chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cardiac failure acute, Cardiac failure congestive, Condition aggravated
Clinical narrative: PRESENTING PROBLEM: Acute respiratory insufficiency COVID-19 Sepsis due to COVID-19   HOSPITAL COURSE: Patient is a 91 y.o. male who presented with symptoms of cough, shortness of breath and vomiting overnight. His wife urged him to come in. He repeatedly says he is fine and not sick. He eventually admits that he was having difficulty catching his breath when he was outside hunting. This has been going on for about a week. His wife also says that he has been complaining of fatigue over the past week as well. He denies diarrhea, fevers, sweats or chills. He was using his albuterol more than usual during the last day but was not using his spacer. He usually doesn't need to use his albuterol at all and only uses Dulera regularly. His shortness of breath worsened at night that led to post-tussive emesis. He started feeling much better after having duo-nebs at the hospital. He still desatted to 89% when ambulating which is not normal for him. He was also slightly tachycardic in the ER, but he did not take his metoprolol this morning in fear he would throw it up. He was discharge the next morning as he remained in improved condition without shortness of breath after being shown to use his spacer with his albuterol inhaler.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Convalescent plasma transfusion, Dyspnoea, Dysuria, Echocardiogram abnormal, Ejection fraction
Clinical narrative: PRESENTING PROBLEM: Acute respiratory insufficiency COVID-19 Sepsis due to COVID-19   HOSPITAL COURSE: Patient is a 91 y.o. male who presented with symptoms of cough, shortness of breath and vomiting overnight. His wife urged him to come in. He repeatedly says he is fine and not sick. He eventually admits that he was having difficulty catching his breath when he was outside hunting. This has been going on for about a week. His wife also says that he has been complaining of fatigue over the past week as well. He denies diarrhea, fevers, sweats or chills. He was using his albuterol more than usual during the last day but was not using his spacer. He usually doesn't need to use his albuterol at all and only uses Dulera regularly. His shortness of breath worsened at night that led to post-tussive emesis. He started feeling much better after having duo-nebs at the hospital. He still desatted to 89% when ambulating which is not normal for him. He was also slightly tachycardic in the ER, but he did not take his metoprolol this morning in fear he would throw it up. He was discharge the next morning as he remained in improved condition without shortness of breath after being shown to use his spacer with his albuterol inhaler.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Follicular lymphoma, General physical health deterioration, Hypertension, Hypophagia, Hypotension
Clinical narrative: PRESENTING PROBLEM: Acute respiratory insufficiency COVID-19 Sepsis due to COVID-19   HOSPITAL COURSE: Patient is a 91 y.o. male who presented with symptoms of cough, shortness of breath and vomiting overnight. His wife urged him to come in. He repeatedly says he is fine and not sick. He eventually admits that he was having difficulty catching his breath when he was outside hunting. This has been going on for about a week. His wife also says that he has been complaining of fatigue over the past week as well. He denies diarrhea, fevers, sweats or chills. He was using his albuterol more than usual during the last day but was not using his spacer. He usually doesn't need to use his albuterol at all and only uses Dulera regularly. His shortness of breath worsened at night that led to post-tussive emesis. He started feeling much better after having duo-nebs at the hospital. He still desatted to 89% when ambulating which is not normal for him. He was also slightly tachycardic in the ER, but he did not take his metoprolol this morning in fear he would throw it up. He was discharge the next morning as he remained in improved condition without shortness of breath after being shown to use his spacer with his albuterol inhaler.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Immunodeficiency, Left ventricular failure, Lung infiltration, Magnetic resonance imaging head normal, Magnetic resonance imaging normal
Clinical narrative: PRESENTING PROBLEM: Acute respiratory insufficiency COVID-19 Sepsis due to COVID-19   HOSPITAL COURSE: Patient is a 91 y.o. male who presented with symptoms of cough, shortness of breath and vomiting overnight. His wife urged him to come in. He repeatedly says he is fine and not sick. He eventually admits that he was having difficulty catching his breath when he was outside hunting. This has been going on for about a week. His wife also says that he has been complaining of fatigue over the past week as well. He denies diarrhea, fevers, sweats or chills. He was using his albuterol more than usual during the last day but was not using his spacer. He usually doesn't need to use his albuterol at all and only uses Dulera regularly. His shortness of breath worsened at night that led to post-tussive emesis. He started feeling much better after having duo-nebs at the hospital. He still desatted to 89% when ambulating which is not normal for him. He was also slightly tachycardic in the ER, but he did not take his metoprolol this morning in fear he would throw it up. He was discharge the next morning as he remained in improved condition without shortness of breath after being shown to use his spacer with his albuterol inhaler.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Malnutrition, Metabolic encephalopathy, Pyrexia, Right ventricular dilatation, SARS-CoV-2 test positive
Clinical narrative: PRESENTING PROBLEM: Acute respiratory insufficiency COVID-19 Sepsis due to COVID-19   HOSPITAL COURSE: Patient is a 91 y.o. male who presented with symptoms of cough, shortness of breath and vomiting overnight. His wife urged him to come in. He repeatedly says he is fine and not sick. He eventually admits that he was having difficulty catching his breath when he was outside hunting. This has been going on for about a week. His wife also says that he has been complaining of fatigue over the past week as well. He denies diarrhea, fevers, sweats or chills. He was using his albuterol more than usual during the last day but was not using his spacer. He usually doesn't need to use his albuterol at all and only uses Dulera regularly. His shortness of breath worsened at night that led to post-tussive emesis. He started feeling much better after having duo-nebs at the hospital. He still desatted to 89% when ambulating which is not normal for him. He was also slightly tachycardic in the ER, but he did not take his metoprolol this morning in fear he would throw it up. He was discharge the next morning as he remained in improved condition without shortness of breath after being shown to use his spacer with his albuterol inhaler.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Sepsis, Systolic dysfunction, Tachycardia, Tachypnoea
Clinical narrative: PRESENTING PROBLEM: Acute respiratory insufficiency COVID-19 Sepsis due to COVID-19   HOSPITAL COURSE: Patient is a 91 y.o. male who presented with symptoms of cough, shortness of breath and vomiting overnight. His wife urged him to come in. He repeatedly says he is fine and not sick. He eventually admits that he was having difficulty catching his breath when he was outside hunting. This has been going on for about a week. His wife also says that he has been complaining of fatigue over the past week as well. He denies diarrhea, fevers, sweats or chills. He was using his albuterol more than usual during the last day but was not using his spacer. He usually doesn't need to use his albuterol at all and only uses Dulera regularly. His shortness of breath worsened at night that led to post-tussive emesis. He started feeling much better after having duo-nebs at the hospital. He still desatted to 89% when ambulating which is not normal for him. He was also slightly tachycardic in the ER, but he did not take his metoprolol this morning in fear he would throw it up. He was discharge the next morning as he remained in improved condition without shortness of breath after being shown to use his spacer with his albuterol inhaler.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Pfizer monovalent vaccine was given to patient instead of ordered Pfizer bivalent vaccine.  Patient contacted and notified of error, advised they should receive bivalent booster 2 months after the incorrect monovalent dose.  PCP notified of error.  No signs or symptoms of adverse reaction reported by patient.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: an hour or two after vaccine small rash lumps appeared on wrist and hand, as day went on they went all over my body, by 5pm they were becoming larger and red.  They are a moderately painful and itchy. 24 hours laters I still have red rash all over my body, they mildly painful and itchy.  Took two 1/2 Benadryls upon going to bed.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Legionella test, Lung opacity
Clinical narrative: Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   ADMISSION AND DISCHARGE DIAGNOSES:  HOSPITAL COURSE:   COVID PNA Possible superimposed bacterial PNA. Elevated procalcitonin  - s/p 3 doses of IV Remdesivir course. On room air. Asymptomatic  - Treated with IV Rocephin and azithromycin. Home on Ceftin, doxy x 2 additional days  - Negative strep and Legionella antigens   Deconditioning  -PT/OT with recs for home with home health and PT    Chronic diastolic heart failure  HTN HLD  Depression  - Continue home meds    Mild cognitive impairment -A&O 2-3 at baseline -continue home meds    CKD III
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Physical deconditioning, Procalcitonin increased, Streptococcus test negative
Clinical narrative: Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   ADMISSION AND DISCHARGE DIAGNOSES:  HOSPITAL COURSE:   COVID PNA Possible superimposed bacterial PNA. Elevated procalcitonin  - s/p 3 doses of IV Remdesivir course. On room air. Asymptomatic  - Treated with IV Rocephin and azithromycin. Home on Ceftin, doxy x 2 additional days  - Negative strep and Legionella antigens   Deconditioning  -PT/OT with recs for home with home health and PT    Chronic diastolic heart failure  HTN HLD  Depression  - Continue home meds    Mild cognitive impairment -A&O 2-3 at baseline -continue home meds    CKD III
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: 09/11/22 That morning I wasn't feeling that well. I had very mild symptoms. I took a rapid antigen test, and it was positive. I spoke with my doctor, and she prescribed PAXLOVID. I began taking the PAXLOVID on 9/12/2022. My symptoms rapidly cleared and by the time I finished the PAXLOVID, my symptoms were gone and I felt fine.
Age: 6.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: The patient was accidentally administered the adult dose (0.5 ml) instead of the children dose (0.25 ml) of the bivalent Moderna booster vaccine. The parents were advised to monitor for increased adverse effects since the child received a higher than usual dose. So far, no adverse event has been reported by the parents.
Age: 4.0
Sex: M
Vaccine: FLU4, MMR
Symptoms: Erythema, Eyelid oedema, Peripheral swelling
Clinical narrative: Upper arm was red and swollen. He had right eyelid edema.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Angiogram normal, Anion gap, Blood glucose increased, Blood sodium normal, Computerised tomogram head normal
Clinical narrative: Presented with first time generalized tonic clonic seizure 11/23/22. Found in her bed with gurgling noises and shaking. Remained altered for over an hour with left gaze deviation and minimal responsiveness before slowly returning to baseline.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Gaze palsy, Generalised tonic-clonic seizure, Hyporesponsive to stimuli, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Presented with first time generalized tonic clonic seizure 11/23/22. Found in her bed with gurgling noises and shaking. Remained altered for over an hour with left gaze deviation and minimal responsiveness before slowly returning to baseline.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Laboratory test, Mental disorder, SARS-CoV-2 test negative, Tremor, White blood cell count increased
Clinical narrative: Presented with first time generalized tonic clonic seizure 11/23/22. Found in her bed with gurgling noises and shaking. Remained altered for over an hour with left gaze deviation and minimal responsiveness before slowly returning to baseline.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Lot FL8095 given on 10/4/2022.  After the fact was determined that lot was determined to expire 8/31/2022.  Stability data received from Pfizer stated product is ok until 4/4/2023.
Age: 0.42
Sex: F
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: flu vaccine given before the patient was 6 months of age
Age: 17.0
Sex: M
Vaccine: HEPA
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Vaccine error - administered 1 month early, due 12/27/2022
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Ear infection, Pain, Pyrexia
Clinical narrative: On 06/08/2022 in the morning around 8:00AM . I had fever, body aches, sinus congestion, and  difficulty  breathing. On 06/09/2022 I contacted my doctor he advised me to take over the counter medications and  if symptoms got worse to call him . On 06/29/2022 I went to the urgent care for an ear infection and  sinus infection due to COVID-19.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus congestion, Sinusitis
Clinical narrative: On 06/08/2022 in the morning around 8:00AM . I had fever, body aches, sinus congestion, and  difficulty  breathing. On 06/09/2022 I contacted my doctor he advised me to take over the counter medications and  if symptoms got worse to call him . On 06/29/2022 I went to the urgent care for an ear infection and  sinus infection due to COVID-19.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy uterus normal, Endometrial ablation, Heavy menstrual bleeding, Menstruation irregular, Ultrasound abdomen abnormal
Clinical narrative: Started having very heavy periods. I had a period that lasted 21 days, stopped for 4 days, and then started again. Ultrasound showed abnormal uterine growth. Surgery on 9/19/22 to remove growth and biopsy, and uterine ablation was completed at same time. Growth was benign.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Uterine operation
Clinical narrative: Started having very heavy periods. I had a period that lasted 21 days, stopped for 4 days, and then started again. Ultrasound showed abnormal uterine growth. Surgery on 9/19/22 to remove growth and biopsy, and uterine ablation was completed at same time. Growth was benign.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Breath sounds abnormal, Malaise, Pneumonia, Pyrexia
Clinical narrative: She came home from school 11/4/22 and she told me that she didn't feel well. She had a temperature and it continued the whole weekend. She stayed home from school 11/7/22 and school was closed for elections 11/8/22. On 11/8/22, she did not have a temperature for 24 hours so we sent her to school 11/9/22. We received a call from the school nurse that she had a fever again. I picked her up from school and called her pediatrician. They did not have any appointments available so I took her to an urgent care. There was no Covid-19 or flu swab done because of the length of time with her fever. The doctor listened to her lungs and noticed an imbalance. She did not order a chest x-ray, but diagnosed her with pneumonia and prescribed amoxicillin. She stayed home on 11/10/22 because she hadn't been fever free for 24 hours, but she did return to school on 11/11/22. As of today, she is feeling great. No cough, runny nose or lingering symptoms.
Age: 67.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Aphonia, COVID-19, Dysphonia, Exposure to communicable disease, Oropharyngeal pain
Clinical narrative: Was exposed to grandson on 07/11-11/11 and he was diagnosed with RSV. On 10/11 I became very hoarse, lost my voice, and horrible sore throat. I took cough meds and prednisone for my throat. After I completed the round of prednisone my sore throat returned and I developed congestion. At this time I took a COVID-19 test on 21/11 and tested positive. I called PCP and had telehealth visit and was prescribed PAXLOVID. Began taking PAXLOVID the evening of 11/21. Felt slightly better on the 11/22 and still feeling slightly better today.
Age: 67.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Was exposed to grandson on 07/11-11/11 and he was diagnosed with RSV. On 10/11 I became very hoarse, lost my voice, and horrible sore throat. I took cough meds and prednisone for my throat. After I completed the round of prednisone my sore throat returned and I developed congestion. At this time I took a COVID-19 test on 21/11 and tested positive. I called PCP and had telehealth visit and was prescribed PAXLOVID. Began taking PAXLOVID the evening of 11/21. Felt slightly better on the 11/22 and still feeling slightly better today.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Malaise, No adverse event, Respiratory tract congestion
Clinical narrative: I had no reaction to vaccine. I started feeling sick with a dry cough for a week prior to testing positive for COVID-19. Throughout the week, I tested multiple times for COVID-19 and each one was negative. I had a PCR test too and it was negative. On 07/10/2022, I tested positive with a home test for COVID-19. I went to an urgent care center and was given the prescription for PAXLOVID. It made the taste of my coffee icky. It knocked out the congestion in my chest fast and I did not rebound.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I had no reaction to vaccine. I started feeling sick with a dry cough for a week prior to testing positive for COVID-19. Throughout the week, I tested multiple times for COVID-19 and each one was negative. I had a PCR test too and it was negative. On 07/10/2022, I tested positive with a home test for COVID-19. I went to an urgent care center and was given the prescription for PAXLOVID. It made the taste of my coffee icky. It knocked out the congestion in my chest fast and I did not rebound.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Pulmonary artery thrombosis, Pulmonary thrombosis, Thrombosis
Clinical narrative: Blood clots in l leg, pulmonary arch, and lungs
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized with covid; fully vaccinated with booster
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, COVID-19, Hepatic enzyme increased, SARS-CoV-2 test positive
Clinical narrative: I had a temperature of 102 or 103 that lasted for three days I had to stay in bed for three days to care for myself the next three or four days I was not yet well and still recovering on day six although I still tested positive for COVID-19 I was feeling much better.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue
Clinical narrative: soreness in left shoulder, fatigue
Age: 34.0
Sex: M
Vaccine: FLUC4
Symptoms: Injection site pain, Multiple use of single-use product
Clinical narrative: Sore arm at the site of injection.  Was injected once, then pulled out by medical provider and injected again with same needle.
Age: 9.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Wrong immunization was given to patient. Age was determined wrong. No adverse reactions for patient.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Feeling abnormal, Nocturia, Oropharyngeal pain
Clinical narrative: About two weeks after I had vaccine on 11/19 woke up with nasal drip. 11/20 woke up still feeling poor, still had nasal drip, and was having fatigue. No fever but had body aches. Woke up on Monday 11/21 still feeling poor and had fever. Later in the day rechecked temperature and it was 101.4. Took at home test and it turned positive well before the 15. Called urgent care and was prescribed PAXLOVID. Began taking PAXLOVID Monday evening. On Monday I took TYLENOL twice for fever. Monday night I slept in the recliner and was able to rest. Tuesday still experiencing nasal drip and sore throat. Tuesday night woke up many times to urinate. Tired today due to several trips to restroom. Haven't checked fever recently but feel mildly feverish. Still have mild congestion, nasal drip, and sore throat.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: About two weeks after I had vaccine on 11/19 woke up with nasal drip. 11/20 woke up still feeling poor, still had nasal drip, and was having fatigue. No fever but had body aches. Woke up on Monday 11/21 still feeling poor and had fever. Later in the day rechecked temperature and it was 101.4. Took at home test and it turned positive well before the 15. Called urgent care and was prescribed PAXLOVID. Began taking PAXLOVID Monday evening. On Monday I took TYLENOL twice for fever. Monday night I slept in the recliner and was able to rest. Tuesday still experiencing nasal drip and sore throat. Tuesday night woke up many times to urinate. Tired today due to several trips to restroom. Haven't checked fever recently but feel mildly feverish. Still have mild congestion, nasal drip, and sore throat.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Sleep disorder
Clinical narrative: About two weeks after I had vaccine on 11/19 woke up with nasal drip. 11/20 woke up still feeling poor, still had nasal drip, and was having fatigue. No fever but had body aches. Woke up on Monday 11/21 still feeling poor and had fever. Later in the day rechecked temperature and it was 101.4. Took at home test and it turned positive well before the 15. Called urgent care and was prescribed PAXLOVID. Began taking PAXLOVID Monday evening. On Monday I took TYLENOL twice for fever. Monday night I slept in the recliner and was able to rest. Tuesday still experiencing nasal drip and sore throat. Tuesday night woke up many times to urinate. Tired today due to several trips to restroom. Haven't checked fever recently but feel mildly feverish. Still have mild congestion, nasal drip, and sore throat.
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pruritus, Urticaria
Clinical narrative: Diffuse urticaria covering most of upper body with patches on lower extremities.   Intense pruritis. Starting about a week after the bivalent vaccine.
Age: 8.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Client was at the COVID-19 clinic on 11-22-22 and was supposed to receive the Pfizer 5-11 bivalent booster, but the nurse accidently gave him the Pfizer 12+ bivalent booster instead.  The error was discovered when going through the paperwork/consents. The morning of 11-23-22 the state was contacted regarding the error and we immediately called the mom, to let her know as well. Mom said her son was at school and was feeling fine. We explained that he received a higher dose of the booster and to monitor for increased side effects/ response, but otherwise he should be fine and that it is a valid booster dose. We told her to call with any questions or concerns or to contact her provider. We also explained we would be completing a VAERS report due to the error.
Age: 45.0
Sex: M
Vaccine: HPV9
Symptoms: Arthralgia, Pain
Clinical narrative: shoulder pain per patient cannot lift arm without feeling pain. been taking ibuprofen without any help and has been over a month. will make appointment with dr after 11/25/2022
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Acute kidney injury, Aggression, Agitation, Asthenia
Clinical narrative: Patient is a 85 y.o. male patient of MD with history of coronary artery disease s/p bypass surgery LIMA to LAD and reverse saphenous vein graft to distal obtuse marginal 2006, nonsustained V. tach and atrial fibrillation, s/p ICD device, not on anticoagulation due to fall risk, Parkinson, diabetes mellitus on metformin, who presented to the emergency room with diarrhea, found to have AKI and COVID infection.   Patient was a history of Parkinson with a chronic generalized weakness, had 2 days history of weakness, fatigue, nausea, abdominal pain and subsequent diarrhea today, patient has mild cough, no shortness of breath, no phlegm production, no fever, no chills.  Patient fully vaccinated without booster   Acute kidney injury, on chronic kidney disease stage II Improved   Hallucinations and aggressive behavior Parkinson disease with behavioral disturbance Patient reported usual hallucinations due to his parkinson's  No hallucinations on 10/8 Consulted psych, appreciate input, started on olanzapine 2.5 mg daily for aggression and agitation, avoid halodol No hallucinations 10/12/22 Back to having hallucinations on 1/13 at night. Continue home Parkinson's medications, neurology consulted. Patient probably has poor long-term prognosis with advanced Parkinson's disease.  We will have palliative care evaluate the patient regarding goals of care.   Possible aspiration pneumonia Chest x-ray reviewed showing signs of aspiration pneumonia Has been started on IV cefepime, on discharge patient will be discharged on oral cefdinir. Diet modified per speech therapy: Ground/ NDD2, ground meats, Nectar thick liquids   Hypotension Resolved   Acute c-diff colitis, POA Continue p.o. vancomycin   Leukopenia Not sure about the etiology Can be due a combination of COVID and C-diff monitor     PVCs Hypokal and hypomag Replace and monitor Covid-19 Virus Infection-now out of isolation Date of onset of symptoms: 10/2/22 Symptoms present on admission: Diarrhea, decreased oral intake, nausea Date of covid positive test: 10/4/22 Vaccination status: vaccinated Imaging: Chest x-ray, pending Oxygen requirements on admission: 2 L  RA now Medical therapy: Dexamethasone, pateint is not hypoxic, stop dexamethazone Consultants following: None Anticipated special isolation end date: 10/14/22    Coronary artery disease s/p bypass surgery 2006 Aspirin, statin   Nonsustained V. Tach Atrial fibrillation S/p ICD device placement Continue 12.5 mg metoprolol twice daily Not on anticoagulation at home due to fall risk EF 57%   Diabetes mellitus, hold metformin given AKI and diarrhea Sliding scale insulin, diabetic diet   Acute metabolic encephalopathy Not sure about the etiology Colitis and COVID infection  Resolved   UTI Urine culture proteus susceptible to ceftriaxone Continue ceftriaxone   Dispo SNF
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Clostridium difficile colitis, Condition aggravated, Cough
Clinical narrative: Patient is a 85 y.o. male patient of MD with history of coronary artery disease s/p bypass surgery LIMA to LAD and reverse saphenous vein graft to distal obtuse marginal 2006, nonsustained V. tach and atrial fibrillation, s/p ICD device, not on anticoagulation due to fall risk, Parkinson, diabetes mellitus on metformin, who presented to the emergency room with diarrhea, found to have AKI and COVID infection.   Patient was a history of Parkinson with a chronic generalized weakness, had 2 days history of weakness, fatigue, nausea, abdominal pain and subsequent diarrhea today, patient has mild cough, no shortness of breath, no phlegm production, no fever, no chills.  Patient fully vaccinated without booster   Acute kidney injury, on chronic kidney disease stage II Improved   Hallucinations and aggressive behavior Parkinson disease with behavioral disturbance Patient reported usual hallucinations due to his parkinson's  No hallucinations on 10/8 Consulted psych, appreciate input, started on olanzapine 2.5 mg daily for aggression and agitation, avoid halodol No hallucinations 10/12/22 Back to having hallucinations on 1/13 at night. Continue home Parkinson's medications, neurology consulted. Patient probably has poor long-term prognosis with advanced Parkinson's disease.  We will have palliative care evaluate the patient regarding goals of care.   Possible aspiration pneumonia Chest x-ray reviewed showing signs of aspiration pneumonia Has been started on IV cefepime, on discharge patient will be discharged on oral cefdinir. Diet modified per speech therapy: Ground/ NDD2, ground meats, Nectar thick liquids   Hypotension Resolved   Acute c-diff colitis, POA Continue p.o. vancomycin   Leukopenia Not sure about the etiology Can be due a combination of COVID and C-diff monitor     PVCs Hypokal and hypomag Replace and monitor Covid-19 Virus Infection-now out of isolation Date of onset of symptoms: 10/2/22 Symptoms present on admission: Diarrhea, decreased oral intake, nausea Date of covid positive test: 10/4/22 Vaccination status: vaccinated Imaging: Chest x-ray, pending Oxygen requirements on admission: 2 L  RA now Medical therapy: Dexamethasone, pateint is not hypoxic, stop dexamethazone Consultants following: None Anticipated special isolation end date: 10/14/22    Coronary artery disease s/p bypass surgery 2006 Aspirin, statin   Nonsustained V. Tach Atrial fibrillation S/p ICD device placement Continue 12.5 mg metoprolol twice daily Not on anticoagulation at home due to fall risk EF 57%   Diabetes mellitus, hold metformin given AKI and diarrhea Sliding scale insulin, diabetic diet   Acute metabolic encephalopathy Not sure about the etiology Colitis and COVID infection  Resolved   UTI Urine culture proteus susceptible to ceftriaxone Continue ceftriaxone   Dispo SNF
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Culture urine, Diabetic diet, Diarrhoea, Fatigue, Hallucination
Clinical narrative: Patient is a 85 y.o. male patient of MD with history of coronary artery disease s/p bypass surgery LIMA to LAD and reverse saphenous vein graft to distal obtuse marginal 2006, nonsustained V. tach and atrial fibrillation, s/p ICD device, not on anticoagulation due to fall risk, Parkinson, diabetes mellitus on metformin, who presented to the emergency room with diarrhea, found to have AKI and COVID infection.   Patient was a history of Parkinson with a chronic generalized weakness, had 2 days history of weakness, fatigue, nausea, abdominal pain and subsequent diarrhea today, patient has mild cough, no shortness of breath, no phlegm production, no fever, no chills.  Patient fully vaccinated without booster   Acute kidney injury, on chronic kidney disease stage II Improved   Hallucinations and aggressive behavior Parkinson disease with behavioral disturbance Patient reported usual hallucinations due to his parkinson's  No hallucinations on 10/8 Consulted psych, appreciate input, started on olanzapine 2.5 mg daily for aggression and agitation, avoid halodol No hallucinations 10/12/22 Back to having hallucinations on 1/13 at night. Continue home Parkinson's medications, neurology consulted. Patient probably has poor long-term prognosis with advanced Parkinson's disease.  We will have palliative care evaluate the patient regarding goals of care.   Possible aspiration pneumonia Chest x-ray reviewed showing signs of aspiration pneumonia Has been started on IV cefepime, on discharge patient will be discharged on oral cefdinir. Diet modified per speech therapy: Ground/ NDD2, ground meats, Nectar thick liquids   Hypotension Resolved   Acute c-diff colitis, POA Continue p.o. vancomycin   Leukopenia Not sure about the etiology Can be due a combination of COVID and C-diff monitor     PVCs Hypokal and hypomag Replace and monitor Covid-19 Virus Infection-now out of isolation Date of onset of symptoms: 10/2/22 Symptoms present on admission: Diarrhea, decreased oral intake, nausea Date of covid positive test: 10/4/22 Vaccination status: vaccinated Imaging: Chest x-ray, pending Oxygen requirements on admission: 2 L  RA now Medical therapy: Dexamethasone, pateint is not hypoxic, stop dexamethazone Consultants following: None Anticipated special isolation end date: 10/14/22    Coronary artery disease s/p bypass surgery 2006 Aspirin, statin   Nonsustained V. Tach Atrial fibrillation S/p ICD device placement Continue 12.5 mg metoprolol twice daily Not on anticoagulation at home due to fall risk EF 57%   Diabetes mellitus, hold metformin given AKI and diarrhea Sliding scale insulin, diabetic diet   Acute metabolic encephalopathy Not sure about the etiology Colitis and COVID infection  Resolved   UTI Urine culture proteus susceptible to ceftriaxone Continue ceftriaxone   Dispo SNF
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Hypokalaemia, Hypomagnesaemia, Hypophagia, Hypotension, Leukopenia
Clinical narrative: Patient is a 85 y.o. male patient of MD with history of coronary artery disease s/p bypass surgery LIMA to LAD and reverse saphenous vein graft to distal obtuse marginal 2006, nonsustained V. tach and atrial fibrillation, s/p ICD device, not on anticoagulation due to fall risk, Parkinson, diabetes mellitus on metformin, who presented to the emergency room with diarrhea, found to have AKI and COVID infection.   Patient was a history of Parkinson with a chronic generalized weakness, had 2 days history of weakness, fatigue, nausea, abdominal pain and subsequent diarrhea today, patient has mild cough, no shortness of breath, no phlegm production, no fever, no chills.  Patient fully vaccinated without booster   Acute kidney injury, on chronic kidney disease stage II Improved   Hallucinations and aggressive behavior Parkinson disease with behavioral disturbance Patient reported usual hallucinations due to his parkinson's  No hallucinations on 10/8 Consulted psych, appreciate input, started on olanzapine 2.5 mg daily for aggression and agitation, avoid halodol No hallucinations 10/12/22 Back to having hallucinations on 1/13 at night. Continue home Parkinson's medications, neurology consulted. Patient probably has poor long-term prognosis with advanced Parkinson's disease.  We will have palliative care evaluate the patient regarding goals of care.   Possible aspiration pneumonia Chest x-ray reviewed showing signs of aspiration pneumonia Has been started on IV cefepime, on discharge patient will be discharged on oral cefdinir. Diet modified per speech therapy: Ground/ NDD2, ground meats, Nectar thick liquids   Hypotension Resolved   Acute c-diff colitis, POA Continue p.o. vancomycin   Leukopenia Not sure about the etiology Can be due a combination of COVID and C-diff monitor     PVCs Hypokal and hypomag Replace and monitor Covid-19 Virus Infection-now out of isolation Date of onset of symptoms: 10/2/22 Symptoms present on admission: Diarrhea, decreased oral intake, nausea Date of covid positive test: 10/4/22 Vaccination status: vaccinated Imaging: Chest x-ray, pending Oxygen requirements on admission: 2 L  RA now Medical therapy: Dexamethasone, pateint is not hypoxic, stop dexamethazone Consultants following: None Anticipated special isolation end date: 10/14/22    Coronary artery disease s/p bypass surgery 2006 Aspirin, statin   Nonsustained V. Tach Atrial fibrillation S/p ICD device placement Continue 12.5 mg metoprolol twice daily Not on anticoagulation at home due to fall risk EF 57%   Diabetes mellitus, hold metformin given AKI and diarrhea Sliding scale insulin, diabetic diet   Acute metabolic encephalopathy Not sure about the etiology Colitis and COVID infection  Resolved   UTI Urine culture proteus susceptible to ceftriaxone Continue ceftriaxone   Dispo SNF
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic encephalopathy, Nausea, Pneumonia aspiration, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Patient is a 85 y.o. male patient of MD with history of coronary artery disease s/p bypass surgery LIMA to LAD and reverse saphenous vein graft to distal obtuse marginal 2006, nonsustained V. tach and atrial fibrillation, s/p ICD device, not on anticoagulation due to fall risk, Parkinson, diabetes mellitus on metformin, who presented to the emergency room with diarrhea, found to have AKI and COVID infection.   Patient was a history of Parkinson with a chronic generalized weakness, had 2 days history of weakness, fatigue, nausea, abdominal pain and subsequent diarrhea today, patient has mild cough, no shortness of breath, no phlegm production, no fever, no chills.  Patient fully vaccinated without booster   Acute kidney injury, on chronic kidney disease stage II Improved   Hallucinations and aggressive behavior Parkinson disease with behavioral disturbance Patient reported usual hallucinations due to his parkinson's  No hallucinations on 10/8 Consulted psych, appreciate input, started on olanzapine 2.5 mg daily for aggression and agitation, avoid halodol No hallucinations 10/12/22 Back to having hallucinations on 1/13 at night. Continue home Parkinson's medications, neurology consulted. Patient probably has poor long-term prognosis with advanced Parkinson's disease.  We will have palliative care evaluate the patient regarding goals of care.   Possible aspiration pneumonia Chest x-ray reviewed showing signs of aspiration pneumonia Has been started on IV cefepime, on discharge patient will be discharged on oral cefdinir. Diet modified per speech therapy: Ground/ NDD2, ground meats, Nectar thick liquids   Hypotension Resolved   Acute c-diff colitis, POA Continue p.o. vancomycin   Leukopenia Not sure about the etiology Can be due a combination of COVID and C-diff monitor     PVCs Hypokal and hypomag Replace and monitor Covid-19 Virus Infection-now out of isolation Date of onset of symptoms: 10/2/22 Symptoms present on admission: Diarrhea, decreased oral intake, nausea Date of covid positive test: 10/4/22 Vaccination status: vaccinated Imaging: Chest x-ray, pending Oxygen requirements on admission: 2 L  RA now Medical therapy: Dexamethasone, pateint is not hypoxic, stop dexamethazone Consultants following: None Anticipated special isolation end date: 10/14/22    Coronary artery disease s/p bypass surgery 2006 Aspirin, statin   Nonsustained V. Tach Atrial fibrillation S/p ICD device placement Continue 12.5 mg metoprolol twice daily Not on anticoagulation at home due to fall risk EF 57%   Diabetes mellitus, hold metformin given AKI and diarrhea Sliding scale insulin, diabetic diet   Acute metabolic encephalopathy Not sure about the etiology Colitis and COVID infection  Resolved   UTI Urine culture proteus susceptible to ceftriaxone Continue ceftriaxone   Dispo SNF
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Ventricular extrasystoles
Clinical narrative: Patient is a 85 y.o. male patient of MD with history of coronary artery disease s/p bypass surgery LIMA to LAD and reverse saphenous vein graft to distal obtuse marginal 2006, nonsustained V. tach and atrial fibrillation, s/p ICD device, not on anticoagulation due to fall risk, Parkinson, diabetes mellitus on metformin, who presented to the emergency room with diarrhea, found to have AKI and COVID infection.   Patient was a history of Parkinson with a chronic generalized weakness, had 2 days history of weakness, fatigue, nausea, abdominal pain and subsequent diarrhea today, patient has mild cough, no shortness of breath, no phlegm production, no fever, no chills.  Patient fully vaccinated without booster   Acute kidney injury, on chronic kidney disease stage II Improved   Hallucinations and aggressive behavior Parkinson disease with behavioral disturbance Patient reported usual hallucinations due to his parkinson's  No hallucinations on 10/8 Consulted psych, appreciate input, started on olanzapine 2.5 mg daily for aggression and agitation, avoid halodol No hallucinations 10/12/22 Back to having hallucinations on 1/13 at night. Continue home Parkinson's medications, neurology consulted. Patient probably has poor long-term prognosis with advanced Parkinson's disease.  We will have palliative care evaluate the patient regarding goals of care.   Possible aspiration pneumonia Chest x-ray reviewed showing signs of aspiration pneumonia Has been started on IV cefepime, on discharge patient will be discharged on oral cefdinir. Diet modified per speech therapy: Ground/ NDD2, ground meats, Nectar thick liquids   Hypotension Resolved   Acute c-diff colitis, POA Continue p.o. vancomycin   Leukopenia Not sure about the etiology Can be due a combination of COVID and C-diff monitor     PVCs Hypokal and hypomag Replace and monitor Covid-19 Virus Infection-now out of isolation Date of onset of symptoms: 10/2/22 Symptoms present on admission: Diarrhea, decreased oral intake, nausea Date of covid positive test: 10/4/22 Vaccination status: vaccinated Imaging: Chest x-ray, pending Oxygen requirements on admission: 2 L  RA now Medical therapy: Dexamethasone, pateint is not hypoxic, stop dexamethazone Consultants following: None Anticipated special isolation end date: 10/14/22    Coronary artery disease s/p bypass surgery 2006 Aspirin, statin   Nonsustained V. Tach Atrial fibrillation S/p ICD device placement Continue 12.5 mg metoprolol twice daily Not on anticoagulation at home due to fall risk EF 57%   Diabetes mellitus, hold metformin given AKI and diarrhea Sliding scale insulin, diabetic diet   Acute metabolic encephalopathy Not sure about the etiology Colitis and COVID infection  Resolved   UTI Urine culture proteus susceptible to ceftriaxone Continue ceftriaxone   Dispo SNF
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature decreased
Clinical narrative: temperature dropped 93  1 point from being hypothermia
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expiration date was change to 8/31/2022  which is now expired
Age: 16.0
Sex: M
Vaccine: FLU4
Symptoms: Presyncope
Clinical narrative: Vasovagal reaction post administration
Age: 5.0
Sex: M
Vaccine: DTAPIPV, FLU4, HEPA, MMR
Symptoms: Syncope
Clinical narrative: Child had an episode of syncope as he started to leave the vaccination area. He came to almost immediately. Subsequently given juice and placed in reclining chair. Mother stated that the child had not eaten breakfast yet. He was also given peanut butter crackers. We kept him additional 15 minutes after eating drinking. When child left he appeared to be fine.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood test normal, Cardiac monitoring abnormal, Cough, Heart rate irregular
Clinical narrative: 2 days after arriving from trip, developed URI, fever, cough, and irregular heart rate. Covid test negative. Heart beat confirmed with monitor as atrial fibrillation. No previous history of cardiac arrthymia.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, Stress echocardiogram abnormal, Upper respiratory tract infection
Clinical narrative: 2 days after arriving from trip, developed URI, fever, cough, and irregular heart rate. Covid test negative. Heart beat confirmed with monitor as atrial fibrillation. No previous history of cardiac arrthymia.
Age: 57.0
Sex: M
Vaccine: PNC20
Symptoms: Dizziness, Injection site erythema, Injection site swelling
Clinical narrative: REDNESS AND SWOLLEN AROUND INJECTION SITE AND DIZZINESS
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Manufacture change the expiration date to 8/31/2022 after the vaccibe was administered.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Fatigue, Full blood count normal, Impaired self-care, Lipids normal
Clinical narrative: **Pt had 4 Pfizer vaccines ( 2 original, 2 boosters) and didn't experience any reactions. **  Pt had arm swelling first day (more sore than Pfizer - lasted 3 weeks). The following day, experienced extreme fatigue, low-grade fever, unable to care for herself. No change in diet, no gastro issues. Felt "paralyzed", but not long-lasting. Very weak.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Paralysis, Peripheral swelling, Pyrexia
Clinical narrative: **Pt had 4 Pfizer vaccines ( 2 original, 2 boosters) and didn't experience any reactions. **  Pt had arm swelling first day (more sore than Pfizer - lasted 3 weeks). The following day, experienced extreme fatigue, low-grade fever, unable to care for herself. No change in diet, no gastro issues. Felt "paralyzed", but not long-lasting. Very weak.
Age: 47.0
Sex: M
Vaccine: COVID19-2
Symptoms: Erythema, Immunisation reaction, Pruritus, Rash, Rash erythematous
Clinical narrative: Started getting red rash, raised hives all over back, torso with significant itching. Hives moved across body over time (1 week) . I started scratching heavily at night and skin condition worsened especially around legs (knee, calves). Skin appears very red, bumpy (looks like third degree burn). Started taking 50 mg of Benadryl nightly, with no relief. Went to doctor by 2nd week of November, prescribed MethylPrednisolone 4 MG for 6 days. Had no effect and no relief from hives and itching.
Age: 47.0
Sex: M
Vaccine: COVID19-2
Symptoms: Skin disorder, Skin texture abnormal, Swelling, Urticaria
Clinical narrative: Started getting red rash, raised hives all over back, torso with significant itching. Hives moved across body over time (1 week) . I started scratching heavily at night and skin condition worsened especially around legs (knee, calves). Skin appears very red, bumpy (looks like third degree burn). Started taking 50 mg of Benadryl nightly, with no relief. Went to doctor by 2nd week of November, prescribed MethylPrednisolone 4 MG for 6 days. Had no effect and no relief from hives and itching.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Paraesthesia, Pruritus, Skin warm, Swelling
Clinical narrative: 10/07/2022 After I received my vaccine that afternoon, my arm got red, was tingling, felt like it had fever and itched. I waited and it kept getting bigger. On 10/9/22 I went to the doctor and he prescribed antibiotics.  I had diarrhea for 21 days as a result of the antibiotics.  Once I started the antibiotics, the swelling and rash almost automatically disappeared. By 10/11/22 I was feeling excellent.
Age: 26.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received booster dose without receiving initial primary series.  Patient did not disclose that they had not received the primary series, but had requested the bivalent booster.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expirition date was revised 8/31/2022 after the vaccine was revised.
Age: 21.0
Sex: F
Vaccine: COVID19-2
Symptoms: Circumstance or information capable of leading to medication error, Incorrect product formulation administered
Clinical narrative: Patient received booster dose without receiving initial primary series.  Patient did not disclose that they had not received the primary series, but had requested the bivalent booster.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Limb discomfort, Paraesthesia, Peripheral swelling, Pruritus
Clinical narrative: 02/02/2022 Half of my right arm was red, hot, tingling, throbbing and itchy. I went to the health center where I work. I was put on antibiotics. My arm kept getting bigger. After five to six days later, it was all better.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: 02/02/2022 Half of my right arm was red, hot, tingling, throbbing and itchy. I went to the health center where I work. I was put on antibiotics. My arm kept getting bigger. After five to six days later, it was all better.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Product administered at inappropriate site, Tenderness
Clinical narrative: He did not give me the shot correctly because he gave it to me in the middle of my arm. My arm turned very red and tender to the touch. This lasted for about 4 days. I was not prescribed medication, but I took ADVIL and put a cold compress on it. It is much better now.