chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Aspiration pleural cavity, Asthenia, COVID-19, Cardiac failure, Cough
Clinical narrative: Patient with 3 COVID vaccines who admitted with positive COVID test.  Hypoxic during stay.  Patient died on 08/01/22.  Provider d/c note:  "81 YO F with hx CAD, PAF on eliquis, TAVR, who presented with facial swelling x1 day, 1 month of increasing generalized weakness and falls, poor appetite, and 1-2 weeks of cough (diagnosed with COVID on 7/17) was found to have parotid/right tonsillar/left hilar mass in setting of symptomatic COVID with hypoxic respiratory failure. Thoracentesis performed demonstrated exudative fluid with cytology preliminary showing NSCLC. EBUS recommended; however, cancelled due to increasing oxygen requirements without overt clear etiology. Thought of latter due to post obstructive pneumonia complicated by fluid overload in setting of HFpEF.  Given suspected stage IV cancer with worsening quality of life, patient and family elected to transition to comfort measures, and patient passed at 6:41 this morning. "
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cytology abnormal, Death, Decreased appetite, Fall, Hypervolaemia
Clinical narrative: Patient with 3 COVID vaccines who admitted with positive COVID test.  Hypoxic during stay.  Patient died on 08/01/22.  Provider d/c note:  "81 YO F with hx CAD, PAF on eliquis, TAVR, who presented with facial swelling x1 day, 1 month of increasing generalized weakness and falls, poor appetite, and 1-2 weeks of cough (diagnosed with COVID on 7/17) was found to have parotid/right tonsillar/left hilar mass in setting of symptomatic COVID with hypoxic respiratory failure. Thoracentesis performed demonstrated exudative fluid with cytology preliminary showing NSCLC. EBUS recommended; however, cancelled due to increasing oxygen requirements without overt clear etiology. Thought of latter due to post obstructive pneumonia complicated by fluid overload in setting of HFpEF.  Given suspected stage IV cancer with worsening quality of life, patient and family elected to transition to comfort measures, and patient passed at 6:41 this morning. "
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypoxia, Impaired quality of life, Non-small cell lung cancer stage IV, Pneumonia, Pulmonary hilum mass
Clinical narrative: Patient with 3 COVID vaccines who admitted with positive COVID test.  Hypoxic during stay.  Patient died on 08/01/22.  Provider d/c note:  "81 YO F with hx CAD, PAF on eliquis, TAVR, who presented with facial swelling x1 day, 1 month of increasing generalized weakness and falls, poor appetite, and 1-2 weeks of cough (diagnosed with COVID on 7/17) was found to have parotid/right tonsillar/left hilar mass in setting of symptomatic COVID with hypoxic respiratory failure. Thoracentesis performed demonstrated exudative fluid with cytology preliminary showing NSCLC. EBUS recommended; however, cancelled due to increasing oxygen requirements without overt clear etiology. Thought of latter due to post obstructive pneumonia complicated by fluid overload in setting of HFpEF.  Given suspected stage IV cancer with worsening quality of life, patient and family elected to transition to comfort measures, and patient passed at 6:41 this morning. "
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive, Salivary gland neoplasm, Swelling face, Tonsillar neoplasm
Clinical narrative: Patient with 3 COVID vaccines who admitted with positive COVID test.  Hypoxic during stay.  Patient died on 08/01/22.  Provider d/c note:  "81 YO F with hx CAD, PAF on eliquis, TAVR, who presented with facial swelling x1 day, 1 month of increasing generalized weakness and falls, poor appetite, and 1-2 weeks of cough (diagnosed with COVID on 7/17) was found to have parotid/right tonsillar/left hilar mass in setting of symptomatic COVID with hypoxic respiratory failure. Thoracentesis performed demonstrated exudative fluid with cytology preliminary showing NSCLC. EBUS recommended; however, cancelled due to increasing oxygen requirements without overt clear etiology. Thought of latter due to post obstructive pneumonia complicated by fluid overload in setting of HFpEF.  Given suspected stage IV cancer with worsening quality of life, patient and family elected to transition to comfort measures, and patient passed at 6:41 this morning. "
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: On the same day at 11:30AM after my vaccine I started to feeling pain on the right side of my head with headache for about a week. I went to my doctor on 07/28/2022, she diagnosed me with mild - moderate migraine. She prescribed me  sumatriptan 50 milligram 10 tablets. Am still taking the medication as of today 08/05/2022. I've never experienced anything like this with my other vaccines. Some times the head is so severe and sometime its moderate. I will consult with my doctor again since, it hasn't stopped yet.
Age: 0.17
Sex: M
Vaccine: RV5
Symptoms: Hypophagia, Vomiting
Clinical narrative: She took him to the ER last night since he was throwing up to the point where he had nothing in his stomach. He was prescribed antinausea medication and discharged home. Today he is still throwing up but not as frequently. The medication seems to help. Temp now 99, nothing over 100. He still eating and able to keep down most feeds. Has the normal amount of wet diapers.   Vomited 4x, decreased appetite, decreased fluid intake, was given ondansetron 4mg/5ml
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Headache, Oral mucosal blistering, Pruritus
Clinical narrative: Around 4:00-5:00 in the afternoon, the patient  developed a headache.  Then around 5:00-6:00 the same evening, the patient developed blisters in her mouth and her skin became itchy.  At about midnight, the patient woke up and her skin was red from head to toe like she had a sunburn.  The patient did not specifically seek treatment for adverse reaction.  She did see her physician on 8/3/22 for a regular appointment and all symptoms had resolved by this time.  Patient did state that she had recently recovered from Covid.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pt reported dizziness. Vitals: 126/67,74,22, 95% O2,98.1F Pt stable and released from the vaccination site.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Cough, Fatigue, Pyrexia
Clinical narrative: Patient stated she was experiencing fatigue, fever, cough and joint pain.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Pneumonia, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Pt was admitted on 7/26 for sepsis and hospital-acquired pneumonia. He tested negative for COVID at that time. He was retested for COVID on 8/4 due to his wife testing positive the day prior and having been visiting him in the hospital. He was positive at that time.
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: General symptom, Paracentesis
Clinical narrative: Symptom onset 7/29/22. Admitted to hospital 8/4/22 after failed paracentesis. Treatment includes fluid treatment with lasix and assessment.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient diagnosed with COVID after vaccine series completed
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated and boosted x 1.   COVID infection breakthrough
Age: 54.0
Sex: M
Vaccine: HEP
Symptoms: Dizziness, Pain in extremity
Clinical narrative: On Wednesday afternoon client started with a sore arm.  Late afternoon client reports experiencing some dizziness.
Age: 1.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Laboratory test, Seizure
Clinical narrative: "Patient is a 13-month-old otherwise healthy female child, immunizations up-to-date, who had 2 episodes of seizures, one at daycare and 1 in the ED, improved with IV Ativan 0.5 mg, CT scan negative for bleed or obvious mass, screening labs unrevealing, no trauma and no fever, did have a viral syndrome a week ago but recovered completely.  Did have a COVID immunization yesterday.  Pediatric hospitalist recommends transfer for pediatric neurology evaluation, emergency consulted and will accept the patient in transfer. Neuro consulted and will assume care of the patient.  Patient will be admitted for further treatment and diagnostic testing as felt indicated.  Admitting physician aware of reported history, exam findings, and ED results."
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Hypoxia, Productive cough
Clinical narrative: Patient with COVID vaccines who admitted to hospital with a COVID detected test.  Provider d/c note:  "86 YO male with h/o ESRD on HD (MWF), DMI, HTN who is presenting to the ED for evaluation of hypoxia noted at his residence earlier today. He had an O2 sat in the 40s per chart review and EMS was called. He had a non productive cough and shortness of breath a couple of days ago and had a home COVID test taken which was found to be positive. He was initially seen in medical and transferred to hospital due to having ESRD and being on 2L NC (initially on 4LNC). He states he has some shortness of breath and cough with clear to yellow colored sputum at times. He has not missed dialysis. Denied fevers, chills, nausea, vomiting.    Patient, though required supplemental oxygenation, was quickly weaned off and tolerating RA. He initially received decadron which was then stopped and home cortef was continued. Patient worked with therapy once symptom resolution occurred while receiving scheduled HD. Hospitalization was prolonged due to Covid recovery timeline required by rehabilitation. "
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sputum discoloured
Clinical narrative: Patient with COVID vaccines who admitted to hospital with a COVID detected test.  Provider d/c note:  "86 YO male with h/o ESRD on HD (MWF), DMI, HTN who is presenting to the ED for evaluation of hypoxia noted at his residence earlier today. He had an O2 sat in the 40s per chart review and EMS was called. He had a non productive cough and shortness of breath a couple of days ago and had a home COVID test taken which was found to be positive. He was initially seen in medical and transferred to hospital due to having ESRD and being on 2L NC (initially on 4LNC). He states he has some shortness of breath and cough with clear to yellow colored sputum at times. He has not missed dialysis. Denied fevers, chills, nausea, vomiting.    Patient, though required supplemental oxygenation, was quickly weaned off and tolerating RA. He initially received decadron which was then stopped and home cortef was continued. Patient worked with therapy once symptom resolution occurred while receiving scheduled HD. Hospitalization was prolonged due to Covid recovery timeline required by rehabilitation. "
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Pt reported chest pain "medium" nothing makes it better or worse. Vitals: 97/56, 93, 18 Pt given water and rest in supine position.  Previous 1st dose was without incident.  VVS.  D/w mother to call PCP if worsens. Physical exam unremarkable. Pt ambulated w/o distress and pain improved.  Pt stable and release from the vaccination site @17:30.  Accompanied by  mother.  Rec. f/u w/ PCP.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered, Obesity
Clinical narrative: PATIENT INDICATED HE NEEDED HIS 2ND MODERNA DOSE. VACCINATION CARD SHOWED 1 VACCINE GIVEN AT PHARMACY ON 12/30/21. HE SAID LAG TIME BETWEEN DOSES WAS DUE TO THE FACT THAT HE COVID. WHEN ENTERING INTO DATABASE IT SHOWED DOSES ON 3/21, 4/21, 10/02/21, 12/30/21 AND NOW ON 08/05/1922. PATIENT DOES TAKE TRUVADA AND IS OBESE BUT THE BOOSTER DOSE SHOULD HAVE BEEN 0.25ML NOT 0.5ML. MD WAS CONTACTED AND WILL DISCUSS WITH PATIENT AT HIS APPT IN 3 WEEKS.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Aphasia, Asymptomatic COVID-19, Cerebral mass effect, Cerebrovascular accident, Computerised tomogram head abnormal
Clinical narrative: Fully vaccinated patient with incidental COVID detected test.  Provider d/c note:   "77 YO ambidextrous female who presented 7/20/2022  2:40 PM to HCF after primary admission to the local Hospital after a fall at the train station on 7/14.  She says she is unsure why she fell, but that she may have gotten tripped in the escalator, and that she fell down the escalator hitting her head and suffering an LOC.   She was found to have a Left frontal IPH within a subdural hematoma.  MRI showed an incidental small right cerebellar cva.     She noted fluctuating speech ability (word fining and aphasia both). She had intermittent HAs which are improving.     She was found to have asymptomatic, incidental COVID 19 infection. She continued to have no symptoms and was removed from isolation at 10 days.    She was noted to have vertigo secondary to her TBI, she will follow with outpatient PT for vestibular therapy.    She was continued on Keppra for seizure like symptoms that occurred while she was hospitalized.    On 7/24 she had a repeat CT head for R hand and R facial numbness and temporary confusion. Her symptoms quickly resolved. CT Head re demonstrated ""a 19 mm hyperdense hemorrhage with rim of low attenuation edema in the left frontal lobe just anterior to the sylvian fissure. There is mild mass effect on the adjacent parenchyma. No additional areas of hemorrhage or acute ischemic infarct. No extra-axial fluid collection. No hydrocephalus."" This imaging re demonstrates her known L frontal IPH, Most recent CT head from HCF, ""A focus of acute hemorrhage within the posterior aspect of the left frontal lobe currently measures 3.8 x 1.0 x 1.8 cm. There is a rim of surrounding parenchymal edema as well as mild localized mass effect.""    She will need to follow up with Neurology in 3 weeks for her small R cerebellar CVA, traumatic L frontal IPH, and post traumatic seizures. "
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Confusional state, Craniocerebral injury, Fall, Haemorrhage intracranial, Head injury
Clinical narrative: Fully vaccinated patient with incidental COVID detected test.  Provider d/c note:   "77 YO ambidextrous female who presented 7/20/2022  2:40 PM to HCF after primary admission to the local Hospital after a fall at the train station on 7/14.  She says she is unsure why she fell, but that she may have gotten tripped in the escalator, and that she fell down the escalator hitting her head and suffering an LOC.   She was found to have a Left frontal IPH within a subdural hematoma.  MRI showed an incidental small right cerebellar cva.     She noted fluctuating speech ability (word fining and aphasia both). She had intermittent HAs which are improving.     She was found to have asymptomatic, incidental COVID 19 infection. She continued to have no symptoms and was removed from isolation at 10 days.    She was noted to have vertigo secondary to her TBI, she will follow with outpatient PT for vestibular therapy.    She was continued on Keppra for seizure like symptoms that occurred while she was hospitalized.    On 7/24 she had a repeat CT head for R hand and R facial numbness and temporary confusion. Her symptoms quickly resolved. CT Head re demonstrated ""a 19 mm hyperdense hemorrhage with rim of low attenuation edema in the left frontal lobe just anterior to the sylvian fissure. There is mild mass effect on the adjacent parenchyma. No additional areas of hemorrhage or acute ischemic infarct. No extra-axial fluid collection. No hydrocephalus."" This imaging re demonstrates her known L frontal IPH, Most recent CT head from HCF, ""A focus of acute hemorrhage within the posterior aspect of the left frontal lobe currently measures 3.8 x 1.0 x 1.8 cm. There is a rim of surrounding parenchymal edema as well as mild localized mass effect.""    She will need to follow up with Neurology in 3 weeks for her small R cerebellar CVA, traumatic L frontal IPH, and post traumatic seizures. "
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Headache, Hypoaesthesia, Loss of consciousness, Magnetic resonance imaging head abnormal, Pulmonary oedema
Clinical narrative: Fully vaccinated patient with incidental COVID detected test.  Provider d/c note:   "77 YO ambidextrous female who presented 7/20/2022  2:40 PM to HCF after primary admission to the local Hospital after a fall at the train station on 7/14.  She says she is unsure why she fell, but that she may have gotten tripped in the escalator, and that she fell down the escalator hitting her head and suffering an LOC.   She was found to have a Left frontal IPH within a subdural hematoma.  MRI showed an incidental small right cerebellar cva.     She noted fluctuating speech ability (word fining and aphasia both). She had intermittent HAs which are improving.     She was found to have asymptomatic, incidental COVID 19 infection. She continued to have no symptoms and was removed from isolation at 10 days.    She was noted to have vertigo secondary to her TBI, she will follow with outpatient PT for vestibular therapy.    She was continued on Keppra for seizure like symptoms that occurred while she was hospitalized.    On 7/24 she had a repeat CT head for R hand and R facial numbness and temporary confusion. Her symptoms quickly resolved. CT Head re demonstrated ""a 19 mm hyperdense hemorrhage with rim of low attenuation edema in the left frontal lobe just anterior to the sylvian fissure. There is mild mass effect on the adjacent parenchyma. No additional areas of hemorrhage or acute ischemic infarct. No extra-axial fluid collection. No hydrocephalus."" This imaging re demonstrates her known L frontal IPH, Most recent CT head from HCF, ""A focus of acute hemorrhage within the posterior aspect of the left frontal lobe currently measures 3.8 x 1.0 x 1.8 cm. There is a rim of surrounding parenchymal edema as well as mild localized mass effect.""    She will need to follow up with Neurology in 3 weeks for her small R cerebellar CVA, traumatic L frontal IPH, and post traumatic seizures. "
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Seizure, Subdural haematoma, Vertigo
Clinical narrative: Fully vaccinated patient with incidental COVID detected test.  Provider d/c note:   "77 YO ambidextrous female who presented 7/20/2022  2:40 PM to HCF after primary admission to the local Hospital after a fall at the train station on 7/14.  She says she is unsure why she fell, but that she may have gotten tripped in the escalator, and that she fell down the escalator hitting her head and suffering an LOC.   She was found to have a Left frontal IPH within a subdural hematoma.  MRI showed an incidental small right cerebellar cva.     She noted fluctuating speech ability (word fining and aphasia both). She had intermittent HAs which are improving.     She was found to have asymptomatic, incidental COVID 19 infection. She continued to have no symptoms and was removed from isolation at 10 days.    She was noted to have vertigo secondary to her TBI, she will follow with outpatient PT for vestibular therapy.    She was continued on Keppra for seizure like symptoms that occurred while she was hospitalized.    On 7/24 she had a repeat CT head for R hand and R facial numbness and temporary confusion. Her symptoms quickly resolved. CT Head re demonstrated ""a 19 mm hyperdense hemorrhage with rim of low attenuation edema in the left frontal lobe just anterior to the sylvian fissure. There is mild mass effect on the adjacent parenchyma. No additional areas of hemorrhage or acute ischemic infarct. No extra-axial fluid collection. No hydrocephalus."" This imaging re demonstrates her known L frontal IPH, Most recent CT head from HCF, ""A focus of acute hemorrhage within the posterior aspect of the left frontal lobe currently measures 3.8 x 1.0 x 1.8 cm. There is a rim of surrounding parenchymal edema as well as mild localized mass effect.""    She will need to follow up with Neurology in 3 weeks for her small R cerebellar CVA, traumatic L frontal IPH, and post traumatic seizures. "
Age: 1.92
Sex: F
Vaccine: DTAPIPV
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Pt was due to get DTAP and Polio separate but was given Kinrix by accident.  Pt did not have any reactions to this medication.  GSK was called along with the CDC.  Both companies state that even though the medication was given in error it poses not harm to the child and that the vaccine does NOT need to be repeated.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cough, Lethargy, Pyrexia, Tremor
Clinical narrative: He started coughing violently his whole body was shaking in his sleep. In the early hours on Monday morning, he was wheezing and coughing. By that point me and my husband were also sick, so we knew he had. I called the prevarication because of the wheezing his temperature was over 102, they had me bring him in to be checked to check his lungs. All day Monday he had a high fever. Lethargic. The doctor gave him a steroid. They also sent us home with a nebulizer and by Tuesday morning his fever had broken, his energy level had picked back up. He is still coughing and wheezing but he is fine. We still must do the nebulizer for a couple more days to help his breathing.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: He started coughing violently his whole body was shaking in his sleep. In the early hours on Monday morning, he was wheezing and coughing. By that point me and my husband were also sick, so we knew he had. I called the prevarication because of the wheezing his temperature was over 102, they had me bring him in to be checked to check his lungs. All day Monday he had a high fever. Lethargic. The doctor gave him a steroid. They also sent us home with a nebulizer and by Tuesday morning his fever had broken, his energy level had picked back up. He is still coughing and wheezing but he is fine. We still must do the nebulizer for a couple more days to help his breathing.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered vaccine past the 75 days of storage in the fridge to 25 days past BUD. I'm calling all 55 patients to let them know their options.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood bilirubin normal, Blood folate normal, Full blood count, Lipids normal
Clinical narrative: About 1 1/2 months after vaccination, on 6-21-2022, I started back having a menses after not having one for 2 years and I also noticed increased joint pain and muscle aches to my back. On 6-27-2022, I went to the chiropractor and informed him of my increase in joint pain and muscle aches. No tests or medication were ordered. He performed neck/spine adjustment. On 7-19, I went to a walk-in clinic and seen a nurse practitioner due to current issues I was having. She ordered blood work and now I am on new supplements. I do not feel as strong as I used to be and I continue with joint pain and muscle aches.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Mean platelet volume increased, Metabolic function test normal, Myalgia, Platelet count normal, Postmenopausal haemorrhage
Clinical narrative: About 1 1/2 months after vaccination, on 6-21-2022, I started back having a menses after not having one for 2 years and I also noticed increased joint pain and muscle aches to my back. On 6-27-2022, I went to the chiropractor and informed him of my increase in joint pain and muscle aches. No tests or medication were ordered. He performed neck/spine adjustment. On 7-19, I went to a walk-in clinic and seen a nurse practitioner due to current issues I was having. She ordered blood work and now I am on new supplements. I do not feel as strong as I used to be and I continue with joint pain and muscle aches.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Vitamin B12 normal, Vitamin D
Clinical narrative: About 1 1/2 months after vaccination, on 6-21-2022, I started back having a menses after not having one for 2 years and I also noticed increased joint pain and muscle aches to my back. On 6-27-2022, I went to the chiropractor and informed him of my increase in joint pain and muscle aches. No tests or medication were ordered. He performed neck/spine adjustment. On 7-19, I went to a walk-in clinic and seen a nurse practitioner due to current issues I was having. She ordered blood work and now I am on new supplements. I do not feel as strong as I used to be and I continue with joint pain and muscle aches.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was administrated the beyond use date.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Dry skin, Rash, Rash vesicular, Skin exfoliation
Clinical narrative: Mom states patient developed a blistered, dry flaky rash on left arm on the evening on 8/4/22. Mom has applied aloe but no other treatment.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administrated the beyond use date.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Administered vaccine past the 75 days of storage in the fridge to 25 days past BUD. I'm calling all 55 patients to let them know their options.
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Blood loss anaemia, Fall, Femur fracture, Gait disturbance
Clinical narrative: Patient up to date of COVID vaccines who had an incidental positive test.  Provider d/c note:  "93 yo F PMH severe protein calorie malnutrition, OA, anemia, HTN, previous SVT s/p ablation admitted for right intertrochanteric femur fracture after mechanical fall after tripping on a rug. Orthopedic surgery consulted and she is now s/p ORIF 7/15.    Course was complicated by acute blood loss anemia and she received a unit of pRBCs for a HgB of 6.6. Course also complicated by leukocytosis, thought to be reactive.    Hospital Course: Patient was continued on AM tramadol and PRN tylenol and Norco for pain. One week of pain medications ordered at discharge.    She was found to have an asymptomatic COVID 19 infection on 7/25.    For her anemia, PO iron was discontinued due to severe constipation. IM B12 given for B12 deficiency.    She was continued on megace for weight loss and poor PO intake. She is following with Dr. as an outpatient.    Ditropan was discontinued secondary to urinary retention, which has resolved at the time on discharge.    Daughter completed family training 7/28 and will stay with patient on discharge to provide support and supervision. "
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Haemoglobin decreased, Hypophagia, Leukocytosis, Open reduction of fracture, Pain
Clinical narrative: Patient up to date of COVID vaccines who had an incidental positive test.  Provider d/c note:  "93 yo F PMH severe protein calorie malnutrition, OA, anemia, HTN, previous SVT s/p ablation admitted for right intertrochanteric femur fracture after mechanical fall after tripping on a rug. Orthopedic surgery consulted and she is now s/p ORIF 7/15.    Course was complicated by acute blood loss anemia and she received a unit of pRBCs for a HgB of 6.6. Course also complicated by leukocytosis, thought to be reactive.    Hospital Course: Patient was continued on AM tramadol and PRN tylenol and Norco for pain. One week of pain medications ordered at discharge.    She was found to have an asymptomatic COVID 19 infection on 7/25.    For her anemia, PO iron was discontinued due to severe constipation. IM B12 given for B12 deficiency.    She was continued on megace for weight loss and poor PO intake. She is following with Dr. as an outpatient.    Ditropan was discontinued secondary to urinary retention, which has resolved at the time on discharge.    Daughter completed family training 7/28 and will stay with patient on discharge to provide support and supervision. "
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Red blood cell transfusion, SARS-CoV-2 test positive, Vitamin B12 deficiency, Weight decreased
Clinical narrative: Patient up to date of COVID vaccines who had an incidental positive test.  Provider d/c note:  "93 yo F PMH severe protein calorie malnutrition, OA, anemia, HTN, previous SVT s/p ablation admitted for right intertrochanteric femur fracture after mechanical fall after tripping on a rug. Orthopedic surgery consulted and she is now s/p ORIF 7/15.    Course was complicated by acute blood loss anemia and she received a unit of pRBCs for a HgB of 6.6. Course also complicated by leukocytosis, thought to be reactive.    Hospital Course: Patient was continued on AM tramadol and PRN tylenol and Norco for pain. One week of pain medications ordered at discharge.    She was found to have an asymptomatic COVID 19 infection on 7/25.    For her anemia, PO iron was discontinued due to severe constipation. IM B12 given for B12 deficiency.    She was continued on megace for weight loss and poor PO intake. She is following with Dr. as an outpatient.    Ditropan was discontinued secondary to urinary retention, which has resolved at the time on discharge.    Daughter completed family training 7/28 and will stay with patient on discharge to provide support and supervision. "
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administrated the beyond use date.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: I started having a scratchy throat and then on July 16th it stayed the same on the 17th and I had a negative reading on both days. Then on the next morning I had a sore throat, fatigue, cough and congestion. I went and had a PCR test and a home test. The home test came back positive and the results from the PCR came back positive as well. I then developed a fever 100.3 on the 18th. I made a telehealth appointment and she prescribed PAXLOVID. I started that medication the evening of the 19th and completed it on the morning of the 24th. The fever went away around the 21 but the other symptoms remained. I did another home test on 27,29 and the 30th were negative. The symptoms continued as followed cough, congestion. On Aug 1st my cough and congestion was worse. My cough was worse as well as the congestion. I did another home test August 4 and I was still positive. Still have congestion and a slight cough.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I started having a scratchy throat and then on July 16th it stayed the same on the 17th and I had a negative reading on both days. Then on the next morning I had a sore throat, fatigue, cough and congestion. I went and had a PCR test and a home test. The home test came back positive and the results from the PCR came back positive as well. I then developed a fever 100.3 on the 18th. I made a telehealth appointment and she prescribed PAXLOVID. I started that medication the evening of the 19th and completed it on the morning of the 24th. The fever went away around the 21 but the other symptoms remained. I did another home test on 27,29 and the 30th were negative. The symptoms continued as followed cough, congestion. On Aug 1st my cough and congestion was worse. My cough was worse as well as the congestion. I did another home test August 4 and I was still positive. Still have congestion and a slight cough.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administrated the beyond use date.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Discomfort, Dizziness, Electrocardiogram
Clinical narrative: Pt screamed and grabbed her chest.  Vitals taken w/ 178 other vitals WNL.  Pt reported chest pain and pain in the back of her head.  Pt rated 10/10.  Pt also reported feeling heavy and dizziness.  911 called immediately.  Pt placed in wheelchari and assessed by RN.  Pt transported to ED. IN ED: 46-year-old presenting for palpitations status post COVID vaccine, no evidence of anaphylaxis, complains of substernal chest pressure as well no history of ACS or recent ACS workup -history is not consistent with ACS however patient reports substernal chest pain at this time.  Started 20 minutes prior to presentation discussed risk benefits of further work-up, patient preferred to have ACS work-up here in the emergency department. Differential diagnosis includes ACS, pulmonary embolism, pneumothorax, pneumonia, cardiac tamponade, esophageal rupture, pericarditis, myocarditis. 1107 My interpretation of the EKG is sinus rhythm, rate of 62, short PR interval 105, no delta wave, normal axis, no ST elevations meeting STEMI criteria.  1300 Troponin T high sensitivity: <6 Pending delta Trope.  1355 Pt will be Be signed out to oncoming ED attending Dr. pending delta Trope.  Patient is a low risk chest pain if COVID-negative patient okay for discharge.  Doubt ACS.  Patient is now chest pain-free on my reevaluation.  1403 SIGNOUT: pending hstrop3 for DC  1403 S/o: 46F low risk chest pain, pending 2nd trop, if neg can go home  1510 Troponin T high sensitivity: <6 After re-evaluation, patient was clinically improved. Pertinent diagnostic results discussed with the patient. All questions were answered. Return precautions discussed as well as pertinent wound/injury care instructions. Utilizing shared decision making, patient will be discharged home. Patient agrees to close follow up with their primary care physician and appropriate outpatient specialist.   1510 Doubt ACS.  Low risk for major adverse cardiac event, less than 1.7%.  Heart score of 1.  Patient informed of results and agreeable.  Pt discharged home with return precautions.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Palpitations, Screaming, Troponin T
Clinical narrative: Pt screamed and grabbed her chest.  Vitals taken w/ 178 other vitals WNL.  Pt reported chest pain and pain in the back of her head.  Pt rated 10/10.  Pt also reported feeling heavy and dizziness.  911 called immediately.  Pt placed in wheelchari and assessed by RN.  Pt transported to ED. IN ED: 46-year-old presenting for palpitations status post COVID vaccine, no evidence of anaphylaxis, complains of substernal chest pressure as well no history of ACS or recent ACS workup -history is not consistent with ACS however patient reports substernal chest pain at this time.  Started 20 minutes prior to presentation discussed risk benefits of further work-up, patient preferred to have ACS work-up here in the emergency department. Differential diagnosis includes ACS, pulmonary embolism, pneumothorax, pneumonia, cardiac tamponade, esophageal rupture, pericarditis, myocarditis. 1107 My interpretation of the EKG is sinus rhythm, rate of 62, short PR interval 105, no delta wave, normal axis, no ST elevations meeting STEMI criteria.  1300 Troponin T high sensitivity: <6 Pending delta Trope.  1355 Pt will be Be signed out to oncoming ED attending Dr. pending delta Trope.  Patient is a low risk chest pain if COVID-negative patient okay for discharge.  Doubt ACS.  Patient is now chest pain-free on my reevaluation.  1403 SIGNOUT: pending hstrop3 for DC  1403 S/o: 46F low risk chest pain, pending 2nd trop, if neg can go home  1510 Troponin T high sensitivity: <6 After re-evaluation, patient was clinically improved. Pertinent diagnostic results discussed with the patient. All questions were answered. Return precautions discussed as well as pertinent wound/injury care instructions. Utilizing shared decision making, patient will be discharged home. Patient agrees to close follow up with their primary care physician and appropriate outpatient specialist.   1510 Doubt ACS.  Low risk for major adverse cardiac event, less than 1.7%.  Heart score of 1.  Patient informed of results and agreeable.  Pt discharged home with return precautions.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Administered  above vaccine past the 75days of storage in the fridge to 25 days past BUD. I'm calling all 55 patients to let them know their options.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: RED ARM AT INJECTION SITE AND UP UNDER ARM, HARD AREA ON ARM AT INJECTION SITE, WARM TO THE TOUCH.  STARTED DAY AFTER SHOT AND CONINUING UP TILL TODAY (8/5/2022) SO FAR.  I SUGGESTED TYLENOL, COLD COMPRESS, AND CALL PRIMARY PHYSICIAN. PATIENT DOESNT HAVE PHYSICIAN, SO I SUGGESTED GO TO URGENT CARE IF SHE THINKS SHE NEEDS TO.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond-use-date.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Administered vaccine past the 75 days of storage in the fridge to 25 days past BUD. I'm calling all 55 patients to let them know their options.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal loss of weight, Ageusia, Anosmia, Anxiety, Blood test normal
Clinical narrative: She got her vaccine, she was fine and then lost her taste and smell, and her muscles in her lower body became weak, everywhere, her stomach muscles are gone, she has a hard time sitting up in bed.  She sits on the couch all day and goes to bed at  night.  It also affected her legs and arms.  She lost about 30# in one month.  She was loosing 1-2# a day, and there was nothing that she could do.  She went to her doctor for something else, then went to his PA and she sent her to Dr.  They wanted to do blood work before doing a muscle biopsy.  She had gastric bypass 17 years ago, and had no problems, but since May/June of 2021 she suddenly lost 30#.  The blood work was normal and had nothing to do with the bypass, and he was a neurologist and refused to do the muscle biopsy.   She was then sent to another neurologist to find out if the muscles are atrophied or what.    She went to the ER at one point sitting in a wheelchair, checked her BP and did some lab work and said that it must be anxiety and sent her home.  Her arms do not work well enough to use a wheelchair, and still has no use of her arms or her legs.  She cannot pick up anything heavy, she cannot walk with any weight in one arm as she will tip over, and her mother has to help her.   She also has a hard time breathing, and gets out of breath easily.  She never had any of these symptoms prior the vaccine.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Laboratory test, Mobility decreased, Muscle disorder, Muscular weakness
Clinical narrative: She got her vaccine, she was fine and then lost her taste and smell, and her muscles in her lower body became weak, everywhere, her stomach muscles are gone, she has a hard time sitting up in bed.  She sits on the couch all day and goes to bed at  night.  It also affected her legs and arms.  She lost about 30# in one month.  She was loosing 1-2# a day, and there was nothing that she could do.  She went to her doctor for something else, then went to his PA and she sent her to Dr.  They wanted to do blood work before doing a muscle biopsy.  She had gastric bypass 17 years ago, and had no problems, but since May/June of 2021 she suddenly lost 30#.  The blood work was normal and had nothing to do with the bypass, and he was a neurologist and refused to do the muscle biopsy.   She was then sent to another neurologist to find out if the muscles are atrophied or what.    She went to the ER at one point sitting in a wheelchair, checked her BP and did some lab work and said that it must be anxiety and sent her home.  Her arms do not work well enough to use a wheelchair, and still has no use of her arms or her legs.  She cannot pick up anything heavy, she cannot walk with any weight in one arm as she will tip over, and her mother has to help her.   She also has a hard time breathing, and gets out of breath easily.  She never had any of these symptoms prior the vaccine.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal disorder, Weight bearing difficulty
Clinical narrative: She got her vaccine, she was fine and then lost her taste and smell, and her muscles in her lower body became weak, everywhere, her stomach muscles are gone, she has a hard time sitting up in bed.  She sits on the couch all day and goes to bed at  night.  It also affected her legs and arms.  She lost about 30# in one month.  She was loosing 1-2# a day, and there was nothing that she could do.  She went to her doctor for something else, then went to his PA and she sent her to Dr.  They wanted to do blood work before doing a muscle biopsy.  She had gastric bypass 17 years ago, and had no problems, but since May/June of 2021 she suddenly lost 30#.  The blood work was normal and had nothing to do with the bypass, and he was a neurologist and refused to do the muscle biopsy.   She was then sent to another neurologist to find out if the muscles are atrophied or what.    She went to the ER at one point sitting in a wheelchair, checked her BP and did some lab work and said that it must be anxiety and sent her home.  Her arms do not work well enough to use a wheelchair, and still has no use of her arms or her legs.  She cannot pick up anything heavy, she cannot walk with any weight in one arm as she will tip over, and her mother has to help her.   She also has a hard time breathing, and gets out of breath easily.  She never had any of these symptoms prior the vaccine.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Anion gap, Asthenia, Blood creatinine increased, Blood glucose decreased
Clinical narrative: Patient up to date on COVID vaccinations who admitted with COVID symptoms and COVID detected PCR.  Provider D/C note: " 68-year-old female with past medical history of chronic kidney disease status post kidney transplant with solitary kidney, cadaver, on immunosuppressive therapy (tacrolimus, prednisone), hydronephrosis status post stenting, DVT, hyperlipidemia,type 2 diabetes, hypertension, who presented to the emergency department with complaints of generalized weakness with onset 3-4 days prior to admission at which time she had a  positive COVID contact.  In the emergency department patient's vitals are stable, Accu-Chek with significant 48 blood glucose (given D10W in ED), labs significant for 8.3 hemoglobin, creatinine and BUN elevated, CO2 11, anion gap 17.  CT of head was done, unremarkable.  Patient reports she was supposed to have her stent removed 2 days prior but was too weak to see the urologist.  Patient was admitted to the general medicine team for further evaluation.  For her acute kidney injury on CKD status post renal transplant, patient had a renal ultrasound done which was significant for hydronephrosis/ hydroureter with stent present. urology was consulted stat.  UA was pending however previous UA was significant for Citrobacter freundii and meropenem was started.  Antibiotics were subsequently discontinued following benign UA results.  Urology deferred stent exchange and negated emergency intervention due to positive COVID status.  Urology continued to follow for the duration of the admission with instructions to follow-up following completion of severe respiratory isolation.  Nephrology was also consulted, patient's tacrolimus levels were maintained, patient was started on bicarbonate drip for her anion gap acidosis subsequently being transition to oral bicarbonate.  Patient was maintained off of all nephrotoxic medications and started on gentle hydration. Patient's AKI improved.  For her COVID + patient was started on remdesivir, did not require supplemental oxygen or any further treatment, tolerated well, symptomatic improvement.  Following improvement of her AKI and per recommendations of nephrology and urology patient was ready for discharge. For her covid 19+  Patient's hospital stay was not complicated"
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Blood urea increased, COVID-19, Carbon dioxide decreased, Chronic kidney disease, Citrobacter test positive
Clinical narrative: Patient up to date on COVID vaccinations who admitted with COVID symptoms and COVID detected PCR.  Provider D/C note: " 68-year-old female with past medical history of chronic kidney disease status post kidney transplant with solitary kidney, cadaver, on immunosuppressive therapy (tacrolimus, prednisone), hydronephrosis status post stenting, DVT, hyperlipidemia,type 2 diabetes, hypertension, who presented to the emergency department with complaints of generalized weakness with onset 3-4 days prior to admission at which time she had a  positive COVID contact.  In the emergency department patient's vitals are stable, Accu-Chek with significant 48 blood glucose (given D10W in ED), labs significant for 8.3 hemoglobin, creatinine and BUN elevated, CO2 11, anion gap 17.  CT of head was done, unremarkable.  Patient reports she was supposed to have her stent removed 2 days prior but was too weak to see the urologist.  Patient was admitted to the general medicine team for further evaluation.  For her acute kidney injury on CKD status post renal transplant, patient had a renal ultrasound done which was significant for hydronephrosis/ hydroureter with stent present. urology was consulted stat.  UA was pending however previous UA was significant for Citrobacter freundii and meropenem was started.  Antibiotics were subsequently discontinued following benign UA results.  Urology deferred stent exchange and negated emergency intervention due to positive COVID status.  Urology continued to follow for the duration of the admission with instructions to follow-up following completion of severe respiratory isolation.  Nephrology was also consulted, patient's tacrolimus levels were maintained, patient was started on bicarbonate drip for her anion gap acidosis subsequently being transition to oral bicarbonate.  Patient was maintained off of all nephrotoxic medications and started on gentle hydration. Patient's AKI improved.  For her COVID + patient was started on remdesivir, did not require supplemental oxygen or any further treatment, tolerated well, symptomatic improvement.  Following improvement of her AKI and per recommendations of nephrology and urology patient was ready for discharge. For her covid 19+  Patient's hospital stay was not complicated"