chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Procalcitonin increased, Pulmonary hilum mass, SARS-CoV-2 test positive, Small intestinal obstruction, Soft tissue mass
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "57 YO female with past medical history significant for R breast high grade ductal carcinoma in situ (ER+, PR+) s/p partial mastectomy (2011) followed by radiation and chemo, chemo induced anemia, left bracheocephalic dvt (on Xarelto), hepatic flexure colon cancer s/p right colectomy, with recurrent malignant neoplasm of the colon with mets to the lungs, adrenals,  and lymph nodes who presented to SJ ED on 1/12 with complaints of intermittent abdominal pain that began 2 weeks ago. 3-4 days ago she began having nausea and non-bloody vomiting and decreased po intake. She reports that her abdominal pain continued to progress and became persistent driving her to come to the ED. The patient reports compliance with her medications, but she has been holding her rivaroxaban (xarelto) for 1.5 weeks in anticipation for a dental procedure. Her last chemo was 12/21/2022 as per Dr. notes.    On presentation she was tachycardic. Work up revealed SBO on CT abdomen/pelvis likely secondary to cancer vs adhesions from previous surgery. CXR shows L basilar consolidation and right suprahilar soft tissue mass. Lesions have increased in size since previous imagining in early December.    Patient also tested positive for COVID but has been asymptomatic respiratory wise. She is fully vaccinated and boosted. She does endorse being around a lot of family and friends over the holidays.    Labs revealed an AKI, leukocytosis, thrombocytosis and anemia. Procal and magnesium was elevated. She was given 2L of NS, zofran,  and fentanyl. General surgery was consulted, NGT was placed to LIS. Patient will be admitted to medicine service in anticipation for possible surgery in the near future. Dr. has been contacted by our team.    Of note in the ED she became very tachy cardiac via monitor, however, repeat EKG was reassuring."
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tachycardia, Thrombocytosis, Vomiting
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "57 YO female with past medical history significant for R breast high grade ductal carcinoma in situ (ER+, PR+) s/p partial mastectomy (2011) followed by radiation and chemo, chemo induced anemia, left bracheocephalic dvt (on Xarelto), hepatic flexure colon cancer s/p right colectomy, with recurrent malignant neoplasm of the colon with mets to the lungs, adrenals,  and lymph nodes who presented to SJ ED on 1/12 with complaints of intermittent abdominal pain that began 2 weeks ago. 3-4 days ago she began having nausea and non-bloody vomiting and decreased po intake. She reports that her abdominal pain continued to progress and became persistent driving her to come to the ED. The patient reports compliance with her medications, but she has been holding her rivaroxaban (xarelto) for 1.5 weeks in anticipation for a dental procedure. Her last chemo was 12/21/2022 as per Dr. notes.    On presentation she was tachycardic. Work up revealed SBO on CT abdomen/pelvis likely secondary to cancer vs adhesions from previous surgery. CXR shows L basilar consolidation and right suprahilar soft tissue mass. Lesions have increased in size since previous imagining in early December.    Patient also tested positive for COVID but has been asymptomatic respiratory wise. She is fully vaccinated and boosted. She does endorse being around a lot of family and friends over the holidays.    Labs revealed an AKI, leukocytosis, thrombocytosis and anemia. Procal and magnesium was elevated. She was given 2L of NS, zofran,  and fentanyl. General surgery was consulted, NGT was placed to LIS. Patient will be admitted to medicine service in anticipation for possible surgery in the near future. Dr. has been contacted by our team.    Of note in the ED she became very tachy cardiac via monitor, however, repeat EKG was reassuring."
Age: 0.83
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse event. Administration error. Accidentally given 2nd flu booster (3rd dose in season) in pediatric patient
Age: 68.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Injection site pain, Magnetic resonance imaging normal, Pain, Pain in extremity
Clinical narrative: Following morning extreme pain in raising R arm. Either mediated or got used to it, but continues to present. Pain is extending from original site down arm to fingers. Feels like an active process
Age: 55.0
Sex: M
Vaccine: VARZOS
Symptoms: Dizziness, Vomiting
Clinical narrative: 4 hours after vaccination patient had severe dizziness and vomiting that he had to call an ambulance and be admitted
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Loss of consciousness, Rectal haemorrhage, SARS-CoV-2 test positive
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "86 year old male with history of hypertension, depression, BPH, CVA who was on hospice, brought in by wife after she found him bleeding 'a lot' from his rectum, states that he passed out twice. She decided to revoke hospice and bring him in. She states that she is alone at home and is sick herself, unable to care for him. Of note patient and wife did test positive for COVID.    GI consulted, planning initially for EGD and colonoscopy. However due to positive COVID test, and patient remaining hemodynamically stable without further evidence of bleed, decision was made to postpone procedures. They recommended waiting for quarantine to finish, as long as he remained stable, and possibly due procedure as outpatient. Diet was advanced and no further signs of GI bleed found   Wife initially asked about placement due to her being sick and home alone. They would need to pay out of pocket due to only having priority medicare. Inquiries made about patient's medicaid status, however wife recovered from COVID and decided her, family, and her pastor/church community could help care for the patient at home. He was discharged in stable condition, family noted they would re-enroll him in hospice and ask for additional assistance at home.   Treated with home medications for chronic conditions including CVA, hypertension, BPH. PT/OT treated him for debility while he was here. Bright red blood per rectum had resolved."
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, COVID-19, Cough, Decreased appetite, Fatigue
Clinical narrative: I felt symptoms on Jan 4th, 2023 after riding with a family member who also had symptoms prior to mine. I experienced headache, chills fever, severe coughing, a very sticky clear mucus, nasal drip in the back of my throat, loss of appetite, extreme fatigue, joint pain and thirst. I requested care and medication from my primary care clinic and received an antibiotic. I took 2 pills a couple times a day for several days. My symptoms resolved after a week and a half.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Mucosal hypertrophy, Pyrexia, SARS-CoV-2 test positive, Secretion discharge
Clinical narrative: I felt symptoms on Jan 4th, 2023 after riding with a family member who also had symptoms prior to mine. I experienced headache, chills fever, severe coughing, a very sticky clear mucus, nasal drip in the back of my throat, loss of appetite, extreme fatigue, joint pain and thirst. I requested care and medication from my primary care clinic and received an antibiotic. I took 2 pills a couple times a day for several days. My symptoms resolved after a week and a half.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Thirst, Upper-airway cough syndrome
Clinical narrative: I felt symptoms on Jan 4th, 2023 after riding with a family member who also had symptoms prior to mine. I experienced headache, chills fever, severe coughing, a very sticky clear mucus, nasal drip in the back of my throat, loss of appetite, extreme fatigue, joint pain and thirst. I requested care and medication from my primary care clinic and received an antibiotic. I took 2 pills a couple times a day for several days. My symptoms resolved after a week and a half.
Age: 4.0
Sex: M
Vaccine: HEP, HEP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse events. Client received Heplisav-B at 4 years of age.
Age: 4.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Incorrect dose administered
Clinical narrative: No adverse events. Client received Heplisav-B at 4 years of age.
Age: 4.0
Sex: M
Vaccine: HEP, HEP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Received a call from the health department that he (4 years old) was given an Adult dose of the vaccine
Age: 4.0
Sex: M
Vaccine: HEP, HEP
Symptoms: Incorrect dose administered
Clinical narrative: Received a call from the health department that he (4 years old) was given an Adult dose of the vaccine
Age: 75.0
Sex: M
Vaccine: PNC20
Symptoms: Chills, Cough, Exercise tolerance decreased, Fatigue, Malaise
Clinical narrative: 4 days after receiving vaccination, patient reported, "I have been sick since I was in the office last Thursday.  When I woke Friday I had fever which could have been vaccine response but I am exhausted and coughing and have no stamina.  I also have chills."  Patient declined to be seen for further evaluation, stating he had "turned the corner".
Age: 75.0
Sex: M
Vaccine: PNC20
Symptoms: Pyrexia
Clinical narrative: 4 days after receiving vaccination, patient reported, "I have been sick since I was in the office last Thursday.  When I woke Friday I had fever which could have been vaccine response but I am exhausted and coughing and have no stamina.  I also have chills."  Patient declined to be seen for further evaluation, stating he had "turned the corner".
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, COVID-19, Computerised tomogram abdomen abnormal, Condition aggravated, Constipation
Clinical narrative: Patient with history of COVID vaccines who was hospitalized and had a COVID detected PCR during stay.  Provider d/c note:  "82 y/o female patient with PMH significant for HTN, hyperlipidemia, Sjogren's syndrome, malignant lung ca, CVA, pessary placement, recurrent UTI, who  presents with complaint of moderate, constant, non-radiating, dull abdominal pain associated with nausea and vomiting which started this morning. She vomited once since the onset of pain. Patient denies any food triggers but admits to constipation since midnight last night. Patient's spouse at bedside who states that he tried to treat the pain with otc medications without relief. He also tried to use fleet enema for constipation with no relief either. Denies fever, chills, chest pain, shortness of breath, melena, dysuria, urinary urgency, low back pain, loss of appetite, weakness, dizziness, headaches. Admits to lack of fluid intake.  Spouse also reports patient's recurrent UTI with no urinary symptoms but presence of altered mental status. Patient is a, a & o x 3, coherent, in no acute distress. Still complains of mild generalized abdominal pain but denies nausea or vomiting currently.     CT showed suspicion for a possible strangulated hernia in addition to possible ischemic colitis and she was taken to the OR for exploratory laparotomy. She underwent an open small bowel resection with anastomosis secondary to internal hernia containing strangulated small bowel. She tolerated surgery and recovery well receiving antibiotics for both this and a UTI. She did well with rehab initially and gradual increase in food and was recommended to return home however at the time of discharge was incidentally found to be covid positive. Patient sustained deconditioning and therapy recommendations changed to Pine Ridge however patient consistently worked with PT/OT during isolation period and was ultimately strong enough to return home. She will follow up with Surgery in the outpatient setting. She will also receive PT/OT and home care at home."
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Enema administration, Explorative laparotomy, Fluid intake reduced, Internal hernia, Intestinal strangulation
Clinical narrative: Patient with history of COVID vaccines who was hospitalized and had a COVID detected PCR during stay.  Provider d/c note:  "82 y/o female patient with PMH significant for HTN, hyperlipidemia, Sjogren's syndrome, malignant lung ca, CVA, pessary placement, recurrent UTI, who  presents with complaint of moderate, constant, non-radiating, dull abdominal pain associated with nausea and vomiting which started this morning. She vomited once since the onset of pain. Patient denies any food triggers but admits to constipation since midnight last night. Patient's spouse at bedside who states that he tried to treat the pain with otc medications without relief. He also tried to use fleet enema for constipation with no relief either. Denies fever, chills, chest pain, shortness of breath, melena, dysuria, urinary urgency, low back pain, loss of appetite, weakness, dizziness, headaches. Admits to lack of fluid intake.  Spouse also reports patient's recurrent UTI with no urinary symptoms but presence of altered mental status. Patient is a, a & o x 3, coherent, in no acute distress. Still complains of mild generalized abdominal pain but denies nausea or vomiting currently.     CT showed suspicion for a possible strangulated hernia in addition to possible ischemic colitis and she was taken to the OR for exploratory laparotomy. She underwent an open small bowel resection with anastomosis secondary to internal hernia containing strangulated small bowel. She tolerated surgery and recovery well receiving antibiotics for both this and a UTI. She did well with rehab initially and gradual increase in food and was recommended to return home however at the time of discharge was incidentally found to be covid positive. Patient sustained deconditioning and therapy recommendations changed to Pine Ridge however patient consistently worked with PT/OT during isolation period and was ultimately strong enough to return home. She will follow up with Surgery in the outpatient setting. She will also receive PT/OT and home care at home."
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Mental status changes, Nausea, Pain, Physical deconditioning, SARS-CoV-2 test positive
Clinical narrative: Patient with history of COVID vaccines who was hospitalized and had a COVID detected PCR during stay.  Provider d/c note:  "82 y/o female patient with PMH significant for HTN, hyperlipidemia, Sjogren's syndrome, malignant lung ca, CVA, pessary placement, recurrent UTI, who  presents with complaint of moderate, constant, non-radiating, dull abdominal pain associated with nausea and vomiting which started this morning. She vomited once since the onset of pain. Patient denies any food triggers but admits to constipation since midnight last night. Patient's spouse at bedside who states that he tried to treat the pain with otc medications without relief. He also tried to use fleet enema for constipation with no relief either. Denies fever, chills, chest pain, shortness of breath, melena, dysuria, urinary urgency, low back pain, loss of appetite, weakness, dizziness, headaches. Admits to lack of fluid intake.  Spouse also reports patient's recurrent UTI with no urinary symptoms but presence of altered mental status. Patient is a, a & o x 3, coherent, in no acute distress. Still complains of mild generalized abdominal pain but denies nausea or vomiting currently.     CT showed suspicion for a possible strangulated hernia in addition to possible ischemic colitis and she was taken to the OR for exploratory laparotomy. She underwent an open small bowel resection with anastomosis secondary to internal hernia containing strangulated small bowel. She tolerated surgery and recovery well receiving antibiotics for both this and a UTI. She did well with rehab initially and gradual increase in food and was recommended to return home however at the time of discharge was incidentally found to be covid positive. Patient sustained deconditioning and therapy recommendations changed to Pine Ridge however patient consistently worked with PT/OT during isolation period and was ultimately strong enough to return home. She will follow up with Surgery in the outpatient setting. She will also receive PT/OT and home care at home."
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Small intestinal anastomosis, Small intestinal resection, Urinary tract infection, Vomiting
Clinical narrative: Patient with history of COVID vaccines who was hospitalized and had a COVID detected PCR during stay.  Provider d/c note:  "82 y/o female patient with PMH significant for HTN, hyperlipidemia, Sjogren's syndrome, malignant lung ca, CVA, pessary placement, recurrent UTI, who  presents with complaint of moderate, constant, non-radiating, dull abdominal pain associated with nausea and vomiting which started this morning. She vomited once since the onset of pain. Patient denies any food triggers but admits to constipation since midnight last night. Patient's spouse at bedside who states that he tried to treat the pain with otc medications without relief. He also tried to use fleet enema for constipation with no relief either. Denies fever, chills, chest pain, shortness of breath, melena, dysuria, urinary urgency, low back pain, loss of appetite, weakness, dizziness, headaches. Admits to lack of fluid intake.  Spouse also reports patient's recurrent UTI with no urinary symptoms but presence of altered mental status. Patient is a, a & o x 3, coherent, in no acute distress. Still complains of mild generalized abdominal pain but denies nausea or vomiting currently.     CT showed suspicion for a possible strangulated hernia in addition to possible ischemic colitis and she was taken to the OR for exploratory laparotomy. She underwent an open small bowel resection with anastomosis secondary to internal hernia containing strangulated small bowel. She tolerated surgery and recovery well receiving antibiotics for both this and a UTI. She did well with rehab initially and gradual increase in food and was recommended to return home however at the time of discharge was incidentally found to be covid positive. Patient sustained deconditioning and therapy recommendations changed to Pine Ridge however patient consistently worked with PT/OT during isolation period and was ultimately strong enough to return home. She will follow up with Surgery in the outpatient setting. She will also receive PT/OT and home care at home."
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood culture negative, COVID-19, Cellulitis, Chest X-ray normal, Cough
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "79 YO female that presented to the ED with c/o right leg pain. Patient reports she has been dealing with a leg wound since the holiday. She went to her primary doctor and was given abx. Unable to recall which abx. She finished the course last week but has been having increasing swelling and pain in the right leg. Making it difficult for her to get around at home. She reports yesterday she could barely walk. She took some tylenol at home which seem to help for some time. Pain is throbbing and goes down to her foot. She has been using a walker to get around lately due to pain in leg. She reports pain is much better now and is able to walk. Patient was found to have Covid. She tested on the 15th. She reports nonproductive cough, congestion and intermittent wheezing . Patient is not sure of hx of COPD or CHF. Reports albuterol inhaler use at home. She admits to smoking a cigarrete to half a pack depending on the activities of the day. She denies fever, chills, malaise. She denies chest pain, nausea, vomiting.   Hospital Course: No notes on file patient is a 79yr old female with a history of HTN, HLD, CKD, Anxiety who presented with Right leg pain and swelling.She says symptoms started since the holiday when part of her crockpot fell and pierced her leg causing a wound.    Sepsis secondary to RLE Wound Cellulitis - Wound non-healing since the holiday, apparently failed outpatient abx. Blood culture no growth 2 days, wound culture growing staph epidermidis and pseudomonas aureginosa. Wound care on board. She received IV Vancomycin and IV cefepime day#2. MRSA nares negative. Will discharge on keflex to complete 7 days of treatment.    Right lateral leg: Cleanse with normal saline. Apply Therahoney to wound bed. Cut Maxorb II (calcium alginate) to size of wound bed and place over Therahoney. Secure with Optifoam Gentle. Change Monday, Wednesday, Friday, and as needed.   Active Problem: Incidental Covid finding - No overt sign of respiratory distress or xray findings suggestive of covid so no indication for covid directed treatment. Will continue to monitor."
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Culture wound positive, Gait disturbance, Impaired healing, Limb injury, Mobility decreased
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "79 YO female that presented to the ED with c/o right leg pain. Patient reports she has been dealing with a leg wound since the holiday. She went to her primary doctor and was given abx. Unable to recall which abx. She finished the course last week but has been having increasing swelling and pain in the right leg. Making it difficult for her to get around at home. She reports yesterday she could barely walk. She took some tylenol at home which seem to help for some time. Pain is throbbing and goes down to her foot. She has been using a walker to get around lately due to pain in leg. She reports pain is much better now and is able to walk. Patient was found to have Covid. She tested on the 15th. She reports nonproductive cough, congestion and intermittent wheezing . Patient is not sure of hx of COPD or CHF. Reports albuterol inhaler use at home. She admits to smoking a cigarrete to half a pack depending on the activities of the day. She denies fever, chills, malaise. She denies chest pain, nausea, vomiting.   Hospital Course: No notes on file patient is a 79yr old female with a history of HTN, HLD, CKD, Anxiety who presented with Right leg pain and swelling.She says symptoms started since the holiday when part of her crockpot fell and pierced her leg causing a wound.    Sepsis secondary to RLE Wound Cellulitis - Wound non-healing since the holiday, apparently failed outpatient abx. Blood culture no growth 2 days, wound culture growing staph epidermidis and pseudomonas aureginosa. Wound care on board. She received IV Vancomycin and IV cefepime day#2. MRSA nares negative. Will discharge on keflex to complete 7 days of treatment.    Right lateral leg: Cleanse with normal saline. Apply Therahoney to wound bed. Cut Maxorb II (calcium alginate) to size of wound bed and place over Therahoney. Secure with Optifoam Gentle. Change Monday, Wednesday, Friday, and as needed.   Active Problem: Incidental Covid finding - No overt sign of respiratory distress or xray findings suggestive of covid so no indication for covid directed treatment. Will continue to monitor."
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain, Pain in extremity, Peripheral swelling, Pseudomonas test positive, Respiratory tract congestion
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "79 YO female that presented to the ED with c/o right leg pain. Patient reports she has been dealing with a leg wound since the holiday. She went to her primary doctor and was given abx. Unable to recall which abx. She finished the course last week but has been having increasing swelling and pain in the right leg. Making it difficult for her to get around at home. She reports yesterday she could barely walk. She took some tylenol at home which seem to help for some time. Pain is throbbing and goes down to her foot. She has been using a walker to get around lately due to pain in leg. She reports pain is much better now and is able to walk. Patient was found to have Covid. She tested on the 15th. She reports nonproductive cough, congestion and intermittent wheezing . Patient is not sure of hx of COPD or CHF. Reports albuterol inhaler use at home. She admits to smoking a cigarrete to half a pack depending on the activities of the day. She denies fever, chills, malaise. She denies chest pain, nausea, vomiting.   Hospital Course: No notes on file patient is a 79yr old female with a history of HTN, HLD, CKD, Anxiety who presented with Right leg pain and swelling.She says symptoms started since the holiday when part of her crockpot fell and pierced her leg causing a wound.    Sepsis secondary to RLE Wound Cellulitis - Wound non-healing since the holiday, apparently failed outpatient abx. Blood culture no growth 2 days, wound culture growing staph epidermidis and pseudomonas aureginosa. Wound care on board. She received IV Vancomycin and IV cefepime day#2. MRSA nares negative. Will discharge on keflex to complete 7 days of treatment.    Right lateral leg: Cleanse with normal saline. Apply Therahoney to wound bed. Cut Maxorb II (calcium alginate) to size of wound bed and place over Therahoney. Secure with Optifoam Gentle. Change Monday, Wednesday, Friday, and as needed.   Active Problem: Incidental Covid finding - No overt sign of respiratory distress or xray findings suggestive of covid so no indication for covid directed treatment. Will continue to monitor."
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis, Staphylococcus test negative, Staphylococcus test positive, Tobacco user
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "79 YO female that presented to the ED with c/o right leg pain. Patient reports she has been dealing with a leg wound since the holiday. She went to her primary doctor and was given abx. Unable to recall which abx. She finished the course last week but has been having increasing swelling and pain in the right leg. Making it difficult for her to get around at home. She reports yesterday she could barely walk. She took some tylenol at home which seem to help for some time. Pain is throbbing and goes down to her foot. She has been using a walker to get around lately due to pain in leg. She reports pain is much better now and is able to walk. Patient was found to have Covid. She tested on the 15th. She reports nonproductive cough, congestion and intermittent wheezing . Patient is not sure of hx of COPD or CHF. Reports albuterol inhaler use at home. She admits to smoking a cigarrete to half a pack depending on the activities of the day. She denies fever, chills, malaise. She denies chest pain, nausea, vomiting.   Hospital Course: No notes on file patient is a 79yr old female with a history of HTN, HLD, CKD, Anxiety who presented with Right leg pain and swelling.She says symptoms started since the holiday when part of her crockpot fell and pierced her leg causing a wound.    Sepsis secondary to RLE Wound Cellulitis - Wound non-healing since the holiday, apparently failed outpatient abx. Blood culture no growth 2 days, wound culture growing staph epidermidis and pseudomonas aureginosa. Wound care on board. She received IV Vancomycin and IV cefepime day#2. MRSA nares negative. Will discharge on keflex to complete 7 days of treatment.    Right lateral leg: Cleanse with normal saline. Apply Therahoney to wound bed. Cut Maxorb II (calcium alginate) to size of wound bed and place over Therahoney. Secure with Optifoam Gentle. Change Monday, Wednesday, Friday, and as needed.   Active Problem: Incidental Covid finding - No overt sign of respiratory distress or xray findings suggestive of covid so no indication for covid directed treatment. Will continue to monitor."
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Walking aid user, Wheezing
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "79 YO female that presented to the ED with c/o right leg pain. Patient reports she has been dealing with a leg wound since the holiday. She went to her primary doctor and was given abx. Unable to recall which abx. She finished the course last week but has been having increasing swelling and pain in the right leg. Making it difficult for her to get around at home. She reports yesterday she could barely walk. She took some tylenol at home which seem to help for some time. Pain is throbbing and goes down to her foot. She has been using a walker to get around lately due to pain in leg. She reports pain is much better now and is able to walk. Patient was found to have Covid. She tested on the 15th. She reports nonproductive cough, congestion and intermittent wheezing . Patient is not sure of hx of COPD or CHF. Reports albuterol inhaler use at home. She admits to smoking a cigarrete to half a pack depending on the activities of the day. She denies fever, chills, malaise. She denies chest pain, nausea, vomiting.   Hospital Course: No notes on file patient is a 79yr old female with a history of HTN, HLD, CKD, Anxiety who presented with Right leg pain and swelling.She says symptoms started since the holiday when part of her crockpot fell and pierced her leg causing a wound.    Sepsis secondary to RLE Wound Cellulitis - Wound non-healing since the holiday, apparently failed outpatient abx. Blood culture no growth 2 days, wound culture growing staph epidermidis and pseudomonas aureginosa. Wound care on board. She received IV Vancomycin and IV cefepime day#2. MRSA nares negative. Will discharge on keflex to complete 7 days of treatment.    Right lateral leg: Cleanse with normal saline. Apply Therahoney to wound bed. Cut Maxorb II (calcium alginate) to size of wound bed and place over Therahoney. Secure with Optifoam Gentle. Change Monday, Wednesday, Friday, and as needed.   Active Problem: Incidental Covid finding - No overt sign of respiratory distress or xray findings suggestive of covid so no indication for covid directed treatment. Will continue to monitor."
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: On 10/08/2022 I received my Covid-19 vaccine. On 12/30/2022 I was having a cough and fever. I reached out to my doctor I was prescribed PAXLOVID. Symptoms lasted a few days and then I felt better.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: Death
Clinical narrative: PATIENT EXPIRED ON 12/22/2022
Age: 1.25
Sex: U
Vaccine: DTAP
Symptoms: Product dose omission issue
Clinical narrative: Pt was to be given dtap hib combo vaccine. Only dtap was administered.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient presents with rash to face and neck one day after vaccine
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration, Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was given Pfizer Bivalent 2/23/23. The nurse was unaware that patient had a Moderna Bivalent 9/18/22. Patient monitored with no adverse reaction. Discussion with patient in regards to extra dose.
Sex: M
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The 6+ months influenza vaccine was given to a 30-minute old neonate in error. Infant monitored and was afebrile for the next roughly 40 hours.
Age: 85.0
Sex: M
Vaccine: COVID19-2
Symptoms: Immunisation reaction, Injection site bruising
Clinical narrative: Patient's step-daughter came in stating that the patient had experienced an adverse affect from the vaccination he received on 02/14/23. She noted that his arm around the location of the shot "turned black and blue." Did not note any swelling or unusual pain associated with the injection.  She said her father wrapped the area with a bandage. The patient did not come to the pharmacy.
Age: 0.92
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was pulled from the freezer to the fridge on 1/5/2023. There were no temperature excursions, however when vaccine was given the vaccine was in the fridge outside of recommended duration.
Age: 7.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Outdated vaccine given to the patient
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac disorder, Ear disorder, Echocardiogram abnormal, Heart rate abnormal, Mitral valve incompetence
Clinical narrative: PCP discovered heart rate abnormalities during an examination for an ear issue. Doctor referred to a cardiologist and sought an Echo Cardiogram. Non rheumatic mitral valve insufficiency and non-rheumatic tricuspid valve insufficiency, pulmonary hypertension due to left heart disease is official diagnosis. Participant is due for continued tests in the next few weeks.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary hypertension, Tricuspid valve incompetence
Clinical narrative: PCP discovered heart rate abnormalities during an examination for an ear issue. Doctor referred to a cardiologist and sought an Echo Cardiogram. Non rheumatic mitral valve insufficiency and non-rheumatic tricuspid valve insufficiency, pulmonary hypertension due to left heart disease is official diagnosis. Participant is due for continued tests in the next few weeks.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Blindness unilateral, Blood pressure inadequately controlled, COVID-19, Cardiac function test, Dizziness
Clinical narrative: Since the vaccine I have had extremely loud ringing in my ears, blood pressure has been dangerously high and somewhat uncontrollable, I am dizzy a lot, suffered loss of vision in right eye on two occasions for a few seconds, constantly tired. I also suffered 2 TIA's, and a heart attack. I was doing fine prior to the vaccine.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Hypertension, Laboratory test, Myocardial infarction, Tinnitus
Clinical narrative: Since the vaccine I have had extremely loud ringing in my ears, blood pressure has been dangerously high and somewhat uncontrollable, I am dizzy a lot, suffered loss of vision in right eye on two occasions for a few seconds, constantly tired. I also suffered 2 TIA's, and a heart attack. I was doing fine prior to the vaccine.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Transient ischaemic attack
Clinical narrative: Since the vaccine I have had extremely loud ringing in my ears, blood pressure has been dangerously high and somewhat uncontrollable, I am dizzy a lot, suffered loss of vision in right eye on two occasions for a few seconds, constantly tired. I also suffered 2 TIA's, and a heart attack. I was doing fine prior to the vaccine.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: Patient was given vaccine and Nurse did not know that patient received bivalent vaccine already in September. Patient did not disclose that they already had this vaccine. No documentation provided about it
Age: 0.5
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was pulled from the freezer to the fridge on 1/5/2023. There were no temperature excursions, however when vaccine was given the vaccine was in the fridge outside of recommended duration.
Age: 56.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Extra dose administered
Clinical narrative: PT RECEIVED INFLUENZA VACCINE ON 11/14/2022. A HISTORICAL INFLUENZA VACCINE WAS RECORDED IN PATIENT'S CHART AS ADMINISTERED FOR 11/01/2022.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Lymphadenopathy, Mammogram normal
Clinical narrative: I received the Covid 19 booster shot (my first and only booster) on 12/7/21 and on 12/9/21 my lymph nodes were swollen in my armpit. After a couple weeks I went to see my PCP and she suggested warm compresses and Advil or something similar. My lymph nodes were not sticking out, but it is what we called "full" basically just swollen. A few weeks and nothing worked so she sent me for tests.
Age: 36.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Alopecia, Antinuclear antibody positive, Arthralgia, Autoimmune disorder, Blood test
Clinical narrative: Since vaccinated, I have had ongoing joint pain which started in my right hip. A couple months following the joint pain I developed a rash on my forehead. I saw a dermatologist who prescribed antibiotics. I saw a provider for my hip/joint paid who said I most like had bursitis or inflamation. I stopped my regular exercising and started yoga something a little less intense. I have been healthy up until I was vaccinated. My symptoms have gradually gotten worse. I now have joint pain in both hips, have a hard time sleeping at night because my body aches so much. The rash on my forehead has not gone away and its been a year. I started losing clumps of hair for approx. three months. I wake up with severe headaches almost daily and nothing will take them away, no relief from Ibprophen or Tylenol. I have done an MRI on my hip and no findings. I dont feel like myself. I have sever brain fog, sometimes I forget how to do tasks i have been doing for months. I went to my physcian again who ran some blood work and my ANA came back positiive. Its clear i have an autimmune response and severe inflamation going on. I have tried several things and nothing helps. I am really at a loss as to what to do. I was a perfectly healthy 50 year old working out at the gym 4 times a week and have never had joint pain. Now I dont go through a single day without join pain, headaches, brain fog and feeling fatigued.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Bursitis, Exercise tolerance decreased, Fatigue, Feeling abnormal, Headache
Clinical narrative: Since vaccinated, I have had ongoing joint pain which started in my right hip. A couple months following the joint pain I developed a rash on my forehead. I saw a dermatologist who prescribed antibiotics. I saw a provider for my hip/joint paid who said I most like had bursitis or inflamation. I stopped my regular exercising and started yoga something a little less intense. I have been healthy up until I was vaccinated. My symptoms have gradually gotten worse. I now have joint pain in both hips, have a hard time sleeping at night because my body aches so much. The rash on my forehead has not gone away and its been a year. I started losing clumps of hair for approx. three months. I wake up with severe headaches almost daily and nothing will take them away, no relief from Ibprophen or Tylenol. I have done an MRI on my hip and no findings. I dont feel like myself. I have sever brain fog, sometimes I forget how to do tasks i have been doing for months. I went to my physcian again who ran some blood work and my ANA came back positiive. Its clear i have an autimmune response and severe inflamation going on. I have tried several things and nothing helps. I am really at a loss as to what to do. I was a perfectly healthy 50 year old working out at the gym 4 times a week and have never had joint pain. Now I dont go through a single day without join pain, headaches, brain fog and feeling fatigued.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Inflammation, Insomnia, Laboratory test normal, Magnetic resonance imaging normal, Memory impairment
Clinical narrative: Since vaccinated, I have had ongoing joint pain which started in my right hip. A couple months following the joint pain I developed a rash on my forehead. I saw a dermatologist who prescribed antibiotics. I saw a provider for my hip/joint paid who said I most like had bursitis or inflamation. I stopped my regular exercising and started yoga something a little less intense. I have been healthy up until I was vaccinated. My symptoms have gradually gotten worse. I now have joint pain in both hips, have a hard time sleeping at night because my body aches so much. The rash on my forehead has not gone away and its been a year. I started losing clumps of hair for approx. three months. I wake up with severe headaches almost daily and nothing will take them away, no relief from Ibprophen or Tylenol. I have done an MRI on my hip and no findings. I dont feel like myself. I have sever brain fog, sometimes I forget how to do tasks i have been doing for months. I went to my physcian again who ran some blood work and my ANA came back positiive. Its clear i have an autimmune response and severe inflamation going on. I have tried several things and nothing helps. I am really at a loss as to what to do. I was a perfectly healthy 50 year old working out at the gym 4 times a week and have never had joint pain. Now I dont go through a single day without join pain, headaches, brain fog and feeling fatigued.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain, Rash
Clinical narrative: Since vaccinated, I have had ongoing joint pain which started in my right hip. A couple months following the joint pain I developed a rash on my forehead. I saw a dermatologist who prescribed antibiotics. I saw a provider for my hip/joint paid who said I most like had bursitis or inflamation. I stopped my regular exercising and started yoga something a little less intense. I have been healthy up until I was vaccinated. My symptoms have gradually gotten worse. I now have joint pain in both hips, have a hard time sleeping at night because my body aches so much. The rash on my forehead has not gone away and its been a year. I started losing clumps of hair for approx. three months. I wake up with severe headaches almost daily and nothing will take them away, no relief from Ibprophen or Tylenol. I have done an MRI on my hip and no findings. I dont feel like myself. I have sever brain fog, sometimes I forget how to do tasks i have been doing for months. I went to my physcian again who ran some blood work and my ANA came back positiive. Its clear i have an autimmune response and severe inflamation going on. I have tried several things and nothing helps. I am really at a loss as to what to do. I was a perfectly healthy 50 year old working out at the gym 4 times a week and have never had joint pain. Now I dont go through a single day without join pain, headaches, brain fog and feeling fatigued.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Cardio-respiratory arrest, Congestive cardiomyopathy, Death, Laboratory test, Malaise
Clinical narrative: Patient didn't experience anything abnormal. Common symptoms. However, patient took ill around Oct. 2021 and on 29th, legs were swollen. Went to urgent care several times and went to doctor on the 3rd. Mouth was full of blood on 11/4 and was rushed to ER. Was admitted and test were ran. They told parents to take him home after slight improvement and later that night he coded and died. Hospital thought he would've been fine. Mother claims they were shocked he died.  Urgent care ruled out an enlarged heart with possible pneumonia and pulmonary embolism. Medical examiner's report states dilated cardiomyopathy.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Mouth haemorrhage, Peripheral swelling
Clinical narrative: Patient didn't experience anything abnormal. Common symptoms. However, patient took ill around Oct. 2021 and on 29th, legs were swollen. Went to urgent care several times and went to doctor on the 3rd. Mouth was full of blood on 11/4 and was rushed to ER. Was admitted and test were ran. They told parents to take him home after slight improvement and later that night he coded and died. Hospital thought he would've been fine. Mother claims they were shocked he died.  Urgent care ruled out an enlarged heart with possible pneumonia and pulmonary embolism. Medical examiner's report states dilated cardiomyopathy.
Age: 12.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: No known adverse effects, treatment, or outcomes.
Age: 59.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration
Age: 5.0
Sex: F
Vaccine: UNK
Symptoms: Decreased appetite, Eye swelling, Lethargy, Periorbital swelling, Pyrexia
Clinical narrative: Left leg issues, fever on and off, rash on abdominal area, hives, fever, rash, eyes puffy and swollen, loss of appetite, lethargic
Age: 5.0
Sex: F
Vaccine: UNK
Symptoms: Rash
Clinical narrative: Left leg issues, fever on and off, rash on abdominal area, hives, fever, rash, eyes puffy and swollen, loss of appetite, lethargic
Age: 12.0
Sex: M
Vaccine: COVID19-2, FLU4, HPV9
Symptoms: No adverse event
Clinical narrative: No known adverse effects, treatment, or outcomes.
Age: 18.0
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: COVID19
Symptoms: Swelling face
Clinical narrative: After last vaccines on 1/12/2023 the next day he woke up with a swollen face. He had received Dtap-IPV,  MMRV, flu, and covid#1 on that day. He had a swollen face, slowly decreased through the day. No trouble breathing, no lip/tongue swelling, no wheezing, no vomiting. Normal oral intake and energy that day. Slowly resolved over the day. No hives. No fever. No other symptoms.  Since he did not have symptoms of anaphylaxis and I am unsure which vaccine caused the facial swelling or if it was from something unrelated to the vaccines, I believe it is okay to go ahead with his second covid vaccine today. Mom is in agreement, and will let us know if he experiences any adverse reactions. I will ask the nurses to report his reaction to the last set of vaccines.
Age: 61.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration
Age: 12.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: No adverse event
Clinical narrative: No known adverse effects, treatment, or outcomes.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I took an administered COVID-19 on 10/29/2022 for a cruise I was going on. That came back negative. I then tested positive for COVID-19 on 11/01/2022. It started with a very runny nose and some sneezing and a little chest congestion on 10/31/2022. Then what I was most troubled by was a very sore throat in the morning and that lasted for about 3 days. I simply treated it with throat lozenges. Luckily the symptoms were mild. After 5 days, I was fine.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: I took an administered COVID-19 on 10/29/2022 for a cruise I was going on. That came back negative. I then tested positive for COVID-19 on 11/01/2022. It started with a very runny nose and some sneezing and a little chest congestion on 10/31/2022. Then what I was most troubled by was a very sore throat in the morning and that lasted for about 3 days. I simply treated it with throat lozenges. Luckily the symptoms were mild. After 5 days, I was fine.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: patient hospitalized
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient currently not experiencing any side effects. Patient wanted bivalent but was given monovalent as a booster instead.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: PT EXPIRED ON 01/03/2023
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: patient hospitalized