chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: fully vaccinated COVID positive pt hospitalization
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine Expired
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Burning sensation, Computerised tomogram, Hypoaesthesia, Magnetic resonance imaging
Clinical narrative: semptember 8/2021 woke up with numbness lack of feeling and blisters on left hand.had son take me to emergency room..symptoms continued to get worse,numbness from top of head to waste on left side,burning and tingling of arm.tightness under arm to waste.have not been able to get a diagnosis to this date of 07/13/2022
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Skin tightness
Clinical narrative: semptember 8/2021 woke up with numbness lack of feeling and blisters on left hand.had son take me to emergency room..symptoms continued to get worse,numbness from top of head to waste on left side,burning and tingling of arm.tightness under arm to waste.have not been able to get a diagnosis to this date of 07/13/2022
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired Vaccine
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Mobility decreased
Clinical narrative: patient got dizzy, we called 911 because she claimed she could not get up, her sister told us after the vaccination that she gets dizzy after every shot or injection. ems came and determine she was ok and she was able to go home, her sister drove her home
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine given
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine was expired for 43 days. Given inadvertently due to confusion in extended dates. Vaccine stored in refrigerator and not ultra-cold. Used ultra-cold extended date instead of 10 week expiration date.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: AR4504B was given as initial dose.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia areata, Biopsy skin abnormal, Endocrine test normal, Fatigue, Full blood count normal
Clinical narrative: Alopecia Areata developing in September 2021 with no other health indications. Balding has spread to 90% of scalp and 25% of body. Adverse reactions to vaccine #2 and to booster - high fever, sweats, heavy vomiting, fatigue
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Laboratory test normal, Pyrexia, Vomiting
Clinical narrative: Alopecia Areata developing in September 2021 with no other health indications. Balding has spread to 90% of scalp and 25% of body. Adverse reactions to vaccine #2 and to booster - high fever, sweats, heavy vomiting, fatigue
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Malaise
Clinical narrative: I noticed that I had a slight cough and runny nose. I just didn't feel well and got a headache. On May 30, 2022 I took an at home COVID-19 test and it was positive. It was like a head cold. I couldn't shake the cough. I quarantined for 10 days but still tested positive. I quarantined for another 5 days and then took another test and it was negative. That was as bad as it got. The cough I got rid of but I am still tired today. On May 31, 2022 I did a telehealth call with my doctor. My doctor prescribed me cough medication and an antibiotic. I only took the cough medication.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I noticed that I had a slight cough and runny nose. I just didn't feel well and got a headache. On May 30, 2022 I took an at home COVID-19 test and it was positive. It was like a head cold. I couldn't shake the cough. I quarantined for 10 days but still tested positive. I quarantined for another 5 days and then took another test and it was negative. That was as bad as it got. The cough I got rid of but I am still tired today. On May 31, 2022 I did a telehealth call with my doctor. My doctor prescribed me cough medication and an antibiotic. I only took the cough medication.
Age: 80.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine given
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Fatigue, Hypertension
Clinical narrative: I have been fatigued since the booster. It went from moderate to mild. Then 07/07/2022 I went for my annual visit and had a higher blood pressure. It was about 140/90. I was keeping track of it and on 07/10/2022 it was 175-195/ 101-110. So, on 07/11/2022 I went to Urgent Care. When the doctor took my blood pressure it was still high. He gave me Lisinopril to take daily. When I took that, my blood pressure went down to 92/47. I took that about 2PM CT on 07/11/2022. Before the meds that day, my blood pressure was 135/92.  By 4PM it went up to 111/64. It spiked back up yesterday and has remained high today. I am seeing my doctor this afternoon. My blood pressure history was always about 120-130 so this is abnormal for me.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Asthenia, Back pain, Chest X-ray abnormal, Computerised tomogram thorax abnormal
Clinical narrative: 89-year-old male presents the emergency department with right mid back pain and constipation.  Patient was seen 1 week ago for abdominal pain with constipation at that time he did have a bowel movement after receiving magnesium citrate.  He states since then his abdominal pain has improved however he continues to have right middle back pain.  Patient does have a history of CAD, hyperlipidemia, hypertension, MI and GERD.  He denies injury.  He does have an occasional cough however that is not new.  No fever or chills. Associated Symptoms: back pain, constipation, weakness
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Constipation, Cough, Laboratory test, Pleural effusion, Urine analysis
Clinical narrative: 89-year-old male presents the emergency department with right mid back pain and constipation.  Patient was seen 1 week ago for abdominal pain with constipation at that time he did have a bowel movement after receiving magnesium citrate.  He states since then his abdominal pain has improved however he continues to have right middle back pain.  Patient does have a history of CAD, hyperlipidemia, hypertension, MI and GERD.  He denies injury.  He does have an occasional cough however that is not new.  No fever or chills. Associated Symptoms: back pain, constipation, weakness
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: White blood cell count increased
Clinical narrative: 89-year-old male presents the emergency department with right mid back pain and constipation.  Patient was seen 1 week ago for abdominal pain with constipation at that time he did have a bowel movement after receiving magnesium citrate.  He states since then his abdominal pain has improved however he continues to have right middle back pain.  Patient does have a history of CAD, hyperlipidemia, hypertension, MI and GERD.  He denies injury.  He does have an occasional cough however that is not new.  No fever or chills. Associated Symptoms: back pain, constipation, weakness
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: 89-year-old male presents the emergency department with right mid back pain and constipation.  Patient was seen 1 week ago for abdominal pain with constipation at that time he did have a bowel movement after receiving magnesium citrate.  He states since then his abdominal pain has improved however he continues to have right middle back pain.  Patient does have a history of CAD, hyperlipidemia, hypertension, MI and GERD.  He denies injury.  He does have an occasional cough however that is not new.  No fever or chills. Associated Symptoms: back pain, constipation, weakness
Age: 96.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated with one booster.  COVID breakthrough infection
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine given
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: patient given pfizer vaccine expired for 4 days
Age: 37.0
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Pt received Covid Vaccine.  Pt diagnosed with Covid
Age: 84.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine given
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine was expired for 46 days. Given inadvertently due to confusion in extended dates. vaccine stored in refrigerator and not ultra-cold. Used ultra-cold extended date instead of 10 week expiration date.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, COVID-19, Cholecystectomy, Cholecystitis, Cholecystitis acute
Clinical narrative: Discharge Provider: Private Primary Care Provider : Private   Admission Date: 7/2/2022 Discharge Date:  07/05/2022  PRESENTING PROBLEM: Cholecystitis [K81.9]   HOSPITAL COURSE: 87 year old COVID positive female with RUQ pain and labs and imaging consistent with acute cholecystitis. She was taken to the OR on 7/4 for laparoscopic cholecystectomy. She was found to have a dilated, inflamed gallbladder with purulence noted. She was started on Augmentin for 4 day course.  When she was tolerating a diet her pain was controlled she was discharged home in stable condition with instructions for follow-up
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Imaging procedure abnormal, Laboratory test abnormal, Laparoscopic surgery, Purulence
Clinical narrative: Discharge Provider: Private Primary Care Provider : Private   Admission Date: 7/2/2022 Discharge Date:  07/05/2022  PRESENTING PROBLEM: Cholecystitis [K81.9]   HOSPITAL COURSE: 87 year old COVID positive female with RUQ pain and labs and imaging consistent with acute cholecystitis. She was taken to the OR on 7/4 for laparoscopic cholecystectomy. She was found to have a dilated, inflamed gallbladder with purulence noted. She was started on Augmentin for 4 day course.  When she was tolerating a diet her pain was controlled she was discharged home in stable condition with instructions for follow-up
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: Private Primary Care Provider : Private   Admission Date: 7/2/2022 Discharge Date:  07/05/2022  PRESENTING PROBLEM: Cholecystitis [K81.9]   HOSPITAL COURSE: 87 year old COVID positive female with RUQ pain and labs and imaging consistent with acute cholecystitis. She was taken to the OR on 7/4 for laparoscopic cholecystectomy. She was found to have a dilated, inflamed gallbladder with purulence noted. She was started on Augmentin for 4 day course.  When she was tolerating a diet her pain was controlled she was discharged home in stable condition with instructions for follow-up
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine given.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Blood electrolytes normal, COVID-19, Chills, Condition aggravated
Clinical narrative: Pt to Ed 7/8 for cough, SOB, weakness, chills, nausea, vomiting, and diarrhea x 2 days. Pt COVID positive 7/8, maintained on room air, Decadron 6 mg IV daily, pt A&O x4 vital signs stable. 7/9 Pt had 7 beat run of v tach. 7/10 Pt is A&OX4, stated that he's doing good and doesn't need anything at the moment. 7/11 pt had a 15 beat run. no complaints of any chest pain and or SOB VSS and electrolytes within normal limits, maintained on decadron 6mg IV daily. 7/12 pt discharged home, vital signs stable, discharged on Decadron 6 mg p.o. daily x5 days.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Diarrhoea, Dyspnoea, Nausea, SARS-CoV-2 test positive
Clinical narrative: Pt to Ed 7/8 for cough, SOB, weakness, chills, nausea, vomiting, and diarrhea x 2 days. Pt COVID positive 7/8, maintained on room air, Decadron 6 mg IV daily, pt A&O x4 vital signs stable. 7/9 Pt had 7 beat run of v tach. 7/10 Pt is A&OX4, stated that he's doing good and doesn't need anything at the moment. 7/11 pt had a 15 beat run. no complaints of any chest pain and or SOB VSS and electrolytes within normal limits, maintained on decadron 6mg IV daily. 7/12 pt discharged home, vital signs stable, discharged on Decadron 6 mg p.o. daily x5 days.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ventricular tachycardia, Vomiting
Clinical narrative: Pt to Ed 7/8 for cough, SOB, weakness, chills, nausea, vomiting, and diarrhea x 2 days. Pt COVID positive 7/8, maintained on room air, Decadron 6 mg IV daily, pt A&O x4 vital signs stable. 7/9 Pt had 7 beat run of v tach. 7/10 Pt is A&OX4, stated that he's doing good and doesn't need anything at the moment. 7/11 pt had a 15 beat run. no complaints of any chest pain and or SOB VSS and electrolytes within normal limits, maintained on decadron 6mg IV daily. 7/12 pt discharged home, vital signs stable, discharged on Decadron 6 mg p.o. daily x5 days.
Age: 100.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cerebrovascular accident, Coronary artery disease, Death, Dysphagia
Clinical narrative: Patient was a resident of a health care facility who tested positive for Covid-19 on 08/01/2021.  Patient expired on 09/02/2021 with Acute Stroke listed as cause of death.  Other significant contributing factors listed include dysphagia, failure to thrive, coronary artery disease, and recent Covid-19 infection.
Age: 100.0
Sex: F
Vaccine: COVID19
Symptoms: Failure to thrive, SARS-CoV-2 test positive
Clinical narrative: Patient was a resident of a health care facility who tested positive for Covid-19 on 08/01/2021.  Patient expired on 09/02/2021 with Acute Stroke listed as cause of death.  Other significant contributing factors listed include dysphagia, failure to thrive, coronary artery disease, and recent Covid-19 infection.
Age: 45.0
Sex: U
Vaccine: UNK
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt had Covid Vaccine. Pt tested positive for Covid.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood culture negative, COVID-19, Confusional state, Culture urine positive
Clinical narrative: Admission Date: 7/2/2022 Discharge Date: Jul 5, 2022   PRESENTING PROBLEM: Sepsis (HCC) [A41.9] Severe sepsis (HCC) [A41.9, R65.20] Urinary tract infection without hematuria, site unspecified [N39.0] COVID-19 [U07.1] Superimposed bacterial pneumonia HOSPITAL COURSE: The patient is an 83 y.o. male with h/o A-Fib, CAD, T2DM, HTN, HLD, CVA and OSA, presenting to the  ER on 7/2 with c/o progressive weakness and confusion in setting of recently diagnosed COVID infection.   He was admitted for sepsis 2/2 multi focal pneumonia suspected to be multifactorial in setting of recent COVID infection and possibly superimposed bacterial pneumonia.  Patient has elevated procalcitonin and was started on IV ceftriaxone and azithromycin.  He also noted to have acute cystitis. His urine culture grew Proteus mirabilis.  Blood culture has been negative to date.  He was transitioned off IV ceftriaxone to Ceftin to complete additional 3 more days for total of 7 days for urinary tract infection. Patient improved with supportive treatment and was not started on Decadron and/or remdesivir as he is not requiring any supplemental oxygen. He was discharged in stable condition and will follow up with PCP.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Cystitis, Pneumonia bacterial, Procalcitonin increased, Proteus test positive, Sepsis
Clinical narrative: Admission Date: 7/2/2022 Discharge Date: Jul 5, 2022   PRESENTING PROBLEM: Sepsis (HCC) [A41.9] Severe sepsis (HCC) [A41.9, R65.20] Urinary tract infection without hematuria, site unspecified [N39.0] COVID-19 [U07.1] Superimposed bacterial pneumonia HOSPITAL COURSE: The patient is an 83 y.o. male with h/o A-Fib, CAD, T2DM, HTN, HLD, CVA and OSA, presenting to the  ER on 7/2 with c/o progressive weakness and confusion in setting of recently diagnosed COVID infection.   He was admitted for sepsis 2/2 multi focal pneumonia suspected to be multifactorial in setting of recent COVID infection and possibly superimposed bacterial pneumonia.  Patient has elevated procalcitonin and was started on IV ceftriaxone and azithromycin.  He also noted to have acute cystitis. His urine culture grew Proteus mirabilis.  Blood culture has been negative to date.  He was transitioned off IV ceftriaxone to Ceftin to complete additional 3 more days for total of 7 days for urinary tract infection. Patient improved with supportive treatment and was not started on Decadron and/or remdesivir as he is not requiring any supplemental oxygen. He was discharged in stable condition and will follow up with PCP.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Superinfection, Urinary tract infection
Clinical narrative: Admission Date: 7/2/2022 Discharge Date: Jul 5, 2022   PRESENTING PROBLEM: Sepsis (HCC) [A41.9] Severe sepsis (HCC) [A41.9, R65.20] Urinary tract infection without hematuria, site unspecified [N39.0] COVID-19 [U07.1] Superimposed bacterial pneumonia HOSPITAL COURSE: The patient is an 83 y.o. male with h/o A-Fib, CAD, T2DM, HTN, HLD, CVA and OSA, presenting to the  ER on 7/2 with c/o progressive weakness and confusion in setting of recently diagnosed COVID infection.   He was admitted for sepsis 2/2 multi focal pneumonia suspected to be multifactorial in setting of recent COVID infection and possibly superimposed bacterial pneumonia.  Patient has elevated procalcitonin and was started on IV ceftriaxone and azithromycin.  He also noted to have acute cystitis. His urine culture grew Proteus mirabilis.  Blood culture has been negative to date.  He was transitioned off IV ceftriaxone to Ceftin to complete additional 3 more days for total of 7 days for urinary tract infection. Patient improved with supportive treatment and was not started on Decadron and/or remdesivir as he is not requiring any supplemental oxygen. He was discharged in stable condition and will follow up with PCP.
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired Vaccine given
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired Vaccine given
Sex: U
Vaccine: UNK
Symptoms: Expired product administered
Clinical narrative: Expired Vaccine given
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Pyrexia, SARS-CoV-2 test positive, Sinus disorder
Clinical narrative: On 05/29/22 he woke up a bit tired, but he had been in a parade the previous day in hot weather so I didn't think too much of it. He had a low grade fever that we treated with alternating Tylenol and Ibuprofen. I also gave him extra Vitamin C at that time. He was tested for COVID-19 on the third day at a local clinic and he was positive. By the time we received his PCR test results though his symptoms were improving to the point where medical intervention was not necessary. He only ran a fever for 2 days but was fatigued and had sinus like symptoms for around 4 days.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Postural orthostatic tachycardia syndrome
Clinical narrative: Patient developed postural tachycardia syndrome (POTS) after receiving COVID-19 vaccine. Pt has allergy to PEG-2000 which causes her to develop POTS.
Age: 84.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Acute respiratory failure, Blood pressure decreased, COVID-19, Cardiac failure acute, Cardiac failure congestive
Clinical narrative: Admission Date: 7/1/2022 Discharge Date: Jul 5, 2022  PRESENTING PROBLEM: Acute on chronic diastolic heart failure (HCC) [I50.33] Hypokalemia [E87.6] Respiratory insufficiency [R06.89] Increased oxygen demand [R68.89] Acute on chronic congestive heart failure, unspecified heart failure type (HCC) [I50.9] COVID-19 virus infection [U07.1]   HOSPITAL COURSE: Acute on chronic hypoxic hypercapnic respiratory failure on admission not resolved prior to discharge patient is still on BiPAP however patient's family had decided on comfort measures, there was an attempt to take patient home on comfort measures yesterday but this was postponed to today.  I discussed with the patient's son by the bedside this morning and he confirmed the patient is do not resuscitate and family wants comfort measures, he understands the patient is dying actively, but he wants us to be able to arrange patient to go home on BiPAP with ambulance today so that patient can pass it with quietly at home amongst his family.  On discharge I prescribed a comfort measure medications like morphine, Ativan and scopolamine.  Medical social worker will arrange for hospice at home to continue adjusting his meds however I would doubt if patient with being home long enough for hospice to visit, patient seems to be actively passing away.  Blood pressures have dropped, patient's son is aware of these and he understands the patient might pass away today, but he would prefer patient passed away at home  Patient passed on 7/5/22 at his residence.
Age: 84.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Condition aggravated, Death, Hypokalaemia, Left ventricular failure, Positive airway pressure therapy
Clinical narrative: Admission Date: 7/1/2022 Discharge Date: Jul 5, 2022  PRESENTING PROBLEM: Acute on chronic diastolic heart failure (HCC) [I50.33] Hypokalemia [E87.6] Respiratory insufficiency [R06.89] Increased oxygen demand [R68.89] Acute on chronic congestive heart failure, unspecified heart failure type (HCC) [I50.9] COVID-19 virus infection [U07.1]   HOSPITAL COURSE: Acute on chronic hypoxic hypercapnic respiratory failure on admission not resolved prior to discharge patient is still on BiPAP however patient's family had decided on comfort measures, there was an attempt to take patient home on comfort measures yesterday but this was postponed to today.  I discussed with the patient's son by the bedside this morning and he confirmed the patient is do not resuscitate and family wants comfort measures, he understands the patient is dying actively, but he wants us to be able to arrange patient to go home on BiPAP with ambulance today so that patient can pass it with quietly at home amongst his family.  On discharge I prescribed a comfort measure medications like morphine, Ativan and scopolamine.  Medical social worker will arrange for hospice at home to continue adjusting his meds however I would doubt if patient with being home long enough for hospice to visit, patient seems to be actively passing away.  Blood pressures have dropped, patient's son is aware of these and he understands the patient might pass away today, but he would prefer patient passed away at home  Patient passed on 7/5/22 at his residence.
Age: 84.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Respiratory failure
Clinical narrative: Admission Date: 7/1/2022 Discharge Date: Jul 5, 2022  PRESENTING PROBLEM: Acute on chronic diastolic heart failure (HCC) [I50.33] Hypokalemia [E87.6] Respiratory insufficiency [R06.89] Increased oxygen demand [R68.89] Acute on chronic congestive heart failure, unspecified heart failure type (HCC) [I50.9] COVID-19 virus infection [U07.1]   HOSPITAL COURSE: Acute on chronic hypoxic hypercapnic respiratory failure on admission not resolved prior to discharge patient is still on BiPAP however patient's family had decided on comfort measures, there was an attempt to take patient home on comfort measures yesterday but this was postponed to today.  I discussed with the patient's son by the bedside this morning and he confirmed the patient is do not resuscitate and family wants comfort measures, he understands the patient is dying actively, but he wants us to be able to arrange patient to go home on BiPAP with ambulance today so that patient can pass it with quietly at home amongst his family.  On discharge I prescribed a comfort measure medications like morphine, Ativan and scopolamine.  Medical social worker will arrange for hospice at home to continue adjusting his meds however I would doubt if patient with being home long enough for hospice to visit, patient seems to be actively passing away.  Blood pressures have dropped, patient's son is aware of these and he understands the patient might pass away today, but he would prefer patient passed away at home  Patient passed on 7/5/22 at his residence.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired Vaccine Givem
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Cough, Decreased appetite, Ear swelling
Clinical narrative: I had a fever, head congestion, swelling in my ears, chest congestion and coughing. I took an at-home COVID-19 test on 06/06/2022 that came back positive. I called my doctor and informed her and she prescribed me Prednisone and Bactrim. And still to this day, I have a cough and extreme fatigue that I can't get rid of since I contracted COVID-19. I can't sleep, I've lost my appetite, my joints are hurting daily, I just can't seem to get back to full 100% wellness since then.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Insomnia, Malaise, Pyrexia, Respiratory tract congestion
Clinical narrative: I had a fever, head congestion, swelling in my ears, chest congestion and coughing. I took an at-home COVID-19 test on 06/06/2022 that came back positive. I called my doctor and informed her and she prescribed me Prednisone and Bactrim. And still to this day, I have a cough and extreme fatigue that I can't get rid of since I contracted COVID-19. I can't sleep, I've lost my appetite, my joints are hurting daily, I just can't seem to get back to full 100% wellness since then.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: I had a fever, head congestion, swelling in my ears, chest congestion and coughing. I took an at-home COVID-19 test on 06/06/2022 that came back positive. I called my doctor and informed her and she prescribed me Prednisone and Bactrim. And still to this day, I have a cough and extreme fatigue that I can't get rid of since I contracted COVID-19. I can't sleep, I've lost my appetite, my joints are hurting daily, I just can't seem to get back to full 100% wellness since then.
Age: 17.0
Sex: F
Vaccine: HEPA
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Adult Hep A given to 17 yo patient instead of peds dose. Father informed.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, No adverse event, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I did not have an adverse reaction to the vaccine. I tested positive with the home test for COVID-19 06/18/2022. The only symptom that I had was a scratchy throat. I had a telehealth visit with my doctor and he stated that my symptoms was to mild for the antiviral medication.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond use date.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired for 35 days. Pt recieved second dose 6/21/2022, same lot number.  Both doses given inadvertently due to confusion in extended dates. vaccine stored in refrigerator and not ultra-cold. Used ultra-cold extended date instead of 10 week expiration date.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Cardiac failure congestive, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: Admission Date: 7/1/2022 Discharge Date: 7/6/2022  PRESENTING PROBLEM: Acute exacerbation of chronic obstructive pulmonary disease (COPD) (HCC) [J44.1] Acute respiratory disease due to COVID-19 virus [U07.1, J06.9] COVID-19 [U07.1]   HOSPITAL COURSE: The patient is an 83-year-old female recently hospitalized for acute CHF who presented back to the hospital with complaints of shortness of breath.  The patient was felt to be suffering from acute chronic obstructive pulmonary disease exacerbation that is likely related to acute COVID infection.  On presentation the patient was started on steroids, routine breathing treatments, and azithromycin.  The patient additionally was treated with IV remdesivir.  The patient was found to have acute respiratory failure requiring up to 5 L of oxygen.  At time of discharge patient was able to be weaned back to her baseline oxygen needs of 2 L, as needed with activity or sleep and while at rest was found to have appropriate saturations on room air.  The patient did have intermittent visual hallucinations felt to be related to either high-dose steroids or hospital delirium.  Patient's husband states she has been having some altered mental status at home even prior to hospitalization.  Question an element of underlying dementia that has been worsened by high dose steroids, hospitalization and limited sleep.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Delirium, Dyspnoea, Hallucination, visual, Mental status changes, Respiratory disorder
Clinical narrative: Admission Date: 7/1/2022 Discharge Date: 7/6/2022  PRESENTING PROBLEM: Acute exacerbation of chronic obstructive pulmonary disease (COPD) (HCC) [J44.1] Acute respiratory disease due to COVID-19 virus [U07.1, J06.9] COVID-19 [U07.1]   HOSPITAL COURSE: The patient is an 83-year-old female recently hospitalized for acute CHF who presented back to the hospital with complaints of shortness of breath.  The patient was felt to be suffering from acute chronic obstructive pulmonary disease exacerbation that is likely related to acute COVID infection.  On presentation the patient was started on steroids, routine breathing treatments, and azithromycin.  The patient additionally was treated with IV remdesivir.  The patient was found to have acute respiratory failure requiring up to 5 L of oxygen.  At time of discharge patient was able to be weaned back to her baseline oxygen needs of 2 L, as needed with activity or sleep and while at rest was found to have appropriate saturations on room air.  The patient did have intermittent visual hallucinations felt to be related to either high-dose steroids or hospital delirium.  Patient's husband states she has been having some altered mental status at home even prior to hospitalization.  Question an element of underlying dementia that has been worsened by high dose steroids, hospitalization and limited sleep.
Age: 75.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine given
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Breath sounds abnormal, Condition aggravated, Cough, Diarrhoea
Clinical narrative: Pt to ED 7/7 with cc diarrhea x2 days. Pt denies any NV, no fever, RA O2, treated with bebtelovimab infusion. 7/9 pt AOx3. Vitals have been stable with no distress noted. IV fluids infusing according to MAR. Pt remains on room air. 7/11 Pt is A&O x 2 at this time, denies any SOB/chest pain, denies pain, no S/S of acute distress noted. Lower lung sounds are diminished and non productive cough noted. 7/12 Pt is A&OX3, she denies having pain or discomfort, no SOB. Pt discharged.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: received expired vaccine
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Discomfort, Fear, Glossodynia, Malaise
Clinical narrative: I was traveling right before, and my flight back was on June 16. I was fine, though looking back I wonder that my mouth didn't feel right. My tongue felt a little tender, but it wasn't bad. I wonder if that was an early symptom. It was a long day and we got back to our house early evening. I had a restless night of sleep and woke up the next morning and it was like a bad cold I had a sore throat, lots of phlegm and just didn't feel well. I took a COVID-19 test and it showed positive immediately. I began calling to try and get PAXLOVID. I felt like I was getting worse fast. It felt like it was going in kind of waves. I would feel better for a bit then get bad again. I was afraid that I would be without resources over the weekend, so I requested PAXLOVID and took it that same evening. By the next day, the second dose on Saturday morning, I wasn't worse. Every dose made me less sick with COVID-19. I did the 5-day course and I did have that very bad mouth issue and my gastric system with PAXLOVID. I was very uncomfortable and it was painful. Right after the next to the last dose, I had pain around 7 on the pain scale. I was clearly not getting worse with COVID-19 and they warned me that I may be tempted not to finish the course of the PAXLOVID, but I finished them all. By the end of the 5th day, I had a lot of phlegm still, but I wasn't sneezing, and it wasn't as bad. The severity felt like a really bad cold, but I've never had a cold that bad. By the end of the PAXLOVID, I knew I was over COVID-19. With PAXLOVID, I knew there was a possibility of rebound. I was careful because I was wondering if I could catch it again from my husband. Luckily, it did not return.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, Oral discomfort, Oropharyngeal pain, Pain, Productive cough
Clinical narrative: I was traveling right before, and my flight back was on June 16. I was fine, though looking back I wonder that my mouth didn't feel right. My tongue felt a little tender, but it wasn't bad. I wonder if that was an early symptom. It was a long day and we got back to our house early evening. I had a restless night of sleep and woke up the next morning and it was like a bad cold I had a sore throat, lots of phlegm and just didn't feel well. I took a COVID-19 test and it showed positive immediately. I began calling to try and get PAXLOVID. I felt like I was getting worse fast. It felt like it was going in kind of waves. I would feel better for a bit then get bad again. I was afraid that I would be without resources over the weekend, so I requested PAXLOVID and took it that same evening. By the next day, the second dose on Saturday morning, I wasn't worse. Every dose made me less sick with COVID-19. I did the 5-day course and I did have that very bad mouth issue and my gastric system with PAXLOVID. I was very uncomfortable and it was painful. Right after the next to the last dose, I had pain around 7 on the pain scale. I was clearly not getting worse with COVID-19 and they warned me that I may be tempted not to finish the course of the PAXLOVID, but I finished them all. By the end of the 5th day, I had a lot of phlegm still, but I wasn't sneezing, and it wasn't as bad. The severity felt like a really bad cold, but I've never had a cold that bad. By the end of the PAXLOVID, I knew I was over COVID-19. With PAXLOVID, I knew there was a possibility of rebound. I was careful because I was wondering if I could catch it again from my husband. Luckily, it did not return.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Restlessness, SARS-CoV-2 test positive
Clinical narrative: I was traveling right before, and my flight back was on June 16. I was fine, though looking back I wonder that my mouth didn't feel right. My tongue felt a little tender, but it wasn't bad. I wonder if that was an early symptom. It was a long day and we got back to our house early evening. I had a restless night of sleep and woke up the next morning and it was like a bad cold I had a sore throat, lots of phlegm and just didn't feel well. I took a COVID-19 test and it showed positive immediately. I began calling to try and get PAXLOVID. I felt like I was getting worse fast. It felt like it was going in kind of waves. I would feel better for a bit then get bad again. I was afraid that I would be without resources over the weekend, so I requested PAXLOVID and took it that same evening. By the next day, the second dose on Saturday morning, I wasn't worse. Every dose made me less sick with COVID-19. I did the 5-day course and I did have that very bad mouth issue and my gastric system with PAXLOVID. I was very uncomfortable and it was painful. Right after the next to the last dose, I had pain around 7 on the pain scale. I was clearly not getting worse with COVID-19 and they warned me that I may be tempted not to finish the course of the PAXLOVID, but I finished them all. By the end of the 5th day, I had a lot of phlegm still, but I wasn't sneezing, and it wasn't as bad. The severity felt like a really bad cold, but I've never had a cold that bad. By the end of the PAXLOVID, I knew I was over COVID-19. With PAXLOVID, I knew there was a possibility of rebound. I was careful because I was wondering if I could catch it again from my husband. Luckily, it did not return.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Fatigue, Feeling hot, Hypersomnia
Clinical narrative: The evening of Thursday July 7, I was feeling tired, I did not know if was a little cold, or because I exercised that day, but I took the home test and it was just expired, and I took it anyway it was negative, that night I felt chills, the next morning I decided to take another test, and that tested positive, I immediately called the doctor, and I explained my experience and doctor recommended a medicine, called the pharmacy and took the medicine, I isolated for 5 days. The first days I took a lot of naps, and things got progressively better. I had sore throat, cough a lot. The first days I felt warmed but never took my temperature.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: The evening of Thursday July 7, I was feeling tired, I did not know if was a little cold, or because I exercised that day, but I took the home test and it was just expired, and I took it anyway it was negative, that night I felt chills, the next morning I decided to take another test, and that tested positive, I immediately called the doctor, and I explained my experience and doctor recommended a medicine, called the pharmacy and took the medicine, I isolated for 5 days. The first days I took a lot of naps, and things got progressively better. I had sore throat, cough a lot. The first days I felt warmed but never took my temperature.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, COVID-19, Cough, Fatigue, Feeling abnormal
Clinical narrative: 06/23/2022 I was traveling and I started to lose my voice. 06/24/2022 I lost my voice completely  06/27/2022 I started to develop a cough, so I drank hot tea with honey, and it helped along with a hot shower.  06/28/2022 I wasn't feeling great, and I was actually supposed to catch a flight back home but my flight was canceled. 06/29/2022  I started taking the airborne, decongestion (which I only took it once it kept me from sleeping) and couch drops. I was feeling very fatigue. 06/30/2022 I got my flight home, and I took an at home COVID-19 Test and it came up negative. My voice is started to come back, and I still have the cough but only at night.  07/01/2022 I went to the COVID-19 Testing site and I was given another test and a PCR. The Rapid came back negative. I started having a low-grade fever. 07/02/2022 I received my PCR results and, they were positive. I called my PCP and she said it was too late to do the Paxlovid. The doctor also told me to keep doing my home remedies like airborne lots of fluid, tea and rest 07/08/2022 I would say I had recovered, and I was back to myself.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 06/23/2022 I was traveling and I started to lose my voice. 06/24/2022 I lost my voice completely  06/27/2022 I started to develop a cough, so I drank hot tea with honey, and it helped along with a hot shower.  06/28/2022 I wasn't feeling great, and I was actually supposed to catch a flight back home but my flight was canceled. 06/29/2022  I started taking the airborne, decongestion (which I only took it once it kept me from sleeping) and couch drops. I was feeling very fatigue. 06/30/2022 I got my flight home, and I took an at home COVID-19 Test and it came up negative. My voice is started to come back, and I still have the cough but only at night.  07/01/2022 I went to the COVID-19 Testing site and I was given another test and a PCR. The Rapid came back negative. I started having a low-grade fever. 07/02/2022 I received my PCR results and, they were positive. I called my PCP and she said it was too late to do the Paxlovid. The doctor also told me to keep doing my home remedies like airborne lots of fluid, tea and rest 07/08/2022 I would say I had recovered, and I was back to myself.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired Vaccine Given
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: patient Covid-19 + 6/28/2022, hospitalized at local Hospital
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine given
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired for 15 days. Given inadvertently due to confusion in extended dates. vaccine stored in refrigerator and not ultra-cold. Used ultra-cold extended date instead of 10 week expiration date.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: received expired vaccine
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Confusional state, Culture urine positive, Disorientation
Clinical narrative: Discharge Provider: Primary Care Provider :  6/28/2022 - 7/11/2022 (13 days) Hospitals -   PRESENTING PROBLEM: Acute metabolic encephalopathy   HOSPITAL COURSE: Patient is an 89 year old with PMHx of CAD, CLL, CAD, Parkinson's who presented to the hospital with acute metabolic encephalopathy. Patient recently admitted for a similar event from 6/3-6/15, found to have enterococcus  UTI. Extensive work up at that time including MRI, EEG, and LP were unremarkable. Patient was able to have improvement on its own as the UTI was treated. Patient was re-admitted, Urine + for UTI, growing enterococcus again. Patient also + for COVID-19, family members were sick prior to admission. Patient was very confused again, not oriented to anything. He had an EEG done which was negative. Neurology consulted, and recommended treating underlying infections. Patient required restraints early in his hospital stay. Slowly his mental status improved. He was evaluated by SLP and PT/OT who recommended subacute rehab. Patient was switched to amoxicillin to completed a 14 day course of treatment. Patient was recommended to follow up with Urology as an outpatient to evaluate his recurrent UTIs. Patient had to stay in COVID isolation until he was cleared for subacute rehab. Patient was ultimately discharged to Assisted living with home therapy.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Electroencephalogram normal, Enterococcus test positive, Exposure to SARS-CoV-2, Mental status changes, Metabolic encephalopathy
Clinical narrative: Discharge Provider: Primary Care Provider :  6/28/2022 - 7/11/2022 (13 days) Hospitals -   PRESENTING PROBLEM: Acute metabolic encephalopathy   HOSPITAL COURSE: Patient is an 89 year old with PMHx of CAD, CLL, CAD, Parkinson's who presented to the hospital with acute metabolic encephalopathy. Patient recently admitted for a similar event from 6/3-6/15, found to have enterococcus  UTI. Extensive work up at that time including MRI, EEG, and LP were unremarkable. Patient was able to have improvement on its own as the UTI was treated. Patient was re-admitted, Urine + for UTI, growing enterococcus again. Patient also + for COVID-19, family members were sick prior to admission. Patient was very confused again, not oriented to anything. He had an EEG done which was negative. Neurology consulted, and recommended treating underlying infections. Patient required restraints early in his hospital stay. Slowly his mental status improved. He was evaluated by SLP and PT/OT who recommended subacute rehab. Patient was switched to amoxicillin to completed a 14 day course of treatment. Patient was recommended to follow up with Urology as an outpatient to evaluate his recurrent UTIs. Patient had to stay in COVID isolation until he was cleared for subacute rehab. Patient was ultimately discharged to Assisted living with home therapy.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Patient restraint, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Discharge Provider: Primary Care Provider :  6/28/2022 - 7/11/2022 (13 days) Hospitals -   PRESENTING PROBLEM: Acute metabolic encephalopathy   HOSPITAL COURSE: Patient is an 89 year old with PMHx of CAD, CLL, CAD, Parkinson's who presented to the hospital with acute metabolic encephalopathy. Patient recently admitted for a similar event from 6/3-6/15, found to have enterococcus  UTI. Extensive work up at that time including MRI, EEG, and LP were unremarkable. Patient was able to have improvement on its own as the UTI was treated. Patient was re-admitted, Urine + for UTI, growing enterococcus again. Patient also + for COVID-19, family members were sick prior to admission. Patient was very confused again, not oriented to anything. He had an EEG done which was negative. Neurology consulted, and recommended treating underlying infections. Patient required restraints early in his hospital stay. Slowly his mental status improved. He was evaluated by SLP and PT/OT who recommended subacute rehab. Patient was switched to amoxicillin to completed a 14 day course of treatment. Patient was recommended to follow up with Urology as an outpatient to evaluate his recurrent UTIs. Patient had to stay in COVID isolation until he was cleared for subacute rehab. Patient was ultimately discharged to Assisted living with home therapy.
Age: 35.0
Sex: F
Vaccine: FLUC4
Symptoms: Fatigue, Headache, Neck pain, Wrong product administered
Clinical narrative: She got her vaccine (pharmacist reporting), she states she experienced headache, neck ache and fatigue.  This happened a few hours after she experienced it.   Pharmacist does not have any other information other than this complaint that she received recently.   She was supposed to get a Pfizer vaccine, but got a flu vaccine instead.
Age: 74.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired Vaccine given
Age: 44.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Body temperature increased, COVID-19, Headache, Malaise, Pain
Clinical narrative: I had a bad headache on 07/02/2022 and took a few Advil and went to bed. I was feeling better the next day on Sunday. On Monday 07/04/2022 I took my temperature around 1pm several times and it ranged from 102 to 103. I took an at home COVID-19 test which came back positive. I then called my doctor who prescribed Paxlovid. I began taking the prescription that same afternoon and was still feeling sick. My fever came down and my body aches were improving. I still felt congested and sick for a few days though. I began feeling better on 07/06/22.
Age: 44.0
Sex: M
Vaccine: COVID19, UNK
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I had a bad headache on 07/02/2022 and took a few Advil and went to bed. I was feeling better the next day on Sunday. On Monday 07/04/2022 I took my temperature around 1pm several times and it ranged from 102 to 103. I took an at home COVID-19 test which came back positive. I then called my doctor who prescribed Paxlovid. I began taking the prescription that same afternoon and was still feeling sick. My fever came down and my body aches were improving. I still felt congested and sick for a few days though. I began feeling better on 07/06/22.
Age: 60.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine given