chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Product administration error
Clinical narrative: the adverse event its a error on administration. Patient comes to the clinic for her 4th dose (2nd booster) but patient was injected with the monovalent moderna vaccine instead of the bivalent moderna vaccine (0.25 ml administered), the administered vaccine doesn't present any previous temperature excursion or any related problems. We are waiting responses of the immunization system of virginia to see how proceed with the patient, if we need to revaccinate the patient(s) or what else we can do.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient was inadvertently administered Pfizer bivalent COVID-19 vaccine that was beyond the best use date. Vial was left at room temperature for ~9hrs past the 12hr best use timeframe.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute kidney injury, Anticoagulant therapy, Chemotherapy, Condition aggravated, Dialysis
Clinical narrative: The patient was an unfortunate 74-year-old female, nonsmoker with recently diagnosed hepatocellular carcinoma/cholangiocarcinoma.  She was started on chemotherapy at the HCF on December 21.  She was then admitted on September 25 for shortness of breath, acute renal failure.  She required dialysis.  She was diagnosed with thrombosis of the portal and superior mesenteric veins.  She was placed on a heparin drip and transitioned to Coumadin.  Course was also significant for hypoxic respiratory failure and rash.    On October 21, she was transferred to another facility for further evaluation and management.  Renal was consulted for ongoing dialysis.  Insulin coverage was provided.  She was maintained on Coumadin, which was somewhat hard to titrate.  She then developed septic shock, which may have been from urinary or peritoneal source.  She was placed on broad-spectrum antibiotics.  She was seen by Infectious Disease.  She continued to deteriorate.  She required pressor support.  Given her poor prognosis, clinical decline, untreated malignancy, and overall situation, she was made DNR and transitioned to comfort care after discussion with the family.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dyspnoea, General physical health deterioration, Mesenteric vein thrombosis, Neoplasm malignant, Portal vein thrombosis
Clinical narrative: The patient was an unfortunate 74-year-old female, nonsmoker with recently diagnosed hepatocellular carcinoma/cholangiocarcinoma.  She was started on chemotherapy at the HCF on December 21.  She was then admitted on September 25 for shortness of breath, acute renal failure.  She required dialysis.  She was diagnosed with thrombosis of the portal and superior mesenteric veins.  She was placed on a heparin drip and transitioned to Coumadin.  Course was also significant for hypoxic respiratory failure and rash.    On October 21, she was transferred to another facility for further evaluation and management.  Renal was consulted for ongoing dialysis.  Insulin coverage was provided.  She was maintained on Coumadin, which was somewhat hard to titrate.  She then developed septic shock, which may have been from urinary or peritoneal source.  She was placed on broad-spectrum antibiotics.  She was seen by Infectious Disease.  She continued to deteriorate.  She required pressor support.  Given her poor prognosis, clinical decline, untreated malignancy, and overall situation, she was made DNR and transitioned to comfort care after discussion with the family.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash, Respiratory failure, Septic shock
Clinical narrative: The patient was an unfortunate 74-year-old female, nonsmoker with recently diagnosed hepatocellular carcinoma/cholangiocarcinoma.  She was started on chemotherapy at the HCF on December 21.  She was then admitted on September 25 for shortness of breath, acute renal failure.  She required dialysis.  She was diagnosed with thrombosis of the portal and superior mesenteric veins.  She was placed on a heparin drip and transitioned to Coumadin.  Course was also significant for hypoxic respiratory failure and rash.    On October 21, she was transferred to another facility for further evaluation and management.  Renal was consulted for ongoing dialysis.  Insulin coverage was provided.  She was maintained on Coumadin, which was somewhat hard to titrate.  She then developed septic shock, which may have been from urinary or peritoneal source.  She was placed on broad-spectrum antibiotics.  She was seen by Infectious Disease.  She continued to deteriorate.  She required pressor support.  Given her poor prognosis, clinical decline, untreated malignancy, and overall situation, she was made DNR and transitioned to comfort care after discussion with the family.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccinated after 10 days of BUD
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Product administration error
Clinical narrative: the adverse event its a error on administration. Patient comes to the clinic for her 3th dose (1rst  booster) but patient was injected with the monovalent moderna vaccine instead of the bivalent moderna vaccine (0.25 ml administered), the administered vaccine doesn't present any previous temperature excursion or any related problems. We are waiting responses of the immunization system of virginia to see how proceed with the patient, if we need to revaccinate the patient(s) or what else we can do.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccinated after 10 days of BUD
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pt was given a Moderna vaccine #1 and the vaccine was 2 days expired.  This was reported to the provider and to patient. Pt doing ok and was not having any symptoms other than the normal when receiving a vaccine. Pt was advised about incident 2 days after administered.
Age: 68.0
Sex: F
Vaccine: COVID19-2, FLUR4
Symptoms: Erythema, Injection site pain, Injection site pruritus, Pruritus, Vaccination site bruising
Clinical narrative: Patient reported to ER with complaint of redness and itching of the arm after vaccination. Patient reports the day after the covid and flu shot she had some itching that would not go away on her right arm and thought that it was her sweater making her itch. This nurse noticed on the right arm slight redness below vaccination site with some bruising at vaccination site. Reports that it has not gotten any better or worse and is still itchy and tender. Does report that it feels better with cold compress. Redness measure 4.5 inches in length from shoulder to elbow, and 3.5 inches from outer arm to inner arm. Patient denied any shortness of breath, difficulty breathing, tightness in the chest, blurry vision or light headedness. Patient is taking atorvastatin, multivitamin and naproxen.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Angiogram, Blood lactic acid, Death, Intestinal ischaemia, Laboratory test
Clinical narrative: Death due to acute mesenteric ischemia
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Product administration error
Clinical narrative: the adverse event its a error on administration. Patient comes to the clinic for her 4th dose (2nd booster) but patient was injected with the monovalent moderna vaccine instead of the bivalent moderna vaccine (0.25 ml administered), the administered vaccine doesn't present any previous temperature excursion or any related problems. We are waiting responses of the immunization system to see how proceed with the patient, if we need to revaccinate the patient(s) or what else we can do.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccinated after 10 days of BUD
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Fatigue, Headache
Clinical narrative: On 11/18/2022 in the morning at 08:00AM. I woke up with a headache. I also had a little breathing problem. On 11/19/2022 soreness, fatigue and all the COVID-19 symptoms. I did a telehealth on 11/29/2022 with my doctor who prescribed PAXLOVID for 5 days. I tested positive on the 11/19/2022. On 11/26/2022-11/27/2022 I tested negative after taking PAXLOVID. After finishing PAXLOVID on 11/24/2022 I had a rebound of COVID-19 on 11/28/2022 with symptoms of cough, slight fever, runny nose, congestion and sore throat. I tested positive again on 11/28/2022. I am taking over the counter medications ibuprofen and SUDAFED. I am recovering slowly.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion
Clinical narrative: On 11/18/2022 in the morning at 08:00AM. I woke up with a headache. I also had a little breathing problem. On 11/19/2022 soreness, fatigue and all the COVID-19 symptoms. I did a telehealth on 11/29/2022 with my doctor who prescribed PAXLOVID for 5 days. I tested positive on the 11/19/2022. On 11/26/2022-11/27/2022 I tested negative after taking PAXLOVID. After finishing PAXLOVID on 11/24/2022 I had a rebound of COVID-19 on 11/28/2022 with symptoms of cough, slight fever, runny nose, congestion and sore throat. I tested positive again on 11/28/2022. I am taking over the counter medications ibuprofen and SUDAFED. I am recovering slowly.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: On 11/18/2022 in the morning at 08:00AM. I woke up with a headache. I also had a little breathing problem. On 11/19/2022 soreness, fatigue and all the COVID-19 symptoms. I did a telehealth on 11/29/2022 with my doctor who prescribed PAXLOVID for 5 days. I tested positive on the 11/19/2022. On 11/26/2022-11/27/2022 I tested negative after taking PAXLOVID. After finishing PAXLOVID on 11/24/2022 I had a rebound of COVID-19 on 11/28/2022 with symptoms of cough, slight fever, runny nose, congestion and sore throat. I tested positive again on 11/28/2022. I am taking over the counter medications ibuprofen and SUDAFED. I am recovering slowly.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cough, Fatigue, Headache, Oropharyngeal pain, Pyrexia
Clinical narrative: I developed a really bad sore throat, painful cough and a fever around 101. It lasted for about 3 days with fatigue and a headache. I reached out to my doctor about taking a COVID-19 test. I treated my symptoms with a VENTOLIN inhaler, homeopathic nasal spray and herbal cough syrup. My symptoms improved. I was still coughing yesterday but everything else was good after 3 or 4 days. I don't feel I have completely recovered as I still have congestion and coughed most of the day yesterday.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: I developed a really bad sore throat, painful cough and a fever around 101. It lasted for about 3 days with fatigue and a headache. I reached out to my doctor about taking a COVID-19 test. I treated my symptoms with a VENTOLIN inhaler, homeopathic nasal spray and herbal cough syrup. My symptoms improved. I was still coughing yesterday but everything else was good after 3 or 4 days. I don't feel I have completely recovered as I still have congestion and coughed most of the day yesterday.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Moderna Bivalent Booster dose but should have received their Second dose of the Primary Series.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Product administration error
Clinical narrative: the adverse event its a error on administration. Patient comes to the clinic for his 4th dose (2nd booster) but patient was injected with the monovalent moderna vaccine instead of the bivalent moderna vaccine (0.25 ml administered), the administered vaccine doesn't present any previous temperature excursion or any related problems. We are waiting responses of the immunization system to see how proceed with the patient, if we need to revaccinate the patient(s) or what else we can do.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Headache, Oropharyngeal pain, Pyrexia, Respiratory tract congestion
Clinical narrative: She had a 102 fever, sore throat, headache, congestion, and a cough. She had the cough for about 3 weeks. She was prescribed azithromycin because they thought she had Strep throat. She was prescribed for her acne doxycycline monohydrate, but I don't know if that is what helped her get better from her illness. It seemed to help though.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: She had a 102 fever, sore throat, headache, congestion, and a cough. She had the cough for about 3 weeks. She was prescribed azithromycin because they thought she had Strep throat. She was prescribed for her acne doxycycline monohydrate, but I don't know if that is what helped her get better from her illness. It seemed to help though.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Chills, Decreased appetite
Clinical narrative: On 9/04 began experiencing symptoms of an allergy event that I experience often, tested on this day but it was negative. Woke up 9/05 feeling much worse, had horrible headache. Headache was so severe that my teeth hurt. Took another at home COVID-19 test that returned positive. Ran fever off and on, fatigue, chills, hot flashes, lost sense of smell and taste. Loss of appetite. Reached out to walk in clinic on 9/06 and was prescribed PAXLOVID and NSAID for pain. Missed work the entire week. After I began medicine symptoms began to improve after 12 hours. Fatigue continued off and on for another week, By end of September I felt pretty much back to normal.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Hot flush, Hypersensitivity
Clinical narrative: On 9/04 began experiencing symptoms of an allergy event that I experience often, tested on this day but it was negative. Woke up 9/05 feeling much worse, had horrible headache. Headache was so severe that my teeth hurt. Took another at home COVID-19 test that returned positive. Ran fever off and on, fatigue, chills, hot flashes, lost sense of smell and taste. Loss of appetite. Reached out to walk in clinic on 9/06 and was prescribed PAXLOVID and NSAID for pain. Missed work the entire week. After I began medicine symptoms began to improve after 12 hours. Fatigue continued off and on for another week, By end of September I felt pretty much back to normal.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Impaired work ability, Influenza virus test negative, Pyrexia, SARS-CoV-2 test positive, Streptococcus test negative
Clinical narrative: On 9/04 began experiencing symptoms of an allergy event that I experience often, tested on this day but it was negative. Woke up 9/05 feeling much worse, had horrible headache. Headache was so severe that my teeth hurt. Took another at home COVID-19 test that returned positive. Ran fever off and on, fatigue, chills, hot flashes, lost sense of smell and taste. Loss of appetite. Reached out to walk in clinic on 9/06 and was prescribed PAXLOVID and NSAID for pain. Missed work the entire week. After I began medicine symptoms began to improve after 12 hours. Fatigue continued off and on for another week, By end of September I felt pretty much back to normal.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Toothache
Clinical narrative: On 9/04 began experiencing symptoms of an allergy event that I experience often, tested on this day but it was negative. Woke up 9/05 feeling much worse, had horrible headache. Headache was so severe that my teeth hurt. Took another at home COVID-19 test that returned positive. Ran fever off and on, fatigue, chills, hot flashes, lost sense of smell and taste. Loss of appetite. Reached out to walk in clinic on 9/06 and was prescribed PAXLOVID and NSAID for pain. Missed work the entire week. After I began medicine symptoms began to improve after 12 hours. Fatigue continued off and on for another week, By end of September I felt pretty much back to normal.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: It started with a drainage in the back of my throat. It lasted for two weeks. I then had body aches and started having drainage in my nose. Then I figured it was not allergies. I bought a COVID-19 at home test, and it was positive. I called my PCP, and she said I was too late to receive the COVID-19 medication. The body aches started in weird places, it was in my neck and joints. I even felt the aches in my feet and toes. I have never experienced anything like that. Today my nose is still drippy, and I have more energy, I feel better in the morning than the evening. The body aches is not really there. I do have a cough now that is dry, and I have been sneezing more.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Sneezing, Upper-airway cough syndrome
Clinical narrative: It started with a drainage in the back of my throat. It lasted for two weeks. I then had body aches and started having drainage in my nose. Then I figured it was not allergies. I bought a COVID-19 at home test, and it was positive. I called my PCP, and she said I was too late to receive the COVID-19 medication. The body aches started in weird places, it was in my neck and joints. I even felt the aches in my feet and toes. I have never experienced anything like that. Today my nose is still drippy, and I have more energy, I feel better in the morning than the evening. The body aches is not really there. I do have a cough now that is dry, and I have been sneezing more.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Product administration error
Clinical narrative: the adverse event its a error on administration. Patient comes to the clinic for her 4th dose (2nd booster) but patient was injected with the monovalent moderna vaccine instead of the bivalent moderna vaccine (0.25 ml administered), the administered vaccine doesn't present any previous temperature excursion or any related problems. We are waiting responses of the immunization system to see how proceed with the patient, if we need to revaccinate the patient(s) or what else we can do.
Age: 54.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Blood test normal, Cardiac monitoring, Confusional state, Dizziness, Lethargy
Clinical narrative: Two days after vaccine felt dizzy, confused and felt tingling in fingers and toes and almost fainted, had to be helped home; Went to Dr. and had complete blood tests drawn, everything came back normal; Went to Cardiologist and given a heart monitor to wear; Haven't received results yet. Still feels lethargic since.
Age: 54.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Paraesthesia, Presyncope
Clinical narrative: Two days after vaccine felt dizzy, confused and felt tingling in fingers and toes and almost fainted, had to be helped home; Went to Dr. and had complete blood tests drawn, everything came back normal; Went to Cardiologist and given a heart monitor to wear; Haven't received results yet. Still feels lethargic since.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dyspnoea, Food allergy, Laboratory test abnormal, Rash erythematous
Clinical narrative: 9/10/21-Chicken pox (he is vaccinated against Varicella) he developed small red bumps which progressed into fluid filled blisters covering his body. 11/22/21- He developed symptoms consistent with Alpha Gal allergy (ate beef for dinner had shortness of breath, difficulty breathing and severe stomach pain about 3 hrs after ingesting). Lab test confirmed this. He had been able to eat beef with no problem up until that point. I believe the Covid vaccine may have triggered this allergy to express itself from his tick bite from 2015. That is the only tick bite he ever had.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Rash vesicular, Varicella
Clinical narrative: 9/10/21-Chicken pox (he is vaccinated against Varicella) he developed small red bumps which progressed into fluid filled blisters covering his body. 11/22/21- He developed symptoms consistent with Alpha Gal allergy (ate beef for dinner had shortness of breath, difficulty breathing and severe stomach pain about 3 hrs after ingesting). Lab test confirmed this. He had been able to eat beef with no problem up until that point. I believe the Covid vaccine may have triggered this allergy to express itself from his tick bite from 2015. That is the only tick bite he ever had.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Feeling abnormal, Malaise, Nasopharyngitis
Clinical narrative: I did not have a reaction to the vaccine. On 11/22/2022, I started not feeling well with symptoms like I had a cold. I had congestion, a sore throat, minor cough but no fever. On 11/25/2022, I tested positive for COVID-19 with a home test. I contacted my doctor and was given the prescription PAXLOVID. On 12/01/2022 I tested negative for COVID-19. I continue to have trouble with brain fog and congestion.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I did not have a reaction to the vaccine. On 11/22/2022, I started not feeling well with symptoms like I had a cold. I had congestion, a sore throat, minor cough but no fever. On 11/25/2022, I tested positive for COVID-19 with a home test. I contacted my doctor and was given the prescription PAXLOVID. On 12/01/2022 I tested negative for COVID-19. I continue to have trouble with brain fog and congestion.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pain of skin
Clinical narrative: Sudden onset of a very painful and tender scalp; mostly located on the right side of the head.  The scalp, neck, and chest became bright red.  The scalp was extremely painful.  For treatment, I took Tylenol with diphenhydramine (Tylenol PM). Upon waking in the morning, the redness has subsided and the scalp is only mildly tender.  It is currently 11:30 AM and the scalp is still mildly tender.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received an undiluted 0.2ml dose of this vaccine. No adverse reactions, events or symptoms observed 15 minutes pot vaccination on 11/30/2022or reported by mother on follow up 12/01/2022.
Age: 51.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia
Clinical narrative: Patient received his flu shot 11/17/22.  On 12/1/22, patient stopped by the pharmacy and said that after he received his flu shot he started having shoulder pain.  Patient said the pain started the day after receiving the vaccine and said that the pain has gradually worsened.  Patient was asked if he thought there was anything else that may have contributed to the pain and he could not think of anything.  Patient was told to follow up with his doctor.  The doctor prescribed a medrol dose pack later that day.
Age: 73.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Arthralgia, COVID-19, Cough, Fatigue, Headache
Clinical narrative: After the vaccine I was fine, but when I became very tired, at least 2 weeks, cough a lot, blow my nose; the cold began, it was real bad, I tested for COVID-19 at home, Friday night, the 18th, the next day I went to urgent care and confirmed that I had COVID-19 and prescribed PAXLOVID; for the November holiday I felt good but the 28th I woke up miserable I went to urgent care again and gave another prescription, I just completed and today will be my last day. I also have pain in the lower back of my hip. I have been taking aspirin for the pain and for headache.
Age: 73.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: After the vaccine I was fine, but when I became very tired, at least 2 weeks, cough a lot, blow my nose; the cold began, it was real bad, I tested for COVID-19 at home, Friday night, the 18th, the next day I went to urgent care and confirmed that I had COVID-19 and prescribed PAXLOVID; for the November holiday I felt good but the 28th I woke up miserable I went to urgent care again and gave another prescription, I just completed and today will be my last day. I also have pain in the lower back of my hip. I have been taking aspirin for the pain and for headache.
Age: 84.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Aphasia, Burning sensation, COVID-19, Cerebrovascular accident, Computerised tomogram head abnormal
Clinical narrative: COVID+ 11/28/22.  Vaccination status - Pfizer x3 + Pfizer bivalent BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider: MD Admission Date: 11/28/2022 Discharge Date: Nov 30, 2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Aphasia [R47.01] Expressive aphasia [R47.01] Acute cystitis without hematuria [N30.00] COVID-19 [U07.1]   HOSPITAL COURSE:  84 y.o. male presented from rehab after episode of lethargy, speech and visual distubrance during second therapy session of day.Found to be hypotensive with systolic pressures in the 60s. Neurologic status returned back to baseline by time he was seen in ED. Initially concern for TIA vs stoke. Neurology consulted.  CTH revealed no acute intracranial abnormality with mild chronic microvascular ischemic changes. MRI brain unremarkable. Incidentally COVID positive. UA positive and urince culture grew E.coli, pan-susceptible. Patient endorsed burning with urination and was started on 7 day course of antibiotics for UTI treatment (ceftriaxone inpatient with transition to cefuroxime on discharge). On further evaluation initial presenting episode thought to be vasovagal syncope secondary to hypotension. Unclear etiology of hypotension but likely setting of dehydration, therapy, COVID infection and UTI. Patient without any recurrence of symptoms and normotensive throughout admission. Orthostatic vitals negative. Recent echo 08/2022 reviewed  without any systolic or diastolic dysfunction, no aortic valve stenosis. PT/OT/PMR evaluated patient and recommended IPR. Patient medically stable for discharge to IPR 11/30.    Pt currently active inpatient at inpt rehab 11/30/22-
Age: 84.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Culture urine positive, Cystitis, Dehydration, Disease susceptibility, Dysuria
Clinical narrative: COVID+ 11/28/22.  Vaccination status - Pfizer x3 + Pfizer bivalent BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider: MD Admission Date: 11/28/2022 Discharge Date: Nov 30, 2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Aphasia [R47.01] Expressive aphasia [R47.01] Acute cystitis without hematuria [N30.00] COVID-19 [U07.1]   HOSPITAL COURSE:  84 y.o. male presented from rehab after episode of lethargy, speech and visual distubrance during second therapy session of day.Found to be hypotensive with systolic pressures in the 60s. Neurologic status returned back to baseline by time he was seen in ED. Initially concern for TIA vs stoke. Neurology consulted.  CTH revealed no acute intracranial abnormality with mild chronic microvascular ischemic changes. MRI brain unremarkable. Incidentally COVID positive. UA positive and urince culture grew E.coli, pan-susceptible. Patient endorsed burning with urination and was started on 7 day course of antibiotics for UTI treatment (ceftriaxone inpatient with transition to cefuroxime on discharge). On further evaluation initial presenting episode thought to be vasovagal syncope secondary to hypotension. Unclear etiology of hypotension but likely setting of dehydration, therapy, COVID infection and UTI. Patient without any recurrence of symptoms and normotensive throughout admission. Orthostatic vitals negative. Recent echo 08/2022 reviewed  without any systolic or diastolic dysfunction, no aortic valve stenosis. PT/OT/PMR evaluated patient and recommended IPR. Patient medically stable for discharge to IPR 11/30.    Pt currently active inpatient at inpt rehab 11/30/22-
Age: 84.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Echocardiogram normal, Escherichia test positive, Hypotension, Lethargy, Magnetic resonance imaging head normal
Clinical narrative: COVID+ 11/28/22.  Vaccination status - Pfizer x3 + Pfizer bivalent BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider: MD Admission Date: 11/28/2022 Discharge Date: Nov 30, 2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Aphasia [R47.01] Expressive aphasia [R47.01] Acute cystitis without hematuria [N30.00] COVID-19 [U07.1]   HOSPITAL COURSE:  84 y.o. male presented from rehab after episode of lethargy, speech and visual distubrance during second therapy session of day.Found to be hypotensive with systolic pressures in the 60s. Neurologic status returned back to baseline by time he was seen in ED. Initially concern for TIA vs stoke. Neurology consulted.  CTH revealed no acute intracranial abnormality with mild chronic microvascular ischemic changes. MRI brain unremarkable. Incidentally COVID positive. UA positive and urince culture grew E.coli, pan-susceptible. Patient endorsed burning with urination and was started on 7 day course of antibiotics for UTI treatment (ceftriaxone inpatient with transition to cefuroxime on discharge). On further evaluation initial presenting episode thought to be vasovagal syncope secondary to hypotension. Unclear etiology of hypotension but likely setting of dehydration, therapy, COVID infection and UTI. Patient without any recurrence of symptoms and normotensive throughout admission. Orthostatic vitals negative. Recent echo 08/2022 reviewed  without any systolic or diastolic dysfunction, no aortic valve stenosis. PT/OT/PMR evaluated patient and recommended IPR. Patient medically stable for discharge to IPR 11/30.    Pt currently active inpatient at inpt rehab 11/30/22-
Age: 84.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: SARS-CoV-2 test positive, Speech disorder, Syncope, Transient ischaemic attack, Urinary tract infection
Clinical narrative: COVID+ 11/28/22.  Vaccination status - Pfizer x3 + Pfizer bivalent BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider: MD Admission Date: 11/28/2022 Discharge Date: Nov 30, 2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Aphasia [R47.01] Expressive aphasia [R47.01] Acute cystitis without hematuria [N30.00] COVID-19 [U07.1]   HOSPITAL COURSE:  84 y.o. male presented from rehab after episode of lethargy, speech and visual distubrance during second therapy session of day.Found to be hypotensive with systolic pressures in the 60s. Neurologic status returned back to baseline by time he was seen in ED. Initially concern for TIA vs stoke. Neurology consulted.  CTH revealed no acute intracranial abnormality with mild chronic microvascular ischemic changes. MRI brain unremarkable. Incidentally COVID positive. UA positive and urince culture grew E.coli, pan-susceptible. Patient endorsed burning with urination and was started on 7 day course of antibiotics for UTI treatment (ceftriaxone inpatient with transition to cefuroxime on discharge). On further evaluation initial presenting episode thought to be vasovagal syncope secondary to hypotension. Unclear etiology of hypotension but likely setting of dehydration, therapy, COVID infection and UTI. Patient without any recurrence of symptoms and normotensive throughout admission. Orthostatic vitals negative. Recent echo 08/2022 reviewed  without any systolic or diastolic dysfunction, no aortic valve stenosis. PT/OT/PMR evaluated patient and recommended IPR. Patient medically stable for discharge to IPR 11/30.    Pt currently active inpatient at inpt rehab 11/30/22-
Age: 84.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Urine analysis abnormal, Visual impairment
Clinical narrative: COVID+ 11/28/22.  Vaccination status - Pfizer x3 + Pfizer bivalent BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider: MD Admission Date: 11/28/2022 Discharge Date: Nov 30, 2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Aphasia [R47.01] Expressive aphasia [R47.01] Acute cystitis without hematuria [N30.00] COVID-19 [U07.1]   HOSPITAL COURSE:  84 y.o. male presented from rehab after episode of lethargy, speech and visual distubrance during second therapy session of day.Found to be hypotensive with systolic pressures in the 60s. Neurologic status returned back to baseline by time he was seen in ED. Initially concern for TIA vs stoke. Neurology consulted.  CTH revealed no acute intracranial abnormality with mild chronic microvascular ischemic changes. MRI brain unremarkable. Incidentally COVID positive. UA positive and urince culture grew E.coli, pan-susceptible. Patient endorsed burning with urination and was started on 7 day course of antibiotics for UTI treatment (ceftriaxone inpatient with transition to cefuroxime on discharge). On further evaluation initial presenting episode thought to be vasovagal syncope secondary to hypotension. Unclear etiology of hypotension but likely setting of dehydration, therapy, COVID infection and UTI. Patient without any recurrence of symptoms and normotensive throughout admission. Orthostatic vitals negative. Recent echo 08/2022 reviewed  without any systolic or diastolic dysfunction, no aortic valve stenosis. PT/OT/PMR evaluated patient and recommended IPR. Patient medically stable for discharge to IPR 11/30.    Pt currently active inpatient at inpt rehab 11/30/22-
Age: 27.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain, Bronchospasm, Condition aggravated, Dizziness, Headache
Clinical narrative: Within 5 minutes of vaccine I experienced dizziness and started to get a headache. I have chronic conditions so I didn't think too much of it. I got home and about an hour later I proceeded to have throat tightness, throat/face/inner ear itching, severe abdominal cramping, and headache. I got the vaccine 16 days ago and have continued to have issues with allergy symptoms, but now issues with bronchospasms and airway issues. This has worsened my mast cell activation syndrome symptoms significantly
Age: 27.0
Sex: F
Vaccine: COVID19-2
Symptoms: Mast cell activation syndrome, Pruritus, Respiratory disorder, Throat irritation, Throat tightness
Clinical narrative: Within 5 minutes of vaccine I experienced dizziness and started to get a headache. I have chronic conditions so I didn't think too much of it. I got home and about an hour later I proceeded to have throat tightness, throat/face/inner ear itching, severe abdominal cramping, and headache. I got the vaccine 16 days ago and have continued to have issues with allergy symptoms, but now issues with bronchospasms and airway issues. This has worsened my mast cell activation syndrome symptoms significantly
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Product administration error
Clinical narrative: the adverse event its a error on administration. Patient comes to the clinic for his 4th dose (2nd booster) but patient was injected with the monovalent moderna vaccine instead of the bivalent moderna vaccine (0.25 ml administered), the administered vaccine doesn't present any previous temperature excursion or any related problems. We are waiting responses of the immunization system to see how proceed with the patient, if we need to revaccinate the patient(s) or what else we can do.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cough, Fatigue, Oropharyngeal pain, Pain, Respiratory tract congestion
Clinical narrative: The Saturday after the November holiday I started having a sore throat and it got worse throughout the day. Lots of congestion and achiness I took TYLENOL and it helped some. On that Monday I called the doctor and got a telehealth appointment. In the appoint I was instructed to take over the counter cough medication and lots of fluids and I was prescribed prednisone. I am still currently having congestion, fatigue, cough, and sore throat. These symptoms change on a daily some days are worse than others.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: the adverse event its a error on administration. Patient comes to the clinic for her 4th dose (2nd booster) but patient was injected with the monovalent moderna vaccine instead of the bivalent moderna vaccine (0.25 ml administered), the administered vaccine doesn't present any previous temperature excursion or any related problems. We are waiting responses of the immunization system to see how proceed with the patient, if we need to revaccinate the patient(s) or what else we can do.
Age: 1.25
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Unevaluable event
Clinical narrative: none
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: the adverse event its a error on administration. Patient comes to the clinic for her 4th dose (2nd booster) but patient was injected with the monovalent moderna vaccine instead of the bivalent moderna vaccine (0.25 ml administered), the administered vaccine doesn't present any previous temperature excursion or any related problems. We are waiting responses of the immunization system to see how proceed with the patient, if we need to revaccinate the patient(s) or what else we can do.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient received an undiluted 0.2ml dose of this vaccine. No adverse reactions, events or symptoms observed 15 minutes post vaccination on 11/30/2022 or reported by mother on follow up 12/01/2022.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received the Monovalent Comirnaty vacccine and should have received the Pfizer Bivalent booster vaccine.  Patient contacted by clinic. No adverse outcomes noted.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine expired 11/30/2022 - no reactions to vaccine, no treatment required. Patient tolerated vaccine without issue.  Unable to call patient after discovering the vaccine was expired. There is not direct phone number or email in patient chart.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Axillary pain, Chest pain, Fatigue
Clinical narrative: Patient described waking  up the day after vaccination around noon and having a sore armpit (possibly due to swollen lymph node). They also felt tired and their chest was sore. They described the soreness as a pulled muscle, but not chest pain. No difficulty breathing. By the next day the tiredness and chest soreness went away and just the armpit soreness remained. Today, 3 days later, the armpit is still sore. Patient will continue to monitor and contact the dr/ go to ER if anything worsens or if something concerning arises.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Product administration error
Clinical narrative: the adverse event its a error on administration. Patient comes to the clinic for his 3th dose (1rst booster) but patient was injected with the monovalent moderna vaccine instead of the bivalent moderna vaccine (0.25 ml administered), the administered vaccine doesn't present any previous temperature excursion or any related problems. We are waiting responses of the immunization system to see how proceed with the patient, if we need to revaccinate the patient(s) or what else we can do.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received the monovalent instead of the bivalent vaccine.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood test, Syncope
Clinical narrative: Fainted
Age: 74.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received the Monovalent Comirnaty vacccine and should have received the Pfizer Bivalent booster vaccine.  Patient contacted by clinic. No adverse outcomes noted.
Age: 39.0
Sex: M
Vaccine: FLU4
Symptoms: Chest pain, Dizziness
Clinical narrative: Dizziness started in the morning of 12/02/22 accompanied by right center chest pain. Chest pain is even present during rest. I had no dizziness of chest pain prior to this vaccine
Age: 0.5
Sex: M
Vaccine: COVID19
Symptoms: Cough, Ear infection, Pyrexia, Respiratory syncytial virus test positive, Rhinorrhoea
Clinical narrative: On 11/22/2022 in the night around 8:00AM. My son had cough, runny nose, and fever. We gave him TYLENOL and MOTRIN to reduce his fever. After few days of the fever we took him to the pediatrics office. He diagnosed him with double ear infections. They prescribed him with antibiotics. He is recovering but not 100% better yet. He still has the lingering cough and runny nose. His fever and ear infection is resolved.
Age: 0.5
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: On 11/22/2022 in the night around 8:00AM. My son had cough, runny nose, and fever. We gave him TYLENOL and MOTRIN to reduce his fever. After few days of the fever we took him to the pediatrics office. He diagnosed him with double ear infections. They prescribed him with antibiotics. He is recovering but not 100% better yet. He still has the lingering cough and runny nose. His fever and ear infection is resolved.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient's and father came for dose 2 of the Pfizer COVID 19 vaccine (5-11 year old.) on 12/1/22. The vaccine was taken out from storage in the refrigerator, diluted and given to patient. When reviewing paperwork, I noticed the manufactured date on the vaccine was 12/2021 meaning the vaccine expired on 11/30/22. I immediately notified the patient's father and called the manufacturer for guidance. Unfortunately, the manufacturer's help line was closed and was advised to call during normal business hours.  I called the manufacturer in the morning the next day 12/2/22 and received guidance. Per the manufacturer, they have done studies on the use of expired vaccinations and while not recommended, the use of the vaccine beyond the extended expiration date can be supported as long as used within 7 days of expiry date and as long as the vials were stored at appropriate storage conditions throughout their entire shelf life. After the call, I notified the patient's father of the manufacturer's guidance. The father reported no adverse side effects at this time. Also consulted father to continue monitoring and reporting any symptoms.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Product administration error
Clinical narrative: the adverse event its a error on administration. Patient comes to the clinic for his 3th dose (1st booster) but patient was injected with the monovalent moderna vaccine instead of the bivalent moderna vaccine (0.25 ml administered), the administered vaccine was past of the date of use by 3 days (expiration date: 11/22/22), no temperature excursion for this vaccine. We are waiting responses of the immunization system and from the manufacture (moderna) to see how proceed with the patient, if we need to revaccinate the patient(s) or what else we can do.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red, swollen, warm to touch entire upper left arm
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received the Monovalent Comirnaty vacccine and should have received the Pfizer Bivalent booster vaccine.  Patient contacted by clinic. No adverse outcomes noted.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Immunisation reaction, Incorrect product formulation administered
Clinical narrative: the adverse event its a error on administration. Patient comes to the clinic for his 4th dose (4th booster) but patient was injected with the monovalent moderna vaccine instead of the bivalent moderna vaccine (0.25 ml administered), the administered vaccine was past of the date of use by 3 days (expiration date: 11/22/22), no temperature excursion for this vaccine. We are waiting responses of the immunization system and from the manufacture (moderna) to see how proceed with the patient, if we need to revaccinate the patient(s) or what else we can do.
Age: 24.0
Sex: F
Vaccine: HPV9
Symptoms: Erythema, Feeling hot, Swelling face
Clinical narrative: Spoke with pt by phone at approximately 11 am this morning. Pt states she woke up this morning around 10:00 am and her face was red and swollen. Pt also complains of "feeling hot." Referred to PCP.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received the Monovalent Comirnaty vaccine and should have received the Pfizer Bivalent booster vaccine.  Patient contacted by clinic. No adverse outcomes noted.
Age: 50.0
Sex: F
Vaccine: ANTH, TYP
Symptoms: Arthralgia, Immediate post-injection reaction, Mobility decreased, Pain
Clinical narrative: I did not have any immediate reaction but about 1-2 wks after receiving the shot, all my joints started to ache.  The worst is my hands, shoulders and knees. My hands ache all the time and is hard to make a fist motion.  My shoulders also are achey all the time and I have a hard time lifting my arms up.  My knees more of a discomfort most times and hurt when walking down steps.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Joint stiffness, Musculoskeletal stiffness, Myalgia
Clinical narrative: It started out just as a an aching and a stiffness primarily in my muscles but then into my joints, this progressed for the next two days then diminished after that. This was primarily in my upper body.
Age: 72.0
Sex: U
Vaccine: COVID19
Symptoms: Dyspnoea, Respiratory distress
Clinical narrative: SOB resp distress
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received the Monovalent Comirnaty vaccine and should have received the Pfizer Bivalent booster vaccine.  Patient contacted by clinic. No adverse outcomes noted.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site pain, Mobility decreased
Clinical narrative: About 12 hours after vaccine I woke up the next morning and the arm I received my injection in was so painful that I could barely move. I would say my pain that morning was an 11 on a scale to 1-10. I didn't even get out of bed that first day. Pain continued without relent and I went in to see my PCP after two weeks. PCP was unable to identify reason for extreme pain. Pain has improved slightly but still comes and goes. When I do experience the pain I would put it at a 5 on a scale of 1-10.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, COVID-19, Fatigue, Feeling abnormal, Headache
Clinical narrative: I had a breakthrough case of Covid. I had a dull headache for a couple of days then had fatigue, fever, aches and pains, no energy whatsoever, slept a lot, felt truly awful, took PAXLOVID. Not sure it helped much.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Pyrexia, Somnolence, Vaccine breakthrough infection
Clinical narrative: I had a breakthrough case of Covid. I had a dull headache for a couple of days then had fatigue, fever, aches and pains, no energy whatsoever, slept a lot, felt truly awful, took PAXLOVID. Not sure it helped much.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received the Monovalent Comirnaty vaccine and should have received the Pfizer Bivalent booster vaccine.  Patient contacted by clinic. No adverse outcomes noted.
Age: 37.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Gave patient Moderna Bivalent instead of Moderna Monovalent