chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.83
Sex: F
Vaccine: PNC13, UNK
Symptoms: Vomiting
Clinical narrative: -low grade fever the same evening / 7h  after vaccination -vomiting in the morning -high fever (40degC/104degF) next day 23h after vaccination, tachycardia, tachypnea, sleepiness, no appetite -pediatrician was called, parents were told that this might be normal the day after immunization and that there is no need for an appointment and check up -episode of centralization, cold and blue hands and lips in the evening -parents went to hospital to check oxygenation  -in hospital, centralization was resolved, parents were told that centralization happens sometimes with high fevers, O2 (finger) was 98%, child was 'warm' and tachycard. Parents decided to take child home in accordance with nurse and give antipyretic suppository -child died at 2 p.m.the next day, reanimation was unsuccessful -autopsy showed bacterial meningitis and septicamia, haemophilus influenza serotype A (HIA), bilateral adrenal haemorrhage
Age: 18.0
Sex: M
Vaccine: UNK, MENB
Symptoms: Computerised tomogram head normal, Full blood count normal, Generalised tonic-clonic seizure, Metabolic function test normal
Clinical narrative: generalized tonic clonic seizure, 3 minutes duration. Spontaneous resolution. Complete recovery.
Age: 18.0
Sex: M
Vaccine: UNK, MENB
Symptoms: Computerised tomogram head normal, Generalised tonic-clonic seizure
Clinical narrative: generalized tonic clonic seizure, 3 minutes duration. Spontaneous resolution. Complete recovery.
Sex: M
Vaccine: COVID19
Symptoms: Cancer screening, Computerised tomogram abdomen, Constipation, Gastrointestinal hypomotility, Nervous system disorder
Clinical narrative: Eyesight in right eye -- floaters and light flashes when blinking, to date it hasn't subsided.  In June and to date, chronic constipation -intestinal motility unrelated to diet or Bristol chart type of feces.  Neurologically suspected, pending further diagnostic testing.
Sex: M
Vaccine: COVID19
Symptoms: Photopsia, Scan with contrast, Vitreous floaters
Clinical narrative: Eyesight in right eye -- floaters and light flashes when blinking, to date it hasn't subsided.  In June and to date, chronic constipation -intestinal motility unrelated to diet or Bristol chart type of feces.  Neurologically suspected, pending further diagnostic testing.
Sex: U
Vaccine: VARZOS
Symptoms: Swelling
Clinical narrative: Swelling in underarm; This case was reported by a consumer via interactive digital media and described the occurrence of local swelling in a patient who received Herpes zoster (Shingles vaccine) for prophylaxis.   On an unknown date, the patient received Shingles vaccine. On an unknown date, unknown after receiving Shingles vaccine, the patient experienced local swelling. On an unknown date, the outcome of the local swelling was not recovered/not resolved.   It was unknown if the reporter considered the local swelling to be related to Shingles vaccine.     Additional Information: GSK receipt date: 05 Nov 2022 Reporter comment: This case was reported by a patient via interactive digital media. The patient reported experiencing swelling in underarm.
Sex: F
Vaccine: VARZOS
Symptoms: Inflammation, Mobility decreased
Clinical narrative: vaccine induced inflammation; could barely move my arms or legs; This case was reported by a consumer via interactive digital media and described the occurrence of inflammation in a female patient who received Herpes zoster (Shingles vaccine) for prophylaxis.   On an unknown date, the patient received the 1st dose of Shingles vaccine. On an unknown date, less than a month after receiving Shingles vaccine, the patient experienced inflammation and mobility decreased. On an unknown date, the outcome of the inflammation and mobility decreased were unknown.   The reporter considered the inflammation and mobility decreased to be related to Shingles vaccine.     Additional Information: GSK Receipt Date: 05-NOV-2022 Reporter's Comment: This case was reported by a patient via interactive digital media. The patient received first of the two doses of Shingles vaccines and within a month she could barely move arms or legs. The patient reported that after being told she just had to suck it up and wait it out, and her husband took her to a nearby city and the specialist said the patient had vaccine induced inflammation. The patient reported that no more vaccines period for her anymore. Additional Supportive Information: Follow-up would not possible as no contact details were available.
Sex: M
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: A LITTLE TIRED THE NEXT DAY; This spontaneous report received from a consumer via a company representative through a social media) concerned a male of an unspecified age, race and ethnicity The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (dose number in series 1) (suspension for injection, route of admin not reported, batch number: unknown and expiry: unknown) dose was not reported, 1 total, administered on an unspecified date for covid-19 prophylaxis. The batch number was not reported. Per procedure, no follow-up will be requested for this case. The drug latency period was 1 day. No concomitant medications were reported.  On an unspecified date, the patient was a little tired next day following the first dose of the vaccination (dose number in series 1).  The patient received additional booster dose of covid-19 vaccine ad26.cov2.s (dose number in series 2) (suspension for injection, route of admin not reported, batch number: unknown and expiry: unknown) dose was not reported, 1 total, administered on an unspecified date for covid-19 prophylaxis.  The patient had no adverse events following vaccination with covid-19 vaccine ad26.cov2.s (dose number in series 2). The reporter stated that "My husband and I both had the J&J vaccine. A little tired the next day after the first shot, nothing after the second shot. Are we supposed to get more shots". The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of a little tired the next day was not reported. This report was non-serious. This case, from the same reporter is linked to 20221129570.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No adverse reaction; Dose 1 taken on 28-Oct-22 and Dose 2 on 10-Nov-22; This spontaneous case was reported by a pharmacist and describes the occurrence of INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Dose 1 taken on 28-Oct-22 and Dose 2 on 10-Nov-22) and NO ADVERSE EVENT (No adverse reaction) in a 60-year-old female patient who received mRNA-1273 (Spikevax) (batch no. 074B22A) for COVID-19 prophylaxis.     No Medical History information was reported.    On 10-Nov-2022, the patient received second dose of mRNA-1273 (Spikevax) (Intramuscular) .5 milliliter. On 10-Nov-2022, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Dose 1 taken on 28-Oct-22 and Dose 2 on 10-Nov-22). On an unknown date, the patient experienced NO ADVERSE EVENT (No adverse reaction). At the time of the report, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Dose 1 taken on 28-Oct-22 and Dose 2 on 10-Nov-22) and NO ADVERSE EVENT (No adverse reaction) outcome was unknown.        For mRNA-1273 (Spikevax) (Intramuscular), the reporter considered NO ADVERSE EVENT (No adverse reaction) to be not related. No further causality assessment was provided for INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Dose 1 taken on 28-Oct-22 and Dose 2 on 10-Nov-22).    No concomitant products reported.  Patient got first dose of Moderna Bivalent lot 061F22A on 28 Oct 2022 0.5 ml intramuscularly in left arm, she should have received original Moderna Monovalent. She experienced no adverse effects from the shot. For her second shot she received Moderna monovalent.   No treatment products reported.   This case was linked to MOD-2022-670198 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 11-Nov-2022: Non significant follow up received
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too Low-
Age: 58.0
Sex: M
Vaccine: FLU4
Symptoms: Rash
Clinical narrative: Systemic: Allergic: Rash Generalized-Medium, Additional Details: Patient indicated a rash formed on their arm after receiving both their COVID bivalent booster and flu shot. The rash began to form the day after receiving them. Pharmacist counseled patient to monitor and go to MD if it doesn't get better.
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild
Age: 44.0
Sex: M
Vaccine: COVID19-2
Symptoms: Confusional state, Dizziness, Hypotension, Presyncope, Syncope
Clinical narrative: Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Severe, Additional Details: Per wife had a vasovagal response, attempted method to provide circulation to the head but patient was barely responsive and had to call EMT
Age: 44.0
Sex: M
Vaccine: COVID19-2
Symptoms: Unresponsive to stimuli
Clinical narrative: Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Severe, Additional Details: Per wife had a vasovagal response, attempted method to provide circulation to the head but patient was barely responsive and had to call EMT
Age: 24.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Dizziness, Hypotension, Malaise, Nausea
Clinical narrative: Systemic: Hypotension-Mild, Systemic: Weakness-Mild, Additional Details: pt stated  she did not feel good, maybe nauseous and lightheaded, instructed her to sit with head between knees, too bp 98/61, and had pt lie on floor repeated bp every 4-5 minutes 107/63, 115/71, sat up in chair and gave juice and bp rose t o 123/74. She left  a few minutes later with significant other.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Paraesthesia, Vaccination site paraesthesia
Clinical narrative: Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: Tngling sensation across dermatomes associated with vaccine site.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising
Clinical narrative: Site: Bruising at Injection Site-Medium
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: He was administered Pfizer Biotech Monovalent on 11/04/2022, IM, Left Deltoid No adverse outcome because of the administration of Covid Pfizer Monovalent Vaccine
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Dizziness, Syncope
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Additional Details: Patient experienced vasovagal syncope. Patient rested until symptoms passed. Patient was recovered was able to leave feeling well.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Injection site inflammation, Injection site swelling, Myalgia
Clinical narrative: Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Fever-Medium, Systemic: Headache-Medium, Additional Details: Pt. reports  muscle aches for 1 week,  headache for 3 days, fever 99.9 for 24 hours.    inj site red and inflammed
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia
Clinical narrative: Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Fever-Medium, Systemic: Headache-Medium, Additional Details: Pt. reports  muscle aches for 1 week,  headache for 3 days, fever 99.9 for 24 hours.    inj site red and inflammed
Age: 9.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Patient was given 0.2 ml undiluted pfizer bivalent.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 19.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Headache, Injection site pain, Nausea, Palpitations
Clinical narrative: Nausea, headache, pain on injection site, chills, pounding heart.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Administer on 11/04/2022 Pfizer Covid Monovalent, on left deltoid No adverse outcome after vaccine administration
Age: 5.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product preparation issue
Clinical narrative: Error: Incorrect Reconstitution-
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Administration of Covid Pfizer Monovalent as a Third Dose, in Left Deltoid Arm No adverse Outcome on Patient health
Age: 37.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Medium, Systemic: Joint Pain-Severe
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Administer on 11/04/2022 Pfizer Covid Monovalent, on left deltoid as a Third Dose  No adverse outcome after vaccine administration
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case. Pfizer  EL9261 1/29/21, EM 98102/19/21 and boosted Moderna 043B21A 8/18/21, Pfizer GLO446 10/25/22
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: Unevaluable event
Clinical narrative: COVID vaccine breakthrough case. Pfizer  EL9261 1/29/21, EM 98102/19/21 and boosted Moderna 043B21A 8/18/21, Pfizer GLO446 10/25/22
Age: 2.0
Sex: M
Vaccine: COVID19, HEPA
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine was stored in refrigerator, not freezer. Then given after the 30 day expiration.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine was stored in refrigerator, not freezer. Then given after the 30-day expiration.
Age: 1.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine was stored in refrigerator, not freezer. Then given after the 30 day expiration.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine was stored in refrigerator, not freezer. Then given after the 30 day expiration.
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Swelling
Clinical narrative: Corminaty- use for COVID-19 under Emergency Use Authorization (EAU):Patient bivalent covid vaccine on 11/4/2022 and began experiencing pain and swelling over the next 24 hours. Patient saw their primary physician 11/11/2022 and has a follow up appointment with them.
Age: 68.0
Sex: F
Vaccine: COVID19, FLUX
Symptoms: Paraesthesia, Rash, Rash erythematous, Rash pruritic
Clinical narrative: Used steroid cream 8 days after getting Moderna 4th booster and senior flu shot. After 2 weeks of using cream I developed severe red, itchy,tingly rash on chest and stomach only on same side of body where used cream and shot booster shot was given in right arm. Could this be related?
Sex: F
Vaccine: COVID19-2
Symptoms: Rash macular, Rash pruritic
Clinical narrative: Approx 14 days after After Moderna bivalent booster red blotchy itchy rash on right arm (injection arm) then left arm. No such rash with 4 prior Pfizer shots
Sex: U
Vaccine: COVID19
Symptoms: Influenza like illness
Clinical narrative: Received covid-19 booster and experienced flu like symptoms. Symptoms reported by patient. Patient does not consent to follow up.
Sex: M
Vaccine: COVID19, FLUX
Symptoms: Agitation, Anxiety, Drug interaction, Paranoia
Clinical narrative: My son is 14, and has been on Jornay since August. It has been a game changer, amazing. He has had no side effects. However, this said, on 11/2 he received the bivalent COVID booster and the flu shot. Within days he was experiencing anxiety on a level I have never seen, he was experiencing paranoia, and he was experiencing severe agitation. He had barely any side effects from previous COVID vaccines and boosters. After consulting with his medical team they are thinking there maybe an interaction btwn the bivalent booster and Jornay, they have reduced his Jornay and we are trying to ride this out but it's serious. Has anyone looked into weather the bivalent COVID booster when given to patients on Jornay, can trigger a rather immediate psychosis response in Jornay, after previously having NO side effects for months on Jornay?
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, Chills, Headache
Clinical narrative: Pfizer second booster recd 11/2/22. Following 3 days had severe chills, headache, was weak and balance issues.
Age: 29.0
Sex: F
Vaccine: HPV9
Symptoms: Extra dose administered, No adverse event
Clinical narrative: I administered one dose of HPV vaccine according to the most current state system and internal vaccine record. Patient already had 3 total doses of HPV, so an extra was given that day 11/14/2022. Patient was observed for 15 minutes post vaccination, with no symptoms or allergic reactions.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case.  Moderna 1/27/21 031L20A, 2/24/21 023M20A, 11/3/21 032F21A and 7/21/22 037A22B
Age: 14.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Bivalent booster given as primary dose
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired dose administered. 08/31/2022
Age: 31.0
Sex: F
Vaccine: UNK
Symptoms: Fatigue, Loss of personal independence in daily activities
Clinical narrative: Fatigue x3 days. Interfered with activities. Reproducible, fatigue with # 1, 2, and 3.   Symptoms: OTHER FATIGUE(R5383).
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired dose administered. 08/31/2022
Age: 2.0
Sex: M
Vaccine: FLU4
Symptoms: Blood culture negative, C-reactive protein normal, Full blood count abnormal, Gait disturbance, Joint swelling
Clinical narrative: Initial fever on 10/30/2022, Vomiting on 10/31/2022, Limp started 11/1/2022, Decreased willingness to walk became progressive. Referred to orthopedics on 11/3/2022. On 11/4/2022 left knee was noted to be swollen and warm to touch. Child unwilling to bear weight.
Age: 2.0
Sex: M
Vaccine: FLU4
Symptoms: Metabolic function test, Platelet count increased, Pyrexia, Skin warm, Vomiting
Clinical narrative: Initial fever on 10/30/2022, Vomiting on 10/31/2022, Limp started 11/1/2022, Decreased willingness to walk became progressive. Referred to orthopedics on 11/3/2022. On 11/4/2022 left knee was noted to be swollen and warm to touch. Child unwilling to bear weight.
Age: 2.0
Sex: M
Vaccine: FLU4
Symptoms: Weight bearing difficulty, X-ray limb normal
Clinical narrative: Initial fever on 10/30/2022, Vomiting on 10/31/2022, Limp started 11/1/2022, Decreased willingness to walk became progressive. Referred to orthopedics on 11/3/2022. On 11/4/2022 left knee was noted to be swollen and warm to touch. Child unwilling to bear weight.
Age: 10.0
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Fatigue, Incorrect dose administered, Oropharyngeal pain, Pain in extremity, Product administered to patient of inappropriate age
Clinical narrative: Wrong dose given.  My child is 10 years old and he was given the booster for 12 years and up.  I told pharmacist at check in that he is 10 years old.  I handed same person the Vaccination Record Card with correct birthdate.  The confirmation materials received online included warnings/info about the booster for 5-11 years old.  The same pharmacist asked my son his birthdate at moment before injection and he stated it correctly.  Still, the wrong shot was given.  My son felt fatigue and pain in his arm last night.  This morning still complaining of pain in his arm and throat pain.  He felt fine enough to go to school.  We've given him Tylenol for the discomfort.
Age: 10.0
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Wrong dose given.  My child is 10 years old and he was given the booster for 12 years and up.  I told pharmacist at check in that he is 10 years old.  I handed same person the Vaccination Record Card with correct birthdate.  The confirmation materials received online included warnings/info about the booster for 5-11 years old.  The same pharmacist asked my son his birthdate at moment before injection and he stated it correctly.  Still, the wrong shot was given.  My son felt fatigue and pain in his arm last night.  This morning still complaining of pain in his arm and throat pain.  He felt fine enough to go to school.  We've given him Tylenol for the discomfort.
Age: 37.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Immunisation reaction, Injection site erythema, Injection site swelling, Pain in extremity, Pruritus
Clinical narrative: COVID Arm - Left arm has just developed a large, swollen, red ring has around the injection site less than 2 days later. Arm is sore and a little itchy. I elected to have both Flu Shot and Bivalent administered in same arm. I did this for booster in 2021 and had no issues, but am now experiencing this side effect for the first time after the Bivalent booster.  Monitoring condition and have not sought treatment at this time.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer 6/25/21, 7/23/21. Positive on 11/14/22
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Injection site pain
Clinical narrative: I had a sore arm at the injection site from the vaccine, I also had a breakthrough case of Covid I had fever, cough, headache, fatigue.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vaccine breakthrough infection
Clinical narrative: I had a sore arm at the injection site from the vaccine, I also had a breakthrough case of Covid I had fever, cough, headache, fatigue.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient mistakenly received a second dose of the bivalent booster only 2 weeks after receiving her first dose of the bivalent booster. No adverse events occurred.
Age: 5.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: DId not find details on packaging or our toolkit indicating that this was for booster doses only, until after administered
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Fatigue, Feeling abnormal
Clinical narrative: I took the test on Friday morning. I was running around, and I had a chill and I got home, and I received my results via email. The results said I tested positive for COVID-19. The next day I felt fatigued and had a cough and didn't feel great. I called my doctor we talked about all the different options, and we decided that PAXLOVID would be a great idea. The symptoms went away pretty fast all but the fatigued was around for a while. That was it and now I would say I am back to myself.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I took the test on Friday morning. I was running around, and I had a chill and I got home, and I received my results via email. The results said I tested positive for COVID-19. The next day I felt fatigued and had a cough and didn't feel great. I called my doctor we talked about all the different options, and we decided that PAXLOVID would be a great idea. The symptoms went away pretty fast all but the fatigued was around for a while. That was it and now I would say I am back to myself.
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest X-ray normal, Cough, Feeling abnormal, Oropharyngeal blistering, Pain
Clinical narrative: It started with my throat itching and I thought it was my allergies, by bedtime it had progressed to a deep cough. On Wednesday I felt bad enough to go to the walk-in clinic, I was prescribed cough syrup and nasal spray. I kept getting worse instead of better. The next week I went to see my PCP who ordered a chest x-ray that came clear but prescribed erythromycin. As soon as I finished the medication the coughing came right back with a vengeance. My whole-body hurts from all this coughing. I called my doctor who prescribed doxycycline I am currently taking this medication but there are times that it feels like the coughing will take my breath away.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Malaise, Oropharyngeal pain, Pyrexia
Clinical narrative: I did not have an adverse reaction to the vaccine. On 08/08/2022 I started not feeling well with a fever, tired and a sore throat. I tested positive for COVID-19 with a home test on 08/09/2022. I contacted my doctor, and he did not recommend taking PAXLOVID but said if my symptoms got worse to call the office. I took something for the fever maybe twice.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I did not have an adverse reaction to the vaccine. On 08/08/2022 I started not feeling well with a fever, tired and a sore throat. I tested positive for COVID-19 with a home test on 08/09/2022. I contacted my doctor, and he did not recommend taking PAXLOVID but said if my symptoms got worse to call the office. I took something for the fever maybe twice.
Age: 79.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Angiogram pulmonary abnormal, COVID-19, Chest X-ray abnormal, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: Discharge Provider: MD  Primary Care Provider: DO   Admission Date: 11/2/2022 Discharge Date: 11/14/2022 COVID positive: 11/2/2022 Hospital Course: Patient is a 80 y.o. M with PMHx of COPD with severe emphysema, HTN who presented on 11/2 with respiratory failure 2/2 COPD exacerbation and COVID. Patient was having URI symptoms since 10/20 and having worsening difficulty breathing the prior two days. He was at baseline using 3L nightly but not using O2 during the day. In the ED, he was hypoxic requiring 4-5L NC.CXR demonstrated his severe emphysema and COVID was positive. He was given IV steroids, albuterol and azithromycin. In the hospital, patient continued with COPD treatment..Due to patient looking ill, CTA Thorax was performed 11/3 showing RLL airspace opacity concerning for infection. Rocephin was added at that time. Sputum culture grew Pseudomonas so antibiotics were switched to Levaquin. Patient slowly improved with cough regimen, inhalers in addition to finishing a 7 day course of antibiotics. He was eventually weaned to room air without activity. He was ambulated and shown to need 3L with activity. He was discharged with this increased oxygen requirement. He was also discharged with an extended steroid taper and follow up with his PCP.
Age: 79.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Dyspnoea, General physical condition abnormal, Hypoxia, Lung opacity, Pseudomonas test positive
Clinical narrative: Discharge Provider: MD  Primary Care Provider: DO   Admission Date: 11/2/2022 Discharge Date: 11/14/2022 COVID positive: 11/2/2022 Hospital Course: Patient is a 80 y.o. M with PMHx of COPD with severe emphysema, HTN who presented on 11/2 with respiratory failure 2/2 COPD exacerbation and COVID. Patient was having URI symptoms since 10/20 and having worsening difficulty breathing the prior two days. He was at baseline using 3L nightly but not using O2 during the day. In the ED, he was hypoxic requiring 4-5L NC.CXR demonstrated his severe emphysema and COVID was positive. He was given IV steroids, albuterol and azithromycin. In the hospital, patient continued with COPD treatment..Due to patient looking ill, CTA Thorax was performed 11/3 showing RLL airspace opacity concerning for infection. Rocephin was added at that time. Sputum culture grew Pseudomonas so antibiotics were switched to Levaquin. Patient slowly improved with cough regimen, inhalers in addition to finishing a 7 day course of antibiotics. He was eventually weaned to room air without activity. He was ambulated and shown to need 3L with activity. He was discharged with this increased oxygen requirement. He was also discharged with an extended steroid taper and follow up with his PCP.
Age: 79.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Respiratory failure, Respiratory symptom, SARS-CoV-2 test positive, Sputum culture positive
Clinical narrative: Discharge Provider: MD  Primary Care Provider: DO   Admission Date: 11/2/2022 Discharge Date: 11/14/2022 COVID positive: 11/2/2022 Hospital Course: Patient is a 80 y.o. M with PMHx of COPD with severe emphysema, HTN who presented on 11/2 with respiratory failure 2/2 COPD exacerbation and COVID. Patient was having URI symptoms since 10/20 and having worsening difficulty breathing the prior two days. He was at baseline using 3L nightly but not using O2 during the day. In the ED, he was hypoxic requiring 4-5L NC.CXR demonstrated his severe emphysema and COVID was positive. He was given IV steroids, albuterol and azithromycin. In the hospital, patient continued with COPD treatment..Due to patient looking ill, CTA Thorax was performed 11/3 showing RLL airspace opacity concerning for infection. Rocephin was added at that time. Sputum culture grew Pseudomonas so antibiotics were switched to Levaquin. Patient slowly improved with cough regimen, inhalers in addition to finishing a 7 day course of antibiotics. He was eventually weaned to room air without activity. He was ambulated and shown to need 3L with activity. He was discharged with this increased oxygen requirement. He was also discharged with an extended steroid taper and follow up with his PCP.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Gait disturbance, Headache, Nausea, Speech disorder
Clinical narrative: trouble speaking, trouble walking, severe uncontrollable headache, nausea
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Uterine contractions during pregnancy
Clinical narrative: 09/20/22 presents to Birth Center Triage for "contractions "38w6d" PMHx of "anemia"
Age: 45.0
Sex: F
Vaccine: TDAP
Symptoms: Acupuncture, Bell's palsy, Delivery, Exposure during pregnancy
Clinical narrative: Pt. developed Bells Palsy after getting Boostrix vaccine. She was treated after delivering her baby with prednisone and acupuncture
Age: 10.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect route of product administration
Clinical narrative: VAR reviewed improperly. Patient did not fill out
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Pt was administered 0.25ml of the adult Bivalent Pfizer dose, not the pediatric Bivalent Pfizer dose of 0.2ml.
Age: 10.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect route of product administration
Clinical narrative: VAR form reviewed improperly. Patient did not fill out
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Animal bite, COVID-19, Pain in extremity, Peripheral swelling, SARS-CoV-2 test positive
Clinical narrative: 09/20/22 presents to ED for "pain and swelling of left upper extremity" "cat bite". PMHx of "Afib, HTN, PUD, GERD"
Age: 54.0
Sex: F
Vaccine: PNC20
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Left arm swelling and pain, no treatment required
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Fall, Loss of consciousness, Syncope
Clinical narrative: VASOVAGAL SYNOPE, PATIENT PASSED OUT AND FELL TO THE FLOOR (STANDING AFTER VACCINATION)
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Respiratory tract congestion
Clinical narrative: congestion, flu like
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Malaise
Clinical narrative: Malaise, mild fever 99.3, headache, fatigue, cough, really bad nasal congestion, sore throat. The nasal congestion was pretty severe, cough got pretty severe at some point, went away and lingered after I felt better; sore throat was mild to moderate; fatigue and malaise was moderate to severe. I took Tylenol, Mucinex, cough drops and saline nasal flush.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Malaise, mild fever 99.3, headache, fatigue, cough, really bad nasal congestion, sore throat. The nasal congestion was pretty severe, cough got pretty severe at some point, went away and lingered after I felt better; sore throat was mild to moderate; fatigue and malaise was moderate to severe. I took Tylenol, Mucinex, cough drops and saline nasal flush.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Cardiac assistance device user, Cardiac failure, Catheterisation cardiac, Chest X-ray abnormal
Clinical narrative: I retired in January. I was required to take vaccines for my job, but I continued taking them after retirement. I received my fourth dose of my Moderna vaccine in May of 2022. In June, I began to notice something off with my health. I was short of breath and was retaining water and gaining weight. I finally went to the doctor who did an array of tests. When they did an EKG, they admitted me to the emergency room immediately. They ran an EKG at the emergency room where they discovered that I was in heart failure. They admitted me and did a cardiac catheter and an echocardiogram the following Tuesday. The following Thursday they did an MRI and couldn't find anything and were confused as to what has caused these issues. They sent me home with a cardiac vest and will continue monitoring and plan to do some genetic testing. I am also on a wait list for cardiac rehab. I am seeing a doctor weekly for medication monitoring and adjustments.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Dyspnoea, Echocardiogram, Electrocardiogram abnormal, Fibrin D dimer increased
Clinical narrative: I retired in January. I was required to take vaccines for my job, but I continued taking them after retirement. I received my fourth dose of my Moderna vaccine in May of 2022. In June, I began to notice something off with my health. I was short of breath and was retaining water and gaining weight. I finally went to the doctor who did an array of tests. When they did an EKG, they admitted me to the emergency room immediately. They ran an EKG at the emergency room where they discovered that I was in heart failure. They admitted me and did a cardiac catheter and an echocardiogram the following Tuesday. The following Thursday they did an MRI and couldn't find anything and were confused as to what has caused these issues. They sent me home with a cardiac vest and will continue monitoring and plan to do some genetic testing. I am also on a wait list for cardiac rehab. I am seeing a doctor weekly for medication monitoring and adjustments.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Fluid retention, Magnetic resonance imaging normal, N-terminal prohormone brain natriuretic peptide abnormal, SARS-CoV-2 test negative, Ultrasound Doppler normal
Clinical narrative: I retired in January. I was required to take vaccines for my job, but I continued taking them after retirement. I received my fourth dose of my Moderna vaccine in May of 2022. In June, I began to notice something off with my health. I was short of breath and was retaining water and gaining weight. I finally went to the doctor who did an array of tests. When they did an EKG, they admitted me to the emergency room immediately. They ran an EKG at the emergency room where they discovered that I was in heart failure. They admitted me and did a cardiac catheter and an echocardiogram the following Tuesday. The following Thursday they did an MRI and couldn't find anything and were confused as to what has caused these issues. They sent me home with a cardiac vest and will continue monitoring and plan to do some genetic testing. I am also on a wait list for cardiac rehab. I am seeing a doctor weekly for medication monitoring and adjustments.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Weight increased
Clinical narrative: I retired in January. I was required to take vaccines for my job, but I continued taking them after retirement. I received my fourth dose of my Moderna vaccine in May of 2022. In June, I began to notice something off with my health. I was short of breath and was retaining water and gaining weight. I finally went to the doctor who did an array of tests. When they did an EKG, they admitted me to the emergency room immediately. They ran an EKG at the emergency room where they discovered that I was in heart failure. They admitted me and did a cardiac catheter and an echocardiogram the following Tuesday. The following Thursday they did an MRI and couldn't find anything and were confused as to what has caused these issues. They sent me home with a cardiac vest and will continue monitoring and plan to do some genetic testing. I am also on a wait list for cardiac rehab. I am seeing a doctor weekly for medication monitoring and adjustments.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient was given vaccine after beyond use date of 11/12/22
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: 09/20/22 presents to ED for "AMS". PMHx of "HTN, CVA, AAA s/p repair, NSTEMI and heart murmur"
Age: 9.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was administered 0.25ml of the adult Pfizer Bivalent. Patient was not given the appropriate dose of 0.2ml of Pediatric Pfizer. There was not any side effects or issues of concern with medication error. Patient was notified when error occurred and followed up on 5 days later. No issues to report, or any addition med/follow up required.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient was seen in office during Covid Clinic to receive 2nd dose.  After vaccine was administered patient proceeded to waiting room to wait 15 mins in observance. During documentation it was noticed vaccine was given a week early.  Patient waited in waiting room with no adverse reaction and hasn't had a reaction thus far.
Age: 90.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Gave Moderna past the beyond use date of 11/12/22
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient given Moderna Bivalent COVID-19 Vaccine on November 14th 2022 when its BUD was after 30 days.
Age: 54.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Gait disturbance, Muscle spasms, Pain, Tremor
Clinical narrative: Patient reports that she experienced extreme chills, violent shaking, and muscle spasms that lasted approximately 1 hour before subsiding. She notes aches and pain for several days following, as well as increased difficulty in walking, Symptoms resolved without the need to seek medical care.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Asthenia, Blood creatinine abnormal, COVID-19, Dehydration
Clinical narrative: Patient with 2 COVID vaccines who admitted with complications r/t COVID.  Provider d/c note:  "Hospital Course: Frail elderly man presents unable to walk.  ER evaluation revealed concurrent infection with COVID-19 and RSV.  He is vaccinated for COVID so it was thought that RSV infection was causing his symptoms.  He was found to be hypotension and have AKI consistent with hypovolemic dehydration.  He was treated with IVF and admitted.  He improved considerably, corrected his creatinine, could ambulate and requested discharge home.  He did not have any hypoxemia or infiltrates to suggest severe COVID disease."
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Gait inability, Hypotension, Hypovolaemia, Respiratory syncytial virus infection, SARS-CoV-2 test positive
Clinical narrative: Patient with 2 COVID vaccines who admitted with complications r/t COVID.  Provider d/c note:  "Hospital Course: Frail elderly man presents unable to walk.  ER evaluation revealed concurrent infection with COVID-19 and RSV.  He is vaccinated for COVID so it was thought that RSV infection was causing his symptoms.  He was found to be hypotension and have AKI consistent with hypovolemic dehydration.  He was treated with IVF and admitted.  He improved considerably, corrected his creatinine, could ambulate and requested discharge home.  He did not have any hypoxemia or infiltrates to suggest severe COVID disease."
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine not Bivalent and expired 09112022
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cardiac stress test normal, Electrocardiogram abnormal, Electrocardiogram ambulatory, Ultrasound scan normal, Ventricular extrasystoles
Clinical narrative: After going for a regular check-up, my doctor noticed that I was experiencing PVC's. They noticed it during an EKG. I was sent to a cardiologist, where they performed the same test and saw it as well. I had a stress test and sonogram completed, which came back normal. I also wore a Holter monitor for 24 hours, but I am still waiting for the results on that.
Age: 42.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Chills, Injection site pain, Lethargy, Nausea, Pain
Clinical narrative: Body aches, lethargy, chills, fever 100.7, nausea, injection site soreness.
Age: 42.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Pyrexia
Clinical narrative: Body aches, lethargy, chills, fever 100.7, nausea, injection site soreness.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: safety concern only
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Hepatic function abnormal, Hypertransaminasaemia, Hypoxia
Clinical narrative: Patient with 2 COVID vaccines who admitted to hospital with hypoxia and positive COVID PCR.  Provider d/c note:  "94 YO female presents due to worsening dyspnea. Found to be COVID 19 positive and severely hypoxic therefore she was admitted.    During her stay, she was started on Remdesivir and steroid which helped with her symptoms. She was able to be weaned off of oxygen but a prescription is available sent by ER department. Her hospitalization stay was mildly complicated by transaminitis likely Remdesivir induced. Her hepatic function started to improved after stopping Remdesivir. This was communicated to her daughter. Stable for discharge with strict return precautions given. "
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient with 2 COVID vaccines who admitted to hospital with hypoxia and positive COVID PCR.  Provider d/c note:  "94 YO female presents due to worsening dyspnea. Found to be COVID 19 positive and severely hypoxic therefore she was admitted.    During her stay, she was started on Remdesivir and steroid which helped with her symptoms. She was able to be weaned off of oxygen but a prescription is available sent by ER department. Her hospitalization stay was mildly complicated by transaminitis likely Remdesivir induced. Her hepatic function started to improved after stopping Remdesivir. This was communicated to her daughter. Stable for discharge with strict return precautions given. "
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: safety concern only
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: safety concern only
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: safety concern only
Age: 29.0
Sex: M
Vaccine: FLUA4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: This 29 year old patient was given Fluad (a high dose flu shot for elderly patients). No symptoms at the time of the injection.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: safety concern only
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Aphasia, COVID-19, Computerised tomogram normal, Confusional state, Infusion
Clinical narrative: Patient up to date on COVID vaccines admitted with altered mental status and positive COVID PCR.  Provider d/c note:  "Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) the patient presented confused found to be in HHS. Treated with insulin infusion and fluids with slow but complete resolution of AMS by day 2. He was found to have covid, had a fever x1, leukocytosis but improved without antibiotics. No bacterial infection suspected. He had expressive aphasia on 10/9 and was mute on 10/8 however this resolved. CT negative, could not get MRI due to baclofen pump tubing. Clinical stroke seems at the least possible."
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Leukocytosis, Mental status changes, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient up to date on COVID vaccines admitted with altered mental status and positive COVID PCR.  Provider d/c note:  "Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) the patient presented confused found to be in HHS. Treated with insulin infusion and fluids with slow but complete resolution of AMS by day 2. He was found to have covid, had a fever x1, leukocytosis but improved without antibiotics. No bacterial infection suspected. He had expressive aphasia on 10/9 and was mute on 10/8 however this resolved. CT negative, could not get MRI due to baclofen pump tubing. Clinical stroke seems at the least possible."
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: safety concern only
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: safety concern onlly
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: safety concern
Age: 72.0
Sex: M
Vaccine: UNK
Symptoms: Borrelia test negative, IVth nerve paralysis, Magnetic resonance imaging normal, Visual impairment
Clinical narrative: Patient received influenza vaccine 10/6/22.  On 10/7/22 awoke with vision issues and diagnosed with 4 th cranial nerve palsy
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: safety concern
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Atrial fibrillation, COVID-19, Computerised tomogram abnormal, Confusional state
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with positive COVID PCR.  Provider d/c note:  "83 YO male with recent COVID diagnosis presented to ED with acute weakness and confusion.  Evaluated for stroke, which was negative.  He has recovered with supportive care and will return home with family.  Declines inpatient rehab evaluation, plans to resume outpatient PT when out of covid isolation.  Paxlovid prescribed.   Problem list: Transient weakness and confusion               -MRI negative for stroke, suspect generalized weakness from covid               -Resume outpatient therapies  COVID without hypoxia               -Prescribed paxlovid, started 11/10 Increased urinary frequency, history of stricture               -unremarkable post-void residual               -Has Urology appointment 11/23 Paroxysmal atrial fibrillation               -not on chronic anticoagulation related to falls Thyroid nodules seen on CT               -Known to family, has followed with Endocrine Hypertension               -home amlodipine Chronic orthostatic hypotension               -fall precautions, avoid over-treatment of hypertension "