chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: M
Vaccine: COVID19-2, UNK
Symptoms: Computerised tomogram head abnormal, Magnetic resonance imaging head abnormal, VIth nerve paralysis
Clinical narrative: 6TH CRANIAL NERVE PALSEY
Age: 51.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 49.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Injection site rash, Rash erythematous
Clinical narrative: Erythematous rash 9x10cm to L upper, outer thigh in area of L2 dermatome developed @ 24h after vaccines were given.   Nontender on exam.  Remaining exam benign.  Started on hydroxyzine 6mg  Q6h prn 01/26/23
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 67.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Blood test normal, Cough, Culture stool negative, Diarrhoea, Influenza virus test negative
Clinical narrative: I started feeling ill on 1/8/23. I didn't go to the doctor right away, but when I went, they believed that I had the Flu. I had a cough, runny nose, and a fever. Then I got diarrhea. The fever only lasted for about three days. I was prescribed benzonatate for my cough. I also took FLONASE, CLARITIN D, and ROBITUSSIN. I am still not 100 percent.
Age: 67.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Malaise, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative, X-ray normal
Clinical narrative: I started feeling ill on 1/8/23. I didn't go to the doctor right away, but when I went, they believed that I had the Flu. I had a cough, runny nose, and a fever. Then I got diarrhea. The fever only lasted for about three days. I was prescribed benzonatate for my cough. I also took FLONASE, CLARITIN D, and ROBITUSSIN. I am still not 100 percent.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: NO adverse reaction reported/ administration was done after best used date.
Age: 17.0
Sex: F
Vaccine: FLU4, HEP, HEPA, HPV9, IPV, MNQ, TDAP
Symptoms: Pruritus, Urticaria
Clinical narrative: Client presented back to clinic on 1/26/23 for MMR and varicella vaccines. C/o hives on both hands, arms, and chest.  Stated they started the night she got vaccinated. States that they itch. No other symptoms of allergic reaction present. Guardian gave 1 dose of benadryl on 1/25/23 which helped the itching. Did not vaccinate for MMR and varicella. Advised PCP f/u same day as well as continuing benadryl.
Age: 60.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Poor quality product administered, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 93.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Poor quality product administered, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Poor quality product administered, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Aphonia, Chills, Oropharyngeal pain, Pyrexia, Respiratory tract infection
Clinical narrative: I woke up and my throat was sore and my fever was at one hundred one or one hundred two. I had chills and my voice was going eventually I lost my voice completely. I tried home remedies garlic ginger honey as it usually helps the fever went away but other things got worse I took a COVID-19. On Saturday my throat felt like it was on fire and Sunday as well the doctor on the teleportal said no more clients. My doctor prescribed lidocaine and TESSALON PERLES and prednisone. November 25th I began to feel better. 5DEC2022 I was recovered and began to see clients again. Diagnosis was an acute respiratory infection.
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test negative, Throat irritation
Clinical narrative: I woke up and my throat was sore and my fever was at one hundred one or one hundred two. I had chills and my voice was going eventually I lost my voice completely. I tried home remedies garlic ginger honey as it usually helps the fever went away but other things got worse I took a COVID-19. On Saturday my throat felt like it was on fire and Sunday as well the doctor on the teleportal said no more clients. My doctor prescribed lidocaine and TESSALON PERLES and prednisone. November 25th I began to feel better. 5DEC2022 I was recovered and began to see clients again. Diagnosis was an acute respiratory infection.
Age: 19.0
Sex: F
Vaccine: TDAP
Symptoms: Exposure during pregnancy, Extra dose administered
Clinical narrative: Vaccine ordered and administered 1/25/23, had received already received recommended prenatal dose 1/11/23. Patient G1 P000 at 29w 4d GA at the time of the incident.
Age: 82.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid + on 12/28/2022
Age: 59.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Poor quality product administered, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 37.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Poor quality product administered, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Poor quality product administered, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough Case
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Agitation, Asthenia, COVID-19, Cough, SARS-CoV-2 test positive
Clinical narrative: Patient with history of Alzheimer's dementia, diabetes.   She was brought to the ED by EMS on 11/16/22 for evaluation of weakness and cough. Her son was concerned about the patient's ability to care for herself at home. COVID-19 PCR test was done in the ED which resulted positive. Ultimately patient was admitted to the hospital 11/16/22 - 12/2/22 for evaluation of her weakness. Discharge diagnosis included generalized weakness and agitation in the setting of COVID-19 infection, COVID-19 infection has resolved.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Administration of Non-Viable Vaccine.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Blood test normal, Blood urine present, Body temperature increased
Clinical narrative: Patient is a 77-year-old male with a history of coronary artery disease and cardiac arrhythmia which he currently wears a LifeVest for.  He also has a history of atrial fibrillation and is on Eliquis, hypertension, previous pancreatitis and kidney stones.  He presents to the emergency room by private auto in the company of a family friend secondary to increasing generalized weakness.  Patient was seen in the emergency room 2 days ago after he fell and injured his left shoulder and wrist and shoulder.  He has continued to get weaker at home and was having a hard time getting up and moving around today.  He also had an episode of urinary incontinence which is unusual for him.  Upon further questioning patient does admit to some dysuria with urination and hesitancy.  He denies fever or chills.  His only other complaint is pain to the left shoulder and wrist.  He is having a difficult time standing and walking around on his own which is new for him. Associated Symptoms: dysuria, fall, frequency, hesitancy, injury, joint pain, urgency, UTI symptoms, weakness
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dysstasia, Dysuria, Fall, Gait disturbance
Clinical narrative: Patient is a 77-year-old male with a history of coronary artery disease and cardiac arrhythmia which he currently wears a LifeVest for.  He also has a history of atrial fibrillation and is on Eliquis, hypertension, previous pancreatitis and kidney stones.  He presents to the emergency room by private auto in the company of a family friend secondary to increasing generalized weakness.  Patient was seen in the emergency room 2 days ago after he fell and injured his left shoulder and wrist and shoulder.  He has continued to get weaker at home and was having a hard time getting up and moving around today.  He also had an episode of urinary incontinence which is unusual for him.  Upon further questioning patient does admit to some dysuria with urination and hesitancy.  He denies fever or chills.  His only other complaint is pain to the left shoulder and wrist.  He is having a difficult time standing and walking around on his own which is new for him. Associated Symptoms: dysuria, fall, frequency, hesitancy, injury, joint pain, urgency, UTI symptoms, weakness
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Joint injury, Limb injury, Micturition urgency, Mobility decreased, Pollakiuria
Clinical narrative: Patient is a 77-year-old male with a history of coronary artery disease and cardiac arrhythmia which he currently wears a LifeVest for.  He also has a history of atrial fibrillation and is on Eliquis, hypertension, previous pancreatitis and kidney stones.  He presents to the emergency room by private auto in the company of a family friend secondary to increasing generalized weakness.  Patient was seen in the emergency room 2 days ago after he fell and injured his left shoulder and wrist and shoulder.  He has continued to get weaker at home and was having a hard time getting up and moving around today.  He also had an episode of urinary incontinence which is unusual for him.  Upon further questioning patient does admit to some dysuria with urination and hesitancy.  He denies fever or chills.  His only other complaint is pain to the left shoulder and wrist.  He is having a difficult time standing and walking around on his own which is new for him. Associated Symptoms: dysuria, fall, frequency, hesitancy, injury, joint pain, urgency, UTI symptoms, weakness
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis, Urinary hesitation, Urinary incontinence, Urinary tract infection
Clinical narrative: Patient is a 77-year-old male with a history of coronary artery disease and cardiac arrhythmia which he currently wears a LifeVest for.  He also has a history of atrial fibrillation and is on Eliquis, hypertension, previous pancreatitis and kidney stones.  He presents to the emergency room by private auto in the company of a family friend secondary to increasing generalized weakness.  Patient was seen in the emergency room 2 days ago after he fell and injured his left shoulder and wrist and shoulder.  He has continued to get weaker at home and was having a hard time getting up and moving around today.  He also had an episode of urinary incontinence which is unusual for him.  Upon further questioning patient does admit to some dysuria with urination and hesitancy.  He denies fever or chills.  His only other complaint is pain to the left shoulder and wrist.  He is having a difficult time standing and walking around on his own which is new for him. Associated Symptoms: dysuria, fall, frequency, hesitancy, injury, joint pain, urgency, UTI symptoms, weakness
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis abnormal
Clinical narrative: Patient is a 77-year-old male with a history of coronary artery disease and cardiac arrhythmia which he currently wears a LifeVest for.  He also has a history of atrial fibrillation and is on Eliquis, hypertension, previous pancreatitis and kidney stones.  He presents to the emergency room by private auto in the company of a family friend secondary to increasing generalized weakness.  Patient was seen in the emergency room 2 days ago after he fell and injured his left shoulder and wrist and shoulder.  He has continued to get weaker at home and was having a hard time getting up and moving around today.  He also had an episode of urinary incontinence which is unusual for him.  Upon further questioning patient does admit to some dysuria with urination and hesitancy.  He denies fever or chills.  His only other complaint is pain to the left shoulder and wrist.  He is having a difficult time standing and walking around on his own which is new for him. Associated Symptoms: dysuria, fall, frequency, hesitancy, injury, joint pain, urgency, UTI symptoms, weakness
Age: 0.83
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Client received MMR and varicella vaccines too early at age 10 months. No adverse effects reported at this time.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: COVID-19, Hypersomnia, Positive airway pressure therapy, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Patient brought to the ED by EMS for evaluation of excessive sleepiness on 11/16/22. His living facility became concerned when he could not stay awake that day. COVID-19 PCR test was done which resulted positive. Ultimately, patient admitted 11/16/22 for further management of respiratory failure likely related to COVID-19 infection as well as chronic conditions of OSA (on CPAP) and morbid obesity. He was placed on BiPAP initially, however oxygen needs improved during his hospitalization. He was able to be weaned down to his baseline supplemental oxygen need of 2L. Patient improved and was discharged 11/21/22.
Age: 90.0
Sex: U
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Administration of Non-Viable Vaccine.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Disorientation, Fall, Lip haemorrhage, Lip injury
Clinical narrative: This was my first booster shot after having gotten my initial two shots. I had zero side effects after my first two shots aside from a very slight arm pain and I've never had any adverse side effects from any other vaccination. I went to a Pharmacy in the early afternoon to get it. I always get the flu shot every year so I figured I would do both at the same time - the person at the pharmacy said it was normal to do so. I got both shots in my left arm and went home. I felt fine all day - I'm a musician and was recording a song in my bedroom. I was working, but was sitting at a desk and it was rather non-strenuous. That night, I was lying in bed with my eyes closed trying to fall asleep when I felt an acute urge as if I needed to vomit. I quickly got up and rushed to the bathroom. All of the lights were off and I sat on the toilet with my head in my hands as I was not feeling very well. The next thing I remember, I was lying on the floor of the bathroom in the dark in a cold sweat in the fetal position with my ears ringing. I was very disoriented and got up to turn on the lights. I discovered in the mirror that my bottom lip was split open and bleeding. I was in complete shock considering I have never blacked out once in any context in my entire life. I woke up my brother to assist me in piecing together what had happened. I believe that while I was sitting on the toilet with my head in my heads, I blacked out and fell forward with my face landing on the bathroom tile. Luckily, because I was in the sitting position, the impact wasn't as bad as it could have been had I been standing up. I am also lucky that I didn't smash my face into the bathtub, for example. All things considered, it could have been much much worse. I called myself a ride and went to the nearest hospital to be evaluated and potentially have my lip stitched. They told me I didn't have any signs of a concussion (I didn't develop any later on either) and that the wound on my lip wasn't quite deep enough to warrant stitches. Aside from that taking about 2-3 weeks to heal, I did not experience any further symptoms or issues as a result of the incident. It was rather strange, but I am a strong proponent of vaccines in general and this event did not change that position even slightly. When I got my bivalent shot the following year (this past fall), I decided to get my flu shot separately. I got both shots without incident or a single side effect.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Malaise, Tinnitus
Clinical narrative: This was my first booster shot after having gotten my initial two shots. I had zero side effects after my first two shots aside from a very slight arm pain and I've never had any adverse side effects from any other vaccination. I went to a Pharmacy in the early afternoon to get it. I always get the flu shot every year so I figured I would do both at the same time - the person at the pharmacy said it was normal to do so. I got both shots in my left arm and went home. I felt fine all day - I'm a musician and was recording a song in my bedroom. I was working, but was sitting at a desk and it was rather non-strenuous. That night, I was lying in bed with my eyes closed trying to fall asleep when I felt an acute urge as if I needed to vomit. I quickly got up and rushed to the bathroom. All of the lights were off and I sat on the toilet with my head in my hands as I was not feeling very well. The next thing I remember, I was lying on the floor of the bathroom in the dark in a cold sweat in the fetal position with my ears ringing. I was very disoriented and got up to turn on the lights. I discovered in the mirror that my bottom lip was split open and bleeding. I was in complete shock considering I have never blacked out once in any context in my entire life. I woke up my brother to assist me in piecing together what had happened. I believe that while I was sitting on the toilet with my head in my heads, I blacked out and fell forward with my face landing on the bathroom tile. Luckily, because I was in the sitting position, the impact wasn't as bad as it could have been had I been standing up. I am also lucky that I didn't smash my face into the bathtub, for example. All things considered, it could have been much much worse. I called myself a ride and went to the nearest hospital to be evaluated and potentially have my lip stitched. They told me I didn't have any signs of a concussion (I didn't develop any later on either) and that the wound on my lip wasn't quite deep enough to warrant stitches. Aside from that taking about 2-3 weeks to heal, I did not experience any further symptoms or issues as a result of the incident. It was rather strange, but I am a strong proponent of vaccines in general and this event did not change that position even slightly. When I got my bivalent shot the following year (this past fall), I decided to get my flu shot separately. I got both shots without incident or a single side effect.
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough Case
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given the monovalent form as a booster instead of the Bivalent.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: CHILD GIVEN ORANGE CAP 5-11YO PFIZER INSTEAD OF MAROON CAP 6MO-4
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Acute respiratory failure, COVID-19, COVID-19 pneumonia, Hypoxia
Clinical narrative: Patient was previously seen in the ED on 11/12/22 for abdominal pain. During this visit, she tested positive for COVID-19 by PCR.   She returned to the ED on 11/18/22 with continued abdominal pain along with a productive cough. While in the ED, the provider noted that she was intermittently hypoxic, so patient was placed on 2L O2 by nasal cannula. Ultimately patient admitted 11/18/22  - 11/21/22. Discharge diagnosis included acute hypoxic respiratory failure due to COVID-19 pneumonia. Patient was weaned to room air 11/20.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Productive cough, SARS-CoV-2 test positive
Clinical narrative: Patient was previously seen in the ED on 11/12/22 for abdominal pain. During this visit, she tested positive for COVID-19 by PCR.   She returned to the ED on 11/18/22 with continued abdominal pain along with a productive cough. While in the ED, the provider noted that she was intermittently hypoxic, so patient was placed on 2L O2 by nasal cannula. Ultimately patient admitted 11/18/22  - 11/21/22. Discharge diagnosis included acute hypoxic respiratory failure due to COVID-19 pneumonia. Patient was weaned to room air 11/20.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Administration of Non-Viable Vaccine.
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Cough, Hypoxia
Clinical narrative: Patient with history of CKD, diabetes, and lung adenocarcinoma with metastasis to bone.   She was seen in the ED on 11/19/22 for evaluation of a cough for the past several months, however the day prior, her cough began to worsen. COVID-19 PCR test was done that day which was positive. To note, the patient also recently had COVID-19 in September 2022. Ultimately, patient was admitted 11/19/22 - 11/25/22. Discharge diagnosis included acute hypoxic respiratory failure secondary to COVID-19 pneumonia and COVID-19 pneumonia with superimposed pneumonia. During admission, she developed hypoxia and required supplemental oxygen, however her respiratory status improved. At discharge, she was on room air.
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient with history of CKD, diabetes, and lung adenocarcinoma with metastasis to bone.   She was seen in the ED on 11/19/22 for evaluation of a cough for the past several months, however the day prior, her cough began to worsen. COVID-19 PCR test was done that day which was positive. To note, the patient also recently had COVID-19 in September 2022. Ultimately, patient was admitted 11/19/22 - 11/25/22. Discharge diagnosis included acute hypoxic respiratory failure secondary to COVID-19 pneumonia and COVID-19 pneumonia with superimposed pneumonia. During admission, she developed hypoxia and required supplemental oxygen, however her respiratory status improved. At discharge, she was on room air.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Administration of Non-Viable Vaccine.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Administration of Non-Viable Vaccine.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received Moderna bivalent vaccine on 1/9/23.  Inadvertently, patient received another dose of the Pfizer bivalent vaccine on 1/25/23.  All of patients covid vaccines had been Pfizer.  He consented for the Pfizer Bivalent vaccine.  No ASE noted as of 1/26/23 at this time.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Extra dose administered
Clinical narrative: The patient was on a catch up schedule for vaccines and I was unaware.. so patient was given so patient was given  what was 4 year vaccines.. In doing so patient received an extra DTAP AND varicella vaccine.. No adverse reaction noted, patient was monitored 15 minutes after given , no signs of reaction noted
Age: 43.0
Sex: F
Vaccine: UNK
Symptoms: Injection site pain, Muscular weakness, Pain in extremity
Clinical narrative: Pain at time of injection Sore arm pain lasting over 3 months and some muscle weakness
Age: 66.0
Sex: F
Vaccine: PNC20
Symptoms: Abdominal discomfort, Chills
Clinical narrative: Per the patient about 3 and a half hours after getting the vaccine she stated to experience stomach upset. She started to get chills and
Age: 75.0
Sex: M
Vaccine: PNC20
Symptoms: Feeling hot, Pain, Tenderness
Clinical narrative: warm, tenderness, localized pain. 6/10.
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient given bivalent vaccine when she had not received a primary series.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: COVID-19, Fatigue, SARS-CoV-2 test positive
Clinical narrative: 12/27/22 presents to ED for "fatigue" "coronavirus concern". PMHx of "type 2 DM, CVA, HLD, HTN"
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: None at the time. Patient received second dose of the vaccine 8 days too early.
Age: 23.0
Sex: F
Vaccine: FLU4, TDAP, VARCEL
Symptoms: Dizziness, Erythema, Flushing, Hyperhidrosis, Malaise
Clinical narrative: 23 Y/O FEMALE SEEN TODAY FOR HER HEALTH ASSESSMENT AND VACCINATIONS. PATIENT HAS NO PMH AND DENIES TAKING ANY PRESCRIPTION MEDICATIONS.   NKDA  10: 55AM: PATIENT RECEIVED HER TDAP, FLU & VARICELLA VACCIANTIONS TO R ARM WHEN THE PATIENT STARTED TO FEEL UNWELL AND COMPLAINING OF RINGING TO HER RIGHT EAR AFTER COMPLETION OF HER THIRD VACCINATION. 11:00 AM: PATIENT STARTED FELING LIGHTHEADED AND EXHBITING DIAPHORESIS & PALLOR.  FOLLOWED BY NEAR SYNCOPAL EPISODE. PATIENT'S UPPER BODY INCLUDING HER FACE WERE FLUSH/RED. PATIENT HAD ONE EMESIS AND COMPLAINED OF BEING NAUSEATED.  11:05 AM: PATIENTS VITAL SIGNS WERE TAKEN STAT AND B/P: 66/46, P: 54, O2 SAT: 99%, T: 97.4F., R: 14 11:10AM: VS: 88/61/, P: 76, O2 SAT: 99% & R: 14 11:12 AM:ONE DOSE OF DIPHEDYDRAMINE 25MG/IM X 1 DOSE- PER EMERGENCY MEDICAL CARE PROTOCOL 11:15 AM: PATIENT PLACED IN TRENDELENBURG POSITION AND VS REASSESSED: B/P: 98/69, P;76, R: 14 & O2: 100% 11:20AM: MANUAL B/P: 102/80, P: 76, R: 16 11:25AM: PATIENT REPORTED FEELING BETTER, NO RINGING OR PALLOR NOTED IN HER EARS AND WAS A, A, O X 3. PATIENT WAS ABLE TO FOLLOW COMMANDS WITH NO DEFICITS  NOTED. 11:35AM: PATIENT STABLE, VS STABLE AND HUSBAND AT THE PATIENT'S BEDSIDE.  11:45AM: VS: 106/69, 68, 14 & 97.8 F 12:00PM: PATIENT STABLE, SITITNG UP AND STATES SHE FEELS MUCH BETTER.
Age: 23.0
Sex: F
Vaccine: FLU4, TDAP, VARCEL
Symptoms: Nausea, Pallor, Presyncope, Tinnitus, Trendelenburg position
Clinical narrative: 23 Y/O FEMALE SEEN TODAY FOR HER HEALTH ASSESSMENT AND VACCINATIONS. PATIENT HAS NO PMH AND DENIES TAKING ANY PRESCRIPTION MEDICATIONS.   NKDA  10: 55AM: PATIENT RECEIVED HER TDAP, FLU & VARICELLA VACCIANTIONS TO R ARM WHEN THE PATIENT STARTED TO FEEL UNWELL AND COMPLAINING OF RINGING TO HER RIGHT EAR AFTER COMPLETION OF HER THIRD VACCINATION. 11:00 AM: PATIENT STARTED FELING LIGHTHEADED AND EXHBITING DIAPHORESIS & PALLOR.  FOLLOWED BY NEAR SYNCOPAL EPISODE. PATIENT'S UPPER BODY INCLUDING HER FACE WERE FLUSH/RED. PATIENT HAD ONE EMESIS AND COMPLAINED OF BEING NAUSEATED.  11:05 AM: PATIENTS VITAL SIGNS WERE TAKEN STAT AND B/P: 66/46, P: 54, O2 SAT: 99%, T: 97.4F., R: 14 11:10AM: VS: 88/61/, P: 76, O2 SAT: 99% & R: 14 11:12 AM:ONE DOSE OF DIPHEDYDRAMINE 25MG/IM X 1 DOSE- PER EMERGENCY MEDICAL CARE PROTOCOL 11:15 AM: PATIENT PLACED IN TRENDELENBURG POSITION AND VS REASSESSED: B/P: 98/69, P;76, R: 14 & O2: 100% 11:20AM: MANUAL B/P: 102/80, P: 76, R: 16 11:25AM: PATIENT REPORTED FEELING BETTER, NO RINGING OR PALLOR NOTED IN HER EARS AND WAS A, A, O X 3. PATIENT WAS ABLE TO FOLLOW COMMANDS WITH NO DEFICITS  NOTED. 11:35AM: PATIENT STABLE, VS STABLE AND HUSBAND AT THE PATIENT'S BEDSIDE.  11:45AM: VS: 106/69, 68, 14 & 97.8 F 12:00PM: PATIENT STABLE, SITITNG UP AND STATES SHE FEELS MUCH BETTER.
Age: 23.0
Sex: F
Vaccine: FLU4, TDAP, VARCEL
Symptoms: Vomiting
Clinical narrative: 23 Y/O FEMALE SEEN TODAY FOR HER HEALTH ASSESSMENT AND VACCINATIONS. PATIENT HAS NO PMH AND DENIES TAKING ANY PRESCRIPTION MEDICATIONS.   NKDA  10: 55AM: PATIENT RECEIVED HER TDAP, FLU & VARICELLA VACCIANTIONS TO R ARM WHEN THE PATIENT STARTED TO FEEL UNWELL AND COMPLAINING OF RINGING TO HER RIGHT EAR AFTER COMPLETION OF HER THIRD VACCINATION. 11:00 AM: PATIENT STARTED FELING LIGHTHEADED AND EXHBITING DIAPHORESIS & PALLOR.  FOLLOWED BY NEAR SYNCOPAL EPISODE. PATIENT'S UPPER BODY INCLUDING HER FACE WERE FLUSH/RED. PATIENT HAD ONE EMESIS AND COMPLAINED OF BEING NAUSEATED.  11:05 AM: PATIENTS VITAL SIGNS WERE TAKEN STAT AND B/P: 66/46, P: 54, O2 SAT: 99%, T: 97.4F., R: 14 11:10AM: VS: 88/61/, P: 76, O2 SAT: 99% & R: 14 11:12 AM:ONE DOSE OF DIPHEDYDRAMINE 25MG/IM X 1 DOSE- PER EMERGENCY MEDICAL CARE PROTOCOL 11:15 AM: PATIENT PLACED IN TRENDELENBURG POSITION AND VS REASSESSED: B/P: 98/69, P;76, R: 14 & O2: 100% 11:20AM: MANUAL B/P: 102/80, P: 76, R: 16 11:25AM: PATIENT REPORTED FEELING BETTER, NO RINGING OR PALLOR NOTED IN HER EARS AND WAS A, A, O X 3. PATIENT WAS ABLE TO FOLLOW COMMANDS WITH NO DEFICITS  NOTED. 11:35AM: PATIENT STABLE, VS STABLE AND HUSBAND AT THE PATIENT'S BEDSIDE.  11:45AM: VS: 106/69, 68, 14 & 97.8 F 12:00PM: PATIENT STABLE, SITITNG UP AND STATES SHE FEELS MUCH BETTER.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Nasopharyngitis, Pain, Pyrexia, Rhinorrhoea
Clinical narrative: Minor's dad states that she general achiness and sniffles next am. Symptoms progressed to cold-like symptoms ie. cough, fever
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Administration of Non-Viable Vaccine.
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Headache, Oropharyngeal pain, Pain
Clinical narrative: Started with a sore throat and headache, fatigue, fever of 99.4, and vomiting, and body aches all over. A lot of sneezing. They came on pretty fast on 1/10. Took an at-home rapid COVID-19 on 1/11 and it was immediately positive both times. Called physician and started taking PAXLOVID that night. After a few days I started feeling better. Very puzzled as to how I contracted it. We don't eat out, we don't visit people, always mask, constantly wash my hands, carry sanitizer. It's shocking. Somehow my wife didn't develop any symptoms and tested negative several times.
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Sneezing, Vomiting
Clinical narrative: Started with a sore throat and headache, fatigue, fever of 99.4, and vomiting, and body aches all over. A lot of sneezing. They came on pretty fast on 1/10. Took an at-home rapid COVID-19 on 1/11 and it was immediately positive both times. Called physician and started taking PAXLOVID that night. After a few days I started feeling better. Very puzzled as to how I contracted it. We don't eat out, we don't visit people, always mask, constantly wash my hands, carry sanitizer. It's shocking. Somehow my wife didn't develop any symptoms and tested negative several times.
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 11.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Local reaction
Clinical narrative: developed a local reaction to HPV site , no fever, shortness of breath no skin lesions. Started on topical steroid, use cool compress as needed and continue supportive measures. He is to follow up in 2-3 days.
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Dizziness, Fall, Headache
Clinical narrative: Patient brought the ED by EMS on 11/19 early morning for evaluation of a fall. Patient was laying in bed when she rolled off the side of her bad in an unwitnessed fall. Ultimately, she was discharged home however returned to the ED that day in the afternoon after another fall. Patient reports she felt dizzy and fell to the floor. During her second ED visit, she reported a mild headache and right sided neck pain, along with cough and sore throat. COVID-19 PCR test was done which resulted positive. Additionally chest imaging was concerning for suspected pneumonia. Ultimately, patient was admitted 11/19/22 - 11/22/22 for evaluation of recurrent falls and COVID-19 infection.
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Imaging procedure abnormal, Neck pain, Oropharyngeal pain, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient brought the ED by EMS on 11/19 early morning for evaluation of a fall. Patient was laying in bed when she rolled off the side of her bad in an unwitnessed fall. Ultimately, she was discharged home however returned to the ED that day in the afternoon after another fall. Patient reports she felt dizzy and fell to the floor. During her second ED visit, she reported a mild headache and right sided neck pain, along with cough and sore throat. COVID-19 PCR test was done which resulted positive. Additionally chest imaging was concerning for suspected pneumonia. Ultimately, patient was admitted 11/19/22 - 11/22/22 for evaluation of recurrent falls and COVID-19 infection.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, COVID-19, Computerised tomogram normal, Fatigue, Headache
Clinical narrative: The day after I took the vaccine, I had the worst headache I have ever had in my life and fatigue. I thought it was a reaction to the shot, even though the first shot I had. I always have a reaction to the flu shot so I thought it was just that. However, the fatigue and headaches kept coming and going. I had blood work done and nothing came of it, it showed nothing wrong. I contracted COVID in December of 2022 as well. We are now in January and I still get the headaches and fatigue. I did have a chiropractor appointment for my back and they did a CT scan of my back and neck but also found nothing.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: The day after I took the vaccine, I had the worst headache I have ever had in my life and fatigue. I thought it was a reaction to the shot, even though the first shot I had. I always have a reaction to the flu shot so I thought it was just that. However, the fatigue and headaches kept coming and going. I had blood work done and nothing came of it, it showed nothing wrong. I contracted COVID in December of 2022 as well. We are now in January and I still get the headaches and fatigue. I did have a chiropractor appointment for my back and they did a CT scan of my back and neck but also found nothing.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 12/28/22 presents to ED for "SOB". PMHx of "nonischemic cardiomyopathy with EF 15%, HTN, CKD stage V, T2DM, A. fib"
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Poor quality product administered, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Poor quality product administered, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: 12/28/22 presents to ED for "coronavirus concern". PMHx of "A-fib (On apixaban), CHF s/p ICD placement, COPD (On 3: NC at home), HTN, OSA, and DM2"
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Injection site pain, Injection site swelling
Clinical narrative: Swollen, sore arm at injection site starting 1/25, then severe chills that I could not control on 1/26. (lasting 4 hours), tiredness and headache. Arm continues sore on 1/27. Took Extra Strength Headache Relief Acetaminophen, Aspirin and Caffeine once on 1/25 and twice on 1/26 (1caplet each time). Resorted to a very hot shower to help with chills.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: Swollen, sore arm at injection site starting 1/25, then severe chills that I could not control on 1/26. (lasting 4 hours), tiredness and headache. Arm continues sore on 1/27. Took Extra Strength Headache Relief Acetaminophen, Aspirin and Caffeine once on 1/25 and twice on 1/26 (1caplet each time). Resorted to a very hot shower to help with chills.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Poor quality product administered, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion.  No adverse events experienced/reported by patient.
Age: 54.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Poor quality product administered, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion.  No adverse events experienced/reported by patient.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Administration of Non-Viable Vaccine.
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Atrial fibrillation, COVID-19, Chest pain, Cough, Fatigue
Clinical narrative: Patient brought to the ED by EMS on 11/19 for chest pain, fatigue, and dry cough. COVID-19 PCR test done in the ED resulted positive. In the ED, her O2 sats intermittently dropped to 88%, therefore she was given a dose of decadron and placed on O2 NC. In the ED, patient's troponin was found to be elevated, and cardiology was consulted who recommended admission. Ultimately patient admitted 11/19/22 - 11/22/22. Discharge diagnosis included acute hypoxia felt due to COVID-19 infection. Elevated troponin suspected to have been demand ischemia due to Afib RVR and possibly due to COVID-19 infection.
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypoxia, Myocardial ischaemia, Oxygen saturation decreased, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Patient brought to the ED by EMS on 11/19 for chest pain, fatigue, and dry cough. COVID-19 PCR test done in the ED resulted positive. In the ED, her O2 sats intermittently dropped to 88%, therefore she was given a dose of decadron and placed on O2 NC. In the ED, patient's troponin was found to be elevated, and cardiology was consulted who recommended admission. Ultimately patient admitted 11/19/22 - 11/22/22. Discharge diagnosis included acute hypoxia felt due to COVID-19 infection. Elevated troponin suspected to have been demand ischemia due to Afib RVR and possibly due to COVID-19 infection.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: COVID-19, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 12/29/22 presents to ED for "fever". PMHx of "CKD stage III, hypertension and DVT on anticoagulation"
Age: 55.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 39.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain upper, Chills, Gait disturbance, Headache, Muscle spasms
Clinical narrative: Severe chills began about 9 pm  1/23 lasting until 6 am the next morning 1/24.  Chills caused cramping of stomach and back of neck muscles.  Unsteady to walk.  Very painful.  Slept in fleece clothes under an electric blanket topped with a wool blanket and comforter.   Reduced chills by morning, more like all my other shots.  Steady on my feet again.  Stayed warm and slept most of 1/24.  Reporting as previous Covid shots gave me minor chills for a few hours, a slight headache and a sore arm.  1/26  I am reporting as this is the first clear head day since evening 1/23.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Pain in extremity
Clinical narrative: Severe chills began about 9 pm  1/23 lasting until 6 am the next morning 1/24.  Chills caused cramping of stomach and back of neck muscles.  Unsteady to walk.  Very painful.  Slept in fleece clothes under an electric blanket topped with a wool blanket and comforter.   Reduced chills by morning, more like all my other shots.  Steady on my feet again.  Stayed warm and slept most of 1/24.  Reporting as previous Covid shots gave me minor chills for a few hours, a slight headache and a sore arm.  1/26  I am reporting as this is the first clear head day since evening 1/23.
Age: 55.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Poor quality product administered, Product storage error
Clinical narrative: Vaccine adultered due to temperature excursion. No adverse events experienced/reported by patient.
Age: 1.5
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Croup infectious, Diarrhoea, Ear infection
Clinical narrative: He tested positive for COVID-19 on 10/09/22. He was also diagnosed with Croup Cough too. He had a high fever and a cough. We took him to Urgent Care, and they thought he had something else going on and sent us to the emergency Room. It turned out that he just had Croup Cough and they prescribed Dexamethasone. We gave Tylenol and Motrin for his fever. He got well and then on 12/24/22 he developed a cough again with a fever and we took him to the emergency Room, and they gave him Dexamethasone again. Then on 1/21/23 he had a fever, diarrhea, and some ear pain. He was diagnosed with a double ear infection. He was prescribed Amoxicillin. No other medications were prescribed.
Age: 1.5
Sex: M
Vaccine: COVID19
Symptoms: Ear pain, Influenza virus test negative, Pyrexia, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: He tested positive for COVID-19 on 10/09/22. He was also diagnosed with Croup Cough too. He had a high fever and a cough. We took him to Urgent Care, and they thought he had something else going on and sent us to the emergency Room. It turned out that he just had Croup Cough and they prescribed Dexamethasone. We gave Tylenol and Motrin for his fever. He got well and then on 12/24/22 he developed a cough again with a fever and we took him to the emergency Room, and they gave him Dexamethasone again. Then on 1/21/23 he had a fever, diarrhea, and some ear pain. He was diagnosed with a double ear infection. He was prescribed Amoxicillin. No other medications were prescribed.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: Acute respiratory failure, COVID-19, Chronic obstructive pulmonary disease, Cough, Decreased appetite
Clinical narrative: Patient seen in the ED on 11/19/22 after feeling poorly approximately a week ago with shortness of breath, sore throat, cough, and decreased appetite. He had been seen at urgent care 2x prior to being seen in the ED. The day prior to coming to the ED (11/18), the patient was seen in clinic and diagnosed with influenza and COVID. Retest in the ED was positive for COVID-19 by PCR and negative for Influenza. Ultimately patient admitted 11/19/22 - 11/21/22 with acute hypoxic respiratory failure secondary to influenza and COVID-19, COPD with possible exacerbation. Supplemental O2 up to 2L NC during admission, however patient was weaned to room air.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: Dyspnoea, Feeling abnormal, Influenza, Influenza virus test negative, Oropharyngeal pain
Clinical narrative: Patient seen in the ED on 11/19/22 after feeling poorly approximately a week ago with shortness of breath, sore throat, cough, and decreased appetite. He had been seen at urgent care 2x prior to being seen in the ED. The day prior to coming to the ED (11/18), the patient was seen in clinic and diagnosed with influenza and COVID. Retest in the ED was positive for COVID-19 by PCR and negative for Influenza. Ultimately patient admitted 11/19/22 - 11/21/22 with acute hypoxic respiratory failure secondary to influenza and COVID-19, COPD with possible exacerbation. Supplemental O2 up to 2L NC during admission, however patient was weaned to room air.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient seen in the ED on 11/19/22 after feeling poorly approximately a week ago with shortness of breath, sore throat, cough, and decreased appetite. He had been seen at urgent care 2x prior to being seen in the ED. The day prior to coming to the ED (11/18), the patient was seen in clinic and diagnosed with influenza and COVID. Retest in the ED was positive for COVID-19 by PCR and negative for Influenza. Ultimately patient admitted 11/19/22 - 11/21/22 with acute hypoxic respiratory failure secondary to influenza and COVID-19, COPD with possible exacerbation. Supplemental O2 up to 2L NC during admission, however patient was weaned to room air.
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine adulterated due to temperature excursion. No adverse events experienced/reported by patient.
Age: 86.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Atelectasis, C-reactive protein normal, COVID-19
Clinical narrative: COVID+ 1/7/2023.  Vaccination Status - J&J x2   BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: PA-C Admission Date: 1/7/2023 Discharge Date: 1/19/2023   HOSPITAL PROBLEMS 1. Covid-19 Infection 2. Atelectasis 3. Afib 4. Hypothyroidism 5. Depression 6. Hyperglycemia secondary to steroid use 7. Prediabetes 8. Hyponatremia DETAILS OF HOSPITAL STAY: HOSPITAL COURSE: Patient is a 87 y.o. female with history of AFib RVR on Eliquis.  Presented to emergency department with 5 days of headache and nausea and cough.  She was COVID positive, tachycardic in the 130s and afebrile.  Initial labs including complete blood count, procalcitonin, UA and CRP were normal.  She did have mild hyponatremia.  She required 2 L of nasal cannula in the emergency department.  CTA thorax negative for pulmonary embolus but showed bibasilar atelectasis with chronic left-sided hiatal hernia.  She was admitted for acute hypoxic respiratory failure in the setting of COVID-19.   While admitted she received remdesivir for 5 days. She was also on Decadron 6 mg for 8 days.  She was intermittently confused however respiratory status improved overall.  She was weaned to room air during on day 2 of admission.  She did require 2 L nasal cannula at night, baseline is CPAP.  She would often refuse her CPAP when offered.   Course was complicated by persistently elevated heart rate above 100 reaching 130 at times.  She was initially on home dose of metoprolol 75 mg twice a day.  There was no improvement with increase to 100 mg twice a day.  Eventually Cardizem 120 mg daily was added on 01/10.  Heart rate significantly improved and was persistently in the 80s.   She was evaluated by PT/OT who recommended subacute rehab.  She was medically stable for discharge to SAR on 01/19/2023.