chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Fatigue, Injection site pain, Pain
Clinical narrative: Initially after receiving the vaccine I was sleepy and tired. I also had a swollen arm and soreness at the injection site. Then in March 2022 I caught Covid. I had no fever, but I had body aches, extreme fatigue, and a scratchy throat. I had tested negative for Covid, but when I called my doctor they said I did have Covid despite the negative result. I was prescribed Paxlovid for five days. It relieved my symptoms, and I feel 100% better except I still have the fatigue. I also don't have my normal energy back either.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, SARS-CoV-2 test false negative, Somnolence, Throat irritation
Clinical narrative: Initially after receiving the vaccine I was sleepy and tired. I also had a swollen arm and soreness at the injection site. Then in March 2022 I caught Covid. I had no fever, but I had body aches, extreme fatigue, and a scratchy throat. I had tested negative for Covid, but when I called my doctor they said I did have Covid despite the negative result. I was prescribed Paxlovid for five days. It relieved my symptoms, and I feel 100% better except I still have the fatigue. I also don't have my normal energy back either.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Diarrhoea, Headache
Clinical narrative: 16 hrs after vaccination, I was awakened with severe deltoid pain. Then headache, chills, weakness, diarrhea, nausea began. I took 1 extra strength Tylenol for headache 3 hrs ago. Headache continues. Previous Covid vaccines were Pfizer. This 4th dose was moderna. My husband is having the same symptoms
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Sleep disorder
Clinical narrative: 16 hrs after vaccination, I was awakened with severe deltoid pain. Then headache, chills, weakness, diarrhea, nausea began. I took 1 extra strength Tylenol for headache 3 hrs ago. Headache continues. Previous Covid vaccines were Pfizer. This 4th dose was moderna. My husband is having the same symptoms
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine may have had a temperature excursion
Age: 57.0
Sex: F
Vaccine: UNK
Symptoms: Asthenia, Chills, Feeling hot, Gait inability, Headache
Clinical narrative: A few hours after the vaccine I had the expected symptom of a sore arm begin, but about the same time, around 6:00 pm, I noticed a headache around my ears and eyes. By 10:00 pm I was experiencing aches and pains from the bottom of my feet to the top of my head. I was shivering no matter how many blankets I had on (it is May) but yet my head felt hot.  These symptoms continued the entire next day. I was so weak that I couldn't walk to the bathroom unaided and I of course, couldn't work. I took Ibuprofen and Advil PM to help me sleep. The second night, I slept 12 hours without waking (very unusual for me). The third and fourth day, the headache still lingers, but my energy is back.    I will definitely NOT be getting the Shingrix booster! I will recommend to all my friends to ask for a different manufacturer for their shingles vaccination.
Age: 57.0
Sex: F
Vaccine: UNK
Symptoms: Impaired work ability, Pain in extremity
Clinical narrative: A few hours after the vaccine I had the expected symptom of a sore arm begin, but about the same time, around 6:00 pm, I noticed a headache around my ears and eyes. By 10:00 pm I was experiencing aches and pains from the bottom of my feet to the top of my head. I was shivering no matter how many blankets I had on (it is May) but yet my head felt hot.  These symptoms continued the entire next day. I was so weak that I couldn't walk to the bathroom unaided and I of course, couldn't work. I took Ibuprofen and Advil PM to help me sleep. The second night, I slept 12 hours without waking (very unusual for me). The third and fourth day, the headache still lingers, but my energy is back.    I will definitely NOT be getting the Shingrix booster! I will recommend to all my friends to ask for a different manufacturer for their shingles vaccination.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine may have had a temperature excursion
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Nausea Given Zofran by PCP
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Influenza A virus test positive, Influenza B virus test, SARS-CoV-2 test positive
Clinical narrative: Case received primary Covid series in February 2021, and was hospitalized for Covid in February 2022. Hospitalized at: Hospital.  Case had multiple medical issues, and Covid added to his overall disease burden.  He was unable to tolerate treatment for Covid,  survived his isolation period and was hospitalized for 39 days, at which point he died.  He had multiple contributing factors listed on his death certificate, but Covid was not one of them.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Diarrhoea, Headache, Lethargy, Nausea
Clinical narrative: Pain during the night.  Worse pain, nausea, aches, headache, diarrhea, lethargy.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Pain during the night.  Worse pain, nausea, aches, headache, diarrhea, lethargy.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood lactic acid, Blood test, Chest X-ray, Coronavirus infection
Clinical narrative: It started with a runny nose and then the next day it was running more and by Tuesday morning, I was having a hard time breathing. I went to my PC and he sent me to the ER because I was so low on oxygen. They kept me there for about 6 hours to get the oxygen level to rise back up. My level went up so they sent me home. That night I had some afib with my heart and so the next morning when I woke up I was struggling to breath so that time they admitted. I was given oxygen. When the results for the blood panel and chest x-ray came back. I was given a different type of nose swab to detect more lung infections. I was diagnosed with Corona HD43. They placed me in isolation and started treatment. Due to the lactic acid, they gave me a medication to flush it out which made me go to the bathroom 60 times throughout the course of the night. My heart was still in afib. I was treated with antibiotics. I was in the hospital for 6 days. I was also treated with prednisone. I was discharged on 05-16.  I am still currently in oxygen. I have not yet fully recovered, I am scheduled to see a pulmonologist and my primary care physician on Monday.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Frequent bowel movements, Oxygen saturation decreased, Rhinorrhoea, White blood cell count
Clinical narrative: It started with a runny nose and then the next day it was running more and by Tuesday morning, I was having a hard time breathing. I went to my PC and he sent me to the ER because I was so low on oxygen. They kept me there for about 6 hours to get the oxygen level to rise back up. My level went up so they sent me home. That night I had some afib with my heart and so the next morning when I woke up I was struggling to breath so that time they admitted. I was given oxygen. When the results for the blood panel and chest x-ray came back. I was given a different type of nose swab to detect more lung infections. I was diagnosed with Corona HD43. They placed me in isolation and started treatment. Due to the lactic acid, they gave me a medication to flush it out which made me go to the bathroom 60 times throughout the course of the night. My heart was still in afib. I was treated with antibiotics. I was in the hospital for 6 days. I was also treated with prednisone. I was discharged on 05-16.  I am still currently in oxygen. I have not yet fully recovered, I am scheduled to see a pulmonologist and my primary care physician on Monday.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Oropharyngeal pain, Pharyngeal swelling, Pyrexia
Clinical narrative: On 4/23rd, I started to feel a slight sore throat it continued with fever and chills and a swollen sore throat through 4/25/2022. I did a home COVID-19 test and it came back positive. I waited it out on the 25th and 26th. On the 27th, I went first thing in the morning to the urgent care because I was not getting better, but not getting worse either. They saw me and did as Strep test it was negative. They prescribed me Augmentin for 10 days to avoid getting pneumonia. And they recommended Flonase. I took the medication as prescribed and started to get better. I had a COVID-19 test on May 12, 2022 and tested negative.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Streptococcus test negative
Clinical narrative: On 4/23rd, I started to feel a slight sore throat it continued with fever and chills and a swollen sore throat through 4/25/2022. I did a home COVID-19 test and it came back positive. I waited it out on the 25th and 26th. On the 27th, I went first thing in the morning to the urgent care because I was not getting better, but not getting worse either. They saw me and did as Strep test it was negative. They prescribed me Augmentin for 10 days to avoid getting pneumonia. And they recommended Flonase. I took the medication as prescribed and started to get better. I had a COVID-19 test on May 12, 2022 and tested negative.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: Positive COVID 19, sore throat, tired, runny nose and cough.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Positive COVID 19, sore throat, tired, runny nose and cough.
Age: 45.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injected limb mobility decreased, Loss of personal independence in daily activities, Vaccination site bruising, Vaccination site pruritus, Vaccination site swelling
Clinical narrative: Patient is here regarding bruising from IZ from last week. Stated unsure if its from Pneumo or Tdap vaccine. Patient stated that vaccine bruising gets itchy, starts swelling, & affects daily routine because she is unable to move her arm around. Prescribed ibuprofen 600 mg tablet
Age: 1.0
Sex: M
Vaccine: MMRV, VARCEL
Symptoms: Extra dose administered
Clinical narrative: MMRV and Varicella were given at the 12 month WCC today.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Incorrect dose administered, Insomnia, Loss of personal independence in daily activities, Pyrexia
Clinical narrative: Patient was accidentally given adult Pfizer gray cap vaccine instead of the pediatric formulation. Dose was 0.2 mL given but out of the adult vial and not pediatric. Patient experienced fever up to 101.7, insomnia, and stomach pain. Patient missed school and mom missed work due to illness.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: I received a positive result from the rapid test kit and not one person is concerned.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Respiratory tract congestion, SARS-CoV-2 test, Vaccine breakthrough infection
Clinical narrative: Breakthrough case of COVID, manly congestion.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine may have had a temperature excursion
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Foot fracture, Gait disturbance, Hypoaesthesia, Pain in extremity
Clinical narrative: Hx of Broken foot in January 2022 however I was seeing a podiatrist. And the injury was healed before the symptoms began to show in 03/2022. Both of my feet have significant numbness and pain, no swelling, and it isn't moving up my legs and it makes it very challenging to walk. It's constant every minute of every day. I had started physical therapy and did not see any improvements at all and did make a an appointment with my GP, due to unknown origin in regards to symptoms. Blood work that I received recently had no abnormalities. I did get a referral for a nerve test sometime in July. I also received Hep A February 10th 2022, chicken pox, and flu vaccine.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Adverse drug reaction, Arthralgia, Asthenia, Blood creatinine increased
Clinical narrative: 75-year-old male presenting as per HPI with generalized weakness and fatigue.   Initially, he was somewhat hypotensive with a pressure in the 80s systolic.  Review of records, this is not patient's normal blood pressure.  He was initially started on IV fluids, as on review of records, he does have a history of significant CHF, although his ejection fraction is grossly normal.  He had some improvement with 500 mL, and then had better improvement with an additional 500 mL bolus, and his blood pressure stabilized.   Initial concern would be for sepsis versus dehydration versus CHF.  Less likely CHF with volume overload, as he does not clinically appear volume overloaded, his BNP is minimally elevated, and approximately baseline for him.  Lungs are clear, he has no lower extremity edema.  Septisol console considered, although again less likely, as he has no leukocytosis, his lactate is normal and he has no significant electrolyte abnormalities.  Urinalysis reassuring, respiratory viral panel negative.   Most likely, patient is having side effects related to his recent COVID-19 vaccine, causing decreased oral intake, which then led to generalized weakness, fatigue and hypotension.  Patient does have some significant lab abnormalities which include an elevated troponin at 0.07 (baseline 0.03), and a mild AKI with a creatinine of 1.33 (baseline around 1).  Imaging overall reassuring, chest x-ray shows no focal consolidations or evidence of fluid overload or pneumonia, CT scan of the head reassuring, with some chronic ischemic changes, but no acute findings.   With regards to patient's left shoulder pain, he has no significant tenderness to the left shoulder, and I suspect this is a vaccine site reaction.  He has normal range of motion of the shoulder, does not report any recent trauma to make me suspicious for any traumatic injuries or other acute pathology related to his shoulder.  More concerning  is that this could be an anginal equivalent, and while EKG is reassuring, we will plan to hospitalize pt for further ACS work-up.   Given hypotension, generalized weakness, and the fact the patient is having difficulty ambulating, doubt to consult the hospitalist for further evaluation and management.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Blood electrolytes, Blood lactic acid normal, Blood pressure abnormal, Brain natriuretic peptide increased, Cerebral ischaemia
Clinical narrative: 75-year-old male presenting as per HPI with generalized weakness and fatigue.   Initially, he was somewhat hypotensive with a pressure in the 80s systolic.  Review of records, this is not patient's normal blood pressure.  He was initially started on IV fluids, as on review of records, he does have a history of significant CHF, although his ejection fraction is grossly normal.  He had some improvement with 500 mL, and then had better improvement with an additional 500 mL bolus, and his blood pressure stabilized.   Initial concern would be for sepsis versus dehydration versus CHF.  Less likely CHF with volume overload, as he does not clinically appear volume overloaded, his BNP is minimally elevated, and approximately baseline for him.  Lungs are clear, he has no lower extremity edema.  Septisol console considered, although again less likely, as he has no leukocytosis, his lactate is normal and he has no significant electrolyte abnormalities.  Urinalysis reassuring, respiratory viral panel negative.   Most likely, patient is having side effects related to his recent COVID-19 vaccine, causing decreased oral intake, which then led to generalized weakness, fatigue and hypotension.  Patient does have some significant lab abnormalities which include an elevated troponin at 0.07 (baseline 0.03), and a mild AKI with a creatinine of 1.33 (baseline around 1).  Imaging overall reassuring, chest x-ray shows no focal consolidations or evidence of fluid overload or pneumonia, CT scan of the head reassuring, with some chronic ischemic changes, but no acute findings.   With regards to patient's left shoulder pain, he has no significant tenderness to the left shoulder, and I suspect this is a vaccine site reaction.  He has normal range of motion of the shoulder, does not report any recent trauma to make me suspicious for any traumatic injuries or other acute pathology related to his shoulder.  More concerning  is that this could be an anginal equivalent, and while EKG is reassuring, we will plan to hospitalize pt for further ACS work-up.   Given hypotension, generalized weakness, and the fact the patient is having difficulty ambulating, doubt to consult the hospitalist for further evaluation and management.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Computerised tomogram head abnormal, Ejection fraction normal, Electrocardiogram normal, Fatigue
Clinical narrative: 75-year-old male presenting as per HPI with generalized weakness and fatigue.   Initially, he was somewhat hypotensive with a pressure in the 80s systolic.  Review of records, this is not patient's normal blood pressure.  He was initially started on IV fluids, as on review of records, he does have a history of significant CHF, although his ejection fraction is grossly normal.  He had some improvement with 500 mL, and then had better improvement with an additional 500 mL bolus, and his blood pressure stabilized.   Initial concern would be for sepsis versus dehydration versus CHF.  Less likely CHF with volume overload, as he does not clinically appear volume overloaded, his BNP is minimally elevated, and approximately baseline for him.  Lungs are clear, he has no lower extremity edema.  Septisol console considered, although again less likely, as he has no leukocytosis, his lactate is normal and he has no significant electrolyte abnormalities.  Urinalysis reassuring, respiratory viral panel negative.   Most likely, patient is having side effects related to his recent COVID-19 vaccine, causing decreased oral intake, which then led to generalized weakness, fatigue and hypotension.  Patient does have some significant lab abnormalities which include an elevated troponin at 0.07 (baseline 0.03), and a mild AKI with a creatinine of 1.33 (baseline around 1).  Imaging overall reassuring, chest x-ray shows no focal consolidations or evidence of fluid overload or pneumonia, CT scan of the head reassuring, with some chronic ischemic changes, but no acute findings.   With regards to patient's left shoulder pain, he has no significant tenderness to the left shoulder, and I suspect this is a vaccine site reaction.  He has normal range of motion of the shoulder, does not report any recent trauma to make me suspicious for any traumatic injuries or other acute pathology related to his shoulder.  More concerning  is that this could be an anginal equivalent, and while EKG is reassuring, we will plan to hospitalize pt for further ACS work-up.   Given hypotension, generalized weakness, and the fact the patient is having difficulty ambulating, doubt to consult the hospitalist for further evaluation and management.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Hypophagia, Hypotension, Imaging procedure, Laboratory test abnormal
Clinical narrative: 75-year-old male presenting as per HPI with generalized weakness and fatigue.   Initially, he was somewhat hypotensive with a pressure in the 80s systolic.  Review of records, this is not patient's normal blood pressure.  He was initially started on IV fluids, as on review of records, he does have a history of significant CHF, although his ejection fraction is grossly normal.  He had some improvement with 500 mL, and then had better improvement with an additional 500 mL bolus, and his blood pressure stabilized.   Initial concern would be for sepsis versus dehydration versus CHF.  Less likely CHF with volume overload, as he does not clinically appear volume overloaded, his BNP is minimally elevated, and approximately baseline for him.  Lungs are clear, he has no lower extremity edema.  Septisol console considered, although again less likely, as he has no leukocytosis, his lactate is normal and he has no significant electrolyte abnormalities.  Urinalysis reassuring, respiratory viral panel negative.   Most likely, patient is having side effects related to his recent COVID-19 vaccine, causing decreased oral intake, which then led to generalized weakness, fatigue and hypotension.  Patient does have some significant lab abnormalities which include an elevated troponin at 0.07 (baseline 0.03), and a mild AKI with a creatinine of 1.33 (baseline around 1).  Imaging overall reassuring, chest x-ray shows no focal consolidations or evidence of fluid overload or pneumonia, CT scan of the head reassuring, with some chronic ischemic changes, but no acute findings.   With regards to patient's left shoulder pain, he has no significant tenderness to the left shoulder, and I suspect this is a vaccine site reaction.  He has normal range of motion of the shoulder, does not report any recent trauma to make me suspicious for any traumatic injuries or other acute pathology related to his shoulder.  More concerning  is that this could be an anginal equivalent, and while EKG is reassuring, we will plan to hospitalize pt for further ACS work-up.   Given hypotension, generalized weakness, and the fact the patient is having difficulty ambulating, doubt to consult the hospitalist for further evaluation and management.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory viral panel, Troponin increased, Urine analysis, Vaccination site reaction
Clinical narrative: 75-year-old male presenting as per HPI with generalized weakness and fatigue.   Initially, he was somewhat hypotensive with a pressure in the 80s systolic.  Review of records, this is not patient's normal blood pressure.  He was initially started on IV fluids, as on review of records, he does have a history of significant CHF, although his ejection fraction is grossly normal.  He had some improvement with 500 mL, and then had better improvement with an additional 500 mL bolus, and his blood pressure stabilized.   Initial concern would be for sepsis versus dehydration versus CHF.  Less likely CHF with volume overload, as he does not clinically appear volume overloaded, his BNP is minimally elevated, and approximately baseline for him.  Lungs are clear, he has no lower extremity edema.  Septisol console considered, although again less likely, as he has no leukocytosis, his lactate is normal and he has no significant electrolyte abnormalities.  Urinalysis reassuring, respiratory viral panel negative.   Most likely, patient is having side effects related to his recent COVID-19 vaccine, causing decreased oral intake, which then led to generalized weakness, fatigue and hypotension.  Patient does have some significant lab abnormalities which include an elevated troponin at 0.07 (baseline 0.03), and a mild AKI with a creatinine of 1.33 (baseline around 1).  Imaging overall reassuring, chest x-ray shows no focal consolidations or evidence of fluid overload or pneumonia, CT scan of the head reassuring, with some chronic ischemic changes, but no acute findings.   With regards to patient's left shoulder pain, he has no significant tenderness to the left shoulder, and I suspect this is a vaccine site reaction.  He has normal range of motion of the shoulder, does not report any recent trauma to make me suspicious for any traumatic injuries or other acute pathology related to his shoulder.  More concerning  is that this could be an anginal equivalent, and while EKG is reassuring, we will plan to hospitalize pt for further ACS work-up.   Given hypotension, generalized weakness, and the fact the patient is having difficulty ambulating, doubt to consult the hospitalist for further evaluation and management.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Peripheral swelling, Pulmonary thrombosis, Thrombosis
Clinical narrative: Swelling in right calf. Blood clot in right leg that spread to lungs.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound Doppler abnormal
Clinical narrative: Swelling in right calf. Blood clot in right leg that spread to lungs.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: The patient received .3ml of Pediatric Pfizer for 5-<12 year old and should have received the adult 12+ Pfizer.  In addition, the nurses neglected to dilute the vial so he received .3ml of undiluted pediatric vaccine.  The Nurse Manager notified the individual of the error upon discovery 2 hours after administration.  The patient denies an adverse reactions at this time.  The nurse advised to call the health department to report any issues and to seek emergency care if needed.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Biopsy uterus normal, Blood iron decreased, Decidual cast, Laboratory test abnormal
Clinical narrative: Starting on July 1, 2021 I had my period about 20 days after my last period then another period starting 12days after this one. I had 3 months of having my period every 2 weeks. I had a normal period in September and then in October I started having periods again every 2 weeks. Then I missed a period in November. Normal period in December. Then I had a period that lasted a month a half straight. So then I started taking birth control in mid February and since then it has been more controlled. On April 10, 2022 I passed decidual cast.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular, Ultrasound scan normal
Clinical narrative: Starting on July 1, 2021 I had my period about 20 days after my last period then another period starting 12days after this one. I had 3 months of having my period every 2 weeks. I had a normal period in September and then in October I started having periods again every 2 weeks. Then I missed a period in November. Normal period in December. Then I had a period that lasted a month a half straight. So then I started taking birth control in mid February and since then it has been more controlled. On April 10, 2022 I passed decidual cast.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Nausea, Pyrexia, Vomiting
Clinical narrative: Nausea, fever, chills, vomiting
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Cyanosis, Loss of consciousness
Clinical narrative: Mother reported that patient passed out and his lips turned blue. His symptoms lasted for 6 hours and has been resolved.
Age: 1.0
Sex: F
Vaccine: RV5
Symptoms: Underdose
Clinical narrative: patient present at office 5.16.22 for 12 months physical,  after visit Dr. noted that pt was given 2 m vaccines instead of 12 m, due to accidently pressing the button for 2 m instead of 12 m in order selection.  Dr. immediately   called mother, reassured that PCV 13 and pentacel were ok to be given at this time, will ask to return to get Hep A, so can catch up by 18 m, and MMR and Varicella could be given with next visit. Rotavirus vaccine- was given and asked mom to observe for diarrhea.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Nasal congestion, Rhinorrhoea
Clinical narrative: Started with late afternoon fatigue on 4/20.  Nasal congestion on 4/20 as well. 4/21 symptoms were worse, and sinus drainage caused coughing.  4/22 Monoclonal Antibody treatment received.   5/1 there was a deep cough in the chest.  Antibiotics caused deep cough to resolve within 48 hours.  About 4 weeks total the fatigue resolved.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Started with late afternoon fatigue on 4/20.  Nasal congestion on 4/20 as well. 4/21 symptoms were worse, and sinus drainage caused coughing.  4/22 Monoclonal Antibody treatment received.   5/1 there was a deep cough in the chest.  Antibiotics caused deep cough to resolve within 48 hours.  About 4 weeks total the fatigue resolved.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: PATIENT WAS GIVEN A PURPLE TOP OF PFIZER WITHOUT DILUTING VACCINE
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Endoscopy abnormal, Fatigue, Functional gastrointestinal disorder, Gastrointestinal bacterial overgrowth, Headache
Clinical narrative: Small intestines are shutting down. It's not working efficiently. It's called small intestinal bacterial overgrowth I've been on multiple rounds of antibiotics. A lot of fatigue. I've experienced headaches as well. I have to be on a special diet.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test abnormal
Clinical narrative: Small intestines are shutting down. It's not working efficiently. It's called small intestinal bacterial overgrowth I've been on multiple rounds of antibiotics. A lot of fatigue. I've experienced headaches as well. I have to be on a special diet.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Peripheral swelling, Ultrasound Doppler
Clinical narrative: flu like symptoms, swelling in legs
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Malaise, Nasopharyngitis, Pain in extremity
Clinical narrative: After receiving the vaccine I had soreness in my arm and fatigue for a day. Then I had tested positive for covid in April 2022. I had cold like symptoms. I was prescribed Paxlovid. My covid symptoms lasted for about a week.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: After receiving the vaccine I had soreness in my arm and fatigue for a day. Then I had tested positive for covid in April 2022. I had cold like symptoms. I was prescribed Paxlovid. My covid symptoms lasted for about a week.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Heavy menstrual bleeding, Menopause
Clinical narrative: I am in peri-menopause and had not had a period in 5 months.  Three days after the shot, I got a very heavy period.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Angiogram cerebral, Antinuclear antibody, C-reactive protein, Computerised tomogram head
Clinical narrative: 6th nerve palsy of right eye
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Red blood cell sedimentation rate, VIth nerve paralysis
Clinical narrative: 6th nerve palsy of right eye
Age: 65.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: NO ADVERSE REACTION. Patient received second flu vaccine.  Flu shot was administered by staff member and upon entering vaccine it was seen that patient had received a flu-vaccine earlier in December 2021.    Vaccine error was seen after clinic had closed and provider had left for the day.   This RN consulted with PA-C. There is no harm from receiving second flu-shot. No medical follow-up is needed.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Back pain, COVID-19, Chest discomfort, Confusional state
Clinical narrative: Started feeling covid symptoms about 5 days after the booster.  I tested positive on the 9th day.  I was extremely sick for about 2 weeks.  Severe covid fog and confusion, high anxiety, severe tinnitus, no fever, night sweats, no real cough/congestion, bad body/back aches, and heart palpitations ever 30-40mins and continued for about 3.5 weeks after I started to feel better.  I got Omicron around Christmas.  Delta symptoms started to go away.  Sick w/ Omicron just for 2-3 days w/ normal symptoms.  Did experience chest tightness/shortness of breath.  On 4/20/22 I tested positive for covid again.  Just had a low grade fever.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling abnormal, Malaise, Night sweats, Pain
Clinical narrative: Started feeling covid symptoms about 5 days after the booster.  I tested positive on the 9th day.  I was extremely sick for about 2 weeks.  Severe covid fog and confusion, high anxiety, severe tinnitus, no fever, night sweats, no real cough/congestion, bad body/back aches, and heart palpitations ever 30-40mins and continued for about 3.5 weeks after I started to feel better.  I got Omicron around Christmas.  Delta symptoms started to go away.  Sick w/ Omicron just for 2-3 days w/ normal symptoms.  Did experience chest tightness/shortness of breath.  On 4/20/22 I tested positive for covid again.  Just had a low grade fever.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations, Pyrexia, SARS-CoV-2 test positive, Tinnitus
Clinical narrative: Started feeling covid symptoms about 5 days after the booster.  I tested positive on the 9th day.  I was extremely sick for about 2 weeks.  Severe covid fog and confusion, high anxiety, severe tinnitus, no fever, night sweats, no real cough/congestion, bad body/back aches, and heart palpitations ever 30-40mins and continued for about 3.5 weeks after I started to feel better.  I got Omicron around Christmas.  Delta symptoms started to go away.  Sick w/ Omicron just for 2-3 days w/ normal symptoms.  Did experience chest tightness/shortness of breath.  On 4/20/22 I tested positive for covid again.  Just had a low grade fever.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Endometrial thickening, Heavy menstrual bleeding, Menopause, Menstruation irregular
Clinical narrative: In peri-menopause, went 8 months without a period.  I was nervous about getting the booster since after the 1st vaccine I started my period (after months w/out).  I did not want to start my period again.  I got the booster and 4 weeks later I started my period. It was very heavy and would not stop.  I bled for 4 weeks straight until I went to the doctor who prescribed some hormone pills to stop the period.  I later had an ultrasound and found that my uterine lining is extra thick and I require a D&C.  D&C will be performed on Monday, May 23.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound uterus abnormal
Clinical narrative: In peri-menopause, went 8 months without a period.  I was nervous about getting the booster since after the 1st vaccine I started my period (after months w/out).  I did not want to start my period again.  I got the booster and 4 weeks later I started my period. It was very heavy and would not stop.  I bled for 4 weeks straight until I went to the doctor who prescribed some hormone pills to stop the period.  I later had an ultrasound and found that my uterine lining is extra thick and I require a D&C.  D&C will be performed on Monday, May 23.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Product storage error
Clinical narrative: It is believed that pt. was given a second booster from a vial that had been at room temperature for over the recommended amount of time.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Clostridium test negative, Diarrhoea, Headache, Musculoskeletal stiffness
Clinical narrative: Case completed primary vaccine series in February 2021, Then was hospitalized for Covid in February of 2022. Hospitalized at:  Hospital   * Febrile illness, acute Assessment & Plan -The patient reports fever as high as 105 on Monday. -other sxs are nasal congestion, diarrhea, sore throat, neck pain.  -LP negative for infection. -Routine infectious w/u negative.  - COVID-19 is the likely etiology with a persistently positive test and a cycle time of 34.2. He had no evidence of hypoxemia.  -Stool c diff negative -stool pathogen negative  -respiratory pathogen panel negative on admission    Significantly improved with reduced white count, resolving diarrhea on Rocephin, Flagyl, remdesivir   COVID-19 Assessment & Plan Was positive with a home test on 2/5 and he had URI symptoms and myalgias at that time that lasted approximately 5 days and resolved   On 2/21/2022 he developed fever to 105, sinus congestion, headache, neck stiffness and loose watery diarrhea. Covid on admission had a cycle time of 34   He was treated with IV remdesivir with resolution of his symptoms. Remdesivir will be discontinued at the time of discharge.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nasal congestion, Neck pain, Oropharyngeal pain, Pathology test
Clinical narrative: Case completed primary vaccine series in February 2021, Then was hospitalized for Covid in February of 2022. Hospitalized at:  Hospital   * Febrile illness, acute Assessment & Plan -The patient reports fever as high as 105 on Monday. -other sxs are nasal congestion, diarrhea, sore throat, neck pain.  -LP negative for infection. -Routine infectious w/u negative.  - COVID-19 is the likely etiology with a persistently positive test and a cycle time of 34.2. He had no evidence of hypoxemia.  -Stool c diff negative -stool pathogen negative  -respiratory pathogen panel negative on admission    Significantly improved with reduced white count, resolving diarrhea on Rocephin, Flagyl, remdesivir   COVID-19 Assessment & Plan Was positive with a home test on 2/5 and he had URI symptoms and myalgias at that time that lasted approximately 5 days and resolved   On 2/21/2022 he developed fever to 105, sinus congestion, headache, neck stiffness and loose watery diarrhea. Covid on admission had a cycle time of 34   He was treated with IV remdesivir with resolution of his symptoms. Remdesivir will be discontinued at the time of discharge.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory symptom, Respiratory viral panel, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: Case completed primary vaccine series in February 2021, Then was hospitalized for Covid in February of 2022. Hospitalized at:  Hospital   * Febrile illness, acute Assessment & Plan -The patient reports fever as high as 105 on Monday. -other sxs are nasal congestion, diarrhea, sore throat, neck pain.  -LP negative for infection. -Routine infectious w/u negative.  - COVID-19 is the likely etiology with a persistently positive test and a cycle time of 34.2. He had no evidence of hypoxemia.  -Stool c diff negative -stool pathogen negative  -respiratory pathogen panel negative on admission    Significantly improved with reduced white count, resolving diarrhea on Rocephin, Flagyl, remdesivir   COVID-19 Assessment & Plan Was positive with a home test on 2/5 and he had URI symptoms and myalgias at that time that lasted approximately 5 days and resolved   On 2/21/2022 he developed fever to 105, sinus congestion, headache, neck stiffness and loose watery diarrhea. Covid on admission had a cycle time of 34   He was treated with IV remdesivir with resolution of his symptoms. Remdesivir will be discontinued at the time of discharge.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Viral test negative, White blood cell count decreased
Clinical narrative: Case completed primary vaccine series in February 2021, Then was hospitalized for Covid in February of 2022. Hospitalized at:  Hospital   * Febrile illness, acute Assessment & Plan -The patient reports fever as high as 105 on Monday. -other sxs are nasal congestion, diarrhea, sore throat, neck pain.  -LP negative for infection. -Routine infectious w/u negative.  - COVID-19 is the likely etiology with a persistently positive test and a cycle time of 34.2. He had no evidence of hypoxemia.  -Stool c diff negative -stool pathogen negative  -respiratory pathogen panel negative on admission    Significantly improved with reduced white count, resolving diarrhea on Rocephin, Flagyl, remdesivir   COVID-19 Assessment & Plan Was positive with a home test on 2/5 and he had URI symptoms and myalgias at that time that lasted approximately 5 days and resolved   On 2/21/2022 he developed fever to 105, sinus congestion, headache, neck stiffness and loose watery diarrhea. Covid on admission had a cycle time of 34   He was treated with IV remdesivir with resolution of his symptoms. Remdesivir will be discontinued at the time of discharge.
Age: 54.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Injection site pain, Injection site reaction, Musculoskeletal stiffness
Clinical narrative: ) Left shoulder symptoms: He got his second Pfizer Covid shot in December 2021. Within a few hours his left arm where the shot was given was very stiff and sore and hard to lift. For the first few days he basically couldn?t use his left arm, and symptoms have persisted this last few months although they have gradually gotten better. He?s worked on exercises, stretching, strengthening and now it?s up to be able to do push-ups dips and planks for 30 to 40 minutes. He got his second Pfizer Covid shot in December 2021. Within a few hours his left arm where the shot was given was very stiff and sore and hard to lift. For the first few days he basically couldn?t use his left arm, and symptoms have persisted this last few months although they have gradually gotten better. He initially could not use that arm for a week. He took advil which did not seem to help much. He had to do range of motion exercise and stretching for a while and it is improving but still; haws symptoms regularly. He?s worked on exercises, stretching, strengthening and now it?s up to be able to do push-ups dips and planks for 30 to 40 minutes. But he does continue to have some soreness and stiffness in his left shoulder and he points to lateral upper arm/deltoid area. He does not have weakness radiation of the pain, numbness tingling or loss of function.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Myalgia, Respiratory tract congestion
Clinical narrative: When I woke up on the 14th the first thing I noticed was congestion and coughing and I did not feel as well and thought I was running a fever and checked with my temporal thermometer and I was running 97.6.  I was coughing, congested that became more intense during the day and the next day.  Monday I never experienced elevated temperature but started feeling fatigue and muscle soreness on the 15th.  I took a COVID-19 home test and it was positive on the 14th.  On the 14th I contacted my physician and he called me in a prescription of Paxlovid and I didn't start taking it till the 16th.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: When I woke up on the 14th the first thing I noticed was congestion and coughing and I did not feel as well and thought I was running a fever and checked with my temporal thermometer and I was running 97.6.  I was coughing, congested that became more intense during the day and the next day.  Monday I never experienced elevated temperature but started feeling fatigue and muscle soreness on the 15th.  I took a COVID-19 home test and it was positive on the 14th.  On the 14th I contacted my physician and he called me in a prescription of Paxlovid and I didn't start taking it till the 16th.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Several hours after the injection patient started to have  pain ,tingling and numbness up into upper back and down to the fingers. Patient put ice on the site. The following morning the swelling had increased  the site on the arm was about a 5 inch diameter circle . It was hot , hard and red. Patient went to the doctor. The doctor recommended the patient take ibuprofen. The ibuprofen has helped some and the swelling is retreating
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Paraesthesia
Clinical narrative: Several hours after the injection patient started to have  pain ,tingling and numbness up into upper back and down to the fingers. Patient put ice on the site. The following morning the swelling had increased  the site on the arm was about a 5 inch diameter circle . It was hot , hard and red. Patient went to the doctor. The doctor recommended the patient take ibuprofen. The ibuprofen has helped some and the swelling is retreating
Age: 38.0
Sex: M
Vaccine: HEPAB
Symptoms: Product storage error
Clinical narrative: Patient was vaccinated with a non-viable vaccine after a temperature excursion under freezing. The excursion was not identified until after the clinic. We have not received any notification of adverse reactions.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Blood sodium decreased, Blood test abnormal, Cardiac monitoring, Extra dose administered
Clinical narrative: I began having heart palpitations on 4/7/2022, which was 4 days after I received my second Moderna booster. I saw my PCP on 4/19/2022. The PCP confirmed that she had detected premature ventricular contractions (PVCs), and she ordered bloodwork and an echocardiogram. She also instructed me to wear a heart monitor for three days. I did not receive the heart monitor until 4/27/2022, and I mailed it back on 4/30/2022. I never got the echocardiogram, because it wouldn't be possible to get an appointment until June. Regarding the bloodwork, my sodium was low, so my PCP had me restrict my fluid intake. The PVCs continued, and on the weekend of May 13-15, I felt like I was having angina pains. On 5/16/2022, I went to the emergency room. I was evaluated, and all the test results were either normal or stable. Even though I was still having PVCs, the doctor thought that my condition was stable and referred me to a cardiologist for further evaluation. My appointment with the cardiologist is on 5/25/2022. At the time of this writing, I continue to have PVCs intermittently on a daily basis.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Palpitations, Ventricular extrasystoles
Clinical narrative: I began having heart palpitations on 4/7/2022, which was 4 days after I received my second Moderna booster. I saw my PCP on 4/19/2022. The PCP confirmed that she had detected premature ventricular contractions (PVCs), and she ordered bloodwork and an echocardiogram. She also instructed me to wear a heart monitor for three days. I did not receive the heart monitor until 4/27/2022, and I mailed it back on 4/30/2022. I never got the echocardiogram, because it wouldn't be possible to get an appointment until June. Regarding the bloodwork, my sodium was low, so my PCP had me restrict my fluid intake. The PVCs continued, and on the weekend of May 13-15, I felt like I was having angina pains. On 5/16/2022, I went to the emergency room. I was evaluated, and all the test results were either normal or stable. Even though I was still having PVCs, the doctor thought that my condition was stable and referred me to a cardiologist for further evaluation. My appointment with the cardiologist is on 5/25/2022. At the time of this writing, I continue to have PVCs intermittently on a daily basis.
Age: 5.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Product storage error
Clinical narrative: Patient was vaccinated with a non-viable vaccine after a temperature excursion under freezing. The excursion was not identified until after the clinic. We have not received any notification of adverse reactions.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine may have had a temperature excursion
Age: 24.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Balance disorder, Fall, Loss of consciousness
Clinical narrative: Patient received vaccines, sat for a few minutes but then jumped up and skipped towards the door and then lost balance, passed out and fell onto the floor in the waiting room.  Called to check out patient and patient cleared to leave with friend
Age: 16.0
Sex: M
Vaccine: HPV9
Symptoms: Product storage error
Clinical narrative: Patient was vaccinated with a non-viable vaccine after a temperature excursion under freezing. The excursion was not identified until after the clinic. We have not received any notification of adverse reactions.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine may have had temperature excursion
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspepsia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I was vacationing and on May 6th, I noticed I started having indigestion, runny nose and cough. No fever. I tested on 5-8-2022 at the pharmacy with on vacation. I could not come back home until I quarantined. I tested again on 5-17 and it was still positive. I flew back home on 5-18 after getting a letter of recovery from a doctor out of town. I am reporting my breakthrough case of Covid.