chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 27.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: C-reactive protein increased, COVID-19, Chest X-ray normal, Chills, Condition aggravated
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO Admission Date: 9/29/2022 Discharge Date: 10/2/2022  PRESENTING PROBLEM: Acute respiratory failure with hypoxia  COVID-19 virus infection COVID-19    HOSPITAL COURSE:  Patient is a 28 y.o. female PMH asthma taking QVAR who presents today with shortness of breath.  Patient is vaccinated for COVID-19 with posterior.   Patient states that up until Tuesday 09/27/2022 she had been in her usual state of health.  She and her boyfriend went to the zoo on Tuesday.  Within several hours of returning home patient started to experience sore throat, body aches, decreased appetite and chills.  On 09/28/2022 she started to experience increased shortness of breath, wheezes, cough.  She required home nebulizer treatment 5 times on Wednesday.  She stated that on Wednesday body aches worsened.  Today, patient required 7 nebulizer treatments to improve shortness of breath.  She stated that this improved his shortness of breath for about an hour max.  Wheezing, shortness of breath, cough would reoccur within 15-30 minutes.  She also started to develop diarrhea.  She took a home COVID test which was positive.  The patient decided to seek further care in the ER.   Initial vitals in ER were reassuring.  Labs notable for bicarb 19, BUN 7, CRP 19.5, lactic 1.1, WBC 5.57.  D-dimer 340. Chest x-ray negative for acute process.  Patient had improved with albuterol treatments while in the ER.  However when obtaining a ambulatory pulse ox, patient's oxygen saturation decreased to 86% she was placed on 2 L nasal cannula oxygen saturating in the low 90s.  Additionally patient became afebrile with temp of 37.8.  While in the ER, patient received acetaminophen 1000 mg orally, methylprednisolone 125 mg IV.  Hospitalist asked to admit patient for management of asthma exacerbation and COVID-19.   Patient was treated with dexamethasone and remdesivir and respiratory treatments.  Her symptoms improved and she was weaned off oxygen.  She was able to tolerate a solid diet.  She did not qualify for home oxygen.   Patient was discharged home in good condition
Age: 27.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Cough, Decreased appetite, Diarrhoea, Dyspnoea, Fibrin D dimer
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO Admission Date: 9/29/2022 Discharge Date: 10/2/2022  PRESENTING PROBLEM: Acute respiratory failure with hypoxia  COVID-19 virus infection COVID-19    HOSPITAL COURSE:  Patient is a 28 y.o. female PMH asthma taking QVAR who presents today with shortness of breath.  Patient is vaccinated for COVID-19 with posterior.   Patient states that up until Tuesday 09/27/2022 she had been in her usual state of health.  She and her boyfriend went to the zoo on Tuesday.  Within several hours of returning home patient started to experience sore throat, body aches, decreased appetite and chills.  On 09/28/2022 she started to experience increased shortness of breath, wheezes, cough.  She required home nebulizer treatment 5 times on Wednesday.  She stated that on Wednesday body aches worsened.  Today, patient required 7 nebulizer treatments to improve shortness of breath.  She stated that this improved his shortness of breath for about an hour max.  Wheezing, shortness of breath, cough would reoccur within 15-30 minutes.  She also started to develop diarrhea.  She took a home COVID test which was positive.  The patient decided to seek further care in the ER.   Initial vitals in ER were reassuring.  Labs notable for bicarb 19, BUN 7, CRP 19.5, lactic 1.1, WBC 5.57.  D-dimer 340. Chest x-ray negative for acute process.  Patient had improved with albuterol treatments while in the ER.  However when obtaining a ambulatory pulse ox, patient's oxygen saturation decreased to 86% she was placed on 2 L nasal cannula oxygen saturating in the low 90s.  Additionally patient became afebrile with temp of 37.8.  While in the ER, patient received acetaminophen 1000 mg orally, methylprednisolone 125 mg IV.  Hospitalist asked to admit patient for management of asthma exacerbation and COVID-19.   Patient was treated with dexamethasone and remdesivir and respiratory treatments.  Her symptoms improved and she was weaned off oxygen.  She was able to tolerate a solid diet.  She did not qualify for home oxygen.   Patient was discharged home in good condition
Age: 27.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Laboratory test, Oropharyngeal pain, Oxygen saturation decreased, Pain, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO Admission Date: 9/29/2022 Discharge Date: 10/2/2022  PRESENTING PROBLEM: Acute respiratory failure with hypoxia  COVID-19 virus infection COVID-19    HOSPITAL COURSE:  Patient is a 28 y.o. female PMH asthma taking QVAR who presents today with shortness of breath.  Patient is vaccinated for COVID-19 with posterior.   Patient states that up until Tuesday 09/27/2022 she had been in her usual state of health.  She and her boyfriend went to the zoo on Tuesday.  Within several hours of returning home patient started to experience sore throat, body aches, decreased appetite and chills.  On 09/28/2022 she started to experience increased shortness of breath, wheezes, cough.  She required home nebulizer treatment 5 times on Wednesday.  She stated that on Wednesday body aches worsened.  Today, patient required 7 nebulizer treatments to improve shortness of breath.  She stated that this improved his shortness of breath for about an hour max.  Wheezing, shortness of breath, cough would reoccur within 15-30 minutes.  She also started to develop diarrhea.  She took a home COVID test which was positive.  The patient decided to seek further care in the ER.   Initial vitals in ER were reassuring.  Labs notable for bicarb 19, BUN 7, CRP 19.5, lactic 1.1, WBC 5.57.  D-dimer 340. Chest x-ray negative for acute process.  Patient had improved with albuterol treatments while in the ER.  However when obtaining a ambulatory pulse ox, patient's oxygen saturation decreased to 86% she was placed on 2 L nasal cannula oxygen saturating in the low 90s.  Additionally patient became afebrile with temp of 37.8.  While in the ER, patient received acetaminophen 1000 mg orally, methylprednisolone 125 mg IV.  Hospitalist asked to admit patient for management of asthma exacerbation and COVID-19.   Patient was treated with dexamethasone and remdesivir and respiratory treatments.  Her symptoms improved and she was weaned off oxygen.  She was able to tolerate a solid diet.  She did not qualify for home oxygen.   Patient was discharged home in good condition
Age: 27.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Wheezing
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO Admission Date: 9/29/2022 Discharge Date: 10/2/2022  PRESENTING PROBLEM: Acute respiratory failure with hypoxia  COVID-19 virus infection COVID-19    HOSPITAL COURSE:  Patient is a 28 y.o. female PMH asthma taking QVAR who presents today with shortness of breath.  Patient is vaccinated for COVID-19 with posterior.   Patient states that up until Tuesday 09/27/2022 she had been in her usual state of health.  She and her boyfriend went to the zoo on Tuesday.  Within several hours of returning home patient started to experience sore throat, body aches, decreased appetite and chills.  On 09/28/2022 she started to experience increased shortness of breath, wheezes, cough.  She required home nebulizer treatment 5 times on Wednesday.  She stated that on Wednesday body aches worsened.  Today, patient required 7 nebulizer treatments to improve shortness of breath.  She stated that this improved his shortness of breath for about an hour max.  Wheezing, shortness of breath, cough would reoccur within 15-30 minutes.  She also started to develop diarrhea.  She took a home COVID test which was positive.  The patient decided to seek further care in the ER.   Initial vitals in ER were reassuring.  Labs notable for bicarb 19, BUN 7, CRP 19.5, lactic 1.1, WBC 5.57.  D-dimer 340. Chest x-ray negative for acute process.  Patient had improved with albuterol treatments while in the ER.  However when obtaining a ambulatory pulse ox, patient's oxygen saturation decreased to 86% she was placed on 2 L nasal cannula oxygen saturating in the low 90s.  Additionally patient became afebrile with temp of 37.8.  While in the ER, patient received acetaminophen 1000 mg orally, methylprednisolone 125 mg IV.  Hospitalist asked to admit patient for management of asthma exacerbation and COVID-19.   Patient was treated with dexamethasone and remdesivir and respiratory treatments.  Her symptoms improved and she was weaned off oxygen.  She was able to tolerate a solid diet.  She did not qualify for home oxygen.   Patient was discharged home in good condition
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Vaccine was given to patient under the age of 65yrs-No reaction reported
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Chest discomfort, Chills, Electrocardiogram, Feeling abnormal
Clinical narrative: Patient vaccinated at 0845, observed for 15 min, tolerated well, no problems or concerns at that time, returned to  work.  Patient stated she had right chest tightness and "just didnt feel right" after vaccine, reported around 1445. shivering, and cold hands, verbalized weakness.   VS monitored for 30 min, WNL.  Oral benadryl given, EMS called, EKG completed, NSR, patient refused to be transferred to ER, stated symptoms subsisted after benadry.
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Peripheral coldness
Clinical narrative: Patient vaccinated at 0845, observed for 15 min, tolerated well, no problems or concerns at that time, returned to  work.  Patient stated she had right chest tightness and "just didnt feel right" after vaccine, reported around 1445. shivering, and cold hands, verbalized weakness.   VS monitored for 30 min, WNL.  Oral benadryl given, EMS called, EKG completed, NSR, patient refused to be transferred to ER, stated symptoms subsisted after benadry.
Age: 40.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the Department of Health it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: There was  no adverse reaction
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: Bradycardia, COVID-19, Dizziness, SARS-CoV-2 test positive, Syncope
Clinical narrative: Pt transferred from outside hospital due to episodes of bradycardia. He presented with syncope and dizziness. He was found to be COVID positive.
Age: 80.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Asthenia, Dysstasia, Mobility decreased
Clinical narrative: pt states received Covid Pfizer bivalent along with Fluzone HD at local pharmacy. next day woke up and was too weak to get out of bed on his own. (Normally independent) . Had to have assistance to transfer to a chair. could not stand up on his own for 2 days due to extreme weakness. Thursday began to resolve. Currently is ok
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Chest tube insertion, Condition aggravated, Dyspnoea
Clinical narrative: Admission Date: 9/29/2022 Discharge Date: Oct 5, 2022  PRESENTING PROBLEM: Acute respiratory failure with hypoxia Primary spontaneous pneumothorax COVID-19 Pneumothorax on left   HOSPITAL COURSE: 75-year-old female with past medical history of hypertension, hyperlipidemia presented to the ER complaining worsening productive cough and shortness of breath with onset 9/25.  Patient had recent test positive COVID 19 on 9/27 recently had started Paxlovid.  After arrival, patient was needing 15 L non-rebreather new ER.  She was found to have a large sized left pneumothorax.  She had chest tube placed in the emergency department and she was admitted to the hospital with pulmonology consulted.  Also, she was started on remdesivir as well for COVID-19.  Patient's respiratory failure quickly resolved after chest tube placement.   After admission, she was evaluated by pulmonology who felt that her pneumothorax was exacerbated by COVID-19.  This is patient's 3rd pneumothorax recently in the last 2 months.  Pulmonology recommend that patient be transferred to hospital for cardiothoracic surgery evaluation.  After arrival to hospital, cardiothoracic surgery saw patient and recommended non operative management.  Cardiothoracic surgery felt patient to high risk given her active COVID-19 infection and recommended intervention pulmonology consult.  Interventional pulmonology evaluated. Chest tube was removed and outpatient pleurodesis was recommended.  She was discharged home with pulmonology follow up.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumothorax, Productive cough, SARS-CoV-2 test positive
Clinical narrative: Admission Date: 9/29/2022 Discharge Date: Oct 5, 2022  PRESENTING PROBLEM: Acute respiratory failure with hypoxia Primary spontaneous pneumothorax COVID-19 Pneumothorax on left   HOSPITAL COURSE: 75-year-old female with past medical history of hypertension, hyperlipidemia presented to the ER complaining worsening productive cough and shortness of breath with onset 9/25.  Patient had recent test positive COVID 19 on 9/27 recently had started Paxlovid.  After arrival, patient was needing 15 L non-rebreather new ER.  She was found to have a large sized left pneumothorax.  She had chest tube placed in the emergency department and she was admitted to the hospital with pulmonology consulted.  Also, she was started on remdesivir as well for COVID-19.  Patient's respiratory failure quickly resolved after chest tube placement.   After admission, she was evaluated by pulmonology who felt that her pneumothorax was exacerbated by COVID-19.  This is patient's 3rd pneumothorax recently in the last 2 months.  Pulmonology recommend that patient be transferred to hospital for cardiothoracic surgery evaluation.  After arrival to hospital, cardiothoracic surgery saw patient and recommended non operative management.  Cardiothoracic surgery felt patient to high risk given her active COVID-19 infection and recommended intervention pulmonology consult.  Interventional pulmonology evaluated. Chest tube was removed and outpatient pleurodesis was recommended.  She was discharged home with pulmonology follow up.
Age: 30.0
Sex: M
Vaccine: UNK
Symptoms: Product storage error
Clinical narrative: While working with the Department of Health it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 14.0
Sex: F
Vaccine: COVID19-2
Symptoms: Muscle spasms, Syncope, Vomiting
Clinical narrative: Day after receiving vaccine had leg cramps, fainted x 1, vomiting x2
Age: 26.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: Vaccine given after storage below recommended temperature
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Crepitations, Heart rate increased, Lethargy, Oropharyngeal suctioning
Clinical narrative: Pt to ED 9/4 unresponsive.  9/28 Pt noted to have productive cough, crackles noted, unable to expectorate phlegm, suctioning done as needed. Pt COVID+ 9/28, no anti-COVID rx needed. 9/29 Pt is on 4L NC; no respiratory difficulties noted. 10/2 pt lethergic, no sign of respiratory distress. 10/3 PT has copious secretions, extensive oral care and suctioning, patient has gag cough withdraws to pain. 10/5 Pt aox0, non verbal unresponsive, on 2L 02 NC , not in distress, no s/sx of pain noted. 10/6 RRT called due to low SpO2, Increased HR and RR. 10/7 pt discharged.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oxygen saturation decreased, Productive cough, Respiratory rate increased, Retching, SARS-CoV-2 test positive
Clinical narrative: Pt to ED 9/4 unresponsive.  9/28 Pt noted to have productive cough, crackles noted, unable to expectorate phlegm, suctioning done as needed. Pt COVID+ 9/28, no anti-COVID rx needed. 9/29 Pt is on 4L NC; no respiratory difficulties noted. 10/2 pt lethergic, no sign of respiratory distress. 10/3 PT has copious secretions, extensive oral care and suctioning, patient has gag cough withdraws to pain. 10/5 Pt aox0, non verbal unresponsive, on 2L 02 NC , not in distress, no s/sx of pain noted. 10/6 RRT called due to low SpO2, Increased HR and RR. 10/7 pt discharged.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Secretion discharge, Unresponsive to stimuli
Clinical narrative: Pt to ED 9/4 unresponsive.  9/28 Pt noted to have productive cough, crackles noted, unable to expectorate phlegm, suctioning done as needed. Pt COVID+ 9/28, no anti-COVID rx needed. 9/29 Pt is on 4L NC; no respiratory difficulties noted. 10/2 pt lethergic, no sign of respiratory distress. 10/3 PT has copious secretions, extensive oral care and suctioning, patient has gag cough withdraws to pain. 10/5 Pt aox0, non verbal unresponsive, on 2L 02 NC , not in distress, no s/sx of pain noted. 10/6 RRT called due to low SpO2, Increased HR and RR. 10/7 pt discharged.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: It was fatigue, congestion that was pretty much it. I did get Paxlovid and I took some over the counter cough suppression medicine. I probably had some Motrin during that time as well. My symptoms lasted for maybe about four days.
Age: 68.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: Vaccine given after storage below recommended temperature
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, C-reactive protein abnormal, COVID-19 pneumonia, Chest X-ray abnormal, Chronic obstructive pulmonary disease
Clinical narrative: Admission Date: 9/30/2022 Discharge Date: 10/5/2022   Clinical Narrative:   Admitted with Covid Pneumonia/exacerbation of COPD. Doing well after Decadron/Remdesivir/MDIs/Pulmonary Hygiene/care. Home today with continued attention to symptomatic management.   Please see the following problem-list oriented Hospital Course below:   * Pneumonia due to COVID-19 virus Assessment & Plan Will give Decadron, vitamin- C, zinc, Pepcid and Remdesivir.  Lovenox prophylaxis.  Follow-up chest x-ray tomorrow morning.    10/2....  Continue IV remdesivir, Decadron, oxygen as per protocol on vitamins Saturating 97% on 1 L nasal cannula   10/3.....  Chest x-ray today shows worsened or persistent filtrates however patient shows clinical improvement, she is presently on room air saturating 96%   Procalcitonin is normal and CRP improved     10/5 - consistencies steady improvement during her hospital stay.  Doing well.  Oxygen needs back to baseline on room air.  Discharge planning.  Acute respiratory failure with hypoxemia Assessment & Plan Titrate oxygen to effect.  Encourage prone positioning.  Encourage pulmonary toilet.  Bronchodilator p.r.n.  Will give Lasix IV now for diuresis   A result of COVID-19 pneumonia Continue treatment as above Encourage prone positioning     10/5 - continues to do well.  Will finish remdesivir today.  Discharge planning.  Oxygen needs at baseline.  On room air.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Lung infiltration, Oxygen saturation abnormal, Procalcitonin normal
Clinical narrative: Admission Date: 9/30/2022 Discharge Date: 10/5/2022   Clinical Narrative:   Admitted with Covid Pneumonia/exacerbation of COPD. Doing well after Decadron/Remdesivir/MDIs/Pulmonary Hygiene/care. Home today with continued attention to symptomatic management.   Please see the following problem-list oriented Hospital Course below:   * Pneumonia due to COVID-19 virus Assessment & Plan Will give Decadron, vitamin- C, zinc, Pepcid and Remdesivir.  Lovenox prophylaxis.  Follow-up chest x-ray tomorrow morning.    10/2....  Continue IV remdesivir, Decadron, oxygen as per protocol on vitamins Saturating 97% on 1 L nasal cannula   10/3.....  Chest x-ray today shows worsened or persistent filtrates however patient shows clinical improvement, she is presently on room air saturating 96%   Procalcitonin is normal and CRP improved     10/5 - consistencies steady improvement during her hospital stay.  Doing well.  Oxygen needs back to baseline on room air.  Discharge planning.  Acute respiratory failure with hypoxemia Assessment & Plan Titrate oxygen to effect.  Encourage prone positioning.  Encourage pulmonary toilet.  Bronchodilator p.r.n.  Will give Lasix IV now for diuresis   A result of COVID-19 pneumonia Continue treatment as above Encourage prone positioning     10/5 - continues to do well.  Will finish remdesivir today.  Discharge planning.  Oxygen needs at baseline.  On room air.
Age: 25.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the Department of Health it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Bradycardia, COVID-19, Chest X-ray normal, Cough, Fatigue
Clinical narrative: Pt was a transfer from a facility on 9/28 for fatigue and found to be bradycardic. She was also COVID negative upon transfer. On 10/3 she had nasal congestion that was new and a cough. CXR was clear, but was found to be COVID positive.
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Nasal congestion, SARS-CoV-2 test positive
Clinical narrative: Pt was a transfer from a facility on 9/28 for fatigue and found to be bradycardic. She was also COVID negative upon transfer. On 10/3 she had nasal congestion that was new and a cough. CXR was clear, but was found to be COVID positive.
Age: 37.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the clinic it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer booster given instead of Pfizer Bivalent booster.  Pt aware
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Acute kidney injury, Blood creatinine increased, C-reactive protein increased, COVID-19
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge: MD  Admission Date: 9/29/2022 Discharge Date: 10/3/2022    HOSPITAL COURSE: Patient is a 65 y.o. female with past medical history significant for breast cancer, asthma, hypertension, GERD, and anxiety, who presented to the ED with a chief complaint of right-sided abdominal pain associated with diarrhea. Recently completed course of antibiotics in August for colitis. Also with dry cough and sore throat with daughter recently testing positive for COVID. In the ED, vitals significant for fever, hypoxia which improved on 2L. Labs showed WBC count of 15.62, CRP 256, Cr elevated at 1.65. COVID-19 PCR positive. Chest x-ray with no acute findings.  CT abdomen and pelvis was reviewed with colon wall thickening at the level of the splenic flexure extending throughout the left colon with surrounding inflammatory change consistent with colitis.  Patient was given 1 L normal saline bolus, Decadron 6 mg, morphine 4 mg, and Zofran while in the ED. Patient will be admitted to hospital medicine for further workup and treatment of sepsis secondary to colitis and COVID-19.   On admission, she was started on Remdesivir and continued on decadron for treatment of COVID. She was started on Rocephin and Flagyl for treatment of colitis. GI was consulted and recommended to stop antibiotics with negative enteric pathogens. Planning outpatient colonoscopy 11/8. Her diet was advanced and tolerated. Her AKI improved with IVF hydration. Her oxygen was weaned off. She was discharged in stable condition.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Colitis, Computerised tomogram abdomen abnormal, Condition aggravated, Cough
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge: MD  Admission Date: 9/29/2022 Discharge Date: 10/3/2022    HOSPITAL COURSE: Patient is a 65 y.o. female with past medical history significant for breast cancer, asthma, hypertension, GERD, and anxiety, who presented to the ED with a chief complaint of right-sided abdominal pain associated with diarrhea. Recently completed course of antibiotics in August for colitis. Also with dry cough and sore throat with daughter recently testing positive for COVID. In the ED, vitals significant for fever, hypoxia which improved on 2L. Labs showed WBC count of 15.62, CRP 256, Cr elevated at 1.65. COVID-19 PCR positive. Chest x-ray with no acute findings.  CT abdomen and pelvis was reviewed with colon wall thickening at the level of the splenic flexure extending throughout the left colon with surrounding inflammatory change consistent with colitis.  Patient was given 1 L normal saline bolus, Decadron 6 mg, morphine 4 mg, and Zofran while in the ED. Patient will be admitted to hospital medicine for further workup and treatment of sepsis secondary to colitis and COVID-19.   On admission, she was started on Remdesivir and continued on decadron for treatment of COVID. She was started on Rocephin and Flagyl for treatment of colitis. GI was consulted and recommended to stop antibiotics with negative enteric pathogens. Planning outpatient colonoscopy 11/8. Her diet was advanced and tolerated. Her AKI improved with IVF hydration. Her oxygen was weaned off. She was discharged in stable condition.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Gastrointestinal wall thickening, Hypoxia, Laboratory test, Oropharyngeal pain
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge: MD  Admission Date: 9/29/2022 Discharge Date: 10/3/2022    HOSPITAL COURSE: Patient is a 65 y.o. female with past medical history significant for breast cancer, asthma, hypertension, GERD, and anxiety, who presented to the ED with a chief complaint of right-sided abdominal pain associated with diarrhea. Recently completed course of antibiotics in August for colitis. Also with dry cough and sore throat with daughter recently testing positive for COVID. In the ED, vitals significant for fever, hypoxia which improved on 2L. Labs showed WBC count of 15.62, CRP 256, Cr elevated at 1.65. COVID-19 PCR positive. Chest x-ray with no acute findings.  CT abdomen and pelvis was reviewed with colon wall thickening at the level of the splenic flexure extending throughout the left colon with surrounding inflammatory change consistent with colitis.  Patient was given 1 L normal saline bolus, Decadron 6 mg, morphine 4 mg, and Zofran while in the ED. Patient will be admitted to hospital medicine for further workup and treatment of sepsis secondary to colitis and COVID-19.   On admission, she was started on Remdesivir and continued on decadron for treatment of COVID. She was started on Rocephin and Flagyl for treatment of colitis. GI was consulted and recommended to stop antibiotics with negative enteric pathogens. Planning outpatient colonoscopy 11/8. Her diet was advanced and tolerated. Her AKI improved with IVF hydration. Her oxygen was weaned off. She was discharged in stable condition.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Sepsis, White blood cell count increased
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge: MD  Admission Date: 9/29/2022 Discharge Date: 10/3/2022    HOSPITAL COURSE: Patient is a 65 y.o. female with past medical history significant for breast cancer, asthma, hypertension, GERD, and anxiety, who presented to the ED with a chief complaint of right-sided abdominal pain associated with diarrhea. Recently completed course of antibiotics in August for colitis. Also with dry cough and sore throat with daughter recently testing positive for COVID. In the ED, vitals significant for fever, hypoxia which improved on 2L. Labs showed WBC count of 15.62, CRP 256, Cr elevated at 1.65. COVID-19 PCR positive. Chest x-ray with no acute findings.  CT abdomen and pelvis was reviewed with colon wall thickening at the level of the splenic flexure extending throughout the left colon with surrounding inflammatory change consistent with colitis.  Patient was given 1 L normal saline bolus, Decadron 6 mg, morphine 4 mg, and Zofran while in the ED. Patient will be admitted to hospital medicine for further workup and treatment of sepsis secondary to colitis and COVID-19.   On admission, she was started on Remdesivir and continued on decadron for treatment of COVID. She was started on Rocephin and Flagyl for treatment of colitis. GI was consulted and recommended to stop antibiotics with negative enteric pathogens. Planning outpatient colonoscopy 11/8. Her diet was advanced and tolerated. Her AKI improved with IVF hydration. Her oxygen was weaned off. She was discharged in stable condition.
Age: 83.0
Sex: M
Vaccine: FLUA4
Symptoms: Extra dose administered
Clinical narrative: Patient is not having any adverse reactions, but he did receive 2 Fluad vaccines. The first one was administered on September 27th and then the second one on October 10th. We are reporting to make y'all aware. If there are any adverse events, we will update or resubmit. Thanks
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: GIVEN AFTER BEYOND USE DATE
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer booster given instead of Pfizer Bivalent booster.  Pt aware
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: No outcome
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Condition aggravated, Fatigue, Gait disturbance
Clinical narrative: After my vaccination my arm was sore, which I expected, but about three weeks later I felt like both of my arms were really really heavy. I had a lot of upper body pain, in my shoulders and arms. I couldn't lift my arms, it felt like something was pressing down on them. I also started to experience fatigue, headaches and just a general not feeling well. I saw my doctor in August for my physical and I started talking about my symptoms. She performed some blood work. Because I have other health issues it was difficult to treat all the symptoms. She was looking at my thyroid and some other stuff. The pain and other stuff wasn't addressed because she was concerned about a new thyroid issue that had turned into what she thought was Hashimoto's. I've had 4 steroid injections into my spine since August 2021 for back pain with a pain specialist at Hospital for the osteoarthritis but since 4/21 it has definitely gotten progressively worse, so I needed the shots. I did go to the ER at some point for sciatic spasms, the fatigue and pain. I was having issues walking- I think that was possibly in August 2021.  Diagnosed in June 2022 with PMR. I have been on Prednisone ever since. All of the symptoms I have been experiencing are related to the PMR, except issues with my cervical spine, and the side effects I've been having from the prednisone.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Laboratory test, Limb discomfort, Magnetic resonance imaging spinal, Malaise
Clinical narrative: After my vaccination my arm was sore, which I expected, but about three weeks later I felt like both of my arms were really really heavy. I had a lot of upper body pain, in my shoulders and arms. I couldn't lift my arms, it felt like something was pressing down on them. I also started to experience fatigue, headaches and just a general not feeling well. I saw my doctor in August for my physical and I started talking about my symptoms. She performed some blood work. Because I have other health issues it was difficult to treat all the symptoms. She was looking at my thyroid and some other stuff. The pain and other stuff wasn't addressed because she was concerned about a new thyroid issue that had turned into what she thought was Hashimoto's. I've had 4 steroid injections into my spine since August 2021 for back pain with a pain specialist at Hospital for the osteoarthritis but since 4/21 it has definitely gotten progressively worse, so I needed the shots. I did go to the ER at some point for sciatic spasms, the fatigue and pain. I was having issues walking- I think that was possibly in August 2021.  Diagnosed in June 2022 with PMR. I have been on Prednisone ever since. All of the symptoms I have been experiencing are related to the PMR, except issues with my cervical spine, and the side effects I've been having from the prednisone.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Muscle spasms, Osteoarthritis, Pain, Pain in extremity
Clinical narrative: After my vaccination my arm was sore, which I expected, but about three weeks later I felt like both of my arms were really really heavy. I had a lot of upper body pain, in my shoulders and arms. I couldn't lift my arms, it felt like something was pressing down on them. I also started to experience fatigue, headaches and just a general not feeling well. I saw my doctor in August for my physical and I started talking about my symptoms. She performed some blood work. Because I have other health issues it was difficult to treat all the symptoms. She was looking at my thyroid and some other stuff. The pain and other stuff wasn't addressed because she was concerned about a new thyroid issue that had turned into what she thought was Hashimoto's. I've had 4 steroid injections into my spine since August 2021 for back pain with a pain specialist at Hospital for the osteoarthritis but since 4/21 it has definitely gotten progressively worse, so I needed the shots. I did go to the ER at some point for sciatic spasms, the fatigue and pain. I was having issues walking- I think that was possibly in August 2021.  Diagnosed in June 2022 with PMR. I have been on Prednisone ever since. All of the symptoms I have been experiencing are related to the PMR, except issues with my cervical spine, and the side effects I've been having from the prednisone.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Spinal X-ray, Spinal disorder
Clinical narrative: After my vaccination my arm was sore, which I expected, but about three weeks later I felt like both of my arms were really really heavy. I had a lot of upper body pain, in my shoulders and arms. I couldn't lift my arms, it felt like something was pressing down on them. I also started to experience fatigue, headaches and just a general not feeling well. I saw my doctor in August for my physical and I started talking about my symptoms. She performed some blood work. Because I have other health issues it was difficult to treat all the symptoms. She was looking at my thyroid and some other stuff. The pain and other stuff wasn't addressed because she was concerned about a new thyroid issue that had turned into what she thought was Hashimoto's. I've had 4 steroid injections into my spine since August 2021 for back pain with a pain specialist at Hospital for the osteoarthritis but since 4/21 it has definitely gotten progressively worse, so I needed the shots. I did go to the ER at some point for sciatic spasms, the fatigue and pain. I was having issues walking- I think that was possibly in August 2021.  Diagnosed in June 2022 with PMR. I have been on Prednisone ever since. All of the symptoms I have been experiencing are related to the PMR, except issues with my cervical spine, and the side effects I've been having from the prednisone.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chest pain, Cough, Dyspnoea exertional, SARS-CoV-2 test positive
Clinical narrative: Pt to ED 10/5 for chest pain. Pt COVID+ 10/5, A/ox4, in room air, ambulatory. With  Mild SOB on exertion, with non productive cough. Rx remdesivir for 3 days. 10/6 pt states that his sob with exertion has improved, however he does still get some sob with ambulation. 10/8 Pt alert and oriented x4. He was medicated for chronic pain. No complaints of sob, Pt on room air, VSS. 10/8 Pt finished last dose of remdesovir, pt discharged.
Age: 19.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: Vaccine given after storage below recommended temperature
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient age is under 65yrs- no reported reaction
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: DO Primary Care Provider: PA Admission Date: 9/29/2022 Discharge Date: Oct 2, 2022  PRESENTING PROBLEM: Acute respiratory failure with hypoxia (HCC) [J96.01]   HOSPITAL COURSE: The patient is a  64 y.o. male with past medical history of HTN, HLD, obesity, OSA and venous insufficiency who presented to the ED with hypoxia. He was subsequently found to be COVID positive and initiated on treatment with remdesivir and decadron. He was also covered for CAP with ceftriaxone and azithromycin.   He subsequently weaned to room air with no oxygen needs on pulm rehab consultation and was able to be discharged to home on 10/2/22.  He was transitioned of oral Ceftin and Zmax to finish a 5 days course and continued on Decadron oral to finish 10 days.     Wound care was consulted for his wound management, but was unable to see him prior to d/c.  It was recommended he have close follow up with his PCP.
Age: 36.0
Sex: F
Vaccine: FLUC4
Symptoms: Abdominal pain upper, Back pain, Discomfort, Pain, Pain in extremity
Clinical narrative: Approximately 48 hours after the flu shot, I started to feel achy and sore, particularly in my back, stomach, and legs. As the day progressed, the aches and soreness worsened and affected my whole body. I tossed and turned all night due to the discomfort and soreness. I checked my temperature in the middle of the night and I had a fever with a temperature of 101. Now I am approximately 72  hours after the vaccine and still feel a little sluggish and achy.
Age: 36.0
Sex: F
Vaccine: FLUC4
Symptoms: Pyrexia, Sleep disorder, Sluggishness
Clinical narrative: Approximately 48 hours after the flu shot, I started to feel achy and sore, particularly in my back, stomach, and legs. As the day progressed, the aches and soreness worsened and affected my whole body. I tossed and turned all night due to the discomfort and soreness. I checked my temperature in the middle of the night and I had a fever with a temperature of 101. Now I am approximately 72  hours after the vaccine and still feel a little sluggish and achy.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: monovalent booster given the day after the EUA was rescinded as had not pulled from use at that time/was not aware of need to stop giving; no actual adverse reaction noted in patient
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: monovalent booster given the day after the EUA was rescinded as had not pulled from use at that time/was not aware of need to stop giving; no actual adverse reaction noted in patient
Age: 32.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the Department of Health it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: patient under the age of 65yrs, no reaction reported
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Pt arrived due to shortness of breath. He has a PMH of a previous stroke with aphasia. His wife is at home with COVID. He also has a cough. He was admitted due to dyspnea and COVID positivity.
Age: 52.0
Sex: F
Vaccine: FLUC4
Symptoms: Arthralgia, Muscle swelling, Pain in extremity
Clinical narrative: Employees arm was hurting really bad. Pain started going up into the shoulder. Employee went to urgent care on 9/29. They said the muscle was swollen but it didn't seem to get better. Employee went to her own physician on 10/4. Physician said it was a reaction to the COVID vaccine she had over a year ago. He prescribed her some meds and she is now feeling better.
Age: 99.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Resident received bivalent booster. She was currently unvaccinated and had not received the initial series. Resident is stable. No issues noted.
Age: 35.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the clinic it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Around May 2022 when I attended a birthday party, I first contracted COVID-19. I had sniffles and a sore throat. I tested positive for COVID-19. Around June 6th and 7th 2022, I finally received a negative COVID-19 result. Later around August 30, 2022, I experienced these terrible coughing attacks and came down with this bad cough. I would be coughing so badly it would wake me up at night. It was a hacking cough. This lasted since September 2022. My symptoms have slightly improved, but I do have a lingering cough.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: Around May 2022 when I attended a birthday party, I first contracted COVID-19. I had sniffles and a sore throat. I tested positive for COVID-19. Around June 6th and 7th 2022, I finally received a negative COVID-19 result. Later around August 30, 2022, I experienced these terrible coughing attacks and came down with this bad cough. I would be coughing so badly it would wake me up at night. It was a hacking cough. This lasted since September 2022. My symptoms have slightly improved, but I do have a lingering cough.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient did not receive Moderna Bivalent booster. Received regular Moderna booster instead.
Age: 15.0
Sex: M
Vaccine: COVID19-2
Symptoms: Dyspnoea, Epistaxis, Nausea, Pain in extremity, Sleep disorder
Clinical narrative: 10/8@3PM: Shot.  10/9@7PM: Forearms started hurting mildly. 10/10@2AM: Woken from sleep by intense pain in bothforearms, couldn't get back to sleep.  Started having nausea.  @4AM: Woke up mom, took temperature, 99.5.  Called health insurance on-call nurse for advice, advised to take some Tylenol and see the doctor in the morning.  Immediately after hanging up, developed a bloody nose, temperature rose to 100.1, started having mild trouble breathing, nausea too intense to eat crackers to take Tylenol.  Called back, also remembered about taking covid booster, the nurse recommended going to the ER for possible immunization reaction.
Age: 16.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: PER MOM: no adverse effects seen; pt was doing fine
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: On 10/07/2022, I accidentally used 1.3 mL of normal saline diluent for the Pfizer-BioNTech COVID vaccine for ages 6 months-<5 years of age. Instructions for this vaccine are very clear that one is supposed to use 2.2 mL of normal saline to dilute the 6 month-<5 years vaccine, but I mistakenly used the The 1.3 mL of diluent used for the ages 5-11 vaccine vials. This under-diluted form of the vaccine was administered to this patient. This means that this patient received a 4.7 mcg/0.2 mL dose of the vaccine instead of the advised 3 mcg/0.2 mL. I have already notified both my office manager and the MD in the office at the time I realized my mistake, and I have reported this incident to both Pfizer and the CDC.  NO ADVERSE REACTION(S) THAT WRITER IS AWARE OF AT THIS TIME (10/10/2022).
Age: 56.0
Sex: F
Vaccine: FLUC4
Symptoms: Throat irritation
Clinical narrative: Patient's throat felt "fuzzy".  She stated she had a similar reaction to her first covid vaccine but had the rest of her covid vaccines at the allergist without issue.  She had never had a reaction to a flu vaccine before.  I gave her 50mg diphenhydramine and observed her for 30 minutes.  She went home with her son who will continue to monitor her.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cerebral haematoma, Computerised tomogram head, Facial bones fracture, Fracture
Clinical narrative: Admitting Physician: MD Discharge Attending Physician: Dr.  Primary Care Physician at Discharge: MD  Admission Date: 9/29/2022 Discharge Date: 9/30/2022   HOSPITAL COURSE: Patient is  a 20 y.o. female who presented on 9/29 as a level 2 trauma activation after being struck by a vehicle going approximately 40 mph.  She sustained multifocal SAH, R frontal bone fracture, R sacral alar fracture, and large R forehead hematoma.  She was admitted to trauma.  Neurosurg was consulted; repeat head CT was stable and neuro checks were stable.  She was started on a clear liquid-- >general diet which she tolerated.  Her tertiary exam revealed no additional injuries.  For her R sacral ala fracture, ortho was contacted.  No formal consult was placed as this was a very small fracture and she ambulated without issues.  Plastics was consulted for her frontal sinus fx and abrasion; this was managed with elevated HOB, ice, and baci to the abrasion TID.  Neuropsych was consulted and did not require outpatient therapy.  PT/OT was consulted but she was ambulating without assistance and was okay for discharge home.  By discharge, her pain was stable with PO pain meds, she was tolerating a diet, she was ambulating as above, and she was urinating spontaneously without any issues.  The patient was discharged to home on 9/30 in stable condition.  Prior to discharge, discharge instructions were discussed with the patient and all questions were answered.  PRESENTING PROBLEM and ADMISSION DIAGNOSIS Subarachnoid hemorrhage [I60.9] Abrasion of scalp, initial encounter [S00.01XA] Closed fracture of frontal bone, initial encounter [S02.0XXA] Closed fracture of sacrum, unspecified portion of sacrum, initial encounter [S32.10XA] COVID-19 [U07.1] Subarachnoid hemorrhage
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Fractured sacrum, Injury, Pain, Road traffic accident, Skin abrasion
Clinical narrative: Admitting Physician: MD Discharge Attending Physician: Dr.  Primary Care Physician at Discharge: MD  Admission Date: 9/29/2022 Discharge Date: 9/30/2022   HOSPITAL COURSE: Patient is  a 20 y.o. female who presented on 9/29 as a level 2 trauma activation after being struck by a vehicle going approximately 40 mph.  She sustained multifocal SAH, R frontal bone fracture, R sacral alar fracture, and large R forehead hematoma.  She was admitted to trauma.  Neurosurg was consulted; repeat head CT was stable and neuro checks were stable.  She was started on a clear liquid-- >general diet which she tolerated.  Her tertiary exam revealed no additional injuries.  For her R sacral ala fracture, ortho was contacted.  No formal consult was placed as this was a very small fracture and she ambulated without issues.  Plastics was consulted for her frontal sinus fx and abrasion; this was managed with elevated HOB, ice, and baci to the abrasion TID.  Neuropsych was consulted and did not require outpatient therapy.  PT/OT was consulted but she was ambulating without assistance and was okay for discharge home.  By discharge, her pain was stable with PO pain meds, she was tolerating a diet, she was ambulating as above, and she was urinating spontaneously without any issues.  The patient was discharged to home on 9/30 in stable condition.  Prior to discharge, discharge instructions were discussed with the patient and all questions were answered.  PRESENTING PROBLEM and ADMISSION DIAGNOSIS Subarachnoid hemorrhage [I60.9] Abrasion of scalp, initial encounter [S00.01XA] Closed fracture of frontal bone, initial encounter [S02.0XXA] Closed fracture of sacrum, unspecified portion of sacrum, initial encounter [S32.10XA] COVID-19 [U07.1] Subarachnoid hemorrhage