chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 83.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Fatigue, Hyperglycaemia, Insulin-requiring type 2 diabetes mellitus, Laboratory test abnormal, Leukocytosis
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/8/2023 Discharge Date: Feb 11, 2023  PRESENTING PROBLEM: Type 2 diabetes mellitus with hyperglycemia, with long-term current use of insulin [E11.65, Z79.4] Stage 3 chronic kidney disease, unspecified whether stage 3a or 3b CKD [N18.30] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is an 84 year old woman who was in the E.D. one day prior to admission with a fib rvr and was cardioverted in the E.D. She then presented again with shortness of breath, congestion and productive cough. She was found to be positive for covid in the E.D. one day prior. She was rx'ed paxlovid but didn't start it due to contraindication with xarelto. She returned to the E.D. with ongoing respiratory symptoms with weakness and fatigue along with watery diarrhea.    In ED, CXR significant for bilateral opacities consistent with pneumonia. Labs significant for leukocytosis, BNP 2561, procal wnl, electrolytes and LFTs wnl. Pt given albuterol inhaler which she feels slightly improved her symptoms. Pt admitted under general medicine for further management.   She required up to 2L oxygen nasal cannula. She was tx with remdesivir and decadron. She quickly weaned off oxygen. She was diuresed with iv lasix. Echo showed severe aortic stenosis. This has been progressing in the past few years. She is no longer established with cardiology.    She was given lasix 40 mg po daily on discharge. Will need f.u. bmp in 3-5 days. Fu with pcp. Out pt referral to re establish with cardiology and structural heart for discussion of severe aortic stenosis as well as a fib management.
Age: 83.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Liver function test normal, Lung opacity, Pneumonia, Procalcitonin normal, Productive cough
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/8/2023 Discharge Date: Feb 11, 2023  PRESENTING PROBLEM: Type 2 diabetes mellitus with hyperglycemia, with long-term current use of insulin [E11.65, Z79.4] Stage 3 chronic kidney disease, unspecified whether stage 3a or 3b CKD [N18.30] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is an 84 year old woman who was in the E.D. one day prior to admission with a fib rvr and was cardioverted in the E.D. She then presented again with shortness of breath, congestion and productive cough. She was found to be positive for covid in the E.D. one day prior. She was rx'ed paxlovid but didn't start it due to contraindication with xarelto. She returned to the E.D. with ongoing respiratory symptoms with weakness and fatigue along with watery diarrhea.    In ED, CXR significant for bilateral opacities consistent with pneumonia. Labs significant for leukocytosis, BNP 2561, procal wnl, electrolytes and LFTs wnl. Pt given albuterol inhaler which she feels slightly improved her symptoms. Pt admitted under general medicine for further management.   She required up to 2L oxygen nasal cannula. She was tx with remdesivir and decadron. She quickly weaned off oxygen. She was diuresed with iv lasix. Echo showed severe aortic stenosis. This has been progressing in the past few years. She is no longer established with cardiology.    She was given lasix 40 mg po daily on discharge. Will need f.u. bmp in 3-5 days. Fu with pcp. Out pt referral to re establish with cardiology and structural heart for discussion of severe aortic stenosis as well as a fib management.
Age: 83.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Respiratory symptom, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/8/2023 Discharge Date: Feb 11, 2023  PRESENTING PROBLEM: Type 2 diabetes mellitus with hyperglycemia, with long-term current use of insulin [E11.65, Z79.4] Stage 3 chronic kidney disease, unspecified whether stage 3a or 3b CKD [N18.30] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is an 84 year old woman who was in the E.D. one day prior to admission with a fib rvr and was cardioverted in the E.D. She then presented again with shortness of breath, congestion and productive cough. She was found to be positive for covid in the E.D. one day prior. She was rx'ed paxlovid but didn't start it due to contraindication with xarelto. She returned to the E.D. with ongoing respiratory symptoms with weakness and fatigue along with watery diarrhea.    In ED, CXR significant for bilateral opacities consistent with pneumonia. Labs significant for leukocytosis, BNP 2561, procal wnl, electrolytes and LFTs wnl. Pt given albuterol inhaler which she feels slightly improved her symptoms. Pt admitted under general medicine for further management.   She required up to 2L oxygen nasal cannula. She was tx with remdesivir and decadron. She quickly weaned off oxygen. She was diuresed with iv lasix. Echo showed severe aortic stenosis. This has been progressing in the past few years. She is no longer established with cardiology.    She was given lasix 40 mg po daily on discharge. Will need f.u. bmp in 3-5 days. Fu with pcp. Out pt referral to re establish with cardiology and structural heart for discussion of severe aortic stenosis as well as a fib management.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood bicarbonate normal, Blood glucose increased, COVID-19, Chest pain, Cough
Clinical narrative: Patient is a 38 Y female with past medical history of obesity, recent COVID infection with symptom onset 2/5/23, who was started on prednisone 40 mg a day for possible asthma given she had a cough with COVID no documented hypoxemia, who presented to the emergency department with nonexertional and reproducible chest pains as well as polyuria and polydipsia.  Patient currently chest pain-free.  No shortness of breath.  Sore throat is improved as well as rhinorrhea.  No sob. Cough resolved. Patient feels that her mouth has been very dry.  No other signs of infection.  No nausea vomiting   ED course: Blood sugar too high to register, on Chem-7 blood sugar 1140.  Bicarb 22.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dry mouth, Laboratory test abnormal, Malaise, Oropharyngeal pain, Polydipsia
Clinical narrative: Patient is a 38 Y female with past medical history of obesity, recent COVID infection with symptom onset 2/5/23, who was started on prednisone 40 mg a day for possible asthma given she had a cough with COVID no documented hypoxemia, who presented to the emergency department with nonexertional and reproducible chest pains as well as polyuria and polydipsia.  Patient currently chest pain-free.  No shortness of breath.  Sore throat is improved as well as rhinorrhea.  No sob. Cough resolved. Patient feels that her mouth has been very dry.  No other signs of infection.  No nausea vomiting   ED course: Blood sugar too high to register, on Chem-7 blood sugar 1140.  Bicarb 22.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Polyuria, Rhinorrhoea
Clinical narrative: Patient is a 38 Y female with past medical history of obesity, recent COVID infection with symptom onset 2/5/23, who was started on prednisone 40 mg a day for possible asthma given she had a cough with COVID no documented hypoxemia, who presented to the emergency department with nonexertional and reproducible chest pains as well as polyuria and polydipsia.  Patient currently chest pain-free.  No shortness of breath.  Sore throat is improved as well as rhinorrhea.  No sob. Cough resolved. Patient feels that her mouth has been very dry.  No other signs of infection.  No nausea vomiting   ED course: Blood sugar too high to register, on Chem-7 blood sugar 1140.  Bicarb 22.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Client was asked his age and he stated he was 12 years old. The administering nurse asked another nurse the age of the client and it was stated 12 years old.  The administering nurse realized after the injection that the client will turn 12 years old in 3 months. No adverse reactions client monitored x 30 minutes. Parent informed.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Medication error, Product storage error
Clinical narrative: Medication error. Vaccine not viable due to improper storage temperature.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium increased, Blood urea increased, COVID-19, Chest X-ray abnormal, Chronic kidney disease
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/8/2023 Discharge Date: Feb 12, 2023  PRESENTING PROBLEM: Acute renal failure, unspecified acute renal failure type  [N17.9] Acute kidney injury superimposed on chronic kidney disease  [N17.9, N18.9]   HOSPITAL COURSE: Patient is a 66 y.o. male with past medical history significant for chronic combined systolic dysfunction and diastolic dysfunction CHF, severe RV dysfunction, valvular heart disease with repair for mitral valve, ASD repair, tricuspid valve annuloplasty  8/19, atrial fibrillation on Coumadin, CAD s/p CABG, type 2 diabetes, CKD III, malignant melanoma on left eye '19, iron deficiency anemia who was sent to ER by his cardiologist due to elevated creatinine, INR during routine check on the day of admission  Patient recently had right thoracentesis on January 26 and pleural fluid study was suspicious for small B-cell lymphoma or CLL.     In he ED;   Vitals in ER showed blood pressure 97/53, pulse 58, temperature 5, respiration 18, O2 sat 98% on room air. Labs showed BUN 89, creatinine 3.84 which is elevated from his baseline, INR 2.7, potassium 5.2, hemoglobin 10.8, white count 7.3 platelet 172. BMP 1218. He was also positive for COVID-19.  CXR showed pulmonary congestion and small to moderate right pleural effusion. Patient reported recently finishing a course of antibiotics for his abscess on his left buttock and has subsequently developed watery diarrhea after he finished antibiotics.            Patient had a echocardiogram, which showed left ventricular ejection fraction 60% and small pericardial effusion.  Patient stated that he has been taking home diuretics on time and has been making urine without decreased urine output noted.  He also denies weight gain or weight loss or lower extremity edema.   He was admitted to hospitalist service, and was started on fluid, and diuretics were held.  His creatinine improved from 3.84 on admission to 1.68.  The patient was also had hyperkalemia following improved after restricting his potassium intake as well as giving Kayexalate and coma.   Chronic combined CHF was stable, he continued Coreg, but was advised to restart Torsemide in 2-3days as well as his Lisinopril and metolazone.  He was instructed not to continue with spironolactone at this time due to hyperkalemia and was advised to follow-up with his primary care doctor or cardiologist in order to assess reassess restarting the medications.     He was not interested in repeating thoracocentesis. Diarrhea resolved prior we were able to test for C. Diff.  Chronic A. Fib with well controlled rate. He was discharged on warfarin    He has known history of iron deficiency anemia and he received Ferrlecit 125 mg 5 infusion during this hospitalization.  He will follow-up with hematologist as scheduled before for her this study to exclude small B-cell lymphoma CLL.   The patient was discharged home in a stable condition.  He was instructed to for 2 weeks.  He was also given a prescription for repeating his BMP.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Clostridium test, Condition aggravated, Diarrhoea, Diuretic therapy, Echocardiogram abnormal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/8/2023 Discharge Date: Feb 12, 2023  PRESENTING PROBLEM: Acute renal failure, unspecified acute renal failure type  [N17.9] Acute kidney injury superimposed on chronic kidney disease  [N17.9, N18.9]   HOSPITAL COURSE: Patient is a 66 y.o. male with past medical history significant for chronic combined systolic dysfunction and diastolic dysfunction CHF, severe RV dysfunction, valvular heart disease with repair for mitral valve, ASD repair, tricuspid valve annuloplasty  8/19, atrial fibrillation on Coumadin, CAD s/p CABG, type 2 diabetes, CKD III, malignant melanoma on left eye '19, iron deficiency anemia who was sent to ER by his cardiologist due to elevated creatinine, INR during routine check on the day of admission  Patient recently had right thoracentesis on January 26 and pleural fluid study was suspicious for small B-cell lymphoma or CLL.     In he ED;   Vitals in ER showed blood pressure 97/53, pulse 58, temperature 5, respiration 18, O2 sat 98% on room air. Labs showed BUN 89, creatinine 3.84 which is elevated from his baseline, INR 2.7, potassium 5.2, hemoglobin 10.8, white count 7.3 platelet 172. BMP 1218. He was also positive for COVID-19.  CXR showed pulmonary congestion and small to moderate right pleural effusion. Patient reported recently finishing a course of antibiotics for his abscess on his left buttock and has subsequently developed watery diarrhea after he finished antibiotics.            Patient had a echocardiogram, which showed left ventricular ejection fraction 60% and small pericardial effusion.  Patient stated that he has been taking home diuretics on time and has been making urine without decreased urine output noted.  He also denies weight gain or weight loss or lower extremity edema.   He was admitted to hospitalist service, and was started on fluid, and diuretics were held.  His creatinine improved from 3.84 on admission to 1.68.  The patient was also had hyperkalemia following improved after restricting his potassium intake as well as giving Kayexalate and coma.   Chronic combined CHF was stable, he continued Coreg, but was advised to restart Torsemide in 2-3days as well as his Lisinopril and metolazone.  He was instructed not to continue with spironolactone at this time due to hyperkalemia and was advised to follow-up with his primary care doctor or cardiologist in order to assess reassess restarting the medications.     He was not interested in repeating thoracocentesis. Diarrhea resolved prior we were able to test for C. Diff.  Chronic A. Fib with well controlled rate. He was discharged on warfarin    He has known history of iron deficiency anemia and he received Ferrlecit 125 mg 5 infusion during this hospitalization.  He will follow-up with hematologist as scheduled before for her this study to exclude small B-cell lymphoma CLL.   The patient was discharged home in a stable condition.  He was instructed to for 2 weeks.  He was also given a prescription for repeating his BMP.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, White blood cell count normal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/8/2023 Discharge Date: Feb 12, 2023  PRESENTING PROBLEM: Acute renal failure, unspecified acute renal failure type  [N17.9] Acute kidney injury superimposed on chronic kidney disease  [N17.9, N18.9]   HOSPITAL COURSE: Patient is a 66 y.o. male with past medical history significant for chronic combined systolic dysfunction and diastolic dysfunction CHF, severe RV dysfunction, valvular heart disease with repair for mitral valve, ASD repair, tricuspid valve annuloplasty  8/19, atrial fibrillation on Coumadin, CAD s/p CABG, type 2 diabetes, CKD III, malignant melanoma on left eye '19, iron deficiency anemia who was sent to ER by his cardiologist due to elevated creatinine, INR during routine check on the day of admission  Patient recently had right thoracentesis on January 26 and pleural fluid study was suspicious for small B-cell lymphoma or CLL.     In he ED;   Vitals in ER showed blood pressure 97/53, pulse 58, temperature 5, respiration 18, O2 sat 98% on room air. Labs showed BUN 89, creatinine 3.84 which is elevated from his baseline, INR 2.7, potassium 5.2, hemoglobin 10.8, white count 7.3 platelet 172. BMP 1218. He was also positive for COVID-19.  CXR showed pulmonary congestion and small to moderate right pleural effusion. Patient reported recently finishing a course of antibiotics for his abscess on his left buttock and has subsequently developed watery diarrhea after he finished antibiotics.            Patient had a echocardiogram, which showed left ventricular ejection fraction 60% and small pericardial effusion.  Patient stated that he has been taking home diuretics on time and has been making urine without decreased urine output noted.  He also denies weight gain or weight loss or lower extremity edema.   He was admitted to hospitalist service, and was started on fluid, and diuretics were held.  His creatinine improved from 3.84 on admission to 1.68.  The patient was also had hyperkalemia following improved after restricting his potassium intake as well as giving Kayexalate and coma.   Chronic combined CHF was stable, he continued Coreg, but was advised to restart Torsemide in 2-3days as well as his Lisinopril and metolazone.  He was instructed not to continue with spironolactone at this time due to hyperkalemia and was advised to follow-up with his primary care doctor or cardiologist in order to assess reassess restarting the medications.     He was not interested in repeating thoracocentesis. Diarrhea resolved prior we were able to test for C. Diff.  Chronic A. Fib with well controlled rate. He was discharged on warfarin    He has known history of iron deficiency anemia and he received Ferrlecit 125 mg 5 infusion during this hospitalization.  He will follow-up with hematologist as scheduled before for her this study to exclude small B-cell lymphoma CLL.   The patient was discharged home in a stable condition.  He was instructed to for 2 weeks.  He was also given a prescription for repeating his BMP.
Age: 68.0
Sex: M
Vaccine: UNK
Symptoms: COVID-19, Cardiac failure congestive, Multiple-drug resistance, Peripheral swelling, Polyuria
Clinical narrative: Hospital Course and Significant Findings: Patient is a 70 Y male with history of DM2, HTN, recent hospitalization for MDR UTI who presented with increased leg swelling, found to have COVID-19 and admitted with acute CHF. He was diuresed below his dry weight to 177lb. On room air. He did not want remdesivir treatment for covid. He is stable for discharge home with primary care physician follow up.
Age: 68.0
Sex: M
Vaccine: UNK
Symptoms: Urinary tract infection
Clinical narrative: Hospital Course and Significant Findings: Patient is a 70 Y male with history of DM2, HTN, recent hospitalization for MDR UTI who presented with increased leg swelling, found to have COVID-19 and admitted with acute CHF. He was diuresed below his dry weight to 177lb. On room air. He did not want remdesivir treatment for covid. He is stable for discharge home with primary care physician follow up.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Magnetic resonance imaging
Clinical narrative: Patient reports right should pain starting after the 2021 influenza vaccine.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Blood electrolytes, Blood loss anaemia, Blood potassium decreased, COVID-19
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/8/2023 Discharge Date: 02/12/2023  PRESENTING PROBLEM: Acute blood loss anemia [D62] Weakness [R53.1] Acute weakness [R53.1] COVID-19 virus infection [U07.1]   HOSPITAL COURSE:   Patient is aa 72F with PMH of CVA 2022 s/p L MCA thrombectomy w/ r sided def,exp aphas/dysarthia, HTN, GI bleed hx AV malformations s/p cautery ,hypothyroid, OSA on CPAP, DMII, Von Willebrand, HCC 2/2022 s/p SPRT with response, pAfib on Eliquis 2.5 s/p amplatz amulet that thrombosed -> eliquis, HF EF 65%, dysphagia who presents with generalized weakness due to COVID 19. For 2-3 days patient had worsening weakness and couldn't get out of bed day before admission and was found to have COVID. Felt horrible but vitals were stable and on room air. Neuro exam stable. Bumex held due to intravascular depletion.  Patient missed TEE to look at thrombosed heart device that causes stroke. Cards said outpatient TEE and follow up can be done. Heme onc c/s who recommended continueing home regiment. 2/10 patient has wrosening tachycardia and shortness of breath. Bumex was initially held due to dryness and restarted with good UOP. CXR showed some consolidation concerning for pneumonia vs. Edema, with good response and improvement of her symptoms after resuming home Bumex.   On the day of discharge she was evaluated by occupational therapy and physical therapy and did not have any documented desaturations in completed 5 days therapy of remdesivir.  Noted to have potassium of 3.0 on the day of discharge which was supplemented (and home potassium supplement resumed) and recommended to follow up with PCP in the next 5-7 days with recheck of her electrolytes and renal function.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest X-ray abnormal, Dyspnoea, Hypovolaemia, Lung consolidation, Malaise
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/8/2023 Discharge Date: 02/12/2023  PRESENTING PROBLEM: Acute blood loss anemia [D62] Weakness [R53.1] Acute weakness [R53.1] COVID-19 virus infection [U07.1]   HOSPITAL COURSE:   Patient is aa 72F with PMH of CVA 2022 s/p L MCA thrombectomy w/ r sided def,exp aphas/dysarthia, HTN, GI bleed hx AV malformations s/p cautery ,hypothyroid, OSA on CPAP, DMII, Von Willebrand, HCC 2/2022 s/p SPRT with response, pAfib on Eliquis 2.5 s/p amplatz amulet that thrombosed -> eliquis, HF EF 65%, dysphagia who presents with generalized weakness due to COVID 19. For 2-3 days patient had worsening weakness and couldn't get out of bed day before admission and was found to have COVID. Felt horrible but vitals were stable and on room air. Neuro exam stable. Bumex held due to intravascular depletion.  Patient missed TEE to look at thrombosed heart device that causes stroke. Cards said outpatient TEE and follow up can be done. Heme onc c/s who recommended continueing home regiment. 2/10 patient has wrosening tachycardia and shortness of breath. Bumex was initially held due to dryness and restarted with good UOP. CXR showed some consolidation concerning for pneumonia vs. Edema, with good response and improvement of her symptoms after resuming home Bumex.   On the day of discharge she was evaluated by occupational therapy and physical therapy and did not have any documented desaturations in completed 5 days therapy of remdesivir.  Noted to have potassium of 3.0 on the day of discharge which was supplemented (and home potassium supplement resumed) and recommended to follow up with PCP in the next 5-7 days with recheck of her electrolytes and renal function.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Mobility decreased, Neurological examination normal, Renal function test, Tachycardia
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/8/2023 Discharge Date: 02/12/2023  PRESENTING PROBLEM: Acute blood loss anemia [D62] Weakness [R53.1] Acute weakness [R53.1] COVID-19 virus infection [U07.1]   HOSPITAL COURSE:   Patient is aa 72F with PMH of CVA 2022 s/p L MCA thrombectomy w/ r sided def,exp aphas/dysarthia, HTN, GI bleed hx AV malformations s/p cautery ,hypothyroid, OSA on CPAP, DMII, Von Willebrand, HCC 2/2022 s/p SPRT with response, pAfib on Eliquis 2.5 s/p amplatz amulet that thrombosed -> eliquis, HF EF 65%, dysphagia who presents with generalized weakness due to COVID 19. For 2-3 days patient had worsening weakness and couldn't get out of bed day before admission and was found to have COVID. Felt horrible but vitals were stable and on room air. Neuro exam stable. Bumex held due to intravascular depletion.  Patient missed TEE to look at thrombosed heart device that causes stroke. Cards said outpatient TEE and follow up can be done. Heme onc c/s who recommended continueing home regiment. 2/10 patient has wrosening tachycardia and shortness of breath. Bumex was initially held due to dryness and restarted with good UOP. CXR showed some consolidation concerning for pneumonia vs. Edema, with good response and improvement of her symptoms after resuming home Bumex.   On the day of discharge she was evaluated by occupational therapy and physical therapy and did not have any documented desaturations in completed 5 days therapy of remdesivir.  Noted to have potassium of 3.0 on the day of discharge which was supplemented (and home potassium supplement resumed) and recommended to follow up with PCP in the next 5-7 days with recheck of her electrolytes and renal function.
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product administration error, Product storage error
Clinical narrative: administration error, vial sitting for week
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Asthenia, Blood sodium decreased, Blood thyroid stimulating hormone increased, COVID-19
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/9/2023 Discharge Date: Feb 13, 2023  PRESENTING PROBLEM: Palpitations  Dizziness Hyponatremia  Generalized weakness  COVID-19 COVID-19 virus infection   HOSPITAL COURSE: 84 year-old female with a medical history of HTN. She came to the ER for dizziness and heart palpitations.   In the ER CBC was unremarkable. CMP with hyponatremia of 129. COVID POSITIVE. EKG NSR without ischemic changes. CXR negative.   Patient stayed in hospital for approximately 4 days.   Patient was given normal saline for her hyponatremia.  This had shown improvement and had remained to be stable off IV fluids around 130's.    Her TSH had been checked for her complaints of palpitations and this was elevated with normal free T4.  Recommended that TSH be checked in 6 weeks.   Her COVID-19 infection.  Patient has been monitored.  Lovenox given for DVT prophylaxis.  She was also given total of 3 doses of remdesivir with her liver function monitored.   Chest CT was performed  to evaluate the questionable lesion seen on chest x-ray.  This showed oval mass in the right lung apex and smaller lesion in the left lung apex that may represent benign or malignant process and that follow-up imaging recommended for there was no available prior imaging for comparison.   Patient had remained stable throughout hospital stay.  PTOT evaluation completed and recommended home with assist.   Patient was discharged home in stable after completion of 3 doses of remdesivir.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chest X-ray normal, Computerised tomogram thorax abnormal, Dizziness, Electrocardiogram normal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/9/2023 Discharge Date: Feb 13, 2023  PRESENTING PROBLEM: Palpitations  Dizziness Hyponatremia  Generalized weakness  COVID-19 COVID-19 virus infection   HOSPITAL COURSE: 84 year-old female with a medical history of HTN. She came to the ER for dizziness and heart palpitations.   In the ER CBC was unremarkable. CMP with hyponatremia of 129. COVID POSITIVE. EKG NSR without ischemic changes. CXR negative.   Patient stayed in hospital for approximately 4 days.   Patient was given normal saline for her hyponatremia.  This had shown improvement and had remained to be stable off IV fluids around 130's.    Her TSH had been checked for her complaints of palpitations and this was elevated with normal free T4.  Recommended that TSH be checked in 6 weeks.   Her COVID-19 infection.  Patient has been monitored.  Lovenox given for DVT prophylaxis.  She was also given total of 3 doses of remdesivir with her liver function monitored.   Chest CT was performed  to evaluate the questionable lesion seen on chest x-ray.  This showed oval mass in the right lung apex and smaller lesion in the left lung apex that may represent benign or malignant process and that follow-up imaging recommended for there was no available prior imaging for comparison.   Patient had remained stable throughout hospital stay.  PTOT evaluation completed and recommended home with assist.   Patient was discharged home in stable after completion of 3 doses of remdesivir.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Hyponatraemia, Liver function test, Metabolic function test abnormal, Palpitations
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/9/2023 Discharge Date: Feb 13, 2023  PRESENTING PROBLEM: Palpitations  Dizziness Hyponatremia  Generalized weakness  COVID-19 COVID-19 virus infection   HOSPITAL COURSE: 84 year-old female with a medical history of HTN. She came to the ER for dizziness and heart palpitations.   In the ER CBC was unremarkable. CMP with hyponatremia of 129. COVID POSITIVE. EKG NSR without ischemic changes. CXR negative.   Patient stayed in hospital for approximately 4 days.   Patient was given normal saline for her hyponatremia.  This had shown improvement and had remained to be stable off IV fluids around 130's.    Her TSH had been checked for her complaints of palpitations and this was elevated with normal free T4.  Recommended that TSH be checked in 6 weeks.   Her COVID-19 infection.  Patient has been monitored.  Lovenox given for DVT prophylaxis.  She was also given total of 3 doses of remdesivir with her liver function monitored.   Chest CT was performed  to evaluate the questionable lesion seen on chest x-ray.  This showed oval mass in the right lung apex and smaller lesion in the left lung apex that may represent benign or malignant process and that follow-up imaging recommended for there was no available prior imaging for comparison.   Patient had remained stable throughout hospital stay.  PTOT evaluation completed and recommended home with assist.   Patient was discharged home in stable after completion of 3 doses of remdesivir.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary mass, SARS-CoV-2 test positive, Sinus rhythm, Thyroxine free normal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/9/2023 Discharge Date: Feb 13, 2023  PRESENTING PROBLEM: Palpitations  Dizziness Hyponatremia  Generalized weakness  COVID-19 COVID-19 virus infection   HOSPITAL COURSE: 84 year-old female with a medical history of HTN. She came to the ER for dizziness and heart palpitations.   In the ER CBC was unremarkable. CMP with hyponatremia of 129. COVID POSITIVE. EKG NSR without ischemic changes. CXR negative.   Patient stayed in hospital for approximately 4 days.   Patient was given normal saline for her hyponatremia.  This had shown improvement and had remained to be stable off IV fluids around 130's.    Her TSH had been checked for her complaints of palpitations and this was elevated with normal free T4.  Recommended that TSH be checked in 6 weeks.   Her COVID-19 infection.  Patient has been monitored.  Lovenox given for DVT prophylaxis.  She was also given total of 3 doses of remdesivir with her liver function monitored.   Chest CT was performed  to evaluate the questionable lesion seen on chest x-ray.  This showed oval mass in the right lung apex and smaller lesion in the left lung apex that may represent benign or malignant process and that follow-up imaging recommended for there was no available prior imaging for comparison.   Patient had remained stable throughout hospital stay.  PTOT evaluation completed and recommended home with assist.   Patient was discharged home in stable after completion of 3 doses of remdesivir.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Laboratory test normal
Clinical narrative: my father started having shortness of breath within a couple of hours of having the second pfizer covid vaccine. The next day, I took him to Medical Center ER. Since then he has been to the cardiologist and pulmonoloigst. The SOB continues, however, it comes and goes and has gotten less severe.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Anaemia, Confusional state, Dysphagia, Gastrointestinal haemorrhage
Clinical narrative: Hospitalized 7/7/22-7/12/22 hypoxia, respiratory failure, AKI, PNA, lethargic, elevated troponin, hypotensive, dysphagia, confusion, GI bleed, anemia,
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Hypoxia, Lethargy, Pneumonia, Respiratory failure
Clinical narrative: Hospitalized 7/7/22-7/12/22 hypoxia, respiratory failure, AKI, PNA, lethargic, elevated troponin, hypotensive, dysphagia, confusion, GI bleed, anemia,
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: Hospitalized 7/7/22-7/12/22 hypoxia, respiratory failure, AKI, PNA, lethargic, elevated troponin, hypotensive, dysphagia, confusion, GI bleed, anemia,
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, COVID-19 pneumonia, Dyspnoea, Hypoxia, Oxygen saturation decreased
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 2/9/2023 Discharge Date: 2/12/2023   Clinical Narrative:   The patient is a 86 year male who presented to the emergency room with shortness of breath and low oxygen saturations.  He was COVID positive and felt to have a COVID 19 pneumonia.  Given his hypoxia he was admitted and started on Decadron and remdesivir hopes of preventing or slowing progression.  Is up needs improved almost immediately within the 1st day on admission.  He has done well would like to go home.  Is reasonable to stop remdesivir day 3-4 in this circumstance and to stop Decadron day 5. He be discharged home on continued treatment for community-acquired pneumonia and 1 additional day of Decadron.
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 2/9/2023 Discharge Date: 2/12/2023   Clinical Narrative:   The patient is a 86 year male who presented to the emergency room with shortness of breath and low oxygen saturations.  He was COVID positive and felt to have a COVID 19 pneumonia.  Given his hypoxia he was admitted and started on Decadron and remdesivir hopes of preventing or slowing progression.  Is up needs improved almost immediately within the 1st day on admission.  He has done well would like to go home.  Is reasonable to stop remdesivir day 3-4 in this circumstance and to stop Decadron day 5. He be discharged home on continued treatment for community-acquired pneumonia and 1 additional day of Decadron.
Age: 97.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, COVID-19 pneumonia, Chills, Dyspnoea, Encephalopathy
Clinical narrative: Discharge Provider: DO Primary Care Provider: MD Admission Date: 2/10/2023 Discharge Date: Feb 14, 2023  PRESENTING PROBLEM: Severe sepsis  Acute COVID-19 COVID-19 Pneumonia due to COVID-19 virus    HOSPITAL COURSE: 97-year-old male with past medical history of coronary artery disease, hypertension, hyperlipidemia, presented with fever, chills, shortness of breath and encephalopathy and found to have COVID -19 bilateral pneumonia.  Patient was started on Decadron.  Patient was placed on 2 L oxygen for mild hypoxia.  He was given 2 L of IV fluid bolus in the emergency department.  After admission, patient improved quite quickly and the next day his mental status was back to baseline, dyspnea resolved and his oxygen weaned off in the afternoon.  Two days later, he was placed back on 2 L of oxygen due to mild hypoxia down to 86% on room air.  Patient is asymptomatic and continues to feel well.  His PT and OT initially recommended discharge to subacute rehab facility but with patient's improvement, the change the recommendation to discharging home with home health care and family assist.  Patient was discharged home and to finish total of 10 days of Decadron on 02/14/2023
Age: 97.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Hypoxia, Mental status changes, Pneumonia, Pyrexia, Sepsis
Clinical narrative: Discharge Provider: DO Primary Care Provider: MD Admission Date: 2/10/2023 Discharge Date: Feb 14, 2023  PRESENTING PROBLEM: Severe sepsis  Acute COVID-19 COVID-19 Pneumonia due to COVID-19 virus    HOSPITAL COURSE: 97-year-old male with past medical history of coronary artery disease, hypertension, hyperlipidemia, presented with fever, chills, shortness of breath and encephalopathy and found to have COVID -19 bilateral pneumonia.  Patient was started on Decadron.  Patient was placed on 2 L oxygen for mild hypoxia.  He was given 2 L of IV fluid bolus in the emergency department.  After admission, patient improved quite quickly and the next day his mental status was back to baseline, dyspnea resolved and his oxygen weaned off in the afternoon.  Two days later, he was placed back on 2 L of oxygen due to mild hypoxia down to 86% on room air.  Patient is asymptomatic and continues to feel well.  His PT and OT initially recommended discharge to subacute rehab facility but with patient's improvement, the change the recommendation to discharging home with home health care and family assist.  Patient was discharged home and to finish total of 10 days of Decadron on 02/14/2023
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: LVN ADMINISTERED MODERNA MONOVALENT FOR VACCINE BOOSTER #2 INSTEAD OF ADMINISTERING BIVALENT
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: LVN ADMINISTERED MODERNA MONOVALENT FOR VACCINE BOOSTER #2 INSTEAD OF ADMINISTERING BIVALENT
Age: 0.58
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown side effects at this time.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given monovalent Pfizer 12+ instead of monovalent Pfizer 5-11.
Age: 47.0
Sex: M
Vaccine: HPV9
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: pt given vaccine outside of approved age indication
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Attention deficit hyperactivity disorder, Bronchitis, COVID-19, Fatigue, Heart rate increased
Clinical narrative: On 06/06/2022 I received my Covid-19 vaccine. On 06/27/2022 I woke up feeling a little scratchy throat. I tested positive for Covid-19 two days after. I started getting bronchitis. After reaching out to my doctor I was prescribed PAXLOVID for 5 days. Symptoms started to lift after 3 days and by the 5th day tested negative for Covid-19. Post Covid effects are ADHD, Chronic Fatigue/narcolepsy, wheezing, elevated heart race, are the results of having Covid.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Narcolepsy, SARS-CoV-2 test positive, Throat irritation, Wheezing
Clinical narrative: On 06/06/2022 I received my Covid-19 vaccine. On 06/27/2022 I woke up feeling a little scratchy throat. I tested positive for Covid-19 two days after. I started getting bronchitis. After reaching out to my doctor I was prescribed PAXLOVID for 5 days. Symptoms started to lift after 3 days and by the 5th day tested negative for Covid-19. Post Covid effects are ADHD, Chronic Fatigue/narcolepsy, wheezing, elevated heart race, are the results of having Covid.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Poor quality product administered, Product storage error
Clinical narrative: Medication not viable due to improper storage temperatures.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test normal, Computerised tomogram normal, Contusion, Electrocardiogram normal, Loss of consciousness
Clinical narrative: In October I went to bathroom early in the morning. I looked at the looked clock it was 2am in the morning the next thing I know it is 4am in the morning. I don't remember anything. I went to the hospital, I had bruises on my stomach, under my chin, under my arm. It was very hard for me to get up. I had to pray and ask God to help me to get up. After three days in the hospital, I was released, my test came back showing nothing caused me to pass out. I have been to the chiropractor, pain specialist and primary care doctor. No one has been able to help me. I cannot turn my head to the right without it causing me a lot of pain. I can barely lift my hand halfway up my body.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Magnetic resonance imaging normal, Memory impairment, Mobility decreased, Pain
Clinical narrative: In October I went to bathroom early in the morning. I looked at the looked clock it was 2am in the morning the next thing I know it is 4am in the morning. I don't remember anything. I went to the hospital, I had bruises on my stomach, under my chin, under my arm. It was very hard for me to get up. I had to pray and ask God to help me to get up. After three days in the hospital, I was released, my test came back showing nothing caused me to pass out. I have been to the chiropractor, pain specialist and primary care doctor. No one has been able to help me. I cannot turn my head to the right without it causing me a lot of pain. I can barely lift my hand halfway up my body.
Age: 1.0
Sex: M
Vaccine: DTPPVHBHPB, DTPPVHBHPB
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Vaxelis inadvertently given as 12 month dose. No patient harm or reaction to this vaccine.
Age: 1.0
Sex: M
Vaccine: DTPPVHBHPB, DTPPVHBHPB
Symptoms: No adverse event, Off label use, Product administered to patient of inappropriate age
Clinical narrative: Vaxelis inadvertently given as 12 month dose. No patient harm or reaction to this vaccine.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Epstein-Barr virus infection reactivation, Fatigue, Headache, Illness
Clinical narrative: Tired and fatigued, increased thyroid meds, frequent illness sore throat, headaches etc,   Dr diagnosed Re activation of mono EBV.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Infectious mononucleosis, Oropharyngeal pain, Therapy change
Clinical narrative: Tired and fatigued, increased thyroid meds, frequent illness sore throat, headaches etc,   Dr diagnosed Re activation of mono EBV.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Flushing, Myalgia
Clinical narrative: Patient came in for first Pfizer Covid vaccine. Patient received vaccine in right deltoid and was asked to wait 15 minutes after vaccine in case of reaction. After 15 minutes patient complained of burning sensation in right arm). Stated that he had burning sensation in bicep area instead of deltoid area. A few minutes later he said he was having a burning sensation in right lower leg. Says he felt flushed. Vital signs obtained . EMS called as a precaution because this was first Covid vaccine. EMTs checked patient and cleared to leave clinic. Symptoms improving before leaving clinic.
Age: 100.0
Sex: M
Vaccine: COVID19
Symptoms: Acute left ventricular failure, Acute respiratory failure, Aortic stenosis, C-reactive protein increased, COVID-19
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/9/2023 Discharge Date: Feb 15, 2023  PRESENTING PROBLEM: Heart failure (HCC)  Acute systolic congestive heart failure (HCC) Acute respiratory failure with hypoxia (HCC)   HOSPITAL COURSE: Patient is a 101-year-old male with a past medical history of hypertension, hyperlipidemia, coronary artery disease, and severe aortic stenosis who presented with shortness of breath for the past couple of days.  He required 3 L of nasal cannula in the ER and was therefore started on Lasix 40 mg IV in the hospital with concern for acute on chronic diastolic heart failure exacerbation in the setting of severe aortic stenosis.  He was transitioned to lasix 40 mg PO on 02/11/2023.  He had good output on this regimen.  On 02/11/2023, patient was noted to have increased heart rates in the 120s to 130s.  His home dose of 12.5 mg Toprol was increased to 25 mg 2 times a day.  Chest x-ray in the morning of 12/11/2023 demonstrated decreased aeration, persistent mixed interstitial airspace opacities and small pleural effusions.  It appeared worse than prior x-ray performed on 02/09/2023.  An ultrasound of the lung was ordered that demonstrated bilateral pleural effusions.  A repeat chest x-ray on 02/12/2023 demonstrated worsening moderate pulmonary edema superimposed on bilateral pneumonia with increasing pleural effusion.  During this time, patient was also noted tab increasing oxygen requirements requiring venturi mask with FiO2 of 50%.  Diuresis was uptitrated with the assistance of Cardiology began patient on Lasix 80 mg twice a day.  Repeat complete blood count demonstrated leukocytosis with white blood cell count of 17.  Patient was also noted to have elevated inflammatory markers with CRP of 55.  Patient's COVID 19 PCR came back positive 2/11, and patient was subsequently started on remdesivir/Decadron for management of COVID-19.  Palliative Care also saw patient during his hospitalization and eventually contacted hospice in order to discuss goals of care with patient.  Patient eventually elected to sign on with home hospice after discharge from hospital. Patient's diuresis was continued Lasix 80 mg twice daily, and he was eventually able to wean completely off oxygen and tolerate ambulation on room air without oxygen desaturations.  He was subsequently discharged home with hospice on 02/15/2023 in stable condition.
Age: 100.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure, Cardiac failure congestive, Chest X-ray abnormal, Condition aggravated, Diuretic therapy
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/9/2023 Discharge Date: Feb 15, 2023  PRESENTING PROBLEM: Heart failure (HCC)  Acute systolic congestive heart failure (HCC) Acute respiratory failure with hypoxia (HCC)   HOSPITAL COURSE: Patient is a 101-year-old male with a past medical history of hypertension, hyperlipidemia, coronary artery disease, and severe aortic stenosis who presented with shortness of breath for the past couple of days.  He required 3 L of nasal cannula in the ER and was therefore started on Lasix 40 mg IV in the hospital with concern for acute on chronic diastolic heart failure exacerbation in the setting of severe aortic stenosis.  He was transitioned to lasix 40 mg PO on 02/11/2023.  He had good output on this regimen.  On 02/11/2023, patient was noted to have increased heart rates in the 120s to 130s.  His home dose of 12.5 mg Toprol was increased to 25 mg 2 times a day.  Chest x-ray in the morning of 12/11/2023 demonstrated decreased aeration, persistent mixed interstitial airspace opacities and small pleural effusions.  It appeared worse than prior x-ray performed on 02/09/2023.  An ultrasound of the lung was ordered that demonstrated bilateral pleural effusions.  A repeat chest x-ray on 02/12/2023 demonstrated worsening moderate pulmonary edema superimposed on bilateral pneumonia with increasing pleural effusion.  During this time, patient was also noted tab increasing oxygen requirements requiring venturi mask with FiO2 of 50%.  Diuresis was uptitrated with the assistance of Cardiology began patient on Lasix 80 mg twice a day.  Repeat complete blood count demonstrated leukocytosis with white blood cell count of 17.  Patient was also noted to have elevated inflammatory markers with CRP of 55.  Patient's COVID 19 PCR came back positive 2/11, and patient was subsequently started on remdesivir/Decadron for management of COVID-19.  Palliative Care also saw patient during his hospitalization and eventually contacted hospice in order to discuss goals of care with patient.  Patient eventually elected to sign on with home hospice after discharge from hospital. Patient's diuresis was continued Lasix 80 mg twice daily, and he was eventually able to wean completely off oxygen and tolerate ambulation on room air without oxygen desaturations.  He was subsequently discharged home with hospice on 02/15/2023 in stable condition.