chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Oxygen saturation decreased, Procalcitonin normal, Red blood cell sedimentation rate normal, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: Admission Date: 6/7/2022 Discharge Date: Jun 8, 2022  PRESENTING PROBLEM: COVID-19    HOSPITAL COURSE: 66-year-old female with a past medical history significant for CML as well as self-reported history of asthma and previous COVID-19 vaccination who presents due to complaints of generalized weakness as well as headache and neck pain.   Patient states he has been at her baseline state of health up until the morning of 06/06/2022.  She states he has been feeling well has had no complaints that she thought were related to infection.  However, after awakening 06/06/2022, she complained of generalized weakness.  She states that while she normally ambulates around the house with no assistive devices although she does use a cane and walker outside the house, she felt like her legs at home today were much weaker than usual.  She had no numbness or tingling.  She did report a headache with some neck pain but she had no visual changes and no photophobia.  With her symptoms she was concerned that she may have had a stroke and because of this, she presented to the emergency department.   In the emergency department the patient was hemodynamically stable and afebrile.  Low suspicion was had for a stroke based on the patient's clinical exam and she did undergo CT angiography of the head and neck as well as CT of the head unenhanced.  No acute pathology was seen on imaging.  However, the patient did test positive for COVID-19 and with ambulation, her oxygen saturation would drop to the mid 80% range and she would become quite tachycardic.  Because of this, she was thought to warrant observation in the hospital and she was started on dexamethasone by the ER provider.   in-house:  patient presented with generalized weakness as well as headache and neck pain, she was admitted for acute hypoxemic respiratory failure secondary to what was suspected to be a COVID-19 mediated asthma exacerbation. patient was started on prednisone (she was given a dose of dexamethasone in the ED) and nebulizers; micro studies were sent were sent as well. a CXR was obtained and steroids were switched to dexamethasone, procalcitonin and the rest of her 'COVID labs' (d-dimer, ESR, and troponin) were unremarkable. pulmonary rehab saw her and set her up with home oxygen, suspect a component of her hypoxemia (if not all of it) is related to underlying lung disease. patient was arranged to be followed by 'Transition to Home' service. at the time of discharge patient was in good spirits and eager to leave. she said she felt slightly weak (ambulated the halls fine) and head her usual daily morning SOB. all questions and concerns addressed, all meds and follow-ups reviewed.
Age: 66.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Troponin normal, Walking aid user
Clinical narrative: Admission Date: 6/7/2022 Discharge Date: Jun 8, 2022  PRESENTING PROBLEM: COVID-19    HOSPITAL COURSE: 66-year-old female with a past medical history significant for CML as well as self-reported history of asthma and previous COVID-19 vaccination who presents due to complaints of generalized weakness as well as headache and neck pain.   Patient states he has been at her baseline state of health up until the morning of 06/06/2022.  She states he has been feeling well has had no complaints that she thought were related to infection.  However, after awakening 06/06/2022, she complained of generalized weakness.  She states that while she normally ambulates around the house with no assistive devices although she does use a cane and walker outside the house, she felt like her legs at home today were much weaker than usual.  She had no numbness or tingling.  She did report a headache with some neck pain but she had no visual changes and no photophobia.  With her symptoms she was concerned that she may have had a stroke and because of this, she presented to the emergency department.   In the emergency department the patient was hemodynamically stable and afebrile.  Low suspicion was had for a stroke based on the patient's clinical exam and she did undergo CT angiography of the head and neck as well as CT of the head unenhanced.  No acute pathology was seen on imaging.  However, the patient did test positive for COVID-19 and with ambulation, her oxygen saturation would drop to the mid 80% range and she would become quite tachycardic.  Because of this, she was thought to warrant observation in the hospital and she was started on dexamethasone by the ER provider.   in-house:  patient presented with generalized weakness as well as headache and neck pain, she was admitted for acute hypoxemic respiratory failure secondary to what was suspected to be a COVID-19 mediated asthma exacerbation. patient was started on prednisone (she was given a dose of dexamethasone in the ED) and nebulizers; micro studies were sent were sent as well. a CXR was obtained and steroids were switched to dexamethasone, procalcitonin and the rest of her 'COVID labs' (d-dimer, ESR, and troponin) were unremarkable. pulmonary rehab saw her and set her up with home oxygen, suspect a component of her hypoxemia (if not all of it) is related to underlying lung disease. patient was arranged to be followed by 'Transition to Home' service. at the time of discharge patient was in good spirits and eager to leave. she said she felt slightly weak (ambulated the halls fine) and head her usual daily morning SOB. all questions and concerns addressed, all meds and follow-ups reviewed.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered past the expiration or beyond-use date
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Headache, Injection site warmth, Pain in extremity
Clinical narrative: hot injection site, diarhhea, pain in arm, joint pain, headache
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, COVID-19, Condition aggravated, Cough, Fatigue
Clinical narrative: I had a very sore throat, lots of congestion, cough and overall fatigue. I did not feel well for the first 5 or 6 days, very under the weather. The first 2-3 days were the worst. My doctor prescribed Paxlovid because of my asthma. I have a lingering cough today.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I had a very sore throat, lots of congestion, cough and overall fatigue. I did not feel well for the first 5 or 6 days, very under the weather. The first 2-3 days were the worst. My doctor prescribed Paxlovid because of my asthma. I have a lingering cough today.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Product preparation error
Clinical narrative: Patient was given an undiluted  0.3 mL Pediatric Pfizer vaccination.  Patient reported pain at injection site at time of vaccination; pain remained 24 hours later.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Fatigue, Headache, Nasopharyngitis
Clinical narrative: I woke up on 06/03 and felt really tired and had sinus issues and sore throat. I attributed that to my recent travel. But I took a home Covid test which was negative. Later that day I went ahead and went to a local clinic to take a PCR test. I received positive results the next morning on 06/04. Before I received my results, I was informed that some of the family I was traveling had turned up positive for Covid. I was experiencing head cold like symptoms like congestion and headache which lasted through till Monday. I was treating symptoms with over the counter medications until Monday morning when I called my doctor, who prescribed Paxlovid which I began on Monday evening, and by Tuesday, my symptoms had greatly improved and have continued to improve each day.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Sinus disorder
Clinical narrative: I woke up on 06/03 and felt really tired and had sinus issues and sore throat. I attributed that to my recent travel. But I took a home Covid test which was negative. Later that day I went ahead and went to a local clinic to take a PCR test. I received positive results the next morning on 06/04. Before I received my results, I was informed that some of the family I was traveling had turned up positive for Covid. I was experiencing head cold like symptoms like congestion and headache which lasted through till Monday. I was treating symptoms with over the counter medications until Monday morning when I called my doctor, who prescribed Paxlovid which I began on Monday evening, and by Tuesday, my symptoms had greatly improved and have continued to improve each day.
Age: 9.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product preparation error
Clinical narrative: Pediatric COVID-19 vaccine was not diluted, drawn up to 0.2mL and administered IM to pediatric patient. Patient's doctor's office called and message to call pharmacy back left. Patient's mom was called and advised about the event.
Age: 9.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Malaise, Overdose, Pain in extremity, Product preparation error
Clinical narrative: Pediatric COVID-19 vaccine was not diluted, drawn up to 0.2mL and administered IM to pediatric patient. Patient's doctor's office called and message to call pharmacy back left. Patient's mom was called and advised about the event.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: PATIENT PASSED OUT
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Confusional state, Diarrhoea, Fatigue, Headache
Clinical narrative: Chills Diarrhea Headaches Body Aches Mailaise Confusion Fatigue
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Pain
Clinical narrative: Chills Diarrhea Headaches Body Aches Mailaise Confusion Fatigue
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Cold sweat, Fatigue, Feeling abnormal, Nervous system disorder
Clinical narrative: For both my second vaccine shot (Moderna, 4/6/2021) and my booster (Moderna, 12/7/2021) I had a strong nervous system response within a few hours of vaccine administration. Full-body trembling without fever, clamminess, a sense of panic, fluttering heart rate. I do not have any anxiety issues nor have I had this kind of response with other vaccines (flu, shingles, etc). I did not report this to my doctor or seek medical treatment, but when I shared it with a pharmacist administering the Shingrex vaccine she suggested I report it to. My symptoms after my second Moderna vaccine lasted nine days in terms of fatigue and brain fog after the acute response. My fever for two days was up to 104 degrees.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Panic reaction, Pyrexia, Tremor
Clinical narrative: For both my second vaccine shot (Moderna, 4/6/2021) and my booster (Moderna, 12/7/2021) I had a strong nervous system response within a few hours of vaccine administration. Full-body trembling without fever, clamminess, a sense of panic, fluttering heart rate. I do not have any anxiety issues nor have I had this kind of response with other vaccines (flu, shingles, etc). I did not report this to my doctor or seek medical treatment, but when I shared it with a pharmacist administering the Shingrex vaccine she suggested I report it to. My symptoms after my second Moderna vaccine lasted nine days in terms of fatigue and brain fog after the acute response. My fever for two days was up to 104 degrees.
Age: 7.0
Sex: M
Vaccine: VARCEL
Symptoms: Inappropriate schedule of product administration
Clinical narrative: No health related issues. Varicella was given 14 days after MMR vaccine.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: 12 year old client was administered the Moderna Vaccine in error.  No adverse reactions noted after the vaccine was administered. His mother did not report any adverse reactions as well. Encouraged to monitor for an adverse reactions such as breathing pattern, dyspnea, stomach discomfort,
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardioversion
Clinical narrative: I was asleep and my smart watch, it started clicking on my wrist and asked if I was having a heart event because it looked like I wasn't exercising. I used the watch to check my heart and it said I was in A-Fib. I went to the emergency room they confirmed I was in fact in A-fib. They gave me an amiodarone drip that did not work. They did give me a cardioversion that did work. I was given new prescriptions of amiodarone.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Coagulation test, Deep vein thrombosis, Laboratory test, Ultrasound Doppler abnormal
Clinical narrative: DVT following vaccination
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Myalgia
Clinical narrative: Fatigue, muscle pain (arm, back, shoulders, neck), and headache
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Adult dose given instead of pediatric dose. No adverse effects reported for the week following the administration.
Age: 67.0
Sex: M
Vaccine: COVID19, PPV
Symptoms: Acute kidney injury, Anticoagulant therapy, Blood culture positive, COVID-19, Condition aggravated
Clinical narrative: BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: MD Admission Date: 6/1/2022 Discharge Date: Jun 6, 2022  PRESENTING PROBLEM: Sepsis [A41.9] AKI (acute kidney injury) [N17.9] Sepsis with acute organ dysfunction without septic shock, due to unspecified organism, unspecified type  [A41.9, R65.20] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 67 year old man who recently had radical prostatectomy with LN dissection for stage IV prostate cancer 6 weeks prior to admission. He had left PCN placed recently for hydronephrosis and right PCN placed for urinary diversion after bladder leak was discovered. Recently tx for E coli uti with ciproflocacin as well.    He presented this time with severe sepsis with aki and left flank pain found to have left PCN tube malpositioned and incidentally covid +. He has hx of copd and has been on 3L oxygen since prior discharge during surgery admission.    He was started on broad spectrum antibiotics and urology and IR were consulted. IR repositioned the left PCN and converted both tubes to nephroureteral tubes for better diversion. Urology had no further reccs.    He also had recent DVT and PE so he was maintained on heparin gtt while home eliquis was held. He required 1 u prbcs for hgb < 7 but had no active bleeding.    IR noted ascites and placed a drain into peritoneal fluid as well.    He grew enterococcus on blood cultures and antibiotics changed to add vancomcin and ultimately de escalated to ampicillin with planned amoxicillin on discharge per ID. Echo was negative for vegetations.    His aki resolved and home lasix was resumed.    PT recommended home discharge which was arranged.
Age: 67.0
Sex: M
Vaccine: COVID19, PPV
Symptoms: Deep vein thrombosis, Echocardiogram normal, Enterococcus test positive, Escherichia infection, Flank pain
Clinical narrative: BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: MD Admission Date: 6/1/2022 Discharge Date: Jun 6, 2022  PRESENTING PROBLEM: Sepsis [A41.9] AKI (acute kidney injury) [N17.9] Sepsis with acute organ dysfunction without septic shock, due to unspecified organism, unspecified type  [A41.9, R65.20] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 67 year old man who recently had radical prostatectomy with LN dissection for stage IV prostate cancer 6 weeks prior to admission. He had left PCN placed recently for hydronephrosis and right PCN placed for urinary diversion after bladder leak was discovered. Recently tx for E coli uti with ciproflocacin as well.    He presented this time with severe sepsis with aki and left flank pain found to have left PCN tube malpositioned and incidentally covid +. He has hx of copd and has been on 3L oxygen since prior discharge during surgery admission.    He was started on broad spectrum antibiotics and urology and IR were consulted. IR repositioned the left PCN and converted both tubes to nephroureteral tubes for better diversion. Urology had no further reccs.    He also had recent DVT and PE so he was maintained on heparin gtt while home eliquis was held. He required 1 u prbcs for hgb < 7 but had no active bleeding.    IR noted ascites and placed a drain into peritoneal fluid as well.    He grew enterococcus on blood cultures and antibiotics changed to add vancomcin and ultimately de escalated to ampicillin with planned amoxicillin on discharge per ID. Echo was negative for vegetations.    His aki resolved and home lasix was resumed.    PT recommended home discharge which was arranged.
Age: 67.0
Sex: M
Vaccine: COVID19, PPV
Symptoms: Haemoglobin decreased, Hydronephrosis, Prostate cancer stage IV, Pulmonary embolism, Radical prostatectomy
Clinical narrative: BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: MD Admission Date: 6/1/2022 Discharge Date: Jun 6, 2022  PRESENTING PROBLEM: Sepsis [A41.9] AKI (acute kidney injury) [N17.9] Sepsis with acute organ dysfunction without septic shock, due to unspecified organism, unspecified type  [A41.9, R65.20] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 67 year old man who recently had radical prostatectomy with LN dissection for stage IV prostate cancer 6 weeks prior to admission. He had left PCN placed recently for hydronephrosis and right PCN placed for urinary diversion after bladder leak was discovered. Recently tx for E coli uti with ciproflocacin as well.    He presented this time with severe sepsis with aki and left flank pain found to have left PCN tube malpositioned and incidentally covid +. He has hx of copd and has been on 3L oxygen since prior discharge during surgery admission.    He was started on broad spectrum antibiotics and urology and IR were consulted. IR repositioned the left PCN and converted both tubes to nephroureteral tubes for better diversion. Urology had no further reccs.    He also had recent DVT and PE so he was maintained on heparin gtt while home eliquis was held. He required 1 u prbcs for hgb < 7 but had no active bleeding.    IR noted ascites and placed a drain into peritoneal fluid as well.    He grew enterococcus on blood cultures and antibiotics changed to add vancomcin and ultimately de escalated to ampicillin with planned amoxicillin on discharge per ID. Echo was negative for vegetations.    His aki resolved and home lasix was resumed.    PT recommended home discharge which was arranged.
Age: 67.0
Sex: M
Vaccine: COVID19, PPV
Symptoms: Sepsis, Urinary tract infection
Clinical narrative: BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: MD Admission Date: 6/1/2022 Discharge Date: Jun 6, 2022  PRESENTING PROBLEM: Sepsis [A41.9] AKI (acute kidney injury) [N17.9] Sepsis with acute organ dysfunction without septic shock, due to unspecified organism, unspecified type  [A41.9, R65.20] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 67 year old man who recently had radical prostatectomy with LN dissection for stage IV prostate cancer 6 weeks prior to admission. He had left PCN placed recently for hydronephrosis and right PCN placed for urinary diversion after bladder leak was discovered. Recently tx for E coli uti with ciproflocacin as well.    He presented this time with severe sepsis with aki and left flank pain found to have left PCN tube malpositioned and incidentally covid +. He has hx of copd and has been on 3L oxygen since prior discharge during surgery admission.    He was started on broad spectrum antibiotics and urology and IR were consulted. IR repositioned the left PCN and converted both tubes to nephroureteral tubes for better diversion. Urology had no further reccs.    He also had recent DVT and PE so he was maintained on heparin gtt while home eliquis was held. He required 1 u prbcs for hgb < 7 but had no active bleeding.    IR noted ascites and placed a drain into peritoneal fluid as well.    He grew enterococcus on blood cultures and antibiotics changed to add vancomcin and ultimately de escalated to ampicillin with planned amoxicillin on discharge per ID. Echo was negative for vegetations.    His aki resolved and home lasix was resumed.    PT recommended home discharge which was arranged.
Age: 14.0
Sex: M
Vaccine: VARCEL
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Varicella vaccine was given 14 days after MMR vaccine was administered.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Adult dose given instead of pediatric dose. No adverse events reported in the weeks following.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac disorder, Cardiac function test, Cardiac stress test, Dyspnoea, Electrocardiogram
Clinical narrative: The first of March I was taking out the trash I receive shortness of breath though it was because of my heart so I went to a heart doctor and we weren't getting anywhere early January while I was outside my heart rate went 128 and I called 911 and went to the hospital they did basic test spent 1 hour doing and test then waited in the waiting room for 7 hours then ended up going home and nothing was confirmed other the symptoms. I got a call from the doctor and she ask me if I can come back to the doctor and still didn't end up seeing anybody. So I went to The HCF and they did EKG and X-ray. I'm still having accelerated heart-rate.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, X-ray
Clinical narrative: The first of March I was taking out the trash I receive shortness of breath though it was because of my heart so I went to a heart doctor and we weren't getting anywhere early January while I was outside my heart rate went 128 and I called 911 and went to the hospital they did basic test spent 1 hour doing and test then waited in the waiting room for 7 hours then ended up going home and nothing was confirmed other the symptoms. I got a call from the doctor and she ask me if I can come back to the doctor and still didn't end up seeing anybody. So I went to The HCF and they did EKG and X-ray. I'm still having accelerated heart-rate.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Asthenia, Colonoscopy, Computerised tomogram, Dyspnoea
Clinical narrative: Severe neck, left shoulder and arm pain to just past my left elbow. SOB, tired, no energy and brain fog, insomnia, nausea/vomiting.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Feeling abnormal, Insomnia, Laboratory test, Magnetic resonance imaging
Clinical narrative: Severe neck, left shoulder and arm pain to just past my left elbow. SOB, tired, no energy and brain fog, insomnia, nausea/vomiting.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Neck pain, Pain in extremity, Vomiting, X-ray
Clinical narrative: Severe neck, left shoulder and arm pain to just past my left elbow. SOB, tired, no energy and brain fog, insomnia, nausea/vomiting.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Adult dose given instead of pediatric dose. No adverse events recorded in the following weeks.
Age: 11.0
Sex: M
Vaccine: VARCEL
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Varicella vaccine was given 14 days after MMR vaccine was administered.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood creatinine normal, Blood gases, Blood glucose normal, Blood pH normal
Clinical narrative: Patient is an 80 y/o woman with a PMHx of Afib, CAD, HTN, PVD, OSA, COPD, GERD, and anxiety/depression. She presented to the ED c/o sore throat, cough, nasal congestion, shortness of breath, fatigue, decreased appetite, malaise, nausea, diarrhea, and headache over the past 6 days. Her husband was diagnosed with COVID about 9 days ago and she developed sx 3 days later. They were both given paxlovid but were unable to tolerate due to taste. She has received COVID vaccine and booster. She denies fever or chills. She has been generally weak and fatigued. Due to no improvement in her symptoms she presented to the ED for evaluation.  In the ED she has been hypertensive around 170/61. Afebrile. RA ABG with pH 7.38, pCn the ED she has been hypertensive around 170/61. Afebrile. RA ABG with pH 7.38, pCO2 45, pO2 54, O2 sat 87. She was placed on 2L O2 via NC with improvement in O2 sat. At baseline she wears O2 at night with her CPAP. She does not require oxygen during the day on a regular basis. Labs with WBC 8.14, Hgb 13.8, Na 139, K 3.8, BUN 12.4, Cr 0.8, glucose 114. COVID positive. CXR with no acute airspace disease. Hospitalist service contacted for admission.    Patient discharged home with family on 6/5/2022.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium normal, Blood sodium normal, Blood urea normal, COVID-19, Chest X-ray normal
Clinical narrative: Patient is an 80 y/o woman with a PMHx of Afib, CAD, HTN, PVD, OSA, COPD, GERD, and anxiety/depression. She presented to the ED c/o sore throat, cough, nasal congestion, shortness of breath, fatigue, decreased appetite, malaise, nausea, diarrhea, and headache over the past 6 days. Her husband was diagnosed with COVID about 9 days ago and she developed sx 3 days later. They were both given paxlovid but were unable to tolerate due to taste. She has received COVID vaccine and booster. She denies fever or chills. She has been generally weak and fatigued. Due to no improvement in her symptoms she presented to the ED for evaluation.  In the ED she has been hypertensive around 170/61. Afebrile. RA ABG with pH 7.38, pCn the ED she has been hypertensive around 170/61. Afebrile. RA ABG with pH 7.38, pCO2 45, pO2 54, O2 sat 87. She was placed on 2L O2 via NC with improvement in O2 sat. At baseline she wears O2 at night with her CPAP. She does not require oxygen during the day on a regular basis. Labs with WBC 8.14, Hgb 13.8, Na 139, K 3.8, BUN 12.4, Cr 0.8, glucose 114. COVID positive. CXR with no acute airspace disease. Hospitalist service contacted for admission.    Patient discharged home with family on 6/5/2022.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Diarrhoea, Dyspnoea, Exposure to SARS-CoV-2
Clinical narrative: Patient is an 80 y/o woman with a PMHx of Afib, CAD, HTN, PVD, OSA, COPD, GERD, and anxiety/depression. She presented to the ED c/o sore throat, cough, nasal congestion, shortness of breath, fatigue, decreased appetite, malaise, nausea, diarrhea, and headache over the past 6 days. Her husband was diagnosed with COVID about 9 days ago and she developed sx 3 days later. They were both given paxlovid but were unable to tolerate due to taste. She has received COVID vaccine and booster. She denies fever or chills. She has been generally weak and fatigued. Due to no improvement in her symptoms she presented to the ED for evaluation.  In the ED she has been hypertensive around 170/61. Afebrile. RA ABG with pH 7.38, pCn the ED she has been hypertensive around 170/61. Afebrile. RA ABG with pH 7.38, pCO2 45, pO2 54, O2 sat 87. She was placed on 2L O2 via NC with improvement in O2 sat. At baseline she wears O2 at night with her CPAP. She does not require oxygen during the day on a regular basis. Labs with WBC 8.14, Hgb 13.8, Na 139, K 3.8, BUN 12.4, Cr 0.8, glucose 114. COVID positive. CXR with no acute airspace disease. Hospitalist service contacted for admission.    Patient discharged home with family on 6/5/2022.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Haemoglobin normal, Headache, Hypertension, Malaise
Clinical narrative: Patient is an 80 y/o woman with a PMHx of Afib, CAD, HTN, PVD, OSA, COPD, GERD, and anxiety/depression. She presented to the ED c/o sore throat, cough, nasal congestion, shortness of breath, fatigue, decreased appetite, malaise, nausea, diarrhea, and headache over the past 6 days. Her husband was diagnosed with COVID about 9 days ago and she developed sx 3 days later. They were both given paxlovid but were unable to tolerate due to taste. She has received COVID vaccine and booster. She denies fever or chills. She has been generally weak and fatigued. Due to no improvement in her symptoms she presented to the ED for evaluation.  In the ED she has been hypertensive around 170/61. Afebrile. RA ABG with pH 7.38, pCn the ED she has been hypertensive around 170/61. Afebrile. RA ABG with pH 7.38, pCO2 45, pO2 54, O2 sat 87. She was placed on 2L O2 via NC with improvement in O2 sat. At baseline she wears O2 at night with her CPAP. She does not require oxygen during the day on a regular basis. Labs with WBC 8.14, Hgb 13.8, Na 139, K 3.8, BUN 12.4, Cr 0.8, glucose 114. COVID positive. CXR with no acute airspace disease. Hospitalist service contacted for admission.    Patient discharged home with family on 6/5/2022.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Nausea, Oropharyngeal pain, Oxygen saturation decreased, PCO2 normal
Clinical narrative: Patient is an 80 y/o woman with a PMHx of Afib, CAD, HTN, PVD, OSA, COPD, GERD, and anxiety/depression. She presented to the ED c/o sore throat, cough, nasal congestion, shortness of breath, fatigue, decreased appetite, malaise, nausea, diarrhea, and headache over the past 6 days. Her husband was diagnosed with COVID about 9 days ago and she developed sx 3 days later. They were both given paxlovid but were unable to tolerate due to taste. She has received COVID vaccine and booster. She denies fever or chills. She has been generally weak and fatigued. Due to no improvement in her symptoms she presented to the ED for evaluation.  In the ED she has been hypertensive around 170/61. Afebrile. RA ABG with pH 7.38, pCn the ED she has been hypertensive around 170/61. Afebrile. RA ABG with pH 7.38, pCO2 45, pO2 54, O2 sat 87. She was placed on 2L O2 via NC with improvement in O2 sat. At baseline she wears O2 at night with her CPAP. She does not require oxygen during the day on a regular basis. Labs with WBC 8.14, Hgb 13.8, Na 139, K 3.8, BUN 12.4, Cr 0.8, glucose 114. COVID positive. CXR with no acute airspace disease. Hospitalist service contacted for admission.    Patient discharged home with family on 6/5/2022.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: PO2 decreased, Positive airway pressure therapy, SARS-CoV-2 test positive, White blood cell count normal
Clinical narrative: Patient is an 80 y/o woman with a PMHx of Afib, CAD, HTN, PVD, OSA, COPD, GERD, and anxiety/depression. She presented to the ED c/o sore throat, cough, nasal congestion, shortness of breath, fatigue, decreased appetite, malaise, nausea, diarrhea, and headache over the past 6 days. Her husband was diagnosed with COVID about 9 days ago and she developed sx 3 days later. They were both given paxlovid but were unable to tolerate due to taste. She has received COVID vaccine and booster. She denies fever or chills. She has been generally weak and fatigued. Due to no improvement in her symptoms she presented to the ED for evaluation.  In the ED she has been hypertensive around 170/61. Afebrile. RA ABG with pH 7.38, pCn the ED she has been hypertensive around 170/61. Afebrile. RA ABG with pH 7.38, pCO2 45, pO2 54, O2 sat 87. She was placed on 2L O2 via NC with improvement in O2 sat. At baseline she wears O2 at night with her CPAP. She does not require oxygen during the day on a regular basis. Labs with WBC 8.14, Hgb 13.8, Na 139, K 3.8, BUN 12.4, Cr 0.8, glucose 114. COVID positive. CXR with no acute airspace disease. Hospitalist service contacted for admission.    Patient discharged home with family on 6/5/2022.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Adult dose given instead of pediatric dose. No adverse effects recorded in the following weeks.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: Basically I had cough and scratchy throat. The worst day which was a sinus headache. I have had fatigue. I took over the counter MUCINEX one time and that helped. I felt like a basic cold.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus headache, Throat irritation
Clinical narrative: Basically I had cough and scratchy throat. The worst day which was a sinus headache. I have had fatigue. I took over the counter MUCINEX one time and that helped. I felt like a basic cold.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: pt request 4th dose (booster) for traveling purposes- no adverse mention
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cold sweat, Diarrhoea, Dysphonia, Nasal dryness
Clinical narrative: I tested positive for COVID-19 on 06/02/2022. I had a runny nose and it was kind of dry and crusty. I felt like I had a fever, but when I took my temperature it was 97.3. My skin was kind of clammy feeling. I didn't have diarrhea until the end of taking my medicine yesterday 06/08/2022. I had puss pocket on the back of my throat; I gargled with warm salt water immediately and that went away. I didn't have a cough at all with this. I am a little hoarse today. I started Paxlovid on 06/03/2022 in the evening.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Peritonsillar abscess, Rhinorrhoea, SARS-CoV-2 test positive, Scab
Clinical narrative: I tested positive for COVID-19 on 06/02/2022. I had a runny nose and it was kind of dry and crusty. I felt like I had a fever, but when I took my temperature it was 97.3. My skin was kind of clammy feeling. I didn't have diarrhea until the end of taking my medicine yesterday 06/08/2022. I had puss pocket on the back of my throat; I gargled with warm salt water immediately and that went away. I didn't have a cough at all with this. I am a little hoarse today. I started Paxlovid on 06/03/2022 in the evening.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Nasal congestion, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I started with a stuffy nose, throat irritation that progressed to a cough. Once I developed the cough I decided to get tested for COVID-19, on May 8, 2022. I work at an Outpatient Center and they ran a PCR COVID 19 Test that came back positive. Today I feel fine, my throat is not irritated and my cough is intermittent and more of a dry cough.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Confusional state, Depressed level of consciousness, Haematemesis, Haemoglobin decreased
Clinical narrative: Patient is a 82-year-old female with past medical history of hypertension, neuropathy, restless legs syndrome, asthma presents to the ED for confusion that started today.  Patient states that she lives alone, she has aide assistant Monday through Friday.  Patient reports right knee surgery status post Knee fracture about a month ago and was discharged home after 3 days.  Patient states that she started vomiting blood and was admitted at a local hospital with hemoglobin of 5 and received 2 units hospitalize for 3 days and sent to a Rehab for 11 days.  Patient states on the way to his PCP for scheduled regular appointment today she was unarousable after falling asleep in the car.  Patient states that al Past medical history Asthma CHF? Back pain Bronchitis hyperlipidemia Heartburn High blood pressure IBS (irritable bowel syndrome)  Neuropathy Nocturia OA (osteoarthritis) Restless leg syndrome Seasonal allergies Cataract Glaucoma   Currently in hospital on 06/09/2022.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Knee operation, Lower limb fracture, SARS-CoV-2 test positive, Transfusion
Clinical narrative: Patient is a 82-year-old female with past medical history of hypertension, neuropathy, restless legs syndrome, asthma presents to the ED for confusion that started today.  Patient states that she lives alone, she has aide assistant Monday through Friday.  Patient reports right knee surgery status post Knee fracture about a month ago and was discharged home after 3 days.  Patient states that she started vomiting blood and was admitted at a local hospital with hemoglobin of 5 and received 2 units hospitalize for 3 days and sent to a Rehab for 11 days.  Patient states on the way to his PCP for scheduled regular appointment today she was unarousable after falling asleep in the car.  Patient states that al Past medical history Asthma CHF? Back pain Bronchitis hyperlipidemia Heartburn High blood pressure IBS (irritable bowel syndrome)  Neuropathy Nocturia OA (osteoarthritis) Restless leg syndrome Seasonal allergies Cataract Glaucoma   Currently in hospital on 06/09/2022.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine found to be stored improperly in freezer vs fridge
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered past the expiration or beyond-use date
Age: 13.0
Sex: F
Vaccine: HEP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Hep B adult vaccine given to 13 year old
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Injection site erythema, Injection site warmth, Pain
Clinical narrative: Patient experienced some pain the day of the injection in the afternoon, but she was more concerned about the 2 inch square very warm, red area that appeared below the injection site 2 days later on Monday and Tuesday (vaccine administered on Saturday). I spoke with her on Wednesday and she said she did not require any medication or treatment for the reaction and that it had started to fade a little bit on Wednesday.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Headache, Nasal congestion, Respiratory tract congestion
Clinical narrative: Breakthrough COVID case: I found out about exposure on Monday, the 30th. That night, I began to feel a scratchy throat. The scratchy throat continued until at least Thursday. I also began to have nasal congestion and a brief slight headache. I tested 5 times between Monday night and Thursday. Every result was negative until Thursday morning when I got a positive result. I had a doctor's appointment where I was prescribed PAXLOVID. I received my prescription and started treatment on the evening of Friday, the 3rd. For the next day and a half or 2 days, I continued to have congestion but less of it. Symptoms disappeared for the most part by Monday, the 6th. I began to test negative on the evening of the 6th. I completed the PAXLOVID treatment on June 8th and I've continued to test negative since June 7th.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Throat irritation, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID case: I found out about exposure on Monday, the 30th. That night, I began to feel a scratchy throat. The scratchy throat continued until at least Thursday. I also began to have nasal congestion and a brief slight headache. I tested 5 times between Monday night and Thursday. Every result was negative until Thursday morning when I got a positive result. I had a doctor's appointment where I was prescribed PAXLOVID. I received my prescription and started treatment on the evening of Friday, the 3rd. For the next day and a half or 2 days, I continued to have congestion but less of it. Symptoms disappeared for the most part by Monday, the 6th. I began to test negative on the evening of the 6th. I completed the PAXLOVID treatment on June 8th and I've continued to test negative since June 7th.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Deafness bilateral, Hypoacusis, Tinnitus
Clinical narrative: Partial hearing loss in both ears. A drumming sound in both ears after I exhale breath.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired product administered: prepared 5/26/22, administered 6/2/22
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Rash, Rash macular, Rash morbilliform
Clinical narrative: Around ~3 days after the vaccination, the spot where the Band-Aid was was reddened and raised in the exact shape of the Band-Aid (no history of being allergic to adhesive of band aids).  Next day there was a non raised 'blotch' of dark red/pink area on the right side of my lower neck.  Next day I had a full body rash/hives that I can best describe it as morbilliform (measles-like) from the neck down all the way to my feet.  It never affected my face.  The rash stayed itchy throughout the day and night.  I required Benadryl multiple times a day with minimal effect.  After ~3 weeks it subsided slowly.  No outpatient treatment sought.  Picture evidence gathered.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Rash pruritic, Urticaria
Clinical narrative: Around ~3 days after the vaccination, the spot where the Band-Aid was was reddened and raised in the exact shape of the Band-Aid (no history of being allergic to adhesive of band aids).  Next day there was a non raised 'blotch' of dark red/pink area on the right side of my lower neck.  Next day I had a full body rash/hives that I can best describe it as morbilliform (measles-like) from the neck down all the way to my feet.  It never affected my face.  The rash stayed itchy throughout the day and night.  I required Benadryl multiple times a day with minimal effect.  After ~3 weeks it subsided slowly.  No outpatient treatment sought.  Picture evidence gathered.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Discomfort, Erythema, Fatigue, Pain, Pruritus
Clinical narrative: The day after her vaccine she began with severe fatigue, body aches, heaviness, and redness and itching to bilateral hands up to wrists.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired product administered: prepared 5/26/22, administered 6/2/22
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired product administered: prepared 5/26/22, administered 6/2/22
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired product administered: prepared 5/26/22, administered 6/2/22
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired product administered: prepared 5/26/22, administered 6/2/22
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthma, Condition aggravated, Hypersensitivity, Memory impairment
Clinical narrative: I had a sinus infection and the Dr. called it allergies and I don't feel like it's just allergies. It feels like a respiratory infection, I've had 3 asthma attacked in the past 3 weeks, and I haven't had one since childhood. I feel like I'm drowning in mucus. I have pain in my right shoulder where my lung is and it will hurt so bad and my right arm will tighten up real bad and I didn't do that before the vaccine. I have had a lot of cloudily memory since I've had the first vaccine.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle tightness, Secretion discharge, Sinusitis
Clinical narrative: I had a sinus infection and the Dr. called it allergies and I don't feel like it's just allergies. It feels like a respiratory infection, I've had 3 asthma attacked in the past 3 weeks, and I haven't had one since childhood. I feel like I'm drowning in mucus. I have pain in my right shoulder where my lung is and it will hurt so bad and my right arm will tighten up real bad and I didn't do that before the vaccine. I have had a lot of cloudily memory since I've had the first vaccine.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored in freezer vs fridge
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered past the expiration or beyond-use date
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Error: Incorrect Reconstitution.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored improperly in freezer
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: The patient was inadvertently given a 3rd booster of the Moderna Covid-19 vaccine. Patient has not experienced any adverse events to date. Patient continues to be monitored regularly for any side effects from receipt of the extra booster dose. 2nd booster dose was administered on 05/25/2022.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored improperly in freezer
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Erythema, Herpes zoster, Injection site erythema, Injection site swelling
Clinical narrative: As the weekend progressed, my shoulder above where I got the vaccine got more red and swollen. Also, My lymph node on my neck to my shoulder swelled up. There was a red streak going form my lymph node to my shoulder. I sent pictures to my doctor and went in Tuesday morning. Her diagnosis was that somehow the latest COVID-19 shot caused me to have a shingles reaction. I had my second shingles vaccine back in January 2022 in the same arm. She prescribed the antiviral medication for shingles and within three doses it got a lot better. My lymph node is still tender but my shoulder is a lot better. Before I couldn't even lift my arm. It felt like I had a huge blister on my left shoulder. My doctor advised me to switch manufacturers and arms for the next COVID-19 booster. She also told me to take BENADRYL before the shot.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: As the weekend progressed, my shoulder above where I got the vaccine got more red and swollen. Also, My lymph node on my neck to my shoulder swelled up. There was a red streak going form my lymph node to my shoulder. I sent pictures to my doctor and went in Tuesday morning. Her diagnosis was that somehow the latest COVID-19 shot caused me to have a shingles reaction. I had my second shingles vaccine back in January 2022 in the same arm. She prescribed the antiviral medication for shingles and within three doses it got a lot better. My lymph node is still tender but my shoulder is a lot better. Before I couldn't even lift my arm. It felt like I had a huge blister on my left shoulder. My doctor advised me to switch manufacturers and arms for the next COVID-19 booster. She also told me to take BENADRYL before the shot.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Exposure to SARS-CoV-2, Head discomfort, Nasal congestion, Nasopharyngitis
Clinical narrative: The week prior to my symptoms beginning, my wife and two children had contracted Covid. On 05/26, I began to experience head cold like symptoms, congestion, coughing, stuffiness. I do suffer from seasonal allergies, but I went ahead and took an at home Covid test which came up negative. I was experiencing head stuffiness, cough, persistent nasal drip that lasted from Thursday, 5/26 to the following Monday morning. I went for a PCR test on 05/27 which came back positive. I had a telemedicine visit after receiving my results and the doctor  prescribed Flonase, Sinex nasal spray and a Wixela inhaler. I was also taking Tamiflu cough and cold to help treat the symptoms. They did send a prescription for a Medrol pack which I never ended up using. I was still testing positive for Covid until this morning 06/09, 14 days after testing positive originally.