chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: FLU4
Symptoms: No adverse event, Product storage error
Clinical narrative: product was exposed to a temperature of 72.0 degrees Fahrenheit and were out of range for a total of 6 days (144 hours), due to it being left out of refrigeration with no reported adverse event; Initial information received on 04-Jan-2022 regarding an unsolicited valid non-serious case received from a pharmacist.   This case involves an unknown age and unknown gender patient who experienced product was exposed to a temperature of 72.0 degrees fahrenheit and were out of range for a total of 6 days (144 hours), due to it being left out of refrigeration with no reported adverse event, while receiving vaccine INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE [FLUZONE HIGH-DOSE QUADRIVALENT].  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.   On an unknown date, the patient received a dose of suspect INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE lot UJ773AA, expiry date: 30-JUN-2022, via unknown route in unknown administration site (dose, formulation, strength not reported) as prophylactic vaccination.  On an unknown date the patient developed a non-serious event "product was exposed to a temperature of 72.0 degrees fahrenheit and were out of range for a total of 6 days (144 hours), due to it being left out of refrigeration with no reported adverse event " (product storage error) (unknown latency) following the administration of INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE.  Action taken with QUADRIVALENT INFLUENZA VACCINE (FLUZONE HIGH-DOSE QUADRIVALENT) was not applicable.  It was not reported if the patient received a corrective treatment for the event (product was exposed to a temperature of 72.0 degrees Fahrenheit and were out of range for a total of 6 days (144 hours), due to it being left out of refrigeration with no reported adverse event).  At time of reporting, the outcome was Unknown for the event product was exposed to a temperature of 72.0 degrees fahrenheit and were out of range for a total of 6 days (144 hours), due to it being left out of refrigeration with no reported adverse event.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 60.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: took vaccination at the dose of 60 years with no reported adverse event; Initial information was received on 05-Jan-2022 regarding an unsolicited valid non-serious case received from a health professional via call center.  This case involves a 60 years old male patient who took vaccination at the dose of 60 years with no reported adverse event while receiving vaccine INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE [FLUZONE HIGH-DOSE QUADRIVALENT].  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.   On an unknown date, the patient received a dose of suspect INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE (strength and formulation: unknown) at the dose of 0.7ml via unknown route (batch number and expiry date: unknown) in unknown administered site for prophylactic vaccination.  On an unknown date the patient developed a non-serious event "took vaccination at the dose of 60 years with no reported adverse event" (product administered to patient of inappropriate age) (latency: same day) following the administration of INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE.  Action taken with QUADRIVALENT INFLUENZA VACCINE (FLUZONE HIGH-DOSE QUADRIVALENT) was not applicable.  At time of reporting, the outcome was Unknown for the event took vaccination at the dose of 60 years with no reported adverse event.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 14.0
Sex: M
Vaccine: COVID19, FLUR4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: administered flublok quadrivalent to a 14-year old patient with no reported adverse event; Initial information received on 06-Jan-2022 regarding an unsolicited valid  non-serious case received from nurse.   This case involves 14 years old male patient who was administered flublok quadrivalent with no reported adverse event while receiving influenza quadrivalent recombinant vaccine [FLUBLOK QIV].  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.  Concomitant medications included tozinameran (PFIZER BIONTECH COVID-19 VACCINE) for Immunisation.  On 06-Jan-2022, the patient received a  0.5 ml dose of suspect influenza quadrivalent recombinant vaccine (lot: QFAA2134, expiry date: 30-Jun-2022) (strength reported as standard) via intramuscular route in the right deltoid once for immunization.  On 06-JAN-2022 the patient developed a non-serious administered flublok quadrivalent to a 14-year old patient with no reported adverse event (off label use) same day following the administration of influenza quadrivalent recombinant vaccine.  It was reported, Nurse reports that she administered FLUBLOK QUADRIVALENT to a 14-year old patient. Nurse asks how she should proceed in this situation. Nurse states the patient did not require any treatment after receiving the FLUBLOK.  Action taken with quadrivalent recombinant influenza vaccine (FLUBLOK QIV) was not applicable.  It was not reported if the patient received a corrective treatment for the event (administered flublok quadrivalent to a 14-year old patient with no reported adverse event).  At time of reporting, the outcome was Unknown for the event administered flublok quadrivalent to a 14-year old patient with no reported adverse event.
Age: 0.42
Sex: F
Vaccine: HIBV, IPV, PPV, RVX, TDAP
Symptoms: Wrong product administered
Clinical narrative: 5 month old patient got tdap instead of dtap vaccine with no reported adverse event; Initial information received on 06-Jan-2022 regarding an unsolicited valid  non-serious case received from a physician.  This case involves a 5 months old female patient who had 5 month old patient got tdap instead of dtap vaccine with no reported adverse event while receiving vaccine DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL].  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.  Concomitant medications included pneumococcal vaccine (pneumococcal vaccine) for prophylactic vaccination; polio vaccine inact 3v (vero) (ipol [polio vaccine inact 3v (vero)]) for prophylactic vaccination; hib vaccine conj (tet tox) (acthib) for prophylactic vaccination; and rotavirus vaccine (rotavirus vaccine) for Prophylactic vaccination.  On 06-Jan-2022, the patient received a  dose of suspect DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE lot U6767AA via intramuscular route.  On 06-JAN-2022 the patient developed a non-serious 5 month old patient got tdap instead of dtap vaccine with no reported adverse event (wrong product administered) following the administration of DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE.  Action taken was not applicable.  It was not reported if the patient received a corrective treatment for the event (5 month old patient got tdap instead of dtap vaccine with no reported adverse event).  At time of reporting, the outcome was Unknown for the event 5 month old patient got tdap instead of dtap vaccine with no reported adverse event.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 1.0
Sex: M
Vaccine: HEPA, HIBV, MMR, PNC, VARCEL
Symptoms: Incorrect product formulation administered
Clinical narrative: she mixed ACTHIB with the wrong diluent and administered it to a patient WITH NO REPORTED ADVERSE EVENT; Initial information received on 06-Jan-2022 regarding an unsolicited valid  non-serious case received from a other health professional.  This case involves a 12 months old male patient who experienced she mixed acthib with the wrong diluent and administered it to a patient with no reported adverse event while receiving vaccine HIB (PRP/T) VACCINE [ACT-HIB].   The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.  Concomitant medications included HEPATITIS A VACCINE (HEPATITIS A VACCINE); MEASLES VACCINE, MUMPS VACCINE, RUBELLA VACCINE (MMR); PNEUMOCOCCAL VACCINE CONJ 7V (CRM197) (PREVNAR); and VARICELLA ZOSTER VACCINE (VARICELLA VACCINE).  On 05-Jan-2022, the patient received a  dose of suspect HIB (PRP/T) VACCINE lot UJ584AAA via unknown route in the right thigh for prophylactic vaccination.  On 05-JAN-2022 the patient developed a non-serious event "she mixed acthib with the wrong diluent and administered it to a patient with no reported adverse event" (incorrect product formulation administered) following the administration of HIB (PRP/T) VACCINE.  Action taken with HAEMOPHILUS TYPE B (HIB) VACCINE (ACT-HIB) was not applicable.  It was not reported if the patient received a corrective treatment for the event (she mixed ACTHIB with the wrong diluent and administered it to a patient WITH NO REPORTED ADVERSE EVENT).  At time of reporting, the outcome was Unknown for the event she mixed acthib with the wrong diluent and administered it to a patient with no reported adverse event.     This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Sex: M
Vaccine: FLUA4
Symptoms: Biopsy bone marrow, Platelet count decreased
Clinical narrative: Platelet count was 52,000/his count was 47,000/his count was down to 16,000; This spontaneous case was received on 15-Dec-2021 from other non-healthcare professional (patient's wife) via Agency (reference number: SEQW21-06152) and concerned an adult male patient.  The patient's concurrent conditions included diabetes and low blood pressure. The patient's concomitant medications included Januvia (sitagliptin phosphate), metformin, Jardiance (empagliflozin) and Paxil (paroxetine hydrochloride), all used for an unreported indication.   On 22-Sep-2021, the patient was vaccinated with Fluad Quadrivalent (influenza vaccine, inactivated influenza virus surface antigen (subunit), egg-derived, mf59; dose: 0.5 ml, route of administration and anatomical location: not reported) for influenza prophylaxis. The batch number was not reported.  On an unspecified date in Oct-2021, reported as two weeks after receiving Fluad Quadrivalent, the patient went to his endocrinologist and his platelet count was 52,000.   On an unknown date in 2021, unknown amount of time after receiving Fluad Quadrivalent, the patient went to his primary care physician and his count was 47,000. He was then seen by a haematologist and his count was down to 16,000. The physicians were working together and had taken him off of Jardiance. He was given Promacta (eltrombopag olamine) for a week which did not help. Then they tried with prednisone for a week which also didn't help. The patient had a bone marrow biopsy and saw a second haematologist, who wanted to schedule a second bone marrow biopsy.   At the time of initial reporting on 15-Dec-2021, the patient had not recovered from the event.   The reporter did not provide causality assessment.   The case was assessed as non-serious.  Company comment: A patient of unknown age developed decreased platelet count an unknown amount of time after receiving the suspect product Fluad Quadrivalent. Due to unclear time relationship, causality is unassessable.; Sender's Comments: A patient of unknown age developed decreased platelet count an unknown amount of time after receiving the suspect product Fluad Quadrivalent. Due to unclear time relationship, causality is unassessable.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Muscle fatigue, Pain in extremity
Clinical narrative: After the booster shot intense arm pain out of no where is occurring months after the shot. It is a vary distinct pain and it?s accompanied by a feeling of muscle fatigue as well.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Biopsy bronchus abnormal, Biopsy lung abnormal, Biopsy lymph gland abnormal, Biopsy trachea abnormal
Clinical narrative: First my left ankle started to hurt then it started to swell then 4 days later my right ankle started to swell then both feet Were painful and swollen.  Then  I developed red lumps on mu shins  and calf?s. I had an x ray and it showed swollen lymph nodes they then did ct scan that showed nodules on lungs.   and my lymphocytes where at 66.7 they then had to do  bx on my lymph nodes lungs  and bronchus and trachea just today 1/14/22 I am now diagnosed with sarcadosis. Before the vaccine I was a healthy runner and  athlete
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram thorax abnormal, Electrocardiogram, Joint swelling, Lymphadenopathy
Clinical narrative: First my left ankle started to hurt then it started to swell then 4 days later my right ankle started to swell then both feet Were painful and swollen.  Then  I developed red lumps on mu shins  and calf?s. I had an x ray and it showed swollen lymph nodes they then did ct scan that showed nodules on lungs.   and my lymphocytes where at 66.7 they then had to do  bx on my lymph nodes lungs  and bronchus and trachea just today 1/14/22 I am now diagnosed with sarcadosis. Before the vaccine I was a healthy runner and  athlete
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte count increased, Pain in extremity, Peripheral swelling, Pulmonary mass, Rash erythematous
Clinical narrative: First my left ankle started to hurt then it started to swell then 4 days later my right ankle started to swell then both feet Were painful and swollen.  Then  I developed red lumps on mu shins  and calf?s. I had an x ray and it showed swollen lymph nodes they then did ct scan that showed nodules on lungs.   and my lymphocytes where at 66.7 they then had to do  bx on my lymph nodes lungs  and bronchus and trachea just today 1/14/22 I am now diagnosed with sarcadosis. Before the vaccine I was a healthy runner and  athlete
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Sarcoidosis, Surgery, Urine analysis, X-ray normal
Clinical narrative: First my left ankle started to hurt then it started to swell then 4 days later my right ankle started to swell then both feet Were painful and swollen.  Then  I developed red lumps on mu shins  and calf?s. I had an x ray and it showed swollen lymph nodes they then did ct scan that showed nodules on lungs.   and my lymphocytes where at 66.7 they then had to do  bx on my lymph nodes lungs  and bronchus and trachea just today 1/14/22 I am now diagnosed with sarcadosis. Before the vaccine I was a healthy runner and  athlete
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Electrocardiogram ambulatory normal, Myocardial infarction, Palpitations
Clinical narrative: I started having heart palpitations and racing heart. On 7/6/21 I had what I believe to be a mild heart attack. I was later diagnosed with AfIb. Before the vaccine I was very healthy. I walked 6-8 miles a day. I believe the vaccine caused my heart to fail me.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Muscle fatigue
Clinical narrative: Right arm fatigue & numbness since booster shot. Right leg fatigue & numbness since booster shot.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Fatigue, Headache, Nausea
Clinical narrative: Tired, weak, nausea, and headache.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Foaming at mouth, Pallor, Presyncope
Clinical narrative: Syncope, pale, cough, mouth foam.  2 minutes  before start to recover. EMS activated on arrival assessment diagnosis for vasovagal. Pt taken home with no other adverse effects except mild fatigue.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Syncope, pale, cough, mouth foam.  2 minutes  before start to recover. EMS activated on arrival assessment diagnosis for vasovagal. Pt taken home with no other adverse effects except mild fatigue.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Hypersomnia, Pain in extremity
Clinical narrative: Pain in arm Exhausted slept 18 hours Chills 15 hours Headache
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Neck pain
Clinical narrative: Pain on left side of neck still persists, feels like swollen lymph node,  sore and sensitive to touch, there is a small mass in pain area. I've reached out to my PCP to have it examined.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest, Intensive care, Laboratory test
Clinical narrative: SUDDEN CARDIAC ARREST - ONLY SURVIVED DUE TO QUICK ACTION OF CO-WORKERS AND FIREMEN.  IN ICU FOR OVER A WEEK TRYING TO FIGURE OUT WHAT WAS GOING ON.  NO BLOCKAGE.  DETERMINED HE NEEDED A PACEMAKER DEFIBRILATOR.  HAD NOT HAD HEART ISSUES BEFORE COVID IN JANUARY.  WHEN HE HAD COVID IN JANUARY THEY NOTICED HE HAD AN ENLARGED HEART AN HE HAD JUST BEEN TO A CARDIOLOGIST THE WEEK BEFORE THIS EVENT.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza, Lethargy
Clinical narrative: Extreme lethargy ,felt like the flu I have not been sick in 35 years and this booster kicked my butt for 2 days,,
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Skin disorder
Clinical narrative: Loss of skin at needle entry area of my right arm
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: Patient experience redness, swelling, itchiness and soreness in the left arm. This showed up about 3 to 4 days after the injection.  She stated this resolved about 2 weeks later.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Pyrexia
Clinical narrative: PT MOTHER CALLED STATING THE PATIENT IS EXPERIENCING HIGH FEVER AND CHEST PAIN /TIGHTNESS/BREATHING TROUBLES, RECOMMENDED TO SEE A PHYSCIAN ASAP.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: The patient comes in to get Pfizer booster vaccine, and Moderna booster (0.25 ml) was administered by mistake
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Redness and itching of surgical wounds from 12/17/21 orthopedic procedure starting a few hours after the vaccine.  Waxed and waned over next several days.  About 4 days after that developed minor hives of foot (same limb as surgery) and then face.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dizziness, Dyspnoea, Myocardial infarction
Clinical narrative: Started getting dizzy and short of breath a few days before massive heart attack on 6/12/21. 1 month after 2nd shot.  Passed away.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna booster vaccine was given to patient 25 days before 18th birthday.  No adverse reaction has been reported.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Myocardial infarction
Clinical narrative: Heart attack
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Cardiac stress test, Chest pain, Dizziness, Echocardiogram
Clinical narrative: Chest Pain, Heart Racing, Light Headed, Hypertension
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Hypertension, Palpitations
Clinical narrative: Chest Pain, Heart Racing, Light Headed, Hypertension
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: swollen super clavicular lymph node
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: No adverse event.  Did get COVID January 2022
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Ear pain, Hypoacusis
Clinical narrative: Severe ear ache, in right ear,  both ears stopped up could not hear, everything sounded muffled for about 4 weeks
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray abnormal, Culture, Hypotension
Clinical narrative: 54 year old male with mulitple medical issues sig for ESRD, HD MWF, HLD, HTN, HLD, CAD, PCI, LAD, CTO of RCA, DM, obesity, chronic back pain, asthma, chronic atrial fibrillation on xarelto, s/p colonoscopy recently, benign polyp found, hx of septic shock requiring intubation, 2019 at that time had acute cholecystitis and was too unstable at the time to have surgery so he had a percutanous drainage of the gallbladder, had recovered and tube was removed. He requred placement on HD and had an avfistula placed in 2020 and post op had another episode of respiratory failure requireing intubation again . He subsequently recoveresd from these episodes. So yesteday he presented from HD hypotensive and has had a cough and fever of 101 at home with a productive cough of clear sputum, denies SOB, or chest pain or nausea or vomiting. He feels week and was given a fluid bolus of a liter of fluids in the ED, cultured and started on empiric abx for right lower lobe pneumonia seen on chest xray. He denies sick contacts and is boosted with moderna vaccine x 3, he cant remember dates. He is a poor historian.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Productive cough, Pyrexia, SARS-CoV-2 antibody test, SARS-CoV-2 test negative
Clinical narrative: 54 year old male with mulitple medical issues sig for ESRD, HD MWF, HLD, HTN, HLD, CAD, PCI, LAD, CTO of RCA, DM, obesity, chronic back pain, asthma, chronic atrial fibrillation on xarelto, s/p colonoscopy recently, benign polyp found, hx of septic shock requiring intubation, 2019 at that time had acute cholecystitis and was too unstable at the time to have surgery so he had a percutanous drainage of the gallbladder, had recovered and tube was removed. He requred placement on HD and had an avfistula placed in 2020 and post op had another episode of respiratory failure requireing intubation again . He subsequently recoveresd from these episodes. So yesteday he presented from HD hypotensive and has had a cough and fever of 101 at home with a productive cough of clear sputum, denies SOB, or chest pain or nausea or vomiting. He feels week and was given a fluid bolus of a liter of fluids in the ED, cultured and started on empiric abx for right lower lobe pneumonia seen on chest xray. He denies sick contacts and is boosted with moderna vaccine x 3, he cant remember dates. He is a poor historian.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 54 year old male with mulitple medical issues sig for ESRD, HD MWF, HLD, HTN, HLD, CAD, PCI, LAD, CTO of RCA, DM, obesity, chronic back pain, asthma, chronic atrial fibrillation on xarelto, s/p colonoscopy recently, benign polyp found, hx of septic shock requiring intubation, 2019 at that time had acute cholecystitis and was too unstable at the time to have surgery so he had a percutanous drainage of the gallbladder, had recovered and tube was removed. He requred placement on HD and had an avfistula placed in 2020 and post op had another episode of respiratory failure requireing intubation again . He subsequently recoveresd from these episodes. So yesteday he presented from HD hypotensive and has had a cough and fever of 101 at home with a productive cough of clear sputum, denies SOB, or chest pain or nausea or vomiting. He feels week and was given a fluid bolus of a liter of fluids in the ED, cultured and started on empiric abx for right lower lobe pneumonia seen on chest xray. He denies sick contacts and is boosted with moderna vaccine x 3, he cant remember dates. He is a poor historian.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, COVID-19, Dysphagia, SARS-CoV-2 antibody test, SARS-CoV-2 test negative
Clinical narrative: 50-year-old female with a past medical history significant for asthma, hypertension, hyperlipidemia presenting to ER with complaints of subjective dysphagia. Patient describes dysphagia to solids and liquids. Describes this as being an ongoing chronic issue. Has tried but been unable to obtain consultation as an outpatient with a gastroenterologist. Is very anxious and upset. Would like to see a GI specialist. States that she is unable to tolerate solids or liquids. She was observed to be drinking liquids in the ER.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 50-year-old female with a past medical history significant for asthma, hypertension, hyperlipidemia presenting to ER with complaints of subjective dysphagia. Patient describes dysphagia to solids and liquids. Describes this as being an ongoing chronic issue. Has tried but been unable to obtain consultation as an outpatient with a gastroenterologist. Is very anxious and upset. Would like to see a GI specialist. States that she is unable to tolerate solids or liquids. She was observed to be drinking liquids in the ER.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Ascites, COVID-19, Condition aggravated, Confusional state
Clinical narrative: 87 year old male with sig hx of ascities, acute toxic metabolic encephalopathy, CAD, sepsis, chronic urinary retention, recent OIRF of left hip fx 11/21, last time paracentesis was 11/29/21 for 2500ml of fluid. He presents back here for poor po intake and worsening ascities and lower extremty edema and urinary retention of over one liter of urine and is found to be in AKI, no previous hx of CKD per labs. He is confused and wants to go home. He denies chest pain or shortness of breath , states his abdomen is always like this
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Hypophagia, Oedema peripheral, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Urinary retention
Clinical narrative: 87 year old male with sig hx of ascities, acute toxic metabolic encephalopathy, CAD, sepsis, chronic urinary retention, recent OIRF of left hip fx 11/21, last time paracentesis was 11/29/21 for 2500ml of fluid. He presents back here for poor po intake and worsening ascities and lower extremty edema and urinary retention of over one liter of urine and is found to be in AKI, no previous hx of CKD per labs. He is confused and wants to go home. He denies chest pain or shortness of breath , states his abdomen is always like this
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chills, Diarrhoea, Fatigue, Headache
Clinical narrative: Headache, body aches, fatigue, 102.5 fever, uncontrollable chills, diarrhea, vomiting, injection site pain, armpit pain; took Tylenol, came back up, drank some water, came back up.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain, Vomiting
Clinical narrative: Headache, body aches, fatigue, 102.5 fever, uncontrollable chills, diarrhea, vomiting, injection site pain, armpit pain; took Tylenol, came back up, drank some water, came back up.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain
Clinical narrative: Injection site pain. Severe fatigue x 36 hours
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Migraine, Ophthalmological examination, Vomiting
Clinical narrative: Migraine/headache with associated vomiting.  Began day after first vaccine and occurred 1-2 times per week through January 1, 2022.  An increase or association was not noted with the second vaccine administered on 12/3/2021.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Lethargy, Mental status changes, SARS-CoV-2 test negative
Clinical narrative: 84 year old on chemotherapy for gastric CA, admitted with lethargy ,wekaness and change in mental status.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 84 year old on chemotherapy for gastric CA, admitted with lethargy ,wekaness and change in mental status.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Fatigue, Headache, Pyrexia
Clinical narrative: Severe fatigue, severe lower back pain, chills, fever, headache. Lasting 36 hours.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Hypoxia, Lethargy, Pyrexia
Clinical narrative: 81 yr old female with pmh of dementia , parkinsons long term resident of assited living was sent to er for cough fever and hypxia . in er evaluation pt found to have uti , lethargy . pt is admitted for further treatment and close monitoring , including test for covid .
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: 81 yr old female with pmh of dementia , parkinsons long term resident of assited living was sent to er for cough fever and hypxia . in er evaluation pt found to have uti , lethargy . pt is admitted for further treatment and close monitoring , including test for covid .
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Back pain, Fatigue, Headache, Pain
Clinical narrative: Severe fatigue, body aches, severe lower back pain, and headache x 48 hours. Hair loss with regrowth starting at 2 months post vaccine.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Depression, Pyrexia, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: Patient was initially admitted for psych admission for depression management but due to persistent fever and tachycardia, patient was transferred to medical service and onto medical floors. Patient denies coughing prior to ED presentation, denies vomiting while she was intoxicated or during alcohol consumption, no recent URI SXS noted. She denies IV drug use as well.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder, Polymenorrhoea
Clinical narrative: Abnormal menstrual cycle; came 10 days early. This does not happen to me.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Deep vein thrombosis, Dyspnoea, Loss of consciousness, Pulmonary thrombosis
Clinical narrative: 1 month after 2nd dose of vaccine i became very short of breath went to the dr on 6/25/2021 was told i had allergies  went to work in and on 7/18/2021 I passed out in the hotel shower was taken to the hospital where they found 3 clots in my lungs and a dvt in right leg
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: 1 month after 2nd dose of vaccine i became very short of breath went to the dr on 6/25/2021 was told i had allergies  went to work in and on 7/18/2021 I passed out in the hotel shower was taken to the hospital where they found 3 clots in my lungs and a dvt in right leg
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood chloride increased, Blood creatinine increased, Blood potassium increased
Clinical narrative: Patient is an 89 year old male with PMH of HTN, MI, hypothyroid, HLD, GERD, CAD s/p stents x4 and PPM who presents to the ED from the nursing home with respiratory distress. Patient opens eyes to verbal stimuli but is not answering questions. History is obtained from the ED record. As per ED record, patient was 88% on RA, was placed on 10L/min at the facility and arrived in the ED on NRB with O2 sat of 96%.  In the ED, BUN 80, Cr 4.8, GFR 12, Na 148, K 5.8, Cl 116, AST 78, ALT 70, BNP 385. Rectal temp 93.7. Rapid covid test is positive. Flu is negative. CXR shows bilateral patchy infiltrates c/w Covid, can not exclude effusion. Patient is found to have body jerking, and is thought to be being shocked by ACD with possible torsades. Nursing home was contacted and it was noted that patient has a PPM but no ACD. EKG shows baseline artifact w/ atrial pacing with delayed ventricular contraction. Dr was consulted and patient was started on Amiodarone drip.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium increased, Blood urea increased, Body temperature decreased, Brain natriuretic peptide increased, COVID-19
Clinical narrative: Patient is an 89 year old male with PMH of HTN, MI, hypothyroid, HLD, GERD, CAD s/p stents x4 and PPM who presents to the ED from the nursing home with respiratory distress. Patient opens eyes to verbal stimuli but is not answering questions. History is obtained from the ED record. As per ED record, patient was 88% on RA, was placed on 10L/min at the facility and arrived in the ED on NRB with O2 sat of 96%.  In the ED, BUN 80, Cr 4.8, GFR 12, Na 148, K 5.8, Cl 116, AST 78, ALT 70, BNP 385. Rectal temp 93.7. Rapid covid test is positive. Flu is negative. CXR shows bilateral patchy infiltrates c/w Covid, can not exclude effusion. Patient is found to have body jerking, and is thought to be being shocked by ACD with possible torsades. Nursing home was contacted and it was noted that patient has a PPM but no ACD. EKG shows baseline artifact w/ atrial pacing with delayed ventricular contraction. Dr was consulted and patient was started on Amiodarone drip.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Dyskinesia, Electrocardiogram abnormal, Glomerular filtration rate decreased, Hyporesponsive to stimuli
Clinical narrative: Patient is an 89 year old male with PMH of HTN, MI, hypothyroid, HLD, GERD, CAD s/p stents x4 and PPM who presents to the ED from the nursing home with respiratory distress. Patient opens eyes to verbal stimuli but is not answering questions. History is obtained from the ED record. As per ED record, patient was 88% on RA, was placed on 10L/min at the facility and arrived in the ED on NRB with O2 sat of 96%.  In the ED, BUN 80, Cr 4.8, GFR 12, Na 148, K 5.8, Cl 116, AST 78, ALT 70, BNP 385. Rectal temp 93.7. Rapid covid test is positive. Flu is negative. CXR shows bilateral patchy infiltrates c/w Covid, can not exclude effusion. Patient is found to have body jerking, and is thought to be being shocked by ACD with possible torsades. Nursing home was contacted and it was noted that patient has a PPM but no ACD. EKG shows baseline artifact w/ atrial pacing with delayed ventricular contraction. Dr was consulted and patient was started on Amiodarone drip.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza virus test negative, Lung infiltration, Pacemaker generated rhythm, Respiratory distress, SARS-CoV-2 antibody test
Clinical narrative: Patient is an 89 year old male with PMH of HTN, MI, hypothyroid, HLD, GERD, CAD s/p stents x4 and PPM who presents to the ED from the nursing home with respiratory distress. Patient opens eyes to verbal stimuli but is not answering questions. History is obtained from the ED record. As per ED record, patient was 88% on RA, was placed on 10L/min at the facility and arrived in the ED on NRB with O2 sat of 96%.  In the ED, BUN 80, Cr 4.8, GFR 12, Na 148, K 5.8, Cl 116, AST 78, ALT 70, BNP 385. Rectal temp 93.7. Rapid covid test is positive. Flu is negative. CXR shows bilateral patchy infiltrates c/w Covid, can not exclude effusion. Patient is found to have body jerking, and is thought to be being shocked by ACD with possible torsades. Nursing home was contacted and it was noted that patient has a PPM but no ACD. EKG shows baseline artifact w/ atrial pacing with delayed ventricular contraction. Dr was consulted and patient was started on Amiodarone drip.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Ventricular dysfunction
Clinical narrative: Patient is an 89 year old male with PMH of HTN, MI, hypothyroid, HLD, GERD, CAD s/p stents x4 and PPM who presents to the ED from the nursing home with respiratory distress. Patient opens eyes to verbal stimuli but is not answering questions. History is obtained from the ED record. As per ED record, patient was 88% on RA, was placed on 10L/min at the facility and arrived in the ED on NRB with O2 sat of 96%.  In the ED, BUN 80, Cr 4.8, GFR 12, Na 148, K 5.8, Cl 116, AST 78, ALT 70, BNP 385. Rectal temp 93.7. Rapid covid test is positive. Flu is negative. CXR shows bilateral patchy infiltrates c/w Covid, can not exclude effusion. Patient is found to have body jerking, and is thought to be being shocked by ACD with possible torsades. Nursing home was contacted and it was noted that patient has a PPM but no ACD. EKG shows baseline artifact w/ atrial pacing with delayed ventricular contraction. Dr was consulted and patient was started on Amiodarone drip.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Oedema peripheral, Pain, Paraesthesia, Tenderness
Clinical narrative: Left arm numbness and tingling from fingertips to upper rib cage after 12 hours for about 6 hours, then visible swelling in the left axillary area with tenderness to touch and minor discomfort with movement for 48-60 hours after vaccination.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal behaviour, COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Patient is a 62 year old female with PMH of schizophrenia, HTN, asthma, and COPD, who initially presented to ED for psychiatric evaluation. As per ED record, EMS reported tha ptient was sent to ED because she became upset that another resident was picked up before she was and she urinated on the window sill. Upon arrival to the ED, patient reports that she was having difficulty breathing. Patient is a poor historian but states that she has been having difficulty breathing for months but it increased today
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Mouth swelling, Pharyngeal swelling, Rash, Swollen tongue
Clinical narrative: Severe rash spread all over body. Controle by clinic visit and steroid shots. Rash and swelling made it to mouth, tongue and throat which ended up putting me in hospital due to breathing problems.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Depression, Lethargy, SARS-CoV-2 antibody test
Clinical narrative: Patient provides no complaints but is evaluated of lethargy and depression and treated for Covid.  HPI  54 year old male with htn, diabetes, CVA, and depression presents with lethargy and is treated for Covid.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient provides no complaints but is evaluated of lethargy and depression and treated for Covid.  HPI  54 year old male with htn, diabetes, CVA, and depression presents with lethargy and is treated for Covid.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Blepharospasm, Pain in extremity
Clinical narrative: pain in arm, eye twitching on left side for weeks
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 antibody test, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: No described
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Blood immunoglobulin G, Blood immunoglobulin M, COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: covid positive.  HPI  73 year old female tested positive for covid at home- daughter just discharged from hospital after being treated for covid-19- patient's husband admitted to hospital with covid infection- patient denies sob,cp,abd pain, sorethroat, n/v. denies abd pain/ diarrhea
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Discomfort, Lymphadenopathy
Clinical narrative: Very swollen lymph nodes at armpit of the arm that I got the shot in. It makes it uncomfortable to put that arm down.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Binge drinking, Blood immunoglobulin G, Blood immunoglobulin M, COVID-19, Haematemesis
Clinical narrative: 36 year old female presented to ER with c/o vomiting blood- says she has been binge drinking and her last drink was 3 days- says had fight with her boyfriend- denies abd pain/nausea- denies sob,cp,palpitations in ER her HR was high- she was initiated on CIWA/given lopressor and fluids
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Partner stress, SARS-CoV-2 test positive
Clinical narrative: 36 year old female presented to ER with c/o vomiting blood- says she has been binge drinking and her last drink was 3 days- says had fight with her boyfriend- denies abd pain/nausea- denies sob,cp,palpitations in ER her HR was high- she was initiated on CIWA/given lopressor and fluids
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Rash, Skin warm
Clinical narrative: Swollen arm hot to touch and severe rash.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Blood immunoglobulin G decreased, Blood immunoglobulin M decreased, COVID-19, Computerised tomogram head abnormal
Clinical narrative: This is a 63-year-old male with PMH of MI - CABG quadruple bypass 2007, non-Hodgkin's lymphoma march 2021 - was treated with radiation, HTN, presents to the ED for evaluation of ear pain and headaches. Patient was seen at this facility on 01/06 22 for similar symptoms and had a CT scan of mastoids which shows maxillary sinusitis. Patient was advised to follow-up with ENT which he did in NYC. Patient was advised to follow-up with neurologist in which he has an appointment with Dr. on 01/13. Patient reports his symptoms started last week since Jan 4th with left ear pain radiated to the left jaw and headaches. Patient was seen by Dr., PMD on 01/05 and was placed on Z-Pak in which he completed. On 1/9 patient reports he started to develop blister on the left ear and noticed some lumps on the top of the left side of his head, left side of his jaw, neck and on the left side of the upper chest area. In the ED patient was medicated with 0.5 mg of hydromorphone, patient was started on acyclovir IV. Patient was also given 1 L normal saline IV fluid bolus and 1000 mg of Ofirmev. Upon arrival in the ED T-max was 100°. Vital signs stable. Patient was also tested positive for COVID-19. Pt denies any vision changes. Patient was recorded 92% on room air in the ED.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Ear pain, Headache, Mass, Neck mass, Pain
Clinical narrative: This is a 63-year-old male with PMH of MI - CABG quadruple bypass 2007, non-Hodgkin's lymphoma march 2021 - was treated with radiation, HTN, presents to the ED for evaluation of ear pain and headaches. Patient was seen at this facility on 01/06 22 for similar symptoms and had a CT scan of mastoids which shows maxillary sinusitis. Patient was advised to follow-up with ENT which he did in NYC. Patient was advised to follow-up with neurologist in which he has an appointment with Dr. on 01/13. Patient reports his symptoms started last week since Jan 4th with left ear pain radiated to the left jaw and headaches. Patient was seen by Dr., PMD on 01/05 and was placed on Z-Pak in which he completed. On 1/9 patient reports he started to develop blister on the left ear and noticed some lumps on the top of the left side of his head, left side of his jaw, neck and on the left side of the upper chest area. In the ED patient was medicated with 0.5 mg of hydromorphone, patient was started on acyclovir IV. Patient was also given 1 L normal saline IV fluid bolus and 1000 mg of Ofirmev. Upon arrival in the ED T-max was 100°. Vital signs stable. Patient was also tested positive for COVID-19. Pt denies any vision changes. Patient was recorded 92% on room air in the ED.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in jaw, SARS-CoV-2 test positive, Sinusitis
Clinical narrative: This is a 63-year-old male with PMH of MI - CABG quadruple bypass 2007, non-Hodgkin's lymphoma march 2021 - was treated with radiation, HTN, presents to the ED for evaluation of ear pain and headaches. Patient was seen at this facility on 01/06 22 for similar symptoms and had a CT scan of mastoids which shows maxillary sinusitis. Patient was advised to follow-up with ENT which he did in NYC. Patient was advised to follow-up with neurologist in which he has an appointment with Dr. on 01/13. Patient reports his symptoms started last week since Jan 4th with left ear pain radiated to the left jaw and headaches. Patient was seen by Dr., PMD on 01/05 and was placed on Z-Pak in which he completed. On 1/9 patient reports he started to develop blister on the left ear and noticed some lumps on the top of the left side of his head, left side of his jaw, neck and on the left side of the upper chest area. In the ED patient was medicated with 0.5 mg of hydromorphone, patient was started on acyclovir IV. Patient was also given 1 L normal saline IV fluid bolus and 1000 mg of Ofirmev. Upon arrival in the ED T-max was 100°. Vital signs stable. Patient was also tested positive for COVID-19. Pt denies any vision changes. Patient was recorded 92% on room air in the ED.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Injection site pain
Clinical narrative: PATIENT CAME TO PHARMACY ON 01/14/2021 AT 4:45PM ASKING IF SHE CAN RECEIVE A BOOSTER DOSE OF MODERNA VACCINE. PATIENT FILLED OUT THE CDC QUETIONNAIRE FORM AND IT WAS REVIEWED PRIOR TO VACCINATION, HOWEVER THE BOOSTER WAS ADMINISTERED 1 MONTH BEFORE THE RECOMMENDED INTERVAL AT 4 MONTHS RATHER THAN AT 5 MONTHS APART. PATIENT WAS REACHED OUT NEXT DAY MORNING ON 01/15/2022 UPON FINDINGS OF THE MISTAKE AND COUNSELED ON POSSIBLE SIDE EFFECTS. PATIENT STATED SHE WAS ONLY HAVING MILD SORENESS AROUND THE INJECTION SITE. NO OTHER ADVERSE REACTIONS WERE REPORTED.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Atypical pneumonia, COVID-19, Chills, Computerised tomogram thorax abnormal, Cough
Clinical narrative: This is a 54 year old female with PMH of Obesity and vitamin-D deficiency presents to ED for evaluation of covid 19 symptoms. Patient states she has been having intermittent cough, shortness of breath, diarrhea and metallic taste in her mouth since 1st week of January. Patient states her initial exposure with COVID-19 was on January 2nd when her son was tested positive for COVID-19. Pt states her husband was also tested positive for Covid 19 again on Jan 5th. Since then patient has been experiencing chills, fever, body aches, nonproductive cough, and shortness of breath on exertion. Patient saw her PMD earlier today and was advised to go to the ED for further evaluation and treatment due to hypoxia. Patient had a CT chest in the ED which shows Multifocal groundglass opacities consistent with atypical pneumonia
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dysgeusia, Dyspnoea, Dyspnoea exertional, Exposure to SARS-CoV-2
Clinical narrative: This is a 54 year old female with PMH of Obesity and vitamin-D deficiency presents to ED for evaluation of covid 19 symptoms. Patient states she has been having intermittent cough, shortness of breath, diarrhea and metallic taste in her mouth since 1st week of January. Patient states her initial exposure with COVID-19 was on January 2nd when her son was tested positive for COVID-19. Pt states her husband was also tested positive for Covid 19 again on Jan 5th. Since then patient has been experiencing chills, fever, body aches, nonproductive cough, and shortness of breath on exertion. Patient saw her PMD earlier today and was advised to go to the ED for further evaluation and treatment due to hypoxia. Patient had a CT chest in the ED which shows Multifocal groundglass opacities consistent with atypical pneumonia