chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac failure, Condition aggravated, Electrolyte substitution therapy, Fatigue, Fluid intake reduced
Clinical narrative: Clinical Summary: Patient is a 71 y.o. female with history of chronic fatigue and pain, atrial fibrillation (on Eliquis), and migraines, admitted to the hospital on 8/15/2022 for worsening weakness and fatigue. Her husband was diagnosed with COVID-19 ~10 days prior to this admission. She presented to ED previously on 8/13/22 and tested positive for COVID-19 herself. States for the week leading up to admission she has been feeling increased fatigue and generalized weakness. This has significantly worsened in 48 hours prior to admission to the point where she had decreased oral intake of both food and fluids. Husband felt overwhelmed and incapable of meeting her level of need at home. In the ED CBC and Chem7 were unremarkable. Lactic acid 1.4 and Creatinine 0.94. Chest and head imaging were non-acute. She was started on 75 mL / hr. of LR and PT/OT was consulted. She did not require supplemental oxygen at the time of admission or throughout her stay. Patient has a baseline level of low mood, anhedonia, and decreased functionality at home. She answers many questions with "I don't know" but is Aox4 and can go on to answer many questions after gentle probing. Her potassium did drop to 3.0 and was replete on 8/16. PT/OT saw the patient and recommended 2 - 3 days of rehab weekly for 7 - 10 days. The patient was approved for home health care through local service provider. She was discharged in stable condition. Discharge Diagnosis and Associated Hospital Course: Weakness Fatigue COVID-19 Infection Acute on chronic decompensation, presumably 2/2 COVID-19. Gave supportive care with IV fluids and encouraging PO intake. PT / OT saw patient and gave recommendations for outpatient rehabilitation. She was accepted and set up with local provider for her rehab. Atrial Fibrillation Cardiovascular Risk Longstanding diagnosis. Stable on Eliquis 5 mg BID and Simvastatin 20 mg daily at home. These medications were continued for this admission. Low Platelets. Patient was 127K on admission and decreased as low as 105K before rebounding. Presumed 2/2 dilution from IV fluids. Asymptomatic. Hypokalemia Patient was 3.8 on admission and dropped to 3.0. Replete with 80 mEq and on day of discharge was 3.7. Chronic Pain Peripheral Neuropathy Migraines Taking gabapentin 300 mg TID and Topamax 200 mg BID at home. Continued home medications. Insomnia Taking PRN Trazodone 150 mg nightly at home. Continued home medications. Peptic Ulcer Disease / GERD Taking Pepcid 40 mg and Protonix 40 mg daily at home. Continued home medications. Dry Eyes Taking Xiidra 5% droplets PRN at home. Gave liquid tears PRN in hospital.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count normal, Hypokalaemia, Hypophagia, Imaging procedure, Laboratory test normal
Clinical narrative: Clinical Summary: Patient is a 71 y.o. female with history of chronic fatigue and pain, atrial fibrillation (on Eliquis), and migraines, admitted to the hospital on 8/15/2022 for worsening weakness and fatigue. Her husband was diagnosed with COVID-19 ~10 days prior to this admission. She presented to ED previously on 8/13/22 and tested positive for COVID-19 herself. States for the week leading up to admission she has been feeling increased fatigue and generalized weakness. This has significantly worsened in 48 hours prior to admission to the point where she had decreased oral intake of both food and fluids. Husband felt overwhelmed and incapable of meeting her level of need at home. In the ED CBC and Chem7 were unremarkable. Lactic acid 1.4 and Creatinine 0.94. Chest and head imaging were non-acute. She was started on 75 mL / hr. of LR and PT/OT was consulted. She did not require supplemental oxygen at the time of admission or throughout her stay. Patient has a baseline level of low mood, anhedonia, and decreased functionality at home. She answers many questions with "I don't know" but is Aox4 and can go on to answer many questions after gentle probing. Her potassium did drop to 3.0 and was replete on 8/16. PT/OT saw the patient and recommended 2 - 3 days of rehab weekly for 7 - 10 days. The patient was approved for home health care through local service provider. She was discharged in stable condition. Discharge Diagnosis and Associated Hospital Course: Weakness Fatigue COVID-19 Infection Acute on chronic decompensation, presumably 2/2 COVID-19. Gave supportive care with IV fluids and encouraging PO intake. PT / OT saw patient and gave recommendations for outpatient rehabilitation. She was accepted and set up with local provider for her rehab. Atrial Fibrillation Cardiovascular Risk Longstanding diagnosis. Stable on Eliquis 5 mg BID and Simvastatin 20 mg daily at home. These medications were continued for this admission. Low Platelets. Patient was 127K on admission and decreased as low as 105K before rebounding. Presumed 2/2 dilution from IV fluids. Asymptomatic. Hypokalemia Patient was 3.8 on admission and dropped to 3.0. Replete with 80 mEq and on day of discharge was 3.7. Chronic Pain Peripheral Neuropathy Migraines Taking gabapentin 300 mg TID and Topamax 200 mg BID at home. Continued home medications. Insomnia Taking PRN Trazodone 150 mg nightly at home. Continued home medications. Peptic Ulcer Disease / GERD Taking Pepcid 40 mg and Protonix 40 mg daily at home. Continued home medications. Dry Eyes Taking Xiidra 5% droplets PRN at home. Gave liquid tears PRN in hospital.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Platelet count decreased, SARS-CoV-2 test positive
Clinical narrative: Clinical Summary: Patient is a 71 y.o. female with history of chronic fatigue and pain, atrial fibrillation (on Eliquis), and migraines, admitted to the hospital on 8/15/2022 for worsening weakness and fatigue. Her husband was diagnosed with COVID-19 ~10 days prior to this admission. She presented to ED previously on 8/13/22 and tested positive for COVID-19 herself. States for the week leading up to admission she has been feeling increased fatigue and generalized weakness. This has significantly worsened in 48 hours prior to admission to the point where she had decreased oral intake of both food and fluids. Husband felt overwhelmed and incapable of meeting her level of need at home. In the ED CBC and Chem7 were unremarkable. Lactic acid 1.4 and Creatinine 0.94. Chest and head imaging were non-acute. She was started on 75 mL / hr. of LR and PT/OT was consulted. She did not require supplemental oxygen at the time of admission or throughout her stay. Patient has a baseline level of low mood, anhedonia, and decreased functionality at home. She answers many questions with "I don't know" but is Aox4 and can go on to answer many questions after gentle probing. Her potassium did drop to 3.0 and was replete on 8/16. PT/OT saw the patient and recommended 2 - 3 days of rehab weekly for 7 - 10 days. The patient was approved for home health care through local service provider. She was discharged in stable condition. Discharge Diagnosis and Associated Hospital Course: Weakness Fatigue COVID-19 Infection Acute on chronic decompensation, presumably 2/2 COVID-19. Gave supportive care with IV fluids and encouraging PO intake. PT / OT saw patient and gave recommendations for outpatient rehabilitation. She was accepted and set up with local provider for her rehab. Atrial Fibrillation Cardiovascular Risk Longstanding diagnosis. Stable on Eliquis 5 mg BID and Simvastatin 20 mg daily at home. These medications were continued for this admission. Low Platelets. Patient was 127K on admission and decreased as low as 105K before rebounding. Presumed 2/2 dilution from IV fluids. Asymptomatic. Hypokalemia Patient was 3.8 on admission and dropped to 3.0. Replete with 80 mEq and on day of discharge was 3.7. Chronic Pain Peripheral Neuropathy Migraines Taking gabapentin 300 mg TID and Topamax 200 mg BID at home. Continued home medications. Insomnia Taking PRN Trazodone 150 mg nightly at home. Continued home medications. Peptic Ulcer Disease / GERD Taking Pepcid 40 mg and Protonix 40 mg daily at home. Continued home medications. Dry Eyes Taking Xiidra 5% droplets PRN at home. Gave liquid tears PRN in hospital.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood creatinine, Blood creatinine normal, Blood lactic acid, Blood potassium
Clinical narrative: Clinical Summary: Patient is a 71 y.o. female with history of chronic fatigue and pain, atrial fibrillation (on Eliquis), and migraines, admitted to the hospital on 8/15/2022 for worsening weakness and fatigue. Her husband was diagnosed with COVID-19 ~10 days prior to this admission. She presented to ED previously on 8/13/22 and tested positive for COVID-19 herself. States for the week leading up to admission she has been feeling increased fatigue and generalized weakness. This has significantly worsened in 48 hours prior to admission to the point where she had decreased oral intake of both food and fluids. Husband felt overwhelmed and incapable of meeting her level of need at home. In the ED CBC and Chem7 were unremarkable. Lactic acid 1.4 and Creatinine 0.94. Chest and head imaging were non-acute. She was started on 75 mL / hr. of LR and PT/OT was consulted. She did not require supplemental oxygen at the time of admission or throughout her stay. Patient has a baseline level of low mood, anhedonia, and decreased functionality at home. She answers many questions with "I don't know" but is Aox4 and can go on to answer many questions after gentle probing. Her potassium did drop to 3.0 and was replete on 8/16. PT/OT saw the patient and recommended 2 - 3 days of rehab weekly for 7 - 10 days. The patient was approved for home health care through local service provider. She was discharged in stable condition. Discharge Diagnosis and Associated Hospital Course: Weakness Fatigue COVID-19 Infection Acute on chronic decompensation, presumably 2/2 COVID-19. Gave supportive care with IV fluids and encouraging PO intake. PT / OT saw patient and gave recommendations for outpatient rehabilitation. She was accepted and set up with local provider for her rehab. Atrial Fibrillation Cardiovascular Risk Longstanding diagnosis. Stable on Eliquis 5 mg BID and Simvastatin 20 mg daily at home. These medications were continued for this admission. Low Platelets. Patient was 127K on admission and decreased as low as 105K before rebounding. Presumed 2/2 dilution from IV fluids. Asymptomatic. Hypokalemia Patient was 3.8 on admission and dropped to 3.0. Replete with 80 mEq and on day of discharge was 3.7. Chronic Pain Peripheral Neuropathy Migraines Taking gabapentin 300 mg TID and Topamax 200 mg BID at home. Continued home medications. Insomnia Taking PRN Trazodone 150 mg nightly at home. Continued home medications. Peptic Ulcer Disease / GERD Taking Pepcid 40 mg and Protonix 40 mg daily at home. Continued home medications. Dry Eyes Taking Xiidra 5% droplets PRN at home. Gave liquid tears PRN in hospital.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood potassium decreased, COVID-19, Cardiac failure, Condition aggravated, Electrolyte substitution therapy
Clinical narrative: Clinical Summary: Patient is a 71 y.o. female with history of chronic fatigue and pain, atrial fibrillation (on Eliquis), and migraines, admitted to the hospital on 8/15/2022 for worsening weakness and fatigue. Her husband was diagnosed with COVID-19 ~10 days prior to this admission. She presented to ED previously on 8/13/22 and tested positive for COVID-19 herself. States for the week leading up to admission she has been feeling increased fatigue and generalized weakness. This has significantly worsened in 48 hours prior to admission to the point where she had decreased oral intake of both food and fluids. Husband felt overwhelmed and incapable of meeting her level of need at home. In the ED CBC and Chem7 were unremarkable. Lactic acid 1.4 and Creatinine 0.94. Chest and head imaging were non-acute. She was started on 75 mL / hr. of LR and PT/OT was consulted. She did not require supplemental oxygen at the time of admission or throughout her stay. Patient has a baseline level of low mood, anhedonia, and decreased functionality at home. She answers many questions with "I don't know" but is Aox4 and can go on to answer many questions after gentle probing. Her potassium did drop to 3.0 and was replete on 8/16. PT/OT saw the patient and recommended 2 - 3 days of rehab weekly for 7 - 10 days. The patient was approved for home health care through local service provider. She was discharged in stable condition. Discharge Diagnosis and Associated Hospital Course: Weakness Fatigue COVID-19 Infection Acute on chronic decompensation, presumably 2/2 COVID-19. Gave supportive care with IV fluids and encouraging PO intake. PT / OT saw patient and gave recommendations for outpatient rehabilitation. She was accepted and set up with local provider for her rehab. Atrial Fibrillation Cardiovascular Risk Longstanding diagnosis. Stable on Eliquis 5 mg BID and Simvastatin 20 mg daily at home. These medications were continued for this admission. Low Platelets. Patient was 127K on admission and decreased as low as 105K before rebounding. Presumed 2/2 dilution from IV fluids. Asymptomatic. Hypokalemia Patient was 3.8 on admission and dropped to 3.0. Replete with 80 mEq and on day of discharge was 3.7. Chronic Pain Peripheral Neuropathy Migraines Taking gabapentin 300 mg TID and Topamax 200 mg BID at home. Continued home medications. Insomnia Taking PRN Trazodone 150 mg nightly at home. Continued home medications. Peptic Ulcer Disease / GERD Taking Pepcid 40 mg and Protonix 40 mg daily at home. Continued home medications. Dry Eyes Taking Xiidra 5% droplets PRN at home. Gave liquid tears PRN in hospital.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Fluid intake reduced, Full blood count, Full blood count normal, Hypokalaemia
Clinical narrative: Clinical Summary: Patient is a 71 y.o. female with history of chronic fatigue and pain, atrial fibrillation (on Eliquis), and migraines, admitted to the hospital on 8/15/2022 for worsening weakness and fatigue. Her husband was diagnosed with COVID-19 ~10 days prior to this admission. She presented to ED previously on 8/13/22 and tested positive for COVID-19 herself. States for the week leading up to admission she has been feeling increased fatigue and generalized weakness. This has significantly worsened in 48 hours prior to admission to the point where she had decreased oral intake of both food and fluids. Husband felt overwhelmed and incapable of meeting her level of need at home. In the ED CBC and Chem7 were unremarkable. Lactic acid 1.4 and Creatinine 0.94. Chest and head imaging were non-acute. She was started on 75 mL / hr. of LR and PT/OT was consulted. She did not require supplemental oxygen at the time of admission or throughout her stay. Patient has a baseline level of low mood, anhedonia, and decreased functionality at home. She answers many questions with "I don't know" but is Aox4 and can go on to answer many questions after gentle probing. Her potassium did drop to 3.0 and was replete on 8/16. PT/OT saw the patient and recommended 2 - 3 days of rehab weekly for 7 - 10 days. The patient was approved for home health care through local service provider. She was discharged in stable condition. Discharge Diagnosis and Associated Hospital Course: Weakness Fatigue COVID-19 Infection Acute on chronic decompensation, presumably 2/2 COVID-19. Gave supportive care with IV fluids and encouraging PO intake. PT / OT saw patient and gave recommendations for outpatient rehabilitation. She was accepted and set up with local provider for her rehab. Atrial Fibrillation Cardiovascular Risk Longstanding diagnosis. Stable on Eliquis 5 mg BID and Simvastatin 20 mg daily at home. These medications were continued for this admission. Low Platelets. Patient was 127K on admission and decreased as low as 105K before rebounding. Presumed 2/2 dilution from IV fluids. Asymptomatic. Hypokalemia Patient was 3.8 on admission and dropped to 3.0. Replete with 80 mEq and on day of discharge was 3.7. Chronic Pain Peripheral Neuropathy Migraines Taking gabapentin 300 mg TID and Topamax 200 mg BID at home. Continued home medications. Insomnia Taking PRN Trazodone 150 mg nightly at home. Continued home medications. Peptic Ulcer Disease / GERD Taking Pepcid 40 mg and Protonix 40 mg daily at home. Continued home medications. Dry Eyes Taking Xiidra 5% droplets PRN at home. Gave liquid tears PRN in hospital.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypophagia, Imaging procedure, Laboratory test, Laboratory test normal, Platelet count
Clinical narrative: Clinical Summary: Patient is a 71 y.o. female with history of chronic fatigue and pain, atrial fibrillation (on Eliquis), and migraines, admitted to the hospital on 8/15/2022 for worsening weakness and fatigue. Her husband was diagnosed with COVID-19 ~10 days prior to this admission. She presented to ED previously on 8/13/22 and tested positive for COVID-19 herself. States for the week leading up to admission she has been feeling increased fatigue and generalized weakness. This has significantly worsened in 48 hours prior to admission to the point where she had decreased oral intake of both food and fluids. Husband felt overwhelmed and incapable of meeting her level of need at home. In the ED CBC and Chem7 were unremarkable. Lactic acid 1.4 and Creatinine 0.94. Chest and head imaging were non-acute. She was started on 75 mL / hr. of LR and PT/OT was consulted. She did not require supplemental oxygen at the time of admission or throughout her stay. Patient has a baseline level of low mood, anhedonia, and decreased functionality at home. She answers many questions with "I don't know" but is Aox4 and can go on to answer many questions after gentle probing. Her potassium did drop to 3.0 and was replete on 8/16. PT/OT saw the patient and recommended 2 - 3 days of rehab weekly for 7 - 10 days. The patient was approved for home health care through local service provider. She was discharged in stable condition. Discharge Diagnosis and Associated Hospital Course: Weakness Fatigue COVID-19 Infection Acute on chronic decompensation, presumably 2/2 COVID-19. Gave supportive care with IV fluids and encouraging PO intake. PT / OT saw patient and gave recommendations for outpatient rehabilitation. She was accepted and set up with local provider for her rehab. Atrial Fibrillation Cardiovascular Risk Longstanding diagnosis. Stable on Eliquis 5 mg BID and Simvastatin 20 mg daily at home. These medications were continued for this admission. Low Platelets. Patient was 127K on admission and decreased as low as 105K before rebounding. Presumed 2/2 dilution from IV fluids. Asymptomatic. Hypokalemia Patient was 3.8 on admission and dropped to 3.0. Replete with 80 mEq and on day of discharge was 3.7. Chronic Pain Peripheral Neuropathy Migraines Taking gabapentin 300 mg TID and Topamax 200 mg BID at home. Continued home medications. Insomnia Taking PRN Trazodone 150 mg nightly at home. Continued home medications. Peptic Ulcer Disease / GERD Taking Pepcid 40 mg and Protonix 40 mg daily at home. Continued home medications. Dry Eyes Taking Xiidra 5% droplets PRN at home. Gave liquid tears PRN in hospital.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Platelet count decreased, SARS-CoV-2 test, SARS-CoV-2 test positive
Clinical narrative: Clinical Summary: Patient is a 71 y.o. female with history of chronic fatigue and pain, atrial fibrillation (on Eliquis), and migraines, admitted to the hospital on 8/15/2022 for worsening weakness and fatigue. Her husband was diagnosed with COVID-19 ~10 days prior to this admission. She presented to ED previously on 8/13/22 and tested positive for COVID-19 herself. States for the week leading up to admission she has been feeling increased fatigue and generalized weakness. This has significantly worsened in 48 hours prior to admission to the point where she had decreased oral intake of both food and fluids. Husband felt overwhelmed and incapable of meeting her level of need at home. In the ED CBC and Chem7 were unremarkable. Lactic acid 1.4 and Creatinine 0.94. Chest and head imaging were non-acute. She was started on 75 mL / hr. of LR and PT/OT was consulted. She did not require supplemental oxygen at the time of admission or throughout her stay. Patient has a baseline level of low mood, anhedonia, and decreased functionality at home. She answers many questions with "I don't know" but is Aox4 and can go on to answer many questions after gentle probing. Her potassium did drop to 3.0 and was replete on 8/16. PT/OT saw the patient and recommended 2 - 3 days of rehab weekly for 7 - 10 days. The patient was approved for home health care through local service provider. She was discharged in stable condition. Discharge Diagnosis and Associated Hospital Course: Weakness Fatigue COVID-19 Infection Acute on chronic decompensation, presumably 2/2 COVID-19. Gave supportive care with IV fluids and encouraging PO intake. PT / OT saw patient and gave recommendations for outpatient rehabilitation. She was accepted and set up with local provider for her rehab. Atrial Fibrillation Cardiovascular Risk Longstanding diagnosis. Stable on Eliquis 5 mg BID and Simvastatin 20 mg daily at home. These medications were continued for this admission. Low Platelets. Patient was 127K on admission and decreased as low as 105K before rebounding. Presumed 2/2 dilution from IV fluids. Asymptomatic. Hypokalemia Patient was 3.8 on admission and dropped to 3.0. Replete with 80 mEq and on day of discharge was 3.7. Chronic Pain Peripheral Neuropathy Migraines Taking gabapentin 300 mg TID and Topamax 200 mg BID at home. Continued home medications. Insomnia Taking PRN Trazodone 150 mg nightly at home. Continued home medications. Peptic Ulcer Disease / GERD Taking Pepcid 40 mg and Protonix 40 mg daily at home. Continued home medications. Dry Eyes Taking Xiidra 5% droplets PRN at home. Gave liquid tears PRN in hospital.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Extra dose administered, Product administered to patient of inappropriate age
Clinical narrative: RN gave MENVEO vaccine in place of MEN B vaccine.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Drooling, Dry eye, Hypoaesthesia, Hypoaesthesia eye
Clinical narrative: Late afternoon of June 28th, 2021, I became aware of numbness, painful tingling and burning sensation extending from between my eyebrows down nose and mouth. This extended  horizontally from the center of my face in a widening arc to include my right eye and right cheeks, down to my throat. It also included a small patch, about the size and shape of an almond , to  the tip of my right index finger.   This caused me to feel as if there were spider webs in my mouth, caused me to drool and presented dryness, intense pressure to my right eye. I went to bed and expected it to be resolved by the time I awoke.   The next morning these symptoms were unchanged. I called a telehealth Urgent Care for a visit, who urged me to go to the emergency room.  Due to the very strange feeling of burning and tingling I thought it may be a herpetic type reaction, but the online provider wanted to rule out stroke. I did go the the Emergency room that day. Neuro workup did not indicate stroke, nor Shingles, though provider did give me an antiviral for good measure, that seemed to have neither helped or hurt. The symptoms did lessen over the next week. I still have numbness to tip of my nose, half of my lips and tip and right side of my tongue, and right finger as well.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Neurological examination normal, Ocular discomfort, Paraesthesia, Pharyngeal hypoaesthesia
Clinical narrative: Late afternoon of June 28th, 2021, I became aware of numbness, painful tingling and burning sensation extending from between my eyebrows down nose and mouth. This extended  horizontally from the center of my face in a widening arc to include my right eye and right cheeks, down to my throat. It also included a small patch, about the size and shape of an almond , to  the tip of my right index finger.   This caused me to feel as if there were spider webs in my mouth, caused me to drool and presented dryness, intense pressure to my right eye. I went to bed and expected it to be resolved by the time I awoke.   The next morning these symptoms were unchanged. I called a telehealth Urgent Care for a visit, who urged me to go to the emergency room.  Due to the very strange feeling of burning and tingling I thought it may be a herpetic type reaction, but the online provider wanted to rule out stroke. I did go the the Emergency room that day. Neuro workup did not indicate stroke, nor Shingles, though provider did give me an antiviral for good measure, that seemed to have neither helped or hurt. The symptoms did lessen over the next week. I still have numbness to tip of my nose, half of my lips and tip and right side of my tongue, and right finger as well.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Sensory disturbance
Clinical narrative: Late afternoon of June 28th, 2021, I became aware of numbness, painful tingling and burning sensation extending from between my eyebrows down nose and mouth. This extended  horizontally from the center of my face in a widening arc to include my right eye and right cheeks, down to my throat. It also included a small patch, about the size and shape of an almond , to  the tip of my right index finger.   This caused me to feel as if there were spider webs in my mouth, caused me to drool and presented dryness, intense pressure to my right eye. I went to bed and expected it to be resolved by the time I awoke.   The next morning these symptoms were unchanged. I called a telehealth Urgent Care for a visit, who urged me to go to the emergency room.  Due to the very strange feeling of burning and tingling I thought it may be a herpetic type reaction, but the online provider wanted to rule out stroke. I did go the the Emergency room that day. Neuro workup did not indicate stroke, nor Shingles, though provider did give me an antiviral for good measure, that seemed to have neither helped or hurt. The symptoms did lessen over the next week. I still have numbness to tip of my nose, half of my lips and tip and right side of my tongue, and right finger as well.
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Arthritis, Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: About 1 to 2 hours after injection I experienced severe joint pain in my left knee ( and some milder pain in rt knee).   and hands to the point I could not weight bear.  Had done nothing that day to cause this pain and swelling.  I do have  rheumatoid arthritis in left knee and fingers but  it is mild.  I self treated with ice and Aleve which helped.  Symptoms got better but we?re still painful 5 days later.   The injection site became red with rash and itchy after 2 days.  Had experienced this with other  Covid vaccines but not this severe joint inflammation and pain.
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain in extremity, Weight bearing difficulty
Clinical narrative: About 1 to 2 hours after injection I experienced severe joint pain in my left knee ( and some milder pain in rt knee).   and hands to the point I could not weight bear.  Had done nothing that day to cause this pain and swelling.  I do have  rheumatoid arthritis in left knee and fingers but  it is mild.  I self treated with ice and Aleve which helped.  Symptoms got better but we?re still painful 5 days later.   The injection site became red with rash and itchy after 2 days.  Had experienced this with other  Covid vaccines but not this severe joint inflammation and pain.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: 6m-5y Pfizer Covid vaccine vial reconstituted on 9/14/22 at 8:00 am. This vial expired on 9/14/22 8:00 pm. This vial was not disposed of at the end of the day on 9/14. On 9/15 at 3:49 pm patient was given his booster dose from this vial. Patient was scheduled for the next business day for a repeat of the dose. No patient harm done. Pfizer notified. Dr. notified. Parent notified.
Age: 71.0
Sex: F
Vaccine: UNK
Symptoms: Asthenia, Dyspnoea, Fatigue, Feeling abnormal
Clinical narrative: Feeling very strange. Weak ,fuzzy,profound fatigue sob.
Age: 44.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Dizziness
Clinical narrative: Pt. felt dizzy after receiving both bivalent Moderna and Flu shot. BP WNL, Felt relieved after 15 mins
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: PFIZER MONOVALENT WAS ADMINSTERED INSTEAD OF THE BIOVALENT FOR THE 4TH DOSE
Age: 15.0
Sex: F
Vaccine: HEP, IPV, TDAP, VARCEL
Symptoms: Dizziness, Hyperhidrosis, Pallor
Clinical narrative: The student complained of feeling dizzy after receiving the four vaccines. She looked pale and sweating . She is awake and responds to verbal stimuli. Denied any shortness of breath, chest discomfort  or nausea and vomiting. Student placed on flat position with feet elevated. Vital signs: 2:33pm ( Laying down)BP 82/43, HR 58, RR 20, pale, sweating  and dizzy, no n/v, no SOB 2:35pm ( Laying down)BP 84/50, HR 69, RR 20, pink color, sweating, no SOB and no dizziness 2:38pm ( Laying down)BP 89/53, HR 68, RR 20, pink , no sweating, no SOB and no dizziness  2:46pm  ( Laying down)BP 84/48,HR 65, RR 20, pink, no sweating, no SOB and no dizziness 2:51pm  ( Sitting)BP 98/65, HR 66, RR 20, pink, no sweating, no SOB and no dizziness 2:57pm  ( Sitting)BP 89/58, HR 64, RR 16, pink, no sweating, no SOB and no dizziness 3:01pm  ( Sitting)BP 90/69, HR 67, RR 16, pink, no sweating, no SOB and no dizziness 3:06pm  ( Standing)BP 94/61, HR99 , RR 16, pink, no sweating, no SOB and no dizziness 3:14pm  ( Standing)BP 92/70,  HR99 , RR 16, pink, no sweating, no SOB and no dizziness 3:30pm  ( Sitting)BP 92/65, HR75, RR 16, pink, no sweating, no SOB and no dizziness Mother took student home in stable condition. Advised to call EMS in case of shortness of breath or chest discomfort.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Headache, Pain, Taste disorder
Clinical narrative: Strange taste in my mouth, headache, body aches, slight dizziness
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: Dose injected 2 days after beyond use date. Moderna confirmed that the dose was still viable.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient inadvertently received 100mcg of the monovalent Moderna vaccine. The patient previously had J&J vaccine on 5/12/2021 and a booster of Moderna on 08/19/2022. No adverse reaction noted after the event. Attending physician was made aware with no new orders.
Age: 47.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Lymph node pain, Lymphadenopathy, Oral herpes, Pain in extremity
Clinical narrative: Oral Herpes simplex outbreak; sore arms; axillary lymph nodes swollen and sore.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Spoke to the mother of the patient. Patient did not experience any side effects/ adverse reactions.
Age: 24.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Dizziness, Loss of consciousness, Syncope
Clinical narrative: Two minutes after administration of the vaccine, patient complaint of lightheaded. Legs elevated. Patient had a syncopal episode and regained consciousness in few seconds. Patient speaking coherently. VS taken. Ice pack applied, water provided. Patient verbalized of feeling better. Patient was observed for 30 minutes and left the site on stable condition
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Spoke to the mother of the patient, patient did not experience any side effects/ adverse reaction.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: We are not aware of any adverse events at this time.  This is to report an error in administration.  The patient was supposed to receive 0.5 mL of the Bivalent Moderna Covid-19 booster.  However, she received 0.5 mL of the original Moderna vaccine (essentially the patient received another primary series dose).
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Pyrexia
Clinical narrative: fever,diarrhea, headache
Age: 78.0
Sex: F
Vaccine: FLUA4
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Patient reports experiencing hives, redness, and itching on neck and upper check starting 9/15/22 in the morning  and still being there on 9/16/22 in the morning when this RPh spoke with patient. The patient's physician called in a Medrol 4 mg dose pack to take, patient has yet to pick up from pharmacy.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Oral herpes
Clinical narrative: After the first and second shot I have cold sores all over my lips and below my nose.. I have not had any cold sores in 5 years..
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Pain in extremity, Product administration error, Wrong product administered
Clinical narrative: We are not aware of any adverse events at this time.  Patient only reported his arm being sore similar to other COVID vaccines.  This is to report an error in administration.  The patient was supposed to receive 0.5 mL of the Bivalent Moderna Covid-19 booster.  However, he received 0.5 mL of the original Moderna vaccine (essentially the patient received another primary series dose).
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received 3rd dose booster dose before the interval timing. Received at 2.5 months from last vaccine instead of 5 months.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Pain, Product administered at inappropriate site
Clinical narrative: Received vaccine too high up in arm. Now have pain. Pain started approximately 2 hours after receiving it.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No adverse reaction reported. Patient received a booster dose of primary series formulation when he should have received the updated bivalent booster
Age: 58.0
Sex: F
Vaccine: UNK
Symptoms: Extra dose administered
Clinical narrative: patient got shingrix 3 rd dose and did not report any issues
Age: 55.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Urticaria
Clinical narrative: As with when given the COVID shot and booster shots, within 5-7 days I break out in hives on upper body and face area
Age: 84.0
Sex: F
Vaccine: FLU4
Symptoms: Heart rate increased
Clinical narrative: Patient reported that she had rapid heart beat after few hours of receiving the vaccine and she ended up in the ER. she is doing fine now and she has never had any reaction with the influenza vaccine before
Age: 67.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No adverse reaction reported. Patient received a covid booster dose of primary series formulation when he should have received the updated bivalent booster
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Fall, Nausea, Syncope, Vomiting
Clinical narrative: Patient experienced nausea/vomiting, lightheadedness/faintness, and multiple falls. Patient has not gone to the hospital yet but will do so if symptoms worsen
Age: 21.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect dose administered, Syringe issue
Clinical narrative: During the administration of the Fluarix vaccine, the needle was faulty and the vaccine spilled out of the syringe where the needle attached to the syringe. Not sure if patient received any of the dose. Vaccine was the readministered with a new Fluarix vaccine with no issues.
Age: 39.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Contusion, Erythema, Induration
Clinical narrative: Pt had a monkeypox on 8/19/2022, pt came in for second dose today and there was notable bruising, redness, and a harden area measuring 22 mm. According to the CDC and HD it is recommended that if a pt still has a wheel  and/or redness and bruising to give second dose in other arm, thus pt received his second dose of monkeypox in the the RLFA.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Appendix cancer, Dyspnoea exertional, Haemoglobin decreased
Clinical narrative: In February had shortness of breath while walking upstairs and low hgb; workup showed appendix cancer needing major surgery
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Underdose
Clinical narrative: Patient received less than a full dose of vaccine on 09/12/2022, discovered on 09/13/2022. Called manufacturer whom referred pharmacy to call CDC for further guidance.
Age: 12.0
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Blood creatine phosphokinase normal, Blood culture negative, Borrelia test negative, C-reactive protein increased, Cardiac telemetry abnormal
Clinical narrative: 9/11: Patient felt tired and had low grade fever of 100.3.  9/12: Patient still felt tired and had low grade fevers. 9/13: Around 10pm, as patient was going to sleep, patient started to complain of chest pain described as sharp and midsternal. The patient rates the pain a 7/10 and states its nonradiating. The pain lasted 30-40 minutes and then self resolved and patient went to the ED.  9/13,ED: Troponin noted to be elevated. Patient given Ibuprofen 386 mg. CXR and EKG were done. CBC, CK and blood culture obtained. Patient was admitted.  9/14: Upon admission, Patient was started on Ibuprofen 400 mg q6 and Pepcid 20mg BID. Serial EKG and troponins were obtained. Patient was evaluated by cardiology. Echocardiogram was obtained.   9/15: Patient was evaluated by infectious disease. Labs were sent including lyme serology, EBV and CMV studies and Enterovirus PCR. Patient was cleared for discharge and outpatient follow up with cardiology and infectious disease. Patient discharged on Ibuprofen q8 and Pepcid 20mg BID for 2 weeks until they follow up with cardiology. Patient instructed to refrain from all strenuous physical activity and gym and to only participate in ADLs.
Age: 12.0
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Chest X-ray normal, Chest pain, Cytomegalovirus test negative, Echocardiogram normal, Electrocardiogram PR prolongation
Clinical narrative: 9/11: Patient felt tired and had low grade fever of 100.3.  9/12: Patient still felt tired and had low grade fevers. 9/13: Around 10pm, as patient was going to sleep, patient started to complain of chest pain described as sharp and midsternal. The patient rates the pain a 7/10 and states its nonradiating. The pain lasted 30-40 minutes and then self resolved and patient went to the ED.  9/13,ED: Troponin noted to be elevated. Patient given Ibuprofen 386 mg. CXR and EKG were done. CBC, CK and blood culture obtained. Patient was admitted.  9/14: Upon admission, Patient was started on Ibuprofen 400 mg q6 and Pepcid 20mg BID. Serial EKG and troponins were obtained. Patient was evaluated by cardiology. Echocardiogram was obtained.   9/15: Patient was evaluated by infectious disease. Labs were sent including lyme serology, EBV and CMV studies and Enterovirus PCR. Patient was cleared for discharge and outpatient follow up with cardiology and infectious disease. Patient discharged on Ibuprofen q8 and Pepcid 20mg BID for 2 weeks until they follow up with cardiology. Patient instructed to refrain from all strenuous physical activity and gym and to only participate in ADLs.
Age: 12.0
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Electrocardiogram normal, Enterovirus test negative, Epstein-Barr virus test negative, Fatigue, Full blood count normal
Clinical narrative: 9/11: Patient felt tired and had low grade fever of 100.3.  9/12: Patient still felt tired and had low grade fevers. 9/13: Around 10pm, as patient was going to sleep, patient started to complain of chest pain described as sharp and midsternal. The patient rates the pain a 7/10 and states its nonradiating. The pain lasted 30-40 minutes and then self resolved and patient went to the ED.  9/13,ED: Troponin noted to be elevated. Patient given Ibuprofen 386 mg. CXR and EKG were done. CBC, CK and blood culture obtained. Patient was admitted.  9/14: Upon admission, Patient was started on Ibuprofen 400 mg q6 and Pepcid 20mg BID. Serial EKG and troponins were obtained. Patient was evaluated by cardiology. Echocardiogram was obtained.   9/15: Patient was evaluated by infectious disease. Labs were sent including lyme serology, EBV and CMV studies and Enterovirus PCR. Patient was cleared for discharge and outpatient follow up with cardiology and infectious disease. Patient discharged on Ibuprofen q8 and Pepcid 20mg BID for 2 weeks until they follow up with cardiology. Patient instructed to refrain from all strenuous physical activity and gym and to only participate in ADLs.
Age: 12.0
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Laboratory test, Pyrexia, Troponin increased
Clinical narrative: 9/11: Patient felt tired and had low grade fever of 100.3.  9/12: Patient still felt tired and had low grade fevers. 9/13: Around 10pm, as patient was going to sleep, patient started to complain of chest pain described as sharp and midsternal. The patient rates the pain a 7/10 and states its nonradiating. The pain lasted 30-40 minutes and then self resolved and patient went to the ED.  9/13,ED: Troponin noted to be elevated. Patient given Ibuprofen 386 mg. CXR and EKG were done. CBC, CK and blood culture obtained. Patient was admitted.  9/14: Upon admission, Patient was started on Ibuprofen 400 mg q6 and Pepcid 20mg BID. Serial EKG and troponins were obtained. Patient was evaluated by cardiology. Echocardiogram was obtained.   9/15: Patient was evaluated by infectious disease. Labs were sent including lyme serology, EBV and CMV studies and Enterovirus PCR. Patient was cleared for discharge and outpatient follow up with cardiology and infectious disease. Patient discharged on Ibuprofen q8 and Pepcid 20mg BID for 2 weeks until they follow up with cardiology. Patient instructed to refrain from all strenuous physical activity and gym and to only participate in ADLs.
Age: 12.0
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Chest discomfort, Chest pain, Headache, Hyperhidrosis, Pericarditis
Clinical narrative: 9/11: Patient felt tired and had low grade fever of 100.3.  9/12: Patient still felt tired and had low grade fevers. 9/13: Around 10pm, as patient was going to sleep, patient started to complain of chest pain described as sharp and midsternal. The patient rates the pain a 7/10 and states its nonradiating. The pain lasted 30-40 minutes and then self resolved and patient went to the ED.  9/13,ED: Troponin noted to be elevated. Patient given Ibuprofen 386 mg. CXR and EKG were done. CBC, CK and blood culture obtained. Patient was admitted.  9/14: Upon admission, Patient was started on Ibuprofen 400 mg q6 and Pepcid 20mg BID. Serial EKG and troponins were obtained. Patient was evaluated by cardiology. Echocardiogram was obtained.   9/15: Patient was evaluated by infectious disease. Labs were sent including lyme serology, EBV and CMV studies and Enterovirus PCR. Patient was cleared for discharge and outpatient follow up with cardiology and infectious disease. Patient discharged on Ibuprofen q8 and Pepcid 20mg BID for 2 weeks until they follow up with cardiology. Patient instructed to refrain from all strenuous physical activity and gym and to only participate in ADLs.
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dysgeusia, Erythema, Hypoaesthesia
Clinical narrative: Pt complain of numbness from elbow to fingers. Pt said there was redness on arms and experienced metalic  taste in mouth.  She felt better later after the 15 minutes.  She thought it may be anxiety.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient received less than a full dose of vaccine on 09/12/2022, discovered on 09/13/2022. Called manufacturer whom referred pharmacy to call CDC for further guidance.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: APPROXIMATELY 2 WEEKS AFTER VACCINATION, PATIENT NOTICED PALPITATIONS OFF AND ON FOR 4-5 MONTHS.
Age: 80.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No adverse reaction reported. Patient received a covid booster dose of primary series formulation when he should have received the updated bivalent booster
Age: 1.92
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Fall, Febrile convulsion, Head injury, Pyrexia
Clinical narrative: After vaccine patient became febrile.  After becoming febrile patient suffered a simple febrile seizure, which caused him to fall from a chair and hit his head against the wall.  Seizure was 2 minutes long. Went away by itself, no need for diastat. Patient returned to his baseline. Ibuprofen was given for the fever.
Age: 30.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood pressure decreased, Dizziness, Eye movement disorder, Hyperhidrosis, Presyncope
Clinical narrative: Vaso vagal Reaction - patient started feeling dizzy, rolled back eyes, sweats on for head. Blood pressure drop to 80/60. Pulse 62, O2 SAT 99.
Age: 1.92
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: My daughter received Moderna vaccine and had a rash breakout on her chest and back several hours later.
Age: 17.0
Sex: F
Vaccine: HEP, IPV, MMR, TDAP, VARCEL
Symptoms: Dizziness
Clinical narrative: Patient was extremely nervous prior to receiving vaccinations. After receiving the vaccinations, the patient stated she was feeling lightheaded and dizzy. The nurse laid her down and put her feet/legs up on the chair. Dr. was called to assess. Moved patient to the faint cot and raised her legs up for circulation. After a few minutes, the patient was feeling better. BP monitored throughout event and stable. Patient was released home with her brother and mother with ER precautions explained.
Age: 1.33
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site bruising, Injection site erythema, Injection site swelling
Clinical narrative: Redness, bruising, mild swelling at site
Age: 24.0
Sex: F
Vaccine: COVID19-2
Symptoms: Impaired driving ability, Loss of consciousness, Road traffic accident
Clinical narrative: Passed out 10 minutes after vaccination. I was driving, resulted in a car accident. The pharmacy did not have me wait after vaccination.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Adult dose given to 11 year old child - no signs or symptoms of problem
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody, Asthenia, Back pain, Balance disorder, Blood creatine
Clinical narrative: Positive Ehrlichia: 10/1/21 and 11/2/21 and 8/19/22 Positive Epsteinn Barr: 4/9/22 and 4/14/22 Positive Herpes: 4/9/22 chronic fatigue syndrome diagnosis Fibromyalgia diagnosis  Three hours after receiving the vaccine, I experienced a high fever, chills, body ache extreme left sided pain/ inability to move left side of my body. This lasted 3 days, then was followed by different symptoms including brain fog, confusion, fatigue, and just very off-balanced. This lasted April-August. On August 3rd, 2021 I began to feel like what I thought was the flu that quickly progressed within a week. At that point I was experiencing extreme symptoms including extreme whole body weakness, muscle aches/ fatigue/ heavy/ pressure, nerve tingling/ shocking/ numbness, headaches, vision concerns including double vision/ inability to focus/ floaters, ear pain, ear ringing, hypersensitivity to sounds/ touch/ lights, whole body inflammation/ hotness, joint instability, imbalance, incoordination, head pain, limb pain, back pain, neck pain, sinus issues, chest pain/ pressure,  inaccurate heart beat. All of these symptoms are still constant to this day. Since March 31st, 2021 my life has not been the same. Regular medicine has no idea what's wrong with me so I am forced to pay out of pocket for functional medicine. No treatment has been effective to this day. I was a previously active person that enjoyed running and being a mom and wife, today I am in constant pain- every single moment of every single day.