chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Myocardial ischaemia, Oxygen saturation decreased, Physical deconditioning, Pulmonary oedema, SARS-CoV-2 test positive
Clinical narrative: Patient is a 66 y.o. male with a past medical history of CAD, ischemic cardiomyopathy, wheezing on CPAP, obesity, PFO with TBI from paradoxical embolism, left cerebellar infarct in the past, hypertension, type 2 diabetes mellitus, history of laryngeal cancer mild dysphagia not on treatment, history of DVT on Coumadin was brought in the ED by EMS on 1/1 after sliding out of his bed.  Patient did not hit his head or lose consciousness.   In the ED, EKG showed a chronic LBBB but new ST changes noted.  Troponin was elevated.  He tested positive for COVID-19.  He was seen by cardiology during this hospital stay who rec'd outpatient stress test.  Patient improved and was off oxygen. He was cleared to d/c home w/ home care.     COVID 19 PNA Acute hypoxic respiratory failure, resolved  Patient not hypoxic at presentation.  Chest x-ray at presentation was suggestive of pulmonary edema.  He also had elevated BNP -Overnight on 1/7, he was noted to desat on room air and required 2 L/min via nasal cannula.  Therefore, I he received a dose of 6 mg Decadron.  Patient weaned off oxygen on 1/8 and Decadron discontinued however placed back on 1/9. -PT/OT rec'd TCU but patient improved enough to go home w/ home care   Coronary Artery Disease Chronic HFrEF/ICM  Sinus exit block  Elevated troponin-likely demand ischemia in the setting of COVID-19 infection  -Seen by cardiology during this hospital stay. Cardiology did not think that this clinical presentation was consistent with ACS.  Cardiology noted that his echo may have new anterolateral wall motion abnormality that was not reported on echo at hospital January, 2021. -Outpatient nuclear stress test recommended -Cardiology recommended resuming PTA Plavix. Discontinue aspirin and resume PTA Plavix   History of CVA, PFO and paradoxical embolism  Previous DVT -Pharm. dosing warfarin -INR currently at goal   Azotemia: Creatinine up trended to 1.44 from 1.01 but is now back to normal -Resume PTA Lasix 40 mg daily   Hypertension -PTA on losartan 100 mg daily, metoprolol XL 100 mg daily.  Blood pressures stable - Continue home losartan, metoprolol   Physical deconditioning - initially PT rec'd TCU but patient improved enough to go home w/ home care. Uses a walker at baseline.    Dyslipidemia -continue PTA Crestor 40 mg daily.   Diabetes Mellitus: PTA on metformin 850 mg 3 times daily and glipizide 2.5 mg twice daily. - Hold home metformin and glipizide- resume at d/c - Continue Lantus 13 units at bedtime
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Sinoatrial block, Troponin increased, Walking aid user
Clinical narrative: Patient is a 66 y.o. male with a past medical history of CAD, ischemic cardiomyopathy, wheezing on CPAP, obesity, PFO with TBI from paradoxical embolism, left cerebellar infarct in the past, hypertension, type 2 diabetes mellitus, history of laryngeal cancer mild dysphagia not on treatment, history of DVT on Coumadin was brought in the ED by EMS on 1/1 after sliding out of his bed.  Patient did not hit his head or lose consciousness.   In the ED, EKG showed a chronic LBBB but new ST changes noted.  Troponin was elevated.  He tested positive for COVID-19.  He was seen by cardiology during this hospital stay who rec'd outpatient stress test.  Patient improved and was off oxygen. He was cleared to d/c home w/ home care.     COVID 19 PNA Acute hypoxic respiratory failure, resolved  Patient not hypoxic at presentation.  Chest x-ray at presentation was suggestive of pulmonary edema.  He also had elevated BNP -Overnight on 1/7, he was noted to desat on room air and required 2 L/min via nasal cannula.  Therefore, I he received a dose of 6 mg Decadron.  Patient weaned off oxygen on 1/8 and Decadron discontinued however placed back on 1/9. -PT/OT rec'd TCU but patient improved enough to go home w/ home care   Coronary Artery Disease Chronic HFrEF/ICM  Sinus exit block  Elevated troponin-likely demand ischemia in the setting of COVID-19 infection  -Seen by cardiology during this hospital stay. Cardiology did not think that this clinical presentation was consistent with ACS.  Cardiology noted that his echo may have new anterolateral wall motion abnormality that was not reported on echo at hospital January, 2021. -Outpatient nuclear stress test recommended -Cardiology recommended resuming PTA Plavix. Discontinue aspirin and resume PTA Plavix   History of CVA, PFO and paradoxical embolism  Previous DVT -Pharm. dosing warfarin -INR currently at goal   Azotemia: Creatinine up trended to 1.44 from 1.01 but is now back to normal -Resume PTA Lasix 40 mg daily   Hypertension -PTA on losartan 100 mg daily, metoprolol XL 100 mg daily.  Blood pressures stable - Continue home losartan, metoprolol   Physical deconditioning - initially PT rec'd TCU but patient improved enough to go home w/ home care. Uses a walker at baseline.    Dyslipidemia -continue PTA Crestor 40 mg daily.   Diabetes Mellitus: PTA on metformin 850 mg 3 times daily and glipizide 2.5 mg twice daily. - Hold home metformin and glipizide- resume at d/c - Continue Lantus 13 units at bedtime
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Extreme pain in the head on one side. HAd to rush him to the ER
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pallor
Clinical narrative: Patient went white, dizzy after got the shot.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria chronic
Clinical narrative: Chronic Urticaria
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Electrocardiogram, Feeling abnormal, Feeling cold
Clinical narrative: I had arm pain 30 minutes after the vaccine which began to get worse to the point I could not move my arm, on 01/13/22 I woke up nauseous, feeling faint, body freezing but face was on fire, 102.5 fever, dizzy, I couldn't keep my eyes open, I struggled to stay awake it was hard to open my eyes or lift my head long enough to verbally respond, I was shaky, teeth hatter, severe body aches,  continuously my head was dropping my head and felt like I was going to pass out, I felt like I was going to faint several times, I felt really "out of it"
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Injected limb mobility decreased, Nausea, Pain, Pain in extremity
Clinical narrative: I had arm pain 30 minutes after the vaccine which began to get worse to the point I could not move my arm, on 01/13/22 I woke up nauseous, feeling faint, body freezing but face was on fire, 102.5 fever, dizzy, I couldn't keep my eyes open, I struggled to stay awake it was hard to open my eyes or lift my head long enough to verbally respond, I was shaky, teeth hatter, severe body aches,  continuously my head was dropping my head and felt like I was going to pass out, I felt like I was going to faint several times, I felt really "out of it"
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Somnolence, Tremor
Clinical narrative: I had arm pain 30 minutes after the vaccine which began to get worse to the point I could not move my arm, on 01/13/22 I woke up nauseous, feeling faint, body freezing but face was on fire, 102.5 fever, dizzy, I couldn't keep my eyes open, I struggled to stay awake it was hard to open my eyes or lift my head long enough to verbally respond, I was shaky, teeth hatter, severe body aches,  continuously my head was dropping my head and felt like I was going to pass out, I felt like I was going to faint several times, I felt really "out of it"
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Vomiting
Clinical narrative: Severe stomach pain and vomiting off and on for 12 hours.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acute myocardial infarction, COVID-19, Lung opacity, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Received Janssen vaccine on 4/2/21; Moderna on 11/2/21 COVID-19 positive by PCR on  1/5/22 admitted to hospital 1/11-1/14/22 for NSTEMI; Suspected pneumonia in the anterior right upper lobe accounting for consolidative opacities. ID consulted for positive COVID-19 and recommendations included a three day course of remdesivir
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acute myocardial infarction, COVID-19, Lung opacity, Pneumonia, SARS-CoV-2 test
Clinical narrative: Received Janssen vaccine on 4/2/21; Moderna on 11/2/21 COVID-19 positive by PCR on  1/5/22 admitted to hospital 1/11-1/14/22 for NSTEMI; Suspected pneumonia in the anterior right upper lobe accounting for consolidative opacities. ID consulted for positive COVID-19 and recommendations included a three day course of remdesivir
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Received Janssen vaccine on 4/2/21; Moderna on 11/2/21 COVID-19 positive by PCR on  1/5/22 admitted to hospital 1/11-1/14/22 for NSTEMI; Suspected pneumonia in the anterior right upper lobe accounting for consolidative opacities. ID consulted for positive COVID-19 and recommendations included a three day course of remdesivir
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Pericarditis
Clinical narrative: Pt admit to hospital on 1/5/22 w/ pericarditis d/t COVID19. Pt received 1 dose of J&J on 4/7/21
Age: 13.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive test and symptoms
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Magnetic resonance imaging, Migraine
Clinical narrative: 31 Eye Migraine headaches in 7 days
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok'd for use. Instructed by their staff to report each dose given in this system.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Fall, Multiple injuries, SARS-CoV-2 test positive
Clinical narrative: Received Moderna vaccines on 2/5, 3/5, 9/19/21 COVID-19 positive by PCR on  1/11/22 admitted to hospital  s/p fall w/ polytrauma; incidental finding of COVID on admission.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose decreased, Echocardiogram normal, Electrocardiogram normal, Hypotension, Magnetic resonance imaging normal
Clinical narrative: shortly after receiving the shot I waited 15 minutes. I started not to feel good when I got to my car and went to walk back to get help and pass out. After I got back a nurse or teacher asked me if I was ok and someone went and got help. I was put in a wheelchair my BP or sugar was very low and I was given some snacks.  My boyfriend came and got me. I went to my PCP within the same week.  I was sent to Neurologists within a few weeks because it wasn't the first time I had passed out. I haven't had any follow-ups since When I did have the 2nd shot they had me laying down and they kept me a little longer but I was fine.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: shortly after receiving the shot I waited 15 minutes. I started not to feel good when I got to my car and went to walk back to get help and pass out. After I got back a nurse or teacher asked me if I was ok and someone went and got help. I was put in a wheelchair my BP or sugar was very low and I was given some snacks.  My boyfriend came and got me. I went to my PCP within the same week.  I was sent to Neurologists within a few weeks because it wasn't the first time I had passed out. I haven't had any follow-ups since When I did have the 2nd shot they had me laying down and they kept me a little longer but I was fine.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: patient started feeling lightheaded and fainted.  Has a history of this after vaccinations. Patient remained seated was given an ice pack to comfort her and recovered.  Sat for an additional observation period and was fine.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, C-reactive protein increased, Herpes zoster, Herpes zoster cutaneous disseminated, Red blood cell sedimentation rate increased
Clinical narrative: 75-year-old woman admitted 1/9 with herpes zoster involving the right upper chest and neck, including the C3-C5 dermatomes. The vesicles began on 1/8. There are additional lesions on the left cheek and left lower abdomen, so this is clearly disseminated disease. Unclear if this was triggered by the Moderna booster, but the timing is concerning.  Status post the Moderna COVID-19 booster shot 1/7/22 (1 day prior to the onset of the Zoster).  Patient was hospitalized on 1/9/22 and is receiving acyclovir 10mg/kg IV every 8 hours for 7-10 days depending on her clinical response.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dysphonia, Headache, Pain
Clinical narrative: Woke up at night because of ache and pain, severe headache, coughing and hoarseness. Later in the day increasingly so throughout the day. My temp is usually low but it showed 99.0° as opposed to my usual 97.6. Was advised to take an at home COVID test and showed positive that day.(1/13) Appointment scheduled for 1/17 at 10:30 CT. No contact with Medical Professional. Have been using a Proventil that was given to me during my last COVID infection. Also, been taking a Daytime Cold relief pill.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Woke up at night because of ache and pain, severe headache, coughing and hoarseness. Later in the day increasingly so throughout the day. My temp is usually low but it showed 99.0° as opposed to my usual 97.6. Was advised to take an at home COVID test and showed positive that day.(1/13) Appointment scheduled for 1/17 at 10:30 CT. No contact with Medical Professional. Have been using a Proventil that was given to me during my last COVID infection. Also, been taking a Daytime Cold relief pill.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok'd for use. Instructed by their staff to report each dose given in this system.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Throat irritation
Clinical narrative: Received Pfizer vaccine for Booster shot on 1/7/2021. She had a vaccine allergy/reaction or scratchy and itchy throat and she felt some "slight swelling starting".  She initially received J&J vaccine and had a similar reaction of scratchy throat. She stated MD okayed her to received Pfizer Booster and she premedicated herself with Claritin prior to Booster. Pt stated that she has a history of vaccine allergies (again MD cleared her to receive Booster).  Benadryl 25mg IM given at 15:06, she was reevaluated at 15:35 (30 minutes later) VSS, a/o x4,  talking in complete sentences. Pt stated symptoms resolved and that she felt safe to go home and drive.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthma, Atelectasis, Blood lactic acid increased, Brain natriuretic peptide normal
Clinical narrative: past medical history of asthma, HTN, mood disorder, CHF, valvular disease who is presenting for evaluation of shortness of breath.  Patient states that she has been having worsening shortness of breath over the last several days, then today when she woke up she felt like she could not take a breath and therefore emergency was called.  She states that over last month she has been out of her inhalers, in addition she reports about the 1 week of rhinorrhea, productive cough, in addition the whole family has been sick with respiratory symptoms for last 2 to 3 days, her daughter tested positive for Covid couple days ago.   Per EMS, arrival patient hypoxic to 80s, given epinephrine, magnesium, DuoNeb's, placed on BiPAP in route.  On arrival to the emergency department she was able to transition to nasal cannula, given Solu-Medrol, continued on inhalers however had a worsening shortness of breath and work of breathing therefore placed on BiPAP with improvement of symptoms.  Further work-up shows mild increase lactate, mild increase in CRP, no leukocytosis, Covid later returns positive.   She continues to smoke.  Acute hypoxic respiratory failure; Asthma/COPD exacerbation Vaccinated w/ J&J, sx onset ~ 12/25, pos 01/01, admitted 01/01, initial O2 4-5L, BiPAP for WOB. CXR showing mild r mid lung and basilar atelectasis. Ddimer 1.7 on admit, CT PE Neg, D-dimer later normalized. Started on IV Steroids and O2 weaned down to 1L at rest and 4L with activity. Exacerbation also 2/2 above and in context of out of her inhalers for a month. Reordered Neb tx, Albuterol inhaler for discharge, and Dexamethasone 6mg x6 more days to complete 10d steroid treatment.. Complete 5d doxy after discharge. Encouraged pulmonary toilet as above. Encourage outpatient PFTs.  - Cont scheduled albuterol, Mucinex for 2-3 days - Home O2, wean as able, PCP f/u - Encouraged Tobacco cessation, aggressive pulmonary toilet at home w/ Aerobika, IS, prn antitussives - f/u PCP re: COVID Vaccine Booster around 4/1/22   Chest Pressure, resolved: States since 1/4 pm,  her mucus is thicker and she is having some constant chest pressure, worse with coughing and positional changes. Denies associated ACS sxs. EKG repeat stable. Trops 18 -- >18, stable. Most likely related to pulm condition above, asxs by afternoon.    CHF H/o valvular heart disease: moderate MS, moderate MR HTN PTA amlodipine, lisinopril; per EMR hospitalization in 3/2021 for CHF exacerbation w/ lasix gtt; d/c-ed on Bumex 2mg BID though it doesn't seem she still takes it, no recent follow-up, last had 30d fill in April. BNP on admission wnl is reassuring as it essentially rules out acute CHF exacerbation. No crackles on exam, appears euvolemic. Advised close f/u outpatient cardiology team, euvolemic this admission did not restart diuretic.   Tobacco Use: Counseled on Cessation, encouraged OTC nicotine replacement.    Mood disorder:  cont PTA Effexor and Cymbalta   DM2:  Cont PTA ozempic, A1c updated 1/1 and 6.0.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, COVID-19, Chest X-ray abnormal, Chest discomfort, Chronic obstructive pulmonary disease
Clinical narrative: past medical history of asthma, HTN, mood disorder, CHF, valvular disease who is presenting for evaluation of shortness of breath.  Patient states that she has been having worsening shortness of breath over the last several days, then today when she woke up she felt like she could not take a breath and therefore emergency was called.  She states that over last month she has been out of her inhalers, in addition she reports about the 1 week of rhinorrhea, productive cough, in addition the whole family has been sick with respiratory symptoms for last 2 to 3 days, her daughter tested positive for Covid couple days ago.   Per EMS, arrival patient hypoxic to 80s, given epinephrine, magnesium, DuoNeb's, placed on BiPAP in route.  On arrival to the emergency department she was able to transition to nasal cannula, given Solu-Medrol, continued on inhalers however had a worsening shortness of breath and work of breathing therefore placed on BiPAP with improvement of symptoms.  Further work-up shows mild increase lactate, mild increase in CRP, no leukocytosis, Covid later returns positive.   She continues to smoke.  Acute hypoxic respiratory failure; Asthma/COPD exacerbation Vaccinated w/ J&J, sx onset ~ 12/25, pos 01/01, admitted 01/01, initial O2 4-5L, BiPAP for WOB. CXR showing mild r mid lung and basilar atelectasis. Ddimer 1.7 on admit, CT PE Neg, D-dimer later normalized. Started on IV Steroids and O2 weaned down to 1L at rest and 4L with activity. Exacerbation also 2/2 above and in context of out of her inhalers for a month. Reordered Neb tx, Albuterol inhaler for discharge, and Dexamethasone 6mg x6 more days to complete 10d steroid treatment.. Complete 5d doxy after discharge. Encouraged pulmonary toilet as above. Encourage outpatient PFTs.  - Cont scheduled albuterol, Mucinex for 2-3 days - Home O2, wean as able, PCP f/u - Encouraged Tobacco cessation, aggressive pulmonary toilet at home w/ Aerobika, IS, prn antitussives - f/u PCP re: COVID Vaccine Booster around 4/1/22   Chest Pressure, resolved: States since 1/4 pm,  her mucus is thicker and she is having some constant chest pressure, worse with coughing and positional changes. Denies associated ACS sxs. EKG repeat stable. Trops 18 -- >18, stable. Most likely related to pulm condition above, asxs by afternoon.    CHF H/o valvular heart disease: moderate MS, moderate MR HTN PTA amlodipine, lisinopril; per EMR hospitalization in 3/2021 for CHF exacerbation w/ lasix gtt; d/c-ed on Bumex 2mg BID though it doesn't seem she still takes it, no recent follow-up, last had 30d fill in April. BNP on admission wnl is reassuring as it essentially rules out acute CHF exacerbation. No crackles on exam, appears euvolemic. Advised close f/u outpatient cardiology team, euvolemic this admission did not restart diuretic.   Tobacco Use: Counseled on Cessation, encouraged OTC nicotine replacement.    Mood disorder:  cont PTA Effexor and Cymbalta   DM2:  Cont PTA ozempic, A1c updated 1/1 and 6.0.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax normal, Condition aggravated, Cough, Dyspnoea, Electrocardiogram normal
Clinical narrative: past medical history of asthma, HTN, mood disorder, CHF, valvular disease who is presenting for evaluation of shortness of breath.  Patient states that she has been having worsening shortness of breath over the last several days, then today when she woke up she felt like she could not take a breath and therefore emergency was called.  She states that over last month she has been out of her inhalers, in addition she reports about the 1 week of rhinorrhea, productive cough, in addition the whole family has been sick with respiratory symptoms for last 2 to 3 days, her daughter tested positive for Covid couple days ago.   Per EMS, arrival patient hypoxic to 80s, given epinephrine, magnesium, DuoNeb's, placed on BiPAP in route.  On arrival to the emergency department she was able to transition to nasal cannula, given Solu-Medrol, continued on inhalers however had a worsening shortness of breath and work of breathing therefore placed on BiPAP with improvement of symptoms.  Further work-up shows mild increase lactate, mild increase in CRP, no leukocytosis, Covid later returns positive.   She continues to smoke.  Acute hypoxic respiratory failure; Asthma/COPD exacerbation Vaccinated w/ J&J, sx onset ~ 12/25, pos 01/01, admitted 01/01, initial O2 4-5L, BiPAP for WOB. CXR showing mild r mid lung and basilar atelectasis. Ddimer 1.7 on admit, CT PE Neg, D-dimer later normalized. Started on IV Steroids and O2 weaned down to 1L at rest and 4L with activity. Exacerbation also 2/2 above and in context of out of her inhalers for a month. Reordered Neb tx, Albuterol inhaler for discharge, and Dexamethasone 6mg x6 more days to complete 10d steroid treatment.. Complete 5d doxy after discharge. Encouraged pulmonary toilet as above. Encourage outpatient PFTs.  - Cont scheduled albuterol, Mucinex for 2-3 days - Home O2, wean as able, PCP f/u - Encouraged Tobacco cessation, aggressive pulmonary toilet at home w/ Aerobika, IS, prn antitussives - f/u PCP re: COVID Vaccine Booster around 4/1/22   Chest Pressure, resolved: States since 1/4 pm,  her mucus is thicker and she is having some constant chest pressure, worse with coughing and positional changes. Denies associated ACS sxs. EKG repeat stable. Trops 18 -- >18, stable. Most likely related to pulm condition above, asxs by afternoon.    CHF H/o valvular heart disease: moderate MS, moderate MR HTN PTA amlodipine, lisinopril; per EMR hospitalization in 3/2021 for CHF exacerbation w/ lasix gtt; d/c-ed on Bumex 2mg BID though it doesn't seem she still takes it, no recent follow-up, last had 30d fill in April. BNP on admission wnl is reassuring as it essentially rules out acute CHF exacerbation. No crackles on exam, appears euvolemic. Advised close f/u outpatient cardiology team, euvolemic this admission did not restart diuretic.   Tobacco Use: Counseled on Cessation, encouraged OTC nicotine replacement.    Mood disorder:  cont PTA Effexor and Cymbalta   DM2:  Cont PTA ozempic, A1c updated 1/1 and 6.0.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Fibrin D dimer normal, Mucosal hypertrophy, Pneumothorax, Positive airway pressure therapy
Clinical narrative: past medical history of asthma, HTN, mood disorder, CHF, valvular disease who is presenting for evaluation of shortness of breath.  Patient states that she has been having worsening shortness of breath over the last several days, then today when she woke up she felt like she could not take a breath and therefore emergency was called.  She states that over last month she has been out of her inhalers, in addition she reports about the 1 week of rhinorrhea, productive cough, in addition the whole family has been sick with respiratory symptoms for last 2 to 3 days, her daughter tested positive for Covid couple days ago.   Per EMS, arrival patient hypoxic to 80s, given epinephrine, magnesium, DuoNeb's, placed on BiPAP in route.  On arrival to the emergency department she was able to transition to nasal cannula, given Solu-Medrol, continued on inhalers however had a worsening shortness of breath and work of breathing therefore placed on BiPAP with improvement of symptoms.  Further work-up shows mild increase lactate, mild increase in CRP, no leukocytosis, Covid later returns positive.   She continues to smoke.  Acute hypoxic respiratory failure; Asthma/COPD exacerbation Vaccinated w/ J&J, sx onset ~ 12/25, pos 01/01, admitted 01/01, initial O2 4-5L, BiPAP for WOB. CXR showing mild r mid lung and basilar atelectasis. Ddimer 1.7 on admit, CT PE Neg, D-dimer later normalized. Started on IV Steroids and O2 weaned down to 1L at rest and 4L with activity. Exacerbation also 2/2 above and in context of out of her inhalers for a month. Reordered Neb tx, Albuterol inhaler for discharge, and Dexamethasone 6mg x6 more days to complete 10d steroid treatment.. Complete 5d doxy after discharge. Encouraged pulmonary toilet as above. Encourage outpatient PFTs.  - Cont scheduled albuterol, Mucinex for 2-3 days - Home O2, wean as able, PCP f/u - Encouraged Tobacco cessation, aggressive pulmonary toilet at home w/ Aerobika, IS, prn antitussives - f/u PCP re: COVID Vaccine Booster around 4/1/22   Chest Pressure, resolved: States since 1/4 pm,  her mucus is thicker and she is having some constant chest pressure, worse with coughing and positional changes. Denies associated ACS sxs. EKG repeat stable. Trops 18 -- >18, stable. Most likely related to pulm condition above, asxs by afternoon.    CHF H/o valvular heart disease: moderate MS, moderate MR HTN PTA amlodipine, lisinopril; per EMR hospitalization in 3/2021 for CHF exacerbation w/ lasix gtt; d/c-ed on Bumex 2mg BID though it doesn't seem she still takes it, no recent follow-up, last had 30d fill in April. BNP on admission wnl is reassuring as it essentially rules out acute CHF exacerbation. No crackles on exam, appears euvolemic. Advised close f/u outpatient cardiology team, euvolemic this admission did not restart diuretic.   Tobacco Use: Counseled on Cessation, encouraged OTC nicotine replacement.    Mood disorder:  cont PTA Effexor and Cymbalta   DM2:  Cont PTA ozempic, A1c updated 1/1 and 6.0.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough, Rhinorrhoea, SARS-CoV-2 test positive, Tobacco user, Troponin increased
Clinical narrative: past medical history of asthma, HTN, mood disorder, CHF, valvular disease who is presenting for evaluation of shortness of breath.  Patient states that she has been having worsening shortness of breath over the last several days, then today when she woke up she felt like she could not take a breath and therefore emergency was called.  She states that over last month she has been out of her inhalers, in addition she reports about the 1 week of rhinorrhea, productive cough, in addition the whole family has been sick with respiratory symptoms for last 2 to 3 days, her daughter tested positive for Covid couple days ago.   Per EMS, arrival patient hypoxic to 80s, given epinephrine, magnesium, DuoNeb's, placed on BiPAP in route.  On arrival to the emergency department she was able to transition to nasal cannula, given Solu-Medrol, continued on inhalers however had a worsening shortness of breath and work of breathing therefore placed on BiPAP with improvement of symptoms.  Further work-up shows mild increase lactate, mild increase in CRP, no leukocytosis, Covid later returns positive.   She continues to smoke.  Acute hypoxic respiratory failure; Asthma/COPD exacerbation Vaccinated w/ J&J, sx onset ~ 12/25, pos 01/01, admitted 01/01, initial O2 4-5L, BiPAP for WOB. CXR showing mild r mid lung and basilar atelectasis. Ddimer 1.7 on admit, CT PE Neg, D-dimer later normalized. Started on IV Steroids and O2 weaned down to 1L at rest and 4L with activity. Exacerbation also 2/2 above and in context of out of her inhalers for a month. Reordered Neb tx, Albuterol inhaler for discharge, and Dexamethasone 6mg x6 more days to complete 10d steroid treatment.. Complete 5d doxy after discharge. Encouraged pulmonary toilet as above. Encourage outpatient PFTs.  - Cont scheduled albuterol, Mucinex for 2-3 days - Home O2, wean as able, PCP f/u - Encouraged Tobacco cessation, aggressive pulmonary toilet at home w/ Aerobika, IS, prn antitussives - f/u PCP re: COVID Vaccine Booster around 4/1/22   Chest Pressure, resolved: States since 1/4 pm,  her mucus is thicker and she is having some constant chest pressure, worse with coughing and positional changes. Denies associated ACS sxs. EKG repeat stable. Trops 18 -- >18, stable. Most likely related to pulm condition above, asxs by afternoon.    CHF H/o valvular heart disease: moderate MS, moderate MR HTN PTA amlodipine, lisinopril; per EMR hospitalization in 3/2021 for CHF exacerbation w/ lasix gtt; d/c-ed on Bumex 2mg BID though it doesn't seem she still takes it, no recent follow-up, last had 30d fill in April. BNP on admission wnl is reassuring as it essentially rules out acute CHF exacerbation. No crackles on exam, appears euvolemic. Advised close f/u outpatient cardiology team, euvolemic this admission did not restart diuretic.   Tobacco Use: Counseled on Cessation, encouraged OTC nicotine replacement.    Mood disorder:  cont PTA Effexor and Cymbalta   DM2:  Cont PTA ozempic, A1c updated 1/1 and 6.0.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Cardiovascular examination, Chest X-ray, Chest pain, Electrocardiogram
Clinical narrative: Chest pain and heart palpitations that progressively got worse over the course of 5 days until I had to go to the emergency room on 5 May 2021. I still have chest pain and mild heart palpitations.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Chest pain and heart palpitations that progressively got worse over the course of 5 days until I had to go to the emergency room on 5 May 2021. I still have chest pain and mild heart palpitations.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok'd for use. Instructed by their staff to report each dose given in this system.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Nausea
Clinical narrative: Patient felt hot, dizzy and nauseated about 10 minutes after receiving Moderna booster vaccine. She did not appear anxious or nervous at the time of vaccination. She tolerated the first and second vaccines well. She appears to be ok now.
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient presented to the pharmacy for a booster covid vaccine.  Said she had Pfizer before and would get Moderna.  Presented vaccine card with first dose on 12/17/2020 and second dose on 1/7/2021.  Also said aloud her last dose was 1/7.  Administered 0.25ml of Moderna vaccine. Pulled up the Immunization Registry and noted that there was already a 3rd dose listed on 9/24/21 at a Pharmacy. Called the patient to verify that she had received a vaccine at Pharmacy.  She said yes a long time ago in September or something but it's been 5 months.  Counseled the patient that she had received a 4th dose that she shouldn't have but that she would be fine.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Itching and rashes over my body
Age: 53.0
Sex: M
Vaccine: UNK
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Pt was given a booster dose of Pfizer vaccine before the minimal interval was met, no ill effect noted or reported
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Deafness, Tinnitus
Clinical narrative: Sudden loss of hearing and tinnitus
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Received Moderna vaccines on 8/9/21, 9/7/21 COVID-19 positive by PCR on 1/8 admitted to hospital on 1/11 d/t abd pain, underlying h/o metastatic urethral cancer found to be COVID + on admit, treated w/ Remdesivir
Age: 12.0
Sex: F
Vaccine: UNK
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient received the wrong vaccine. she is 12 years old and received the pediatric pfizer (5-11 years of age) no symptoms. Patient's parents aware of situation. Medical Director aware of situation. Patient will receive correct pfizer vaccine in 21 days from 1 st dose .
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Pruritus, Urine analysis, Urticaria
Clinical narrative: 11/20/201 Dose 3 two weeks after vaccination Dose 3, New health issue developed hives and itching and this is ongoing.
Age: 13.0
Sex: M
Vaccine: FLUR4
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Pediatric patient ordered for Fluzone - received Flublok.  Mfg contacted . No adverse events noted.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Atrial fibrillation, COVID-19, COVID-19 pneumonia, Cough
Clinical narrative: Received Pfizer vaccines on  1/28, 2/18, 9/30/21 COVID-19 positive by PCR on 1/11/22 admitted to hospital on 1/11/22 w/ SOB, cough, weakness, fatigue, A-fib; diagnosis of COVID pneumonia
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Fatigue, SARS-CoV-2 test positive
Clinical narrative: Received Pfizer vaccines on  1/28, 2/18, 9/30/21 COVID-19 positive by PCR on 1/11/22 admitted to hospital on 1/11/22 w/ SOB, cough, weakness, fatigue, A-fib; diagnosis of COVID pneumonia
Age: 15.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: urticaria that started 2 weeks after vaccination and lasted for over 4 weeks
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Asthenia, Asthma, Back pain, Bile acid malabsorption
Clinical narrative: Fever 100+ Asthma exacerbations Intense headache  Weakness Bloating Itchy skin (chest area) Severe lower back pain (herniated disk area) Left side pain (near lower rib cage area) Vomiting; yellow bile, consistency of egg whites, no oil/grease:  9 am ? 2 pm Approximately 10 times; Moderate amount each time Diarrhea; yellow bile:  2:30pm to 3pm
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Diarrhoea, Headache, Pain, Pruritus
Clinical narrative: Fever 100+ Asthma exacerbations Intense headache  Weakness Bloating Itchy skin (chest area) Severe lower back pain (herniated disk area) Left side pain (near lower rib cage area) Vomiting; yellow bile, consistency of egg whites, no oil/grease:  9 am ? 2 pm Approximately 10 times; Moderate amount each time Diarrhea; yellow bile:  2:30pm to 3pm
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Fever 100+ Asthma exacerbations Intense headache  Weakness Bloating Itchy skin (chest area) Severe lower back pain (herniated disk area) Left side pain (near lower rib cage area) Vomiting; yellow bile, consistency of egg whites, no oil/grease:  9 am ? 2 pm Approximately 10 times; Moderate amount each time Diarrhea; yellow bile:  2:30pm to 3pm
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19, FLU4
Symptoms: Product preparation issue
Clinical narrative: This clinician was alerted by Pharmacy that the Covid PFizer Booster dose (given at 09:12 AM) was inadvertently mixed with sterile water as the diluent; and therefore advised to immediately re-boost the patient according to the current CDC Guidelines.  The patient was alerted of the incorret diluent and recommendation to re-boost. The patient returned to this clinic on the same day in the afternoon for the re-booster Pfizer dose. A new dose of the Pfizer vaccine was mixed with normal saline as the diluent by Pharmacy. The patient reported no vaccine side effects or symptoms from the Pfizer dose given at 09:12 AM. The patient remained afebrile, and reported no side effects from the influenza vaccine given on the same day.  After the patient's verbal consent, the Pfizer vaccine re-boost was given at 3:02 PM. A courtesy follow up phone call was made to the patient Tuesday January 11, 2022, a message was left for the patient  to call back with any questions. No return phone call from the patient to this clinic as of today 1/14/2021 3:12 PM.  Pfizer, the manufactuer of the vaccine, was notified of the incident.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Chest X-ray abnormal, Chest discomfort, Chest pain, Chills
Clinical narrative: DAY AFTER VACCINE PT GOT FEVER, CHILL, "MAJOR POOLS OF SWEAT," HEADACHE, FATIGUE, SERIOUS COUIGH/COLD SYMPTOMS, CHEST PAIN, RUNNY NOSE. PT RECIEVED CHEST X-RAY. CALCIFIED NODULE WAS FOUND ON LUNGS. CURRENTLY (1/14/22) PT STILL HAS SHORTNESS OF BREATH, TIGHTNESS IN THE CHEST, AND BURNING CHEST. SYMPTOMS ARE NOT RELIEVED AT ANY TIME DURING THE DAY. PT HAS NEBULIZER AND INHALER WAS USING 5X PER DAY WITH NO RELIEF. PT WAS PUT ON PREDNISONE WITH NO RELIEF.  PT NOW HAS AN APPOINTMENT WITH A SPECIALIST (PULMINOLOGIST AND CARDIOLOGIST) DID A BLOOD PANEL AND CT SCAN TO RULE OUT VALLEY FEVER, CLOTS, ETC.  PT WAS OTHERWISE HEALTHY BEFORE VACCINE.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Cough, Dyspnoea, Fatigue, Headache
Clinical narrative: DAY AFTER VACCINE PT GOT FEVER, CHILL, "MAJOR POOLS OF SWEAT," HEADACHE, FATIGUE, SERIOUS COUIGH/COLD SYMPTOMS, CHEST PAIN, RUNNY NOSE. PT RECIEVED CHEST X-RAY. CALCIFIED NODULE WAS FOUND ON LUNGS. CURRENTLY (1/14/22) PT STILL HAS SHORTNESS OF BREATH, TIGHTNESS IN THE CHEST, AND BURNING CHEST. SYMPTOMS ARE NOT RELIEVED AT ANY TIME DURING THE DAY. PT HAS NEBULIZER AND INHALER WAS USING 5X PER DAY WITH NO RELIEF. PT WAS PUT ON PREDNISONE WITH NO RELIEF.  PT NOW HAS AN APPOINTMENT WITH A SPECIALIST (PULMINOLOGIST AND CARDIOLOGIST) DID A BLOOD PANEL AND CT SCAN TO RULE OUT VALLEY FEVER, CLOTS, ETC.  PT WAS OTHERWISE HEALTHY BEFORE VACCINE.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Nasopharyngitis, Pulmonary calcification, Pyrexia, Rhinorrhoea
Clinical narrative: DAY AFTER VACCINE PT GOT FEVER, CHILL, "MAJOR POOLS OF SWEAT," HEADACHE, FATIGUE, SERIOUS COUIGH/COLD SYMPTOMS, CHEST PAIN, RUNNY NOSE. PT RECIEVED CHEST X-RAY. CALCIFIED NODULE WAS FOUND ON LUNGS. CURRENTLY (1/14/22) PT STILL HAS SHORTNESS OF BREATH, TIGHTNESS IN THE CHEST, AND BURNING CHEST. SYMPTOMS ARE NOT RELIEVED AT ANY TIME DURING THE DAY. PT HAS NEBULIZER AND INHALER WAS USING 5X PER DAY WITH NO RELIEF. PT WAS PUT ON PREDNISONE WITH NO RELIEF.  PT NOW HAS AN APPOINTMENT WITH A SPECIALIST (PULMINOLOGIST AND CARDIOLOGIST) DID A BLOOD PANEL AND CT SCAN TO RULE OUT VALLEY FEVER, CLOTS, ETC.  PT WAS OTHERWISE HEALTHY BEFORE VACCINE.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Chest X-ray, Chest discomfort, Chills, Computerised tomogram
Clinical narrative: DAY AFTER VACCINE PT GOT FEVER, CHILL, "MAJOR POOLS OF SWEAT," HEADACHE, FATIGUE, SERIOUS COUIGH/COLD SYMPTOMS, CHEST PAIN, RUNNY NOSE. PT RECIEVED CHEST X-RAY. CALCIFIED NODULE WAS FOUND ON LUNGS. CURRENTLY (1/14/22) PT STILL HAS SHORTNESS OF BREATH, TIGHTNESS IN THE CHEST, AND BURNING CHEST. SYMPTOMS ARE NOT RELIEVED AT ANY TIME DURING THE DAY. PT HAS NEBULIZER AND INHALER WAS USING 5X PER DAY WITH NO RELIEF. PT WAS PUT ON PREDNISONE WITH NO RELIEF.  PT NOW HAS AN APPOINTMENT WITH A SPECIALIST (PULMINOLOGIST AND CARDIOLOGIST) DID A BLOOD PANEL AND CT SCAN TO RULE OUT VALLEY FEVER, CLOTS, ETC.  PT WAS OTHERWISE HEALTHY BEFORE VACCINE.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea, Fatigue, Head discomfort, Headache
Clinical narrative: DAY AFTER VACCINE PT GOT FEVER, CHILL, "MAJOR POOLS OF SWEAT," HEADACHE, FATIGUE, SERIOUS COUIGH/COLD SYMPTOMS, CHEST PAIN, RUNNY NOSE. PT RECIEVED CHEST X-RAY. CALCIFIED NODULE WAS FOUND ON LUNGS. CURRENTLY (1/14/22) PT STILL HAS SHORTNESS OF BREATH, TIGHTNESS IN THE CHEST, AND BURNING CHEST. SYMPTOMS ARE NOT RELIEVED AT ANY TIME DURING THE DAY. PT HAS NEBULIZER AND INHALER WAS USING 5X PER DAY WITH NO RELIEF. PT WAS PUT ON PREDNISONE WITH NO RELIEF.  PT NOW HAS AN APPOINTMENT WITH A SPECIALIST (PULMINOLOGIST AND CARDIOLOGIST) DID A BLOOD PANEL AND CT SCAN TO RULE OUT VALLEY FEVER, CLOTS, ETC.  PT WAS OTHERWISE HEALTHY BEFORE VACCINE.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Insomnia, Lower respiratory tract infection, Pulmonary calcification, Pyrexia
Clinical narrative: DAY AFTER VACCINE PT GOT FEVER, CHILL, "MAJOR POOLS OF SWEAT," HEADACHE, FATIGUE, SERIOUS COUIGH/COLD SYMPTOMS, CHEST PAIN, RUNNY NOSE. PT RECIEVED CHEST X-RAY. CALCIFIED NODULE WAS FOUND ON LUNGS. CURRENTLY (1/14/22) PT STILL HAS SHORTNESS OF BREATH, TIGHTNESS IN THE CHEST, AND BURNING CHEST. SYMPTOMS ARE NOT RELIEVED AT ANY TIME DURING THE DAY. PT HAS NEBULIZER AND INHALER WAS USING 5X PER DAY WITH NO RELIEF. PT WAS PUT ON PREDNISONE WITH NO RELIEF.  PT NOW HAS AN APPOINTMENT WITH A SPECIALIST (PULMINOLOGIST AND CARDIOLOGIST) DID A BLOOD PANEL AND CT SCAN TO RULE OUT VALLEY FEVER, CLOTS, ETC.  PT WAS OTHERWISE HEALTHY BEFORE VACCINE.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Dyspnoea, Headache, Inflammation
Clinical narrative: It started with a headache and blur vision, Then My chest was getting tighter. My oxygen dropped to 90 and that it what scared me, I was really short of breath and the cough that I cannot shake. I also had headache that it wouldn't go away. Yesterday 01/13/2022 I went to see the Pulmonology and basically I had a covid test on Monday which that was negative, I was checked my throat my nose and everything is inflamed and I told her it started after the booster, She gave me an Albuterol inhaler antibiotics and steroid Prednisone. She said to take my medicine and I have an Appointment next month for a recheck, She also advised that if my nose wouldn't feel any better to contact my ENT. She held any labs and EKG.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal inflammation, Vision blurred
Clinical narrative: It started with a headache and blur vision, Then My chest was getting tighter. My oxygen dropped to 90 and that it what scared me, I was really short of breath and the cough that I cannot shake. I also had headache that it wouldn't go away. Yesterday 01/13/2022 I went to see the Pulmonology and basically I had a covid test on Monday which that was negative, I was checked my throat my nose and everything is inflamed and I told her it started after the booster, She gave me an Albuterol inhaler antibiotics and steroid Prednisone. She said to take my medicine and I have an Appointment next month for a recheck, She also advised that if my nose wouldn't feel any better to contact my ENT. She held any labs and EKG.
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: A pediatric pfizer dose was administered to a 13 year old
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Patient received the Pfizer 2 series vaccine on 8/24/21 and 9/30/21 - Lot and Site not provided.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Vaccine breakthrough infection
Clinical narrative: This patient was admitted to Hospital on 1/3/2022 for COVID related symptoms. This is considered a breakthrough case.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Haemoglobin decreased, Haemorrhagic stroke, Ischaemic stroke, Transfusion
Clinical narrative: April 1, 2021 (same day as second vaccine received) Ischemic stroke which lead to a Hemorrhagic Stroke While still in the hospital from the stroke, blood draws determined very low Hemoglobin.  Transfusion was given.  This lead to weekly blood draws.  Due to the critically low hemoglobin transfusions were given on an almost weekly basis.  Nov 4, 2021 was the last transfusion as the hemoglobin has leveled out to what it was prior to the Covid-19 vaccine.  Starting Dec 27, 2021 blood draws are now bi-weekly.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Incorrectly reconstituted with bacteriostatic NaCl. Patient was contacted and provided additional dose.
Age: 9.0
Sex: F
Vaccine: UNK
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Flublok quadrivalent administered to pediatric patient.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: Received Pfizer vaccines on  3/16, 4/6, 9/3/21 COVID-19 positive by PCR on  1/11/22 admitted to hospital on 1/11/22 d/t COVID 19 symptoms underlying h/o kidney transplant
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chills, Dizziness, Dysphagia, Electrocardiogram abnormal
Clinical narrative: Around 9pm after vaccination, I got rashes on both wrists. The next morning, I woke to a high heart rate- resting heart rate was 138. When I lay down  my heart rate drops to 110. I went to the ER, Light headed, Brain fog, Fever, Chills, Left arm was cold and bluish in color while the rest of my body remained warm, swollen in my tonsils- its hard to swallow or drink.