chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head normal, Mental status changes, Pain, Pruritus, Pyrexia
Clinical narrative: Pfizer Dose 1 2/20/21 (EN6200) Pfizer Dose 2 3/13/21 (EN6204) Pfizer Dose 3 11/12/21 (lot NA) COVID Positive 1/9/22  1/9/22: He is a 74-year-old male with a history of HTN, BPH, obesity, depression/anxiety and chronic backache.  He was brought to the emergency room this morning because of confusion.  History was obtained from ER documentation as patient is unable to give the history because of current mental status.  Patient had COVID-19 home test yesterday because of body aches, pain and shortness of breath and was positive.  However this morning upon awakening he became quite confused and this prompted the wife to call the paramedics and he was brought to the emergency room.  At the ER he was disoriented and unable to give coherent history.  The vital signs significant for fever of 100.6° F and O2 saturation of 88-89 % on room air.  Other vitals were normal.  Significant laboratory test K 3.1, CR 1.33, ALT 125, ALT 114 and ALP 126. The CT angiogram of the chest was negative for PE but there is mild patchy right upper lobe infiltrates.  CT scan of the head without IV contrast revealed no acute abnormality except for age-appropriate atrophy and microvascular disease.  Of note is that patient has been taking daily steroid tablet prescribed for him by the PCP for recurrent pruritus.  1/14/22: This patient had a colonoscopy several weeks ago, then became dehydrated, weak and was admitted to the hospital with weakness and confusion, but also tested positive for COVID-19.  He had minimal infiltrates and his chest x-ray but did receive IV antibiotics and antiviral medications.  He has not required any supplemental oxygen the past few days, but is still too weak to return home. We are recommending skilled nursing facility.  His confusion was felt to be due to the COVID-19 infection and he had no other symptoms suggesting alcohol withdrawal or seizures. The MRI did not show any signs of a stroke.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Pfizer Dose 1 2/20/21 (EN6200) Pfizer Dose 2 3/13/21 (EN6204) Pfizer Dose 3 11/12/21 (lot NA) COVID Positive 1/9/22  1/9/22: He is a 74-year-old male with a history of HTN, BPH, obesity, depression/anxiety and chronic backache.  He was brought to the emergency room this morning because of confusion.  History was obtained from ER documentation as patient is unable to give the history because of current mental status.  Patient had COVID-19 home test yesterday because of body aches, pain and shortness of breath and was positive.  However this morning upon awakening he became quite confused and this prompted the wife to call the paramedics and he was brought to the emergency room.  At the ER he was disoriented and unable to give coherent history.  The vital signs significant for fever of 100.6° F and O2 saturation of 88-89 % on room air.  Other vitals were normal.  Significant laboratory test K 3.1, CR 1.33, ALT 125, ALT 114 and ALP 126. The CT angiogram of the chest was negative for PE but there is mild patchy right upper lobe infiltrates.  CT scan of the head without IV contrast revealed no acute abnormality except for age-appropriate atrophy and microvascular disease.  Of note is that patient has been taking daily steroid tablet prescribed for him by the PCP for recurrent pruritus.  1/14/22: This patient had a colonoscopy several weeks ago, then became dehydrated, weak and was admitted to the hospital with weakness and confusion, but also tested positive for COVID-19.  He had minimal infiltrates and his chest x-ray but did receive IV antibiotics and antiviral medications.  He has not required any supplemental oxygen the past few days, but is still too weak to return home. We are recommending skilled nursing facility.  His confusion was felt to be due to the COVID-19 infection and he had no other symptoms suggesting alcohol withdrawal or seizures. The MRI did not show any signs of a stroke.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: 03/30/2022 vaccination. 05/28/2022 scratchy throat with headache, coughing. I went to my daughters house and she has little ones. They asked to take COVID test. The results were COVID-19 positive. 05/29/2022 contacted my PA. Put on PAXLOVID. I was on 2 of the 3 doses. There was a possibility of a kidney interaction.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case  dose 1 2/10/21 Moderna 015M20A dose 2 3/10/21 Moderna 044A21A
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood electrolytes normal, COVID-19, Chest pain, Chills
Clinical narrative: Pfizer Dose 1 4/1/21 (ER8737) Pfizer Dose 2 4/22/21 (ER8735) COVID Positive 1/14/2022  1/14/22: The patient had generalized weakness with episodes of fever and chills and dry cough associated with shortness of breath that worsened gradually over few days, as per report the patient was using oxygen at home for unclear reason, he decline history of asthma or COPD or interstitial lung disease or history of heart failure.   Initially had vague chest pain, when I examine him he decline chest pain or palpitation or dizziness or nausea or vomiting or abdominal pain or diarrhea.  The patient is vaccinated with 2 shots Pfizer for COVID-19 infection.   At emergency, he was hypoxic requiring 3 L of oxygen, had fever, his labs show mild thrombocytopenia and stable electrolytes and renal function.  His COVID-19 test is positive.  1/23/22: Patient is admitted to the hospital, started on empirical IV antibiotics ceftriaxone doxycycline along with IV remdesivir and dexamethasone.  Initially needed BiPAP at night and gradually clinical condition improved, has been off BiPAP.  Oxygen has been weaned down successfully, today he is on 3 L oxygen, saturating 95%.  Patient has ambulated in the room, did not have any desaturations.  He has completed dexamethasone for 10 days.  Patient is discharged home in stable condition on supportive care.  He is discharged to home with the VNA, on COVID safe at home instructions.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Hypoxia, Laboratory test abnormal, Positive airway pressure therapy
Clinical narrative: Pfizer Dose 1 4/1/21 (ER8737) Pfizer Dose 2 4/22/21 (ER8735) COVID Positive 1/14/2022  1/14/22: The patient had generalized weakness with episodes of fever and chills and dry cough associated with shortness of breath that worsened gradually over few days, as per report the patient was using oxygen at home for unclear reason, he decline history of asthma or COPD or interstitial lung disease or history of heart failure.   Initially had vague chest pain, when I examine him he decline chest pain or palpitation or dizziness or nausea or vomiting or abdominal pain or diarrhea.  The patient is vaccinated with 2 shots Pfizer for COVID-19 infection.   At emergency, he was hypoxic requiring 3 L of oxygen, had fever, his labs show mild thrombocytopenia and stable electrolytes and renal function.  His COVID-19 test is positive.  1/23/22: Patient is admitted to the hospital, started on empirical IV antibiotics ceftriaxone doxycycline along with IV remdesivir and dexamethasone.  Initially needed BiPAP at night and gradually clinical condition improved, has been off BiPAP.  Oxygen has been weaned down successfully, today he is on 3 L oxygen, saturating 95%.  Patient has ambulated in the room, did not have any desaturations.  He has completed dexamethasone for 10 days.  Patient is discharged home in stable condition on supportive care.  He is discharged to home with the VNA, on COVID safe at home instructions.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Renal function test normal, SARS-CoV-2 test positive, Thrombocytopenia
Clinical narrative: Pfizer Dose 1 4/1/21 (ER8737) Pfizer Dose 2 4/22/21 (ER8735) COVID Positive 1/14/2022  1/14/22: The patient had generalized weakness with episodes of fever and chills and dry cough associated with shortness of breath that worsened gradually over few days, as per report the patient was using oxygen at home for unclear reason, he decline history of asthma or COPD or interstitial lung disease or history of heart failure.   Initially had vague chest pain, when I examine him he decline chest pain or palpitation or dizziness or nausea or vomiting or abdominal pain or diarrhea.  The patient is vaccinated with 2 shots Pfizer for COVID-19 infection.   At emergency, he was hypoxic requiring 3 L of oxygen, had fever, his labs show mild thrombocytopenia and stable electrolytes and renal function.  His COVID-19 test is positive.  1/23/22: Patient is admitted to the hospital, started on empirical IV antibiotics ceftriaxone doxycycline along with IV remdesivir and dexamethasone.  Initially needed BiPAP at night and gradually clinical condition improved, has been off BiPAP.  Oxygen has been weaned down successfully, today he is on 3 L oxygen, saturating 95%.  Patient has ambulated in the room, did not have any desaturations.  He has completed dexamethasone for 10 days.  Patient is discharged home in stable condition on supportive care.  He is discharged to home with the VNA, on COVID safe at home instructions.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: There was no adverse reaction to the vaccine. The patient received her 2nd dose of Moderna vaccine too soon. She had gotten her 1st dose on 6/9/2022 so she wasn't due for another week since the dosing interval between the 1st and 2nd doses is 4 weeks. The patient left the vaccine clinic after waiting the 15 minutes with no reactions to the vaccine.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Heart rate increased, Lung disorder
Clinical narrative: 05/16/2022 I did not have really bad symptoms, but felt a little bit of funniness in my lungs. I also had bad headaches, a little bit of a cough and runny nose. On 5/18/2022I I test positive with a home COVID test. I had a runny nose and my heart started beating crazy, 155 beats per minute. I called my cardiologist and called my PCP on the following day, 5/19/2022. My PCP put me on Paxlovid. I started taking Paxlovid on that day. My heart rate was at 150 beats per minute for around 30 hours, then it went back to normal.  I gradually started feeling better. The Paxlovid was hard on my stomach, and I had a chemical or metal taste.  On 5/25/2022, I tested negative for COVID. On 5/31/2022, I noticed I had a cough again.  I read that people on Paxlovid were having rebounds. I tested positive for COVID again that day. My symptoms were not as bad. I just had a cough and runny nose for about 3 days. I have now recovered.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: 05/16/2022 I did not have really bad symptoms, but felt a little bit of funniness in my lungs. I also had bad headaches, a little bit of a cough and runny nose. On 5/18/2022I I test positive with a home COVID test. I had a runny nose and my heart started beating crazy, 155 beats per minute. I called my cardiologist and called my PCP on the following day, 5/19/2022. My PCP put me on Paxlovid. I started taking Paxlovid on that day. My heart rate was at 150 beats per minute for around 30 hours, then it went back to normal.  I gradually started feeling better. The Paxlovid was hard on my stomach, and I had a chemical or metal taste.  On 5/25/2022, I tested negative for COVID. On 5/31/2022, I noticed I had a cough again.  I read that people on Paxlovid were having rebounds. I tested positive for COVID again that day. My symptoms were not as bad. I just had a cough and runny nose for about 3 days. I have now recovered.
Age: 16.0
Sex: F
Vaccine: HPV9
Symptoms: Asthenia, Bulbar palsy, Facial paresis, Gait inability, Headache
Clinical narrative: pt had subsequent hospitalizations starting 3/17-3/20 , 3/22, 3/23-3/25, 3/29-4/9. pt was having symptoms of bulbar dysfunction/weakness, facial weakness, HA, inability to walk. did have IVIG in hospital which did help her symptoms. drs stated rare d/t HPV but possibly guillian barre.
Age: 16.0
Sex: F
Vaccine: HPV9
Symptoms: Immunoglobulin therapy
Clinical narrative: pt had subsequent hospitalizations starting 3/17-3/20 , 3/22, 3/23-3/25, 3/29-4/9. pt was having symptoms of bulbar dysfunction/weakness, facial weakness, HA, inability to walk. did have IVIG in hospital which did help her symptoms. drs stated rare d/t HPV but possibly guillian barre.
Age: 16.0
Sex: F
Vaccine: HPV9
Symptoms: Erythema, Injection site nodule, Lymphadenopathy, Ultrasound scan abnormal
Clinical narrative: injection site nodule, first noted approx 1 week after immunization. Associated with left axillary adenopathy and erythema. Given course of cephalexin with resolution of axillary LAD and erythema, no improvement in injection-site nodule. Soft tissue ultrasound obtained approx 18 days after immunization notable for: Ill-defined area in the subcutaneous fat overlying the left deltoid, possibly reflecting an injection granuloma or focal inflammation. No discrete fluid collection or abscess visualized. Measured size: 1.7x0.6x3.0 cm
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Asthenia, COVID-19, Chest X-ray abnormal, Confusional state
Clinical narrative: Pfizer Dose 1 2/8/21 (EN6201) Pfizer Dose 2 3/1/21 (EN6203) Pfizer Dose 3 10/1/21 (NA) COVID Positive 3/2/22 COVID Positive 3/4/22  3/4/22: The patient known to have advanced Alzheimer's dementia living at the nursing home referred to the hospital due to noticed cough with mild shortness of breath and became more confused in compared and weak.   The patient does have poor coherence and cannot answer my questions, history gathered from the ED provider and the medical report.  Does not look in pain or distress, at the Emergency the patient oxygenation was normal on room air but occasional dropped to 87% required 2 L of oxygen through nasal cannula.   Her labs are not completed at the ED, on her CBC show stable chronic anemia.   Her chest x-ray show bilateral infiltrate.  Her COVID-19 test is positive on March 2nd  3/14/22: The patient respiratory distress with hypercoagulability state and hyperviscosity  Continue comfort measures  The patient is laying comfortably in her bed and is not agitated or aggressive, DC sitter  Plan to discharge her to hospice tomorrow, discussed with the family  DNR/DNI  Patient deceased 3/14/22
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Death, Dyspnoea, Full blood count abnormal, Hypercoagulation
Clinical narrative: Pfizer Dose 1 2/8/21 (EN6201) Pfizer Dose 2 3/1/21 (EN6203) Pfizer Dose 3 10/1/21 (NA) COVID Positive 3/2/22 COVID Positive 3/4/22  3/4/22: The patient known to have advanced Alzheimer's dementia living at the nursing home referred to the hospital due to noticed cough with mild shortness of breath and became more confused in compared and weak.   The patient does have poor coherence and cannot answer my questions, history gathered from the ED provider and the medical report.  Does not look in pain or distress, at the Emergency the patient oxygenation was normal on room air but occasional dropped to 87% required 2 L of oxygen through nasal cannula.   Her labs are not completed at the ED, on her CBC show stable chronic anemia.   Her chest x-ray show bilateral infiltrate.  Her COVID-19 test is positive on March 2nd  3/14/22: The patient respiratory distress with hypercoagulability state and hyperviscosity  Continue comfort measures  The patient is laying comfortably in her bed and is not agitated or aggressive, DC sitter  Plan to discharge her to hospice tomorrow, discussed with the family  DNR/DNI  Patient deceased 3/14/22
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperviscosity syndrome, Incoherent, Lung infiltration, Oxygen saturation decreased, Respiratory distress
Clinical narrative: Pfizer Dose 1 2/8/21 (EN6201) Pfizer Dose 2 3/1/21 (EN6203) Pfizer Dose 3 10/1/21 (NA) COVID Positive 3/2/22 COVID Positive 3/4/22  3/4/22: The patient known to have advanced Alzheimer's dementia living at the nursing home referred to the hospital due to noticed cough with mild shortness of breath and became more confused in compared and weak.   The patient does have poor coherence and cannot answer my questions, history gathered from the ED provider and the medical report.  Does not look in pain or distress, at the Emergency the patient oxygenation was normal on room air but occasional dropped to 87% required 2 L of oxygen through nasal cannula.   Her labs are not completed at the ED, on her CBC show stable chronic anemia.   Her chest x-ray show bilateral infiltrate.  Her COVID-19 test is positive on March 2nd  3/14/22: The patient respiratory distress with hypercoagulability state and hyperviscosity  Continue comfort measures  The patient is laying comfortably in her bed and is not agitated or aggressive, DC sitter  Plan to discharge her to hospice tomorrow, discussed with the family  DNR/DNI  Patient deceased 3/14/22
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Unresponsive to stimuli
Clinical narrative: Pfizer Dose 1 2/8/21 (EN6201) Pfizer Dose 2 3/1/21 (EN6203) Pfizer Dose 3 10/1/21 (NA) COVID Positive 3/2/22 COVID Positive 3/4/22  3/4/22: The patient known to have advanced Alzheimer's dementia living at the nursing home referred to the hospital due to noticed cough with mild shortness of breath and became more confused in compared and weak.   The patient does have poor coherence and cannot answer my questions, history gathered from the ED provider and the medical report.  Does not look in pain or distress, at the Emergency the patient oxygenation was normal on room air but occasional dropped to 87% required 2 L of oxygen through nasal cannula.   Her labs are not completed at the ED, on her CBC show stable chronic anemia.   Her chest x-ray show bilateral infiltrate.  Her COVID-19 test is positive on March 2nd  3/14/22: The patient respiratory distress with hypercoagulability state and hyperviscosity  Continue comfort measures  The patient is laying comfortably in her bed and is not agitated or aggressive, DC sitter  Plan to discharge her to hospice tomorrow, discussed with the family  DNR/DNI  Patient deceased 3/14/22
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Nausea, Seizure, Syncope
Clinical narrative: approx 20 minutes after administering Covid booster (0.25ml) dose patient came to counter feeling light headed and nausea. He them immediately fainted. When he came around (about 30 seconds to a minute)  he began to vomit.  He was able to communicate with me while we were contacting 911 and retrieving his mother out of the car. It was probably about 5 minutes before he had a seizure which lasted a minute or so. Once that stopped EMS has arrived
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: approx 20 minutes after administering Covid booster (0.25ml) dose patient came to counter feeling light headed and nausea. He them immediately fainted. When he came around (about 30 seconds to a minute)  he began to vomit.  He was able to communicate with me while we were contacting 911 and retrieving his mother out of the car. It was probably about 5 minutes before he had a seizure which lasted a minute or so. Once that stopped EMS has arrived
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood glucose increased, COVID-19, Diarrhoea, Dizziness
Clinical narrative: On May 30, I had diarrhea for no reason. On June 1, 2022 I thought I had allergies, I took my medicines including allergy medicines. As the day progressed a co-worker said she thought my voice sounded scratchy but I thought it was just allergies. Later in the day I sneezed and I was starting to think maybe I was positive so myself and my coworker took a home COVID-19 test. My test came back positive immediately, hers was negative, our boss sent us to the Health Department to confirm the test results. They did confirm that my results were positive. I went home to quarantine and noticed that my blood sugar levels were elevated. I called my doctor and I was told I could increase my Metformin to help keep my blood sugar levels down. On June 1 my blood sugar at 1:45am my blood sugar was elevated, woke me up because of tingling fingers. On June 2, 2022 I drank 194 ounces of water, 7:30am BS 185, 4pm BS 208, 8:30 BS 166 I have taken 1500mg of Metformin at this time. June 3, 2022, 6:15am 167BS fatigue loose bowel, at 11:00 BS 178, 9:45pm BS 144, 12:45am I wake up with anxiety so I take 2.5mg of Alprazolam, I wake up on June 4, 2022 at 4:30am BS160 I went back to sleep I woke up at 7:30am BS 138, at 12;30pm BS 133. My diet has been no carbs since June3. Slept great but lots of tingling. June 5, 2022 wake up at 6:30 BS 151, I woke up dizzy, 12;30 BS 214, 2:30PM BS 151, 8:45 BS 142. I'm feeling great it's just the tingling and the fatigue and sleeping 10 hours a night. I drank some vodka and ate sashimi the night of June 5, 2022 and woke up on June 6, 2022 BS 85, for dinner that night I drank vodka and ate poke' I wake up to BS 95. The next two nights I don't drink and BS goes up but the third night I drank and it drops.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Fatigue, Hypersomnia, Paraesthesia, SARS-CoV-2 test positive
Clinical narrative: On May 30, I had diarrhea for no reason. On June 1, 2022 I thought I had allergies, I took my medicines including allergy medicines. As the day progressed a co-worker said she thought my voice sounded scratchy but I thought it was just allergies. Later in the day I sneezed and I was starting to think maybe I was positive so myself and my coworker took a home COVID-19 test. My test came back positive immediately, hers was negative, our boss sent us to the Health Department to confirm the test results. They did confirm that my results were positive. I went home to quarantine and noticed that my blood sugar levels were elevated. I called my doctor and I was told I could increase my Metformin to help keep my blood sugar levels down. On June 1 my blood sugar at 1:45am my blood sugar was elevated, woke me up because of tingling fingers. On June 2, 2022 I drank 194 ounces of water, 7:30am BS 185, 4pm BS 208, 8:30 BS 166 I have taken 1500mg of Metformin at this time. June 3, 2022, 6:15am 167BS fatigue loose bowel, at 11:00 BS 178, 9:45pm BS 144, 12:45am I wake up with anxiety so I take 2.5mg of Alprazolam, I wake up on June 4, 2022 at 4:30am BS160 I went back to sleep I woke up at 7:30am BS 138, at 12;30pm BS 133. My diet has been no carbs since June3. Slept great but lots of tingling. June 5, 2022 wake up at 6:30 BS 151, I woke up dizzy, 12;30 BS 214, 2:30PM BS 151, 8:45 BS 142. I'm feeling great it's just the tingling and the fatigue and sleeping 10 hours a night. I drank some vodka and ate sashimi the night of June 5, 2022 and woke up on June 6, 2022 BS 85, for dinner that night I drank vodka and ate poke' I wake up to BS 95. The next two nights I don't drink and BS goes up but the third night I drank and it drops.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Sneezing
Clinical narrative: On May 30, I had diarrhea for no reason. On June 1, 2022 I thought I had allergies, I took my medicines including allergy medicines. As the day progressed a co-worker said she thought my voice sounded scratchy but I thought it was just allergies. Later in the day I sneezed and I was starting to think maybe I was positive so myself and my coworker took a home COVID-19 test. My test came back positive immediately, hers was negative, our boss sent us to the Health Department to confirm the test results. They did confirm that my results were positive. I went home to quarantine and noticed that my blood sugar levels were elevated. I called my doctor and I was told I could increase my Metformin to help keep my blood sugar levels down. On June 1 my blood sugar at 1:45am my blood sugar was elevated, woke me up because of tingling fingers. On June 2, 2022 I drank 194 ounces of water, 7:30am BS 185, 4pm BS 208, 8:30 BS 166 I have taken 1500mg of Metformin at this time. June 3, 2022, 6:15am 167BS fatigue loose bowel, at 11:00 BS 178, 9:45pm BS 144, 12:45am I wake up with anxiety so I take 2.5mg of Alprazolam, I wake up on June 4, 2022 at 4:30am BS160 I went back to sleep I woke up at 7:30am BS 138, at 12;30pm BS 133. My diet has been no carbs since June3. Slept great but lots of tingling. June 5, 2022 wake up at 6:30 BS 151, I woke up dizzy, 12;30 BS 214, 2:30PM BS 151, 8:45 BS 142. I'm feeling great it's just the tingling and the fatigue and sleeping 10 hours a night. I drank some vodka and ate sashimi the night of June 5, 2022 and woke up on June 6, 2022 BS 85, for dinner that night I drank vodka and ate poke' I wake up to BS 95. The next two nights I don't drink and BS goes up but the third night I drank and it drops.
Age: 4.0
Sex: F
Vaccine: DTAP, MMRV, UNK
Symptoms: Expired product administered
Clinical narrative: The MMRV vaccine was given and it was expired as of 06/16/22. The assistant did not scan the vaccine before administering and this is how the mistake happened.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Mobility decreased, Myalgia
Clinical narrative: I received the booster vaccine around noon and that evening began to experience muscle aches and fatigue. The next morning I was impacted enough by the aches and the fatigue to cancel a preexisting audiology appointment that would involve a commute through heavy traffic and a rigorous hearing test. (The pharmacist had warned me that I might experience a stronger reaction to this vaccine than I had to my previous ones which were Moderna.)  I pretty much laid on the couch all day, and by evening the effects were wearing off. By the following morning I was pretty much back to normal. And the day after that, I was well enough to embark on a long plane flight. The reaction was not severe enough to cause me to be alarmed or seek medical care. While it was a stronger reaction than I'd experienced before, I felt it was completely manageable with rest and a Tylenol.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No Adverse outcome  Recieved covid vaccine 6/6/22 amd 6/7/22
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: PT WAS 18 YEARS OLD AND NOT IMMUNOCOMPROMISED. WE ADMINISTERED A 2ND BOOSTER (4TH SHOT). PT DID NOT QUALIFY FOR THE 2ND BOOSTER.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, Blood creatinine increased, COVID-19, COVID-19 pneumonia
Clinical narrative: Pfizer Dose 1 2/26/21 (EN6200) Pfizer Dose 2 3/24/21 (ER2613) COVID Positive 1/5/22  1/19/22: Pt. is a 81 year old female, who presented to ED with complaints of shortness of breath. She has been vaccinated and boosted against Covid-19. However, she did test positive on Jan 5th at her Nursing Facility. She was quarantined until Jan 10 and placed on Levaquin prophylactically. Patient does not wear oxygen at baseline. She was admitted back in December for a recurrent UTI. Patient stated she started becoming short of breath yesterday. Experiencing generalized weakness and decreased appetite. Some nausea without vomiting. No diarrhea. Denies chest pain. She has a past medical history of hypertension, hyperlipidemia, type 2 diabetes mellitus (diet managed) CKD, pulmonary fibrosis, chronic lower back pain and aortic valve stenosis  On arrival to ED the patient was febrile 99.5, hypertensive 171/97 and hypoxic on room air at 86%, 15 L non-rebreather was applied with improvement in oxygen saturation, patient was eventually weaned down to 10 L non-rebreather. Laboratory findings were significant for CKD stage G 3B creatinine 1.21.  ProBNP 3800. Leukocytosis 24.64.  D-dimer 3.52.  Chest x-ray moderate bilateral airspace disease, likely viral pneumonia.  Chest x-ray no PE.  Scattered bilateral areas of airspace disease likely representing viral pneumonitis or multilobular pneumonia. Levaquin was initiated in ED.  1/25/22: 81 year old female with a history of diet-controlled T2 dm, CKD 3, resident in LTC and pulmonary fibrosis.  Patient admitted for acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  She was initially diagnosed on 01/05/2022.  She was placed on usual treatment for COVID-19 infection but oxygen requirement continues to deteriorate.  She was initially placed on high-flow oxygen via nasal cannula then oxygen via OptiFlow and BiPAP yet response was quite poor.  She was a DNR.    Three days ago she was made comfort care only and expired this early morning.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chronic kidney disease, Condition aggravated, Death, Decreased appetite
Clinical narrative: Pfizer Dose 1 2/26/21 (EN6200) Pfizer Dose 2 3/24/21 (ER2613) COVID Positive 1/5/22  1/19/22: Pt. is a 81 year old female, who presented to ED with complaints of shortness of breath. She has been vaccinated and boosted against Covid-19. However, she did test positive on Jan 5th at her Nursing Facility. She was quarantined until Jan 10 and placed on Levaquin prophylactically. Patient does not wear oxygen at baseline. She was admitted back in December for a recurrent UTI. Patient stated she started becoming short of breath yesterday. Experiencing generalized weakness and decreased appetite. Some nausea without vomiting. No diarrhea. Denies chest pain. She has a past medical history of hypertension, hyperlipidemia, type 2 diabetes mellitus (diet managed) CKD, pulmonary fibrosis, chronic lower back pain and aortic valve stenosis  On arrival to ED the patient was febrile 99.5, hypertensive 171/97 and hypoxic on room air at 86%, 15 L non-rebreather was applied with improvement in oxygen saturation, patient was eventually weaned down to 10 L non-rebreather. Laboratory findings were significant for CKD stage G 3B creatinine 1.21.  ProBNP 3800. Leukocytosis 24.64.  D-dimer 3.52.  Chest x-ray moderate bilateral airspace disease, likely viral pneumonia.  Chest x-ray no PE.  Scattered bilateral areas of airspace disease likely representing viral pneumonitis or multilobular pneumonia. Levaquin was initiated in ED.  1/25/22: 81 year old female with a history of diet-controlled T2 dm, CKD 3, resident in LTC and pulmonary fibrosis.  Patient admitted for acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  She was initially diagnosed on 01/05/2022.  She was placed on usual treatment for COVID-19 infection but oxygen requirement continues to deteriorate.  She was initially placed on high-flow oxygen via nasal cannula then oxygen via OptiFlow and BiPAP yet response was quite poor.  She was a DNR.    Three days ago she was made comfort care only and expired this early morning.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fibrin D dimer increased, General physical health deterioration, Hypertension, Inappropriate schedule of product administration
Clinical narrative: Pfizer Dose 1 2/26/21 (EN6200) Pfizer Dose 2 3/24/21 (ER2613) COVID Positive 1/5/22  1/19/22: Pt. is a 81 year old female, who presented to ED with complaints of shortness of breath. She has been vaccinated and boosted against Covid-19. However, she did test positive on Jan 5th at her Nursing Facility. She was quarantined until Jan 10 and placed on Levaquin prophylactically. Patient does not wear oxygen at baseline. She was admitted back in December for a recurrent UTI. Patient stated she started becoming short of breath yesterday. Experiencing generalized weakness and decreased appetite. Some nausea without vomiting. No diarrhea. Denies chest pain. She has a past medical history of hypertension, hyperlipidemia, type 2 diabetes mellitus (diet managed) CKD, pulmonary fibrosis, chronic lower back pain and aortic valve stenosis  On arrival to ED the patient was febrile 99.5, hypertensive 171/97 and hypoxic on room air at 86%, 15 L non-rebreather was applied with improvement in oxygen saturation, patient was eventually weaned down to 10 L non-rebreather. Laboratory findings were significant for CKD stage G 3B creatinine 1.21.  ProBNP 3800. Leukocytosis 24.64.  D-dimer 3.52.  Chest x-ray moderate bilateral airspace disease, likely viral pneumonia.  Chest x-ray no PE.  Scattered bilateral areas of airspace disease likely representing viral pneumonitis or multilobular pneumonia. Levaquin was initiated in ED.  1/25/22: 81 year old female with a history of diet-controlled T2 dm, CKD 3, resident in LTC and pulmonary fibrosis.  Patient admitted for acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  She was initially diagnosed on 01/05/2022.  She was placed on usual treatment for COVID-19 infection but oxygen requirement continues to deteriorate.  She was initially placed on high-flow oxygen via nasal cannula then oxygen via OptiFlow and BiPAP yet response was quite poor.  She was a DNR.    Three days ago she was made comfort care only and expired this early morning.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Leukocytosis, Nausea, Oxygen saturation decreased, Pneumonia, Pneumonia viral
Clinical narrative: Pfizer Dose 1 2/26/21 (EN6200) Pfizer Dose 2 3/24/21 (ER2613) COVID Positive 1/5/22  1/19/22: Pt. is a 81 year old female, who presented to ED with complaints of shortness of breath. She has been vaccinated and boosted against Covid-19. However, she did test positive on Jan 5th at her Nursing Facility. She was quarantined until Jan 10 and placed on Levaquin prophylactically. Patient does not wear oxygen at baseline. She was admitted back in December for a recurrent UTI. Patient stated she started becoming short of breath yesterday. Experiencing generalized weakness and decreased appetite. Some nausea without vomiting. No diarrhea. Denies chest pain. She has a past medical history of hypertension, hyperlipidemia, type 2 diabetes mellitus (diet managed) CKD, pulmonary fibrosis, chronic lower back pain and aortic valve stenosis  On arrival to ED the patient was febrile 99.5, hypertensive 171/97 and hypoxic on room air at 86%, 15 L non-rebreather was applied with improvement in oxygen saturation, patient was eventually weaned down to 10 L non-rebreather. Laboratory findings were significant for CKD stage G 3B creatinine 1.21.  ProBNP 3800. Leukocytosis 24.64.  D-dimer 3.52.  Chest x-ray moderate bilateral airspace disease, likely viral pneumonia.  Chest x-ray no PE.  Scattered bilateral areas of airspace disease likely representing viral pneumonitis or multilobular pneumonia. Levaquin was initiated in ED.  1/25/22: 81 year old female with a history of diet-controlled T2 dm, CKD 3, resident in LTC and pulmonary fibrosis.  Patient admitted for acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  She was initially diagnosed on 01/05/2022.  She was placed on usual treatment for COVID-19 infection but oxygen requirement continues to deteriorate.  She was initially placed on high-flow oxygen via nasal cannula then oxygen via OptiFlow and BiPAP yet response was quite poor.  She was a DNR.    Three days ago she was made comfort care only and expired this early morning.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Prohormone brain natriuretic peptide increased, Pyrexia, SARS-CoV-2 test positive, White blood cell count increased
Clinical narrative: Pfizer Dose 1 2/26/21 (EN6200) Pfizer Dose 2 3/24/21 (ER2613) COVID Positive 1/5/22  1/19/22: Pt. is a 81 year old female, who presented to ED with complaints of shortness of breath. She has been vaccinated and boosted against Covid-19. However, she did test positive on Jan 5th at her Nursing Facility. She was quarantined until Jan 10 and placed on Levaquin prophylactically. Patient does not wear oxygen at baseline. She was admitted back in December for a recurrent UTI. Patient stated she started becoming short of breath yesterday. Experiencing generalized weakness and decreased appetite. Some nausea without vomiting. No diarrhea. Denies chest pain. She has a past medical history of hypertension, hyperlipidemia, type 2 diabetes mellitus (diet managed) CKD, pulmonary fibrosis, chronic lower back pain and aortic valve stenosis  On arrival to ED the patient was febrile 99.5, hypertensive 171/97 and hypoxic on room air at 86%, 15 L non-rebreather was applied with improvement in oxygen saturation, patient was eventually weaned down to 10 L non-rebreather. Laboratory findings were significant for CKD stage G 3B creatinine 1.21.  ProBNP 3800. Leukocytosis 24.64.  D-dimer 3.52.  Chest x-ray moderate bilateral airspace disease, likely viral pneumonia.  Chest x-ray no PE.  Scattered bilateral areas of airspace disease likely representing viral pneumonitis or multilobular pneumonia. Levaquin was initiated in ED.  1/25/22: 81 year old female with a history of diet-controlled T2 dm, CKD 3, resident in LTC and pulmonary fibrosis.  Patient admitted for acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  She was initially diagnosed on 01/05/2022.  She was placed on usual treatment for COVID-19 infection but oxygen requirement continues to deteriorate.  She was initially placed on high-flow oxygen via nasal cannula then oxygen via OptiFlow and BiPAP yet response was quite poor.  She was a DNR.    Three days ago she was made comfort care only and expired this early morning.
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Fall
Clinical narrative: Patient was fine after I was done with his shot. Per patient, he was feeling dizzy afterwards and fell in restroom. He came back to tell us in pharmacy. We gave him ice pack to apply to left arm (although there is no sign of swelling/redness). We gave him acetaminophen 500 mg OTC. Patient bought acetaminophen 500 mg and Benadryl 25 mg per our recommendation to take home with him for additional dose and to prevent allergic reaction. Told patient to wait for 15 mins to see if he feels better before driving home. 10 minutes later, patient just left on his own.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Asthenia, Atrial fibrillation, Blood test, Chest X-ray normal
Clinical narrative: First, I DO NOT KNOW if the reaction is related to the vaccine.  The vaccine was administered on Friday around 6:00PM at Pharmacy. Starting on Saturday, I had chills, fatigue, and other minor symptoms similar to prior administrations of this vaccine.  These continued through Sunday.  On Monday, I had digestive issues including frequent, loose bowel movements and ?acid? stomach which continued on Tuesday.  I did not experience these symptoms on Doses 1-4.  On Wednesday, my smart watch alerted me that I was likely having atrial fibrillation.  I felt somewhat weak, fatigued.  We left for the ED where it was confirmed that I was in atrial fibrillation.  Diltiazem was administered and successfully reduced the afib.  I have never had afib before.  Meds prescribed included Diltiazem 180mg once daily and Eloquis 5mg BID.  I do not show any afib symptoms today.  The GI symptoms stopped on Wednesday.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dyspepsia, Electrocardiogram abnormal, Fatigue
Clinical narrative: First, I DO NOT KNOW if the reaction is related to the vaccine.  The vaccine was administered on Friday around 6:00PM at Pharmacy. Starting on Saturday, I had chills, fatigue, and other minor symptoms similar to prior administrations of this vaccine.  These continued through Sunday.  On Monday, I had digestive issues including frequent, loose bowel movements and ?acid? stomach which continued on Tuesday.  I did not experience these symptoms on Doses 1-4.  On Wednesday, my smart watch alerted me that I was likely having atrial fibrillation.  I felt somewhat weak, fatigued.  We left for the ED where it was confirmed that I was in atrial fibrillation.  Diltiazem was administered and successfully reduced the afib.  I have never had afib before.  Meds prescribed included Diltiazem 180mg once daily and Eloquis 5mg BID.  I do not show any afib symptoms today.  The GI symptoms stopped on Wednesday.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Frequent bowel movements, Troponin
Clinical narrative: First, I DO NOT KNOW if the reaction is related to the vaccine.  The vaccine was administered on Friday around 6:00PM at Pharmacy. Starting on Saturday, I had chills, fatigue, and other minor symptoms similar to prior administrations of this vaccine.  These continued through Sunday.  On Monday, I had digestive issues including frequent, loose bowel movements and ?acid? stomach which continued on Tuesday.  I did not experience these symptoms on Doses 1-4.  On Wednesday, my smart watch alerted me that I was likely having atrial fibrillation.  I felt somewhat weak, fatigued.  We left for the ED where it was confirmed that I was in atrial fibrillation.  Diltiazem was administered and successfully reduced the afib.  I have never had afib before.  Meds prescribed included Diltiazem 180mg once daily and Eloquis 5mg BID.  I do not show any afib symptoms today.  The GI symptoms stopped on Wednesday.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Fatigue, Feeling abnormal
Clinical narrative: I started with congestion and post nasal drip. I also had a cough and fatigue. It got worse on Friday, My husband had COVID-19 already so I tested 3 times on Monday June 20th and the 21st and both were negative. On that Wednesday we went to a walk in Clinic and had a PCR on June 22nd which was negative. I took another test on Friday the 24th which also was negative. On the 25th in the morning, I took another test and it was positive. By Saturday I felt really lousy and had a fever of 99. I took Tylenol, Cough medicine and an inhaler that I had been prescribed from a previous illness. I still have nasal congestion but the cough is very sporadic and I no longer have fever. The fatigue has lessened but I am still recovering.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Respiratory tract congestion, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Upper-airway cough syndrome
Clinical narrative: I started with congestion and post nasal drip. I also had a cough and fatigue. It got worse on Friday, My husband had COVID-19 already so I tested 3 times on Monday June 20th and the 21st and both were negative. On that Wednesday we went to a walk in Clinic and had a PCR on June 22nd which was negative. I took another test on Friday the 24th which also was negative. On the 25th in the morning, I took another test and it was positive. By Saturday I felt really lousy and had a fever of 99. I took Tylenol, Cough medicine and an inhaler that I had been prescribed from a previous illness. I still have nasal congestion but the cough is very sporadic and I no longer have fever. The fatigue has lessened but I am still recovering.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Dose #1, 0.2 ml,  of Pfizer pediatric vaccine (maroon cap, ages 6 months -5 years) was administered without dilution.  As can be determined, the patient received approximately 36 mcg instead of 3 mcg.  Upon examination by the child's pediatrician, no acute adverse effects were noted at this time.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Eye pain, Liver function test abnormal, Malaise
Clinical narrative: Starting 06/09/2022, I developed mild cold like symptoms. The next day they were worse and I tested myself for COVID-19 which was negative. On 06/11/2022, my symptoms were bad and I tested myself with an at-home test for COVID-19 which was positive. I called my doctor and they ordered a blood test to ensure my liver could handle the antiviral. They prescribed me the PAXLOVID that day and I started it right away on 06/11/2022. The symptoms were like the worst cold or flu I ever had: severe nasal congestion, upper lung congestion, coughing, eye pain and bad malaise. I did not have vomiting which I normally have with the flu. Within 36 hours of taking PAXLOVID, the symptoms were extremely reduced and within the week they were gone.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Nasal congestion, Nasopharyngitis, Pulmonary congestion, SARS-CoV-2 test positive
Clinical narrative: Starting 06/09/2022, I developed mild cold like symptoms. The next day they were worse and I tested myself for COVID-19 which was negative. On 06/11/2022, my symptoms were bad and I tested myself with an at-home test for COVID-19 which was positive. I called my doctor and they ordered a blood test to ensure my liver could handle the antiviral. They prescribed me the PAXLOVID that day and I started it right away on 06/11/2022. The symptoms were like the worst cold or flu I ever had: severe nasal congestion, upper lung congestion, coughing, eye pain and bad malaise. I did not have vomiting which I normally have with the flu. Within 36 hours of taking PAXLOVID, the symptoms were extremely reduced and within the week they were gone.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Malaise, Pain in extremity, Renal impairment, Vomiting
Clinical narrative: sore arm, sick, thriwing up, kidney function dropped
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired medication. confirmed with manufacturer that dose maintained its efficacy. no follow-up needed. no adverse outcome
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Lacrimation increased, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I thought I had a bad cold. I had coughing, sneezing, teary eyes, congestion. I tested using my home COVID-19 Test, it came back positive. I called the doctor he prescribed some cough syrup and told me to take some over the counter medicine. I am feeling better now.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: I thought I had a bad cold. I had coughing, sneezing, teary eyes, congestion. I tested using my home COVID-19 Test, it came back positive. I called the doctor he prescribed some cough syrup and told me to take some over the counter medicine. I am feeling better now.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, COVID-19, Chest discomfort, Chills, Computerised tomogram thorax normal
Clinical narrative: I came home from vacation on 04/21 and I had runny nose, fever, chills, tachycardia, shortness of breath on minimal activity and a cough. All of that lasted for around a week and a half. I took an at home COVID-19 test that day and it was positive. I was able to treat my symptoms with Mucinex and Tylenol and did not require medical attention. When I thought I was feeling better, the tachycardia never really went away and actually began to get worse with activity. I also began having headaches. At that point I went to my doctor who ordered some lab work. That all lasted about a week and I developed an uncontrollable head tremor with muscle tremors and pain in my arms and legs which all lasted around two weeks. I had multiple tests done and all results so far have come back normal with the exception of an elevated D-dimer. I am still waiting on results from wearing a heart monitor for two weeks. When I received the results of the D-dimer they advised that I go to the emergency room for a chest CT. I also visited the emergency room when I was experiencing chest pressure and tachycardia and headaches. They did blood work which all came back normal and I was released.