chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head normal, Multiple sclerosis relapse, Muscular weakness, Perfusion brain scan normal
Clinical narrative: Discharge Provider: Medical Doctor Primary Care Provider: Medical Doctor Admission Date: 7/6/2022 Discharge Date: Jul 10, 2022  PRESENTING PROBLEM: Weakness; Weakness of right lower extremity   HOSPITAL COURSE: 61-year-old female with a past medical history significant for multiple sclerosis who presents due to complaints of headache and right lower extremity weakness.   Patient was seen by EMS.  She was overall stable and had no hypoglycemia that time.  She was brought into the emergency department where code stroke was called.  Patient was found to have an stroke scale score 5. She went for CT scan of the head which showed no acute bleed.  Neurology was consulted for further evaluation and the patient was thought to warrant admission to the hospital.   Patient did undergo CT angiography of the head and neck as well as CT perfusion scan of the brain.  No acute pathology was seen on CT angiogram number CT perfusion scan.  Neurology recommended MRI for further evaluation.   Patient was admitted to the hospital and did undergo MRI evaluation.  MRI was of limited value but it did rule out acute ischemic event.  All further imaging did not show any acute pathology.   With no interventions, the patient did feel some symptomatic improvement in her right lower extremity weakness.  However, the patient states that her symptoms seemed very reminiscent of her previous episodes of MS flare and she inquired as to the use of steroids.  Discussion was had with Neurology.  Neurology did agree with steroid use.  Patient was prescribed methylprednisolone 1 g IV daily for 3 days.  With methylprednisolone, patient's strength significantly improved in her right lower extremity.   Although patient's strength is improving in her right lower extremity, she was still not back to her baseline state in regards her functional status.  Patient was seen in consultation by PT/OT.  She was thought to benefit from subacute rehab placement.  Patient was discharged to skilled nursing facility on 07/10/2022 in stable condition.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Malaise, Rhinorrhoea
Clinical narrative: A dry cough started on July 7.  Tested positive for COVID. Called Doctor who prescribed PAXLOVID. Symptom disappeared in two days. However on 07/21 cough returned along with runny nose. Vitals remain stable and Oxygen level is normal. Appetite is good, but he seems to be more tired than usual. Tested today and was again positive for COVID. Symptoms have lessened, however.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Symptom recurrence
Clinical narrative: A dry cough started on July 7.  Tested positive for COVID. Called Doctor who prescribed PAXLOVID. Symptom disappeared in two days. However on 07/21 cough returned along with runny nose. Vitals remain stable and Oxygen level is normal. Appetite is good, but he seems to be more tired than usual. Tested today and was again positive for COVID. Symptoms have lessened, however.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature decreased, Chills, Cough, Fatigue, Respiratory tract congestion
Clinical narrative: It started the evening of the 14th. I had a dry cough and a runny nose. That night I felt severe chills and took my temperature and it was below normal. It was 96.6. The chills lasted for days and I decided two days later and took a at home COVID-19 test. I started feeling very fatigue and congested. I never developed a fever. I contacted my PCP telehealth and he prescribed PAXLOVID. The symptoms never got worse and the symptoms have subsided and today 07/22/2022, I will finished my PAXLOVID. I feel much better than I have been.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: It started the evening of the 14th. I had a dry cough and a runny nose. That night I felt severe chills and took my temperature and it was below normal. It was 96.6. The chills lasted for days and I decided two days later and took a at home COVID-19 test. I started feeling very fatigue and congested. I never developed a fever. I contacted my PCP telehealth and he prescribed PAXLOVID. The symptoms never got worse and the symptoms have subsided and today 07/22/2022, I will finished my PAXLOVID. I feel much better than I have been.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: HYPOXIA
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Acute sinusitis, COVID-19, Computerised tomogram head abnormal, Dystonia, Gaze palsy
Clinical narrative: Discharge Provider: MD  Primary Care Physician at Discharge: MD Admission Date: 7/16/2022  Discharge Date: 07/19/2022  Headache [R51.9] Acute intractable headache, unspecified headache type [R51.9]   HOSPITAL COURSE:   Patient is a 12 y.o. male with PMHX significant for shunted hydrocephalus (Strata 1.0; last revised 2017), left temporal arachnoid cyst,  vision impairment (legally blind), and migraine headache presenting with headache and vomiting in setting of COVID infection..    Mother reports she initially started to have cold-like symptoms starting Monday (7/11/2022). Patient then started to have symptoms of headache, rhinorrhea, congestion and vomiting starting roughly two days prior to presentation. Family tested positive for COVID at home. Initially seen at ED on 7/14 with concern for headache believed likely secondary to COVID infection. Head CT without increase in ventricular size (slightly decreased); although noting acute sinusitis. No concerns for shunt malfunction. Provided IV fluids and discharged with Reglan for nausea/vomiting x2. Continued to have headaches at home with continued nausea/vomiting. Again seen at ED on 7/16 and provided migraine cocktail with Toradol, Reglan, Compazine, Benadryl and a x1 NS bolus. Continued to have headaches and nausea/vomiting despite interventions and was admitted under Neurosurgery service. Headache located in frontal area, constant, and associated with photophobia. Follows with neurology for migraines.   Inpatient was evaluated by Peds Neurology who recommended migraine regimen with Toradol, magnesium, benadryl and compazine. He developed dystonic reaction to compazine with increased tone in neck, arms, wrists, and hands, and twitching of lips. He also experienced episodes of dysconjugate gaze. PO benadryl did not help but rapidly improved after iv benadryl. Discontinued Compazine and Reglan and monitored mental status. Headache resolved, pediatric hospitalist team took over as primary team as neurosurgery had no concerns for shunt malfunction. Dystonic episodes slowly improved, did not hinder oral intake, and patient was felt to be stable for discharge. Will send home with migraine regimen per neurology in case headaches return, and benadryl for dystonia.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Muscle twitching, Nasopharyngitis, Nausea, Photophobia
Clinical narrative: Discharge Provider: MD  Primary Care Physician at Discharge: MD Admission Date: 7/16/2022  Discharge Date: 07/19/2022  Headache [R51.9] Acute intractable headache, unspecified headache type [R51.9]   HOSPITAL COURSE:   Patient is a 12 y.o. male with PMHX significant for shunted hydrocephalus (Strata 1.0; last revised 2017), left temporal arachnoid cyst,  vision impairment (legally blind), and migraine headache presenting with headache and vomiting in setting of COVID infection..    Mother reports she initially started to have cold-like symptoms starting Monday (7/11/2022). Patient then started to have symptoms of headache, rhinorrhea, congestion and vomiting starting roughly two days prior to presentation. Family tested positive for COVID at home. Initially seen at ED on 7/14 with concern for headache believed likely secondary to COVID infection. Head CT without increase in ventricular size (slightly decreased); although noting acute sinusitis. No concerns for shunt malfunction. Provided IV fluids and discharged with Reglan for nausea/vomiting x2. Continued to have headaches at home with continued nausea/vomiting. Again seen at ED on 7/16 and provided migraine cocktail with Toradol, Reglan, Compazine, Benadryl and a x1 NS bolus. Continued to have headaches and nausea/vomiting despite interventions and was admitted under Neurosurgery service. Headache located in frontal area, constant, and associated with photophobia. Follows with neurology for migraines.   Inpatient was evaluated by Peds Neurology who recommended migraine regimen with Toradol, magnesium, benadryl and compazine. He developed dystonic reaction to compazine with increased tone in neck, arms, wrists, and hands, and twitching of lips. He also experienced episodes of dysconjugate gaze. PO benadryl did not help but rapidly improved after iv benadryl. Discontinued Compazine and Reglan and monitored mental status. Headache resolved, pediatric hospitalist team took over as primary team as neurosurgery had no concerns for shunt malfunction. Dystonic episodes slowly improved, did not hinder oral intake, and patient was felt to be stable for discharge. Will send home with migraine regimen per neurology in case headaches return, and benadryl for dystonia.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Discharge Provider: MD  Primary Care Physician at Discharge: MD Admission Date: 7/16/2022  Discharge Date: 07/19/2022  Headache [R51.9] Acute intractable headache, unspecified headache type [R51.9]   HOSPITAL COURSE:   Patient is a 12 y.o. male with PMHX significant for shunted hydrocephalus (Strata 1.0; last revised 2017), left temporal arachnoid cyst,  vision impairment (legally blind), and migraine headache presenting with headache and vomiting in setting of COVID infection..    Mother reports she initially started to have cold-like symptoms starting Monday (7/11/2022). Patient then started to have symptoms of headache, rhinorrhea, congestion and vomiting starting roughly two days prior to presentation. Family tested positive for COVID at home. Initially seen at ED on 7/14 with concern for headache believed likely secondary to COVID infection. Head CT without increase in ventricular size (slightly decreased); although noting acute sinusitis. No concerns for shunt malfunction. Provided IV fluids and discharged with Reglan for nausea/vomiting x2. Continued to have headaches at home with continued nausea/vomiting. Again seen at ED on 7/16 and provided migraine cocktail with Toradol, Reglan, Compazine, Benadryl and a x1 NS bolus. Continued to have headaches and nausea/vomiting despite interventions and was admitted under Neurosurgery service. Headache located in frontal area, constant, and associated with photophobia. Follows with neurology for migraines.   Inpatient was evaluated by Peds Neurology who recommended migraine regimen with Toradol, magnesium, benadryl and compazine. He developed dystonic reaction to compazine with increased tone in neck, arms, wrists, and hands, and twitching of lips. He also experienced episodes of dysconjugate gaze. PO benadryl did not help but rapidly improved after iv benadryl. Discontinued Compazine and Reglan and monitored mental status. Headache resolved, pediatric hospitalist team took over as primary team as neurosurgery had no concerns for shunt malfunction. Dystonic episodes slowly improved, did not hinder oral intake, and patient was felt to be stable for discharge. Will send home with migraine regimen per neurology in case headaches return, and benadryl for dystonia.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Nasal congestion, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: On 4/20/2022, I received my second Moderna booster for COVID-19. On the evening of 7/5/2022, I began to get nasal congestion. On the morning of 7/6/2022, I still had head congestion. I took a home test for COVID-19, and the result was positive. Over the course of that day, I developed a fever, which was at 100.1 at its highest point. It lasted for about 24 hours. The congestion and fever dissipated by the evening of 7/7/2022. On 7/7/2022, I developed a mild sore throat, which lasted until 7/8/2022. No other symptoms developed afterwards. On 7/6/2022, I contacted my PCP's office and a telehealth consult was arranged. During the telehealth consult that day, the doctors recommended that I take a 5-day course of Paxlovid, which I began on the night of 7/6/2022 and completed over the following 5 days. I took home tests 7/10/2022-7/13/2022. It wasn't until 7/13/2022 that I got a negative result. At this point, I was no longer in isolation, though I did wear a mask in public. At the time of this writing, I am no longer wearing a mask. I am currently a participant in a sponsored vaccine efficacy study; my spike proteins are being measured in the study.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus congestion
Clinical narrative: On 4/20/2022, I received my second Moderna booster for COVID-19. On the evening of 7/5/2022, I began to get nasal congestion. On the morning of 7/6/2022, I still had head congestion. I took a home test for COVID-19, and the result was positive. Over the course of that day, I developed a fever, which was at 100.1 at its highest point. It lasted for about 24 hours. The congestion and fever dissipated by the evening of 7/7/2022. On 7/7/2022, I developed a mild sore throat, which lasted until 7/8/2022. No other symptoms developed afterwards. On 7/6/2022, I contacted my PCP's office and a telehealth consult was arranged. During the telehealth consult that day, the doctors recommended that I take a 5-day course of Paxlovid, which I began on the night of 7/6/2022 and completed over the following 5 days. I took home tests 7/10/2022-7/13/2022. It wasn't until 7/13/2022 that I got a negative result. At this point, I was no longer in isolation, though I did wear a mask in public. At the time of this writing, I am no longer wearing a mask. I am currently a participant in a sponsored vaccine efficacy study; my spike proteins are being measured in the study.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray normal, Cough, Diarrhoea
Clinical narrative: Discharge Provider:  Primary Care Provider at Discharge:  Admission Date: 7/15/2022 Discharge Date: 7/19/2022  PRESENTING PROBLEM: Generalized weakness [R53.1] Diarrhea, unspecified type [R19.7] COVID-19 virus infection [U07.1]   HOSPITAL COURSE: Pt is an 88-year-old male who presented to the ER for evaluation of weakness. The patient has a history of dementia and has had increasing care needs at home. His family had been looking for possible placement at assisted living when his wife got COVID. The patient was also diagnosed with COVID the day prior to admission and he had increasing weakness prompting family to bring patient in as they could no longer care for him. In the ER the patient had labs which were mostly unremarkable, he was not hypoxic and his CXR was negative. He was admitted to the hospitalist team for PT/OT evaluation and possible placement. The patient was evaluated by PT/OT who recommended SAR at discharge. Care management arranged for placement. The patient remained stable on room air, no significant COVID symptoms, only mild cough. He discharged to rehab in stable condition.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Laboratory test abnormal
Clinical narrative: Discharge Provider:  Primary Care Provider at Discharge:  Admission Date: 7/15/2022 Discharge Date: 7/19/2022  PRESENTING PROBLEM: Generalized weakness [R53.1] Diarrhea, unspecified type [R19.7] COVID-19 virus infection [U07.1]   HOSPITAL COURSE: Pt is an 88-year-old male who presented to the ER for evaluation of weakness. The patient has a history of dementia and has had increasing care needs at home. His family had been looking for possible placement at assisted living when his wife got COVID. The patient was also diagnosed with COVID the day prior to admission and he had increasing weakness prompting family to bring patient in as they could no longer care for him. In the ER the patient had labs which were mostly unremarkable, he was not hypoxic and his CXR was negative. He was admitted to the hospitalist team for PT/OT evaluation and possible placement. The patient was evaluated by PT/OT who recommended SAR at discharge. Care management arranged for placement. The patient remained stable on room air, no significant COVID symptoms, only mild cough. He discharged to rehab in stable condition.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Fall, SARS-CoV-2 test positive
Clinical narrative: WEAKNESS / FALLS
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after two vaccines Pfizer 3/31/21 Lot# ER8733;  Pfizer 4/21/21  EW0164
Age: 41.0
Sex: M
Vaccine: HEP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: nurse administered a pediatric Hep B vaccine to an adult. Nurse contacting patient.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough event. Patient was vaccinated Moderna on 1/4/21  026L20A, 2/1/21 029L20A, and boosted on 11/12/21 033F (this is the incomplete lot number that the database shows.)
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Angiocardiogram, Atrial fibrillation, Cardiac ablation, Cardiac monitoring abnormal, Cardioversion
Clinical narrative: First week of April I noticed an irregular heartbeat. It was skipping and was irregular. I visited my cardiologist on April 5 2022. I wore the cardiac monitor for two weeks. April 8-22 and then mailed it back. I also had a cardiac ultrasound. The doctor stated after reviewing the report that there was nothing to worry about. It persisted and I visited him again May 10th and he doubled metoprolol. May 20th he gave me a different cardiac monitor for 24 hours. I went back to see him May 24th for results. It showed the irregularity but doctor said it wasn't anything to be concerned about. I was tired and short of breath all the time. He switched from metoprolol to CARDIZEM and that was on May 24th. After that things went from bad to worse. Saturday before May 30th weekend with shortness of breath my heart rate was too high at 127 and spoke to doctor over the phone. I was advised to go ER. I was admitted Saturday night for 5 days, released June 1st. During my stay I was on the cardiac unit and monitored 24 hours. I was then diagnosed with Atrial Fibrillation. June 1st while at the hospital the doctors wanted to try Cardioversion. It was not successful. I was referred to another cardiac specialist that I saw on June 9th, 'electro physiologist'. He recommended the Cardiac Ablation to treat. I had this procedure July 20th and was there for about 30 hours. I am feeling better today. I am recuperating from the procedure and tired from the anesthesia. My heart rate seems to be a bit normal as of now.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram, Extrasystoles, Fatigue, Heart rate increased
Clinical narrative: First week of April I noticed an irregular heartbeat. It was skipping and was irregular. I visited my cardiologist on April 5 2022. I wore the cardiac monitor for two weeks. April 8-22 and then mailed it back. I also had a cardiac ultrasound. The doctor stated after reviewing the report that there was nothing to worry about. It persisted and I visited him again May 10th and he doubled metoprolol. May 20th he gave me a different cardiac monitor for 24 hours. I went back to see him May 24th for results. It showed the irregularity but doctor said it wasn't anything to be concerned about. I was tired and short of breath all the time. He switched from metoprolol to CARDIZEM and that was on May 24th. After that things went from bad to worse. Saturday before May 30th weekend with shortness of breath my heart rate was too high at 127 and spoke to doctor over the phone. I was advised to go ER. I was admitted Saturday night for 5 days, released June 1st. During my stay I was on the cardiac unit and monitored 24 hours. I was then diagnosed with Atrial Fibrillation. June 1st while at the hospital the doctors wanted to try Cardioversion. It was not successful. I was referred to another cardiac specialist that I saw on June 9th, 'electro physiologist'. He recommended the Cardiac Ablation to treat. I had this procedure July 20th and was there for about 30 hours. I am feeling better today. I am recuperating from the procedure and tired from the anesthesia. My heart rate seems to be a bit normal as of now.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate irregular, Procedural failure
Clinical narrative: First week of April I noticed an irregular heartbeat. It was skipping and was irregular. I visited my cardiologist on April 5 2022. I wore the cardiac monitor for two weeks. April 8-22 and then mailed it back. I also had a cardiac ultrasound. The doctor stated after reviewing the report that there was nothing to worry about. It persisted and I visited him again May 10th and he doubled metoprolol. May 20th he gave me a different cardiac monitor for 24 hours. I went back to see him May 24th for results. It showed the irregularity but doctor said it wasn't anything to be concerned about. I was tired and short of breath all the time. He switched from metoprolol to CARDIZEM and that was on May 24th. After that things went from bad to worse. Saturday before May 30th weekend with shortness of breath my heart rate was too high at 127 and spoke to doctor over the phone. I was advised to go ER. I was admitted Saturday night for 5 days, released June 1st. During my stay I was on the cardiac unit and monitored 24 hours. I was then diagnosed with Atrial Fibrillation. June 1st while at the hospital the doctors wanted to try Cardioversion. It was not successful. I was referred to another cardiac specialist that I saw on June 9th, 'electro physiologist'. He recommended the Cardiac Ablation to treat. I had this procedure July 20th and was there for about 30 hours. I am feeling better today. I am recuperating from the procedure and tired from the anesthesia. My heart rate seems to be a bit normal as of now.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness/Lightheadedness-Medium, Systemic: Fainting/Unresponsive-Medium.
Age: 31.0
Sex: F
Vaccine: HEP
Symptoms: No adverse event, Underdose
Clinical narrative: Nurse gave an adult a pediatric vaccine. No known reaction, patient being contacted.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Exercise tolerance decreased, Fatigue, Headache, Malaise
Clinical narrative: Starting 07/11/2022, I got a bad sore throat and head congestion. At first, I thought it was allergies but I knew it was the wrong time of the year. The next morning I felt relatively good but by mid-day I was having more symptoms and by that evening I took an at-home COVID-19 test which was positive. The next morning, I had severe body aches, fever, cough, head congestion and sore threat. I contacted my doctor's office right away. They got back to me and recommended the monoclonal antibody (bebtelovimab) treatment. So, I got that on 07/13/2022 and by the next day I felt substantially better. On 07/15/2022, I was feeling even better. By 07/16/2022, I was feeling much better but still fatigued. The next day I felt almost completely back to normal but by the end of the day I still had some mild fatigue. Yesterday, 07/21/2022, I thought I was feeling back to my normal self so I went for a bike ride for about 2 miles, but by the end of it I was having symptoms again (body aches, headache and malaise) and was concerned. I am hoping that with more rest, I will get back to normal. I contacted my doctor this morning who said to rest and I took an at-home test which was positive. They told me to ignore it and that I could test positive for another 45 days.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test, SARS-CoV-2 test positive
Clinical narrative: Starting 07/11/2022, I got a bad sore throat and head congestion. At first, I thought it was allergies but I knew it was the wrong time of the year. The next morning I felt relatively good but by mid-day I was having more symptoms and by that evening I took an at-home COVID-19 test which was positive. The next morning, I had severe body aches, fever, cough, head congestion and sore threat. I contacted my doctor's office right away. They got back to me and recommended the monoclonal antibody (bebtelovimab) treatment. So, I got that on 07/13/2022 and by the next day I felt substantially better. On 07/15/2022, I was feeling even better. By 07/16/2022, I was feeling much better but still fatigued. The next day I felt almost completely back to normal but by the end of the day I still had some mild fatigue. Yesterday, 07/21/2022, I thought I was feeling back to my normal self so I went for a bike ride for about 2 miles, but by the end of it I was having symptoms again (body aches, headache and malaise) and was concerned. I am hoping that with more rest, I will get back to normal. I contacted my doctor this morning who said to rest and I took an at-home test which was positive. They told me to ignore it and that I could test positive for another 45 days.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus congestion
Clinical narrative: Starting 07/11/2022, I got a bad sore throat and head congestion. At first, I thought it was allergies but I knew it was the wrong time of the year. The next morning I felt relatively good but by mid-day I was having more symptoms and by that evening I took an at-home COVID-19 test which was positive. The next morning, I had severe body aches, fever, cough, head congestion and sore threat. I contacted my doctor's office right away. They got back to me and recommended the monoclonal antibody (bebtelovimab) treatment. So, I got that on 07/13/2022 and by the next day I felt substantially better. On 07/15/2022, I was feeling even better. By 07/16/2022, I was feeling much better but still fatigued. The next day I felt almost completely back to normal but by the end of the day I still had some mild fatigue. Yesterday, 07/21/2022, I thought I was feeling back to my normal self so I went for a bike ride for about 2 miles, but by the end of it I was having symptoms again (body aches, headache and malaise) and was concerned. I am hoping that with more rest, I will get back to normal. I contacted my doctor this morning who said to rest and I took an at-home test which was positive. They told me to ignore it and that I could test positive for another 45 days.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three vaccines: Moderna 1/20/21 Lot# 029L20A- Moderna 2/17/21 Lot# 003F21A- Moderna 8/23/21 Lot# 003F21A.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Hypersensitivity, Rash, Rash pruritic
Clinical narrative: Patient seen due to rash immediately following first COVID vaccine (Pfizer, 6mo to 4 year dose). Pinpoint rash on arms up to shoulders. None on trunk, few on legs. Itchy but he was not scratching at them. No prior reaction to vaccines or other allergies.   Benadryl given.   Normal vitals, normal physical examination. Observed for 1 hour with repeat vitals and examination, again normal.   Adverse reaction added to allergies.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Flushing, Hyperhidrosis, Lethargy
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Flushed / Sweating-Mild
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after two vaccines Pfizer 4/13/21 Lot# ER8732;  Pfizer 5/4/21 Lot# EW0158
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: SOB
Age: 0.33
Sex: F
Vaccine: DTAPIPV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Vaccine administered to a pt under the age of 4. No current treatment or reactions reported.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough event.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Diarrhoea, Migraine, Nausea
Clinical narrative: Employee experienced nausea, migraine, lightness, and diarrhea. Monitored vitals signs and had worker rest for the day.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Ear pain, Head discomfort, Headache
Clinical narrative: On 4-15-2022, I got my vaccine and the next morning, I had a red/warm know at the injection site that lasted a couple of days. On 7-12-2022, I woke up with head congestion, cough and low grade fever of 99.7. I took a home Covid19 test with positive results. On the next day, 7-13, my temp elevated to 100.4, I had a headache, sore throat, body aches, vertigo, bilateral ear pain along with symptoms that started on 7-12. I had a telehealth visit with my PCP and he prescribed paxlovid. I started taking it on 7-14 for 5 days and my temp got up to 100.9. On 7-18, I took another home Covid 19 test with negative results. On 7-19, I took another home Covid19 test and it was positive again with most of my symptoms returning. I am reporting a breakthru case of Covid.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site warmth, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: On 4-15-2022, I got my vaccine and the next morning, I had a red/warm know at the injection site that lasted a couple of days. On 7-12-2022, I woke up with head congestion, cough and low grade fever of 99.7. I took a home Covid19 test with positive results. On the next day, 7-13, my temp elevated to 100.4, I had a headache, sore throat, body aches, vertigo, bilateral ear pain along with symptoms that started on 7-12. I had a telehealth visit with my PCP and he prescribed paxlovid. I started taking it on 7-14 for 5 days and my temp got up to 100.9. On 7-18, I took another home Covid 19 test with negative results. On 7-19, I took another home Covid19 test and it was positive again with most of my symptoms returning. I am reporting a breakthru case of Covid.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection, Vertigo
Clinical narrative: On 4-15-2022, I got my vaccine and the next morning, I had a red/warm know at the injection site that lasted a couple of days. On 7-12-2022, I woke up with head congestion, cough and low grade fever of 99.7. I took a home Covid19 test with positive results. On the next day, 7-13, my temp elevated to 100.4, I had a headache, sore throat, body aches, vertigo, bilateral ear pain along with symptoms that started on 7-12. I had a telehealth visit with my PCP and he prescribed paxlovid. I started taking it on 7-14 for 5 days and my temp got up to 100.9. On 7-18, I took another home Covid 19 test with negative results. On 7-19, I took another home Covid19 test and it was positive again with most of my symptoms returning. I am reporting a breakthru case of Covid.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Delivery, Exposure during pregnancy, Postpartum haemorrhage, SARS-CoV-2 test positive
Clinical narrative: Pt to LDRP 7/13 for Spontaneous Onset of Labor, 41w3d. Pt COVID+ 7/13. 7/14 pt with postpartum bleeding,  measured 200 ml on pads since the delivery at 0530, Pt states had similar happen with last delivery as well.  Manual evacuation performed by in house physician. During postpartum period, patient recovered well, with decreasing lochia, ambulating well, voiding spontaneously, passing flatus, tolerating a regular diet, with no emotional concerns. She was discharged 7/15 in stable condition with plan to follow  in 4-6 weeks.
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Expired product administered, No adverse event
Clinical narrative: The immunization was given on 7/21/22, but the vaccine was expired on 6/30/22. The pharmacy manager contacted to the manufacture (GSK), the manufacture said "  The patient has not report any adverse reaction.  Bexsero remains within the  approved specifications for up to 30 days following the expiration date of the vaccine if stored  under appropriate temperature and storage conditions as described in the Prescribing  Information." The patient has not reported any adverse reaction.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Influenza virus test, Malaise, Respiratory syncytial virus test
Clinical narrative: Breakthrough COVID infection on 07/14/2022. Cough noted. Unsure onset of symptoms.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID infection on 07/14/2022. Cough noted. Unsure onset of symptoms.
Age: 0.33
Sex: F
Vaccine: DTAPIPV, HIBV, PNC13, RV5
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: DTAP-IPV administered to patient under the age of 4. No Sx or Tx currently needed.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Moderna 2/6/21 Lot# 031L20A Moderna 3/6/21 Lot# 032M20A;  Moderna 10/26/21 Lot# 033C21A
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature decreased, COVID-19, Cough, Fatigue, Headache
Clinical narrative: On the 23rd of June, I had a sore throat and congestion, I did a at home COVID-19 Test and it was positive. I had a very low temp and was having body aches. I was extremely fatigue, I did a telehealth visit with a doctor. I was told I could not get the Paxlovid, because they said I was not at risk at first. I was extremely exhausted and lots of sweating. I did not have a fever, I started having headaches and a really bad cough. On 25th  of June, I developed a cough and called back to the doctor to ask for the Paxlovid. I started taking the prescription on the 26th of June,
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Oropharyngeal pain, Pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: On the 23rd of June, I had a sore throat and congestion, I did a at home COVID-19 Test and it was positive. I had a very low temp and was having body aches. I was extremely fatigue, I did a telehealth visit with a doctor. I was told I could not get the Paxlovid, because they said I was not at risk at first. I was extremely exhausted and lots of sweating. I did not have a fever, I started having headaches and a really bad cough. On 25th  of June, I developed a cough and called back to the doctor to ask for the Paxlovid. I started taking the prescription on the 26th of June,
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine.
Age: 97.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough asymptomatic COVID infection on 07/14/2022
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three vaccines Pfizer 3/12/21 Lot# EN6199;  Pfizer 3/31/21 Lot# ER8733;  Pfizer 1/17/22 Lot# FJ6369
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Body temperature increased, Injection site erythema, Injection site swelling
Clinical narrative: Patients mother complains of swollen reddened area from both injection sites and a temperature of 100.8 Fahrenheit persistent over 48 hours.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Nausea, Oropharyngeal pain
Clinical narrative: I started getting symptoms of headache, sore throat, and slight fever. I took a COVID-19 home test that was positive. I went to a clinic and had a positive COVID-19 test. I also developed nausea. I contacted my doctor and was prescribed Paxlovid. I feel like the Paxlovid helped and within a 2 days, I was feeling much better. I still have a slight cough but I do have COPD.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I started getting symptoms of headache, sore throat, and slight fever. I took a COVID-19 home test that was positive. I went to a clinic and had a positive COVID-19 test. I also developed nausea. I contacted my doctor and was prescribed Paxlovid. I feel like the Paxlovid helped and within a 2 days, I was feeling much better. I still have a slight cough but I do have COPD.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Pfizer 2/22/21 Lot# EN6200;  Pfizer 3/16/21 Lot# EN6207;  Pfizer 10/25/21 Lot# FE3590;  Pfizer 4/6/22 Lot# FJ9943
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Pyrexia, Respiratory tract congestion
Clinical narrative: Attended conference 09-15 July 2022. Airline flights 15 July 2022. Beginning 16 July 2022: Runny nose, cough, chest congestion, fever, tiredness. 17 July 2022 COVID-19 confirmed with home test. Contacted by phone nurse 17 July, doctor 18 July. Started Paxlovid 19 July 2022
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Attended conference 09-15 July 2022. Airline flights 15 July 2022. Beginning 16 July 2022: Runny nose, cough, chest congestion, fever, tiredness. 17 July 2022 COVID-19 confirmed with home test. Contacted by phone nurse 17 July, doctor 18 July. Started Paxlovid 19 July 2022
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered was expired.  Per Moderna, dose considered valid.
Age: 15.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Vaccination error
Clinical narrative: Pneumovax23 was given in error on 7/20/2022. Once it was caught patient and parent were immediately notified. Advised to watch out for signs of local/systemic reaction and to call with any updates. Checked on pt on 7/21, did not report any reaction. On 7/22 pt presented with a small red area below injection site. The area was slightly raised and warm to the touch. Pt reported pain in the area but it had decreased since onset. Encouraged to follow up with a primary care provider if redness/pain increased or did not resolve.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The vaccine that was given was expired. As of now there have been no s/s of any adverse events
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID case. Symptoms of cough and shortness of breath beginning 07/17/2022
Age: 76.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Condition aggravated, Echocardiogram normal
Clinical narrative: Admission Date: 7/13/2022 Discharge Date: 07/16/2022 Discharge disposition: Home Condition on discharge: Stable.   Acute respiratory failure with hypoxia (HCC) [J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82]   ADMISSION AND DISCHARGE DIAGNOSES:  HOSPITAL COURSE:   Acute hypoxic respiratory failure. Resolved  Pneumonia due to COVID 19, improving  Possible Superimposed Bacterial pneumonia, improving  - symptom onset; positive test 7/13 - Vaccinated and boosted w/ Pfizer; did not receive second booster - Treated with Decadron, Remdesivir, Ceftriaxone and doxycycline with improvement  - 2 doses lasix today due to severe congestion with improvement  - Home on 2L O2 with activity    Elevated troponin is myocardial injury in the setting of PNA  - EKG not ischemic. ECHO is normal. No chest pain. No further workup. Monitor    Alcohol Abuse - 2-3 beers daily; no hx of withdrawal - s/p thiamine folate, multivitamin  - SW evaluated    COPD - continue home meds    Hx of Esophageal cancer   Hypothyroid - continue synthroid
Age: 76.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Electrocardiogram normal, Malaise, Myocardial injury, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Admission Date: 7/13/2022 Discharge Date: 07/16/2022 Discharge disposition: Home Condition on discharge: Stable.   Acute respiratory failure with hypoxia (HCC) [J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82]   ADMISSION AND DISCHARGE DIAGNOSES:  HOSPITAL COURSE:   Acute hypoxic respiratory failure. Resolved  Pneumonia due to COVID 19, improving  Possible Superimposed Bacterial pneumonia, improving  - symptom onset; positive test 7/13 - Vaccinated and boosted w/ Pfizer; did not receive second booster - Treated with Decadron, Remdesivir, Ceftriaxone and doxycycline with improvement  - 2 doses lasix today due to severe congestion with improvement  - Home on 2L O2 with activity    Elevated troponin is myocardial injury in the setting of PNA  - EKG not ischemic. ECHO is normal. No chest pain. No further workup. Monitor    Alcohol Abuse - 2-3 beers daily; no hx of withdrawal - s/p thiamine folate, multivitamin  - SW evaluated    COPD - continue home meds    Hx of Esophageal cancer   Hypothyroid - continue synthroid
Age: 76.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Troponin increased
Clinical narrative: Admission Date: 7/13/2022 Discharge Date: 07/16/2022 Discharge disposition: Home Condition on discharge: Stable.   Acute respiratory failure with hypoxia (HCC) [J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82]   ADMISSION AND DISCHARGE DIAGNOSES:  HOSPITAL COURSE:   Acute hypoxic respiratory failure. Resolved  Pneumonia due to COVID 19, improving  Possible Superimposed Bacterial pneumonia, improving  - symptom onset; positive test 7/13 - Vaccinated and boosted w/ Pfizer; did not receive second booster - Treated with Decadron, Remdesivir, Ceftriaxone and doxycycline with improvement  - 2 doses lasix today due to severe congestion with improvement  - Home on 2L O2 with activity    Elevated troponin is myocardial injury in the setting of PNA  - EKG not ischemic. ECHO is normal. No chest pain. No further workup. Monitor    Alcohol Abuse - 2-3 beers daily; no hx of withdrawal - s/p thiamine folate, multivitamin  - SW evaluated    COPD - continue home meds    Hx of Esophageal cancer   Hypothyroid - continue synthroid
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case after two vaccines Pfizer 5/18/21 Lot# Ew01086; Pfizer 6/8/21 Lot# Ew0180
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The vaccine that was given was expired past the 30-day recommendation. At this time there have been no s/s of any adverse event.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Injection site pain, Rhinorrhoea
Clinical narrative: My arm hurt at the injection site for a day and it got better. I tested positive on 06/07/2022 for COVID-19 via PCR test. The home test showed that I was negative for COVID-19. Symptoms: runny nose, scratchy throat, cough and fatigue. I was switching my epilepsy medication at the time of vaccination which could contribute to the fatigue. I went to a COVID clinic for the PCR test. When I was diagnosed positive, I had a telehealth visit with my primary doctor and was given the prescription molnupiravir.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Throat irritation
Clinical narrative: My arm hurt at the injection site for a day and it got better. I tested positive on 06/07/2022 for COVID-19 via PCR test. The home test showed that I was negative for COVID-19. Symptoms: runny nose, scratchy throat, cough and fatigue. I was switching my epilepsy medication at the time of vaccination which could contribute to the fatigue. I went to a COVID clinic for the PCR test. When I was diagnosed positive, I had a telehealth visit with my primary doctor and was given the prescription molnupiravir.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient was given concentrated dose of Pfizer vaccine. The vial was not diluted prior to administration. No adverse reactions noted.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine expired past the 30-day recommendation. At this time there have been no symptoms of an adverse event.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three vaccines Moderna 2/18/21 Lot#015M20A;  Moderna 3/18/21 Lot# 010A21A;  Moderna 10/20/21 Lot# 014F21A
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Exposure to SARS-CoV-2, Fatigue, Feeling abnormal, Headache
Clinical narrative: On Sunday, May 29, 2022,  about 7:00pm I was in the hot tub and started feeling exhausted.  I sweated that night in bed.  The next morning I had a bit of chest and nasal congestion.  The next day I didn't go out of my room because I felt lousy.  I did a home COVID-19 test but it was negative for 3 days.  On Wednesday I was having a hard time breathing.  My pulse-ox finger indicator indicated my oxygen level was low.  The next day my chest and nasal congestion was much worse.  I increased my liquids.  I also had a headache.  ON June 3rd I was not better but June 4th I was dramatically better.  By June 5th I felt like I was improving.  On June 20th I had a virtual visit that had already been scheduled.  The doctor stated that even though my test was negative, based on the symptoms and the outbreak in my apartment building, I definitely had COVID-19.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Night sweats, Oxygen saturation decreased, Pulmonary congestion, SARS-CoV-2 test negative
Clinical narrative: On Sunday, May 29, 2022,  about 7:00pm I was in the hot tub and started feeling exhausted.  I sweated that night in bed.  The next morning I had a bit of chest and nasal congestion.  The next day I didn't go out of my room because I felt lousy.  I did a home COVID-19 test but it was negative for 3 days.  On Wednesday I was having a hard time breathing.  My pulse-ox finger indicator indicated my oxygen level was low.  The next day my chest and nasal congestion was much worse.  I increased my liquids.  I also had a headache.  ON June 3rd I was not better but June 4th I was dramatically better.  By June 5th I felt like I was improving.  On June 20th I had a virtual visit that had already been scheduled.  The doctor stated that even though my test was negative, based on the symptoms and the outbreak in my apartment building, I definitely had COVID-19.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: SOB