chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC13
Symptoms: Incorrect product formulation administered, Product administered to patient of inappropriate age
Clinical narrative: Pt received adult form of Hepatitis A instead of pediatric form.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Patient expired 9/1/2023
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was 2 months too young to receive this vaccine.  Patient's parent was contacted, and mother reports there were no adverse reactions from a year ago that she can recall.
Age: 51.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: none
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection.
Age: 65.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Expired product administered
Clinical narrative: Vaccine given after expiration
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Erythema, Papule, Skin abrasion, Urticaria
Clinical narrative: LINEAR ERYTHEMATOUS EXCORIATIONS LEFT LOWER QUADRANT  ERYTHEMATOUS PAPULES AND HIVES  RIGHT UPPER CHEST
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Influenza, Pain, Spinal pain
Clinical narrative: She got her vaccine, had no reaction.  The next day she woke up with a really bad headache.  It is throbbing, and the shooting pain goes down her spine.  She has contacted her doctor and has an appointment on 9/8/23.  She has taken Tylenol for her symptoms, and is still having the headache.   She also has flu symptoms.  She did have COVID on 8/14/23 and never got tested, but her mother was positive for COVID.  She had flu-like symptoms, but no sharp headaches, achy body and rested and was good in about a week.  She had a temperature of 100, and took Tylenol for it.  That headache was nothing like she has now, and it was on file that she did have COVID 2 weeks prior to the vaccine, but they gave it to her anyway.
Age: 14.0
Sex: M
Vaccine: IPV, MMRV, TDAP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Proquad administered to patient which was above recommended age.  No adverse effects.   No recommendations to revaccinate.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Redness and tenderness at injection site
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Computerised tomogram, Dizziness, Dysstasia, Fall
Clinical narrative: Monday night I got the vaccine. told my arm would be a little sore. Tuesday my arm was really sore and I was nauseated . I went to work, I couldn't find the information sheet on side effects. I googled it and nausea was listed. I was sick to my stomach all day. Got home and got the chills, did not feel good. I also had a headache. Went to bed and then woke up early the next morning sweating really bad. 6am I wen to get up and I fell into the wall. I lay back down and then the room was spinning in a circle and wouldn't stop. I almost blacked out. the spinning wouldn't stop. I tried to get back up and could barely walk, I was so dizzy. I turned my head a little and ended up vomiting severely. I called my mom to get my husband to come home from work. I couldn't stop throwing up. I panicked and had them call EMS. Paramedics said its likely the vaccine in my system fighting it. ER doctor didn't care about the vaccine and told me it was vertigo. I was given medication. The meds did not help. I was still dizzy. I was laid out in the hallway for 8 hours. I had a CAT scan and CT, I saw a neurologist and physical therapist that specialized vertigo. The physical therapist did some tests and the findings were that I did NOT have vertigo. I have never been sick like that ever. I told the doctor I couldn't stand without assistance when he wanted to send me home. He said he couldn't help me. I had the option of rehab but they didn't even diagnose me with anything so I opted to go home. I still cannot get up and function on my own. I tried to call my PCP but she's unavailable until 9/8. (today is 9/5).
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Gait disturbance, Headache, Hyperhidrosis, Loss of consciousness, Loss of personal independence in daily activities
Clinical narrative: Monday night I got the vaccine. told my arm would be a little sore. Tuesday my arm was really sore and I was nauseated . I went to work, I couldn't find the information sheet on side effects. I googled it and nausea was listed. I was sick to my stomach all day. Got home and got the chills, did not feel good. I also had a headache. Went to bed and then woke up early the next morning sweating really bad. 6am I wen to get up and I fell into the wall. I lay back down and then the room was spinning in a circle and wouldn't stop. I almost blacked out. the spinning wouldn't stop. I tried to get back up and could barely walk, I was so dizzy. I turned my head a little and ended up vomiting severely. I called my mom to get my husband to come home from work. I couldn't stop throwing up. I panicked and had them call EMS. Paramedics said its likely the vaccine in my system fighting it. ER doctor didn't care about the vaccine and told me it was vertigo. I was given medication. The meds did not help. I was still dizzy. I was laid out in the hallway for 8 hours. I had a CAT scan and CT, I saw a neurologist and physical therapist that specialized vertigo. The physical therapist did some tests and the findings were that I did NOT have vertigo. I have never been sick like that ever. I told the doctor I couldn't stand without assistance when he wanted to send me home. He said he couldn't help me. I had the option of rehab but they didn't even diagnose me with anything so I opted to go home. I still cannot get up and function on my own. I tried to call my PCP but she's unavailable until 9/8. (today is 9/5).
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Malaise, Nausea, Pain in extremity, Vertigo, Vomiting
Clinical narrative: Monday night I got the vaccine. told my arm would be a little sore. Tuesday my arm was really sore and I was nauseated . I went to work, I couldn't find the information sheet on side effects. I googled it and nausea was listed. I was sick to my stomach all day. Got home and got the chills, did not feel good. I also had a headache. Went to bed and then woke up early the next morning sweating really bad. 6am I wen to get up and I fell into the wall. I lay back down and then the room was spinning in a circle and wouldn't stop. I almost blacked out. the spinning wouldn't stop. I tried to get back up and could barely walk, I was so dizzy. I turned my head a little and ended up vomiting severely. I called my mom to get my husband to come home from work. I couldn't stop throwing up. I panicked and had them call EMS. Paramedics said its likely the vaccine in my system fighting it. ER doctor didn't care about the vaccine and told me it was vertigo. I was given medication. The meds did not help. I was still dizzy. I was laid out in the hallway for 8 hours. I had a CAT scan and CT, I saw a neurologist and physical therapist that specialized vertigo. The physical therapist did some tests and the findings were that I did NOT have vertigo. I have never been sick like that ever. I told the doctor I couldn't stand without assistance when he wanted to send me home. He said he couldn't help me. I had the option of rehab but they didn't even diagnose me with anything so I opted to go home. I still cannot get up and function on my own. I tried to call my PCP but she's unavailable until 9/8. (today is 9/5).
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: VACCINE ADMINISTERED UNDER PUBLIC HEALTH. VACCINE GIVEN TOO EARLY. NO ADVERSE REACTIONS, PER PATIENTS MOTHER.  VAERS REPORT FILED.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: found down on the floor by family memberCOVID-19 results are positive, will start dexamethasone and order CRP levels to determine need for IL-6 inhibitors.
Age: 63.0
Sex: F
Vaccine: RSV
Symptoms: Injection site erythema, Injection site rash, Rash, Rash erythematous
Clinical narrative: red pruritic rash on upper extremity left and left neck and face
Age: 72.0
Sex: F
Vaccine: RSV
Symptoms: Mass, Pain
Clinical narrative: very large and tender lump the lump is still there I got a dark spot in the middle of the lump. The lump is very sore and very painful I am going to see the doctor next week.
Age: 70.0
Sex: M
Vaccine: RSV
Symptoms: Immediate post-injection reaction, Injection site swelling, Sensory disturbance
Clinical narrative: Injection site, about 4 inches down the arm from top of shoulder about 180 degrees from the body.  When injected I didn't feel the needle.  But did have a noticeable sensation of the liquid going in.  So much so I remarked to the tech giving it to me.  She remarked, "It is more than normal.  It also had to be mixed and may be thicker".  Within an hour or two the injection site was noticeably swollen.  The swelling continued throughout the day and evening.  By bedtime the swollen area was a good 3-4 inches in diameter and about 1/2 inch high.  I didn't notice any redness.  It has diminished 6 days latter but is still there though smaller.
Age: 5.0
Sex: F
Vaccine: TDAP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Child came into clinic for school physical/well child/immunizations 6/30/2023. Previous nurse whom no longer works in clinic had prepared immunizations after parental and provider orders were given. I assisted on helping previous nurse enter immunizations into patients chart. Was missed that patient received Tdap instead of Dtap. This was later found out 8/24/2023 after school nurse was going through students immunizations and came across it. Provider contacted mother of patient to notify of error and mother assured patient is asymptomatic. She was appreciated of office reaching out to notify her.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, C-reactive protein increased, COVID-19, Chest X-ray normal, Cough
Clinical narrative: On day of admission patient was extremely weak and lethargic, patient normally ambulates however today he was not able to ambulate and was noted to have a fever, nonproductive cough and generalized weakness Sepsis related to COVID Hypotensive, hypoxic ,tachycardic, fever, however normal white blood cell count Chest x-ray unofficial interpretation negative for acute infiltrate Inflammatory markers elevated CRP 14.5
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Gait inability, Hypotension, Hypoxia, Inflammatory marker increased, Lethargy
Clinical narrative: On day of admission patient was extremely weak and lethargic, patient normally ambulates however today he was not able to ambulate and was noted to have a fever, nonproductive cough and generalized weakness Sepsis related to COVID Hypotensive, hypoxic ,tachycardic, fever, however normal white blood cell count Chest x-ray unofficial interpretation negative for acute infiltrate Inflammatory markers elevated CRP 14.5
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Sepsis, Tachycardia, White blood cell count normal
Clinical narrative: On day of admission patient was extremely weak and lethargic, patient normally ambulates however today he was not able to ambulate and was noted to have a fever, nonproductive cough and generalized weakness Sepsis related to COVID Hypotensive, hypoxic ,tachycardic, fever, however normal white blood cell count Chest x-ray unofficial interpretation negative for acute infiltrate Inflammatory markers elevated CRP 14.5
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: PATIENT HAD NO REACTION TO THE IMMUNIZATION BUT WAS GIVEN THE BEXERO VACCINE GIVEN TOO EARLY. PARENT AND PATIENT ARE  AWARE A SECOND DOSE WILL BE REQUIRED WHEN SHE REACHES THE APPROPRIATE AGE.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection  Vaccine Site: - . HEALTH DEPT.
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hepatic pain, Lymphadenopathy, Renal pain
Clinical narrative: Extremely large swollen lymph nodes. Especially in neck and armpit/breast. Pain to kidnies use and liver
Age: 79.0
Sex: F
Vaccine: RSV
Symptoms: Injection site pain, Myalgia, Pain in extremity
Clinical narrative: soreness at injection site for 2 days Muscle pain feet ,legs ,arms
Age: 69.0
Sex: F
Vaccine: RSV
Symptoms: Injection site pain, Pruritus, Type IV hypersensitivity reaction, Urticaria
Clinical narrative: I HAD LEFT ARM PAIN AT INJECTION SITE FOR TWO WEEKS (I took Tylenol) - WITHIN 24 HOURS I HAD A DELAYED SENSITIVITY REACTION SCATTERED HIVES AND ITCHING  (I am a RN and just took Benadryl 50 mg with Pepcid 40 mg po around the clock for 48 hours)
Age: 1.17
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMR, PNC15, VARCEL
Symptoms: Expired product administered
Clinical narrative: The Hib vaccine was expired.  I did not notice it until the patient had left.  A new copy of their immunization record was sent to Mom and explained to Mom what had happened.  They are moving so I wanted them to have a current, accurate record.
Age: 14.0
Sex: M
Vaccine: HEPA, MNQ, TDAP
Symptoms: Dysstasia, Hyperhidrosis, Syncope, Vision blurred
Clinical narrative: Client and family were exiting the facility when the client became unsteady on his feet and had an episode of syncope. Family helped client to the ground. Client had received 3 vaccines and a TB skin test. We assessed client and father helped client to an upright position and placed him in a chair. Client was diaphoretic. We gave him 2 bottles of juice. Vitals signs were taken at 2:19pm: BP75/30, HR 65. (per machine). BP rechecked manually at 2:25pm and was 110/56. Client did c/o blurry vision at the time he had the syncope episode. Family refused ambulance service. Client recovered and went home with family. Family given instructions to take BP every hour and drink lots of water by nurse practitioner and if in doubt take client to urgent care or ER for follow up.
Age: 64.0
Sex: M
Vaccine: RSV
Symptoms: Injection site erythema, Injection site inflammation
Clinical narrative: Redness and inflammation around the injection site.  No treatment sought.  Symptoms lessening each day.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head abnormal, Thalamic infarction, Thalamic stroke
Clinical narrative: Right thalamic stroke 9/9/21
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: Urticaria
Clinical narrative: HIVES  a few weeks after 1st dose
Age: 50.0
Sex: F
Vaccine: MNQ
Symptoms: Erythema, Fatigue, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: 8/13/23:  Fatigue, right arm painful, red, hot area 12 x 9 cm below injection site. 8/14/23:  Slightly less fatigue, right arm painful, red hot area 12 x 9 cm below injection site.  Bottom half of area darker red and itchy but no rash. 8/15/23: Fatigue subsided, only bottom half of affected area remains red and  has now extended another 3 cm down arm toward hand.  Itchy and painful but less hot, no rash. 8/16/23:  Redness mostly gone.  Area still tender and slight itch remains. 8/17/23 and beyond:  Symptoms continued to dissipate over the next several days.  Itchy sensation lingered for about 8/20/23.
Age: 50.0
Sex: F
Vaccine: MNQ
Symptoms: Injection site warmth, Pain in extremity
Clinical narrative: 8/13/23:  Fatigue, right arm painful, red, hot area 12 x 9 cm below injection site. 8/14/23:  Slightly less fatigue, right arm painful, red hot area 12 x 9 cm below injection site.  Bottom half of area darker red and itchy but no rash. 8/15/23: Fatigue subsided, only bottom half of affected area remains red and  has now extended another 3 cm down arm toward hand.  Itchy and painful but less hot, no rash. 8/16/23:  Redness mostly gone.  Area still tender and slight itch remains. 8/17/23 and beyond:  Symptoms continued to dissipate over the next several days.  Itchy sensation lingered for about 8/20/23.
Age: 78.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister
Clinical narrative: blisters all over body
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Hyperhidrosis, Immediate post-injection reaction, Pallor, Syncope
Clinical narrative: Patient became light headed, pale, and diaphoretic immediately after receiving vaccine.  Patient had a syncopal episode and recovered after 3 minutes.
Age: 7.0
Sex: M
Vaccine: DTAP
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was administered Dtap instead of Tdap. Pt should of received Tdap. Patient has not experienced any adverse reaction to date.
Age: 51.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Headache, Lymph node pain, Lymphadenopathy, Nausea
Clinical narrative: Fever and chills x 12 hours Severe headache x 5 days Enlarged supraclavicular lymph nodes bilaterally Tender axillary lymph nodes bilaterally Nausea x 5 days
Age: 51.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia
Clinical narrative: Fever and chills x 12 hours Severe headache x 5 days Enlarged supraclavicular lymph nodes bilaterally Tender axillary lymph nodes bilaterally Nausea x 5 days
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: Injection site pain, Pain
Clinical narrative: Patient vaccinated at a clinic on 8/9/23 and seen by me at a different clinic on 9/5/23.  Pain at injection site for approximately 5 days.  Symptom resolved and patient has been experiencing pain without paresthesia or decreased motor function at the injection site over the past couple weeks.   Patient with pain upon palpation and with movement of arm. No scar tissue.  Pain is starting to subside.
Age: 64.0
Sex: M
Vaccine: HEP, MMR, VARCEL
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was supposed to get Varicella vaccine and was accidentally given MMR by healthcare provider in clinic. No adverse reactions noted during time patient was present. Varicella and Hep B vaccine were given at same visit.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, Arteriogram carotid normal, Asthenia, COVID-19, Cough
Clinical narrative: Patient is a 71 y.o. female with a history of CAD,NSVTand OSA who presented to ED with subacute viral syndrome and generalized weakness with Left more than right found to have CTA H/N nonacute, COVID + thus transferred 7/31/2023 for further neuro eval.    1. Transient neurological symptoms: Suspect related to viral syndrome. CTA H/N without LVO, CVA. Initially planned MRI - however with rapid  clinical improvement  per discussion with neurology cancelled MRI. Neurology recommended PCP follow up.  2. COVID Infection: Present on admit, symptomatic 7/26/23 with dyspnea and cough. Initially required 2-3 L O2, but was weaned off and discontinued steroids and remdesevir 3. CAD: S/p LAD and PDA dissection in 2014. Followed w/ Dr. Previously on ASA. Myalgias with statin.  4. OSA: NPPV at bedtime.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Neurological symptom, SARS-CoV-2 test positive, Viral infection
Clinical narrative: Patient is a 71 y.o. female with a history of CAD,NSVTand OSA who presented to ED with subacute viral syndrome and generalized weakness with Left more than right found to have CTA H/N nonacute, COVID + thus transferred 7/31/2023 for further neuro eval.    1. Transient neurological symptoms: Suspect related to viral syndrome. CTA H/N without LVO, CVA. Initially planned MRI - however with rapid  clinical improvement  per discussion with neurology cancelled MRI. Neurology recommended PCP follow up.  2. COVID Infection: Present on admit, symptomatic 7/26/23 with dyspnea and cough. Initially required 2-3 L O2, but was weaned off and discontinued steroids and remdesevir 3. CAD: S/p LAD and PDA dissection in 2014. Followed w/ Dr. Previously on ASA. Myalgias with statin.  4. OSA: NPPV at bedtime.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood culture, Blood pressure increased, COVID-19, Cough
Clinical narrative: HPI Patient is 83 years old with past medical history of asthma, congestive heart failure, aortic valve replacement, hyperlipidemia, interstitial lung disease, rheumatoid arthritis presented to the hospital with a chief complaint of shortness of breath, and diarrhea associated with generalized weakness and fatigue.  Patient was found to have COVID yesterday morning.  She was initiated on Paxlovid by her PCP.  Patient recently had a total hip replacement.  She has not been moving much and stayed in bed and subsequently developed decub ulcer in the back.  She currently has a wound VAC.  Patient has not been eating or drinking much.  She was initiated on prednisone daily which she has been taking.  When seen, patient was resting in bed comfortably.  Otherwise patient has no fever, chills, chest pain, abdominal pain, nausea, vomiting, difficulty with urination, dysuria.  Admits to dry cough.   In the ED, patient was given a bolus normal saline 500 cc.HPI per admitting nocturnist     Clinical Summary   Clinical course Include/ Problem list COVID infection Dyspnea Hx Interstitial lung disease and Bronchiectasis HX Asthma and COPD COPD with chronic respiratory failure - Home Covid test positive on 8/11. - Continue Dexamethasone - Patient received 2 doses of Paxlovid OP prior to arrival - She is at baseline oxygen 2-3 liters - Blood cultures pending - Pulmonology consult, recommendations appreciated - Continue albuterol, incentive spirometer and supportive care - Procal 0.13 will hold off on antibiotics as this is likely viral  - Special isolation     Leukopenia likely 2/2 Covid/resolved - CBC in AM, will monitor Weakness General weakness with reduced mobility, POA - PT and social consult, PT recommended continued therapy at DC - Family and patient are interested in SNF for therapy at discharge     Diarrhea rule out C. Difficile vs Side Effect Paxlovid - Cdiff and Stool PCR pending - No BM since arrival to hospital. Diarrhea started after taking Paxlovid at home.      Elevated blood pressureno prior history of hypertension - BP improved from admission currently 119/77 - Continue Amlodipine, will add hold parameters  Continue Hydralazine PRN SBP greater than 160 - May need antihypertensive at DC, however will monitor as hypertension could be 2/2 acute infection/illness Hydralazine was given scheduled every 8 hours during patient's admission.  Patient be discharged with hydralazine and a blood pressure kit with instructions to hold if systolic blood pressures less than 110.    Decubitus ulcer stage 4, POA - Wound Vac in place - Consult wound care     Anxiety/depression - Continue Home Lexapro - Will add Hydroxyzine PRN anxiety     CHFcurrently compensated Aortic Stenosis S/p TAVR in 2018 - Echocardiogram ordered and pending - Previous Echo from April 2023 shows EF 55-60%, Severely dilated left atrium. TAVR well seated and function normal. - Cardiology consulted - Continue home ASA and betablocker
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Decubitus ulcer, Diarrhoea, Dyspnoea, Echocardiogram abnormal
Clinical narrative: HPI Patient is 83 years old with past medical history of asthma, congestive heart failure, aortic valve replacement, hyperlipidemia, interstitial lung disease, rheumatoid arthritis presented to the hospital with a chief complaint of shortness of breath, and diarrhea associated with generalized weakness and fatigue.  Patient was found to have COVID yesterday morning.  She was initiated on Paxlovid by her PCP.  Patient recently had a total hip replacement.  She has not been moving much and stayed in bed and subsequently developed decub ulcer in the back.  She currently has a wound VAC.  Patient has not been eating or drinking much.  She was initiated on prednisone daily which she has been taking.  When seen, patient was resting in bed comfortably.  Otherwise patient has no fever, chills, chest pain, abdominal pain, nausea, vomiting, difficulty with urination, dysuria.  Admits to dry cough.   In the ED, patient was given a bolus normal saline 500 cc.HPI per admitting nocturnist     Clinical Summary   Clinical course Include/ Problem list COVID infection Dyspnea Hx Interstitial lung disease and Bronchiectasis HX Asthma and COPD COPD with chronic respiratory failure - Home Covid test positive on 8/11. - Continue Dexamethasone - Patient received 2 doses of Paxlovid OP prior to arrival - She is at baseline oxygen 2-3 liters - Blood cultures pending - Pulmonology consult, recommendations appreciated - Continue albuterol, incentive spirometer and supportive care - Procal 0.13 will hold off on antibiotics as this is likely viral  - Special isolation     Leukopenia likely 2/2 Covid/resolved - CBC in AM, will monitor Weakness General weakness with reduced mobility, POA - PT and social consult, PT recommended continued therapy at DC - Family and patient are interested in SNF for therapy at discharge     Diarrhea rule out C. Difficile vs Side Effect Paxlovid - Cdiff and Stool PCR pending - No BM since arrival to hospital. Diarrhea started after taking Paxlovid at home.      Elevated blood pressureno prior history of hypertension - BP improved from admission currently 119/77 - Continue Amlodipine, will add hold parameters  Continue Hydralazine PRN SBP greater than 160 - May need antihypertensive at DC, however will monitor as hypertension could be 2/2 acute infection/illness Hydralazine was given scheduled every 8 hours during patient's admission.  Patient be discharged with hydralazine and a blood pressure kit with instructions to hold if systolic blood pressures less than 110.    Decubitus ulcer stage 4, POA - Wound Vac in place - Consult wound care     Anxiety/depression - Continue Home Lexapro - Will add Hydroxyzine PRN anxiety     CHFcurrently compensated Aortic Stenosis S/p TAVR in 2018 - Echocardiogram ordered and pending - Previous Echo from April 2023 shows EF 55-60%, Severely dilated left atrium. TAVR well seated and function normal. - Cardiology consulted - Continue home ASA and betablocker
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hip arthroplasty, Left atrial dilatation, Leukopenia, Mobility decreased
Clinical narrative: HPI Patient is 83 years old with past medical history of asthma, congestive heart failure, aortic valve replacement, hyperlipidemia, interstitial lung disease, rheumatoid arthritis presented to the hospital with a chief complaint of shortness of breath, and diarrhea associated with generalized weakness and fatigue.  Patient was found to have COVID yesterday morning.  She was initiated on Paxlovid by her PCP.  Patient recently had a total hip replacement.  She has not been moving much and stayed in bed and subsequently developed decub ulcer in the back.  She currently has a wound VAC.  Patient has not been eating or drinking much.  She was initiated on prednisone daily which she has been taking.  When seen, patient was resting in bed comfortably.  Otherwise patient has no fever, chills, chest pain, abdominal pain, nausea, vomiting, difficulty with urination, dysuria.  Admits to dry cough.   In the ED, patient was given a bolus normal saline 500 cc.HPI per admitting nocturnist     Clinical Summary   Clinical course Include/ Problem list COVID infection Dyspnea Hx Interstitial lung disease and Bronchiectasis HX Asthma and COPD COPD with chronic respiratory failure - Home Covid test positive on 8/11. - Continue Dexamethasone - Patient received 2 doses of Paxlovid OP prior to arrival - She is at baseline oxygen 2-3 liters - Blood cultures pending - Pulmonology consult, recommendations appreciated - Continue albuterol, incentive spirometer and supportive care - Procal 0.13 will hold off on antibiotics as this is likely viral  - Special isolation     Leukopenia likely 2/2 Covid/resolved - CBC in AM, will monitor Weakness General weakness with reduced mobility, POA - PT and social consult, PT recommended continued therapy at DC - Family and patient are interested in SNF for therapy at discharge     Diarrhea rule out C. Difficile vs Side Effect Paxlovid - Cdiff and Stool PCR pending - No BM since arrival to hospital. Diarrhea started after taking Paxlovid at home.      Elevated blood pressureno prior history of hypertension - BP improved from admission currently 119/77 - Continue Amlodipine, will add hold parameters  Continue Hydralazine PRN SBP greater than 160 - May need antihypertensive at DC, however will monitor as hypertension could be 2/2 acute infection/illness Hydralazine was given scheduled every 8 hours during patient's admission.  Patient be discharged with hydralazine and a blood pressure kit with instructions to hold if systolic blood pressures less than 110.    Decubitus ulcer stage 4, POA - Wound Vac in place - Consult wound care     Anxiety/depression - Continue Home Lexapro - Will add Hydroxyzine PRN anxiety     CHFcurrently compensated Aortic Stenosis S/p TAVR in 2018 - Echocardiogram ordered and pending - Previous Echo from April 2023 shows EF 55-60%, Severely dilated left atrium. TAVR well seated and function normal. - Cardiology consulted - Continue home ASA and betablocker
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Procalcitonin, SARS-CoV-2 test positive, Wound closure
Clinical narrative: HPI Patient is 83 years old with past medical history of asthma, congestive heart failure, aortic valve replacement, hyperlipidemia, interstitial lung disease, rheumatoid arthritis presented to the hospital with a chief complaint of shortness of breath, and diarrhea associated with generalized weakness and fatigue.  Patient was found to have COVID yesterday morning.  She was initiated on Paxlovid by her PCP.  Patient recently had a total hip replacement.  She has not been moving much and stayed in bed and subsequently developed decub ulcer in the back.  She currently has a wound VAC.  Patient has not been eating or drinking much.  She was initiated on prednisone daily which she has been taking.  When seen, patient was resting in bed comfortably.  Otherwise patient has no fever, chills, chest pain, abdominal pain, nausea, vomiting, difficulty with urination, dysuria.  Admits to dry cough.   In the ED, patient was given a bolus normal saline 500 cc.HPI per admitting nocturnist     Clinical Summary   Clinical course Include/ Problem list COVID infection Dyspnea Hx Interstitial lung disease and Bronchiectasis HX Asthma and COPD COPD with chronic respiratory failure - Home Covid test positive on 8/11. - Continue Dexamethasone - Patient received 2 doses of Paxlovid OP prior to arrival - She is at baseline oxygen 2-3 liters - Blood cultures pending - Pulmonology consult, recommendations appreciated - Continue albuterol, incentive spirometer and supportive care - Procal 0.13 will hold off on antibiotics as this is likely viral  - Special isolation     Leukopenia likely 2/2 Covid/resolved - CBC in AM, will monitor Weakness General weakness with reduced mobility, POA - PT and social consult, PT recommended continued therapy at DC - Family and patient are interested in SNF for therapy at discharge     Diarrhea rule out C. Difficile vs Side Effect Paxlovid - Cdiff and Stool PCR pending - No BM since arrival to hospital. Diarrhea started after taking Paxlovid at home.      Elevated blood pressureno prior history of hypertension - BP improved from admission currently 119/77 - Continue Amlodipine, will add hold parameters  Continue Hydralazine PRN SBP greater than 160 - May need antihypertensive at DC, however will monitor as hypertension could be 2/2 acute infection/illness Hydralazine was given scheduled every 8 hours during patient's admission.  Patient be discharged with hydralazine and a blood pressure kit with instructions to hold if systolic blood pressures less than 110.    Decubitus ulcer stage 4, POA - Wound Vac in place - Consult wound care     Anxiety/depression - Continue Home Lexapro - Will add Hydroxyzine PRN anxiety     CHFcurrently compensated Aortic Stenosis S/p TAVR in 2018 - Echocardiogram ordered and pending - Previous Echo from April 2023 shows EF 55-60%, Severely dilated left atrium. TAVR well seated and function normal. - Cardiology consulted - Continue home ASA and betablocker
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute kidney injury, Acute respiratory failure, Blood creatinine increased, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient is a 66 y.o. male patient of, MD with history of hypertension hyperlipidemia diabetes mellitus and degenerative joint disease, is known for chronic kidney disease stage III with baseline creatinine 1.4-1.5 and GFR 35-40, previous back surgery, benign prostatic hypertrophy chronic obstructive pulmonary disease, history of psoriasis and erectile dysfunction and is status post left knee replacement is here due to shortness of breath was found to have COVID positive about 2 days ago, hypoxic on arrival to the emergency department today with oxygen saturation at 75 at room air, will maintain oxygen saturation at 4 L nasal cannula, chest x-ray showed no acute findings, noticed also rising creatinine up to 2.0   Acute hypoxic respiratory failure COVID-19 respiratory infection with pneumonia Onset 4 days ago.  Reports being vaccinated x2. CTPA reviewed no PE patchy bilateral nodular groundglass infiltrate noted. Required 2 L O2 while here. Was treated with Decadron and remdesivir, renal dose. Ultimately he was taken off oxygen after 3 days and did well ambulating. Okay to discharge home today, continue isolate for total 10 days since symptom onset.   Acute kidney injury on CKDb Prerenal azotemia COVID mediated Baseline creatinine around 1.5.  Creatinine on admission 2.08. Improving with some hydration. Resume Benicar and hydrochlorothiazide at discharge.    Hypertension Resume Benicar hydrochlorothiazide, amlodipine and carvedilol   Hyperlipidemia On statin therapy   Diabetes mellitus On metformin   Benign prostatic hypertrophy On Flomax
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chest X-ray normal, Dehydration, Dyspnoea, Glomerular filtration rate, Hypoxia
Clinical narrative: Patient is a 66 y.o. male patient of, MD with history of hypertension hyperlipidemia diabetes mellitus and degenerative joint disease, is known for chronic kidney disease stage III with baseline creatinine 1.4-1.5 and GFR 35-40, previous back surgery, benign prostatic hypertrophy chronic obstructive pulmonary disease, history of psoriasis and erectile dysfunction and is status post left knee replacement is here due to shortness of breath was found to have COVID positive about 2 days ago, hypoxic on arrival to the emergency department today with oxygen saturation at 75 at room air, will maintain oxygen saturation at 4 L nasal cannula, chest x-ray showed no acute findings, noticed also rising creatinine up to 2.0   Acute hypoxic respiratory failure COVID-19 respiratory infection with pneumonia Onset 4 days ago.  Reports being vaccinated x2. CTPA reviewed no PE patchy bilateral nodular groundglass infiltrate noted. Required 2 L O2 while here. Was treated with Decadron and remdesivir, renal dose. Ultimately he was taken off oxygen after 3 days and did well ambulating. Okay to discharge home today, continue isolate for total 10 days since symptom onset.   Acute kidney injury on CKDb Prerenal azotemia COVID mediated Baseline creatinine around 1.5.  Creatinine on admission 2.08. Improving with some hydration. Resume Benicar and hydrochlorothiazide at discharge.    Hypertension Resume Benicar hydrochlorothiazide, amlodipine and carvedilol   Hyperlipidemia On statin therapy   Diabetes mellitus On metformin   Benign prostatic hypertrophy On Flomax
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient is a 66 y.o. male patient of, MD with history of hypertension hyperlipidemia diabetes mellitus and degenerative joint disease, is known for chronic kidney disease stage III with baseline creatinine 1.4-1.5 and GFR 35-40, previous back surgery, benign prostatic hypertrophy chronic obstructive pulmonary disease, history of psoriasis and erectile dysfunction and is status post left knee replacement is here due to shortness of breath was found to have COVID positive about 2 days ago, hypoxic on arrival to the emergency department today with oxygen saturation at 75 at room air, will maintain oxygen saturation at 4 L nasal cannula, chest x-ray showed no acute findings, noticed also rising creatinine up to 2.0   Acute hypoxic respiratory failure COVID-19 respiratory infection with pneumonia Onset 4 days ago.  Reports being vaccinated x2. CTPA reviewed no PE patchy bilateral nodular groundglass infiltrate noted. Required 2 L O2 while here. Was treated with Decadron and remdesivir, renal dose. Ultimately he was taken off oxygen after 3 days and did well ambulating. Okay to discharge home today, continue isolate for total 10 days since symptom onset.   Acute kidney injury on CKDb Prerenal azotemia COVID mediated Baseline creatinine around 1.5.  Creatinine on admission 2.08. Improving with some hydration. Resume Benicar and hydrochlorothiazide at discharge.    Hypertension Resume Benicar hydrochlorothiazide, amlodipine and carvedilol   Hyperlipidemia On statin therapy   Diabetes mellitus On metformin   Benign prostatic hypertrophy On Flomax
Age: 2.0
Sex: F
Vaccine: MMRV, VARCEL
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Child received a proquad which contains varicella as well as a separate varicella vaccine same day. This resulted in a double dose of Varicells. Proquad was intended to be a MMR but was given as Proquad by mistake.
Age: 28.0
Sex: F
Vaccine: HPV9
Symptoms: Pain, Urticaria
Clinical narrative: hives and local pain
Age: 24.0
Sex: M
Vaccine: TDAP
Symptoms: Injection site induration, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: Two days after the injection, pt had increased pain and some swelling on left arm that has continued into today 9.5.23. States when he lifts his arm it hurts. When he touches injection site, area feels firm. Pt did not take any pain medications or iced the area.
Age: 31.0
Sex: F
Vaccine: UNK
Symptoms: Rash
Clinical narrative: Rash all over body
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Feeling hot, Loss of consciousness
Clinical narrative: The patient reported filling dizzy within a few minutes after vaccine. I instructed her to put her head between legs. She sat back up and said she felt hot so I got her some water. She said she was feeling better so I asked her to stay seated by her husband and I would give her a minute to see if she improved. He called me bac to the room because she passed out and was leaning on him. She was speaking but very weakly. She asked to be put on the floor. We lowered her down to the floor. I applied cold packs around her head and got a fan. We called EMS. Her pulse was normal and when a nurse arrived her blood pressure was okay. Ems took her to the hospital.
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Dysphonia, Dyspnoea
Clinical narrative: 5-7 minutes after vaccine administration, patient experienced shortness of breath, dizziness, hoarse voice. Immediate improvement after epinephrine was administered
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Arthralgia, Mobility decreased, Muscle spasms, Neck pain, Pain
Clinical narrative: Pain and loss of range of motion of the arm/shoulder 19 days post injection. Difficulty sleeping due to pain and inability to lay to the side. Upon waking, arm is almost locked down and painful to move. Ongoing- Have to use other hand to fully elevate the affected  arm above my head and discomfort is noted. Then when arm depresses or turns inward and moved to midline more shooting pain is noted. A dull ache extends to the back of the same shoulder and up the side of the neck. Back spasm noted between shoulder blades lasted 2 days on days 15&16.  Treatments tried includes: heat and ice to the affected arm, icy hot gel applied, range of motion and massage, rest and 800mg ibuprofen taken at least twice a day.  Ibuprofen is found to be helpful but cannot be used long term.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Sleep disorder
Clinical narrative: Pain and loss of range of motion of the arm/shoulder 19 days post injection. Difficulty sleeping due to pain and inability to lay to the side. Upon waking, arm is almost locked down and painful to move. Ongoing- Have to use other hand to fully elevate the affected  arm above my head and discomfort is noted. Then when arm depresses or turns inward and moved to midline more shooting pain is noted. A dull ache extends to the back of the same shoulder and up the side of the neck. Back spasm noted between shoulder blades lasted 2 days on days 15&16.  Treatments tried includes: heat and ice to the affected arm, icy hot gel applied, range of motion and massage, rest and 800mg ibuprofen taken at least twice a day.  Ibuprofen is found to be helpful but cannot be used long term.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Cerebral venous sinus thrombosis, Cerebrovascular accident, Death, Haemorrhage intracranial
Clinical narrative: She developed signs of a CVA on or about May 6 following her vaccination series.   In the hospital she was found to have a Cerebral Venous sinus thrombosis.  She underwent intralumenal clot removal and was put on anti-coagulants.  Her post operative course was complicated by further intracranial bleeding or clotting depending on how her coagulation status went.  She slowly succumbed to these and was put on hospice after a week and sent home and passed away soon after.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Thrombectomy
Clinical narrative: She developed signs of a CVA on or about May 6 following her vaccination series.   In the hospital she was found to have a Cerebral Venous sinus thrombosis.  She underwent intralumenal clot removal and was put on anti-coagulants.  Her post operative course was complicated by further intracranial bleeding or clotting depending on how her coagulation status went.  She slowly succumbed to these and was put on hospice after a week and sent home and passed away soon after.
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Rash, Skin discolouration, Skin warm, Swelling
Clinical narrative: Rash/ raised red area the is warm to the touch. Also small black spot in the middle
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat tightness, Vaccine positive rechallenge
Clinical narrative: Throat started to close slightly with first Covid vaccination after 20 minutes Throat started to close within 5 minutes with second Covid vaccination.
Age: 60.0
Sex: F
Vaccine: FLUA4, RSV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient 60 years old received shot approved for those 65 years and older.
Age: 64.0
Sex: M
Vaccine: FLUA4, RSV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient 64 years old received shot approved for those 65 years and older.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Almost immediate ringing in ears
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong product administered
Clinical narrative: Patient received regular does of influenze, needed 65+ formulation
Age: 46.0
Sex: F
Vaccine: VARZOS
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: PATIENT WAS GIVEN SHINGRIX VACCINE WHICH IS INDICATED FOR PATIENTS OVER THE AGE OF 50. THE PATIENT WAS ONLY 46 AT TIME OF VACCINATION. SHE DOES NOT REPORT ANY ADVERSE REACTION TO THE VACCINE BUT IS CONCERNED THAT IT MAY BE HARMFUL DUE TO LACK OF INDICATION.
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoaesthesia, Injection site swelling
Clinical narrative: Pt stated following day after the vaccine, there was swelling at injection site and numbness going down the arm and leg (starting at the thigh).  Numbness lasted for 2 days.  Pt did not take any medication or seek any medical attention.  After two days, pt regained sensations again.
Age: 5.0
Sex: M
Vaccine: MMRV
Symptoms: Pyrexia, Rash
Clinical narrative: 8-4- visit office 9/5/2023 with rash all over the body mostly on face and central part of body. Per mother, pt developed rash following fever and (illegible) 8/26/2023, did not go to the ER (illegible) 9/1/2023
Age: 59.0
Sex: M
Vaccine: UNK
Symptoms: Epistaxis, Headache, Oral mucosal eruption, Pyrexia
Clinical narrative: pt reported : fever, oral rash, headache, bloody nasal discharge
Age: 77.0
Sex: M
Vaccine: FLUA4
Symptoms: Influenza like illness, Injection site pain, Mobility decreased, Pain, Pain in extremity
Clinical narrative: Patient said she felt sever pain when the vaccine was injected in to him (he said he felt no pain when the needle went in, the pain started as soon as the vaccine was being push in) This pain at injection site did not subside until about 3 days later and the patient described as severe pain.   He also said he felt flu like symptoms but more to the severe side  He felt generalized body ache but severe and almost can not move   He described having severe leg pain  He thought of going to ER at one point.
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Injection site rash
Clinical narrative: rash in deltoid area after vaccination R arm
Sex: U
Vaccine: VARZOS
Symptoms: Mental disorder
Clinical narrative: Mental Blur; This case was reported by a consumer via call center representative and described the occurrence of mental disorder in a adult patient who received Herpes zoster (Shingrix) for prophylaxis.   On an unknown date, the patient received the 2nd dose of Shingrix. On an unknown date, unknown after receiving Shingrix, the patient experienced mental disorder. On an unknown date, the outcome of the mental disorder was unknown.   It was unknown if the reporter considered the mental disorder to be related to Shingrix.  Additional details were provided as follows: The age at vaccination was not reported. The age group was captured as adult as per vaccine indication. The patient experienced mental blur after receiving Shingrix. The reporter consented to follow up. This is 1 of the 6 cases reported by the same reporter.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Drug ineffective
Clinical narrative: Treatment of COVID-19; Treatment of COVID-19; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 58-year-old male patient received BNT162b2 (BNT162B2), on 20Feb2021 at 10:00 as dose 1, single (Lot number: EN6202), in left arm, on 15Mar2021 at 10:00 as dose 2, single (Lot number: EN6208), in left arm and on 09Oct2021 at 12:00 as dose 3 (booster), single (Lot number: 30145BA) at the age of 56 years, in left arm for covid-19 immunisation; elasomeran (MODERNA COVID-19 VACCINE), on 21Feb2023 at 12:00 as dose 4 (booster), single (Lot number: 065H22A) for covid-19 immunisation. The patient's relevant medical history included: "Heart disease" (unspecified if ongoing); "known allergies: Escargot" (unspecified if ongoing), notes: known allergies: Escargot. The patient's concomitant medications were not reported. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset Aug2023, outcome "unknown" and all described as "Treatment of COVID-19". Therapeutic measures were taken as a result of drug ineffective, covid-19.