chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: Red blood cell nucleated morphology, Red blood cells urine positive, Red cell distribution width, Red cell distribution width normal, Respiratory syncytial virus test negative
Clinical narrative: Confusion, urinary incontinence, rigors, profound weakness.  Having suffered these symptoms overnight, they continued into the next morning and I was taken to the hospital by ambulance.  Differential included but not limited to infectious (pneumonia, UTI, sepsis, bacteremia, meningitis), neoplastic +/- cauda equina syndrome, stroke/bleed, normal pressure hydrocephalus, vitamin deficiency, arrhythmia (worsening weakness), among others.  Multiple studies done.  Hospitalized overnight with gradual clearing of symptoms.  Discharged the next day.  PRINCIPAL DIAGNOSIS: Rigors   ALL DIAGNOSES:  Active Hospital Problems   Diagnosis POA o Rigors Unknown o Vitamin B12 deficiency Unknown o Acute encephalopathy Unknown o Multip PRINCIPAL DIAGNOSIS: Rigors   ALL DIAGNOSES:  Active Hospital Problems   Diagnosis POA o Rigors Unknown o Vitamin B12 deficiency Unknown o Acute encephalopathy Unknown o Multiple myeloma (*) Yes o Stage 3b chronic kidney disease (*) Yes o Essential hypertension (*) Yes
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test negative, Sepsis, Specific gravity urine normal, Urinary incontinence, Urinary occult blood negative
Clinical narrative: Confusion, urinary incontinence, rigors, profound weakness.  Having suffered these symptoms overnight, they continued into the next morning and I was taken to the hospital by ambulance.  Differential included but not limited to infectious (pneumonia, UTI, sepsis, bacteremia, meningitis), neoplastic +/- cauda equina syndrome, stroke/bleed, normal pressure hydrocephalus, vitamin deficiency, arrhythmia (worsening weakness), among others.  Multiple studies done.  Hospitalized overnight with gradual clearing of symptoms.  Discharged the next day.  PRINCIPAL DIAGNOSIS: Rigors   ALL DIAGNOSES:  Active Hospital Problems   Diagnosis POA o Rigors Unknown o Vitamin B12 deficiency Unknown o Acute encephalopathy Unknown o Multip PRINCIPAL DIAGNOSIS: Rigors   ALL DIAGNOSES:  Active Hospital Problems   Diagnosis POA o Rigors Unknown o Vitamin B12 deficiency Unknown o Acute encephalopathy Unknown o Multiple myeloma (*) Yes o Stage 3b chronic kidney disease (*) Yes o Essential hypertension (*) Yes
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: Urinary tract infection, Urine analysis abnormal, Urine ketone body absent, Urine leukocyte esterase, Vitamin B12 deficiency
Clinical narrative: Confusion, urinary incontinence, rigors, profound weakness.  Having suffered these symptoms overnight, they continued into the next morning and I was taken to the hospital by ambulance.  Differential included but not limited to infectious (pneumonia, UTI, sepsis, bacteremia, meningitis), neoplastic +/- cauda equina syndrome, stroke/bleed, normal pressure hydrocephalus, vitamin deficiency, arrhythmia (worsening weakness), among others.  Multiple studies done.  Hospitalized overnight with gradual clearing of symptoms.  Discharged the next day.  PRINCIPAL DIAGNOSIS: Rigors   ALL DIAGNOSES:  Active Hospital Problems   Diagnosis POA o Rigors Unknown o Vitamin B12 deficiency Unknown o Acute encephalopathy Unknown o Multip PRINCIPAL DIAGNOSIS: Rigors   ALL DIAGNOSES:  Active Hospital Problems   Diagnosis POA o Rigors Unknown o Vitamin B12 deficiency Unknown o Acute encephalopathy Unknown o Multiple myeloma (*) Yes o Stage 3b chronic kidney disease (*) Yes o Essential hypertension (*) Yes
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: Vitamin B12 normal, White blood cell count normal, White blood cells urine negative, pH urine normal
Clinical narrative: Confusion, urinary incontinence, rigors, profound weakness.  Having suffered these symptoms overnight, they continued into the next morning and I was taken to the hospital by ambulance.  Differential included but not limited to infectious (pneumonia, UTI, sepsis, bacteremia, meningitis), neoplastic +/- cauda equina syndrome, stroke/bleed, normal pressure hydrocephalus, vitamin deficiency, arrhythmia (worsening weakness), among others.  Multiple studies done.  Hospitalized overnight with gradual clearing of symptoms.  Discharged the next day.  PRINCIPAL DIAGNOSIS: Rigors   ALL DIAGNOSES:  Active Hospital Problems   Diagnosis POA o Rigors Unknown o Vitamin B12 deficiency Unknown o Acute encephalopathy Unknown o Multip PRINCIPAL DIAGNOSIS: Rigors   ALL DIAGNOSES:  Active Hospital Problems   Diagnosis POA o Rigors Unknown o Vitamin B12 deficiency Unknown o Acute encephalopathy Unknown o Multiple myeloma (*) Yes o Stage 3b chronic kidney disease (*) Yes o Essential hypertension (*) Yes
Age: 46.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Bivalent moderna was given but 2nd dose primary series was actually due
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Mobility decreased, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I woke up Wednesday morning with a raging sore throat. During the day, the sore throat dissipated, and I took my temperature and had no fever. I got up at 3:30 AM, Thursday, 12/22/2022. I had a slight sore throat and a runny nose, but I had no fever. I got on an airplane at 6:30 AM for a domestic flight. My daughter picked me up at the airport. I told her I had had a slight sore throat. We went to her house, and she immediately tested me for COVID-19. I was positive for COVID-19. I then immediately made reservations to return home and flew back home several hours later. I then went to bed at 8 PM and stayed in bed for most of the day during the following two to three days. I then started getting better. On 12/23/2022, I called a phone number and spoke to a NP to see if I could get PAXLOVID, but she told me she could not prescribe it to me, as I was on PLAVIX. I treated my symptoms with MUCINEX, TYLENOL and cold medicine and got better. I took a home antigen test on 12/22/2022, 12/25/2022, 12/28/2022, 1/2/2023, and 1/4/2023. With the exception of the one I took on 1/4/2023, I tested positive on all of them.
Age: 39.0
Sex: U
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pt presented vaccine card with only on vaccine. He stated he needed another vaccine for admission to the homeless shelter. After consultation, the patient got Pfizer monovalent and was educated about the primary series and educated to return in 28 days for a second dose. The patient stated he already received the primary series but he dose not remember the dates, so he  took  the vaccine again to get the vaccine card.
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: Glycosylated haemoglobin increased, Pollakiuria, Thirst, Visual impairment, Weight decreased
Clinical narrative: Excessive urination and thirst from the night of my shot. severe vision change. A1C went to 13.4 from 7.1 that was taken 8/2022. 20 pound weight loss.  symptoms let up about 8 weeks from onset.  currently on Ozempic .25 once a week since 1/1/2023 which has helped lower 1C to 9.4 as of 2/10/2023
Age: 65.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Redness, swelling, itching.  Noted 2/17/23,  No treatment.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy lymph gland, Blood test normal, Computerised tomogram neck, Computerised tomogram thorax abnormal, Lymphadenopathy
Clinical narrative: After receiving 3 doses of vaccine 10/12/2021- ultrasound on neck routine followup for a nodule on right side of thyroid. Enlarged lymph nodes noted on left side of neck. FNA showed small percentage of suspicious cells. 10/29/2021 - routine mammogram showed enlarged lymph nodes   Prior to receiving vaccines 9/17/2020-CT scan of neck with contrast-right nodule on thyroid 1st found, but not any enlarged lymph nodes on left side of neck were noted. 2/22/2021- Low dose lung scan-no enlarged lymph nodes in throracic area
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Mammogram abnormal, Scan with contrast abnormal, Thyroid mass, Ultrasound scan abnormal, Ventilation/perfusion scan normal
Clinical narrative: After receiving 3 doses of vaccine 10/12/2021- ultrasound on neck routine followup for a nodule on right side of thyroid. Enlarged lymph nodes noted on left side of neck. FNA showed small percentage of suspicious cells. 10/29/2021 - routine mammogram showed enlarged lymph nodes   Prior to receiving vaccines 9/17/2020-CT scan of neck with contrast-right nodule on thyroid 1st found, but not any enlarged lymph nodes on left side of neck were noted. 2/22/2021- Low dose lung scan-no enlarged lymph nodes in throracic area
Age: 0.5
Sex: F
Vaccine: PNC13, RV5, UNK
Symptoms: Body temperature increased, Diarrhoea, Rash, Vomiting
Clinical narrative: Pt with tmax to 103.8 tympanic temperature at 1830 about 8 hours after a dose of Motrin given. She also broke out in full body rash, diarrhea, and had vomiting x 1.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: The second dose was given 7 days to early. It was administered on 2/10/23 and was due 2/17/2023  The patient did not have an adverse reaction, no  medical attention needed.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration.
Age: 48.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Medication error, Product storage error
Clinical narrative: Medication error. Vaccine not viable due to improper temperature storage.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration.
Age: 58.0
Sex: M
Vaccine: COVID19-2
Symptoms: Central nervous system inflammation, Eye haemorrhage, Visual field defect, Visual impairment, Vitreous floaters
Clinical narrative: I did not have a reaction to the vaccine. Around Christmas time, I noticed vision changes in my right eye. I noticed more floaters moving in my right eye, it was not floaters but a hemorrhage. The nerve was very inflamed. I did see my primary care doctor and my eye doctor. They stated they are seeing cases like this more often. I was put on steroids which helped but I continue to have blind spot(s). I have been told that in time these symptoms will improve.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Facial pain, Injection site pain, Migraine, Musculoskeletal chest pain
Clinical narrative: Sharp shooting knifing pain originating at site spread over next few days to face, neck, down spine. sharps shoots in hip, knees, feet and ribcage.  Worst pain was spreading through out face and muscle rolling.   Still extremely sore in shoulder and face and wicked migraine.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Neck pain, Pain in extremity, Spinal pain
Clinical narrative: Sharp shooting knifing pain originating at site spread over next few days to face, neck, down spine. sharps shoots in hip, knees, feet and ribcage.  Worst pain was spreading through out face and muscle rolling.   Still extremely sore in shoulder and face and wicked migraine.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pt was given expired Covid-19 dose that was not removed from our refrigerator after expiration date had passed. Pt observed for 15 minutes, no reactions noted.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Second dose of Moderna given 7 days to early. It was administered on 2/10/23 but was due 2/17/2023. No adverse effects to patient.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration.
Age: 2.0
Sex: F
Vaccine: DTAP, HEPA, MMRV
Symptoms: Pyrexia
Clinical narrative: PARENTS NOTIFIED, PT RAN LOW GRADE FEVER. PT MOTHER CONFIRMED THAT THERE ARE NO OTHER REACTIONS AT THIS TIME. WILL CONTINUE TO MONITOR.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Blood test, Chest X-ray normal, Feeling abnormal, Headache
Clinical narrative: Less than 3 weeks later, I had an episode of a severe headache and weakness that lasted several minutes. One week after that, while onboard a cruise ship, the same symptoms happened again but did not go away. I had to be admitted overnight to be treated for syndrome inappropriate anti diuretic hormone (SIADH). I have had a brain MRI and chest x-rays that are normal. All lab results are now normal. My doctor at home cannot find a reason for this happening to me. I nearly died onboard a cruise ship, and the only thing that had recently happened to me was that I had taken the newest Moderna bivalent COVID-19 vaccine.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Inappropriate antidiuretic hormone secretion, Laboratory test normal, Magnetic resonance imaging head normal
Clinical narrative: Less than 3 weeks later, I had an episode of a severe headache and weakness that lasted several minutes. One week after that, while onboard a cruise ship, the same symptoms happened again but did not go away. I had to be admitted overnight to be treated for syndrome inappropriate anti diuretic hormone (SIADH). I have had a brain MRI and chest x-rays that are normal. All lab results are now normal. My doctor at home cannot find a reason for this happening to me. I nearly died onboard a cruise ship, and the only thing that had recently happened to me was that I had taken the newest Moderna bivalent COVID-19 vaccine.
Age: 51.0
Sex: F
Vaccine: PNC20
Symptoms: Vaccination site erythema, Vaccination site induration
Clinical narrative: left deltoid significant erythema with spread of redness over time. Hard center where vaccine had been administered. Rx for Keflex and Septra started in the ED.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: None noted today. Patient reported feeling sick for 3 days after first dose.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: It was noted that the vaccine administered to the patient on 2/11/23 had a beyond use date of 2/8/23. It was still within expiration date window.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading temperature excursion prior to vaccine administration.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration.
Age: 85.0
Sex: F
Vaccine: COVID19-2
Symptoms: Medication error, Poor quality product administered, Product storage error
Clinical narrative: Medication error. Vaccine not viable due to improper storage temperature.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Dehydration, Hyponatraemia, Malaise
Clinical narrative: 79-year-old male with past medical history of diabetes mellitus type 2 complicated with hyperlipidemia, GERD, hypertension, osteoporosis/vitamin D deficiency, history of prostate cancer s/p prostatectomy, history of left inguinal hernia repair who presents with altered mental status, weakness, feeling sick since past 2 days. Admitted for dehydration and COVID.  There was some concern for stroke initially but CT head was never done by ED/admitting team due to inability to get it done.  Eventually done next day.  By then patient AMS had improved. Given his hyponatremia and significant AMS  ( metabolic encephalopathy due to COVID and dehydration) on arrival, observed overnight and rehydrated for another day. Received Remdesevir X 2 while in hospital.  Didn't require steroids as not hypoxic.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Mental status changes, Metabolic encephalopathy
Clinical narrative: 79-year-old male with past medical history of diabetes mellitus type 2 complicated with hyperlipidemia, GERD, hypertension, osteoporosis/vitamin D deficiency, history of prostate cancer s/p prostatectomy, history of left inguinal hernia repair who presents with altered mental status, weakness, feeling sick since past 2 days. Admitted for dehydration and COVID.  There was some concern for stroke initially but CT head was never done by ED/admitting team due to inability to get it done.  Eventually done next day.  By then patient AMS had improved. Given his hyponatremia and significant AMS  ( metabolic encephalopathy due to COVID and dehydration) on arrival, observed overnight and rehydrated for another day. Received Remdesevir X 2 while in hospital.  Didn't require steroids as not hypoxic.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Arrhythmia, Dizziness, Dyspnoea, Hypotension
Clinical narrative: Observation 6/25/22-6/27/22 dizziness, hypotensive, dyspnea, arrhythmia, AKI,
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration.
Age: 17.0
Sex: F
Vaccine: HPV9
Symptoms: Deafness, Dizziness, Hyperhidrosis, Pallor, Staring
Clinical narrative: Post- vaccine: Given Bexsero, Menquadfi and Gardasil 9 vaccines in office today. Several minutes after vaccine administration, pt felt dizzy. She laid back in chair. Eyes began to blankly stare and pt's arms began to shake. This lasted approx 10 seconds. Pt briefly appeared pale and diaphoretic. VSS after episode (Spo2 100%, HR 66, R 16). Pt responsive immediately after episode. Reported loss of hearing for several seconds. Pt reported had not eaten anything today. Pt given water to drink and fruit snacks. Pt returned to baseline after sitting for another 15 minutes. Then pt sent with mother via car to  ED for evaluation for seizure.
Age: 17.0
Sex: F
Vaccine: HPV9
Symptoms: Tremor
Clinical narrative: Post- vaccine: Given Bexsero, Menquadfi and Gardasil 9 vaccines in office today. Several minutes after vaccine administration, pt felt dizzy. She laid back in chair. Eyes began to blankly stare and pt's arms began to shake. This lasted approx 10 seconds. Pt briefly appeared pale and diaphoretic. VSS after episode (Spo2 100%, HR 66, R 16). Pt responsive immediately after episode. Reported loss of hearing for several seconds. Pt reported had not eaten anything today. Pt given water to drink and fruit snacks. Pt returned to baseline after sitting for another 15 minutes. Then pt sent with mother via car to  ED for evaluation for seizure.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood alkaline phosphatase normal, Blood bilirubin increased
Clinical narrative: Patient is a 78 Y male with a history of pre-diabetes; aortic atherosclerosis; congenital absence of testicle; tension headache; psoriasis; exploratory surgery 1970 to find testicle (never found the testicle); excision arm and leg melanomas.   Patient presented 2/16/2023 with acute onset of upper abdominal pain that started this AM.  Labs with leukocytosis (WBC 18.7), abnormal LFTs (elevated AST, ALT, bilirubin; however alk phos normal).  Ultrasound with gallstones, only minimal GB wall thickening, only mild CBD dilation 9.8 mm.   Suspect cholangitis.  Imaging and exam do not support cholecystitis.  Potentially may have passed a stone already as he is pain free (received 4 mg IV morphine at 4:45 PM).
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Cholangitis, Cholelithiasis, Gallbladder enlargement, Laboratory test abnormal, Leukocytosis
Clinical narrative: Patient is a 78 Y male with a history of pre-diabetes; aortic atherosclerosis; congenital absence of testicle; tension headache; psoriasis; exploratory surgery 1970 to find testicle (never found the testicle); excision arm and leg melanomas.   Patient presented 2/16/2023 with acute onset of upper abdominal pain that started this AM.  Labs with leukocytosis (WBC 18.7), abnormal LFTs (elevated AST, ALT, bilirubin; however alk phos normal).  Ultrasound with gallstones, only minimal GB wall thickening, only mild CBD dilation 9.8 mm.   Suspect cholangitis.  Imaging and exam do not support cholecystitis.  Potentially may have passed a stone already as he is pain free (received 4 mg IV morphine at 4:45 PM).
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Liver function test abnormal, Ultrasound scan abnormal, White blood cell count increased
Clinical narrative: Patient is a 78 Y male with a history of pre-diabetes; aortic atherosclerosis; congenital absence of testicle; tension headache; psoriasis; exploratory surgery 1970 to find testicle (never found the testicle); excision arm and leg melanomas.   Patient presented 2/16/2023 with acute onset of upper abdominal pain that started this AM.  Labs with leukocytosis (WBC 18.7), abnormal LFTs (elevated AST, ALT, bilirubin; however alk phos normal).  Ultrasound with gallstones, only minimal GB wall thickening, only mild CBD dilation 9.8 mm.   Suspect cholangitis.  Imaging and exam do not support cholecystitis.  Potentially may have passed a stone already as he is pain free (received 4 mg IV morphine at 4:45 PM).
Age: 49.0
Sex: F
Vaccine: HEP
Symptoms: Underdose
Clinical narrative: Given a pediatric dose instead of an adult dose.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Dysuria, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 1/26/2023 Discharge Date: Feb 16, 2023   PRESENTING PROBLEM: Weakness generalized Acute cystitis with hematuria  COVID-19  Failure to thrive in adult    HOSPITAL COURSE: Pt is a 83 yr old F with PMHx of atrial fibrillation, prior stroke, bladder cancer with history of chemotherapy, recurrent urinary retention and bladder spasms with chronic indwelling Foley catheter, legally blind presented to ED on 01/26  with progressive debility and inability of caregiver to care for her anymore.  Hemodynamically stable upon arrival to emergency department.  Tested positive for COVID.  Admitted to Service for further assessment management.  She was treated supportively during her hospital stay.  PT cleared her to return home with assist however family is unable to care for her anymore at home.  Elected to pursue placement to assisted living facility. She was restarted on vagifem due to persistent dysuria.   Care management assisted with placement. Ultimately discharged in stable condition on 02/16/2023  to Long Term Care.
Age: 56.0
Sex: F
Vaccine: PNC20, VARZOS
Symptoms: Muscular weakness
Clinical narrative: Left arm weakness since vaccination
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Bladder catheterisation, Bladder outlet obstruction, Blood potassium increased, Blood test abnormal
Clinical narrative: Is a male who does have a history of having to straight cath  himself on a regular basis to get urine and states that he has not been able to get any urine return in about 48 hours.  Apparently at the nursing facility they attempted to place a catheter but were unsuccessful.  Patient denies any abdominal discomfort nausea vomiting fevers chills back pain or any other complaints at this time.  He does see Dr. with urology.  He states he has a "hard bladder."
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic kidney disease, Condition aggravated, Diastolic dysfunction, Echocardiogram abnormal, Ejection fraction normal
Clinical narrative: Is a male who does have a history of having to straight cath  himself on a regular basis to get urine and states that he has not been able to get any urine return in about 48 hours.  Apparently at the nursing facility they attempted to place a catheter but were unsuccessful.  Patient denies any abdominal discomfort nausea vomiting fevers chills back pain or any other complaints at this time.  He does see Dr. with urology.  He states he has a "hard bladder."
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Glomerular filtration rate decreased, Hyperkalaemia, Laboratory test, Peripheral swelling, Urinary retention
Clinical narrative: Is a male who does have a history of having to straight cath  himself on a regular basis to get urine and states that he has not been able to get any urine return in about 48 hours.  Apparently at the nursing facility they attempted to place a catheter but were unsuccessful.  Patient denies any abdominal discomfort nausea vomiting fevers chills back pain or any other complaints at this time.  He does see Dr. with urology.  He states he has a "hard bladder."
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary tract infection, Urine output
Clinical narrative: Is a male who does have a history of having to straight cath  himself on a regular basis to get urine and states that he has not been able to get any urine return in about 48 hours.  Apparently at the nursing facility they attempted to place a catheter but were unsuccessful.  Patient denies any abdominal discomfort nausea vomiting fevers chills back pain or any other complaints at this time.  He does see Dr. with urology.  He states he has a "hard bladder."
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Femur fracture, Procedural pain, Surgery, Wound treatment
Clinical narrative: Hospital Course and Significant Findings: Patient was admitted with a right femur fracture.  They underwent named surgery under care of DR.  The patient tolerated the  procedure well.  Please see  operative report. Postop the patient's pain was controlled with multimodal regimen.  They were tolerating oral pain meds, wound had clean, dry dressing on and all instructions were given to them both orally and in written form.   Weight bearing status:  WBAT RLE / DVT prophylaxis: ASA Patient was cleared for discharge as well The patient will follow up in ortho clinic as appointed or sooner should they have any problems or concerns.
Age: 86.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Acute kidney injury, COVID-19, Cardiovascular deconditioning, Chronic kidney disease, Condition aggravated
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 2/7/2023 Discharge Date: 2/16/2023  HOSPITAL COURSE:   History was obtained from the patient as well as extensive chart review which is highlighted and summarized below   87 y.o. male who  has a past medical history of Anxiety, CAD (coronary artery disease), COPD (chronic obstructive pulmonary disease) (HCC), GERD (gastroesophageal reflux disease), Glaucoma, Gynecomastia, History of mammogram, HTN (hypertension), Hyperlipidemia, Hypothyroid, Macular degeneration, Osteoarthritis, PVD (peripheral vascular disease) (HCC), Renal insufficiency, Statin intolerance, Stroke (HCC), Testicular hypofunction, Thyroid cancer (HCC), and Type 2 diabetes with nephropathy (HCC).   He initially presented to the hospital 1/27/23 for traumatic L tympanic membrane perforation and incidental diagnosis of COVID-19 infection. His hospital course was complicated by type 2 demand ischemic in setting of hypertensive emergency with troponin elevation as well as hospital acquired pneumonia and pericardial effusion. He required admission to ICU setting given requirement for multiple continuous IV antihypertensive drips. His home thyroid medication was decreased as there was thought that a component of iatrogenic hyperthyroidism could be contributing. He also developed AKI on CKD3, thought to be 2/2 ATN from hypertensive emergency. He was seen and evaluated by PT, OT, PM&R and felt to be an appropriate candidate for acute inpatient rehabilitation given cardiovascular deconditioning, impaired mobility and ADLs in setting of complex medical comorbidities as above and below.  Transferred 2/7/2023
Age: 86.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Hypertensive emergency, Hyperthyroidism, Intensive care, Loss of personal independence in daily activities, Mobility decreased
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 2/7/2023 Discharge Date: 2/16/2023  HOSPITAL COURSE:   History was obtained from the patient as well as extensive chart review which is highlighted and summarized below   87 y.o. male who  has a past medical history of Anxiety, CAD (coronary artery disease), COPD (chronic obstructive pulmonary disease) (HCC), GERD (gastroesophageal reflux disease), Glaucoma, Gynecomastia, History of mammogram, HTN (hypertension), Hyperlipidemia, Hypothyroid, Macular degeneration, Osteoarthritis, PVD (peripheral vascular disease) (HCC), Renal insufficiency, Statin intolerance, Stroke (HCC), Testicular hypofunction, Thyroid cancer (HCC), and Type 2 diabetes with nephropathy (HCC).   He initially presented to the hospital 1/27/23 for traumatic L tympanic membrane perforation and incidental diagnosis of COVID-19 infection. His hospital course was complicated by type 2 demand ischemic in setting of hypertensive emergency with troponin elevation as well as hospital acquired pneumonia and pericardial effusion. He required admission to ICU setting given requirement for multiple continuous IV antihypertensive drips. His home thyroid medication was decreased as there was thought that a component of iatrogenic hyperthyroidism could be contributing. He also developed AKI on CKD3, thought to be 2/2 ATN from hypertensive emergency. He was seen and evaluated by PT, OT, PM&R and felt to be an appropriate candidate for acute inpatient rehabilitation given cardiovascular deconditioning, impaired mobility and ADLs in setting of complex medical comorbidities as above and below.  Transferred 2/7/2023
Age: 86.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Myocardial ischaemia, Pericardial effusion, Pneumonia, Therapy change, Troponin increased
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 2/7/2023 Discharge Date: 2/16/2023  HOSPITAL COURSE:   History was obtained from the patient as well as extensive chart review which is highlighted and summarized below   87 y.o. male who  has a past medical history of Anxiety, CAD (coronary artery disease), COPD (chronic obstructive pulmonary disease) (HCC), GERD (gastroesophageal reflux disease), Glaucoma, Gynecomastia, History of mammogram, HTN (hypertension), Hyperlipidemia, Hypothyroid, Macular degeneration, Osteoarthritis, PVD (peripheral vascular disease) (HCC), Renal insufficiency, Statin intolerance, Stroke (HCC), Testicular hypofunction, Thyroid cancer (HCC), and Type 2 diabetes with nephropathy (HCC).   He initially presented to the hospital 1/27/23 for traumatic L tympanic membrane perforation and incidental diagnosis of COVID-19 infection. His hospital course was complicated by type 2 demand ischemic in setting of hypertensive emergency with troponin elevation as well as hospital acquired pneumonia and pericardial effusion. He required admission to ICU setting given requirement for multiple continuous IV antihypertensive drips. His home thyroid medication was decreased as there was thought that a component of iatrogenic hyperthyroidism could be contributing. He also developed AKI on CKD3, thought to be 2/2 ATN from hypertensive emergency. He was seen and evaluated by PT, OT, PM&R and felt to be an appropriate candidate for acute inpatient rehabilitation given cardiovascular deconditioning, impaired mobility and ADLs in setting of complex medical comorbidities as above and below.  Transferred 2/7/2023
Age: 86.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Tympanic membrane perforation
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 2/7/2023 Discharge Date: 2/16/2023  HOSPITAL COURSE:   History was obtained from the patient as well as extensive chart review which is highlighted and summarized below   87 y.o. male who  has a past medical history of Anxiety, CAD (coronary artery disease), COPD (chronic obstructive pulmonary disease) (HCC), GERD (gastroesophageal reflux disease), Glaucoma, Gynecomastia, History of mammogram, HTN (hypertension), Hyperlipidemia, Hypothyroid, Macular degeneration, Osteoarthritis, PVD (peripheral vascular disease) (HCC), Renal insufficiency, Statin intolerance, Stroke (HCC), Testicular hypofunction, Thyroid cancer (HCC), and Type 2 diabetes with nephropathy (HCC).   He initially presented to the hospital 1/27/23 for traumatic L tympanic membrane perforation and incidental diagnosis of COVID-19 infection. His hospital course was complicated by type 2 demand ischemic in setting of hypertensive emergency with troponin elevation as well as hospital acquired pneumonia and pericardial effusion. He required admission to ICU setting given requirement for multiple continuous IV antihypertensive drips. His home thyroid medication was decreased as there was thought that a component of iatrogenic hyperthyroidism could be contributing. He also developed AKI on CKD3, thought to be 2/2 ATN from hypertensive emergency. He was seen and evaluated by PT, OT, PM&R and felt to be an appropriate candidate for acute inpatient rehabilitation given cardiovascular deconditioning, impaired mobility and ADLs in setting of complex medical comorbidities as above and below.  Transferred 2/7/2023
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Malaise, Pyrexia, Sepsis, Tachycardia
Clinical narrative: Observation 6/26/22-6/27/22 Fever, UTI, malaise, tachycardia, sepsis, decreased appetite,
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection
Clinical narrative: Observation 6/26/22-6/27/22 Fever, UTI, malaise, tachycardia, sepsis, decreased appetite,
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Disturbance in attention, Feeling abnormal, Headache
Clinical narrative: In the morning I felt a headache lasting all day. I also had brain fog and a hard time concentrating. 1/17 the headache as not as bad. Felt like a cold was coming on. Sneezing. That evening I had chills lasting about 4 hours, and a fever topping out at 100. I tested positive on an at home COVID-19 test. 1/18 I felt better and 1/19 felt just a little cold. 1/20 I was recovered. Televisit with doctor on 1/18.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nasopharyngitis, Pyrexia, SARS-CoV-2 test positive, Sneezing
Clinical narrative: In the morning I felt a headache lasting all day. I also had brain fog and a hard time concentrating. 1/17 the headache as not as bad. Felt like a cold was coming on. Sneezing. That evening I had chills lasting about 4 hours, and a fever topping out at 100. I tested positive on an at home COVID-19 test. 1/18 I felt better and 1/19 felt just a little cold. 1/20 I was recovered. Televisit with doctor on 1/18.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Dyspnoea, Headache, Insomnia
Clinical narrative: Received vaccine booster (second booster, 4th shot total) on 11/17/22. On 1/26/23, started feeling ill with terrible headache and scratchy throat. Thought it was allergies or head cold. Had trouble sleeping overnight. Right nostril completely clogged. Got up 1/27/23 morning with worst headache of my life, clogged then very runny nose so hard to breathe through nose but could breathe fine through mouth, scratchy throat, fever at 100.8F, racing heartbeat. Self-tested for Covid-19 with FlowFlex test which was positive. Contacted INOVA Urgent care to see if I could get Paxlovid prescription to lessen symptoms. Paxlovid taken for 5 day treatment and symptoms lessened considerably. Fever went from 101 down to normal 98.6. I never lost sense of taste or smell. The Paxlovid didn't taste great though. Then several days after Paxlovid treatment finished (2/1/23), I had a rebound of symptoms on 2/6/23. Symptoms stayed mostly in my nose and throat. Some coughing, more sneezing, runny nose, scratchy throat, Headache did not return. Breathing was fine throughout. I did not feel anything weird in my chest or lungs. All fine there. Finally think I'm mostly over the symptoms on 2/17/23.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Malaise, Nasal congestion, Palpitations, Pyrexia, Rhinorrhoea
Clinical narrative: Received vaccine booster (second booster, 4th shot total) on 11/17/22. On 1/26/23, started feeling ill with terrible headache and scratchy throat. Thought it was allergies or head cold. Had trouble sleeping overnight. Right nostril completely clogged. Got up 1/27/23 morning with worst headache of my life, clogged then very runny nose so hard to breathe through nose but could breathe fine through mouth, scratchy throat, fever at 100.8F, racing heartbeat. Self-tested for Covid-19 with FlowFlex test which was positive. Contacted INOVA Urgent care to see if I could get Paxlovid prescription to lessen symptoms. Paxlovid taken for 5 day treatment and symptoms lessened considerably. Fever went from 101 down to normal 98.6. I never lost sense of taste or smell. The Paxlovid didn't taste great though. Then several days after Paxlovid treatment finished (2/1/23), I had a rebound of symptoms on 2/6/23. Symptoms stayed mostly in my nose and throat. Some coughing, more sneezing, runny nose, scratchy throat, Headache did not return. Breathing was fine throughout. I did not feel anything weird in my chest or lungs. All fine there. Finally think I'm mostly over the symptoms on 2/17/23.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Sneezing, Throat irritation
Clinical narrative: Received vaccine booster (second booster, 4th shot total) on 11/17/22. On 1/26/23, started feeling ill with terrible headache and scratchy throat. Thought it was allergies or head cold. Had trouble sleeping overnight. Right nostril completely clogged. Got up 1/27/23 morning with worst headache of my life, clogged then very runny nose so hard to breathe through nose but could breathe fine through mouth, scratchy throat, fever at 100.8F, racing heartbeat. Self-tested for Covid-19 with FlowFlex test which was positive. Contacted INOVA Urgent care to see if I could get Paxlovid prescription to lessen symptoms. Paxlovid taken for 5 day treatment and symptoms lessened considerably. Fever went from 101 down to normal 98.6. I never lost sense of taste or smell. The Paxlovid didn't taste great though. Then several days after Paxlovid treatment finished (2/1/23), I had a rebound of symptoms on 2/6/23. Symptoms stayed mostly in my nose and throat. Some coughing, more sneezing, runny nose, scratchy throat, Headache did not return. Breathing was fine throughout. I did not feel anything weird in my chest or lungs. All fine there. Finally think I'm mostly over the symptoms on 2/17/23.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Aspiration pleural cavity, Bacterial test, Blood culture, Blood test, Chest pain
Clinical narrative: Large pericardial effusion and small bilateral pleural effusions. To ER with incredible pain in chest. Emergency pericardiocentesis yielding 600 ML of bloody fluid. Was 5 days in hospital.  Returned a few days later with difficulty breathing. Enlarging moderate sized bilateral pleural effusions. Had left thoracentisis yielding 550 ML of fluid.  Treated with antibiotics and eventually staff understood it was inflammation they were seeing, not infection.  Put on regimen of steroids.  Released after 6 days.  Kept on steroids and anti-inflammatory medications through June 2022.  Blood tests every two weeks through June 2022.  Physican visits monthly from February through June 2022.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Culture, Dyspnoea, Inflammation, Pericardial drainage
Clinical narrative: Large pericardial effusion and small bilateral pleural effusions. To ER with incredible pain in chest. Emergency pericardiocentesis yielding 600 ML of bloody fluid. Was 5 days in hospital.  Returned a few days later with difficulty breathing. Enlarging moderate sized bilateral pleural effusions. Had left thoracentisis yielding 550 ML of fluid.  Treated with antibiotics and eventually staff understood it was inflammation they were seeing, not infection.  Put on regimen of steroids.  Released after 6 days.  Kept on steroids and anti-inflammatory medications through June 2022.  Blood tests every two weeks through June 2022.  Physican visits monthly from February through June 2022.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pericardial effusion, Pleural effusion, Ultrasound scan, Viral test, X-ray
Clinical narrative: Large pericardial effusion and small bilateral pleural effusions. To ER with incredible pain in chest. Emergency pericardiocentesis yielding 600 ML of bloody fluid. Was 5 days in hospital.  Returned a few days later with difficulty breathing. Enlarging moderate sized bilateral pleural effusions. Had left thoracentisis yielding 550 ML of fluid.  Treated with antibiotics and eventually staff understood it was inflammation they were seeing, not infection.  Put on regimen of steroids.  Released after 6 days.  Kept on steroids and anti-inflammatory medications through June 2022.  Blood tests every two weeks through June 2022.  Physican visits monthly from February through June 2022.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration.
Age: 83.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Anticoagulant therapy, Aortic stenosis, Asthenia, Atrial fibrillation, Blood electrolytes normal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/8/2023 Discharge Date: Feb 11, 2023  PRESENTING PROBLEM: Type 2 diabetes mellitus with hyperglycemia, with long-term current use of insulin [E11.65, Z79.4] Stage 3 chronic kidney disease, unspecified whether stage 3a or 3b CKD [N18.30] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is an 84 year old woman who was in the E.D. one day prior to admission with a fib rvr and was cardioverted in the E.D. She then presented again with shortness of breath, congestion and productive cough. She was found to be positive for covid in the E.D. one day prior. She was rx'ed paxlovid but didn't start it due to contraindication with xarelto. She returned to the E.D. with ongoing respiratory symptoms with weakness and fatigue along with watery diarrhea.    In ED, CXR significant for bilateral opacities consistent with pneumonia. Labs significant for leukocytosis, BNP 2561, procal wnl, electrolytes and LFTs wnl. Pt given albuterol inhaler which she feels slightly improved her symptoms. Pt admitted under general medicine for further management.   She required up to 2L oxygen nasal cannula. She was tx with remdesivir and decadron. She quickly weaned off oxygen. She was diuresed with iv lasix. Echo showed severe aortic stenosis. This has been progressing in the past few years. She is no longer established with cardiology.    She was given lasix 40 mg po daily on discharge. Will need f.u. bmp in 3-5 days. Fu with pcp. Out pt referral to re establish with cardiology and structural heart for discussion of severe aortic stenosis as well as a fib management.
Age: 83.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Brain natriuretic peptide increased, COVID-19, Cardioversion, Chest X-ray abnormal, Chronic kidney disease
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/8/2023 Discharge Date: Feb 11, 2023  PRESENTING PROBLEM: Type 2 diabetes mellitus with hyperglycemia, with long-term current use of insulin [E11.65, Z79.4] Stage 3 chronic kidney disease, unspecified whether stage 3a or 3b CKD [N18.30] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is an 84 year old woman who was in the E.D. one day prior to admission with a fib rvr and was cardioverted in the E.D. She then presented again with shortness of breath, congestion and productive cough. She was found to be positive for covid in the E.D. one day prior. She was rx'ed paxlovid but didn't start it due to contraindication with xarelto. She returned to the E.D. with ongoing respiratory symptoms with weakness and fatigue along with watery diarrhea.    In ED, CXR significant for bilateral opacities consistent with pneumonia. Labs significant for leukocytosis, BNP 2561, procal wnl, electrolytes and LFTs wnl. Pt given albuterol inhaler which she feels slightly improved her symptoms. Pt admitted under general medicine for further management.   She required up to 2L oxygen nasal cannula. She was tx with remdesivir and decadron. She quickly weaned off oxygen. She was diuresed with iv lasix. Echo showed severe aortic stenosis. This has been progressing in the past few years. She is no longer established with cardiology.    She was given lasix 40 mg po daily on discharge. Will need f.u. bmp in 3-5 days. Fu with pcp. Out pt referral to re establish with cardiology and structural heart for discussion of severe aortic stenosis as well as a fib management.
Age: 83.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Condition aggravated, Diarrhoea, Diuretic therapy, Dyspnoea, Echocardiogram abnormal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/8/2023 Discharge Date: Feb 11, 2023  PRESENTING PROBLEM: Type 2 diabetes mellitus with hyperglycemia, with long-term current use of insulin [E11.65, Z79.4] Stage 3 chronic kidney disease, unspecified whether stage 3a or 3b CKD [N18.30] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is an 84 year old woman who was in the E.D. one day prior to admission with a fib rvr and was cardioverted in the E.D. She then presented again with shortness of breath, congestion and productive cough. She was found to be positive for covid in the E.D. one day prior. She was rx'ed paxlovid but didn't start it due to contraindication with xarelto. She returned to the E.D. with ongoing respiratory symptoms with weakness and fatigue along with watery diarrhea.    In ED, CXR significant for bilateral opacities consistent with pneumonia. Labs significant for leukocytosis, BNP 2561, procal wnl, electrolytes and LFTs wnl. Pt given albuterol inhaler which she feels slightly improved her symptoms. Pt admitted under general medicine for further management.   She required up to 2L oxygen nasal cannula. She was tx with remdesivir and decadron. She quickly weaned off oxygen. She was diuresed with iv lasix. Echo showed severe aortic stenosis. This has been progressing in the past few years. She is no longer established with cardiology.    She was given lasix 40 mg po daily on discharge. Will need f.u. bmp in 3-5 days. Fu with pcp. Out pt referral to re establish with cardiology and structural heart for discussion of severe aortic stenosis as well as a fib management.