chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE  ACUTE DVT, UNSPECIFIED VEIN
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 5 vaccines Moderna 1/22/21 Lot# 027L20A;  Moderna 2/19/21 Lot# 038K20A;  Moderna 12/1/21 Lot# 034F21A;  Moderna 6/10/22 Lot# 056M21A;  Moderna 11/18/22 Lot# AS7148B
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I tested positive for Covid-19 on April 11, 2023, I experienced coughing, sneezing, chest congestion. fever, I was taking a cough suppressant and was also prescribed Paxlovid for my symptoms.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Sneezing
Clinical narrative: I tested positive for Covid-19 on April 11, 2023, I experienced coughing, sneezing, chest congestion. fever, I was taking a cough suppressant and was also prescribed Paxlovid for my symptoms.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood pressure abnormal, Cerebral haemorrhage, Cerebrovascular accident, Computerised tomogram head abnormal, Eye haemorrhage
Clinical narrative: On March 4, 2023, I had a stroke. I went to an urgent care first. They sent me to the emergency room. They did some tests and confirmed a blood bleed in my right rear brain. It's mostly affecting my left eye. I was in the hospital for about 12 days. After that, I went to a rehab center for five days. Since being released from the rehab center, I've been going to outpatient therapy. I was told I can't drive. They adjusted my medications. My blood pressure is under better control.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Impaired driving ability, Magnetic resonance imaging head abnormal, Therapy change
Clinical narrative: On March 4, 2023, I had a stroke. I went to an urgent care first. They sent me to the emergency room. They did some tests and confirmed a blood bleed in my right rear brain. It's mostly affecting my left eye. I was in the hospital for about 12 days. After that, I went to a rehab center for five days. Since being released from the rehab center, I've been going to outpatient therapy. I was told I can't drive. They adjusted my medications. My blood pressure is under better control.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Moderna 3/2/21 Lot# 007B21A;  Moderna 4/19/21 Lot# 043B21A ; Moderna 1/26/22 Lot# 007J21A
Age: 46.0
Sex: F
Vaccine: VARCEL
Symptoms: Asthenia, Diplopia, Dizziness, Feeling abnormal, Feeling hot
Clinical narrative: From patient "Today I woke up and was feeling really weak, dizzy with double vision. The area has had a reaction with it being hot and swollen down to my elbow. I am also experiencing itching skin and I feel like I have a fever. I have taken some Benadryl for a headache and some ibuprofen for a fever. My arm feels numb down to the finger. My tongue and throat feels sore but I don't think it is swollen."  RN Assessment: Vitals: Pulse Ox 97% BP: 127/86 HR 98 Temp: 97.7  PERRLA No obvious signs of tongue or throat swelling Redness at site of injection  She initially had similar reaction to the 1st Varicella vaccine but it happened 2 weeks after receiving the shot. She states reaction started on 4/18/23 at 9:30pm as a general ache. She woke up on 4/19/23 with worse symptoms and took a benadryl and ibufrophen at 5am.  Currently, she c/o of itching all over. she states she has a headache, is feeling dizzy and has light sensitivity. Also states her tongue feels "floppy" and it feels strange when she swallows.   Patient was sent to clinic to be evaluated on 4/19/23 at 1:30pm.
Age: 46.0
Sex: F
Vaccine: VARCEL
Symptoms: Glossodynia, Headache, Hypoaesthesia, Injection site erythema, Oropharyngeal pain
Clinical narrative: From patient "Today I woke up and was feeling really weak, dizzy with double vision. The area has had a reaction with it being hot and swollen down to my elbow. I am also experiencing itching skin and I feel like I have a fever. I have taken some Benadryl for a headache and some ibuprofen for a fever. My arm feels numb down to the finger. My tongue and throat feels sore but I don't think it is swollen."  RN Assessment: Vitals: Pulse Ox 97% BP: 127/86 HR 98 Temp: 97.7  PERRLA No obvious signs of tongue or throat swelling Redness at site of injection  She initially had similar reaction to the 1st Varicella vaccine but it happened 2 weeks after receiving the shot. She states reaction started on 4/18/23 at 9:30pm as a general ache. She woke up on 4/19/23 with worse symptoms and took a benadryl and ibufrophen at 5am.  Currently, she c/o of itching all over. she states she has a headache, is feeling dizzy and has light sensitivity. Also states her tongue feels "floppy" and it feels strange when she swallows.   Patient was sent to clinic to be evaluated on 4/19/23 at 1:30pm.
Age: 46.0
Sex: F
Vaccine: VARCEL
Symptoms: Pain, Peripheral swelling, Photophobia, Pruritus, Skin warm
Clinical narrative: From patient "Today I woke up and was feeling really weak, dizzy with double vision. The area has had a reaction with it being hot and swollen down to my elbow. I am also experiencing itching skin and I feel like I have a fever. I have taken some Benadryl for a headache and some ibuprofen for a fever. My arm feels numb down to the finger. My tongue and throat feels sore but I don't think it is swollen."  RN Assessment: Vitals: Pulse Ox 97% BP: 127/86 HR 98 Temp: 97.7  PERRLA No obvious signs of tongue or throat swelling Redness at site of injection  She initially had similar reaction to the 1st Varicella vaccine but it happened 2 weeks after receiving the shot. She states reaction started on 4/18/23 at 9:30pm as a general ache. She woke up on 4/19/23 with worse symptoms and took a benadryl and ibufrophen at 5am.  Currently, she c/o of itching all over. she states she has a headache, is feeling dizzy and has light sensitivity. Also states her tongue feels "floppy" and it feels strange when she swallows.   Patient was sent to clinic to be evaluated on 4/19/23 at 1:30pm.
Age: 46.0
Sex: F
Vaccine: VARCEL
Symptoms: Tongue movement disturbance
Clinical narrative: From patient "Today I woke up and was feeling really weak, dizzy with double vision. The area has had a reaction with it being hot and swollen down to my elbow. I am also experiencing itching skin and I feel like I have a fever. I have taken some Benadryl for a headache and some ibuprofen for a fever. My arm feels numb down to the finger. My tongue and throat feels sore but I don't think it is swollen."  RN Assessment: Vitals: Pulse Ox 97% BP: 127/86 HR 98 Temp: 97.7  PERRLA No obvious signs of tongue or throat swelling Redness at site of injection  She initially had similar reaction to the 1st Varicella vaccine but it happened 2 weeks after receiving the shot. She states reaction started on 4/18/23 at 9:30pm as a general ache. She woke up on 4/19/23 with worse symptoms and took a benadryl and ibufrophen at 5am.  Currently, she c/o of itching all over. she states she has a headache, is feeling dizzy and has light sensitivity. Also states her tongue feels "floppy" and it feels strange when she swallows.   Patient was sent to clinic to be evaluated on 4/19/23 at 1:30pm.
Age: 91.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Janssen 5/10/21 Lot# 041A21A;  Pfizer 10/27/22 Lot# GJ3277
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient Received a non viable vaccine on 04/18/2023 with Immunization System expiration date of 03/31/2023 and BUD expiration date of 04/25/2023. No harm was cause to patient. Patient will return to complete series with Bivalent Covid vaccine.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Blood test, Laboratory test, Menstruation irregular, Ovulation disorder, Treatment failure
Clinical narrative: A few months after 2nd dose of HPV vaccine patient started having irregular periods after about a year she stopped having a period all togather. We are now working with doctors to see why ovulation has stopped and why no medications will get ovulation to start back up.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Pfizer 2/5/21 Lot# EL9261;  Pfizer 2/26/21 Lot# EL9267;  Pfizer 10/21/22 Lot# 30125BA  This is the lot number listed in the database
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Moderna 3/31/21 Lot# 010A21A;  Moderna 4/30/21 Lot# 043B21A;  Moderna 5/26/22 Lot# 038A22A
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Condition aggravated, Cough, Influenza A virus test negative, Influenza B virus test
Clinical narrative: I started with a throat, then a cough that was just awful, I had a fever for just a day. I was out of town; I used a home COVID-19 test that came back negative. The cough persisted and was getting worse. I went to a Urgent Care, they tested me for both COVID-19 and Influenza A and B, the COVID-19 test came back positive, the influenza test came back negative. I was given a prescription for the cough, Benzonatate as well as the Paxlovid. I still have a bit of a lingering cough.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Influenza virus test negative, Oropharyngeal discomfort, Pyrexia, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: I started with a throat, then a cough that was just awful, I had a fever for just a day. I was out of town; I used a home COVID-19 test that came back negative. The cough persisted and was getting worse. I went to a Urgent Care, they tested me for both COVID-19 and Influenza A and B, the COVID-19 test came back positive, the influenza test came back negative. I was given a prescription for the cough, Benzonatate as well as the Paxlovid. I still have a bit of a lingering cough.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Pfixer 2/12/21  Lot# El9267;  Pfizer 3/3/21 Lot# EN6202;  Pfizer 10/22/21 Lot# FF2589
Age: 86.0
Sex: M
Vaccine: VARZOS
Symptoms: Mobility decreased
Clinical narrative: PATIENT'S DAUGHTERS REPORTED PATIENT WAS HAVING ISSUES MOVING. PATIENT WAS TAKEN TO THE HOSPITAL EMERGENCY ROOM
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines  Moderna 3/26/21 Lot# 017B21A; Moderna 4/3/21 Lot# 025B21A
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial tachycardia, Chronic hepatitis C, Deep vein thrombosis, Malignant ascites, Pulmonary embolism
Clinical narrative: Moderna vaccine was administered outside of the clinic - reported by patient   PULMONARY EMBOLISM, UNSPECIFIED. 7/11/2021 CHRONIC HEPATITIS C  ACUTE DVT OF RIGHT LEG, UNSPECIFIED VEIN 6/8/2021 CHRONIC HEPATITIS C  PULMONARY EMBOLISM, UNSPECIFIED. 7/11/2021 ATRIAL TACHYCARDIA  ACUTE DVT OF RIGHT LEG, UNSPECIFIED VEIN 6/8/2021 ATRIAL TACHYCARDIA  PULMONARY EMBOLISM, UNSPECIFIED. 7/11/2021 MALIGNANT ASCITES  ACUTE DVT OF RIGHT LEG, UNSPECIFIED VEIN 6/8/2021 MALIGNANT ASCITES  PULMONARY EMBOLISM, UNSPECIFIED. 7/11/2021 SMALL BOWEL OBSTRUCTION  ACUTE DVT OF RIGHT LEG, UNSPECIFIED VEIN 6/8/2021 SMALL BOWEL OBSTRUCTION
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Small intestinal obstruction
Clinical narrative: Moderna vaccine was administered outside of the clinic - reported by patient   PULMONARY EMBOLISM, UNSPECIFIED. 7/11/2021 CHRONIC HEPATITIS C  ACUTE DVT OF RIGHT LEG, UNSPECIFIED VEIN 6/8/2021 CHRONIC HEPATITIS C  PULMONARY EMBOLISM, UNSPECIFIED. 7/11/2021 ATRIAL TACHYCARDIA  ACUTE DVT OF RIGHT LEG, UNSPECIFIED VEIN 6/8/2021 ATRIAL TACHYCARDIA  PULMONARY EMBOLISM, UNSPECIFIED. 7/11/2021 MALIGNANT ASCITES  ACUTE DVT OF RIGHT LEG, UNSPECIFIED VEIN 6/8/2021 MALIGNANT ASCITES  PULMONARY EMBOLISM, UNSPECIFIED. 7/11/2021 SMALL BOWEL OBSTRUCTION  ACUTE DVT OF RIGHT LEG, UNSPECIFIED VEIN 6/8/2021 SMALL BOWEL OBSTRUCTION
Age: 82.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: I woke up with an extreme sore throat and a cough.  My throat hurt when I coughed.  This pain when coughing lasted 2 days. I tested positive on an At Home COVID-19 test, 1/25/2023.   I contacted the Doctor who proscribed Paxlovid.  I continued to have runny nose and fatigue in addition to the cough and sore throat.   Symptoms lasted about a week and I continued to test positive until 2/13.
Age: 82.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I woke up with an extreme sore throat and a cough.  My throat hurt when I coughed.  This pain when coughing lasted 2 days. I tested positive on an At Home COVID-19 test, 1/25/2023.   I contacted the Doctor who proscribed Paxlovid.  I continued to have runny nose and fatigue in addition to the cough and sore throat.   Symptoms lasted about a week and I continued to test positive until 2/13.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Pfizer 3/10821 Lot# En6199;  Pfizer 3/31/21 Lot# ER8733;  Pfizer 10/11/21 Lot# FF2589;  Pfizer 11/2/22 Lot# GJ3277
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: no signs & symptoms
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test normal, COVID-19, Computerised tomogram normal, Cough
Clinical narrative: I started having a scratchy throat in the morning. In evening I developed congestion, and watery eyes. The next day I had difficulty swallowing and had laryngitis. I took my temperature, and it was normal. My throat had gotten so sore that I was unable to swallow, and I developed a headache. The next day I went into the emergency room and was diagnosed with pharyngitis. I was given Tylenol, and fluids for dehydration. He did a strep test that came back negative.  I was sent to the hospital where they did a CT scan, Electrocardiogram, and blood work. All the tests came back normal. He also tested me for COVID-19 and it came back positive. I was prescribed Paxlovid for 10 days. I am still experiencing a mild sore throat, cough, and low energy.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Dysphagia, Electrocardiogram normal, Haemoglobin normal, Headache
Clinical narrative: I started having a scratchy throat in the morning. In evening I developed congestion, and watery eyes. The next day I had difficulty swallowing and had laryngitis. I took my temperature, and it was normal. My throat had gotten so sore that I was unable to swallow, and I developed a headache. The next day I went into the emergency room and was diagnosed with pharyngitis. I was given Tylenol, and fluids for dehydration. He did a strep test that came back negative.  I was sent to the hospital where they did a CT scan, Electrocardiogram, and blood work. All the tests came back normal. He also tested me for COVID-19 and it came back positive. I was prescribed Paxlovid for 10 days. I am still experiencing a mild sore throat, cough, and low energy.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Lacrimation increased, Laryngitis, Lymphocyte count increased, Oropharyngeal pain, Pharyngitis
Clinical narrative: I started having a scratchy throat in the morning. In evening I developed congestion, and watery eyes. The next day I had difficulty swallowing and had laryngitis. I took my temperature, and it was normal. My throat had gotten so sore that I was unable to swallow, and I developed a headache. The next day I went into the emergency room and was diagnosed with pharyngitis. I was given Tylenol, and fluids for dehydration. He did a strep test that came back negative.  I was sent to the hospital where they did a CT scan, Electrocardiogram, and blood work. All the tests came back normal. He also tested me for COVID-19 and it came back positive. I was prescribed Paxlovid for 10 days. I am still experiencing a mild sore throat, cough, and low energy.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Streptococcus test negative, Throat irritation
Clinical narrative: I started having a scratchy throat in the morning. In evening I developed congestion, and watery eyes. The next day I had difficulty swallowing and had laryngitis. I took my temperature, and it was normal. My throat had gotten so sore that I was unable to swallow, and I developed a headache. The next day I went into the emergency room and was diagnosed with pharyngitis. I was given Tylenol, and fluids for dehydration. He did a strep test that came back negative.  I was sent to the hospital where they did a CT scan, Electrocardiogram, and blood work. All the tests came back normal. He also tested me for COVID-19 and it came back positive. I was prescribed Paxlovid for 10 days. I am still experiencing a mild sore throat, cough, and low energy.
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: no signs & symptoms
Age: 30.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Heart rate increased, Influenza virus test negative, Rash, SARS-CoV-2 test negative, Tachycardia
Clinical narrative: I had vaccination on 10/18/2022. On 11/24/2022 I was tachycardic for over 10 minutes. I got to over 171. I went to the emergency room. I was tested for COVID and flu. I was negative. I would lay down and my heartrate would go down but as soon as I sit up it goes back to the 140-160's range. I was referred to cardiology in 12/2022. In 01/2023 I was given additional medication and it didn't do anything. I was changed medication on 04/12/2023. I started to have rashes about this time as well.
Age: 16.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient scheduled for a vaccine update visit.  Patient was due for the #2 dose of Bexsero.  What was ordered and administered was Pfizer Bivalent, 0.3ml dose.  No reaction noted other than reporting of the error.  Patient has never received a COIVD vaccine prior to this incident.   It was reviewed and found on 4/17/23 that the incorrect vaccine was ordered and administered.  MA was addressed and required to complete additional training and support.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypotension
Clinical narrative: HYPOTENSION
Age: 17.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: none covid 19 vaccine expired  11/22/2022 given 12/7/2022
Age: 50.0
Sex: M
Vaccine: COVID19-2, HPV9
Symptoms: Injection site pain, Pain
Clinical narrative: I do not think it was related to the vaccine, I has some mild aches, tender at the injection site. I have recovered from my symptoms.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Brain stem stroke
Clinical narrative: ACUTE STROKE OF BRAINSTEM, UNSPECIFIED TYPE AND ARTERY
Age: 67.0
Sex: F
Vaccine: COVID19-2, COVID19-2
Symptoms: Acoustic stimulation tests abnormal, Deafness bilateral, Tinnitus
Clinical narrative: On 09/14/2022 severe tinnitus started  and mild/moderate hearing loss both ears. There has been no improvement or change at this time.
Age: 67.0
Sex: F
Vaccine: COVID19-2, COVID19-2
Symptoms: Acoustic stimulation tests, Deafness, Tinnitus
Clinical narrative: On 09/14/2022 severe tinnitus started  and mild/moderate hearing loss both ears. There has been no improvement or change at this time.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: PATIENT RECEIVED THE VACCINE AFTER THE 30 DAY WINDOW FOR STORAGE IN A REFRIGERATOR (NOT IN A FREEZER) HAS ENDED
Age: 63.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Arthralgia, COVID-19, Chills, Influenza like illness, Malaise
Clinical narrative: I had vaccination on 10/18/2022. On 01/07/2023 I started to have flu like symptoms. It started with growing pain in the side of my hip. I started to have a low-grade fever with chills. I tested COVID-19 Positive from 01/07/2023 to 01/16/2023. I became ill again in 03/2023 and was diagnosed with Strep Throat. I was given a test which showed I was COVID-19 Positive again. I did have a rebound of Strep shortly after as well.
Age: 63.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Pharyngitis streptococcal, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I had vaccination on 10/18/2022. On 01/07/2023 I started to have flu like symptoms. It started with growing pain in the side of my hip. I started to have a low-grade fever with chills. I tested COVID-19 Positive from 01/07/2023 to 01/16/2023. I became ill again in 03/2023 and was diagnosed with Strep Throat. I was given a test which showed I was COVID-19 Positive again. I did have a rebound of Strep shortly after as well.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: no signs & symptoms
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, COVID-19, Exposure to SARS-CoV-2, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient with history of Alzheimer's dementia, prostate cancer. He was brought to the ED by EMS on 1/21/23 for evaluation of urinary incontinence and generalized weakness. His wife reported that the patient had a fever that morning, and overall has been generally weak. His wife recently tested positive for COVID. She tested the patient at home which resulted negative. A COVID PCR test performed in the ED resulted positive. Ultimately patient admitted 1/21/23 - 1/26/23 for COVID-19. Patient was without any respiratory distress or hypoxia. On day of discharge, patient was afebrile with stable vitals. Patient has received the primary COVID vaccine series and booster x3.
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Urinary incontinence
Clinical narrative: Patient with history of Alzheimer's dementia, prostate cancer. He was brought to the ED by EMS on 1/21/23 for evaluation of urinary incontinence and generalized weakness. His wife reported that the patient had a fever that morning, and overall has been generally weak. His wife recently tested positive for COVID. She tested the patient at home which resulted negative. A COVID PCR test performed in the ED resulted positive. Ultimately patient admitted 1/21/23 - 1/26/23 for COVID-19. Patient was without any respiratory distress or hypoxia. On day of discharge, patient was afebrile with stable vitals. Patient has received the primary COVID vaccine series and booster x3.
Age: 81.0
Sex: M
Vaccine: HEPA, VARZOS
Symptoms: Asthenia, Malaise, Mobility decreased
Clinical narrative: The side effects are unknown. The wife said he did not feel well after taking the vaccines and  could not move .He is now hospitalized. per wife, doctors at the hospital were not able to figure out if the weakness that he is experiencing now from vaccines or something else.
Age: 40.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Anticoagulant therapy, Computerised tomogram limb, Musculoskeletal discomfort, Peripheral swelling, Thrombosis
Clinical narrative: In the evening I felt like I may have had bruising in my groin area I was rubbing it. The next day my leg from the calf area up had started to swell some so I was keeping it elevated. I decided that if the next day I was still having a problem I would go to the doctor. On December 10, I woke up my leg even more swollen, I went to the emergency room where they did a CT scan and found a blood clot. I was admitted. I was given enoxaparin to help break up the blood clot. I stayed in the hospital for two days, discharged with a prescription of Eliquis.
Age: 75.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: Anticoagulant therapy, Blood test, Cardiovascular disorder, Computerised tomogram thorax abnormal, Dyspnoea
Clinical narrative: I saw my cardiologist for a routine, six-month exam on 12/9/2022. I underwent an electrocardiogram. My cardiologist told me that my blood flow was slow. She said that this sometimes happens with some people, but in my case, she wanted to make sure I didn't have any blockages. At that point, I was sent to the blood bank to undergo a blood draw and a test whose name I don't know. About an hour or two later, I got a call asking me to come to the hospital to undergo a pulmonary CT scan with contrast dye. About an hour or so after undergoing the CT scan, I was instructed to go to the ER. I went to the ER and waited for a couple of hours to be seen. The ER doctor told me that I had some blood clots in my lungs. He asked me how I felt and wanted to know if I felt well enough to go home. He explained that pulmonary embolisms are now no longer treated the way they used to be. In the past, anyone with a pulmonary embolism would have automatically been hospitalized, but nowadays, if the patient feels well enough to go home, they are released, and the embolism is treated with medication. I was then prescribed Eliquis to treat the embolisms and then sent home. Nowadays, if I overexert myself, I can get a little winded. I went back to the cardiologist on 12/22/2022. I underwent an echocardiogram, and my cardiologist said that everything looked fine. I was also scheduled me for an exercise stress echocardiogram, which I am due to undergo later this month. I was originally told that I would be taking Eliquis for about three months, but on account of my history of previous heart issues, the MD told me that I would be taking 5mg of Eliquis twice a day for at least six months. After that point, they may put me on a lower maintenance dose.
Age: 75.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: Echocardiogram normal, Electrocardiogram abnormal, Pulmonary embolism, Pulmonary thrombosis, Scan with contrast abnormal
Clinical narrative: I saw my cardiologist for a routine, six-month exam on 12/9/2022. I underwent an electrocardiogram. My cardiologist told me that my blood flow was slow. She said that this sometimes happens with some people, but in my case, she wanted to make sure I didn't have any blockages. At that point, I was sent to the blood bank to undergo a blood draw and a test whose name I don't know. About an hour or two later, I got a call asking me to come to the hospital to undergo a pulmonary CT scan with contrast dye. About an hour or so after undergoing the CT scan, I was instructed to go to the ER. I went to the ER and waited for a couple of hours to be seen. The ER doctor told me that I had some blood clots in my lungs. He asked me how I felt and wanted to know if I felt well enough to go home. He explained that pulmonary embolisms are now no longer treated the way they used to be. In the past, anyone with a pulmonary embolism would have automatically been hospitalized, but nowadays, if the patient feels well enough to go home, they are released, and the embolism is treated with medication. I was then prescribed Eliquis to treat the embolisms and then sent home. Nowadays, if I overexert myself, I can get a little winded. I went back to the cardiologist on 12/22/2022. I underwent an echocardiogram, and my cardiologist said that everything looked fine. I was also scheduled me for an exercise stress echocardiogram, which I am due to undergo later this month. I was originally told that I would be taking Eliquis for about three months, but on account of my history of previous heart issues, the MD told me that I would be taking 5mg of Eliquis twice a day for at least six months. After that point, they may put me on a lower maintenance dose.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Hypersensitivity
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE  ALLERGIC REACTION, INIT
Age: 66.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: COVID-19, Condition aggravated, Cough, SARS-CoV-2 test positive
Clinical narrative: 10/7/2022 Started with a cough.  Cough got worse 10/8.  10/9 Tested with an At Home COVID-19 test, positive.  Went to Walk in clinic.  Tested there with Rapid COVID-19 test, positive.  Doctor recommended participant go to the Hospital.  Proscribed Paxlovid but cautioned to consult with PCP due to possible medical interaction.  At Hospital I received a one-time infusion of I believe Remdesivir.    Release from hospital after infusion and had a pill for coughing proscribed.  Over the next 10 days there was a few instances of mild fever hitting 99 degrees, cough diminished.
Age: 85.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Dizziness, Dyspnoea
Clinical narrative: Patient with history of COPD, myocardial infarction, and diabetes type II. He was seen in the ED on 1/23/23 with one week of productive cough, dizziness, and shortness of breath. Patient did note his dizziness has been present for months but has worsened. COVID-19 PCR test performed in the ED resulted positive. Chest x-ray was suggestive of COVID infection with early COVID pneumonia. Patient was admitted on 1/23/23 for dizziness that had worsened; this was felt to be secondary to COVID infection. He was discharged 1/25/23. Patient has received the primary COVID vaccine series and booster x2.
Age: 85.0
Sex: M
Vaccine: COVID19-2
Symptoms: Productive cough, SARS-CoV-2 test positive
Clinical narrative: Patient with history of COPD, myocardial infarction, and diabetes type II. He was seen in the ED on 1/23/23 with one week of productive cough, dizziness, and shortness of breath. Patient did note his dizziness has been present for months but has worsened. COVID-19 PCR test performed in the ED resulted positive. Chest x-ray was suggestive of COVID infection with early COVID pneumonia. Patient was admitted on 1/23/23 for dizziness that had worsened; this was felt to be secondary to COVID infection. He was discharged 1/25/23. Patient has received the primary COVID vaccine series and booster x2.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE NON ST ELEVATION MI.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Pt reports she started getting a rash on her chest and abdomen starting the day after her vaccine, which spread to her "whole body" by the end of day 04/14/2023. She treated with Benadryl several times daily until yesterday (04/18/2023) when the visible rash resolved. She tried to skip Benadryl but noted severe itchiness, so she has continued taking Benadryl.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Headache, Malaise, Nasal congestion
Clinical narrative: I had a headache, and body aches. I took a COVID-19 test and it came back positive.  The same day I went to an urgent care clinic and I took another COVID-19 test there that came back positive. They prescribed Paxlovid. Within the next week I developed nasal congestion, breathing problems and I did not feel well. The following week I did a telephone visit and my doctor prescribed me an inhaler. I am still having trouble breathing.  The other symptoms subsided after 2 weeks.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test positive
Clinical narrative: I had a headache, and body aches. I took a COVID-19 test and it came back positive.  The same day I went to an urgent care clinic and I took another COVID-19 test there that came back positive. They prescribed Paxlovid. Within the next week I developed nasal congestion, breathing problems and I did not feel well. The following week I did a telephone visit and my doctor prescribed me an inhaler. I am still having trouble breathing.  The other symptoms subsided after 2 weeks.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: no signs & symptoms
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: no signs & symptoms
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Hypovolaemic shock
Clinical narrative: HYPOVOLEMIC SHOCK
Age: 1.25
Sex: F
Vaccine: MMRV
Symptoms: Extra dose administered, Medication error
Clinical narrative: Medication error. The patient was not supposed to receive MMRV but only MMR. The patient received both in the same visit.
Age: 76.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site swelling
Clinical narrative: the injection site is swollen.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Acute left ventricular failure, Bacteraemia, Hypoxia, Ischaemic stroke
Clinical narrative: ACUTE STROKE DUE TO ISCHEMIA, UNSPECIFIED TYPE AND ARTERY 6/22/2022 DIASTOLIC HEART FAILURE, ACUTE  HYPOXIA 6/30/2022 DIASTOLIC HEART FAILURE, ACUTE  ACUTE STROKE DUE TO ISCHEMIA, UNSPECIFIED TYPE AND ARTERY 6/22/2022 BACTEREMIA  HYPOXIA 6/30/2022 BACTEREMIA
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Gait disturbance
Clinical narrative: Patient with history of cerebral palsy, seizure disorder, and CKD. He was brought to the ED by EMS on 1/26/23. Per EMS, the patient was having trouble walking and talking at his group home. This is different from his baseline, so his group home staff called EMS. Upon EMS arrival, patient was hypoxic with sats in the 80s. He was initially placed on supplemental oxygen with improvement. In the ED, chest x-ray confirmed pneumonia, and a COVID PCR test performed resulted positive. Patient was admitted 1/26/23 with septic (possibly mild hypovolemic) shock, hypoxic respiratory failure from suspected COVID-19 pneumonia, and possibly emesis aspiration. He was discharged 2/1/23.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Pneumonia, Respiratory failure, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Patient with history of cerebral palsy, seizure disorder, and CKD. He was brought to the ED by EMS on 1/26/23. Per EMS, the patient was having trouble walking and talking at his group home. This is different from his baseline, so his group home staff called EMS. Upon EMS arrival, patient was hypoxic with sats in the 80s. He was initially placed on supplemental oxygen with improvement. In the ED, chest x-ray confirmed pneumonia, and a COVID PCR test performed resulted positive. Patient was admitted 1/26/23 with septic (possibly mild hypovolemic) shock, hypoxic respiratory failure from suspected COVID-19 pneumonia, and possibly emesis aspiration. He was discharged 2/1/23.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Shock
Clinical narrative: Patient with history of cerebral palsy, seizure disorder, and CKD. He was brought to the ED by EMS on 1/26/23. Per EMS, the patient was having trouble walking and talking at his group home. This is different from his baseline, so his group home staff called EMS. Upon EMS arrival, patient was hypoxic with sats in the 80s. He was initially placed on supplemental oxygen with improvement. In the ED, chest x-ray confirmed pneumonia, and a COVID PCR test performed resulted positive. Patient was admitted 1/26/23 with septic (possibly mild hypovolemic) shock, hypoxic respiratory failure from suspected COVID-19 pneumonia, and possibly emesis aspiration. He was discharged 2/1/23.
Age: 6.0
Sex: M
Vaccine: MMRV
Symptoms: Needle issue, Syringe issue
Clinical narrative: This report is not regarding an adverse event. It is about an administration error.  Patient did not receive full recommended dose of MMRV (ProQuad) due to mechanical issue of the syringe/needle. After consulting with the CDC, we were advised to repeat the recommended dose of MMRV on the same day or wait 28 days before repeating if it's not being given on the same day.  So,  patient received the repeat dose on the same day with no issues.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: PATIENT RECEIVED THE VACCINE AFTER THE 30 DAY WINDOW FOR STORAGE IN A REFRIGERATOR (NOT IN A FREEZER) HAS ENDED
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Mental status changes
Clinical narrative: Pfizer vaccine was administered outside of the clinic - reported by patient   ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY 6/7/2021 ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY  ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY 6/7/2021 ALTERED MENTAL STATUS, UNSPECIFIED
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was adminstered post expiration. A letter was sent to the patient's address on 2/17/2023 stating manufacturer's vaccine activity at the time of administration.   Manufacturer Statement: Moderna reviewed the stability of the vaccine you received and determined that it maintained the activity necessary to protect against COVID-19 at time of administration. Moderna cannot guarantee the protection you have received is equivalent to what was seen in studies and data is not available to support administering an additional dose of vaccine to you. However, if you wish to undergo revaccination, we will provide you access as outlined below.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was adminstered post expiration. A letter was sent to the patient's address on 2/17/2023 stating manufacturer's vaccine activity at the time of administration.   Manufacturer Statement: Moderna reviewed the stability of the vaccine you received and determined that it maintained the activity necessary to protect against COVID-19 at time of administration. Moderna cannot guarantee the protection you have received is equivalent to what was seen in studies and data is not available to support administering an additional dose of vaccine to you. However, if you wish to undergo revaccination, we will provide you access as outlined below.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chills, Fatigue, Pain of skin
Clinical narrative: It felt like I had a sinus infection, my face hurt to touch, I was exhausted, I had chills. I took a home COVID-19 test that came positive. I called to have a telehealth visit with my primary care physician, we discussed my symptoms. I was given a prescription for Paxlovid that I started immediately, in a couple of days my symptoms were gone and my energy returned.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinusitis
Clinical narrative: It felt like I had a sinus infection, my face hurt to touch, I was exhausted, I had chills. I took a home COVID-19 test that came positive. I called to have a telehealth visit with my primary care physician, we discussed my symptoms. I was given a prescription for Paxlovid that I started immediately, in a couple of days my symptoms were gone and my energy returned.
Age: 53.0
Sex: M
Vaccine: UNK
Symptoms: Vestibular neuronitis
Clinical narrative: Patient diagnosed with vestibular neuritis 4/12/23.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Diabetic complication, Hyponatraemia, Type 2 diabetes mellitus
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE 11/24/2021 DM 2 W UNSPECIFIED COMPLICATION  ACUTE HYPOXEMIC RESPIRATORY FAILURE 11/24/2021 HYPONATREMIA
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Pyrexia
Clinical narrative: I had COVID-19 in February 2023. I had fever, headaches, upper respiratory infection and felt fatigue for while. I also had a cough as well. I took an at home COVID-19 test on 02/03/2023.  I spoke with my doctor on the phone but did not go to the office. My symptoms lasted for two weeks. I receive Paxlovid medication which helped me to recover.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Upper respiratory tract infection
Clinical narrative: I had COVID-19 in February 2023. I had fever, headaches, upper respiratory infection and felt fatigue for while. I also had a cough as well. I took an at home COVID-19 test on 02/03/2023.  I spoke with my doctor on the phone but did not go to the office. My symptoms lasted for two weeks. I receive Paxlovid medication which helped me to recover.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was adminstered post expiration. A letter was sent to the patient's address on 2/17/2023 stating manufacturer's vaccine activity at the time of administration.   Manufacturer Statement: Pfizer reviewed the stability of the vaccine you received and determined that it likely did not maintain the activity necessary to protect against COVID-19 at time of administration. Pfizer cannot guarantee the protection you may have received is equivalent to what was seen in studies and data is not available to support administering an additional dose of vaccine to you. However, if you wish to undergo revaccination, we will provide you access as outlined below.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was adminstered post expiration. A letter was sent to the patient's address on 2/17/2023 stating manufacturer's vaccine activity at the time of administration.   Manufacturer Statement: Pfizer reviewed the stability of the vaccine you received and determined that it likely did not maintain the activity necessary to protect against COVID-19 at time of administration. Pfizer cannot guarantee the protection you may have received is equivalent to what was seen in studies and data is not available to support administering an additional dose of vaccine to you. However, if you wish to undergo revaccination, we will provide you access as outlined below.
Age: 80.0
Sex: M
Vaccine: HEPA, HEPA
Symptoms: No adverse event, Underdose, Vaccination error
Clinical narrative: Client was administered a pediatric dose of Hep A, error was recognized and second dose of Hep A pediatric given to remedy. Client was informed of error while still in clinic and consented to getting other "half" of dose. Client was monitored for 15 minutes post second vaccine with no adverse events reported or observed.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral
Clinical narrative: PERIPHERAL NEUROPATHY
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Deep vein thrombosis, Pulmonary embolism
Clinical narrative: Pfizer vaccine was administered outside of hospital - reported by patient  I26.99 PULMONARY EMBOLISM, UNSPECIFIED. 7/10/2021 ASTHMA, UNSPECIFIED I82.411 ACUTE DVT OF RIGHT FEMORAL VEIN 7/10/2021 ASTHMA, UNSPECIFIED
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Body temperature fluctuation, Fatigue, Headache, Injection site pain, Nausea
Clinical narrative: Extreme pain during and at injection site.  Sore arm.  Next day  (4/18/23) developed a fever of 100, slight nausea, headache, tiredness.  On 4/19/23, temperature fluctuated from 99 to 100 throughout day, headache, tiredness.  But I do slightly feel better today than yesterday.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: Extreme pain during and at injection site.  Sore arm.  Next day  (4/18/23) developed a fever of 100, slight nausea, headache, tiredness.  On 4/19/23, temperature fluctuated from 99 to 100 throughout day, headache, tiredness.  But I do slightly feel better today than yesterday.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral artery occlusion, Cerebrovascular accident, Chronic kidney disease, Cystitis, Diabetic nephropathy
Clinical narrative: G40.901 STATUS EPILEPTICUS 4/21/2022 CYSTITIS I63.81 ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 5/15/2022 CYSTITIS G40.901 STATUS EPILEPTICUS 4/21/2022 DM 2 W RENAL MANIFESTATION I63.81 ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 5/15/2022 DM 2 W RENAL MANIFESTATION G40.901 STATUS EPILEPTICUS 4/21/2022 CKD STAGE 3A (GFR 45-59) I63.81 ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 5/15/2022 CKD STAGE 3A (GFR 45-59) G40.901 STATUS EPILEPTICUS 4/21/2022 ACUTE STROKE DUE TO OCCLUSION OF RIGHT POSTERIOR COMMUNICATING ARTERY I63.81 ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 5/15/2022 ACUTE STROKE DUE TO OCCLUSION OF RIGHT POSTERIOR COMMUNICATING ARTERY
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Glomerular filtration rate, Lacunar stroke, Status epilepticus, Type 2 diabetes mellitus
Clinical narrative: G40.901 STATUS EPILEPTICUS 4/21/2022 CYSTITIS I63.81 ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 5/15/2022 CYSTITIS G40.901 STATUS EPILEPTICUS 4/21/2022 DM 2 W RENAL MANIFESTATION I63.81 ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 5/15/2022 DM 2 W RENAL MANIFESTATION G40.901 STATUS EPILEPTICUS 4/21/2022 CKD STAGE 3A (GFR 45-59) I63.81 ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 5/15/2022 CKD STAGE 3A (GFR 45-59) G40.901 STATUS EPILEPTICUS 4/21/2022 ACUTE STROKE DUE TO OCCLUSION OF RIGHT POSTERIOR COMMUNICATING ARTERY I63.81 ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 5/15/2022 ACUTE STROKE DUE TO OCCLUSION OF RIGHT POSTERIOR COMMUNICATING ARTERY
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE
Age: 92.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Bronchial secretion retention, COVID-19, Cardiac failure, Cardiac failure acute
Clinical narrative: 4/9/2023: CHIEF COMPLAINT: Chest pain  DIAGNOSES: -Acute hypoxic respiratory failure -Community-acquired pneumonia versus aspiration pneumonia -Decompensated heart failure -History of severe AS  Presented with complaints of chest pain, SOB, congestion and nonproductive cough for which he was prescribed Augmentin by an outpatient provider in the prior week. Found to be hypoxemic and in respiratory distress. BiPAP was attempted in the ED, however patient refused to continue wearing the mask. On arrival to the ICU, patient more lethargic, though still following some commands. He did reiterate that he would not want to be intubated, as he has stated in prior admissions and during this ED visit. Intervention: 15 L OxyMask, IV Lasix 20 mg, BiPAP attempted  Pertinent background -Admitted 2/23/2023 - 3/2/202 3 for acute hypoxic respiratory failure/CHF exacerbation; he was discharged to a SAR but reportedly left 6 days earlier. Neuro #Acute encephalopathy -evidence of respiratory acidosis in addition to acute infection likely leading to altered mental status. IV antibiotics and diuresis for slight volume overload. ? Delirium precautions - trial BiPAP if mentation improves - IV antibiotics and infectious per ID section -If no improvement, could consider meningitis and obtain LP CV  #Acute on chronic decompensated heart failure #History of severe aortic stenosis, Mild volume overload based on POCUS exam. -- diurese with IV diuretics. -IV Lasix 20 mg x 1 -Continue losartan 25 mg, goal SBP 120-140  #CAD s/p MV PCI (06/2007)-Continue ASA 81 mg daily - Continue statin  Pulm #Acute hypoxemic respiratory failure #Acute on chronic hypercapnic respiratory failure #Aspiration pneumonia-- Increased work of breathing in the setting of hypoxemia, cough associated with congestion, and high risk for aspiration concerning for pneumonia as etiology. Unable to clear secretions, high risk for NIV. Updated son who plans on coming in to discuss further GOC. Patient has been consistent with DNI. -Continue Optiflow, if mentation improves could consider BiPAP -Airway clearance: DuoNeb + Mucomyst every 4 hours, CoughAssist, frequent suctioning -IV antibiotics per ID section -Gentle diuresis for volume overload ID #Aspiration pneumonia --treat for CAP, RT for airway clearance. -Obtain MRSA nares, urine Legionella and strep pneumo -obtain respiratory culture -Monitor daily CBC - Anti-Infective therapy: ? Ceftriaxone ? Azithromycin Date and Time of death: 4/12/23 at 12:30