chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Oropharyngeal pain, Product after taste, Pyrexia
Clinical narrative: This was my second breakthrough case. I had more chest congestion than usual and I had an usual persistent sore throat. I had a fever but never checked my temperature. I had muscle aches. I took Aspirin. I had a headache as well, which was a dull ache. I was prescribed Paxlovid. I had an awful taste in my mouth that lasted the whole time due to the medication.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test, Taste disorder, Vaccine breakthrough infection
Clinical narrative: This was my second breakthrough case. I had more chest congestion than usual and I had an usual persistent sore throat. I had a fever but never checked my temperature. I had muscle aches. I took Aspirin. I had a headache as well, which was a dull ache. I was prescribed Paxlovid. I had an awful taste in my mouth that lasted the whole time due to the medication.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product expiration date issue, Product label issue
Clinical narrative: The vaccine expiration date was incorrectly labeled, and the patient received an expired dose.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Fatigue, Headache
Clinical narrative: COVID-19 symptoms started on the evening of 06/28/22; tested positive on 06/29/22. Symptoms were fever over 101, cough, headache, body aches, chills, and fatigue. My PCP started me on Paxlovid and then I'm also taking Mucinex, Tylenol, and Ibuprofen for the fever and the pain. Symptoms are still lingering today and since Paxlovid they have significantly decreased.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: COVID-19 symptoms started on the evening of 06/28/22; tested positive on 06/29/22. Symptoms were fever over 101, cough, headache, body aches, chills, and fatigue. My PCP started me on Paxlovid and then I'm also taking Mucinex, Tylenol, and Ibuprofen for the fever and the pain. Symptoms are still lingering today and since Paxlovid they have significantly decreased.
Age: 49.0
Sex: F
Vaccine: VARZOS
Symptoms: Blepharospasm, Blood test, Computerised tomogram, Feeling abnormal, Injection site hypoaesthesia
Clinical narrative: Instant twitch in left eye and then numbness in left upper arm/shoulder Started to burn and tingle throughout left side of body including face  10 min later noticed it moving to right side and feeling throat constrict  Fuzzy headed feeling -  Went to ER where Benadryl was administered and a CT ordered  Blood draw and UA  After 2.5 hrs - feeling much better
Age: 49.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Paraesthesia, Throat tightness, Urine analysis
Clinical narrative: Instant twitch in left eye and then numbness in left upper arm/shoulder Started to burn and tingle throughout left side of body including face  10 min later noticed it moving to right side and feeling throat constrict  Fuzzy headed feeling -  Went to ER where Benadryl was administered and a CT ordered  Blood draw and UA  After 2.5 hrs - feeling much better
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Asymptomatic COVID-19, Chills, Confusional state, Culture urine positive
Clinical narrative: Pfizer Dose 1 3/12/21 (EN6208) Pfizer Dose 2 4/18/21 (ER8734) Pfizer Dose 3 10/5/21 (lot NA) COVID Positive 3/9/22  3/8/22: 86-year-old lady presented to the emergency room via the EMS with history of generalized weakness for 2 weeks.  Patient also reports some episodes of dizziness, has been having difficulty ambulating. Patient was diagnosed with UTI yesterday and started on Cipro.  However, symptoms have persisted, so decided to come to the emergency room for further evaluation.  She denies any focal neurological deficit. She denies chest pain.  She denies abdominal discomfort.  She has also subjective chills.  3/12/22: Patient was admitted on the 9th with complaints of generalized weakness, episodes of confusion.  Patient was diagnosed with urinary tract infection.  Patient was started on IV ceftriaxone.  Also COVID PCR came back positive but patient was asymptomatic, no treatment needed. Patient had episodes of confusion on and off during her stay in the hospital.  Patient's urine cultures came back positive for E coli sensitive to ceftriaxone and Augmentin. Today patient is alert and oriented, hemodynamically stable.  Discussed about COVID status being positive and patient being asymptomatic.  Advised isolation only at this time.  IV ceftriaxone switched to oral Augmentin and patient being discharged, family okay with the discharge plan.  Patient has plenty of family support at home.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Escherichia test positive, Gait disturbance, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Pfizer Dose 1 3/12/21 (EN6208) Pfizer Dose 2 4/18/21 (ER8734) Pfizer Dose 3 10/5/21 (lot NA) COVID Positive 3/9/22  3/8/22: 86-year-old lady presented to the emergency room via the EMS with history of generalized weakness for 2 weeks.  Patient also reports some episodes of dizziness, has been having difficulty ambulating. Patient was diagnosed with UTI yesterday and started on Cipro.  However, symptoms have persisted, so decided to come to the emergency room for further evaluation.  She denies any focal neurological deficit. She denies chest pain.  She denies abdominal discomfort.  She has also subjective chills.  3/12/22: Patient was admitted on the 9th with complaints of generalized weakness, episodes of confusion.  Patient was diagnosed with urinary tract infection.  Patient was started on IV ceftriaxone.  Also COVID PCR came back positive but patient was asymptomatic, no treatment needed. Patient had episodes of confusion on and off during her stay in the hospital.  Patient's urine cultures came back positive for E coli sensitive to ceftriaxone and Augmentin. Today patient is alert and oriented, hemodynamically stable.  Discussed about COVID status being positive and patient being asymptomatic.  Advised isolation only at this time.  IV ceftriaxone switched to oral Augmentin and patient being discharged, family okay with the discharge plan.  Patient has plenty of family support at home.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection
Clinical narrative: Pfizer Dose 1 3/12/21 (EN6208) Pfizer Dose 2 4/18/21 (ER8734) Pfizer Dose 3 10/5/21 (lot NA) COVID Positive 3/9/22  3/8/22: 86-year-old lady presented to the emergency room via the EMS with history of generalized weakness for 2 weeks.  Patient also reports some episodes of dizziness, has been having difficulty ambulating. Patient was diagnosed with UTI yesterday and started on Cipro.  However, symptoms have persisted, so decided to come to the emergency room for further evaluation.  She denies any focal neurological deficit. She denies chest pain.  She denies abdominal discomfort.  She has also subjective chills.  3/12/22: Patient was admitted on the 9th with complaints of generalized weakness, episodes of confusion.  Patient was diagnosed with urinary tract infection.  Patient was started on IV ceftriaxone.  Also COVID PCR came back positive but patient was asymptomatic, no treatment needed. Patient had episodes of confusion on and off during her stay in the hospital.  Patient's urine cultures came back positive for E coli sensitive to ceftriaxone and Augmentin. Today patient is alert and oriented, hemodynamically stable.  Discussed about COVID status being positive and patient being asymptomatic.  Advised isolation only at this time.  IV ceftriaxone switched to oral Augmentin and patient being discharged, family okay with the discharge plan.  Patient has plenty of family support at home.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Incorrect dose administered, Product preparation error
Clinical narrative: Pediatric Pfizer vial was not diluted by accident resulting in patient receiving 20 mcg dose instead of 10 mcg dose. Patient's mother was informed. No serious adverse reactions to the vaccine occurred. Just the typical side effects such as fatigue and chills.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: Contracted Covid-19
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Electromyogram normal, Feeling abnormal, Headache, Hyperacusis
Clinical narrative: I woke up 5 days later with severe pain in my neck and upper back, headache. Numbness and tingling in my hand and feet . Ringing in my ears.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Laboratory test normal, Magnetic resonance imaging head normal, Magnetic resonance imaging neck, Magnetic resonance imaging normal
Clinical narrative: I woke up 5 days later with severe pain in my neck and upper back, headache. Numbness and tingling in my hand and feet . Ringing in my ears.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Paraesthesia, Spinal X-ray normal, Tinnitus, Vertigo
Clinical narrative: I woke up 5 days later with severe pain in my neck and upper back, headache. Numbness and tingling in my hand and feet . Ringing in my ears.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: About 1 week later, my daughter developed a rash at the injection site. It does not itch or hurt.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal tenderness, Alanine aminotransferase increased, Asthenia, Asymptomatic COVID-19, Blood creatinine increased
Clinical narrative: Pfizer Dose 1 4/8/21 (ER8737) Pfizer Dose 2 4/30/21 (ER8736) COVID Dose 1/21/22  1/21/22: The patient is a 67 year old female with baseline cognitive impairment that presented to ED with complains of generalized weakness and fever for the past 2 days.  Patient is a poor historian.  History was obtained per chart review and from ED staff.  According to chart review the patient has been having fevers, generalized weakness and increasing confusion for the past 2 days.  She was also endorsing abdominal tenderness on exam.  The patient has past medical history of chronic hyponatremia, hypothyroidism, CAD, ischemic cardiomyopathy, CHF EF 30-35%, atrial fibrillation anticoagulated on Eliquis, history of embolic stroke, anxiety/depression, hypertension, dyslipidemia, asthma, bipolar disorder, CKD, obstructive sleep apnea not on CPAP and cognitive decline.   On arrival to ED the patient was febrile 100.8. Laboratory findings were significant for hyponatremia 127. CKD stage G 3B creatinine 1.54.  Transaminitis ALT 49. Lactic acidosis 2.5.  ProBNP 252. Rapid COVID positive.  CT abdomen no acute findings.  CT head unremarkable.  Chest x-ray no acute findings.  IV fluid hydration was given with NS 0.9% 1 L bolus.  1/24/22: Patient is a 67 yo female who was admitted for altered mental status , acute on chronic hyponatremia and stroke rule out and she was found to be COVID positive. MRI ruled out stroke. Her sodium improved with IV saline fluids, free water restrictions and salt tabs . Mentation improved with improvement in sodium levels. She is asymptomatic with regards to her COVID and did not require oxygen supplementation and treatments for COVID ( steroids, remdesivir). Blood culture grew staph capitis 1/2 bottles which is likely contaminant and repeat cultures were negative, she was on short course of IV Vancomycin but stopped with culture results. Patient hemodynamically stable for discharge today. Discharge with home program.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood culture negative, Blood lactic acid, Blood sodium decreased, Chest X-ray normal, Computerised tomogram abdomen normal
Clinical narrative: Pfizer Dose 1 4/8/21 (ER8737) Pfizer Dose 2 4/30/21 (ER8736) COVID Dose 1/21/22  1/21/22: The patient is a 67 year old female with baseline cognitive impairment that presented to ED with complains of generalized weakness and fever for the past 2 days.  Patient is a poor historian.  History was obtained per chart review and from ED staff.  According to chart review the patient has been having fevers, generalized weakness and increasing confusion for the past 2 days.  She was also endorsing abdominal tenderness on exam.  The patient has past medical history of chronic hyponatremia, hypothyroidism, CAD, ischemic cardiomyopathy, CHF EF 30-35%, atrial fibrillation anticoagulated on Eliquis, history of embolic stroke, anxiety/depression, hypertension, dyslipidemia, asthma, bipolar disorder, CKD, obstructive sleep apnea not on CPAP and cognitive decline.   On arrival to ED the patient was febrile 100.8. Laboratory findings were significant for hyponatremia 127. CKD stage G 3B creatinine 1.54.  Transaminitis ALT 49. Lactic acidosis 2.5.  ProBNP 252. Rapid COVID positive.  CT abdomen no acute findings.  CT head unremarkable.  Chest x-ray no acute findings.  IV fluid hydration was given with NS 0.9% 1 L bolus.  1/24/22: Patient is a 67 yo female who was admitted for altered mental status , acute on chronic hyponatremia and stroke rule out and she was found to be COVID positive. MRI ruled out stroke. Her sodium improved with IV saline fluids, free water restrictions and salt tabs . Mentation improved with improvement in sodium levels. She is asymptomatic with regards to her COVID and did not require oxygen supplementation and treatments for COVID ( steroids, remdesivir). Blood culture grew staph capitis 1/2 bottles which is likely contaminant and repeat cultures were negative, she was on short course of IV Vancomycin but stopped with culture results. Patient hemodynamically stable for discharge today. Discharge with home program.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Confusional state, Hypertransaminasaemia, Hyponatraemia, Inappropriate schedule of product administration
Clinical narrative: Pfizer Dose 1 4/8/21 (ER8737) Pfizer Dose 2 4/30/21 (ER8736) COVID Dose 1/21/22  1/21/22: The patient is a 67 year old female with baseline cognitive impairment that presented to ED with complains of generalized weakness and fever for the past 2 days.  Patient is a poor historian.  History was obtained per chart review and from ED staff.  According to chart review the patient has been having fevers, generalized weakness and increasing confusion for the past 2 days.  She was also endorsing abdominal tenderness on exam.  The patient has past medical history of chronic hyponatremia, hypothyroidism, CAD, ischemic cardiomyopathy, CHF EF 30-35%, atrial fibrillation anticoagulated on Eliquis, history of embolic stroke, anxiety/depression, hypertension, dyslipidemia, asthma, bipolar disorder, CKD, obstructive sleep apnea not on CPAP and cognitive decline.   On arrival to ED the patient was febrile 100.8. Laboratory findings were significant for hyponatremia 127. CKD stage G 3B creatinine 1.54.  Transaminitis ALT 49. Lactic acidosis 2.5.  ProBNP 252. Rapid COVID positive.  CT abdomen no acute findings.  CT head unremarkable.  Chest x-ray no acute findings.  IV fluid hydration was given with NS 0.9% 1 L bolus.  1/24/22: Patient is a 67 yo female who was admitted for altered mental status , acute on chronic hyponatremia and stroke rule out and she was found to be COVID positive. MRI ruled out stroke. Her sodium improved with IV saline fluids, free water restrictions and salt tabs . Mentation improved with improvement in sodium levels. She is asymptomatic with regards to her COVID and did not require oxygen supplementation and treatments for COVID ( steroids, remdesivir). Blood culture grew staph capitis 1/2 bottles which is likely contaminant and repeat cultures were negative, she was on short course of IV Vancomycin but stopped with culture results. Patient hemodynamically stable for discharge today. Discharge with home program.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Lactic acidosis, Magnetic resonance imaging head normal, Mental status changes, Prohormone brain natriuretic peptide increased, Pyrexia
Clinical narrative: Pfizer Dose 1 4/8/21 (ER8737) Pfizer Dose 2 4/30/21 (ER8736) COVID Dose 1/21/22  1/21/22: The patient is a 67 year old female with baseline cognitive impairment that presented to ED with complains of generalized weakness and fever for the past 2 days.  Patient is a poor historian.  History was obtained per chart review and from ED staff.  According to chart review the patient has been having fevers, generalized weakness and increasing confusion for the past 2 days.  She was also endorsing abdominal tenderness on exam.  The patient has past medical history of chronic hyponatremia, hypothyroidism, CAD, ischemic cardiomyopathy, CHF EF 30-35%, atrial fibrillation anticoagulated on Eliquis, history of embolic stroke, anxiety/depression, hypertension, dyslipidemia, asthma, bipolar disorder, CKD, obstructive sleep apnea not on CPAP and cognitive decline.   On arrival to ED the patient was febrile 100.8. Laboratory findings were significant for hyponatremia 127. CKD stage G 3B creatinine 1.54.  Transaminitis ALT 49. Lactic acidosis 2.5.  ProBNP 252. Rapid COVID positive.  CT abdomen no acute findings.  CT head unremarkable.  Chest x-ray no acute findings.  IV fluid hydration was given with NS 0.9% 1 L bolus.  1/24/22: Patient is a 67 yo female who was admitted for altered mental status , acute on chronic hyponatremia and stroke rule out and she was found to be COVID positive. MRI ruled out stroke. Her sodium improved with IV saline fluids, free water restrictions and salt tabs . Mentation improved with improvement in sodium levels. She is asymptomatic with regards to her COVID and did not require oxygen supplementation and treatments for COVID ( steroids, remdesivir). Blood culture grew staph capitis 1/2 bottles which is likely contaminant and repeat cultures were negative, she was on short course of IV Vancomycin but stopped with culture results. Patient hemodynamically stable for discharge today. Discharge with home program.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Staphylococcus test negative
Clinical narrative: Pfizer Dose 1 4/8/21 (ER8737) Pfizer Dose 2 4/30/21 (ER8736) COVID Dose 1/21/22  1/21/22: The patient is a 67 year old female with baseline cognitive impairment that presented to ED with complains of generalized weakness and fever for the past 2 days.  Patient is a poor historian.  History was obtained per chart review and from ED staff.  According to chart review the patient has been having fevers, generalized weakness and increasing confusion for the past 2 days.  She was also endorsing abdominal tenderness on exam.  The patient has past medical history of chronic hyponatremia, hypothyroidism, CAD, ischemic cardiomyopathy, CHF EF 30-35%, atrial fibrillation anticoagulated on Eliquis, history of embolic stroke, anxiety/depression, hypertension, dyslipidemia, asthma, bipolar disorder, CKD, obstructive sleep apnea not on CPAP and cognitive decline.   On arrival to ED the patient was febrile 100.8. Laboratory findings were significant for hyponatremia 127. CKD stage G 3B creatinine 1.54.  Transaminitis ALT 49. Lactic acidosis 2.5.  ProBNP 252. Rapid COVID positive.  CT abdomen no acute findings.  CT head unremarkable.  Chest x-ray no acute findings.  IV fluid hydration was given with NS 0.9% 1 L bolus.  1/24/22: Patient is a 67 yo female who was admitted for altered mental status , acute on chronic hyponatremia and stroke rule out and she was found to be COVID positive. MRI ruled out stroke. Her sodium improved with IV saline fluids, free water restrictions and salt tabs . Mentation improved with improvement in sodium levels. She is asymptomatic with regards to her COVID and did not require oxygen supplementation and treatments for COVID ( steroids, remdesivir). Blood culture grew staph capitis 1/2 bottles which is likely contaminant and repeat cultures were negative, she was on short course of IV Vancomycin but stopped with culture results. Patient hemodynamically stable for discharge today. Discharge with home program.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Death, Dyspnoea
Clinical narrative: Brought to ED on 5/10/2022 with SOB, covid-19 and hypoxia, SpO2 82%. Report indicated she had been diagnosed Covid-19 about 6 days prior, though the only lab report found was from 5/10/2022. Had prior script for Paxlovid - unclear if she initiated the medication. Report indicated client and family not interested in pursuing Remdesivir treatment and dexamethasone continued. Admitted to hospital 5/10/2022. Discharge date not indicated. Client died 6/4/2022 of Covid-19 pneumonia at nursing home.  Client vaccinated for Covid 19- Moderna:  3/31/2021 008B21A;  5/8/2021 017C21A:  12/9/2021 031H21A Submitter does not have access to further medical records for this client. If more information is needed regarding hospital course, please contact hospital.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Inappropriate schedule of product administration, Laboratory test, Lung infiltration, Lung opacity
Clinical narrative: Brought to ED on 5/10/2022 with SOB, covid-19 and hypoxia, SpO2 82%. Report indicated she had been diagnosed Covid-19 about 6 days prior, though the only lab report found was from 5/10/2022. Had prior script for Paxlovid - unclear if she initiated the medication. Report indicated client and family not interested in pursuing Remdesivir treatment and dexamethasone continued. Admitted to hospital 5/10/2022. Discharge date not indicated. Client died 6/4/2022 of Covid-19 pneumonia at nursing home.  Client vaccinated for Covid 19- Moderna:  3/31/2021 008B21A;  5/8/2021 017C21A:  12/9/2021 031H21A Submitter does not have access to further medical records for this client. If more information is needed regarding hospital course, please contact hospital.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, White blood cell count normal
Clinical narrative: Brought to ED on 5/10/2022 with SOB, covid-19 and hypoxia, SpO2 82%. Report indicated she had been diagnosed Covid-19 about 6 days prior, though the only lab report found was from 5/10/2022. Had prior script for Paxlovid - unclear if she initiated the medication. Report indicated client and family not interested in pursuing Remdesivir treatment and dexamethasone continued. Admitted to hospital 5/10/2022. Discharge date not indicated. Client died 6/4/2022 of Covid-19 pneumonia at nursing home.  Client vaccinated for Covid 19- Moderna:  3/31/2021 008B21A;  5/8/2021 017C21A:  12/9/2021 031H21A Submitter does not have access to further medical records for this client. If more information is needed regarding hospital course, please contact hospital.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: pt is 11 years and 8 months old but was given Pfizer 12+ vaccines for booster dose.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Alcohol use disorder, Aphasia, COVID-19, Chest X-ray normal, Chromaturia
Clinical narrative: Pfizer Dose 1 7/21/21 (EW0179) Pfizer Dose 2 8/18/21 (EW0179) COVID Positive 1/8/22  1/8/22: This is an 87 years old gentleman who presented to the emergency room today because of confusion  Patient has a history notable for CVA, alcohol dependence, type 2 diabetes mellitus  He is vaccinated against COVID 19. The last dose of vaccine was within the past 6 months.  He tested positive for COVID-19 today.  Patient drinks about 2-3 beers per day per his daughter.  His last intake was 3 days ago. Never with history of alcohol withdrawal seizure. Daughter was concerned when patient woke up yesterday did not know where he was a needed to be re-oriented.  There was report of darker appearing urine as well.  He has not been eating and drinking normally but did have some chicken soup prior to coming to the ED.  The patient currently denies any respiratory difficulties, abdominal pain, chest pain, nausea or vomiting.  He is currently saturating well on room air.  Chest x-ray without acute finding.  He did get Rocephin and azithromycin in the ED prior to being admitted to the hospitalist service for further evaluation and treatment  1/15/22: Acute encephalopathy? Possible Wernicke's encephalopathy  Expressive aphasia.  Initial MRI of the brain suggest no stroke but a repeat MRI done just before discharge showed a probable tiny lacuna infarct in the right periventricular area.  I went back to patient's room to explain the findings of the repeat MRI but the daughter has already taking the patient home.  I called the daughter at home and explain the probable finding of a lacunar infarct and she was satisfied. COVID-19 infection  Type 2 diabetes mellitus with hyperglycemia  Hypophosphatemia  Alcohol use disorder  History of CVA currently on daily aspirin  Uncontrolled Hypertension.  Patient prescribed nifedipine XL 30 mg p.o. daily in addition to continuing with carvedilol for BP control. Obesity
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Decreased appetite, Disorientation, Encephalopathy, Hyperglycaemia
Clinical narrative: Pfizer Dose 1 7/21/21 (EW0179) Pfizer Dose 2 8/18/21 (EW0179) COVID Positive 1/8/22  1/8/22: This is an 87 years old gentleman who presented to the emergency room today because of confusion  Patient has a history notable for CVA, alcohol dependence, type 2 diabetes mellitus  He is vaccinated against COVID 19. The last dose of vaccine was within the past 6 months.  He tested positive for COVID-19 today.  Patient drinks about 2-3 beers per day per his daughter.  His last intake was 3 days ago. Never with history of alcohol withdrawal seizure. Daughter was concerned when patient woke up yesterday did not know where he was a needed to be re-oriented.  There was report of darker appearing urine as well.  He has not been eating and drinking normally but did have some chicken soup prior to coming to the ED.  The patient currently denies any respiratory difficulties, abdominal pain, chest pain, nausea or vomiting.  He is currently saturating well on room air.  Chest x-ray without acute finding.  He did get Rocephin and azithromycin in the ED prior to being admitted to the hospitalist service for further evaluation and treatment  1/15/22: Acute encephalopathy? Possible Wernicke's encephalopathy  Expressive aphasia.  Initial MRI of the brain suggest no stroke but a repeat MRI done just before discharge showed a probable tiny lacuna infarct in the right periventricular area.  I went back to patient's room to explain the findings of the repeat MRI but the daughter has already taking the patient home.  I called the daughter at home and explain the probable finding of a lacunar infarct and she was satisfied. COVID-19 infection  Type 2 diabetes mellitus with hyperglycemia  Hypophosphatemia  Alcohol use disorder  History of CVA currently on daily aspirin  Uncontrolled Hypertension.  Patient prescribed nifedipine XL 30 mg p.o. daily in addition to continuing with carvedilol for BP control. Obesity
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Hypophagia, Hypophosphataemia, Lacunar infarction, Magnetic resonance imaging head abnormal, SARS-CoV-2 test positive
Clinical narrative: Pfizer Dose 1 7/21/21 (EW0179) Pfizer Dose 2 8/18/21 (EW0179) COVID Positive 1/8/22  1/8/22: This is an 87 years old gentleman who presented to the emergency room today because of confusion  Patient has a history notable for CVA, alcohol dependence, type 2 diabetes mellitus  He is vaccinated against COVID 19. The last dose of vaccine was within the past 6 months.  He tested positive for COVID-19 today.  Patient drinks about 2-3 beers per day per his daughter.  His last intake was 3 days ago. Never with history of alcohol withdrawal seizure. Daughter was concerned when patient woke up yesterday did not know where he was a needed to be re-oriented.  There was report of darker appearing urine as well.  He has not been eating and drinking normally but did have some chicken soup prior to coming to the ED.  The patient currently denies any respiratory difficulties, abdominal pain, chest pain, nausea or vomiting.  He is currently saturating well on room air.  Chest x-ray without acute finding.  He did get Rocephin and azithromycin in the ED prior to being admitted to the hospitalist service for further evaluation and treatment  1/15/22: Acute encephalopathy? Possible Wernicke's encephalopathy  Expressive aphasia.  Initial MRI of the brain suggest no stroke but a repeat MRI done just before discharge showed a probable tiny lacuna infarct in the right periventricular area.  I went back to patient's room to explain the findings of the repeat MRI but the daughter has already taking the patient home.  I called the daughter at home and explain the probable finding of a lacunar infarct and she was satisfied. COVID-19 infection  Type 2 diabetes mellitus with hyperglycemia  Hypophosphatemia  Alcohol use disorder  History of CVA currently on daily aspirin  Uncontrolled Hypertension.  Patient prescribed nifedipine XL 30 mg p.o. daily in addition to continuing with carvedilol for BP control. Obesity
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The expiration date was incorrect in the refrigerator, and the patient received an expired dose of Pfizer COVID-19 vaccine.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Covid  vaccine was drawn from an un-diluted vial.
Age: 58.0
Sex: F
Vaccine: HEP, HEP, HEPA, HEPA
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: No symptoms or signs for patient. Medical office assistant accidently administered Hep A and Hep B vaccines from wrong stock instead of private adult. Two pediatric Hepatitis A vaccines were used to equal 1 adult dose (1440 EL.U) and same for pediatric Hepatitis B vaccine (20 mcg).  I was advise by my responsible entity to report incident. Medical office assistant who administered vaccines made an incident report with workplace as per policy and was re-education on vaccines.
Age: 1.25
Sex: M
Vaccine: DTAP, HEPA, HIBV
Symptoms: Urticaria
Clinical narrative: hives on face, back and abdomen
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy
Clinical narrative: Developed underarm pain & swollen lymph node on side of arm vaccine was given later that same evening.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram abnormal, Condition aggravated, Diffuse large B-cell lymphoma recurrent, Laboratory test abnormal, Lymphadenopathy
Clinical narrative: Within 1-2  Months of getting the Moderna Vaccines I developed Melanoma  and enlarged lymph node that waxed and waned from March 19, 2021 to September 23, 2021 when it remained enlarged. A CT dated November 2, 2021 reported a 2X3X4 cm adenopathy. The biopsy December 15, 2021 reported DLBCL recurrence. I had a Stem Cell Transplant on May 5, 2022.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malignant melanoma
Clinical narrative: Within 1-2  Months of getting the Moderna Vaccines I developed Melanoma  and enlarged lymph node that waxed and waned from March 19, 2021 to September 23, 2021 when it remained enlarged. A CT dated November 2, 2021 reported a 2X3X4 cm adenopathy. The biopsy December 15, 2021 reported DLBCL recurrence. I had a Stem Cell Transplant on May 5, 2022.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The vaccine expiration date was incorrect in the refrigerator, and the patient received an expired dose of Pfizer COVID-19 vaccine.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Electrocardiogram, Palpitations
Clinical narrative: Heart palpitations
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID-19 on 6/21/22.  Called doctor the next day and received paxlovid.  Finished paxlovid on 6/27/22.  Still have a slight cough.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The vaccine expiration was incorrect, and the patient received an expired dose of Pfizer COVID-19 vaccine.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Arthralgia, Injection site pain, Musculoskeletal pain, Pain
Clinical narrative: Constant pain at injection site and radiating down to wrist and up to shoulder and into spacula of back are.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Ammonia decreased, Azotaemia, Blood creatinine increased, Blood glucose increased, COVID-19
Clinical narrative: Pfizer Dose 1 4/15/21 (EW0153) Pfizer Dose 2 5/7/21 (ER8736) COVID Positive 12/29/21  1/8/22: A 46-year-old female with past medical history of seizure disorder, chronic immunosuppressive treatment, SLE, lupus nephritis, CKD stage 4, hypertension, bronchial asthma, GERD, DVT anticoagulated with Eliquis, morbid obesity, obstructive sleep apnea was brought in by EMS after patient was found to be confused   And is poor historian but per ED provider patient missed hemodialysis and family called EMS as patient was not answering calls.  Upon examination patient is uncooperative sleepy only briefly answers questions   Patient was saturating well on room air  Lab was significant for anion gap metabolic acidosis, elevated glucose, elevated creatinine of 10.81, ammonia was less than 70.  White cell count was not elevated  CT of the head without contrast was showing septal region of hypoattenuation of the left cerebellar hemisphere favored to be artifactual.  However, if there is concern for acute infarct, MRI could be considered.  Chest x-ray showed Mild patchy bilateral airspace disease, suspicious for multifocal infection  1/11/22: 46-year-old female with past medical history of seizure disorder, chronic immunosuppressive treatment, SLE, lupus nephritis, CKD stage 4, hypertension, bronchial asthma, GERD, DVT anticoagulated with Eliquis, morbid obesity, obstructive sleep apnea was brought in by EMS after patient was found to be confused.  Patient was then admitted with metabolic encephalopathy from uremia and rule out CVA.  Patient workup for CVA was unremarkable.  Patient mental status significantly improved after hemodialysis. EEG was done which was unremarkable except metabolic encephalopathy features.  Patient will be discharged home to follow-up with PCP
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral disorder, Chest X-ray abnormal, Computerised tomogram head abnormal, Confusional state, Electroencephalogram abnormal
Clinical narrative: Pfizer Dose 1 4/15/21 (EW0153) Pfizer Dose 2 5/7/21 (ER8736) COVID Positive 12/29/21  1/8/22: A 46-year-old female with past medical history of seizure disorder, chronic immunosuppressive treatment, SLE, lupus nephritis, CKD stage 4, hypertension, bronchial asthma, GERD, DVT anticoagulated with Eliquis, morbid obesity, obstructive sleep apnea was brought in by EMS after patient was found to be confused   And is poor historian but per ED provider patient missed hemodialysis and family called EMS as patient was not answering calls.  Upon examination patient is uncooperative sleepy only briefly answers questions   Patient was saturating well on room air  Lab was significant for anion gap metabolic acidosis, elevated glucose, elevated creatinine of 10.81, ammonia was less than 70.  White cell count was not elevated  CT of the head without contrast was showing septal region of hypoattenuation of the left cerebellar hemisphere favored to be artifactual.  However, if there is concern for acute infarct, MRI could be considered.  Chest x-ray showed Mild patchy bilateral airspace disease, suspicious for multifocal infection  1/11/22: 46-year-old female with past medical history of seizure disorder, chronic immunosuppressive treatment, SLE, lupus nephritis, CKD stage 4, hypertension, bronchial asthma, GERD, DVT anticoagulated with Eliquis, morbid obesity, obstructive sleep apnea was brought in by EMS after patient was found to be confused.  Patient was then admitted with metabolic encephalopathy from uremia and rule out CVA.  Patient workup for CVA was unremarkable.  Patient mental status significantly improved after hemodialysis. EEG was done which was unremarkable except metabolic encephalopathy features.  Patient will be discharged home to follow-up with PCP
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Haemodialysis, Laboratory test abnormal, Lung disorder, Metabolic acidosis, Metabolic encephalopathy
Clinical narrative: Pfizer Dose 1 4/15/21 (EW0153) Pfizer Dose 2 5/7/21 (ER8736) COVID Positive 12/29/21  1/8/22: A 46-year-old female with past medical history of seizure disorder, chronic immunosuppressive treatment, SLE, lupus nephritis, CKD stage 4, hypertension, bronchial asthma, GERD, DVT anticoagulated with Eliquis, morbid obesity, obstructive sleep apnea was brought in by EMS after patient was found to be confused   And is poor historian but per ED provider patient missed hemodialysis and family called EMS as patient was not answering calls.  Upon examination patient is uncooperative sleepy only briefly answers questions   Patient was saturating well on room air  Lab was significant for anion gap metabolic acidosis, elevated glucose, elevated creatinine of 10.81, ammonia was less than 70.  White cell count was not elevated  CT of the head without contrast was showing septal region of hypoattenuation of the left cerebellar hemisphere favored to be artifactual.  However, if there is concern for acute infarct, MRI could be considered.  Chest x-ray showed Mild patchy bilateral airspace disease, suspicious for multifocal infection  1/11/22: 46-year-old female with past medical history of seizure disorder, chronic immunosuppressive treatment, SLE, lupus nephritis, CKD stage 4, hypertension, bronchial asthma, GERD, DVT anticoagulated with Eliquis, morbid obesity, obstructive sleep apnea was brought in by EMS after patient was found to be confused.  Patient was then admitted with metabolic encephalopathy from uremia and rule out CVA.  Patient workup for CVA was unremarkable.  Patient mental status significantly improved after hemodialysis. EEG was done which was unremarkable except metabolic encephalopathy features.  Patient will be discharged home to follow-up with PCP
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Patient uncooperative, SARS-CoV-2 test positive, Somnolence, White blood cell count normal
Clinical narrative: Pfizer Dose 1 4/15/21 (EW0153) Pfizer Dose 2 5/7/21 (ER8736) COVID Positive 12/29/21  1/8/22: A 46-year-old female with past medical history of seizure disorder, chronic immunosuppressive treatment, SLE, lupus nephritis, CKD stage 4, hypertension, bronchial asthma, GERD, DVT anticoagulated with Eliquis, morbid obesity, obstructive sleep apnea was brought in by EMS after patient was found to be confused   And is poor historian but per ED provider patient missed hemodialysis and family called EMS as patient was not answering calls.  Upon examination patient is uncooperative sleepy only briefly answers questions   Patient was saturating well on room air  Lab was significant for anion gap metabolic acidosis, elevated glucose, elevated creatinine of 10.81, ammonia was less than 70.  White cell count was not elevated  CT of the head without contrast was showing septal region of hypoattenuation of the left cerebellar hemisphere favored to be artifactual.  However, if there is concern for acute infarct, MRI could be considered.  Chest x-ray showed Mild patchy bilateral airspace disease, suspicious for multifocal infection  1/11/22: 46-year-old female with past medical history of seizure disorder, chronic immunosuppressive treatment, SLE, lupus nephritis, CKD stage 4, hypertension, bronchial asthma, GERD, DVT anticoagulated with Eliquis, morbid obesity, obstructive sleep apnea was brought in by EMS after patient was found to be confused.  Patient was then admitted with metabolic encephalopathy from uremia and rule out CVA.  Patient workup for CVA was unremarkable.  Patient mental status significantly improved after hemodialysis. EEG was done which was unremarkable except metabolic encephalopathy features.  Patient will be discharged home to follow-up with PCP
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Fatigue, Headache
Clinical narrative: I contracted COVID-19 on 06/23/2022 with symptoms of sore throat, headache, congestion, runny nose, slight cough, shortness of breathe, and fatigue. I was prescribed Methyl Prednisone and Azithromycin on 06/28/2022. My symptoms have begun to improve but I am not recovered as of yet.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 on 06/23/2022 with symptoms of sore throat, headache, congestion, runny nose, slight cough, shortness of breathe, and fatigue. I was prescribed Methyl Prednisone and Azithromycin on 06/28/2022. My symptoms have begun to improve but I am not recovered as of yet.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal loss of weight, Anxiety, Blood glucose decreased, Blood iron, Blood test
Clinical narrative: About 6 hours into my second dose I developed a severe symptoms from the vaccine. Hot painful arm, Muscle pain, headache, nausea, dizziness, fever, chills etc. Despite being on round the clock Tylenol I was awoken at 2am to severe chills and fever. I got my mom who tried to help me get through it. I noticed since waking my heart felt very fast. My mom monitored me on my smart watch and pulse ox. My heart rate was up in the 120's for no reason while resting. I have anxiety but I was not anxious at the time and actually went to bed around 5am. My mom monitored me while sleeping. My heart did not go down all night and morning. It remained in the 120's. I got an appointment with a doctor to where I was told it was most likely my immune system (I did have low vitamin D) and that it could be from the fever despite my fever being broken already. She called it Tachycardia. She advised if it does not go down then to come in. Thankfully my heart rate went down close to the evening time. I did not however feel back to normal. I felt strange from the days after. A couple days later I was awoken to my heart at 180. It was extremely scary at that point I felt like something was wrong. I got every test done and even went to the emergency room. I lost numerous weight for no reason in about a month or so fairly fast. I was 128 and fell to 110. However all tests say I am healthy. Despite vitamin D being low. My Iron was borderline. D-Dimer was oddly high. And blood sugar would fall every now and then for strange reasons. My doctor left and I couldn't see her anymore so with that I took it as anxiety. I have been in treatment for anxiety ever since this incident. I am sure it is anxiety. However nothing can explain the high heart rate that never went down for hours when I did get the shot. My periods have never been the same either. They are heavy painful and never on time. I feel like I developed PMDD but again could be just anxiety. I was supposed to go back for tests and Etc. however I never did because I gave up at that point and just decided it was best to believe its anxiety and I have been going to therapy once a week for. I do want to be clear I had a lot of anxiety about the pandemic itself this has been extremely hard. Apart of me believes that maybe my body panic after getting my last dose and was almost like a relief. However It has been hard. I have been unable to leave the house when before the vaccine I was out of course with a mask but I was doing stuff. Now I get scared leaving. I don't like having my heart race like the way it did and its been hard. Did I experience an adverse reaction? I don't know. Maybe that first night. But I do know I haven't been able to get the booster because I am so petrified. I cant even leave my neighborhood.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring, Chills, Computerised tomogram thorax normal, Condition aggravated, Dizziness
Clinical narrative: About 6 hours into my second dose I developed a severe symptoms from the vaccine. Hot painful arm, Muscle pain, headache, nausea, dizziness, fever, chills etc. Despite being on round the clock Tylenol I was awoken at 2am to severe chills and fever. I got my mom who tried to help me get through it. I noticed since waking my heart felt very fast. My mom monitored me on my smart watch and pulse ox. My heart rate was up in the 120's for no reason while resting. I have anxiety but I was not anxious at the time and actually went to bed around 5am. My mom monitored me while sleeping. My heart did not go down all night and morning. It remained in the 120's. I got an appointment with a doctor to where I was told it was most likely my immune system (I did have low vitamin D) and that it could be from the fever despite my fever being broken already. She called it Tachycardia. She advised if it does not go down then to come in. Thankfully my heart rate went down close to the evening time. I did not however feel back to normal. I felt strange from the days after. A couple days later I was awoken to my heart at 180. It was extremely scary at that point I felt like something was wrong. I got every test done and even went to the emergency room. I lost numerous weight for no reason in about a month or so fairly fast. I was 128 and fell to 110. However all tests say I am healthy. Despite vitamin D being low. My Iron was borderline. D-Dimer was oddly high. And blood sugar would fall every now and then for strange reasons. My doctor left and I couldn't see her anymore so with that I took it as anxiety. I have been in treatment for anxiety ever since this incident. I am sure it is anxiety. However nothing can explain the high heart rate that never went down for hours when I did get the shot. My periods have never been the same either. They are heavy painful and never on time. I feel like I developed PMDD but again could be just anxiety. I was supposed to go back for tests and Etc. however I never did because I gave up at that point and just decided it was best to believe its anxiety and I have been going to therapy once a week for. I do want to be clear I had a lot of anxiety about the pandemic itself this has been extremely hard. Apart of me believes that maybe my body panic after getting my last dose and was almost like a relief. However It has been hard. I have been unable to leave the house when before the vaccine I was out of course with a mask but I was doing stuff. Now I get scared leaving. I don't like having my heart race like the way it did and its been hard. Did I experience an adverse reaction? I don't know. Maybe that first night. But I do know I haven't been able to get the booster because I am so petrified. I cant even leave my neighborhood.