chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Saccadic eye movement, Seizure, Strabismus
Clinical narrative: Hospital course:  Patient is a 34 y.o. female with a PMH significant for TBI 2/2 MVC in 2018, spastic quadriparesis, and seizures who presented to the hospital on 8/23 due to worsening shortness of air. Per the patient's mother, the patient became febrile the morning of admission and upon checking her O2 sat, it was noted to be 85%. She was placed on 5L home O2 and brought to the hospital. The patient was found to have COVID. She was initially admitted to the hospital medicine service, however was noted to have decreased mentation requiring emergent intubation.  Post intubation the patient had a bronchoscopy with BAL performed. On the night of 8/24 into 8/25, the patient became hypotensive, was given 1L IVF, but remained hypotensive and was started on norepinephrine.  Shortly after initiation of norepinephrine, the patient became bradycardic therefore the patient was transitioned to epinephrine and BP and heart rate improved.  Per the patient's mother, the patient has had similar issues two time prior while on norepinephrine.  On the early morning of 8/25, the patient was weaned off of epinephrine and extubated to HFNC.  On 8/26, the patient was transitioned from HFNC to 5L NC and broad spectrum abx were stopped. On 8/29, the patient was upgraded to ICU status for closer monitoring. On 8/30, the patient was hypotensive wit SBP in the 70s, was given 1L IVF, transitioned back to HFNC,  and repeat infectious workup was obtained. On 8/31, the patient was transitioned back to regular NC and downgraded back to progressive care on 9/1.   On 9/4, the patient dropped her SpO2 to 75% on 4L NC. NT suction was performed, but catheter clogged due to secretions. The patient was placed on a NRB and SpO2 improved to 96%. The patient was then transitioned to 80% and 40L HFNC and initiated on mucomyst nebs. The patient stayed in the MICU and her oxygen was weaned down to 2L NC PRN over the past few days. She has continued getting mucomyst nebs, albuterol nebs, hypertonic saline nebs, chest PT, and cough assist. These interventions due help with her secretions. The patient's mother does have all these modalities for airway clearance at home and they are wanted to take the patient home. She has remained hemodynamically stable on midodrine and has tolerated RA mostly during the day with 2L PRN at night. The patient will be discharged home with current neb treatments as well as oxygen to use PRN. Home health services will resume and the team has reviewed the care plan/new medications with her mother. She states that she feels like the patient's care can be managed by them at home. She will follow up with her PCP in 1-2 weeks for further management.    Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Visual field defect, Volvulus
Clinical narrative: Hospital course:  Patient is a 34 y.o. female with a PMH significant for TBI 2/2 MVC in 2018, spastic quadriparesis, and seizures who presented to the hospital on 8/23 due to worsening shortness of air. Per the patient's mother, the patient became febrile the morning of admission and upon checking her O2 sat, it was noted to be 85%. She was placed on 5L home O2 and brought to the hospital. The patient was found to have COVID. She was initially admitted to the hospital medicine service, however was noted to have decreased mentation requiring emergent intubation.  Post intubation the patient had a bronchoscopy with BAL performed. On the night of 8/24 into 8/25, the patient became hypotensive, was given 1L IVF, but remained hypotensive and was started on norepinephrine.  Shortly after initiation of norepinephrine, the patient became bradycardic therefore the patient was transitioned to epinephrine and BP and heart rate improved.  Per the patient's mother, the patient has had similar issues two time prior while on norepinephrine.  On the early morning of 8/25, the patient was weaned off of epinephrine and extubated to HFNC.  On 8/26, the patient was transitioned from HFNC to 5L NC and broad spectrum abx were stopped. On 8/29, the patient was upgraded to ICU status for closer monitoring. On 8/30, the patient was hypotensive wit SBP in the 70s, was given 1L IVF, transitioned back to HFNC,  and repeat infectious workup was obtained. On 8/31, the patient was transitioned back to regular NC and downgraded back to progressive care on 9/1.   On 9/4, the patient dropped her SpO2 to 75% on 4L NC. NT suction was performed, but catheter clogged due to secretions. The patient was placed on a NRB and SpO2 improved to 96%. The patient was then transitioned to 80% and 40L HFNC and initiated on mucomyst nebs. The patient stayed in the MICU and her oxygen was weaned down to 2L NC PRN over the past few days. She has continued getting mucomyst nebs, albuterol nebs, hypertonic saline nebs, chest PT, and cough assist. These interventions due help with her secretions. The patient's mother does have all these modalities for airway clearance at home and they are wanted to take the patient home. She has remained hemodynamically stable on midodrine and has tolerated RA mostly during the day with 2L PRN at night. The patient will be discharged home with current neb treatments as well as oxygen to use PRN. Home health services will resume and the team has reviewed the care plan/new medications with her mother. She states that she feels like the patient's care can be managed by them at home. She will follow up with her PCP in 1-2 weeks for further management.    Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough  dose 1 3/11/21 Moderna 001B21A dose 2 4/8/21 Moderna 045A21A dose 3 11/7/21 Moderna 058F21A
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Device connection issue, Syringe issue, Underdose
Clinical narrative: The needle came detached from the syringe during injection and the vaccine went all over my chest, the patients arm and face. It was determined patient did not receive the dose and we redid the dose.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Insomnia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I received my second Moderna booster for COVID-19 on 6/11/2022. On the evening of 9/6/2022, I developed a persistent cough. I thought it was caused by allergies, and I had trouble sleeping that night. (As a matter of fact, I have had trouble sleeping ever since.). On 9/7/2022, I called my PCP's office to try to book an appointment, but they were booked up. They offered to do a telehealth visit, but I declined, as I have a number of allergies anyway. Through the following days, my cough became more persistent, and I developed a runny nose. On the night of 9/9/2022, I took a home COVID-19 test and got a positive result. On 9/10/2022, I went to an urgent care, and they gave me a number to call to inquire about getting medication. I called the number, and I was prescribed PAXLOVID, which I started taking that night. While I was at the urgent care, I also underwent a rapid test for COVID-19 and got another positive result. Since I've begun taking the PAXLOVID, the symptoms have begun diminishing. It got rid of the runny nose, though I still have a cough. I'm taking OTC EQUATE cold and flu medicine and ADVIL, and they are helping ease the cough.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Vaccine was given without being diluted. No problems reported.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough  dose 1 8/14/21 Moderna 006C21A dose 2 9/10/21 Moderna 040B21A
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Vaccine was given without being diluted. No problems reported.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Bone pain, Chills, Fatigue, Feeling cold
Clinical narrative: Extreme weakness, pain in bones and muscles, shivering and felt cold, bad headache, heart pounding and fast pulse, then hot flash. Lasted until about 4:00am. Then went to sleep. Today mild headache and tired.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Heart rate increased, Hot flush, Myalgia, Palpitations
Clinical narrative: Extreme weakness, pain in bones and muscles, shivering and felt cold, bad headache, heart pounding and fast pulse, then hot flash. Lasted until about 4:00am. Then went to sleep. Today mild headache and tired.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough   dose 1 5/12/21 unknown lot number dose 2 6/9/21 unknown lot number
Age: 62.0
Sex: M
Vaccine: COVID19-2, COVID19
Symptoms: Anxiety, Chest discomfort, Tachycardia
Clinical narrative: Tachycardia, chest tightness, with impending doom.
Age: 62.0
Sex: M
Vaccine: COVID19-2, COVID19
Symptoms: Anxiety, Chest discomfort, Incorrect dose administered, SARS-CoV-2 test, Tachycardia
Clinical narrative: Tachycardia, chest tightness, with impending doom.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated and boosted once.   COVID breakthrough infection, hospital onset.
Age: 53.0
Sex: M
Vaccine: FLU4
Symptoms: Cough, Throat irritation
Clinical narrative: Patient received flu vaccine. 10-15 minutes later he developed a cough and itchy throat. He was taken back to his exam room where he was examined by his provider who ordered epinephrine 0.3 mg one time dose. Patient tolerated dose well and was sent to ED for further evaluation via private vehicle as he was deemed stable enough for this by his physician.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Fully vaccinated and boosted once.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Vaccine breakthrough infection
Clinical narrative: COVID-related death, breakthrough case
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Fully vaccinated and boosted times one.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Amnesia, Loss of consciousness, Nausea, Unresponsive to stimuli, Vomiting
Clinical narrative: At 11 PM, about an hour after I went to bed I woke up with extreme nausea. I knew I was likely going to vomit so I walked into the bathroom. I got down on my hands and knees to prepare to vomit in the toilet and that is when I blacked out. My husband heard me hit the floor and called out my name several times and got no response. He entered the bathroom and was able to arouse me as I was vomiting on the ground. I have no memory of the time between leaning over the toilet and being awakened by my husband while laying on the bathroom floor vomiting. I have never in my life fainted or blacked out in any way, so this was highly unusual.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Feeling cold, Influenza like illness, Injection site erythema, Injection site pain
Clinical narrative: Pain and Redness at injection site - same day Feverish/cold shivering, feeling flu-like - roughly 24 hours after injection
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Pain and Redness at injection site - same day Feverish/cold shivering, feeling flu-like - roughly 24 hours after injection
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Abdominal pain, Abdominal pain upper, Constipation, Decreased appetite, Defaecation urgency
Clinical narrative: Severe abdominal cramping this lasted for 5 days. More severe the first 3 days and slowly less severe over the last two days. Not hungry during this time and no bowel movements. Felt pressure like he needed to go, but couldn't (he has never had abdominal pain or this before) His stomach hurt to the touch. He slept for two days and couldn't eat any food. No vomiting or diarrhea just not hungry due to abdominal pain. He was home on the couch for 5 days.
Age: 12.0
Sex: M
Vaccine: VARCEL
Symptoms: Hypophagia, Mobility decreased, Somnolence
Clinical narrative: Severe abdominal cramping this lasted for 5 days. More severe the first 3 days and slowly less severe over the last two days. Not hungry during this time and no bowel movements. Felt pressure like he needed to go, but couldn't (he has never had abdominal pain or this before) His stomach hurt to the touch. He slept for two days and couldn't eat any food. No vomiting or diarrhea just not hungry due to abdominal pain. He was home on the couch for 5 days.
Age: 60.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site irritation, Skin erosion
Clinical narrative: Patient complaining about injection site irritation after removing band-aid the day after vaccine. Skin looked raw and had pus forming.
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient unintentionally received age 5-11 covid vaccine
Age: 51.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: none
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19.
Sex: U
Vaccine: UNK
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt diagnosed with COVID.  Pt had Covid Vaccine.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Bad Rash all over body.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Fatigue, Malaise
Clinical narrative: Breakthrough COVID infection resulting in hospitalization. Symptoms include cough, shortness of breath, congestion, malaise, and fatigue. Onset of symptoms not known. Tested positive on 09/03/2022.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID infection resulting in hospitalization. Symptoms include cough, shortness of breath, congestion, malaise, and fatigue. Onset of symptoms not known. Tested positive on 09/03/2022.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19.
Age: 74.0
Sex: F
Vaccine: TYP
Symptoms: Incorrect dose administered
Clinical narrative: Invalid dose given as multi dose Typhoid  vial licensed for 20 doses,  dose patient received is number 21. Dose drawn exceeded dose limit for multi dose vial. Computer inventory glitch noted and now rectified.
Age: 70.0
Sex: M
Vaccine: TYP
Symptoms: Vaccination error
Clinical narrative: Invalid dose given as multi dose Typhoid  vial licensed for 20 doses,  dose patient received is number 22. Dose drawn exceeded dose limit for multi dose vial. Computer inventory glitch noted and now rectified.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19
Age: 63.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Arthralgia, Asthenia, Decreased appetite, Diarrhoea, Discoloured vomit
Clinical narrative: Extreme fatigue, headache, diarrhea, no appetite, hand cramps, every joint ached, very weak, vomited blackish stuff, mouth full of white substance in the morning, had to wipe out with kleenex, both shoulders hurt for 4 days
Age: 63.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Fatigue, Headache, Muscle spasms, Saliva discolouration
Clinical narrative: Extreme fatigue, headache, diarrhea, no appetite, hand cramps, every joint ached, very weak, vomited blackish stuff, mouth full of white substance in the morning, had to wipe out with kleenex, both shoulders hurt for 4 days
Age: 35.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Burning sensation, Chills, Chlamydia test negative, Full blood count normal, HIV test negative
Clinical narrative: 5 days post vaccination developed fever, chills, body aches and new legions on groin, burning when urinating. Treated for STI/UTI on antibiotics.  4 days of antibiotic treatment with out relief. Determined to be HSV2 and started on Valacyclovair, swabbed for HSV 1&2 and both are negative. Now new legions located on right knee and right hallux.
Age: 35.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Hepatitis B virus test positive, Hepatitis C test negative, Herpes simplex, Metabolic function test normal, Neisseria test
Clinical narrative: 5 days post vaccination developed fever, chills, body aches and new legions on groin, burning when urinating. Treated for STI/UTI on antibiotics.  4 days of antibiotic treatment with out relief. Determined to be HSV2 and started on Valacyclovair, swabbed for HSV 1&2 and both are negative. Now new legions located on right knee and right hallux.
Age: 35.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Pain, Pyrexia, Sexually transmitted disease, Skin lesion, Treponema test negative
Clinical narrative: 5 days post vaccination developed fever, chills, body aches and new legions on groin, burning when urinating. Treated for STI/UTI on antibiotics.  4 days of antibiotic treatment with out relief. Determined to be HSV2 and started on Valacyclovair, swabbed for HSV 1&2 and both are negative. Now new legions located on right knee and right hallux.
Age: 35.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Urinary tract infection
Clinical narrative: 5 days post vaccination developed fever, chills, body aches and new legions on groin, burning when urinating. Treated for STI/UTI on antibiotics.  4 days of antibiotic treatment with out relief. Determined to be HSV2 and started on Valacyclovair, swabbed for HSV 1&2 and both are negative. Now new legions located on right knee and right hallux.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Aortic stenosis, Asthenia, Blood creatinine increased, Blood gases
Clinical narrative: 2/14/2022-Presents to weakness and SOB. Covid + test. Recently treated for bronchitis Jan 2022 with amox.  2L NC 95% sat. Afebrile. CXR: Mod right pleural effusion. Hgb 7.1 dropped to 6.5 1 unit PRBC. Admit acute decompensated HF with preserved EF in setting of severe aortic stenosis Covid 19 pneumonia.  2/15/2022- Remdesivir, Decadron and azithromycin started. Ferritin 12.5 iron supplements started. Troponinemia (downtrending) s/t demand ischemia  Trop:0.053,0.059 and 0.069. 2/17/2022-AKI worsening, BUN was 71 and 1.4 (baseline creatnine 0.7-1) remdesivir d/c low creatnine clearance.  2/19/2022-AKI worsening with diuresis. Lasix held. Placed on Bipap 16/6 45%. CXR:Worsening bilateral infiltrates   2/19/2022-  ABG: 7.154/85.6/73/30.1/95. Need for TAVR held due to acuity.  2/21/2022-Started baricitinib, aztreonam and Vanco continue decadron. 2/21/2022-Sating WDL on Bipap 45%. expiratory wheeze and rhonci noted through night r lung. 2/22/2022-Continues on Bipap, BP range -110/60-118/71  sattng 95% HR range 110-150 a fib. WBC-21.3. TPN started. DNR/DNI on file. Creatnine of 1.3, BUN 105 EGFR 41. Platelets decrease to 50 from 60. ABG: 7.34/60.8/88/33/98 on bipap 2/24/2022- Amiodarone dtt running @ 16.67 ml~/hr HR 60-80's. Continues in Bipap tolerates short period of HFNC. Palliative following family wishes to continue aggressive care.  3/1/2022- WBC-9.4. Platelets 100. BUN 82. Went into sinus brady due to worsening hypoxia  leading to asystole. DNR/DNI. Time of death 1941.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood urea increased, Bronchitis, COVID-19, COVID-19 pneumonia, Cardiac arrest
Clinical narrative: 2/14/2022-Presents to weakness and SOB. Covid + test. Recently treated for bronchitis Jan 2022 with amox.  2L NC 95% sat. Afebrile. CXR: Mod right pleural effusion. Hgb 7.1 dropped to 6.5 1 unit PRBC. Admit acute decompensated HF with preserved EF in setting of severe aortic stenosis Covid 19 pneumonia.  2/15/2022- Remdesivir, Decadron and azithromycin started. Ferritin 12.5 iron supplements started. Troponinemia (downtrending) s/t demand ischemia  Trop:0.053,0.059 and 0.069. 2/17/2022-AKI worsening, BUN was 71 and 1.4 (baseline creatnine 0.7-1) remdesivir d/c low creatnine clearance.  2/19/2022-AKI worsening with diuresis. Lasix held. Placed on Bipap 16/6 45%. CXR:Worsening bilateral infiltrates   2/19/2022-  ABG: 7.154/85.6/73/30.1/95. Need for TAVR held due to acuity.  2/21/2022-Started baricitinib, aztreonam and Vanco continue decadron. 2/21/2022-Sating WDL on Bipap 45%. expiratory wheeze and rhonci noted through night r lung. 2/22/2022-Continues on Bipap, BP range -110/60-118/71  sattng 95% HR range 110-150 a fib. WBC-21.3. TPN started. DNR/DNI on file. Creatnine of 1.3, BUN 105 EGFR 41. Platelets decrease to 50 from 60. ABG: 7.34/60.8/88/33/98 on bipap 2/24/2022- Amiodarone dtt running @ 16.67 ml~/hr HR 60-80's. Continues in Bipap tolerates short period of HFNC. Palliative following family wishes to continue aggressive care.  3/1/2022- WBC-9.4. Platelets 100. BUN 82. Went into sinus brady due to worsening hypoxia  leading to asystole. DNR/DNI. Time of death 1941.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cardiac failure, Cardiac failure acute, Chest X-ray abnormal, Creatinine renal clearance decreased, Death
Clinical narrative: 2/14/2022-Presents to weakness and SOB. Covid + test. Recently treated for bronchitis Jan 2022 with amox.  2L NC 95% sat. Afebrile. CXR: Mod right pleural effusion. Hgb 7.1 dropped to 6.5 1 unit PRBC. Admit acute decompensated HF with preserved EF in setting of severe aortic stenosis Covid 19 pneumonia.  2/15/2022- Remdesivir, Decadron and azithromycin started. Ferritin 12.5 iron supplements started. Troponinemia (downtrending) s/t demand ischemia  Trop:0.053,0.059 and 0.069. 2/17/2022-AKI worsening, BUN was 71 and 1.4 (baseline creatnine 0.7-1) remdesivir d/c low creatnine clearance.  2/19/2022-AKI worsening with diuresis. Lasix held. Placed on Bipap 16/6 45%. CXR:Worsening bilateral infiltrates   2/19/2022-  ABG: 7.154/85.6/73/30.1/95. Need for TAVR held due to acuity.  2/21/2022-Started baricitinib, aztreonam and Vanco continue decadron. 2/21/2022-Sating WDL on Bipap 45%. expiratory wheeze and rhonci noted through night r lung. 2/22/2022-Continues on Bipap, BP range -110/60-118/71  sattng 95% HR range 110-150 a fib. WBC-21.3. TPN started. DNR/DNI on file. Creatnine of 1.3, BUN 105 EGFR 41. Platelets decrease to 50 from 60. ABG: 7.34/60.8/88/33/98 on bipap 2/24/2022- Amiodarone dtt running @ 16.67 ml~/hr HR 60-80's. Continues in Bipap tolerates short period of HFNC. Palliative following family wishes to continue aggressive care.  3/1/2022- WBC-9.4. Platelets 100. BUN 82. Went into sinus brady due to worsening hypoxia  leading to asystole. DNR/DNI. Time of death 1941.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Glomerular filtration rate decreased, Haemoglobin decreased, Hypoxia, Lung infiltration
Clinical narrative: 2/14/2022-Presents to weakness and SOB. Covid + test. Recently treated for bronchitis Jan 2022 with amox.  2L NC 95% sat. Afebrile. CXR: Mod right pleural effusion. Hgb 7.1 dropped to 6.5 1 unit PRBC. Admit acute decompensated HF with preserved EF in setting of severe aortic stenosis Covid 19 pneumonia.  2/15/2022- Remdesivir, Decadron and azithromycin started. Ferritin 12.5 iron supplements started. Troponinemia (downtrending) s/t demand ischemia  Trop:0.053,0.059 and 0.069. 2/17/2022-AKI worsening, BUN was 71 and 1.4 (baseline creatnine 0.7-1) remdesivir d/c low creatnine clearance.  2/19/2022-AKI worsening with diuresis. Lasix held. Placed on Bipap 16/6 45%. CXR:Worsening bilateral infiltrates   2/19/2022-  ABG: 7.154/85.6/73/30.1/95. Need for TAVR held due to acuity.  2/21/2022-Started baricitinib, aztreonam and Vanco continue decadron. 2/21/2022-Sating WDL on Bipap 45%. expiratory wheeze and rhonci noted through night r lung. 2/22/2022-Continues on Bipap, BP range -110/60-118/71  sattng 95% HR range 110-150 a fib. WBC-21.3. TPN started. DNR/DNI on file. Creatnine of 1.3, BUN 105 EGFR 41. Platelets decrease to 50 from 60. ABG: 7.34/60.8/88/33/98 on bipap 2/24/2022- Amiodarone dtt running @ 16.67 ml~/hr HR 60-80's. Continues in Bipap tolerates short period of HFNC. Palliative following family wishes to continue aggressive care.  3/1/2022- WBC-9.4. Platelets 100. BUN 82. Went into sinus brady due to worsening hypoxia  leading to asystole. DNR/DNI. Time of death 1941.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Myocardial ischaemia, Parenteral nutrition, Platelet count decreased, Pleural effusion, Polyuria
Clinical narrative: 2/14/2022-Presents to weakness and SOB. Covid + test. Recently treated for bronchitis Jan 2022 with amox.  2L NC 95% sat. Afebrile. CXR: Mod right pleural effusion. Hgb 7.1 dropped to 6.5 1 unit PRBC. Admit acute decompensated HF with preserved EF in setting of severe aortic stenosis Covid 19 pneumonia.  2/15/2022- Remdesivir, Decadron and azithromycin started. Ferritin 12.5 iron supplements started. Troponinemia (downtrending) s/t demand ischemia  Trop:0.053,0.059 and 0.069. 2/17/2022-AKI worsening, BUN was 71 and 1.4 (baseline creatnine 0.7-1) remdesivir d/c low creatnine clearance.  2/19/2022-AKI worsening with diuresis. Lasix held. Placed on Bipap 16/6 45%. CXR:Worsening bilateral infiltrates   2/19/2022-  ABG: 7.154/85.6/73/30.1/95. Need for TAVR held due to acuity.  2/21/2022-Started baricitinib, aztreonam and Vanco continue decadron. 2/21/2022-Sating WDL on Bipap 45%. expiratory wheeze and rhonci noted through night r lung. 2/22/2022-Continues on Bipap, BP range -110/60-118/71  sattng 95% HR range 110-150 a fib. WBC-21.3. TPN started. DNR/DNI on file. Creatnine of 1.3, BUN 105 EGFR 41. Platelets decrease to 50 from 60. ABG: 7.34/60.8/88/33/98 on bipap 2/24/2022- Amiodarone dtt running @ 16.67 ml~/hr HR 60-80's. Continues in Bipap tolerates short period of HFNC. Palliative following family wishes to continue aggressive care.  3/1/2022- WBC-9.4. Platelets 100. BUN 82. Went into sinus brady due to worsening hypoxia  leading to asystole. DNR/DNI. Time of death 1941.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Positive airway pressure therapy, Red blood cell transfusion, Rhonchi, SARS-CoV-2 test positive, Serum ferritin normal
Clinical narrative: 2/14/2022-Presents to weakness and SOB. Covid + test. Recently treated for bronchitis Jan 2022 with amox.  2L NC 95% sat. Afebrile. CXR: Mod right pleural effusion. Hgb 7.1 dropped to 6.5 1 unit PRBC. Admit acute decompensated HF with preserved EF in setting of severe aortic stenosis Covid 19 pneumonia.  2/15/2022- Remdesivir, Decadron and azithromycin started. Ferritin 12.5 iron supplements started. Troponinemia (downtrending) s/t demand ischemia  Trop:0.053,0.059 and 0.069. 2/17/2022-AKI worsening, BUN was 71 and 1.4 (baseline creatnine 0.7-1) remdesivir d/c low creatnine clearance.  2/19/2022-AKI worsening with diuresis. Lasix held. Placed on Bipap 16/6 45%. CXR:Worsening bilateral infiltrates   2/19/2022-  ABG: 7.154/85.6/73/30.1/95. Need for TAVR held due to acuity.  2/21/2022-Started baricitinib, aztreonam and Vanco continue decadron. 2/21/2022-Sating WDL on Bipap 45%. expiratory wheeze and rhonci noted through night r lung. 2/22/2022-Continues on Bipap, BP range -110/60-118/71  sattng 95% HR range 110-150 a fib. WBC-21.3. TPN started. DNR/DNI on file. Creatnine of 1.3, BUN 105 EGFR 41. Platelets decrease to 50 from 60. ABG: 7.34/60.8/88/33/98 on bipap 2/24/2022- Amiodarone dtt running @ 16.67 ml~/hr HR 60-80's. Continues in Bipap tolerates short period of HFNC. Palliative following family wishes to continue aggressive care.  3/1/2022- WBC-9.4. Platelets 100. BUN 82. Went into sinus brady due to worsening hypoxia  leading to asystole. DNR/DNI. Time of death 1941.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Sinus bradycardia, Troponin increased, Wheezing, White blood cell count increased
Clinical narrative: 2/14/2022-Presents to weakness and SOB. Covid + test. Recently treated for bronchitis Jan 2022 with amox.  2L NC 95% sat. Afebrile. CXR: Mod right pleural effusion. Hgb 7.1 dropped to 6.5 1 unit PRBC. Admit acute decompensated HF with preserved EF in setting of severe aortic stenosis Covid 19 pneumonia.  2/15/2022- Remdesivir, Decadron and azithromycin started. Ferritin 12.5 iron supplements started. Troponinemia (downtrending) s/t demand ischemia  Trop:0.053,0.059 and 0.069. 2/17/2022-AKI worsening, BUN was 71 and 1.4 (baseline creatnine 0.7-1) remdesivir d/c low creatnine clearance.  2/19/2022-AKI worsening with diuresis. Lasix held. Placed on Bipap 16/6 45%. CXR:Worsening bilateral infiltrates   2/19/2022-  ABG: 7.154/85.6/73/30.1/95. Need for TAVR held due to acuity.  2/21/2022-Started baricitinib, aztreonam and Vanco continue decadron. 2/21/2022-Sating WDL on Bipap 45%. expiratory wheeze and rhonci noted through night r lung. 2/22/2022-Continues on Bipap, BP range -110/60-118/71  sattng 95% HR range 110-150 a fib. WBC-21.3. TPN started. DNR/DNI on file. Creatnine of 1.3, BUN 105 EGFR 41. Platelets decrease to 50 from 60. ABG: 7.34/60.8/88/33/98 on bipap 2/24/2022- Amiodarone dtt running @ 16.67 ml~/hr HR 60-80's. Continues in Bipap tolerates short period of HFNC. Palliative following family wishes to continue aggressive care.  3/1/2022- WBC-9.4. Platelets 100. BUN 82. Went into sinus brady due to worsening hypoxia  leading to asystole. DNR/DNI. Time of death 1941.
Age: 9.0
Sex: M
Vaccine: DTAP
Symptoms: Wrong product administered
Clinical narrative: DTaP was given when TDap was indicated
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Body temperature increased, Hypersensitivity, Injection site erythema, Injection site swelling, Rash
Clinical narrative: Mom called in to let us know that pt. had an allergic reaction to the vaccines he got at our office on 09/06/2022.  It was his Right leg.  mom states it was the vaccine given on the top of the thigh, not off to the side in the fatty part. starting Thursday, two days after, he had a red square shape red raised area around the injection site.  Saturday he started with a 101 temp, forehead thermometer. Sunday he developed rash all over body. mom took to ED for evaluation and they said they believe he has had a reaction to a vaccine but he is ok and was discharged the same day.  mom calling to just let us know and ask which vaccine it was. Let her know that the dtap and the polio where both in once shot and that was given on the top of his right thigh.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID infection during admission. Tested for placement to SNF. Does not appear to be symptomatic. Positive test collected 09/07/2022.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: NO SYMPTOMS
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19
Age: 46.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lymphadenopathy
Clinical narrative: A year after my 2 vaccines (no boosters) I have swollen lump nodes under my arm pit.
Age: 24.0
Sex: F
Vaccine: HPV9
Symptoms: Dizziness, Feeling abnormal, Flushing, Tremor
Clinical narrative: This was her first injection. She received the vaccine at 1100 and within 15 minutes was ?just not feeling great.? Felt a little faint and light headed. We gave her juice and watched her until 1130 and she felt better. Vitals were stable throughout. She was sent home at that time and denied any symptoms. Pt returned to the floor within 10 minutes and states by the time she walked down to her car, she began having tremors and upon her return, her face was all flushed. She has a Sulfa allergy and described the same feeling she felt when she had the Sulfa reaction. Brought pt to a room and obtained vitals-stable VS. Dr saw pt and due to possible allergic reaction, asked that we call 911 to transport her to ER for further evaluation.
Age: 16.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient is under the age of 18 years old and was given this bi-valent. After speaking with the mother of the child there were no adverse events to be reported.
Age: 5.0
Sex: F
Vaccine: UNK
Symptoms: Varicella
Clinical narrative: chickenpox
Age: 63.0
Sex: M
Vaccine: COVID19, HEPAB, PNC20, TDAP, VARZOS
Symptoms: Dry mouth, Erythema, Extra dose administered, Mastication disorder, Sleep disorder
Clinical narrative: Patient called today 9/12/22 stating he had 4 expanded vaccines plus covid 19 pfizer vaccine (5 total) on 8/12/22 and he has been having  (per patient) side effects. Patient stated he also start some new medications (Imipram, Solifenacin, nitrofurantoin) as well and not sure if from vaccines or medication. Patient stated had redness on both arms for about 1 month, now started to get better after 1 month. He also have dry mouth, vision changes, deep sleep, difficulty chewing. These symptoms, he has for a month and still experiencing them.
Age: 63.0
Sex: M
Vaccine: COVID19, HEPAB, PNC20, TDAP, VARZOS
Symptoms: Visual impairment
Clinical narrative: Patient called today 9/12/22 stating he had 4 expanded vaccines plus covid 19 pfizer vaccine (5 total) on 8/12/22 and he has been having  (per patient) side effects. Patient stated he also start some new medications (Imipram, Solifenacin, nitrofurantoin) as well and not sure if from vaccines or medication. Patient stated had redness on both arms for about 1 month, now started to get better after 1 month. He also have dry mouth, vision changes, deep sleep, difficulty chewing. These symptoms, he has for a month and still experiencing them.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Covid vaccine box incorrectly labeled.  Vaccine given 9-9-22, expiration on the box 9-16-22.  Expiration by manufactured date 8-31-22.
Age: 13.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: The patient is under the age of 18 years old and received the bi-valent version of Moderna. After speaking with the mother the patient has not shown any signs of adverse effects or symptoms.
Age: 1.5
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: The physician ordered Dtap, HIB, and PCV13. The MA administered Pediarix instead of Dtap, resulting in the patient receiving an extra dose of HepB and IPV that was not needed.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: Client reports today that after first COVID shot 1/5/21 had swelling and redness at the site, after #2 on 2/5/21 had increased pain, redness and rash "COVID arm" after that injection. After the third or booster doses on 11/5/21 had the pain, rash, redness and the whole arm from the deltoid to the elbow swelled up and had a "softball" sized lump at the injection site.
Age: 18.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Blood glucose normal, Confusional state, Mydriasis, Posture abnormal, Seizure
Clinical narrative: Patient sat down with LVN and answered all questions for LVN. Denied any recent illness. Immediately after receiving ID vaccine to right lower arm the patient's head slumped down on his chest started having a seizure and his arms curled inward toward body. Nurse called for help and patient was then lowered to the floor while protecting his head. Patient stopped after approximately 10 seconds and he then opened his eyes and then saw his eyes were dilated to a size 4. Patient opened eyes again and started to raise up. Encouraged patient to lay back and relax. Explained what had happened. Patient was confused. 911 called and informed them of situation and EMS there within 10 minutes. O2 sat was 98% and pulse 98. Patient continued to be observed while waiting for EMS. Patient's mom called without response and then his step-dad was called and he was informed of situation and Medics given the phone to inform him of where he would be transported too. Sounded like he would go to certain facility. When the sitaution started the room door was closed and all nurses available for patient assistance. After patient left with EMS is when the clinic resumed normal duties.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring, Computerised tomogram normal, Contusion, Electroencephalogram abnormal, Fall
Clinical narrative: After the 3 vaccine I blacked out and had a really bad fall and found all the items on the wall shelf on me. I was bruised and hurting. I woke up around 2:38 am, I must have hit the wall hard. I got up and got some water. I went to the doctor that Friday. And then went back on Monday because I was in pain. My Oncologist wanted to make sure the cancer didn't come back and spread. The CAT scan came back normal. The neurologist said that the black out were from seizures I was having. I was referred back to the endocrinologist and heart doctor. I haven't had anymore black outs since being put on the medication.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Pain, Seizure, Thyroid function test abnormal
Clinical narrative: After the 3 vaccine I blacked out and had a really bad fall and found all the items on the wall shelf on me. I was bruised and hurting. I woke up around 2:38 am, I must have hit the wall hard. I got up and got some water. I went to the doctor that Friday. And then went back on Monday because I was in pain. My Oncologist wanted to make sure the cancer didn't come back and spread. The CAT scan came back normal. The neurologist said that the black out were from seizures I was having. I was referred back to the endocrinologist and heart doctor. I haven't had anymore black outs since being put on the medication.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Exposure to SARS-CoV-2, Myalgia
Clinical narrative: On 06/11/2022 I had my second booster shot. On 09/04/2022 I started to experience a severe sore throat and nasal congestion. My son had tested COVID-19 positive earlier in the week. I had chills muscle aches and has settled into my chest the following Sunday with a severe cough. I tested COVID-19 positive on 09/07/2022. They did offer medication but I declined due to my blood pressure issues. This is the second time I have had COVID-19.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: On 06/11/2022 I had my second booster shot. On 09/04/2022 I started to experience a severe sore throat and nasal congestion. My son had tested COVID-19 positive earlier in the week. I had chills muscle aches and has settled into my chest the following Sunday with a severe cough. I tested COVID-19 positive on 09/07/2022. They did offer medication but I declined due to my blood pressure issues. This is the second time I have had COVID-19.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19.
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: Severe body aches, mild fever, fatigue
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Back pain, Computerised tomogram, Drug screen negative, Headache, Lumbar puncture
Clinical narrative: HEADACHE, NECK PAIN, BACK PAIN WAS SEEN IN THE EMERGENCY DEPT. TWICE, ADMITTED TO THE HOSPITAL ONCE AND SEEN IN THE DOCTOR'S OFFICE WAS GIVEN IBUPROFEN PRN AND CYCLOBENZAPRINE PRN FOR PAIN  REFERRED TO NEUROLOGY AND OPTHALMOLOGY
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Neck pain, Urine analysis normal
Clinical narrative: HEADACHE, NECK PAIN, BACK PAIN WAS SEEN IN THE EMERGENCY DEPT. TWICE, ADMITTED TO THE HOSPITAL ONCE AND SEEN IN THE DOCTOR'S OFFICE WAS GIVEN IBUPROFEN PRN AND CYCLOBENZAPRINE PRN FOR PAIN  REFERRED TO NEUROLOGY AND OPTHALMOLOGY
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Brain operation, Intracranial aneurysm, Thrombosis
Clinical narrative: Blood clots. 3 aneurysm resulted in emergency brain surgery.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Peripheral swelling, Pruritus
Clinical narrative: Right arm swelling and itching
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Endotracheal intubation, Fall, Mechanical ventilation, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID infection. Presented to hospital for fall. Positive test collected on admission. Patient required intubation and mechanical ventilation beginning 09/07/2022.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID infection. Presented to hospital for fall. Positive test collected on admission. Patient required intubation and mechanical ventilation beginning 09/07/2022.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Fall, Flushing, Hyperhidrosis, Loss of consciousness
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Mild, Additional Details: Patient reported experiencing symptoms above approximately 8 hours post vaccination.  She reports no prior adverse reactions to 4 COVID vaccines or flu shots received for many years. She also reports no history of diabetes or hypotension.  Patient was home alone during reaction and lost consciousness alternating between partial and full loss resulting in a fall for about 2 hours until spouse returned home and helped her into bed.  Patient reports feeling back to normal today after awakening.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Mild, Additional Details: Patient reported experiencing symptoms above approximately 8 hours post vaccination.  She reports no prior adverse reactions to 4 COVID vaccines or flu shots received for many years. She also reports no history of diabetes or hypotension.  Patient was home alone during reaction and lost consciousness alternating between partial and full loss resulting in a fall for about 2 hours until spouse returned home and helped her into bed.  Patient reports feeling back to normal today after awakening.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19. We unfortunately do not have any data on vaccinations except for the manufacturer and date.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Back pain, Blood pressure increased, Blood test normal, Dysstasia, Fall
Clinical narrative: I received my third Moderna booster for COVID-19 at 11 AM on 9/8/2022. At around 5 PM on 9/8/2022, I started to get bilateral muscle spasms in my lower back. I did some stretches in an effort to loosen my muscles. I then went to bed afterwards. When I woke up on the morning of 9/9/2022, the muscle spasms were worse. I didn't feel any pain while I was lying still, but whenever I moved, I felt the pain. I didn't take any medicine at this point, because I was told that the vaccine would work better if I didn't take any medication when I received it and shortly thereafter. In fact, I stopped taking my prescription medications and my glucosamine supplements 5 days prior to the shot. After I got the shot, I didn't plan to take my medications and glucosamine supplements again for another week, because I wanted to ensure that the vaccine took full effect. Instead of taking medicine, I tried stretching and walking to loosen my muscles, but they didn't help. The spasms were intermittent. I didn't have them whenever I lay still, but if I tried moving, they took effect and got worse. On 9/10/2022, the spasms were much worse. I didn't do anything and just took it easy in the hope they would eventually pass. That night, I took TYLENOL at bedtime and went to sleep. At about 5 AM on 9/11/2022, I woke up in excruciating pain. I had to go to the bathroom, but when I stood up, the pain was so bad that I urinated on myself and was unable to walk to the bathroom on account of the pain. I ended up staying in bed until about 11 AM. At that point, I tried to get up, but I was unable to stand up because of the pain. I told my husband, and he called 911. The ambulance then came and took me to the ER. At the ER, it was found that my BP was elevated to 141/70 because of the pain. I was then given TORADOL intravenously and oral FLEXERIL. They did blood work, and the results were normal. No other tests were performed. After about an hour, the pain went from a 9/10 to about a 1/10. I was then discharged and instructed to take FLEXERIL and MOTRIN for the next 5 days or until I saw my PCP. When I got home that evening, the pain was a 1/10. However, when I got up to go to the bathroom, the pain resumed its previous intensity and when I sat down on the toilet seat, the spasms increased on account of my sitting down. I then had to use the bathroom standing up because of this. As I was walking away from the toilet, I had a severe back spasm, my legs buckled, and I fell to the floor! Strangely enough, though, since falling, I haven't had another severe back spasm. My back area is still sore, but the pain I've experienced has decreased from a 1/10 to a 0.5/10. In the meantime, I have continued taking the FLEXERIL and MOTRIN, as ordered. I haven't yet seen my PCP, though I plan to make make an appointment for this week.