chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 51.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acoustic stimulation tests abnormal, Deafness unilateral, Sudden hearing loss, Tinnitus
Clinical narrative: On October 18, 2022 at approximately 0550 sudden onset of tinnitus in the right ear that worsened over 2 hours to the point of hearing loss.  Seen at the Drs by 1030 same day and had ear flushed with no resolution.  Referred to ENT Dr. who flushed right ear without resolution.  Had hearing test and diagnosed with sudden onset hearing loss (80% loss).  Initiated treatment of steroids for 2 weeks.  Treatment is currently underway.
Age: 11.0
Sex: F
Vaccine: MNQ
Symptoms: Cellulitis, Erythema, Peripheral swelling
Clinical narrative: Within 24 hours of administration of vaccine the patient experienced right arm swelling, and redness, by evening the area became worse, patient was seen at an urgent care. DX cellulitis, TX antibiotics. patient see in our office 10/26/2022, patient is improving.
Age: 69.0
Sex: F
Vaccine: FLUC4
Symptoms: Asthenia, Grip strength decreased, Pain in extremity
Clinical narrative: Next day (21st) in the morning, very painful right hand and weakness (unable to grip a toothbrush etc). Diminished strength in right arm but no pain other than in hand. I used anti-inflammatory beginning Saturday the 22nd which I continued the 23rd and 24th.  I also tried exercising my fingers and rotation of my wrist. The pain subsided and today things seem back to normal (26th).
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Nausea
Clinical narrative: weakness, nausea
Age: 16.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Wrong patient received product, Wrong product administered
Clinical narrative: Wrong vaccine was given to wrong patient; no adverse symptoms afterwards.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pt was inadvertently administered a dose of Pfizer Bivalent Covid-19 Vaccine when the patient had not received any other vaccines, including a primary series. Patient should have received 1st dose of a pfizer covid-19 primary series vaccine.
Age: 39.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Extra dose administered, Wrong technique in product usage process
Clinical narrative: 1st attempt by Jynneous 0.1ml ID made by RN, there was no wheal seen or felt.  2nd attempt patient was told that we will attempt to vaccinate with wheal being present. 2nd attempt by RN was successful
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Cough, Diarrhoea, Pyrexia
Clinical narrative: Nothing happened until October 20 when I tested Positive for COVID-19. I was having chills, fever, cough, diarrhea.  I contacted my doctor and he prescribed Paxlovid, I took 10 doses over 5 days (twice a day) starting October 21 and ended today (10/26).
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Nothing happened until October 20 when I tested Positive for COVID-19. I was having chills, fever, cough, diarrhea.  I contacted my doctor and he prescribed Paxlovid, I took 10 doses over 5 days (twice a day) starting October 21 and ended today (10/26).
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: Circumstance or information capable of leading to medication error, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Pt reported her age as 65 on her  Consent for Immunization.  As insurance was down, shot dose was provided to her based on her age.   Fluzone HD was given instead of Flublok
Age: 84.0
Sex: M
Vaccine: COVID19-2
Symptoms: Influenza like illness
Clinical narrative: I felt like I had the flu and it was really bad. I was pretty over it after 24 hours. I did not take any medications because I typically don't.
Age: 5.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: no adverse event reported. bivalent vaccine incorrectly administered for the primary series
Age: 91.0
Sex: F
Vaccine: FLUA4
Symptoms: Ear pain, Ear swelling
Clinical narrative: Right ear became sore and swollen about 10 hours after vaccination on 10/24/22 with influenza (right arm) and COVID bivalent (left arm) - only right ear became sore and swollen; it had resolved by the next morning 10/25/22
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Drainage, Head discomfort
Clinical narrative: I got sick on Thursday morning on 10/06/2022. I took a COVID-19 test which was very positive. I called my doctor and went to urgent care to get examined and I did test positive again. They gave me some cough medicine and gave me some antiviral medicine and I ended up calling my doctor to make sure he agreed. I am still got a little head congestion with some drainage but may be coincidental with my allergies and still am not as energetic as before that I got sick.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, SARS-CoV-2 test positive
Clinical narrative: I got sick on Thursday morning on 10/06/2022. I took a COVID-19 test which was very positive. I called my doctor and went to urgent care to get examined and I did test positive again. They gave me some cough medicine and gave me some antiviral medicine and I ended up calling my doctor to make sure he agreed. I am still got a little head congestion with some drainage but may be coincidental with my allergies and still am not as energetic as before that I got sick.
Age: 41.0
Sex: M
Vaccine: FLU4, PNC20
Symptoms: Chest X-ray, Computerised tomogram head, Dizziness, Dyskinesia, Dyspnoea
Clinical narrative: Received both shots at doctor's appointment around 9am. I drove to work and approximately around 11:25am I started to feel a little sick (needed to vomit or was getting vertigo/dizziness). I was conscious for a couple more minutes and then my co-workers said I started to collapse, and they called EMS.  They said I had jerky movements of my hands and was sweating (they thought I was having heat exhaustion due to the cleanroom gowning I had on). They said I turn dark red, then blue/purple and then very pale. I was having trouble breathing until they tried chest compressions and then I started breathing again regularly. I was foaming slightly at the mouth and had bouts of lucid talking (somewhat incoherent). Within a short while, the ambulance showed up and I regained full consciousness for the rest of the day. I could only recall up to the point just before passing out and just as they were loading the gurney into the ambulance.
Age: 41.0
Sex: M
Vaccine: FLU4, PNC20
Symptoms: Erythema, Foaming at mouth, Hyperhidrosis, Incoherent, Malaise
Clinical narrative: Received both shots at doctor's appointment around 9am. I drove to work and approximately around 11:25am I started to feel a little sick (needed to vomit or was getting vertigo/dizziness). I was conscious for a couple more minutes and then my co-workers said I started to collapse, and they called EMS.  They said I had jerky movements of my hands and was sweating (they thought I was having heat exhaustion due to the cleanroom gowning I had on). They said I turn dark red, then blue/purple and then very pale. I was having trouble breathing until they tried chest compressions and then I started breathing again regularly. I was foaming slightly at the mouth and had bouts of lucid talking (somewhat incoherent). Within a short while, the ambulance showed up and I regained full consciousness for the rest of the day. I could only recall up to the point just before passing out and just as they were loading the gurney into the ambulance.
Age: 41.0
Sex: M
Vaccine: FLU4, PNC20
Symptoms: Nausea, Pallor, Resuscitation, Skin discolouration, Syncope
Clinical narrative: Received both shots at doctor's appointment around 9am. I drove to work and approximately around 11:25am I started to feel a little sick (needed to vomit or was getting vertigo/dizziness). I was conscious for a couple more minutes and then my co-workers said I started to collapse, and they called EMS.  They said I had jerky movements of my hands and was sweating (they thought I was having heat exhaustion due to the cleanroom gowning I had on). They said I turn dark red, then blue/purple and then very pale. I was having trouble breathing until they tried chest compressions and then I started breathing again regularly. I was foaming slightly at the mouth and had bouts of lucid talking (somewhat incoherent). Within a short while, the ambulance showed up and I regained full consciousness for the rest of the day. I could only recall up to the point just before passing out and just as they were loading the gurney into the ambulance.
Age: 41.0
Sex: M
Vaccine: FLU4, PNC20
Symptoms: Vertigo
Clinical narrative: Received both shots at doctor's appointment around 9am. I drove to work and approximately around 11:25am I started to feel a little sick (needed to vomit or was getting vertigo/dizziness). I was conscious for a couple more minutes and then my co-workers said I started to collapse, and they called EMS.  They said I had jerky movements of my hands and was sweating (they thought I was having heat exhaustion due to the cleanroom gowning I had on). They said I turn dark red, then blue/purple and then very pale. I was having trouble breathing until they tried chest compressions and then I started breathing again regularly. I was foaming slightly at the mouth and had bouts of lucid talking (somewhat incoherent). Within a short while, the ambulance showed up and I regained full consciousness for the rest of the day. I could only recall up to the point just before passing out and just as they were loading the gurney into the ambulance.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Cough, Decreased appetite, Fatigue
Clinical narrative: I had severe head congestion, a continuous cough, muscle aches and fatigue. I also vivid chills, a lost of appetite with a sore throat.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: Myalgia, Oropharyngeal pain, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: I had severe head congestion, a continuous cough, muscle aches and fatigue. I also vivid chills, a lost of appetite with a sore throat.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, Atrial fibrillation, Blood sodium decreased, COVID-19, Chest X-ray abnormal
Clinical narrative: This patient presented to Hospital on 10/17/22 with complaints of mechanical fall and generalized weakness. Patient had baseline dementia and per web report the patient?s medical history was obtained from ER documentation. Per notes, this patient had been feeling weak for the past few days. He reported that he lives with his son and daughter-in-law. Per this patient's daughter-in-law and healthcare proxy, patient appeared weak over the past few days and has had a general decline in his overall condition. He had a fall and required help from the family to get up. Patient had another fall and EMS was called for help. He had also been incontinent of urine. Patient was febrile at 102.7. Family was recently positive for COVID. Per web report the evaluation noted ?the patient appears comfortable in no acute distress. Vitals are BP 137/81, heart rate 53, SPO2 96% on room air. ED course: Patient comes in with vitals Vitals temperature 100.1, BP 177/79, heart rate 64 and saturating 95% on room air. Labs on arrival revealed a CBC with WBC 6.3, hemoglobin 12.2 and platelets 226. CMP significant for sodium of 130 otherwise stable in 40s. Troponin 39. Chest x-ray shows no acute thoracic trauma. Several old posterior right rib fractures. CT head shows no acute intracranial trauma skull fracture. EKG shows atrial fibrillation rate controlled at 61, QTc 444. COVID test is positive. he received a bolus of normal saline 500 mL and is being admitted to hospital service for further management.?  Public health department has no further information. Please contact Hospital for further information on outcome.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Computerised tomogram head normal, Dysstasia, Electrocardiogram, Electrocardiogram QT interval, Fall
Clinical narrative: This patient presented to Hospital on 10/17/22 with complaints of mechanical fall and generalized weakness. Patient had baseline dementia and per web report the patient?s medical history was obtained from ER documentation. Per notes, this patient had been feeling weak for the past few days. He reported that he lives with his son and daughter-in-law. Per this patient's daughter-in-law and healthcare proxy, patient appeared weak over the past few days and has had a general decline in his overall condition. He had a fall and required help from the family to get up. Patient had another fall and EMS was called for help. He had also been incontinent of urine. Patient was febrile at 102.7. Family was recently positive for COVID. Per web report the evaluation noted ?the patient appears comfortable in no acute distress. Vitals are BP 137/81, heart rate 53, SPO2 96% on room air. ED course: Patient comes in with vitals Vitals temperature 100.1, BP 177/79, heart rate 64 and saturating 95% on room air. Labs on arrival revealed a CBC with WBC 6.3, hemoglobin 12.2 and platelets 226. CMP significant for sodium of 130 otherwise stable in 40s. Troponin 39. Chest x-ray shows no acute thoracic trauma. Several old posterior right rib fractures. CT head shows no acute intracranial trauma skull fracture. EKG shows atrial fibrillation rate controlled at 61, QTc 444. COVID test is positive. he received a bolus of normal saline 500 mL and is being admitted to hospital service for further management.?  Public health department has no further information. Please contact Hospital for further information on outcome.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: General physical health deterioration, Haemoglobin decreased, Laboratory test, Metabolic function test, Platelet count normal
Clinical narrative: This patient presented to Hospital on 10/17/22 with complaints of mechanical fall and generalized weakness. Patient had baseline dementia and per web report the patient?s medical history was obtained from ER documentation. Per notes, this patient had been feeling weak for the past few days. He reported that he lives with his son and daughter-in-law. Per this patient's daughter-in-law and healthcare proxy, patient appeared weak over the past few days and has had a general decline in his overall condition. He had a fall and required help from the family to get up. Patient had another fall and EMS was called for help. He had also been incontinent of urine. Patient was febrile at 102.7. Family was recently positive for COVID. Per web report the evaluation noted ?the patient appears comfortable in no acute distress. Vitals are BP 137/81, heart rate 53, SPO2 96% on room air. ED course: Patient comes in with vitals Vitals temperature 100.1, BP 177/79, heart rate 64 and saturating 95% on room air. Labs on arrival revealed a CBC with WBC 6.3, hemoglobin 12.2 and platelets 226. CMP significant for sodium of 130 otherwise stable in 40s. Troponin 39. Chest x-ray shows no acute thoracic trauma. Several old posterior right rib fractures. CT head shows no acute intracranial trauma skull fracture. EKG shows atrial fibrillation rate controlled at 61, QTc 444. COVID test is positive. he received a bolus of normal saline 500 mL and is being admitted to hospital service for further management.?  Public health department has no further information. Please contact Hospital for further information on outcome.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pyrexia, SARS-CoV-2 test positive, Troponin increased, Urinary incontinence, White blood cell count normal
Clinical narrative: This patient presented to Hospital on 10/17/22 with complaints of mechanical fall and generalized weakness. Patient had baseline dementia and per web report the patient?s medical history was obtained from ER documentation. Per notes, this patient had been feeling weak for the past few days. He reported that he lives with his son and daughter-in-law. Per this patient's daughter-in-law and healthcare proxy, patient appeared weak over the past few days and has had a general decline in his overall condition. He had a fall and required help from the family to get up. Patient had another fall and EMS was called for help. He had also been incontinent of urine. Patient was febrile at 102.7. Family was recently positive for COVID. Per web report the evaluation noted ?the patient appears comfortable in no acute distress. Vitals are BP 137/81, heart rate 53, SPO2 96% on room air. ED course: Patient comes in with vitals Vitals temperature 100.1, BP 177/79, heart rate 64 and saturating 95% on room air. Labs on arrival revealed a CBC with WBC 6.3, hemoglobin 12.2 and platelets 226. CMP significant for sodium of 130 otherwise stable in 40s. Troponin 39. Chest x-ray shows no acute thoracic trauma. Several old posterior right rib fractures. CT head shows no acute intracranial trauma skull fracture. EKG shows atrial fibrillation rate controlled at 61, QTc 444. COVID test is positive. he received a bolus of normal saline 500 mL and is being admitted to hospital service for further management.?  Public health department has no further information. Please contact Hospital for further information on outcome.
Age: 46.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Chills, Cough, Dizziness, Electrocardiogram normal, Fatigue
Clinical narrative: Patient experienced palpitations, chills, nausea and dizziness in the afternoon after receiving both quadrivalent Flu and COVID Bivalent vaccine (had received 3 previous COVID vaccines - Pfizer 1/15/21, 2/5/21, 107/21) around 4 hours after vaccines.  She went to the Emergency room around 3pm on the same day. Heat rate was 104 but then was between 80-90. She was given Benadryl 50mg IVP X2,  Methylprednisolone 125mg IV, ketorlac 30mg IVP,  famotidine 20mg  VIP, Benadryl 25mg IP then Dexamethasone 10mg IVP. (between 16:22 and 19:27_  She was admitted to the hospital for observation. for observation. In the hospital, heart rate remained between 81 and 95 with blood pressure between 125-141/ 75-88.  EKG showed normal sinus rhythm. Patient was discharged home with instructions to take Benadryl 25mg po every 4 hours as needed along with Robitussin for cough as needed.  Patient stayed home from work for several days with fatigue.
Age: 46.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Immature granulocyte count increased, Impaired work ability, Laboratory test abnormal, Nausea, Neutrophil count increased
Clinical narrative: Patient experienced palpitations, chills, nausea and dizziness in the afternoon after receiving both quadrivalent Flu and COVID Bivalent vaccine (had received 3 previous COVID vaccines - Pfizer 1/15/21, 2/5/21, 107/21) around 4 hours after vaccines.  She went to the Emergency room around 3pm on the same day. Heat rate was 104 but then was between 80-90. She was given Benadryl 50mg IVP X2,  Methylprednisolone 125mg IV, ketorlac 30mg IVP,  famotidine 20mg  VIP, Benadryl 25mg IP then Dexamethasone 10mg IVP. (between 16:22 and 19:27_  She was admitted to the hospital for observation. for observation. In the hospital, heart rate remained between 81 and 95 with blood pressure between 125-141/ 75-88.  EKG showed normal sinus rhythm. Patient was discharged home with instructions to take Benadryl 25mg po every 4 hours as needed along with Robitussin for cough as needed.  Patient stayed home from work for several days with fatigue.
Age: 46.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Palpitations, Sinus rhythm, White blood cell count increased
Clinical narrative: Patient experienced palpitations, chills, nausea and dizziness in the afternoon after receiving both quadrivalent Flu and COVID Bivalent vaccine (had received 3 previous COVID vaccines - Pfizer 1/15/21, 2/5/21, 107/21) around 4 hours after vaccines.  She went to the Emergency room around 3pm on the same day. Heat rate was 104 but then was between 80-90. She was given Benadryl 50mg IVP X2,  Methylprednisolone 125mg IV, ketorlac 30mg IVP,  famotidine 20mg  VIP, Benadryl 25mg IP then Dexamethasone 10mg IVP. (between 16:22 and 19:27_  She was admitted to the hospital for observation. for observation. In the hospital, heart rate remained between 81 and 95 with blood pressure between 125-141/ 75-88.  EKG showed normal sinus rhythm. Patient was discharged home with instructions to take Benadryl 25mg po every 4 hours as needed along with Robitussin for cough as needed.  Patient stayed home from work for several days with fatigue.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Malaise, Pain, Pyrexia
Clinical narrative: At the beginning of September 2022, I started to have symptoms of sinus issues and a light cough. These progressed into a body ache and a fever as well. I tested for COVID-19 on September 4th 2022 and it came out positive. I was going to receive Paxlovid due to interaction with drug that I already take. My fever that I had ceased by September 9th 2022 and my symptoms and continued until September 13th 2022. I am now currently feeling better and no longer having any symptoms of COVID-19.  I also believe that I may have come down with COVID-19 in January of 2020 and was feeling unhealthy for over a year. I would like to notate that after my vaccination in February of 2021 I saw a great improvement in my overall health and well-being.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus disorder
Clinical narrative: At the beginning of September 2022, I started to have symptoms of sinus issues and a light cough. These progressed into a body ache and a fever as well. I tested for COVID-19 on September 4th 2022 and it came out positive. I was going to receive Paxlovid due to interaction with drug that I already take. My fever that I had ceased by September 9th 2022 and my symptoms and continued until September 13th 2022. I am now currently feeling better and no longer having any symptoms of COVID-19.  I also believe that I may have come down with COVID-19 in January of 2020 and was feeling unhealthy for over a year. I would like to notate that after my vaccination in February of 2021 I saw a great improvement in my overall health and well-being.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Pt received Moderna Bivalent as second dose.   No TX needed at this time Pt will received a second dose of the bivalent in two months
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient with Multiple Myeloma in Remission has a Autologous Stem Cell Transplant 4/7/2022, had stared revaccination series on 9/6/22 when she received her Pfizer Dose one, monovalent primary series vaccine #1.    Patient returned to clinic to receive her dose #2 monovalent primary series on 10/19/22 but was given the Pfizer bivalent booster vaccine instead.   The patient did not have an adverse reaction and tolerated the vaccine well.
Age: 45.0
Sex: F
Vaccine: COVID19-2, COVID19-2
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen and painful lymph node in right armpit for 4 months
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE WAS GIVEN ON 10/8/2022, 8 DAYS AFTER ITS EXPIRATION
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, COVID-19, Chest X-ray normal, Dyspnoea, Electrocardiogram normal
Clinical narrative: Felt like I was getting a cold 2 months after vaccine. Took a home COVID-19 test and was positive. Called my doctor and was prescribed PAXLOVID; Then the next day started feeling like I couldn't breathe and went to an ER; was given an EKG and chest X-ray and a blood test, results were negative. Was given a shot of pain medication while there. Wasn't hospitalized; took another home COVID-19 test 10 days later and it was negative. Followed up with doctor regarding blood testing results, found that I had elevated white blood cell count.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, White blood cell count increased
Clinical narrative: Felt like I was getting a cold 2 months after vaccine. Took a home COVID-19 test and was positive. Called my doctor and was prescribed PAXLOVID; Then the next day started feeling like I couldn't breathe and went to an ER; was given an EKG and chest X-ray and a blood test, results were negative. Was given a shot of pain medication while there. Wasn't hospitalized; took another home COVID-19 test 10 days later and it was negative. Followed up with doctor regarding blood testing results, found that I had elevated white blood cell count.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: Breast pain, Musculoskeletal chest pain, Pain, Swelling
Clinical narrative: After my 4th shot on September 9, 2022, about 12 hours after I started to get symptoms of swelling under my left arm which was the same side as my injection. I also experienced breast pain on that same side.  The general swelling lasted a couple days, but the pain in my breast lasted about 3 weeks, started to get better but occasionally still comes and goes.  I feel general aches around the side of my breast and even near my rib case. However I have not had any swelling return.
Age: 16.0
Sex: M
Vaccine: HPV9, MENB, MNQ
Symptoms: Blood pressure increased, Chills, Dizziness, Headache, Heart rate increased
Clinical narrative: Patient received vaccines in office and was fine when left and went on to school. Mom called the office one and a half hours later and stated that he was in the school nurse office shaking uncontrollably and dizzy. Told mom to bring him by the office and we would check him out. When child got to the office he was light headed, dizzy, had a headache, shaking uncontrollable, had a blotchy rash and rigor. Patients blood pressure and pulse was elevated. Provider came into office and evaluated patient. We kept him in office for about 30 minutes after coming back to clinic, Provider advised mom to take him to the emergency room to continue to be evaluated to make sure no other symptoms occur, mom was in agreeance.
Age: 16.0
Sex: M
Vaccine: HPV9, MENB, MNQ
Symptoms: Rash macular, Tremor
Clinical narrative: Patient received vaccines in office and was fine when left and went on to school. Mom called the office one and a half hours later and stated that he was in the school nurse office shaking uncontrollably and dizzy. Told mom to bring him by the office and we would check him out. When child got to the office he was light headed, dizzy, had a headache, shaking uncontrollable, had a blotchy rash and rigor. Patients blood pressure and pulse was elevated. Provider came into office and evaluated patient. We kept him in office for about 30 minutes after coming back to clinic, Provider advised mom to take him to the emergency room to continue to be evaluated to make sure no other symptoms occur, mom was in agreeance.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Rhinorrhoea, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I had sniffles, a little bit of a scratchy throat and a mild cough. I did not get really sick; I had all the same energy. My doctor tested me on the 11th and, I was positive. I took the PAXLOVID, but I never got sick. I was testing negative by Monday the 15th.
Age: 77.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Angiogram pulmonary abnormal, Chest discomfort, Cough, Dizziness, Dyspnoea
Clinical narrative: Received both vaccines on Friday 10/21/22, felt bad on Saturday shortness of breath and cough with worsening symptoms with exertion and felt dizzy. O2 saturations 84% and improved to 88% after 2L of nasal cannula at urgent care. In the ER, patient's O2 saturations was 84% on room air there, placed on 3L O2 nasal cannula and improved to 95%. Denies headache or focal neurological symptoms but stated that she sees halos.  No chest pain but a little tightness.  No palpitation.  No abdominal pain little nausea.  Yesterday she vomited after coughing fits.  No history of heart problems.  Former smoker but no history of asthma or COPD.
Age: 77.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Electrocardiogram ST-T segment abnormal, Feeling abnormal, Pulmonary embolism, Vomiting
Clinical narrative: Received both vaccines on Friday 10/21/22, felt bad on Saturday shortness of breath and cough with worsening symptoms with exertion and felt dizzy. O2 saturations 84% and improved to 88% after 2L of nasal cannula at urgent care. In the ER, patient's O2 saturations was 84% on room air there, placed on 3L O2 nasal cannula and improved to 95%. Denies headache or focal neurological symptoms but stated that she sees halos.  No chest pain but a little tightness.  No palpitation.  No abdominal pain little nausea.  Yesterday she vomited after coughing fits.  No history of heart problems.  Former smoker but no history of asthma or COPD.
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Headache, Nasal congestion
Clinical narrative: On 10/15/2022 headache, congestion in head and lungs, upper respiratory, tired, and a cough. On 10/15/2022 and 10/16/2022 I took a COVID-19 home test, they were both negative. My symptoms stayed the same for another day. I tested positive on Monday, 10/17/2022. The symptoms were all the same except I had more congestion in the lungs. I called my doctor on 10/17/2022, he prescribed PAXLOVID. I started the PAXLOVID on the 10/18/2022. I tested negative on 10/23 and 10/25, but I still have respiratory congestion. It went deep into my lungs when I was on the PAXLOVID. It was worse than a cold.
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pulmonary congestion, SARS-CoV-2 test positive, Upper respiratory tract congestion
Clinical narrative: On 10/15/2022 headache, congestion in head and lungs, upper respiratory, tired, and a cough. On 10/15/2022 and 10/16/2022 I took a COVID-19 home test, they were both negative. My symptoms stayed the same for another day. I tested positive on Monday, 10/17/2022. The symptoms were all the same except I had more congestion in the lungs. I called my doctor on 10/17/2022, he prescribed PAXLOVID. I started the PAXLOVID on the 10/18/2022. I tested negative on 10/23 and 10/25, but I still have respiratory congestion. It went deep into my lungs when I was on the PAXLOVID. It was worse than a cold.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Three weeks after vaccination I came down with Covid
Age: 28.0
Sex: F
Vaccine: FLUC4
Symptoms: Cough, Nausea, Rash, Urticaria
Clinical narrative: 20min post injection patient developed a rash on the left lateral abdomen, folled by HIVES and spreading up to the left ear.with in 10 minutes  Patient then became nuaseated and started coughing every 30 seconds, .30 Epi delievered via auto injector to the left lateral thigh. Patient was monitored and transported to hospital.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: The pt in question was looked up in system and it said she had only gotten one dose. This was confirmed with the staff who had a copy of her card only showing one primary Pfizer dose. She was a memory care patient and unable to confirm this information. We were told that her POC was the one who filled out the consent and signed her up. Her husband came in to the room shortly after the primary shot was given and reported that he had a separate picture of a vaccine card with two different doses on it including another primary dose. This happened in the room with the nurse and PHI that was sent to do the vaccine after confirming with staff this was the correct dose. The pt thus received the regular Pfizer adult as a booster instead of the bivalent booster.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pfizer Primary dose was administered beyond the use date.  Vaccine was moved from dry ice, to refrigeration on 8/8/2022. Beyond Use Date was 10/17/2022.  Vaccine was administered 10/25/2022 No reported adverse effects.  Pfizer was notified and reports of the incident were emailed on 10/26/2022 Patient is a resident of a long term care facility. Vaccination occurred at a Vaccine clinic at that location on 10/25/2022 Patient also received an influenza vaccine on the same date, administered by the Long Term Care facility personnel
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Malaise, Nausea, Pain in extremity
Clinical narrative: I went to bed around 11pm on Friday night and was awoken around 1:25 AM with a horrible headache, sweating, nausea, and extreme pain in my arm.  I drank water and took some Tylenol but the symptoms did not abate for around 12 hours.  Since then, I have been nauseous, extremely sleepy and run down.  As of today, Wednesday at 4:23pm, my arm has started hurting again.  I am thinking about going to see a doctor at Urgent Care.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: I went to bed around 11pm on Friday night and was awoken around 1:25 AM with a horrible headache, sweating, nausea, and extreme pain in my arm.  I drank water and took some Tylenol but the symptoms did not abate for around 12 hours.  Since then, I have been nauseous, extremely sleepy and run down.  As of today, Wednesday at 4:23pm, my arm has started hurting again.  I am thinking about going to see a doctor at Urgent Care.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: Angiopathy, Chest tube insertion, Computerised tomogram thorax abnormal, Death, Depressed level of consciousness
Clinical narrative: Patient previously tested positive on 8/13/22.   Patient was brought to local Hospital ED on 10/6 with unknown onset of shortness of breath and productive cough with yellow sputum. He also reported feeling "very very tired".  During this visit, CT scan showed concern for blood and blood clots in the pericardium, and the patient was found to have a systolic blood pressure in the 100s. Bedside ultrasound showed fluid around the heart.  He was given a unit of blood and started on Levophed, and was transferred to alternate Hospital ED. Within minutes of arrival, the patient became obtunded and unresponsive with shallow respirations. The provider was unable to palpate a pulse so CPR was started immediately. Patient was given multiple rounds of epinephrine, bicarb, calcium and volume resuscitation with IV fluid and packed red blood cells. The provider was concerned for aortic dissection or other catastrophic vascular cause for the patient's presentation. Further ultrasound revealed an apparent pleural effusion on the left.  Needle thoracostomy and tube thoracostomy was performed with a large volume of blood from the left hemithorax. Early in the resuscitation, ready pulses were felt with rhythm checks, however pulses were lost and were not regained. per the provider, given the prolonged downtime, likely catastrophic vascular event and the patient's advanced age, further resuscitation efforts appeared futile. Patient passed on 10/6 at 2:28pm.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: Dyspnoea, Fatigue, Haemothorax, Hypopnoea, Intrapericardial thrombosis
Clinical narrative: Patient previously tested positive on 8/13/22.   Patient was brought to local Hospital ED on 10/6 with unknown onset of shortness of breath and productive cough with yellow sputum. He also reported feeling "very very tired".  During this visit, CT scan showed concern for blood and blood clots in the pericardium, and the patient was found to have a systolic blood pressure in the 100s. Bedside ultrasound showed fluid around the heart.  He was given a unit of blood and started on Levophed, and was transferred to alternate Hospital ED. Within minutes of arrival, the patient became obtunded and unresponsive with shallow respirations. The provider was unable to palpate a pulse so CPR was started immediately. Patient was given multiple rounds of epinephrine, bicarb, calcium and volume resuscitation with IV fluid and packed red blood cells. The provider was concerned for aortic dissection or other catastrophic vascular cause for the patient's presentation. Further ultrasound revealed an apparent pleural effusion on the left.  Needle thoracostomy and tube thoracostomy was performed with a large volume of blood from the left hemithorax. Early in the resuscitation, ready pulses were felt with rhythm checks, however pulses were lost and were not regained. per the provider, given the prolonged downtime, likely catastrophic vascular event and the patient's advanced age, further resuscitation efforts appeared futile. Patient passed on 10/6 at 2:28pm.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: Pericardial effusion, Pericardial haemorrhage, Pleural effusion, Productive cough, Pulse absent
Clinical narrative: Patient previously tested positive on 8/13/22.   Patient was brought to local Hospital ED on 10/6 with unknown onset of shortness of breath and productive cough with yellow sputum. He also reported feeling "very very tired".  During this visit, CT scan showed concern for blood and blood clots in the pericardium, and the patient was found to have a systolic blood pressure in the 100s. Bedside ultrasound showed fluid around the heart.  He was given a unit of blood and started on Levophed, and was transferred to alternate Hospital ED. Within minutes of arrival, the patient became obtunded and unresponsive with shallow respirations. The provider was unable to palpate a pulse so CPR was started immediately. Patient was given multiple rounds of epinephrine, bicarb, calcium and volume resuscitation with IV fluid and packed red blood cells. The provider was concerned for aortic dissection or other catastrophic vascular cause for the patient's presentation. Further ultrasound revealed an apparent pleural effusion on the left.  Needle thoracostomy and tube thoracostomy was performed with a large volume of blood from the left hemithorax. Early in the resuscitation, ready pulses were felt with rhythm checks, however pulses were lost and were not regained. per the provider, given the prolonged downtime, likely catastrophic vascular event and the patient's advanced age, further resuscitation efforts appeared futile. Patient passed on 10/6 at 2:28pm.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: Red blood cell transfusion, Resuscitation, Sputum discoloured, Transfusion, Ultrasound scan abnormal
Clinical narrative: Patient previously tested positive on 8/13/22.   Patient was brought to local Hospital ED on 10/6 with unknown onset of shortness of breath and productive cough with yellow sputum. He also reported feeling "very very tired".  During this visit, CT scan showed concern for blood and blood clots in the pericardium, and the patient was found to have a systolic blood pressure in the 100s. Bedside ultrasound showed fluid around the heart.  He was given a unit of blood and started on Levophed, and was transferred to alternate Hospital ED. Within minutes of arrival, the patient became obtunded and unresponsive with shallow respirations. The provider was unable to palpate a pulse so CPR was started immediately. Patient was given multiple rounds of epinephrine, bicarb, calcium and volume resuscitation with IV fluid and packed red blood cells. The provider was concerned for aortic dissection or other catastrophic vascular cause for the patient's presentation. Further ultrasound revealed an apparent pleural effusion on the left.  Needle thoracostomy and tube thoracostomy was performed with a large volume of blood from the left hemithorax. Early in the resuscitation, ready pulses were felt with rhythm checks, however pulses were lost and were not regained. per the provider, given the prolonged downtime, likely catastrophic vascular event and the patient's advanced age, further resuscitation efforts appeared futile. Patient passed on 10/6 at 2:28pm.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: Unresponsive to stimuli
Clinical narrative: Patient previously tested positive on 8/13/22.   Patient was brought to local Hospital ED on 10/6 with unknown onset of shortness of breath and productive cough with yellow sputum. He also reported feeling "very very tired".  During this visit, CT scan showed concern for blood and blood clots in the pericardium, and the patient was found to have a systolic blood pressure in the 100s. Bedside ultrasound showed fluid around the heart.  He was given a unit of blood and started on Levophed, and was transferred to alternate Hospital ED. Within minutes of arrival, the patient became obtunded and unresponsive with shallow respirations. The provider was unable to palpate a pulse so CPR was started immediately. Patient was given multiple rounds of epinephrine, bicarb, calcium and volume resuscitation with IV fluid and packed red blood cells. The provider was concerned for aortic dissection or other catastrophic vascular cause for the patient's presentation. Further ultrasound revealed an apparent pleural effusion on the left.  Needle thoracostomy and tube thoracostomy was performed with a large volume of blood from the left hemithorax. Early in the resuscitation, ready pulses were felt with rhythm checks, however pulses were lost and were not regained. per the provider, given the prolonged downtime, likely catastrophic vascular event and the patient's advanced age, further resuscitation efforts appeared futile. Patient passed on 10/6 at 2:28pm.
Age: 31.0
Sex: M
Vaccine: COVID19-2
Symptoms: Immediate post-injection reaction, Seizure
Clinical narrative: PATIENT HAD A SEIZURE APPROXIMATELY 10 MINUTES AFTER HE RECEIVED THE VACCINATION. THE SEIZURE LASTED ABOUT 45 SECONDS TO 1 MINUTES. THE PATIENT WAS ABLE TO ANSWER QUESTIONS RELATED TO TIME AND SPACE AFTER HE RECOVERED FROM THE SEIZURE.
Age: 31.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site rash, Injection site swelling
Clinical narrative: patient developed minor swelling and small rash adjacent to the ID injection site. sx started 15 minutes after injection. sx remained localized, but patient was advised to go to urgent care for follow up. no s/sx of respiratory or cardiac distress. patient declined to seek treatment. patient was followed up with 7 days later and her reports that symptoms were gone "in a day" and that he feels fine.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, COVID-19, Fatigue, Oropharyngeal pain, Pyrexia
Clinical narrative: I had a sore throat first and then coughing, runny nose and sneezing. Eventually loss and taste and a low-grade fever around 100.0. I tested on Saturday morning after the symptoms plus congestion. I also had exhaustion on Saturday but that has improved. The test was positive. I contacted my doctor's office and the doctor on call prescribed Paxlovid on 10/22/2022. My sore throat is gone, congestion is much less than before. My sense of taste has not come back fully.  I am still recovering. I did start taking Vitamin C, Vitamin D3 and Zinc. I also take Tylenol at night.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
Clinical narrative: I had a sore throat first and then coughing, runny nose and sneezing. Eventually loss and taste and a low-grade fever around 100.0. I tested on Saturday morning after the symptoms plus congestion. I also had exhaustion on Saturday but that has improved. The test was positive. I contacted my doctor's office and the doctor on call prescribed Paxlovid on 10/22/2022. My sore throat is gone, congestion is much less than before. My sense of taste has not come back fully.  I am still recovering. I did start taking Vitamin C, Vitamin D3 and Zinc. I also take Tylenol at night.
Age: 71.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Arthralgia, Headache, Pain, Respiratory tract congestion, SARS-CoV-2 test
Clinical narrative: I had a severe headache, but no fever. Severe body and joint aches with congestion.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Moderna pediatric 6-11 years old primary series was given instead of the Moderna pediatric 6-11 years old bivalent booster. No adverse event reported.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Amyotrophic lateral sclerosis, Bradykinesia, Condition aggravated, Death, Electromyogram
Clinical narrative: Within 2 weeks of second dose of Pfizer COVID-19 vaccine (dose 1 date: 05/28/2021; dose 2 date: 6/18/2021; dose 1 lot: EW0179; dose 2 lot: EW0177) the patient first experienced symptoms of Amyotrophic Lateral Sclerosis (ALS), a diagnosis which was confirmed 12/2021.  Prior to the administration of the second dose of the COVID vaccine, the patient had experienced no symptoms of ALS. The patient passed away 08/25/2022.  The patient first began experiencing instability and need to walk slowly by the end of 06/2021, on or around 06/30/2021. The patient began having difficulty with walking and moving the right foot, or foot drop. By early 07/2021, the patient felt unbalanced when trying to walk with the right leg's quickly becoming unresponsive and the right foot's dragging. The patient's first fall occurred the first week of 08/2021; a second fall occurred the first week of 09/2021. The patient began using a cane soon after; on 11/18/2021 the patient needed to use a walker. Positive diagnosis of Amyotrophic Lateral Sclerosis (ALS), also known as Lou Gehrig's Disease, occurred 12/16/2021. The patient's condition rapidly worsened, and the patient passed away 08/25/2022.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Gait disturbance, General physical health deterioration, Magnetic resonance imaging, Nerve conduction studies
Clinical narrative: Within 2 weeks of second dose of Pfizer COVID-19 vaccine (dose 1 date: 05/28/2021; dose 2 date: 6/18/2021; dose 1 lot: EW0179; dose 2 lot: EW0177) the patient first experienced symptoms of Amyotrophic Lateral Sclerosis (ALS), a diagnosis which was confirmed 12/2021.  Prior to the administration of the second dose of the COVID vaccine, the patient had experienced no symptoms of ALS. The patient passed away 08/25/2022.  The patient first began experiencing instability and need to walk slowly by the end of 06/2021, on or around 06/30/2021. The patient began having difficulty with walking and moving the right foot, or foot drop. By early 07/2021, the patient felt unbalanced when trying to walk with the right leg's quickly becoming unresponsive and the right foot's dragging. The patient's first fall occurred the first week of 08/2021; a second fall occurred the first week of 09/2021. The patient began using a cane soon after; on 11/18/2021 the patient needed to use a walker. Positive diagnosis of Amyotrophic Lateral Sclerosis (ALS), also known as Lou Gehrig's Disease, occurred 12/16/2021. The patient's condition rapidly worsened, and the patient passed away 08/25/2022.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Peroneal nerve palsy, Scan with contrast, Walking aid user
Clinical narrative: Within 2 weeks of second dose of Pfizer COVID-19 vaccine (dose 1 date: 05/28/2021; dose 2 date: 6/18/2021; dose 1 lot: EW0179; dose 2 lot: EW0177) the patient first experienced symptoms of Amyotrophic Lateral Sclerosis (ALS), a diagnosis which was confirmed 12/2021.  Prior to the administration of the second dose of the COVID vaccine, the patient had experienced no symptoms of ALS. The patient passed away 08/25/2022.  The patient first began experiencing instability and need to walk slowly by the end of 06/2021, on or around 06/30/2021. The patient began having difficulty with walking and moving the right foot, or foot drop. By early 07/2021, the patient felt unbalanced when trying to walk with the right leg's quickly becoming unresponsive and the right foot's dragging. The patient's first fall occurred the first week of 08/2021; a second fall occurred the first week of 09/2021. The patient began using a cane soon after; on 11/18/2021 the patient needed to use a walker. Positive diagnosis of Amyotrophic Lateral Sclerosis (ALS), also known as Lou Gehrig's Disease, occurred 12/16/2021. The patient's condition rapidly worsened, and the patient passed away 08/25/2022.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Moderna pediatric 6-11 years old primary series was given instead of the Moderna pediatric 6-11 years old bivalent booster. No adverse event reported.