chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 57.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Fever-Mild, Additional Details: Language barrier -
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: Sore throat, runny nose. Paxlovid
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough event
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough event
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: COVID-19 leading to hospitalization
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Computerised tomogram abdomen abnormal, Diarrhoea, Discoloured vomit, Endoscopy abnormal
Clinical narrative: Pfizer Dose 1 6/23/21 (EW0181) Pfizer Dose 2 7/18/21 (EW0198) COVID Positive 1/5/22  1/5/22: Patient is a 51 year old male with past history of alcohol abuse, tobacco abuse, and severe COPD who was admitted with melena and hematochezia and also was found to be COVID-19 positive.  History is obtained from chart review as well as discussion with the patient and the ED provider.  Patient has a long history of alcohol abuse and drinks at least 6 beers per day.  Does have chronic lower extremity swelling for which he is on Lasix 40 mg b.i.d..  He was seen by Pulmonary last year and started on inhalers for severe COPD.  Patient had some dark red diarrhea last night and then black diarrhea today.  He also had vomiting of black material.  He does admit to taking ibuprofen most recently yesterday.  He does not have a known history of cirrhosis although there has been discussions with his PCP about obtaining testing.  He is not having any chest pain and denies any shortness of breath other than his baseline COPD.  Currently does not have any nausea.  He denies any fevers or chills.  He does have a wound to his left shin after he fell a couple weeks ago.  He states he has received his COVID-19 vaccinations but not a booster.  1/8/22: 51-year-old male with a history of chronic alcohol abuse, COPD and chronic smoker presented with melena/hematochezia.  He was also found be with 19 positive.  CT scan of the abdomen revealed severely fatty liver.  He was diagnosed with likely upper GI bleed due to chronic liver disease and portal hypertension.  He was commenced on pantoprazole and octreotide infusion.  Had an upper GI endoscopy which revealed the above findings. Patient required no blood transfusion. Patient has minimal respiratory symptoms with O2 saturation of 96% on room air.  On re-evaluation this morning he has no new complaint.  Hemoglobin remains stable.  He will be discharged home on oral pantoprazole 40 mg p.o. b.i.d. and continue with pre-admission medications.  He will follow-up with the PCP in 1-2 weeks.  Patient was advised to continue with respiratory isolation for at least 5 days despite he is asymptomatic as per the new CDC recommendation.  He is fully vaccinated.    More importantly patient was advised to quit drinking and smoking.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Faeces discoloured, Fall, Gastrointestinal haemorrhage, Haematochezia, Haemoglobin normal
Clinical narrative: Pfizer Dose 1 6/23/21 (EW0181) Pfizer Dose 2 7/18/21 (EW0198) COVID Positive 1/5/22  1/5/22: Patient is a 51 year old male with past history of alcohol abuse, tobacco abuse, and severe COPD who was admitted with melena and hematochezia and also was found to be COVID-19 positive.  History is obtained from chart review as well as discussion with the patient and the ED provider.  Patient has a long history of alcohol abuse and drinks at least 6 beers per day.  Does have chronic lower extremity swelling for which he is on Lasix 40 mg b.i.d..  He was seen by Pulmonary last year and started on inhalers for severe COPD.  Patient had some dark red diarrhea last night and then black diarrhea today.  He also had vomiting of black material.  He does admit to taking ibuprofen most recently yesterday.  He does not have a known history of cirrhosis although there has been discussions with his PCP about obtaining testing.  He is not having any chest pain and denies any shortness of breath other than his baseline COPD.  Currently does not have any nausea.  He denies any fevers or chills.  He does have a wound to his left shin after he fell a couple weeks ago.  He states he has received his COVID-19 vaccinations but not a booster.  1/8/22: 51-year-old male with a history of chronic alcohol abuse, COPD and chronic smoker presented with melena/hematochezia.  He was also found be with 19 positive.  CT scan of the abdomen revealed severely fatty liver.  He was diagnosed with likely upper GI bleed due to chronic liver disease and portal hypertension.  He was commenced on pantoprazole and octreotide infusion.  Had an upper GI endoscopy which revealed the above findings. Patient required no blood transfusion. Patient has minimal respiratory symptoms with O2 saturation of 96% on room air.  On re-evaluation this morning he has no new complaint.  Hemoglobin remains stable.  He will be discharged home on oral pantoprazole 40 mg p.o. b.i.d. and continue with pre-admission medications.  He will follow-up with the PCP in 1-2 weeks.  Patient was advised to continue with respiratory isolation for at least 5 days despite he is asymptomatic as per the new CDC recommendation.  He is fully vaccinated.    More importantly patient was advised to quit drinking and smoking.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Hepatic steatosis, Inappropriate schedule of product administration, Limb injury, Liver disorder, Melaena
Clinical narrative: Pfizer Dose 1 6/23/21 (EW0181) Pfizer Dose 2 7/18/21 (EW0198) COVID Positive 1/5/22  1/5/22: Patient is a 51 year old male with past history of alcohol abuse, tobacco abuse, and severe COPD who was admitted with melena and hematochezia and also was found to be COVID-19 positive.  History is obtained from chart review as well as discussion with the patient and the ED provider.  Patient has a long history of alcohol abuse and drinks at least 6 beers per day.  Does have chronic lower extremity swelling for which he is on Lasix 40 mg b.i.d..  He was seen by Pulmonary last year and started on inhalers for severe COPD.  Patient had some dark red diarrhea last night and then black diarrhea today.  He also had vomiting of black material.  He does admit to taking ibuprofen most recently yesterday.  He does not have a known history of cirrhosis although there has been discussions with his PCP about obtaining testing.  He is not having any chest pain and denies any shortness of breath other than his baseline COPD.  Currently does not have any nausea.  He denies any fevers or chills.  He does have a wound to his left shin after he fell a couple weeks ago.  He states he has received his COVID-19 vaccinations but not a booster.  1/8/22: 51-year-old male with a history of chronic alcohol abuse, COPD and chronic smoker presented with melena/hematochezia.  He was also found be with 19 positive.  CT scan of the abdomen revealed severely fatty liver.  He was diagnosed with likely upper GI bleed due to chronic liver disease and portal hypertension.  He was commenced on pantoprazole and octreotide infusion.  Had an upper GI endoscopy which revealed the above findings. Patient required no blood transfusion. Patient has minimal respiratory symptoms with O2 saturation of 96% on room air.  On re-evaluation this morning he has no new complaint.  Hemoglobin remains stable.  He will be discharged home on oral pantoprazole 40 mg p.o. b.i.d. and continue with pre-admission medications.  He will follow-up with the PCP in 1-2 weeks.  Patient was advised to continue with respiratory isolation for at least 5 days despite he is asymptomatic as per the new CDC recommendation.  He is fully vaccinated.    More importantly patient was advised to quit drinking and smoking.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Portal hypertension, Respiratory symptom, SARS-CoV-2 test positive, X-ray with contrast upper gastrointestinal tract
Clinical narrative: Pfizer Dose 1 6/23/21 (EW0181) Pfizer Dose 2 7/18/21 (EW0198) COVID Positive 1/5/22  1/5/22: Patient is a 51 year old male with past history of alcohol abuse, tobacco abuse, and severe COPD who was admitted with melena and hematochezia and also was found to be COVID-19 positive.  History is obtained from chart review as well as discussion with the patient and the ED provider.  Patient has a long history of alcohol abuse and drinks at least 6 beers per day.  Does have chronic lower extremity swelling for which he is on Lasix 40 mg b.i.d..  He was seen by Pulmonary last year and started on inhalers for severe COPD.  Patient had some dark red diarrhea last night and then black diarrhea today.  He also had vomiting of black material.  He does admit to taking ibuprofen most recently yesterday.  He does not have a known history of cirrhosis although there has been discussions with his PCP about obtaining testing.  He is not having any chest pain and denies any shortness of breath other than his baseline COPD.  Currently does not have any nausea.  He denies any fevers or chills.  He does have a wound to his left shin after he fell a couple weeks ago.  He states he has received his COVID-19 vaccinations but not a booster.  1/8/22: 51-year-old male with a history of chronic alcohol abuse, COPD and chronic smoker presented with melena/hematochezia.  He was also found be with 19 positive.  CT scan of the abdomen revealed severely fatty liver.  He was diagnosed with likely upper GI bleed due to chronic liver disease and portal hypertension.  He was commenced on pantoprazole and octreotide infusion.  Had an upper GI endoscopy which revealed the above findings. Patient required no blood transfusion. Patient has minimal respiratory symptoms with O2 saturation of 96% on room air.  On re-evaluation this morning he has no new complaint.  Hemoglobin remains stable.  He will be discharged home on oral pantoprazole 40 mg p.o. b.i.d. and continue with pre-admission medications.  He will follow-up with the PCP in 1-2 weeks.  Patient was advised to continue with respiratory isolation for at least 5 days despite he is asymptomatic as per the new CDC recommendation.  He is fully vaccinated.    More importantly patient was advised to quit drinking and smoking.
Age: 66.0
Sex: F
Vaccine: PNC20
Symptoms: Hypersensitivity, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: pt developed redness, warmth mild swelling of the site No fever. Evaluated by PCP on 07/07/22 who was informed by pt that she has a latex allergy.  PCP feels there was a hypersensitivity reaction
Age: 76.0
Sex: M
Vaccine: VARCEL
Symptoms: Dry skin, Scratch, Urticaria
Clinical narrative: diffuse Utica in no particular pattern with the anticubital, forearms and hands with the most obvious presentation, due to scratching those areas, dry skin makes intra digit examination difficult to distinguish disease from self injury. All four extremities, and trunk with diffuse urticaria, B/L UE and left abdomen are the most concentrated regions.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: COVID infection leading to hospitalization
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive, Syncope
Clinical narrative: Developed COVID symptoms 7/6/22. Positive home and clinical PCR test 7/7/22. Admitted to hospital 7/7/22 due to syncope and COVID19. Remains hospitalized as of time of this report.
Age: 69.0
Sex: M
Vaccine: COVID19, PPV
Symptoms: Back injury, Back pain, COVID-19, Fall, Lower respiratory tract infection
Clinical narrative: On 06/17/2022, we had taken a trip and I was coughing up a lot of mucus, I fell in the tub and I hurt my back. I was still having pain, so on 06/22/2022, I went to urgent care for my back. I mentioned my chest cold, they tested me for COVID-19 and the test came back positive.
Age: 69.0
Sex: M
Vaccine: COVID19, PPV
Symptoms: Productive cough, SARS-CoV-2 test positive
Clinical narrative: On 06/17/2022, we had taken a trip and I was coughing up a lot of mucus, I fell in the tub and I hurt my back. I was still having pain, so on 06/22/2022, I went to urgent care for my back. I mentioned my chest cold, they tested me for COVID-19 and the test came back positive.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Patient reports heart palpitations after vaccine. Unsure if it was after the 1st dose (4/12/21) or the 2nd dose (5/10/21).
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Condition aggravated, Iron deficiency anaemia, Lung neoplasm malignant, SARS-CoV-2 test positive
Clinical narrative: COVID-19 infection resulting in hospitalization
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Burning sensation, Condition aggravated, Dyspnoea, Rash
Clinical narrative: She got her vaccine, she had no reactions with them.  She woke up with rashes all over her body.  She took pictures of it as she thought it was an allergy.  She has raised rashes on all parts of her body, arms, legs, back, buttocks, chest, which starts with a burning sensation and knew that in any moment that it was going to erupt.  If she leaned on the spot and had the burning sensation and then would have raised rashes.  She would scratch in her sleep and that would make it worse.  She was trying to treat with home remedies, creams and so much and was taking showers, people were noticing if she was at a store as it was getting really bad.  After 2 weeks of not sleeping she made an appointment with her allergist but he retired so had to see a new one and had to wait 6 weeks.  She saw the new doctor and said he knew what it was but continued to examine her.  He did test her and she was having difficulty breathing at times as well.  She had a flare of her asthma due to the reaction during her sleep and if the rash got too bad.  He quickly did a breathing treatments as he could tell that she was having difficulty and he mentioned that he has been noticing 1-2 times a week that it was a reaction to the vaccine.  He did put her on medicine, 5 pills a day and new inhalers now and everything has improved and was able to sleep through the night that night and feels remarkably well.   She went to the allergist on 7/5/22, and has a FU on 7/28/22.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular, Skin test, Sleep disorder
Clinical narrative: She got her vaccine, she had no reactions with them.  She woke up with rashes all over her body.  She took pictures of it as she thought it was an allergy.  She has raised rashes on all parts of her body, arms, legs, back, buttocks, chest, which starts with a burning sensation and knew that in any moment that it was going to erupt.  If she leaned on the spot and had the burning sensation and then would have raised rashes.  She would scratch in her sleep and that would make it worse.  She was trying to treat with home remedies, creams and so much and was taking showers, people were noticing if she was at a store as it was getting really bad.  After 2 weeks of not sleeping she made an appointment with her allergist but he retired so had to see a new one and had to wait 6 weeks.  She saw the new doctor and said he knew what it was but continued to examine her.  He did test her and she was having difficulty breathing at times as well.  She had a flare of her asthma due to the reaction during her sleep and if the rash got too bad.  He quickly did a breathing treatments as he could tell that she was having difficulty and he mentioned that he has been noticing 1-2 times a week that it was a reaction to the vaccine.  He did put her on medicine, 5 pills a day and new inhalers now and everything has improved and was able to sleep through the night that night and feels remarkably well.   She went to the allergist on 7/5/22, and has a FU on 7/28/22.
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Injection site erythema
Clinical narrative: 7cm x 8cm redness on left thigh
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Oropharyngeal pain, Pyrexia
Clinical narrative: I had a cough, sore throat, fever.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: hospitalization of fully vaccinate pt for COVID
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Diarrhoea, Dyspnoea, Malaise, Pyrexia
Clinical narrative: Hospitalization for  COVID-19 symptoms of cough, shortness of breath, fever, and dirarhea on dates  6/17/2022-6/22/2022.  Treated with dexamethasone, baricitinib, Remdesivir, vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Oligomenorrhoea, Pelvic floor dysfunction, Pudendal canal syndrome
Clinical narrative: Had period for 6 weeks then went into pelvic floor dysfunction with pudendal neuralgia   In May 2022 got Covid. Caused 3 weeks of menstrual bleeding then again pelvic floor dysfunction and pudendal neuralgia
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Asthenia, Blood creatinine increased, Bone erosion, Bone marrow oedema
Clinical narrative: Pfizer Dose 1 1/25/21 (lot NA) Pfizer Dose 2 2/15/21 (lot NA) Pfizer Dose 3 11/2/21 (301308A) Covid Negative 1/14/22 Covid Positive 1/19/22  1/14/22: The patient known to have right lower limp ulcers and history of MRSA osteomyelitis in her right foot status post right transmetatarsal amputation, PAD status post stents to the right superficial femoral artery   Presented with fever and chills and generalized weakness with noticed discharge from the wound in her right lower extremities, decline chest pain or palpitation or dizziness or abdominal pain or nausea or vomiting or diarrhea.   Her wound culture grow MRSA, currently she does have fever, her labs show significant leukocytosis with elevated creatinine from baseline.  X-ray of the lower extremity show erosions.  1/23/22: Patient is admitted to the hospital, started on empiric IV antibiotics with IV vancomycin.  MRI right foot is done which is reported as you focal marrow edema in the 2nd metatarsal may be reactive versus early osteomyelitis. Podiatry consult requested, patient is seen and followed by Dr. Her cultures have been negative.  Patient is tested positive for COVID-19, initially was hypoxic requiring 2 L oxygen by nasal cannula.  She is given empiric IV antibiotics for possible pneumonia, also treated with IV remdesivir and dexamethasone.  Infectious Disease consultation requested, seen by Dr.  and he recommended to continue IV vancomycin.  He also started patient on p.o. Baricitinib.  Patient has improved from COVID-19 infection, has been afebrile and now on room air not requiring oxygen for the last 2 days.  Podiatry has recommended outpatient follow-up, and do not see any need for acute intervention surgically at this time.  Patient also had CT angio of the extremities, results were discussed by the hospitalist Dr.with cardiologist and no intervention was recommended.  Patient is cleared for discharge from ID and the Podiatry Services.  ID recommended IV vancomycin for 6 weeks.  Patient is discharged to skilled nursing facility in stable condition.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Culture negative, Hypoxia, Leukocytosis
Clinical narrative: Pfizer Dose 1 1/25/21 (lot NA) Pfizer Dose 2 2/15/21 (lot NA) Pfizer Dose 3 11/2/21 (301308A) Covid Negative 1/14/22 Covid Positive 1/19/22  1/14/22: The patient known to have right lower limp ulcers and history of MRSA osteomyelitis in her right foot status post right transmetatarsal amputation, PAD status post stents to the right superficial femoral artery   Presented with fever and chills and generalized weakness with noticed discharge from the wound in her right lower extremities, decline chest pain or palpitation or dizziness or abdominal pain or nausea or vomiting or diarrhea.   Her wound culture grow MRSA, currently she does have fever, her labs show significant leukocytosis with elevated creatinine from baseline.  X-ray of the lower extremity show erosions.  1/23/22: Patient is admitted to the hospital, started on empiric IV antibiotics with IV vancomycin.  MRI right foot is done which is reported as you focal marrow edema in the 2nd metatarsal may be reactive versus early osteomyelitis. Podiatry consult requested, patient is seen and followed by Dr. Her cultures have been negative.  Patient is tested positive for COVID-19, initially was hypoxic requiring 2 L oxygen by nasal cannula.  She is given empiric IV antibiotics for possible pneumonia, also treated with IV remdesivir and dexamethasone.  Infectious Disease consultation requested, seen by Dr.  and he recommended to continue IV vancomycin.  He also started patient on p.o. Baricitinib.  Patient has improved from COVID-19 infection, has been afebrile and now on room air not requiring oxygen for the last 2 days.  Podiatry has recommended outpatient follow-up, and do not see any need for acute intervention surgically at this time.  Patient also had CT angio of the extremities, results were discussed by the hospitalist Dr.with cardiologist and no intervention was recommended.  Patient is cleared for discharge from ID and the Podiatry Services.  ID recommended IV vancomycin for 6 weeks.  Patient is discharged to skilled nursing facility in stable condition.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Lip ulceration, Magnetic resonance imaging abnormal, Osteomyelitis, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Pfizer Dose 1 1/25/21 (lot NA) Pfizer Dose 2 2/15/21 (lot NA) Pfizer Dose 3 11/2/21 (301308A) Covid Negative 1/14/22 Covid Positive 1/19/22  1/14/22: The patient known to have right lower limp ulcers and history of MRSA osteomyelitis in her right foot status post right transmetatarsal amputation, PAD status post stents to the right superficial femoral artery   Presented with fever and chills and generalized weakness with noticed discharge from the wound in her right lower extremities, decline chest pain or palpitation or dizziness or abdominal pain or nausea or vomiting or diarrhea.   Her wound culture grow MRSA, currently she does have fever, her labs show significant leukocytosis with elevated creatinine from baseline.  X-ray of the lower extremity show erosions.  1/23/22: Patient is admitted to the hospital, started on empiric IV antibiotics with IV vancomycin.  MRI right foot is done which is reported as you focal marrow edema in the 2nd metatarsal may be reactive versus early osteomyelitis. Podiatry consult requested, patient is seen and followed by Dr. Her cultures have been negative.  Patient is tested positive for COVID-19, initially was hypoxic requiring 2 L oxygen by nasal cannula.  She is given empiric IV antibiotics for possible pneumonia, also treated with IV remdesivir and dexamethasone.  Infectious Disease consultation requested, seen by Dr.  and he recommended to continue IV vancomycin.  He also started patient on p.o. Baricitinib.  Patient has improved from COVID-19 infection, has been afebrile and now on room air not requiring oxygen for the last 2 days.  Podiatry has recommended outpatient follow-up, and do not see any need for acute intervention surgically at this time.  Patient also had CT angio of the extremities, results were discussed by the hospitalist Dr.with cardiologist and no intervention was recommended.  Patient is cleared for discharge from ID and the Podiatry Services.  ID recommended IV vancomycin for 6 weeks.  Patient is discharged to skilled nursing facility in stable condition.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Staphylococcus test positive, Wound secretion, X-ray limb abnormal
Clinical narrative: Pfizer Dose 1 1/25/21 (lot NA) Pfizer Dose 2 2/15/21 (lot NA) Pfizer Dose 3 11/2/21 (301308A) Covid Negative 1/14/22 Covid Positive 1/19/22  1/14/22: The patient known to have right lower limp ulcers and history of MRSA osteomyelitis in her right foot status post right transmetatarsal amputation, PAD status post stents to the right superficial femoral artery   Presented with fever and chills and generalized weakness with noticed discharge from the wound in her right lower extremities, decline chest pain or palpitation or dizziness or abdominal pain or nausea or vomiting or diarrhea.   Her wound culture grow MRSA, currently she does have fever, her labs show significant leukocytosis with elevated creatinine from baseline.  X-ray of the lower extremity show erosions.  1/23/22: Patient is admitted to the hospital, started on empiric IV antibiotics with IV vancomycin.  MRI right foot is done which is reported as you focal marrow edema in the 2nd metatarsal may be reactive versus early osteomyelitis. Podiatry consult requested, patient is seen and followed by Dr. Her cultures have been negative.  Patient is tested positive for COVID-19, initially was hypoxic requiring 2 L oxygen by nasal cannula.  She is given empiric IV antibiotics for possible pneumonia, also treated with IV remdesivir and dexamethasone.  Infectious Disease consultation requested, seen by Dr.  and he recommended to continue IV vancomycin.  He also started patient on p.o. Baricitinib.  Patient has improved from COVID-19 infection, has been afebrile and now on room air not requiring oxygen for the last 2 days.  Podiatry has recommended outpatient follow-up, and do not see any need for acute intervention surgically at this time.  Patient also had CT angio of the extremities, results were discussed by the hospitalist Dr.with cardiologist and no intervention was recommended.  Patient is cleared for discharge from ID and the Podiatry Services.  ID recommended IV vancomycin for 6 weeks.  Patient is discharged to skilled nursing facility in stable condition.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: CLIENT WAS 11YO AT TIME OF COVID VACCINATION. CLIENT RECEIVED THE FORMULATION MADE FOR AGES 12+. CHILD SHOULD HAVE RECEIVED PFIZER ORANGE-CAP FOR 5-11YO.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: Hospitalization for COVID symptoms on dates 6/19/2022- 6/28/2022.  Treated with dexamethasone, baricitinib,  vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain upper, COVID-19, Computerised tomogram abdomen abnormal, Inappropriate schedule of product administration
Clinical narrative: Pfizer Dose 1 2/17/21 (EN6200) Pfizer Dose 2 3/11/21 (EN6208) PFizer Dose 3 11/1/21 (FE3592) COVID Positive 1/12/2021  1/7/22: 88-year-old male who presented to the Emergency Department with increasing epigastric and abdominal pain.  Pain did been going on for several days.  CT scan of the abdomen and pelvis revealed a a small-bowel obstruction with a demarcation line zone at the distal small-bowel of the area of the cecum.  Patient was transferred to hospital has no beds were available on the LUE side of the river.  Patient recently had a mitral valve procedure and he is doing much better as far as his breathing and heart.  Patient with multiple other medical problems including COPD coronary artery disease, Agent Orange, chronic diarrhea chronic back pain.  Has been many years since the patient has had a colonoscopy  1/13/22: Patient admitted with SBO that resolved spontaneously.  Patient became COVID+. Discharge to skilled care nursing
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Small intestinal obstruction
Clinical narrative: Pfizer Dose 1 2/17/21 (EN6200) Pfizer Dose 2 3/11/21 (EN6208) PFizer Dose 3 11/1/21 (FE3592) COVID Positive 1/12/2021  1/7/22: 88-year-old male who presented to the Emergency Department with increasing epigastric and abdominal pain.  Pain did been going on for several days.  CT scan of the abdomen and pelvis revealed a a small-bowel obstruction with a demarcation line zone at the distal small-bowel of the area of the cecum.  Patient was transferred to hospital has no beds were available on the LUE side of the river.  Patient recently had a mitral valve procedure and he is doing much better as far as his breathing and heart.  Patient with multiple other medical problems including COPD coronary artery disease, Agent Orange, chronic diarrhea chronic back pain.  Has been many years since the patient has had a colonoscopy  1/13/22: Patient admitted with SBO that resolved spontaneously.  Patient became COVID+. Discharge to skilled care nursing
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received an expired 3rd dose of the moderna covid vaccine.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Malaise
Clinical narrative: Hospitalization for COVID symptoms on dates 6/24/2022- 6/26/2022.  Treated with dexamethasone, vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood sodium decreased, COVID-19, Chest X-ray abnormal, Decreased appetite
Clinical narrative: J&J Dose 4/7/21 (1808980) COVID Positive 1/11/22 COVID Positive 1/16/22  1/16/22: Patient is a 61 year old male who presented to ED with complaints of shortness of breath. Patient has been experiencing generalized weakness and fatigue.  He was tested at Health Center for COVID-19 last Tuesday and was informed today that his results were positive.  He is vaccinated against COVID-19 but has not received his booster. He has shortness of breath, especially on exertion. No chest pain. Has developed a productive cough. Decreased appetite and oral intake. Nausea without vomiting. He endorses diarrhea for the past several days. He has a past medical history significant for paroxysmal atrial fibrillation anticoagulated on Xarelto, hypertension, COPD, hyperlipidemia alcohol and tobacco use.   On arrival to ED the patient was hypertensive 153/94. Laboratory findings were significant for hyponatremia 114. Leukocytosis 16.28.  Chest x-ray significant for minimal bibasilar airspace disease which may represent atypical infiltrates or atelectasis.  Patient received DuoNeb treatment, Solu-Medrol and Toradol in ED.  IV fluid resuscitation was given with NS 0.9% 1 L bolus.  1/21/22: 61-year-old male with a history of PAF, HTN, HLD, COPD not on home O2 and chronic ETOH abuse.  He presented with complaint of generalized weakness and fatigue of a week duration and a routine COVID 19 PCR came back positive.  He is fully vaccinated including receiving a booster dose in October 2021. The main reason for admission is severe hyponatremia with Na of 114 mEq/L, no respiratory symptoms with O2 saturation of 95% on room air.  She was admitted to hospital for severe hyponatremia.  The nephrologist was consulted for management.  She was managed with the water restriction and later oral sodium chloride salt with some improvement.  On re-evaluation this morning the sodium level was 126 milliequivalent/liter.  Patient feels much better and will want to go home.  Patient is discharged on the medication listed below.  More importantly patient was counseled to quit drinking as it is the primary reason why he has severe hyponatremia.  He promised to quit.  He will follow-up with the PCP with repeat BMP in a week.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspnoea, Dyspnoea exertional, Fatigue, Hypertension
Clinical narrative: J&J Dose 4/7/21 (1808980) COVID Positive 1/11/22 COVID Positive 1/16/22  1/16/22: Patient is a 61 year old male who presented to ED with complaints of shortness of breath. Patient has been experiencing generalized weakness and fatigue.  He was tested at Health Center for COVID-19 last Tuesday and was informed today that his results were positive.  He is vaccinated against COVID-19 but has not received his booster. He has shortness of breath, especially on exertion. No chest pain. Has developed a productive cough. Decreased appetite and oral intake. Nausea without vomiting. He endorses diarrhea for the past several days. He has a past medical history significant for paroxysmal atrial fibrillation anticoagulated on Xarelto, hypertension, COPD, hyperlipidemia alcohol and tobacco use.   On arrival to ED the patient was hypertensive 153/94. Laboratory findings were significant for hyponatremia 114. Leukocytosis 16.28.  Chest x-ray significant for minimal bibasilar airspace disease which may represent atypical infiltrates or atelectasis.  Patient received DuoNeb treatment, Solu-Medrol and Toradol in ED.  IV fluid resuscitation was given with NS 0.9% 1 L bolus.  1/21/22: 61-year-old male with a history of PAF, HTN, HLD, COPD not on home O2 and chronic ETOH abuse.  He presented with complaint of generalized weakness and fatigue of a week duration and a routine COVID 19 PCR came back positive.  He is fully vaccinated including receiving a booster dose in October 2021. The main reason for admission is severe hyponatremia with Na of 114 mEq/L, no respiratory symptoms with O2 saturation of 95% on room air.  She was admitted to hospital for severe hyponatremia.  The nephrologist was consulted for management.  She was managed with the water restriction and later oral sodium chloride salt with some improvement.  On re-evaluation this morning the sodium level was 126 milliequivalent/liter.  Patient feels much better and will want to go home.  Patient is discharged on the medication listed below.  More importantly patient was counseled to quit drinking as it is the primary reason why he has severe hyponatremia.  He promised to quit.  He will follow-up with the PCP with repeat BMP in a week.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Hyponatraemia, Hypophagia, Laboratory test abnormal, Leukocytosis, Lung disorder
Clinical narrative: J&J Dose 4/7/21 (1808980) COVID Positive 1/11/22 COVID Positive 1/16/22  1/16/22: Patient is a 61 year old male who presented to ED with complaints of shortness of breath. Patient has been experiencing generalized weakness and fatigue.  He was tested at Health Center for COVID-19 last Tuesday and was informed today that his results were positive.  He is vaccinated against COVID-19 but has not received his booster. He has shortness of breath, especially on exertion. No chest pain. Has developed a productive cough. Decreased appetite and oral intake. Nausea without vomiting. He endorses diarrhea for the past several days. He has a past medical history significant for paroxysmal atrial fibrillation anticoagulated on Xarelto, hypertension, COPD, hyperlipidemia alcohol and tobacco use.   On arrival to ED the patient was hypertensive 153/94. Laboratory findings were significant for hyponatremia 114. Leukocytosis 16.28.  Chest x-ray significant for minimal bibasilar airspace disease which may represent atypical infiltrates or atelectasis.  Patient received DuoNeb treatment, Solu-Medrol and Toradol in ED.  IV fluid resuscitation was given with NS 0.9% 1 L bolus.  1/21/22: 61-year-old male with a history of PAF, HTN, HLD, COPD not on home O2 and chronic ETOH abuse.  He presented with complaint of generalized weakness and fatigue of a week duration and a routine COVID 19 PCR came back positive.  He is fully vaccinated including receiving a booster dose in October 2021. The main reason for admission is severe hyponatremia with Na of 114 mEq/L, no respiratory symptoms with O2 saturation of 95% on room air.  She was admitted to hospital for severe hyponatremia.  The nephrologist was consulted for management.  She was managed with the water restriction and later oral sodium chloride salt with some improvement.  On re-evaluation this morning the sodium level was 126 milliequivalent/liter.  Patient feels much better and will want to go home.  Patient is discharged on the medication listed below.  More importantly patient was counseled to quit drinking as it is the primary reason why he has severe hyponatremia.  He promised to quit.  He will follow-up with the PCP with repeat BMP in a week.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Productive cough, SARS-CoV-2 test positive
Clinical narrative: J&J Dose 4/7/21 (1808980) COVID Positive 1/11/22 COVID Positive 1/16/22  1/16/22: Patient is a 61 year old male who presented to ED with complaints of shortness of breath. Patient has been experiencing generalized weakness and fatigue.  He was tested at Health Center for COVID-19 last Tuesday and was informed today that his results were positive.  He is vaccinated against COVID-19 but has not received his booster. He has shortness of breath, especially on exertion. No chest pain. Has developed a productive cough. Decreased appetite and oral intake. Nausea without vomiting. He endorses diarrhea for the past several days. He has a past medical history significant for paroxysmal atrial fibrillation anticoagulated on Xarelto, hypertension, COPD, hyperlipidemia alcohol and tobacco use.   On arrival to ED the patient was hypertensive 153/94. Laboratory findings were significant for hyponatremia 114. Leukocytosis 16.28.  Chest x-ray significant for minimal bibasilar airspace disease which may represent atypical infiltrates or atelectasis.  Patient received DuoNeb treatment, Solu-Medrol and Toradol in ED.  IV fluid resuscitation was given with NS 0.9% 1 L bolus.  1/21/22: 61-year-old male with a history of PAF, HTN, HLD, COPD not on home O2 and chronic ETOH abuse.  He presented with complaint of generalized weakness and fatigue of a week duration and a routine COVID 19 PCR came back positive.  He is fully vaccinated including receiving a booster dose in October 2021. The main reason for admission is severe hyponatremia with Na of 114 mEq/L, no respiratory symptoms with O2 saturation of 95% on room air.  She was admitted to hospital for severe hyponatremia.  The nephrologist was consulted for management.  She was managed with the water restriction and later oral sodium chloride salt with some improvement.  On re-evaluation this morning the sodium level was 126 milliequivalent/liter.  Patient feels much better and will want to go home.  Patient is discharged on the medication listed below.  More importantly patient was counseled to quit drinking as it is the primary reason why he has severe hyponatremia.  He promised to quit.  He will follow-up with the PCP with repeat BMP in a week.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Received expired 3rd dose of Moderna vaccine.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Injection site swelling, Pain, Photophobia
Clinical narrative: extreme body aches, fever, chills, arm very swollen at injection site , severe headaches, sensitive to light
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: extreme body aches, fever, chills, arm very swollen at injection site , severe headaches, sensitive to light
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Tinnitus
Clinical narrative: Tinnitus in right ear, saw ENT for tests in January 2021, no treatment prescribed, tinnitus continues until now,
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Pain, Pyrexia, SARS-CoV-2 test
Clinical narrative: I had a fever over 100.0 and body ache. I had a cough for about 5 days. The doctor did not prescribe me any medication.  My symptoms occurred after a meeting; where ever one had all 4 shots. After 7 days I was okay.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dizziness, Nausea, SARS-CoV-2 test positive
Clinical narrative: Awoke feeling slightly dizzy and nauseous. Took Covid-19 At Home Test which was positive.  Went to Pharmacy for a PCR test that afternoon and eventually received a positive result on Saturday.  Spoke to Nurse Practitioner on Monday.  Was prescribed a Z pack (prednisone) and an Antibiotic rather than Paxlovid due to risk of aggravating my high blood pressure.   After 10 days the symptoms lessened to only occasional dizziness.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, COVID-19, Headache, Insomnia, Nausea
Clinical narrative: headache, nausea, vomiting, body aches, abdominal pain, sinus pressure, congestion, and insomnia
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, Paranasal sinus discomfort, Respiratory tract congestion, SARS-CoV-2 test positive, Vomiting
Clinical narrative: headache, nausea, vomiting, body aches, abdominal pain, sinus pressure, congestion, and insomnia
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Circumstance or information capable of leading to medication error, Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: WRONG DOB ENTERED BY PARENT ON VACCINE CONSENT. PATIENT RECEIVED WRONG PFIZER FORMULATION FOR AGE GROUP. CHILD WAS 4YO AT TIME OF VACCINATION AND RECEIVED THE ORANGE CAP  5-11YO FORMULATION INSTEAD OF THE 6M-4YO MAROON CAP.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Tinnitus
Clinical narrative: Tinnitus:  This morning I noted a roaring sound (like roaring traffic) in my ears, and my ears feel plugged up.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: Patient had his first Booster Moderna COVID 19 vaccine on April 7th, 2022 and he presented to clinic to get the 2nd Booster yesterday on June 7th 2022, 3 months after first booster, the health care staff who administered the vaccine thought it was 4Months since the first booster and gave it to patient then reported to the supervisor when realized that it was only 3 months
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was a previously drawn vial from 7/6/2022 that was not properly discarded. Staff administered the vaccine to the patient under the impression that the vaccine had been drawn on 7/7/2022. The vaccine had been drawn and at room temperature for 27 hours at the point of administration.
Age: 0.58
Sex: M
Vaccine: COVID19
Symptoms: Irritability, Vomiting
Clinical narrative: PT REC'D COVID VACCINE  LL IM  07/05/22 APPROX. 5MIN AFTER VACCINE WAS ADMINISTERED PATIENT VOMITED A LARGE AMOUNT. PATIENT WAS NOT WORKED UP FROM THE VACCINE PER MOTHER OF CHILD, PT WAS CALM WHEN VOMITING EPISODE HAPPENED. PATIENT WAS EXAMINED BY ONE OF OUR PHYSICIANS AND DURING EXAM HAD 2 MORE VOMITING EPISODES. ONE EPISODE PT WAS FUSSY. VITALS  TAKEN & WERE STABLE, PHYSICAN WAS UNSURE IF HE FELT IT WAS TRULY VACCINE RELATED . PT IS SCHEDULED FOR HIS 2ND VACCINE 07/26/22. PROGRESS REPORT FROM MOM TODAY 07/08/22 STATES PT IS DOING WELL, BACK TO NORMAL  AFTER LEAVING CLINIC 07/05/22, NO OTHER VOMITING EPISODES OR OTHER REACTIONS WERE NOTED BY PARENT.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal abscess, Acute respiratory failure, COVID-19, Chest tube insertion, Computerised tomogram abdomen abnormal
Clinical narrative: Presented to hospital on 6/17 with increasing shortness of breath. Intubated  and chest tube inserted due to peural effusion. Admitted to critical care.  Test for COVID +. Started on zosyn and zyvox. and vasopressor support for septic chock. Weaned off prssors and extubated on 6/19. WBC count started to increase and escalated to cefepime and vancomycin.  Chest tube not functioning well so surgical site tube inserted and patient reintubated. Continued to decompensate. CT of abd showed abscess and drains placed. Little improvement and had radiology drain placement of chest. WBC continued to be high. Palliative care consulted. Famy changed code status to intubate only and wanted to transition to comfort care only.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Drain placement, Dyspnoea, Endotracheal intubation, Intensive care, Pleural effusion
Clinical narrative: Presented to hospital on 6/17 with increasing shortness of breath. Intubated  and chest tube inserted due to peural effusion. Admitted to critical care.  Test for COVID +. Started on zosyn and zyvox. and vasopressor support for septic chock. Weaned off prssors and extubated on 6/19. WBC count started to increase and escalated to cefepime and vancomycin.  Chest tube not functioning well so surgical site tube inserted and patient reintubated. Continued to decompensate. CT of abd showed abscess and drains placed. Little improvement and had radiology drain placement of chest. WBC continued to be high. Palliative care consulted. Famy changed code status to intubate only and wanted to transition to comfort care only.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Septic shock, Surgery, White blood cell count increased
Clinical narrative: Presented to hospital on 6/17 with increasing shortness of breath. Intubated  and chest tube inserted due to peural effusion. Admitted to critical care.  Test for COVID +. Started on zosyn and zyvox. and vasopressor support for septic chock. Weaned off prssors and extubated on 6/19. WBC count started to increase and escalated to cefepime and vancomycin.  Chest tube not functioning well so surgical site tube inserted and patient reintubated. Continued to decompensate. CT of abd showed abscess and drains placed. Little improvement and had radiology drain placement of chest. WBC continued to be high. Palliative care consulted. Famy changed code status to intubate only and wanted to transition to comfort care only.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cough, Fall, SARS-CoV-2 test positive
Clinical narrative: weakness, multiple falls, cough
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Choking, Cough, Dyspnoea
Clinical narrative: June 3rd was negative. I was out of town, and I noticed I had a sore throat on June 5th -I tested for COVID-19 was negative. June 6 COVID-19 test negative. I had devolved a cough; congestion and I was feeling sick thinking it was a summer cold. June 7, I had cough, congestion, some sneezing, very low energy and fatigue and I slept most of the day. I also had a choking episode that lasted 3-4 mins and 10 minutes total where I could hardly breathe and it got so bad my husband preformed the Heimlich maneuver. I was able to pass some air and then it resolved. I felt like I was choking on mucus. Symptoms continued and I tested again for COVID-19 which was positive. I then called a HCF and spoke to a nurse and made an appointment for the next day for a video visit the next day. June 8, I did the video visit and the doctor prescribed PAXLOVID and gave some home remedies. I never got a fever. I could only take certain amounts of the PAXLOVID because of me kidneys.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypersomnia, Malaise, Oropharyngeal pain, Renal function test
Clinical narrative: June 3rd was negative. I was out of town, and I noticed I had a sore throat on June 5th -I tested for COVID-19 was negative. June 6 COVID-19 test negative. I had devolved a cough; congestion and I was feeling sick thinking it was a summer cold. June 7, I had cough, congestion, some sneezing, very low energy and fatigue and I slept most of the day. I also had a choking episode that lasted 3-4 mins and 10 minutes total where I could hardly breathe and it got so bad my husband preformed the Heimlich maneuver. I was able to pass some air and then it resolved. I felt like I was choking on mucus. Symptoms continued and I tested again for COVID-19 which was positive. I then called a HCF and spoke to a nurse and made an appointment for the next day for a video visit the next day. June 8, I did the video visit and the doctor prescribed PAXLOVID and gave some home remedies. I never got a fever. I could only take certain amounts of the PAXLOVID because of me kidneys.