chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, Chest X-ray normal, Chills, Cough
Clinical narrative: Patients is fully vaccinated.  COVID+ on admission to ED. Presents with cough, fever, shore throat. body aches for the past 3 days.Positive for headaches. She works in healthcare and has other members of her department test + COVID recently.  Medications given:  toradol, tessalon, cepacol, lozenge. Supportive care. referred for monoclonal ATB clinic. Discharged from ED. Presented back to the hospital on 1/10/2022.  51-year-old female with past medical history of lupus, hypertension, asthma, recently diagnosed with COVID in January 3rd, received monoclonal, presented to the hospital with shortness of breath, some fever, chills, cough.  X-ray of the chest, no acute process.  EKG showed sinus tachycardia. Received treatment with Decadron and Lovenox. Improved in presentation and discharged home.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram abnormal, Exposure to SARS-CoV-2, Headache, Oropharyngeal pain
Clinical narrative: Patients is fully vaccinated.  COVID+ on admission to ED. Presents with cough, fever, shore throat. body aches for the past 3 days.Positive for headaches. She works in healthcare and has other members of her department test + COVID recently.  Medications given:  toradol, tessalon, cepacol, lozenge. Supportive care. referred for monoclonal ATB clinic. Discharged from ED. Presented back to the hospital on 1/10/2022.  51-year-old female with past medical history of lupus, hypertension, asthma, recently diagnosed with COVID in January 3rd, received monoclonal, presented to the hospital with shortness of breath, some fever, chills, cough.  X-ray of the chest, no acute process.  EKG showed sinus tachycardia. Received treatment with Decadron and Lovenox. Improved in presentation and discharged home.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive, Sinus tachycardia
Clinical narrative: Patients is fully vaccinated.  COVID+ on admission to ED. Presents with cough, fever, shore throat. body aches for the past 3 days.Positive for headaches. She works in healthcare and has other members of her department test + COVID recently.  Medications given:  toradol, tessalon, cepacol, lozenge. Supportive care. referred for monoclonal ATB clinic. Discharged from ED. Presented back to the hospital on 1/10/2022.  51-year-old female with past medical history of lupus, hypertension, asthma, recently diagnosed with COVID in January 3rd, received monoclonal, presented to the hospital with shortness of breath, some fever, chills, cough.  X-ray of the chest, no acute process.  EKG showed sinus tachycardia. Received treatment with Decadron and Lovenox. Improved in presentation and discharged home.
Age: 15.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Acute COVID infection
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Third dose of Moderna COVID vaccine given was 0.5 mL, instead of 0.25 mg for non-immunocompromised pts. Per CDC's definition, pt is not severely immunocompromised. Pt reported no adverse reactions.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Child given a Booster of Moderna instead of 1st dose pediatric Pfizer vaccine.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Approximately 5 minutes after receiving the vaccine, the client called out for help. He reported feeling like he was going to faint. He then did lose consciousness while seated in the chair. He remained upright with minimal assistance and regained consciousness after approximately 30 seconds. No injury to the client. He remained in clinic for another 10 minutes, drank juice and water, and left clinic independently.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Dyspnoea, Echocardiogram, Pulmonary embolism
Clinical narrative: Shortness of breath leading to hospitalization for acute pulmonary embolisms
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary thrombosis, Thrombosis, X-ray
Clinical narrative: Shortness of breath leading to hospitalization for acute pulmonary embolisms
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: HOSPITALIZATION
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Facial discomfort, Head discomfort, Nasal discharge discolouration, Sinusitis
Clinical narrative: 05/23 I had pressure in forehead and cheek as well as discolored discharge from nasal cavity. This is common for me as the weather changes or stress causes my sinusitis to flare up. I rinsed and used my antihistamine for about a week before deciding to seek medical assistance. Talked with NP and got  Augmentin to clear up sinus infection and it worked. No follow-up and was recovered by 06/07. No other issues to report.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Interchange of vaccine products, Throat clearing, Throat irritation
Clinical narrative: The patient was seen in clinic for a COVID booster vaccine. Patient stated she received J&J on 04-11-2022 at local facility. She stated that 35 minutes after she received her vaccine she started to have itching and tightness to her throat. Per her Allergist, she was recommended to receive Pfizer or Moderna as her booster and to take an extra dose of Zyrtec prior to vaccination. Patient reported taking extra dose of Zyrtec prior to vaccination. Per Allergist, patient was recommended to come to a Public Health Center for Pfizer vaccination. The patient's history was reviewed with providers and was OK to give vaccine. The patient received Pfizer on left arm at 12:54 pm and was instructed to wait for one hour to be monitored. At 1:21 pm, patient noted having mild itchiness to her throat, but was not c/o SOB. She was still awake, alert, able to speak, and answer questions. At 1:26 pm, patient was coughing and clearing her throat. She stated she felt her throat a little tight with a little more itchiness. MD was notified at 1:29 of the patient's symptoms. At 1:32 pm, MD assessed patient and instructed Benadryl 50 mg to be administered. Benadryl 50 mg was given at 1:38 pm to right arm. Patient was monitored and at 2:00 pm, patient was stating that she has feeling less itchiness to her throat. At 2:15 pm, the patient continue to state she was feeling better. By 2:31 pm, she no longer felt any more symptoms. MD was notified and patient was assessed again before being discharged. Patient was advised to call husband to pick her up. She left the clinic at 2:45 pm, with her husband she was awake, alert, and orient. Was instructed if she had any more symptoms to go to ER. Patient and husband verbalized understanding. VS Time                      BP                           P                             O2 sat 1:32 pm               151/85                  78                           100% 1:40 pm               123/95                  62                           100% 1:54 pm               125/82                  64                           99% 2:19 pm               125/81                  65                           99%
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: The patient was seen in clinic for a COVID booster vaccine. Patient stated she received J&J on 04-11-2022 at local facility. She stated that 35 minutes after she received her vaccine she started to have itching and tightness to her throat. Per her Allergist, she was recommended to receive Pfizer or Moderna as her booster and to take an extra dose of Zyrtec prior to vaccination. Patient reported taking extra dose of Zyrtec prior to vaccination. Per Allergist, patient was recommended to come to a Public Health Center for Pfizer vaccination. The patient's history was reviewed with providers and was OK to give vaccine. The patient received Pfizer on left arm at 12:54 pm and was instructed to wait for one hour to be monitored. At 1:21 pm, patient noted having mild itchiness to her throat, but was not c/o SOB. She was still awake, alert, able to speak, and answer questions. At 1:26 pm, patient was coughing and clearing her throat. She stated she felt her throat a little tight with a little more itchiness. MD was notified at 1:29 of the patient's symptoms. At 1:32 pm, MD assessed patient and instructed Benadryl 50 mg to be administered. Benadryl 50 mg was given at 1:38 pm to right arm. Patient was monitored and at 2:00 pm, patient was stating that she has feeling less itchiness to her throat. At 2:15 pm, the patient continue to state she was feeling better. By 2:31 pm, she no longer felt any more symptoms. MD was notified and patient was assessed again before being discharged. Patient was advised to call husband to pick her up. She left the clinic at 2:45 pm, with her husband she was awake, alert, and orient. Was instructed if she had any more symptoms to go to ER. Patient and husband verbalized understanding. VS Time                      BP                           P                             O2 sat 1:32 pm               151/85                  78                           100% 1:40 pm               123/95                  62                           100% 1:54 pm               125/82                  64                           99% 2:19 pm               125/81                  65                           99%
Age: 0.25
Sex: F
Vaccine: UNK, UNK, UNK, UNK
Symptoms: Expired product administered
Clinical narrative: Vaccine expired on 01-24-2022, spoke with mom on 02-01-2022 baby is doing great "not even fussy".  We decided to repeat dose at a later date.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Computerised tomogram thorax abnormal, Confusional state, Dyspnoea
Clinical narrative: Patient stated he was on his way to the bathroom and had sudden loss of consciousness. He denied chest pain, dizziness, SOB or other symptoms before his syncope episode. Patient was not sure for how long he laid on the floor. He was found by daughter. He stated when he woke up he was confused and weak. Symptoms on admission to ED include fatigue, SOB, syncope, confusion, back and neck pain.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Loss of consciousness, Lung disorder, Neck pain, Pleural effusion
Clinical narrative: Patient stated he was on his way to the bathroom and had sudden loss of consciousness. He denied chest pain, dizziness, SOB or other symptoms before his syncope episode. Patient was not sure for how long he laid on the floor. He was found by daughter. He stated when he woke up he was confused and weak. Symptoms on admission to ED include fatigue, SOB, syncope, confusion, back and neck pain.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient stated he was on his way to the bathroom and had sudden loss of consciousness. He denied chest pain, dizziness, SOB or other symptoms before his syncope episode. Patient was not sure for how long he laid on the floor. He was found by daughter. He stated when he woke up he was confused and weak. Symptoms on admission to ED include fatigue, SOB, syncope, confusion, back and neck pain.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Blood pressure increased, Blood thyroid stimulating hormone normal, Cognitive disorder, Disturbance in attention
Clinical narrative: Cognitive impairment - Difficulty organizing thoughts, expressing thoughts, word retrieval, completing tasks, way finding and focus.  Increased blood pressure  to 160-174/80s- 90s.  Evaluated by PCP with addition of Lisinopril 10 mg to manage hypertension.  Which has since returned to normal range. New medication started 11/16/21.  Referred to neurologist.  First visit with neurologist 12/7/21.  Mental status exam indicating delayed thought process, mild cognitive impairment.  MRI of the brain indicated small microvascular changes consistent with age.  No significant findings.  Symptoms seemed to increase through mid-December and have gradually improved since then.  Second evaluation with neurologist was 1/11/22.  At that time there was indication of improved spontaneity of speech, affect and ability to engage in and follow conversation.  Presently, cognition is close to 90% of baseline.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Flat affect, Hepatic enzyme increased, Magnetic resonance imaging head, Mental impairment, Metabolic function test
Clinical narrative: Cognitive impairment - Difficulty organizing thoughts, expressing thoughts, word retrieval, completing tasks, way finding and focus.  Increased blood pressure  to 160-174/80s- 90s.  Evaluated by PCP with addition of Lisinopril 10 mg to manage hypertension.  Which has since returned to normal range. New medication started 11/16/21.  Referred to neurologist.  First visit with neurologist 12/7/21.  Mental status exam indicating delayed thought process, mild cognitive impairment.  MRI of the brain indicated small microvascular changes consistent with age.  No significant findings.  Symptoms seemed to increase through mid-December and have gradually improved since then.  Second evaluation with neurologist was 1/11/22.  At that time there was indication of improved spontaneity of speech, affect and ability to engage in and follow conversation.  Presently, cognition is close to 90% of baseline.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Neurological examination, Speech disorder, Thinking abnormal, Vitamin B12 normal
Clinical narrative: Cognitive impairment - Difficulty organizing thoughts, expressing thoughts, word retrieval, completing tasks, way finding and focus.  Increased blood pressure  to 160-174/80s- 90s.  Evaluated by PCP with addition of Lisinopril 10 mg to manage hypertension.  Which has since returned to normal range. New medication started 11/16/21.  Referred to neurologist.  First visit with neurologist 12/7/21.  Mental status exam indicating delayed thought process, mild cognitive impairment.  MRI of the brain indicated small microvascular changes consistent with age.  No significant findings.  Symptoms seemed to increase through mid-December and have gradually improved since then.  Second evaluation with neurologist was 1/11/22.  At that time there was indication of improved spontaneity of speech, affect and ability to engage in and follow conversation.  Presently, cognition is close to 90% of baseline.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient presented for 1st dose Moderna. She was erroneously given a Moderna booster dose. When the patient was informed of the error, she declined the additional 50mcg dose. She is returning to country in the coming weeks and will let her physician there decide what to do. She was informed that her dose received today was inadequate and was offered to return today for another 50mcg dose or at another day for a full dose.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient stated he received the Pfizer two dose series - 4/13/21 & 5/4/21.  No boosters.  Patient presented to ED w/ labored breathing, cough, SOA, fever.  Oxygen saturation 91% at rest, worse with exertion.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, Eye movement disorder, Headache, Hyperhidrosis
Clinical narrative: Dec. 10th - first migraine which took him down for a day, since then he's had headaches/migraines every day since, accompanied by some dizziness. Saturday (1-29-22) he took a really bad turn, while watching TV , his eyes started repeatedly drifting to my right then snapping back and he lost all equilibrium, felt like he was falling. Next morning - two more of these episodes, one when eyes were opened, one when closed, this was accompanied by sweating and nausea. The rest of the day (Sunday 1-30-22)  migraine was intense and my equilibrium was shot.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Migraine, Nausea
Clinical narrative: Dec. 10th - first migraine which took him down for a day, since then he's had headaches/migraines every day since, accompanied by some dizziness. Saturday (1-29-22) he took a really bad turn, while watching TV , his eyes started repeatedly drifting to my right then snapping back and he lost all equilibrium, felt like he was falling. Next morning - two more of these episodes, one when eyes were opened, one when closed, this was accompanied by sweating and nausea. The rest of the day (Sunday 1-30-22)  migraine was intense and my equilibrium was shot.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hospitalization
Age: 65.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Abdominal discomfort, Chills, Decreased appetite, Dizziness, Injection site erythema
Clinical narrative: Light headed (slight dizziness) about an hour after receiving the vaccines.  This continued off and on until today. Fever of 102+F that started after midnight (13 hours after injections) and lasted until about midnight (25 hours after injections).  Continued to have over 100F until yesterday morning (46 hours after injections). Nausea and threw up  morning after the injections.  Not much appetite the past 3 days.  When I eat, my stomach is upset. Redness around the injection sites.  Today, redness is slight, but still a hard lump and a lot of pain without NSAID.  Taking ibuprofen, which is helping now but didn't help much the 2nd day.  Chills during the night on the first night after midnight when fever spiked.  Fatigue.  Muscle aches and nerve pain until yesterday.  Have been in bed for 3 days.
Age: 65.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Injection site induration, Injection site mass, Injection site pain, Myalgia, Nausea
Clinical narrative: Light headed (slight dizziness) about an hour after receiving the vaccines.  This continued off and on until today. Fever of 102+F that started after midnight (13 hours after injections) and lasted until about midnight (25 hours after injections).  Continued to have over 100F until yesterday morning (46 hours after injections). Nausea and threw up  morning after the injections.  Not much appetite the past 3 days.  When I eat, my stomach is upset. Redness around the injection sites.  Today, redness is slight, but still a hard lump and a lot of pain without NSAID.  Taking ibuprofen, which is helping now but didn't help much the 2nd day.  Chills during the night on the first night after midnight when fever spiked.  Fatigue.  Muscle aches and nerve pain until yesterday.  Have been in bed for 3 days.
Age: 65.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Neuralgia, Pyrexia, Vomiting
Clinical narrative: Light headed (slight dizziness) about an hour after receiving the vaccines.  This continued off and on until today. Fever of 102+F that started after midnight (13 hours after injections) and lasted until about midnight (25 hours after injections).  Continued to have over 100F until yesterday morning (46 hours after injections). Nausea and threw up  morning after the injections.  Not much appetite the past 3 days.  When I eat, my stomach is upset. Redness around the injection sites.  Today, redness is slight, but still a hard lump and a lot of pain without NSAID.  Taking ibuprofen, which is helping now but didn't help much the 2nd day.  Chills during the night on the first night after midnight when fever spiked.  Fatigue.  Muscle aches and nerve pain until yesterday.  Have been in bed for 3 days.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Syncope
Clinical narrative: Collapse without loss of consciousness, BP and blood glucose WNL
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Anticoagulant therapy, Blood creatinine increased, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient is fully vaccinated. DX: SoB, hypoxia, respiratory distress, pneumonia due to COVID.Pt tested positive for COVID on home test on 1/4. EMS reported that he was hypoxic at 79% on initial arrival. Placed on non-rebreather with improvement. ER workup showed NSTEMI with troponins elevated at 0.22. Pt started on Heparin gtt. Pt started on empiric antibiotics. CXR showed mild CHF. D dimer 1226.Cr 2.72. Patient seen by cardio and ID.  Placed on remdesivir and decadron.  Oxygen weaned down and discharged.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Chest X-ray abnormal, Dyspnoea, Fibrin D dimer, Hypoxia
Clinical narrative: Patient is fully vaccinated. DX: SoB, hypoxia, respiratory distress, pneumonia due to COVID.Pt tested positive for COVID on home test on 1/4. EMS reported that he was hypoxic at 79% on initial arrival. Placed on non-rebreather with improvement. ER workup showed NSTEMI with troponins elevated at 0.22. Pt started on Heparin gtt. Pt started on empiric antibiotics. CXR showed mild CHF. D dimer 1226.Cr 2.72. Patient seen by cardio and ID.  Placed on remdesivir and decadron.  Oxygen weaned down and discharged.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory distress, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Patient is fully vaccinated. DX: SoB, hypoxia, respiratory distress, pneumonia due to COVID.Pt tested positive for COVID on home test on 1/4. EMS reported that he was hypoxic at 79% on initial arrival. Placed on non-rebreather with improvement. ER workup showed NSTEMI with troponins elevated at 0.22. Pt started on Heparin gtt. Pt started on empiric antibiotics. CXR showed mild CHF. D dimer 1226.Cr 2.72. Patient seen by cardio and ID.  Placed on remdesivir and decadron.  Oxygen weaned down and discharged.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient was given 0.5ml instead of 0.25 ml booster vaccine. Patient was called on 1.19/22 and denies any problems since vaccination. Letter also sent tell patient dosage given.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Injection site warmth, Neck pain
Clinical narrative: +LT upper arm pain and warmth, +fatigue, +posterior neck pain and HA APAP, cold compresses, rest, increase fluids recommended. Also to f/u with in person office visit if symptoms worsened or failed to improve within 1 week
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: administered pediatric Pfizer without diluting with normal saline 1.3 ml
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: reports developing fever and bodyaches on 1/31/2022.  received covid booster on 1/29/2022.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hopitalization
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Herpes zoster, Pain, Rash erythematous, Swelling
Clinical narrative: Started with severe pain lower back radiating along sciatic nerve across buttocks over to bursa. Bright red swollen rash began after a few days. I went to ER on the day it appeared and was diagnosed with shingles.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Chest pain, Pain, Painful respiration
Clinical narrative: After a few days post vaccine, I began to feel a sharp pain on the right side of my chest. Every time I took a deep breath or moved my head I would feel a sharp pain on the right side. I message my provider on the 31st. Shortly after went to the doctor's office and after running a few tests and blood work they did not see anything abnormal, chest x-ray showed nothing abnormal either. Lingering pain for a while, however the pain went away after about two weeks and for a few months after if I took a really deep breath it then will come back.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: After a few days post vaccine, I began to feel a sharp pain on the right side of my chest. Every time I took a deep breath or moved my head I would feel a sharp pain on the right side. I message my provider on the 31st. Shortly after went to the doctor's office and after running a few tests and blood work they did not see anything abnormal, chest x-ray showed nothing abnormal either. Lingering pain for a while, however the pain went away after about two weeks and for a few months after if I took a really deep breath it then will come back.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Pruritus, Rash
Clinical narrative: Site: Itching at Injection Site-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Additional Details: Itchiness at injection site and fingers on the same day. Progression of rash to hands within 3 days.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19
Clinical narrative: Admitted to hospital with acute hypoxemic respiratory failure due to COVID-19
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: No adverse event, other than administering Moderna, rather than Pfizer. Father requested Moderna Booster. .25Moderna IM R deltoid
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Fall, Head injury, Immediate post-injection reaction
Clinical narrative: Immediate shortness of breath, then dizziness and syncope resulting in fall and laceration to forehead and under chin.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Skin laceration, Syncope
Clinical narrative: Immediate shortness of breath, then dizziness and syncope resulting in fall and laceration to forehead and under chin.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Administration Error: A 29 year old female patient receives a booster dose of the Moderna vaccine (0.25ml) instead of receiving the additional primary dose of 0.5ml due to the medication prescribed for her condition. The remaining 0.25ml dose is administered  to complete the required dose.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: hospitalization due to pneumonia due to covid-19 virus
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hospitalization
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, COVID-19, Condition aggravated, Cough
Clinical narrative: Patient is fully vaccinated.  COVID + at hospitalization 1/5/2022. 80y.o. year old male with PMHx of atrial fibrillation, CAD, DM, HTN, MI, and stroke presents with COVID. Per ER note, Pt was brought in after having 5 episodes of diarrhea at home.Pt presented in Afib with RVR on presentation. Started on Cardizem gtt with improvement in HR. Troponins noted to be elevated, started on Heparin gtt. Pt reported that he also had some congestion and cough.  Imaging was negative for PE. Started on IV antibiotics. Was given 2L bolus. He states that he does not have any chest pain, shortness of breath, abdominal pain or fever. Treatment with decadron and remdesivir.  Discharged home.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Heart rate abnormal, Pulmonary imaging procedure normal, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated.  COVID + at hospitalization 1/5/2022. 80y.o. year old male with PMHx of atrial fibrillation, CAD, DM, HTN, MI, and stroke presents with COVID. Per ER note, Pt was brought in after having 5 episodes of diarrhea at home.Pt presented in Afib with RVR on presentation. Started on Cardizem gtt with improvement in HR. Troponins noted to be elevated, started on Heparin gtt. Pt reported that he also had some congestion and cough.  Imaging was negative for PE. Started on IV antibiotics. Was given 2L bolus. He states that he does not have any chest pain, shortness of breath, abdominal pain or fever. Treatment with decadron and remdesivir.  Discharged home.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: Patient is fully vaccinated.  COVID + at hospitalization 1/5/2022. 80y.o. year old male with PMHx of atrial fibrillation, CAD, DM, HTN, MI, and stroke presents with COVID. Per ER note, Pt was brought in after having 5 episodes of diarrhea at home.Pt presented in Afib with RVR on presentation. Started on Cardizem gtt with improvement in HR. Troponins noted to be elevated, started on Heparin gtt. Pt reported that he also had some congestion and cough.  Imaging was negative for PE. Started on IV antibiotics. Was given 2L bolus. He states that he does not have any chest pain, shortness of breath, abdominal pain or fever. Treatment with decadron and remdesivir.  Discharged home.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given 0.5ml instead of 0.25ml of vaccination, patient was called on 1/19/22 and denies any problems since vaccination and a letter was sent informing the dosage he received.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Bladder pain, Blood urine present, Culture urine positive, Pyrexia, Streptococcus test positive
Clinical narrative: Developed increasing bladder pain 2 days after vaccination, around the same time my fever from the vaccination resolved. The bladder pain continued and by the last week of December, I saw my PCP. There was blood and leukocytes in my urine. I started a 3-day course of Bactrim. This resolved symptoms initially; however, 3 days after stopping, symptoms returned. My PCP started me on a 10-day course of Bactrim. Again, symptoms resolved, but they returned 10 days after stopping. My urologist sent for a PCR analysis of my urine and it indicated that perhaps Doxycycline would help. I am currently on Doxycycline 100mg, though some symptoms are still present.   I previously had the Astra Zeneca vaccine in Dec 2020 and Jan 2021 with no issues. I do not have a history of urinary tract infections.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Anaphylactic shock, Swelling, Syncope
Clinical narrative: Patient complained of abdominal pain within several minutes after receiving injection; Patient began to experience anaphylactic shock and collapsed. Epinephrine was administered and swelling began to go down while 911 was called. EMS arrived and patient left the pharmacy with paramedics several minutes later
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Patient received pediatric formulation of vaccine for ages 5-11 when patient was 12 years old. No adverse events reported after receiving pediatric formulation.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Hyperhidrosis, Nausea
Clinical narrative: Chest tightness, shortness of breath, diaphoresis, nausea
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia
Clinical narrative: hospitalization due to pneumonia due to covid-19  virus
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The patient is 15 years old and came for the booster, so she should have received the Pfizer vaccine for the age of 12 years or older and was given the Pfizer vaccine for 5-11 years.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ageusia, Anosmia
Clinical narrative: No taste or no smell.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given booster dose and was not yet eligible. Second dose was recorded as 9/27/2021
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: On 1/21/22 patient is a 15 year old came into the office for a COVID vaccine, scheduled incorrectly and administered Moderna COVID Vaccine. Error recognized on 1/31/22, parent notified by PCP. Reviewed CDC recommendations and patient scheduled to return to office for Pfizer vaccine on 2/18/22 (28 days after first dose).
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Atelectasis, Blood creatinine decreased, Blood potassium decreased, Chest X-ray abnormal, Cough
Clinical narrative: Patient is fully vaccinated.  COVID + at ED visit on 1/5/2022.  49-year-old male with a history of HIV presents to the emergency department complaining of fever, nausea, vomiting. Symptoms present for the last 3 days. Denies any chest pain or shortness of breath. He does have a dry cough. Having some runny nose and sore throat. BP 108/58  | Pulse 114  | Temp 100.3 °F (37.9 °C) (Oral)  | Resp 22  | Ht 190.5 cm (6' 3")  | Wt 88.5 kg (195 lb)  | SpO2 93%  | BMI 24.37 kg/m² CXR: Minor blunting of the right sulcus. There may be slight atelectasis at right base as well.Vital signs were reviewed and the patient was noted to be tachycardic. He was given IV fluids, Zofran, Toradol, Tylenol.Potassium low at 3.0, this was repleted. Creatinine is 1.3. Discharged from ED.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Lung disorder, Nausea, Oropharyngeal pain, Pyrexia, Rhinorrhoea
Clinical narrative: Patient is fully vaccinated.  COVID + at ED visit on 1/5/2022.  49-year-old male with a history of HIV presents to the emergency department complaining of fever, nausea, vomiting. Symptoms present for the last 3 days. Denies any chest pain or shortness of breath. He does have a dry cough. Having some runny nose and sore throat. BP 108/58  | Pulse 114  | Temp 100.3 °F (37.9 °C) (Oral)  | Resp 22  | Ht 190.5 cm (6' 3")  | Wt 88.5 kg (195 lb)  | SpO2 93%  | BMI 24.37 kg/m² CXR: Minor blunting of the right sulcus. There may be slight atelectasis at right base as well.Vital signs were reviewed and the patient was noted to be tachycardic. He was given IV fluids, Zofran, Toradol, Tylenol.Potassium low at 3.0, this was repleted. Creatinine is 1.3. Discharged from ED.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia, Vomiting
Clinical narrative: Patient is fully vaccinated.  COVID + at ED visit on 1/5/2022.  49-year-old male with a history of HIV presents to the emergency department complaining of fever, nausea, vomiting. Symptoms present for the last 3 days. Denies any chest pain or shortness of breath. He does have a dry cough. Having some runny nose and sore throat. BP 108/58  | Pulse 114  | Temp 100.3 °F (37.9 °C) (Oral)  | Resp 22  | Ht 190.5 cm (6' 3")  | Wt 88.5 kg (195 lb)  | SpO2 93%  | BMI 24.37 kg/m² CXR: Minor blunting of the right sulcus. There may be slight atelectasis at right base as well.Vital signs were reviewed and the patient was noted to be tachycardic. He was given IV fluids, Zofran, Toradol, Tylenol.Potassium low at 3.0, this was repleted. Creatinine is 1.3. Discharged from ED.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hsopitalization
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given 0.5ml instead of 0.25ml booster vaccine, called patient on 1/19/22 and she denied any problems since vaccination and a letter was sent to inform patient what dosage she was given
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Altered state of consciousness, Chronic obstructive pulmonary disease, Pyrexia
Clinical narrative: Pt has COPD and is oxygen dependent.  She lives in a facility and was found to be altered and with a fever.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: translator used, patient verified this was his 2nd dose, therefore 2nd dose was given.. Wife later showed card which indicated that patient has received two doses of Sinovac in another country and one dose here 11/2021. Through translator patient was educated that he had received 4th dose and patient verbalized understanding
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Dyspnoea, Electrocardiogram, Electrocardiogram ambulatory
Clinical narrative: My heart rhythm was different from normal. I was experiencing PVC's. I could feel the irregularities of my heart beat. I also experienced dizzy spells and elevated anxiety. I was light headed. My physical activity was affected as I was anxious about my heart and short of breath. My vision was also affected and my beats per minutes were very high in a resting period. I took over part of my daily living, I went to see Cardiology and they dosed me with Metoprolol. I noticed a difference in a few weeks, My heart rhythm returned to its normal beats after 3 to 4 weeks. I am still taking the Metoprolol currently.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Heart rate irregular, Laboratory test, Loss of personal independence in daily activities, Ventricular extrasystoles
Clinical narrative: My heart rhythm was different from normal. I was experiencing PVC's. I could feel the irregularities of my heart beat. I also experienced dizzy spells and elevated anxiety. I was light headed. My physical activity was affected as I was anxious about my heart and short of breath. My vision was also affected and my beats per minutes were very high in a resting period. I took over part of my daily living, I went to see Cardiology and they dosed me with Metoprolol. I noticed a difference in a few weeks, My heart rhythm returned to its normal beats after 3 to 4 weeks. I am still taking the Metoprolol currently.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: My heart rhythm was different from normal. I was experiencing PVC's. I could feel the irregularities of my heart beat. I also experienced dizzy spells and elevated anxiety. I was light headed. My physical activity was affected as I was anxious about my heart and short of breath. My vision was also affected and my beats per minutes were very high in a resting period. I took over part of my daily living, I went to see Cardiology and they dosed me with Metoprolol. I noticed a difference in a few weeks, My heart rhythm returned to its normal beats after 3 to 4 weeks. I am still taking the Metoprolol currently.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: Death related to COVID-19 infection
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Injection site pain
Clinical narrative: Pt. states that after receiving the 2nd dose of Moderna 03/03/2021 , started experiencing symptoms 03/14/2021 of pain at the injection site (Right). Primary visit 8 weeks PT, "Nerve" medication, and muscle relaxers.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, COVID-19, COVID-19 pneumonia, Computerised tomogram thorax abnormal, Dyspnoea
Clinical narrative: Patient is fully vaccinated and boosted. 62-year-old lady with significant known history for diabetes mellitus/depression/GERD/anxiety disorder, who presented to the emergency department due to complaint of difficulty breathing; she does have known history of underlying congestive heart failure, compliant with her cardiac regimen, states has been having shortness of breath for the past couple of days with myalgia; on presentation workup including D-dimer 604 (H) and a COVID was not completed in the ER; however, she was positive for COVID approximately 8 days ago. CT: No obvious pulmonary embolism.Patchy interstitial and airspace opacities as described consistent with underlying COVID 19 pneumonitis. Anemia: Hemoglobin 9.5.  Steroids. Discharged home.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Haemoglobin decreased, Lung opacity, Myalgia, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated and boosted. 62-year-old lady with significant known history for diabetes mellitus/depression/GERD/anxiety disorder, who presented to the emergency department due to complaint of difficulty breathing; she does have known history of underlying congestive heart failure, compliant with her cardiac regimen, states has been having shortness of breath for the past couple of days with myalgia; on presentation workup including D-dimer 604 (H) and a COVID was not completed in the ER; however, she was positive for COVID approximately 8 days ago. CT: No obvious pulmonary embolism.Patchy interstitial and airspace opacities as described consistent with underlying COVID 19 pneumonitis. Anemia: Hemoglobin 9.5.  Steroids. Discharged home.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cardio-respiratory arrest, Cardioversion, Death
Clinical narrative: recent diagnosis of COVID; EMS brought pt to ED in cardio-pulmonary arresily reports she has had some SOB, been weak and fatigued since being diagnosed with COVID; she has not moved around a lot; she became acutely SOB before collapsing; EMS was called; she was placed on O2; then went into Ventricular fibrillation, was shocked, CPR started, intubated; transferred to ED; given epinephrine, calcium, magnesium, bicarbonate, and tenecteplase for possible pulmonary embolism; the pt died in the ED
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Fatigue, Mobility decreased, Resuscitation
Clinical narrative: recent diagnosis of COVID; EMS brought pt to ED in cardio-pulmonary arresily reports she has had some SOB, been weak and fatigued since being diagnosed with COVID; she has not moved around a lot; she became acutely SOB before collapsing; EMS was called; she was placed on O2; then went into Ventricular fibrillation, was shocked, CPR started, intubated; transferred to ED; given epinephrine, calcium, magnesium, bicarbonate, and tenecteplase for possible pulmonary embolism; the pt died in the ED
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Ventricular fibrillation
Clinical narrative: recent diagnosis of COVID; EMS brought pt to ED in cardio-pulmonary arresily reports she has had some SOB, been weak and fatigued since being diagnosed with COVID; she has not moved around a lot; she became acutely SOB before collapsing; EMS was called; she was placed on O2; then went into Ventricular fibrillation, was shocked, CPR started, intubated; transferred to ED; given epinephrine, calcium, magnesium, bicarbonate, and tenecteplase for possible pulmonary embolism; the pt died in the ED
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Underage before the 5/12/21  approval for Pfizer vaccine Suspected falsification of DOB ? unable to contact guardian
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Angiogram, COVID-19, COVID-19 pneumonia, Death
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/3/2021 and 5/24/2021. Presented to ED on 1/12/2022 with complaint of shortness of breath, Covid+ on 1/10/22. Admitted for acute hypoxemic respiratoratory failure due to Covid PNA. On arrival O2 sat was 70% requiring Oxymask at 11 L. Treated w/decadron, did not qualified for further covid therapies. Kidney function deteriorated and started on HD. Required higher level of O2 with HFNC. He completed steroid course however his conditions continued to deteriorate. Concern for possible PE as d-dimer was elevated critical condition complicated assessment with V/Q scan and CTA. Family updated, code status changed to DNAR. Patient expired 1/28/2022.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Fibrin D dimer increased, General physical health deterioration, Renal impairment, SARS-CoV-2 test positive
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/3/2021 and 5/24/2021. Presented to ED on 1/12/2022 with complaint of shortness of breath, Covid+ on 1/10/22. Admitted for acute hypoxemic respiratoratory failure due to Covid PNA. On arrival O2 sat was 70% requiring Oxymask at 11 L. Treated w/decadron, did not qualified for further covid therapies. Kidney function deteriorated and started on HD. Required higher level of O2 with HFNC. He completed steroid course however his conditions continued to deteriorate. Concern for possible PE as d-dimer was elevated critical condition complicated assessment with V/Q scan and CTA. Family updated, code status changed to DNAR. Patient expired 1/28/2022.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ventilation/perfusion scan
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 5/3/2021 and 5/24/2021. Presented to ED on 1/12/2022 with complaint of shortness of breath, Covid+ on 1/10/22. Admitted for acute hypoxemic respiratoratory failure due to Covid PNA. On arrival O2 sat was 70% requiring Oxymask at 11 L. Treated w/decadron, did not qualified for further covid therapies. Kidney function deteriorated and started on HD. Required higher level of O2 with HFNC. He completed steroid course however his conditions continued to deteriorate. Concern for possible PE as d-dimer was elevated critical condition complicated assessment with V/Q scan and CTA. Family updated, code status changed to DNAR. Patient expired 1/28/2022.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Condition aggravated, Diabetic ketoacidosis, Hyperglycaemia, Hypertension
Clinical narrative: Hospitalized (1.22.22 - 1.30.22); COVID-19 positive (1.18.22); Fully vaccinated PLUS booster Admission Date: 1/22/2022 Discharge Date: 01/30/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: DKA, type 1, not at goal (HCC) [E10.10] Type 1 diabetes mellitus with hyperglycemia (HCC) [E10.65] Intractable vomiting with nausea, unspecified vomiting type [R11.2] COVID-19 [U07.1]  HOSPITAL COURSE: 27-year-old female with history of diabetes mellitus and gastroparesis presented to Community Hospital with complaints of intractable nausea and vomiting.  She had been tested on January 18 and was found to be COVID positive.  She was managing at home until worsening nausea and vomiting led to her presentation at the hospital.  During her hospital stay she had persistence of her nausea and vomiting and only very gradually was able to show signs of improvement.  Multiple times she was on IV insulin due to little to no oral intake.  She gradually did show signs of improvement with use of antiemetics and by the day of discharge felt that she was able to manage reasonably well at home.  She was discharged under usual anti nausea medication as well as her usual insulin dosing.  She number required significant treatment for her COVID infection.  She did not need steroids or other intervention. She had high blood pressures during hospital stay and was started on oral lisinopril 5 mg daily at discharge.  She is instructed to follow up with her primary care provider within the week post discharge.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypophagia, Nausea, SARS-CoV-2 test positive, Type 1 diabetes mellitus, Vomiting
Clinical narrative: Hospitalized (1.22.22 - 1.30.22); COVID-19 positive (1.18.22); Fully vaccinated PLUS booster Admission Date: 1/22/2022 Discharge Date: 01/30/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: DKA, type 1, not at goal (HCC) [E10.10] Type 1 diabetes mellitus with hyperglycemia (HCC) [E10.65] Intractable vomiting with nausea, unspecified vomiting type [R11.2] COVID-19 [U07.1]  HOSPITAL COURSE: 27-year-old female with history of diabetes mellitus and gastroparesis presented to Community Hospital with complaints of intractable nausea and vomiting.  She had been tested on January 18 and was found to be COVID positive.  She was managing at home until worsening nausea and vomiting led to her presentation at the hospital.  During her hospital stay she had persistence of her nausea and vomiting and only very gradually was able to show signs of improvement.  Multiple times she was on IV insulin due to little to no oral intake.  She gradually did show signs of improvement with use of antiemetics and by the day of discharge felt that she was able to manage reasonably well at home.  She was discharged under usual anti nausea medication as well as her usual insulin dosing.  She number required significant treatment for her COVID infection.  She did not need steroids or other intervention. She had high blood pressures during hospital stay and was started on oral lisinopril 5 mg daily at discharge.  She is instructed to follow up with her primary care provider within the week post discharge.