 and then went up to 200/?.  They gave her medicine to bring it down around 6 hours later, gave her a shot.  Her cardiologist wasn't happy about that shot as they do not want to bring it down fast.  She then went home and it has not gone back to her pre-vaccine stage levels.  She was put on Valsartan which she takes at night now.  She did see her cardiologist and that's when he started her on the Valsartan.  She went to ER.
Age: 55.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Asthenia, Lethargy
Clinical narrative: Severe lethargy. Joint pain and weakness
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Chills, Diarrhoea, Pyrexia, Rash
Clinical narrative: PATIENT HAD FEVER OF 101, CHILLS, RASH PROGRESSED, DIARRHEA AND UPSET STOMACH WHICH ALL STARTED THE DAY AFTER
Age: 75.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Asthenia, Insomnia, Myalgia, Pain
Clinical narrative: Tingling and aching of both ankles and calf muscles.  Makes sleeping difficult.  Symptoms come and go depending on the amount of physical activity, more activity results in aching and tingling.   Symptoms started on 10/7/2023 and as of 10/24/2023 they are continuing.  I feel less energetic than before this started, and now I need to rest each afternoon.