chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered, Syringe issue
Clinical narrative: Nurse  attempted to vaccinate patient male, with Infant Moderna (6mo-5yrs) Dose #2. When nurse inserted the needle into patients Right Leg, the patient began to resist and move and mom was unable to keep him in a stationary position causing the vaccine dosage to not be fully administered. On the pateients right leg on and near the site of insertion liquid could be seen spilled as well as some being still on the syringe. Due to this it was determined the dose was incomplete and patient would need to be re-vaccinated with a full dose of Moderna (6mo-5yrs) Dose #2. Patient was vaccianted with Moderna (6mo-5yrs) Dose #2 on his Left Leg succefully, remained in the observation area for 15 minutes with no complications. Mom, was aware of the incident throughout the entire time, understood the reason for re-vaccination, agreed to the vaccination. Mom had no additional questions, was given the vaccine fact sheet and given information and instructions on what to do if patient were to develop vaccine reaction related symptoms.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Error: Expired Product Administered-
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Error: Administered expired product.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Hypersensitivity, Influenza like illness, Insomnia
Clinical narrative: On 06/18/22 I was fine and then all of a sudden I sounded like I had really bad allergies, like a long term smoker. It was like night and day. Then, I started feeling congested and run down with fatigue. I took an at home COVID-19 test. It was negative. I decided to get some rest. I was dragging, and felt like I had the flu. Two days later, I felt like I couldn't keep my eyes open so I went to urgent care, and they swabbed me for COVID-19. I went home and fell sound asleep and then I woke up and found out I had COVID-19. For three days I felt about the same and just got some sleep.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: On 06/18/22 I was fine and then all of a sudden I sounded like I had really bad allergies, like a long term smoker. It was like night and day. Then, I started feeling congested and run down with fatigue. I took an at home COVID-19 test. It was negative. I decided to get some rest. I was dragging, and felt like I had the flu. Two days later, I felt like I couldn't keep my eyes open so I went to urgent care, and they swabbed me for COVID-19. I went home and fell sound asleep and then I woke up and found out I had COVID-19. For three days I felt about the same and just got some sleep.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Error: Administered expired product.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Fatigue, Feeling abnormal
Clinical narrative: On 7-8-2022, I started having a cough. The following day, 7-9-2022, I had fatigue so I tested using a home COVID19 test with negative results. On 7-10, I went to an urgent care clinic and they tested me for COVID19 with positive results. They advised me to go to my primary care physician. On 7-12, I started having a runny nose and felt run down. I had a telehealth visit with my primary care doctor on 7-13. He did not order any medications or tests and he told me to go home and rest. I was taking tylenol and OTC cough med to treat symptoms. I am still feeling some fatigue, slight shortness of breath, and an occasional cough. I am reporting a breakthru case of COVID19.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: On 7-8-2022, I started having a cough. The following day, 7-9-2022, I had fatigue so I tested using a home COVID19 test with negative results. On 7-10, I went to an urgent care clinic and they tested me for COVID19 with positive results. They advised me to go to my primary care physician. On 7-12, I started having a runny nose and felt run down. I had a telehealth visit with my primary care doctor on 7-13. He did not order any medications or tests and he told me to go home and rest. I was taking tylenol and OTC cough med to treat symptoms. I am still feeling some fatigue, slight shortness of breath, and an occasional cough. I am reporting a breakthru case of COVID19.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Error: Expired Product Administered-
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Fatigue, Malaise, Myalgia
Clinical narrative: Tested positive for Covid 19 on a home rapid antigen test, July 19, after feeling quite ill for several days.  (Had 3 negative tests on consecutive days despite worsening symptoms, before finally testing positive early morning on July 19). Did a telehealth appt with PA a few hours later, she called in a prescription for Paxlovid based on my pre-existing lung condition and I started it that evening.  After 2 doses, most of my symptoms resolved (stuffy nose, sinus congestion, low fever, exhaustion, muscle aches all disappeared and pulse ox level was back up).  By Day 5, I really felt fine other than getting winded easily.  At this point, still a bit tired but breathing is okay and I'm back to all normal work and life activities.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Oxygen saturation decreased, Pyrexia, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: Tested positive for Covid 19 on a home rapid antigen test, July 19, after feeling quite ill for several days.  (Had 3 negative tests on consecutive days despite worsening symptoms, before finally testing positive early morning on July 19). Did a telehealth appt with PA a few hours later, she called in a prescription for Paxlovid based on my pre-existing lung condition and I started it that evening.  After 2 doses, most of my symptoms resolved (stuffy nose, sinus congestion, low fever, exhaustion, muscle aches all disappeared and pulse ox level was back up).  By Day 5, I really felt fine other than getting winded easily.  At this point, still a bit tired but breathing is okay and I'm back to all normal work and life activities.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Mobility decreased
Clinical narrative: About 9 hours after getting the vaccine, my wrist started hurting like I had sprained it. I couldn't twist my wrist.
Age: 1.0
Sex: F
Vaccine: MMRV, VARCEL
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No Adverse Events noted. Patients PCP was notified Attempted to call patients mom -Left a message to return our call.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, COVID-19, Cardiac function test, Computerised tomogram, Electrocardiogram
Clinical narrative: 05/15/2022 congestions lasted about 2 weeks. It came back again on June for 2 weeks again. It clear up on 06/11/2022. 06/18/2022 congestions came back again. It was on 07/04/2022 hospitalized for leakage in the lung. I went into the ER with clasped lung. 01/23/2022 tested positive for COVID urgent care prescribed me with PAXLOVID for 5 days.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumothorax, Pulmonary air leakage, Respiratory tract congestion, SARS-CoV-2 test positive, X-ray
Clinical narrative: 05/15/2022 congestions lasted about 2 weeks. It came back again on June for 2 weeks again. It clear up on 06/11/2022. 06/18/2022 congestions came back again. It was on 07/04/2022 hospitalized for leakage in the lung. I went into the ER with clasped lung. 01/23/2022 tested positive for COVID urgent care prescribed me with PAXLOVID for 5 days.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Musculoskeletal stiffness
Clinical narrative: I started experiencing dizziness and I go to physical therapy for that and I also have stiff neck also and I am being seen at physical therapy for that as well.  It is mainly just those symptoms and therapy is still working on it.  This has been going on for 3 months and just tell me to take Tylenol.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Large full body hives.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Unviable vaccine given. Temperature data logger info not recorded for 4 days. No patient side effects or adverse events.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Unviable vaccine given. Temperature data logger info not recorded for 4 days. No patient side effects or adverse events.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Unviable vaccine given. Temperature data logger info not recorded for 4 days. No patient side effects or adverse events.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Oropharyngeal pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had a runny nose; sore throat; fever and I took Paxovid from 06/18/22 through 06/25/2022 and started to test negative.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Unviable vaccine given. Temperature data logger info not recorded for 4 days. No patient side effects or adverse events.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Educator: On 07-23-2022, patient's mother requested moderna as booster dose for patient.  Both patient and mother were educated, and consent form was completed. After completing the  education process, clients proceeded to register.   Registration: Patient was registered via survey as a walk-in.   Vaccinator: 16 y/o female patient came in to receive booster dose of vaccine. She received Moderna.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Unviable vaccine given. Temperature data logger info not recorded for 4 days. No patient side effects or adverse events.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Unviable vaccine given. Temperature data logger info not recorded for 4 days. No patient side effects or adverse events.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Unviable vaccine given. Temperature data logger info not recorded for 4 days. No patient side effects or adverse events.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Ear discomfort, Headache, Malaise
Clinical narrative: I contracted COVID-19 on 07/04/2022 with symptoms of headache, congestion, runny nose, sore throat, clogged, ears, and cough. I was prescribed doxycycline 07/05/2022. I was ill for 7 to 8 days before my symptoms began to resolve. I had a lingering cough for an additional week that resolved. I am fully recovered now with no lingering symptoms.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 on 07/04/2022 with symptoms of headache, congestion, runny nose, sore throat, clogged, ears, and cough. I was prescribed doxycycline 07/05/2022. I was ill for 7 to 8 days before my symptoms began to resolve. I had a lingering cough for an additional week that resolved. I am fully recovered now with no lingering symptoms.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: No symptoms or adverse reactions. Vaccine given to patient out of the 12 hour room temp range. Vaccination coordinator contacted and spoke with Pfizer safety people this morning (Nurse triage & safety person). When speaking to them, they stated the following: A gray top punctured vial should be used before 36 hours at room temperature range of 46 to 84 F.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was in the office to receive her Moderna booster. Patient received a full dose of 0.5ml instead of the booster dose of 0.25ml of the Moderna vaccine.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Irritability, Pyrexia, Rash, Rash erythematous, Vomiting
Clinical narrative: Fevers and rash 1 w after vaccines, now red bumps everywhere. Mom thinking MMR vax reaction. no current fever, just irritable. Mom does not know how high fever was, low grade per mom and some vomiting 2x in one day, none since.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: My lungs felt heavy and when I walked up the stairs and got to the top I was out of breath. I came down and had to sit down and I was out of breath but it took a good 30 minutes before I could catch my breath and the next day the same thing happened and I was just out of breath and my doctor had prescribed me steroids' because I have asthma and I called her and told her and because of my family testing positive she advised me to come in. I tested positive for COVID-19 on 7/22/22. She would not give me the antiviral because I have been having symptoms for 5 days so she prescribed me antibiotics and steroids. She wouldn't give me anything for my asthma.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives appearing all over the body within hours of getting shot.
Age: 58.0
Sex: U
Vaccine: UNK
Symptoms: Herpes zoster
Clinical narrative: Shingles
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Cellulitis, Computerised tomogram abnormal, Erythema, Pruritus
Clinical narrative: I received my second Moderna booster for COVID-19 on 4/28/2022. On 7/7/2022, I woke up with reddening of the skin on the right side of my neck. There was itching and burning, and it progressively got worse. I  went to a walk-in clinic on 7/11/2022. I was given prescriptions for Bactrim and prednisone. At this point, they were unable to give me a diagnosis, so they asked me to come back on 7/13/2022, which I did. By the time I returned, the symptoms were much worse. At this point, I was diagnosed with cellulitis and sent to the ER to receive intravenous antibiotics. At the ER, I also underwent a CAT scan, which verified the cellulitis diagnosis. I was then given a prescription for Cleocin capsules. I also underwent bloodwork, which showed that my white blood cell count was elevated. I was asked to return to the ER on 7/15/2022 to get checked again. More bloodwork was done, and it showed that the white blood cell count had decreased. They advised me to finish taking the Cleocin and to follow up with my PCP.  I saw my PCP on 7/26/2022, and he gave me a 10-day supply of Cleocin, since I had finished the prescription I had been given by the ER. He also put me on Augmentin for 10 days. The PCP also gave me an injection of an antibiotic, though I don't remember the name of it. At the time of this writing, I am still taking the Cleocin and the Augmentin. The cellulitis has improved a great deal. There is no longer any itching or burning, but there is still some redness on the right side of my neck, although it has decreased significantly.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count decreased, White blood cell count increased
Clinical narrative: I received my second Moderna booster for COVID-19 on 4/28/2022. On 7/7/2022, I woke up with reddening of the skin on the right side of my neck. There was itching and burning, and it progressively got worse. I  went to a walk-in clinic on 7/11/2022. I was given prescriptions for Bactrim and prednisone. At this point, they were unable to give me a diagnosis, so they asked me to come back on 7/13/2022, which I did. By the time I returned, the symptoms were much worse. At this point, I was diagnosed with cellulitis and sent to the ER to receive intravenous antibiotics. At the ER, I also underwent a CAT scan, which verified the cellulitis diagnosis. I was then given a prescription for Cleocin capsules. I also underwent bloodwork, which showed that my white blood cell count was elevated. I was asked to return to the ER on 7/15/2022 to get checked again. More bloodwork was done, and it showed that the white blood cell count had decreased. They advised me to finish taking the Cleocin and to follow up with my PCP.  I saw my PCP on 7/26/2022, and he gave me a 10-day supply of Cleocin, since I had finished the prescription I had been given by the ER. He also put me on Augmentin for 10 days. The PCP also gave me an injection of an antibiotic, though I don't remember the name of it. At the time of this writing, I am still taking the Cleocin and the Augmentin. The cellulitis has improved a great deal. There is no longer any itching or burning, but there is still some redness on the right side of my neck, although it has decreased significantly.
Age: 1.67
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Client had first dose of Moderna for 6 mo - 5 years.   Came in at 4 week interval for second dose of same.   He was inadvertently given Pfizer for 6 mo to 4 years.   WRONG BRAND given.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Dr. was given the incorrect birthdate when looking up vaccine in system and client's information was not in system.  Client was given a booster too soon, only a little over two months in between doses before discovering that the birthdate was incorrect and he was actually in system.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Cough, Fatigue, Illness
Clinical narrative: He contracted COVID-19 on 06/20/2022 with symptoms cough, fatigue, chest tightness, and chest congestion. He was prescribed Butalin inhaler, Amoxicillin, and Prednisone on 06/21/2022. He was ill for 10 days before symptoms began to abate. He is fully recovered with no lingering symptoms.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Upper respiratory tract congestion
Clinical narrative: He contracted COVID-19 on 06/20/2022 with symptoms cough, fatigue, chest tightness, and chest congestion. He was prescribed Butalin inhaler, Amoxicillin, and Prednisone on 06/21/2022. He was ill for 10 days before symptoms began to abate. He is fully recovered with no lingering symptoms.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Feeling abnormal, SARS-CoV-2 test positive
Clinical narrative: Was out of the country for 8 days and started feeling bad, went in and tested Positive for COVID-19. Was prescribed Paxlovid. Tested negative after 5 days.
Age: 1.0
Sex: M
Vaccine: HIBV, MMRV, PNC13
Symptoms: Abscess drainage, COVID-19, Fluid retention, Haematoma, Injection site mass
Clinical narrative: Pt developed lump in bilateral thighs.  Was not immediately reported by parents, unknown when lumps developed.  Pt seen in office 6/15/22 for deceleration in weight gain.  6/27/22 pt started on iron supplement for iron deficiency anemia.  Pt seen again 7/7/22 for mass of both thighs and congestion.  US ordered and to be done when family returns back from vacation over this next weekend.  Pt seen 7/20/22 for abscess.  Mother notes that the left side area opened up and began draining purulent material, and mother notes that it is now significantly decreased in size. Pt developed COVID 19 and subsequently ultrasound not completed until 7/28/22.
Age: 1.0
Sex: M
Vaccine: HIBV, MMRV, PNC13
Symptoms: Iron deficiency anaemia, Lymphadenopathy, Mass, Oedema, Purulent discharge
Clinical narrative: Pt developed lump in bilateral thighs.  Was not immediately reported by parents, unknown when lumps developed.  Pt seen in office 6/15/22 for deceleration in weight gain.  6/27/22 pt started on iron supplement for iron deficiency anemia.  Pt seen again 7/7/22 for mass of both thighs and congestion.  US ordered and to be done when family returns back from vacation over this next weekend.  Pt seen 7/20/22 for abscess.  Mother notes that the left side area opened up and began draining purulent material, and mother notes that it is now significantly decreased in size. Pt developed COVID 19 and subsequently ultrasound not completed until 7/28/22.
Age: 1.0
Sex: M
Vaccine: HIBV, MMRV, PNC13
Symptoms: Respiratory tract congestion, Ultrasound Doppler abnormal
Clinical narrative: Pt developed lump in bilateral thighs.  Was not immediately reported by parents, unknown when lumps developed.  Pt seen in office 6/15/22 for deceleration in weight gain.  6/27/22 pt started on iron supplement for iron deficiency anemia.  Pt seen again 7/7/22 for mass of both thighs and congestion.  US ordered and to be done when family returns back from vacation over this next weekend.  Pt seen 7/20/22 for abscess.  Mother notes that the left side area opened up and began draining purulent material, and mother notes that it is now significantly decreased in size. Pt developed COVID 19 and subsequently ultrasound not completed until 7/28/22.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Malaise, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: COVID-19 symptoms started on 07/05/22; tested positive on 07/06/22. I had a temperature of 99.8. July 4 I found out I was exposed and so I went home and took a self test and tested negative on the 4th and called the Doctor on the 5th. I went in the next day to a drive thru to get tested and was positive and Doctor prescribed me Paxlovid. Took the first dose at 4:30 PM and 2nd dose at 11:30 PM. Wednesday-Saturday I took the doses. By Tuesday I tested again and I was negative. I might have had a fever the next day July 5 but unsure.
Age: 1.25
Sex: F
Vaccine: HIBV
Symptoms: Product administration error
Clinical narrative: Only diluent was injected (vaccine was not mixed). No symptoms reported. Reporting vaccine administration error.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse responds.  Child moved and received less than full dose:  estimated half to 90% of intended dose injected.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Computerised tomogram thorax, Cough, Eye irritation, Fatigue
Clinical narrative: Fatigue, sore throat, chest tightness, headache, cough, irritated eyes
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Oropharyngeal pain, SARS-CoV-2 test
Clinical narrative: Fatigue, sore throat, chest tightness, headache, cough, irritated eyes
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization of fully vaccinated Covid positive pt.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, COVID-19, Chest X-ray, Cough, Dysgeusia
Clinical narrative: covid symptoms on June 16, 2022- cough, fever, muscle aches, metal taste in mouth, loss of taste, sore throat, nasal congestion
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Nasal congestion, Oropharyngeal pain, Pyrexia
Clinical narrative: covid symptoms on June 16, 2022- cough, fever, muscle aches, metal taste in mouth, loss of taste, sore throat, nasal congestion
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: covid symptoms on June 16, 2022- cough, fever, muscle aches, metal taste in mouth, loss of taste, sore throat, nasal congestion
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Patient mentioned that her vision was starting to get blurry and couldn't see well and she had to sit down. It lasted about an hour.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site inflammation, Injection site pain, X-ray
Clinical narrative: Inflammation of shoulder with burning pain in L shoulder starting 6 weeks after vaccination,  short term relief with ice and change in sleep position, persisting to May when physician diagnosed inflammation and gave cortisone injection into joint capsule, this treatment relieved pain to this date (6/1/22 in for next vaccination - gave on opposite shoulder)
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization of fully vaccinated Covid positive patient.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Medication error, Product administered to patient of inappropriate age, Rash
Clinical narrative: 1. This was a medication error. 2 Year old scheduled for the Moderna Vaccine received Pfizer Pediatric 5-11 dosage of 10 mcg. This was reported to our Peds ID MD Dr. who stated that the potential for harm is low and recommendation was for the child to return for dose 2  of Pfizer 6mo -4 year in 21 days. Parent was also informed of error and recommendations.  2. On 7.29.2022 Nursing Supervisor placed a follow up call to parent to check on the child. Mom stated they were in Urgent Care due to a rash that had developed to bilateral arms and patches of a rash noted to arms and legs. Parent reports rash was non itchy. Parent reported no respiratory difficulty. Parent reported child slept well and was eating, drinking and acting like a normal toddler.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Rash, Urticaria
Clinical narrative: Member received COVID-19 booster on 6/17/2022, apparently had received booster already at outside pharmacy 5/17/2022. Next day developed urticaria on bilateral upper arms that has persisted until today 7/29/2022, unrelieved with topical hydrocortisone. Has not tried oral antihistamine or oral steroid. She is without s/s angioedema. Rash isolated to arms.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization of fully vaccinated Covid positive pt.
Age: 49.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: COVID-19, Chest pain, Condition aggravated, Dyspnoea, Immunodeficiency
Clinical narrative: Discharge Provider:  Primary Care Provider:  Admission Date: 7/26/2022 Discharge Date: Jul 28, 2022  PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE: Pt. is 50 y.o. with Crohn's disease on infliximab, hypothyroidism, OSA on CPAP, non-insulin-dependent type 2 diabetes mellitus, for evaluation of dyspnea, chest pain, fever, malaise which started on 07/25 and was found to have COVID-19 and hypoxic respiratory failure. She completed 3 days of remdesivir as an inpatient due to her immunocompromised state. She also was given a 10 day course of decadron. After 3 days in the hospital, she improved and was able to be weaned off oxygen. She was noted to have asymptomatic sinus bradycardia but was otherwise well and eager to discharge home.
Age: 49.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Malaise, Pyrexia, Respiratory failure, Sinus bradycardia
Clinical narrative: Discharge Provider:  Primary Care Provider:  Admission Date: 7/26/2022 Discharge Date: Jul 28, 2022  PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE: Pt. is 50 y.o. with Crohn's disease on infliximab, hypothyroidism, OSA on CPAP, non-insulin-dependent type 2 diabetes mellitus, for evaluation of dyspnea, chest pain, fever, malaise which started on 07/25 and was found to have COVID-19 and hypoxic respiratory failure. She completed 3 days of remdesivir as an inpatient due to her immunocompromised state. She also was given a 10 day course of decadron. After 3 days in the hospital, she improved and was able to be weaned off oxygen. She was noted to have asymptomatic sinus bradycardia but was otherwise well and eager to discharge home.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: My symptoms were running nose, coughing, sore throat but not bad. No fever or head pain. It lasted a week. It seemed like it disappeared but then it came back and my Doctor prescribed me the antibiotic for 5 days. After I took them all symptoms were gone and I tested negative.
Age: 51.0
Sex: F
Vaccine: PPV
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine was expired on 5/30/22 and administered.  No adverse reactions. Provider notified
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Productive cough
Clinical narrative: patient had clear mucus production which caused heavy coughing. She also felt a bit nauseous. She didn't have any other symptoms.
Age: 12.0
Sex: F
Vaccine: DTAP
Symptoms: Wrong product administered
Clinical narrative: PATIENT DID NOT HAVE ANY SIDE AFFECTS FROM VACCINE. I NEEDED TO REPORT BECAUSE WRONG VACCINE WAS GIVEN. I HAVE TALKED TO MOTHER OF CHILD MOTHER STATES CHILD IS DOING GOOD.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Pt is here for 2nd dose of covid vaccine. Mother states pt developed rash on B arms and neck 5 days after initial dose on 07/08/22. Mother spoke to Dr after days of onset. Advised by Dr not to administer vaccine due to reaction. No difficulty breathing or trouble swallowing.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Cough, Dysphagia, Dyspnoea
Clinical narrative: Patient started having an immediate reaction to the vaccine, he started shivering, coughing and complained of a hot sensation in his chest. We took him to the ER and in route he had c/o SOB and nausea and difficulty swallowing.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Nausea
Clinical narrative: Patient started having an immediate reaction to the vaccine, he started shivering, coughing and complained of a hot sensation in his chest. We took him to the ER and in route he had c/o SOB and nausea and difficulty swallowing.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Asthenia, Computerised tomogram normal, Magnetic resonance imaging normal
Clinical narrative: Mid-March my right shoulder started hurting and the pain got worse and moved to the base of my neck then moved to my shoulder. Then the pain (it was as bad as they say childbirth is) moved to my left shoulder. I tried ice and heat and I lost all strength and couldn?t even ick up a cup of coffee. I had to use my left arm and hand to move my right arm. I called my doctor and he told you to go to the nearest ER on March 29. I went and they treated me as if it was a joke. The doctor said it was due to age Arthritis after taking x-ray of my neck. My shoulder was the issue, and he took no x-ray of the target area. The ER doctor gave me an injection (Ketorolac) for the pain and told me all pain should go away in 45 minutes and it didn?t. The doctor also gave me two medications (Cyclobenzaprine, Medrol Pak) the pharmacy called and told me I can not take the two medications together. I ended up trashing one of the two. The other medication did absolutely nothing. I filed a complaint with the clinic. I called my Primary doctor for pain medication within two days? time of the ER visit. My doctor prescribed Tramadol and sent me a referral for a specialist for my shoulder. On April 16, 2021, I saw the shoulder specialist and I was given an injection in the shoulder (medication unknown). The injection given took away all pain within 6 hours? time, but I still had no mobility or strength. The specialist thought I had a rotator injury and schedule an MRI (April 29, 2021). I got the MRI, and it didn?t show any injury to support -rotator cuff and he didn?t find cause of the pain and limited mobility. I was also told to get shoulder, spine, and neck x-ray.  The shoulder specialist could find no reason for the lost of mobility or strength, so he then referred me to a neck specialist. On May 19,2021 he did neck x-rays and he referred me to another MRI Cervical Spin of which he did. Once the results came back in June 21,2021 and there finding showed nothing that would cause all these shoulder issues other than old age.  I was also ordered to get CT scans for the neck and front of my chest to further look for the cause. I did the CT scan it showed nothing abnormal or anything. This doctor referred me back to the Shoulder Specialist. The shoulder specialist said there was nothing more he could do because he couldn?t find the cause of it. The neck specialist said hold off on the next shot because he had read a report and wanted to do more research. Then he told me that it was fine to get the next vaccine. I did take it on Sept 9,2021 and I didn?t have any ill effects other than the average flu like symptoms. I wasn?t having any weakness and I had started to gain my strength back.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Neck pain, X-ray abnormal
Clinical narrative: Mid-March my right shoulder started hurting and the pain got worse and moved to the base of my neck then moved to my shoulder. Then the pain (it was as bad as they say childbirth is) moved to my left shoulder. I tried ice and heat and I lost all strength and couldn?t even ick up a cup of coffee. I had to use my left arm and hand to move my right arm. I called my doctor and he told you to go to the nearest ER on March 29. I went and they treated me as if it was a joke. The doctor said it was due to age Arthritis after taking x-ray of my neck. My shoulder was the issue, and he took no x-ray of the target area. The ER doctor gave me an injection (Ketorolac) for the pain and told me all pain should go away in 45 minutes and it didn?t. The doctor also gave me two medications (Cyclobenzaprine, Medrol Pak) the pharmacy called and told me I can not take the two medications together. I ended up trashing one of the two. The other medication did absolutely nothing. I filed a complaint with the clinic. I called my Primary doctor for pain medication within two days? time of the ER visit. My doctor prescribed Tramadol and sent me a referral for a specialist for my shoulder. On April 16, 2021, I saw the shoulder specialist and I was given an injection in the shoulder (medication unknown). The injection given took away all pain within 6 hours? time, but I still had no mobility or strength. The specialist thought I had a rotator injury and schedule an MRI (April 29, 2021). I got the MRI, and it didn?t show any injury to support -rotator cuff and he didn?t find cause of the pain and limited mobility. I was also told to get shoulder, spine, and neck x-ray.  The shoulder specialist could find no reason for the lost of mobility or strength, so he then referred me to a neck specialist. On May 19,2021 he did neck x-rays and he referred me to another MRI Cervical Spin of which he did. Once the results came back in June 21,2021 and there finding showed nothing that would cause all these shoulder issues other than old age.  I was also ordered to get CT scans for the neck and front of my chest to further look for the cause. I did the CT scan it showed nothing abnormal or anything. This doctor referred me back to the Shoulder Specialist. The shoulder specialist said there was nothing more he could do because he couldn?t find the cause of it. The neck specialist said hold off on the next shot because he had read a report and wanted to do more research. Then he told me that it was fine to get the next vaccine. I did take it on Sept 9,2021 and I didn?t have any ill effects other than the average flu like symptoms. I wasn?t having any weakness and I had started to gain my strength back.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Diarrhoea, Feeling abnormal
Clinical narrative: started feeling bad on Wednesday June 22.  sore through, cough, runny nose, soreness, headaches.  Ran a home health test Thursday morning and it was negative.  Thursday picked up the remaining symptom, fever, chills and diarrhea.   Went to urgent care on Friday and tested positive.   I did not work Thursday or Friday. June 23  24.  Started to feel better but by Tuesday of the next week (June 28) was feeling worse and coughing up a lot of mucus.  Setup a zoom appointment and got prescribed antibiotic for the sinus infection.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Impaired work ability, Oropharyngeal pain, Pain, Productive cough
Clinical narrative: started feeling bad on Wednesday June 22.  sore through, cough, runny nose, soreness, headaches.  Ran a home health test Thursday morning and it was negative.  Thursday picked up the remaining symptom, fever, chills and diarrhea.   Went to urgent care on Friday and tested positive.   I did not work Thursday or Friday. June 23  24.  Started to feel better but by Tuesday of the next week (June 28) was feeling worse and coughing up a lot of mucus.  Setup a zoom appointment and got prescribed antibiotic for the sinus infection.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Secretion discharge, Sinusitis
Clinical narrative: started feeling bad on Wednesday June 22.  sore through, cough, runny nose, soreness, headaches.  Ran a home health test Thursday morning and it was negative.  Thursday picked up the remaining symptom, fever, chills and diarrhea.   Went to urgent care on Friday and tested positive.   I did not work Thursday or Friday. June 23  24.  Started to feel better but by Tuesday of the next week (June 28) was feeling worse and coughing up a lot of mucus.  Setup a zoom appointment and got prescribed antibiotic for the sinus infection.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Acute left ventricular failure, Acute respiratory failure, Aortic stenosis, Aspiration, Asymptomatic COVID-19
Clinical narrative: Admission Date: 7/20/2022  PRESENTING PROBLEM: Gross hematuria [R31.0] Bilateral pleural effusion [J90] Acute cystitis with hematuria [N30.01] Acute diastolic CHF (congestive heart failure) (HCC) [I50.31] Renal carcinoma, right (HCC) [C64.1] Adenocarcinoma of left lung (HCC) [C34.92] Atrial flutter, unspecified type (HCC) [I48.92] Acute congestive heart failure, unspecified heart failure type (HCC) [I50.9] Acute on chronic blood loss anemia [D62]   HOSPITAL COURSE: Patient is an 86 year old male with PMHx of severe pulmonary hypertension, chronic right sided heart failure, CKD3, DM2, COPD on home 2L O2, renal carcinoma who presented to the hospital with acute on chronic right sided CHF exacerbation and acute on chronic hypoxic respiratory failure. The patient was diuresed as he had significant lower extremity edema. He had an ECHO that showed severe aortic stenosis. He was also found during eating and drinking to be coughing and choking. SLP was consulted and recommended a dysphagia diet. His renal function also continued to decline during his hospital stay. Given his multiple chronic medical conditions as well as the need for a chronic dysphagia diet to prevent aspiration pneumonia, the patient stated that he would rather live a shorter life with risk of aspiration than have to have his diet restricted. The patient had untreatable cancer, worsening renal dysfunction, severe aortic stenosis, as well as worsening right sided heart failure and pulmonary hypertension. After much discussion with the patient and family, the decision was made to consult hospice. Hospice consulted and there were plans for discharge from the hospital to a long term care facility with outpatient hospice services. Unfortunately when patient had a screening COVID-19 test prior to discharge, it was incidentally positive so this delayed the patient's discharge. The patient had no symptoms of COVID-19, so this was likely an asymptomatic or prior infection. Patient continued to aspirate with meals and liquids. He became progressively more hypoxic during his hospital stay and was becoming increasingly more uncomfortable. Patient was treated for his pain and shortness of breath with oral morphine with good improvement. On the morning of 7/28, the patient became very lethargic and his O2 dropped into the low 70's despite nasal cannula. The decision was made at that time to support the patient and withdrawal care in the hospital. Patient was provided medications for comfort, Oxygen was removed and the patient died peacefully on 7/28, family was present at the bedside.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial flutter, Blood loss anaemia, Cardiac failure congestive, Choking, Condition aggravated
Clinical narrative: Admission Date: 7/20/2022  PRESENTING PROBLEM: Gross hematuria [R31.0] Bilateral pleural effusion [J90] Acute cystitis with hematuria [N30.01] Acute diastolic CHF (congestive heart failure) (HCC) [I50.31] Renal carcinoma, right (HCC) [C64.1] Adenocarcinoma of left lung (HCC) [C34.92] Atrial flutter, unspecified type (HCC) [I48.92] Acute congestive heart failure, unspecified heart failure type (HCC) [I50.9] Acute on chronic blood loss anemia [D62]   HOSPITAL COURSE: Patient is an 86 year old male with PMHx of severe pulmonary hypertension, chronic right sided heart failure, CKD3, DM2, COPD on home 2L O2, renal carcinoma who presented to the hospital with acute on chronic right sided CHF exacerbation and acute on chronic hypoxic respiratory failure. The patient was diuresed as he had significant lower extremity edema. He had an ECHO that showed severe aortic stenosis. He was also found during eating and drinking to be coughing and choking. SLP was consulted and recommended a dysphagia diet. His renal function also continued to decline during his hospital stay. Given his multiple chronic medical conditions as well as the need for a chronic dysphagia diet to prevent aspiration pneumonia, the patient stated that he would rather live a shorter life with risk of aspiration than have to have his diet restricted. The patient had untreatable cancer, worsening renal dysfunction, severe aortic stenosis, as well as worsening right sided heart failure and pulmonary hypertension. After much discussion with the patient and family, the decision was made to consult hospice. Hospice consulted and there were plans for discharge from the hospital to a long term care facility with outpatient hospice services. Unfortunately when patient had a screening COVID-19 test prior to discharge, it was incidentally positive so this delayed the patient's discharge. The patient had no symptoms of COVID-19, so this was likely an asymptomatic or prior infection. Patient continued to aspirate with meals and liquids. He became progressively more hypoxic during his hospital stay and was becoming increasingly more uncomfortable. Patient was treated for his pain and shortness of breath with oral morphine with good improvement. On the morning of 7/28, the patient became very lethargic and his O2 dropped into the low 70's despite nasal cannula. The decision was made at that time to support the patient and withdrawal care in the hospital. Patient was provided medications for comfort, Oxygen was removed and the patient died peacefully on 7/28, family was present at the bedside.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Cystitis, Death, Discomfort, Dyspnoea
Clinical narrative: Admission Date: 7/20/2022  PRESENTING PROBLEM: Gross hematuria [R31.0] Bilateral pleural effusion [J90] Acute cystitis with hematuria [N30.01] Acute diastolic CHF (congestive heart failure) (HCC) [I50.31] Renal carcinoma, right (HCC) [C64.1] Adenocarcinoma of left lung (HCC) [C34.92] Atrial flutter, unspecified type (HCC) [I48.92] Acute congestive heart failure, unspecified heart failure type (HCC) [I50.9] Acute on chronic blood loss anemia [D62]   HOSPITAL COURSE: Patient is an 86 year old male with PMHx of severe pulmonary hypertension, chronic right sided heart failure, CKD3, DM2, COPD on home 2L O2, renal carcinoma who presented to the hospital with acute on chronic right sided CHF exacerbation and acute on chronic hypoxic respiratory failure. The patient was diuresed as he had significant lower extremity edema. He had an ECHO that showed severe aortic stenosis. He was also found during eating and drinking to be coughing and choking. SLP was consulted and recommended a dysphagia diet. His renal function also continued to decline during his hospital stay. Given his multiple chronic medical conditions as well as the need for a chronic dysphagia diet to prevent aspiration pneumonia, the patient stated that he would rather live a shorter life with risk of aspiration than have to have his diet restricted. The patient had untreatable cancer, worsening renal dysfunction, severe aortic stenosis, as well as worsening right sided heart failure and pulmonary hypertension. After much discussion with the patient and family, the decision was made to consult hospice. Hospice consulted and there were plans for discharge from the hospital to a long term care facility with outpatient hospice services. Unfortunately when patient had a screening COVID-19 test prior to discharge, it was incidentally positive so this delayed the patient's discharge. The patient had no symptoms of COVID-19, so this was likely an asymptomatic or prior infection. Patient continued to aspirate with meals and liquids. He became progressively more hypoxic during his hospital stay and was becoming increasingly more uncomfortable. Patient was treated for his pain and shortness of breath with oral morphine with good improvement. On the morning of 7/28, the patient became very lethargic and his O2 dropped into the low 70's despite nasal cannula. The decision was made at that time to support the patient and withdrawal care in the hospital. Patient was provided medications for comfort, Oxygen was removed and the patient died peacefully on 7/28, family was present at the bedside.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Haematuria, Hypoxia, Lethargy, Lung adenocarcinoma
Clinical narrative: Admission Date: 7/20/2022  PRESENTING PROBLEM: Gross hematuria [R31.0] Bilateral pleural effusion [J90] Acute cystitis with hematuria [N30.01] Acute diastolic CHF (congestive heart failure) (HCC) [I50.31] Renal carcinoma, right (HCC) [C64.1] Adenocarcinoma of left lung (HCC) [C34.92] Atrial flutter, unspecified type (HCC) [I48.92] Acute congestive heart failure, unspecified heart failure type (HCC) [I50.9] Acute on chronic blood loss anemia [D62]   HOSPITAL COURSE: Patient is an 86 year old male with PMHx of severe pulmonary hypertension, chronic right sided heart failure, CKD3, DM2, COPD on home 2L O2, renal carcinoma who presented to the hospital with acute on chronic right sided CHF exacerbation and acute on chronic hypoxic respiratory failure. The patient was diuresed as he had significant lower extremity edema. He had an ECHO that showed severe aortic stenosis. He was also found during eating and drinking to be coughing and choking. SLP was consulted and recommended a dysphagia diet. His renal function also continued to decline during his hospital stay. Given his multiple chronic medical conditions as well as the need for a chronic dysphagia diet to prevent aspiration pneumonia, the patient stated that he would rather live a shorter life with risk of aspiration than have to have his diet restricted. The patient had untreatable cancer, worsening renal dysfunction, severe aortic stenosis, as well as worsening right sided heart failure and pulmonary hypertension. After much discussion with the patient and family, the decision was made to consult hospice. Hospice consulted and there were plans for discharge from the hospital to a long term care facility with outpatient hospice services. Unfortunately when patient had a screening COVID-19 test prior to discharge, it was incidentally positive so this delayed the patient's discharge. The patient had no symptoms of COVID-19, so this was likely an asymptomatic or prior infection. Patient continued to aspirate with meals and liquids. He became progressively more hypoxic during his hospital stay and was becoming increasingly more uncomfortable. Patient was treated for his pain and shortness of breath with oral morphine with good improvement. On the morning of 7/28, the patient became very lethargic and his O2 dropped into the low 70's despite nasal cannula. The decision was made at that time to support the patient and withdrawal care in the hospital. Patient was provided medications for comfort, Oxygen was removed and the patient died peacefully on 7/28, family was present at the bedside.