chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Malaise, Productive cough, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: 12/25/2022 Woke up around 6 am not feeling well. Had headache, earache, productive cough, congestion, and fatigue. Took at home COVID-19 test and it was negative. Woke up 12/26/2022 at 3AM, tested again, and it was negative. Symptoms continued to worsen.  Called PCP on 12/27/2022 and was prescribed Paxlovid. Began Paxlovid and symptoms began to improve. All my symptoms have improved but still having breathing issues. Went back into PCP and was put on prednisone and it has helped resolve breathing issues
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received the Comirnaty vaccine instead of the bivalent booster they were due to receive.
Age: 81.0
Sex: U
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Administration of Non-Viable Vaccine.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient had breakthrough infection and passed away,
Age: 2.0
Sex: M
Vaccine: COVID19-2, HEPA
Symptoms: Incorrect product formulation administered
Clinical narrative: RN accidently gave Pfizer Pedi Bivalent instead of monovalent for first dose - error noted when trying to document vaccine and lot#   not listed in system.  Father notified of error and Covid card updated to show Bivalent vaccine given
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: HOSPITAIZATION
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received the Comirnaty vaccine instead of the bivalent booster they were due to receive.
Age: 63.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Cough, Malaise, Oropharyngeal pain
Clinical narrative: On 12/10/2022 I had a sore throat and malaise. I did not feel feverish. I felt like I was ill and started to cough. I was able to shake off the other symptoms, but the cough. It lasted for two weeks. I went to the doctor for antibiotics and a prescription cough syrup. Now all is better, no issues no symptoms. My cough is gone.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Endoscopy, Nausea, SARS-CoV-2 test negative, Vomiting
Clinical narrative: Nausea, vomiting, diarrhea
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Administration of Non-Viable Vaccine.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient was informed that iIaccidentally administered the younger booster dose and provider was also aware of what happened. Patient left the clinic fine with no symptoms of any side effects. Also called patient to follow-up after three days of the incident and she stated that she was doing okay and feel normal,
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine was administered beyond expiration date. Vaccine expiration date (10 weeks/refrigeration) was 01/11/2023, administer on 01/20/2023, 9 days past expiration.  Outcome: Per CDC, repeat dose in 8 weeks. Patient contacted, made aware and appointment scheduled to repeat dose.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Gait inability, Mobility decreased, Ultrasound Doppler
Clinical narrative: She got her vaccine at about 11:00 AM, she was fine all day even until she went to bed around 11:00 PM.  She got into bed, and after a few minutes she got rigors, she finally went to sleep.  She got up to go to the bathroom, tried to sit herself up in bed pushing herself up and was not able to move.  She tried pushing again and nothing happened.  She thought if she rolled down onto the floor she would be able to be on her knees and be able to push up onto the bed.  She had to scoot on her stomach all across the floor to the bathroom, and does not know how she got onto the toilet.  She then scooted back to bed on her stomach, and somehow got into bed, and went back to sleep.  When she got up in the morning she was fine.  This was scary and would have called 9-1-1 if she had a phone.  She did go to the doctor about a week later and she informed her about it.  She also told her Oncologist and the cancer center, and they did not seem to be too concerned.  Her PCP did have her go get an US on the carotid arteries, and she asked if she had a little stroke, and was told there was no way to tell as it was about 2 weeks later.    With the other COVID vaccines, she had COVID arm with all of them.  The very first one she remembers that she felt like she was beat from head to toe with a baseball bat as everything ached for several days.  She has had a bad reaction to all of the COVID vaccines.    She was on one type of immune suppressant of one kind or another, and was off of them for 2 weeks prior to the last vaccine that she had.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pyrexia
Clinical narrative: I had my vaccination on 02/01/2021. At 8PM on 02/01/2021 I had slight fever, chills, and fatigue. This lasted for a couple of days. I contacted the nurse hotline and was informed to take Tylenol due to pain.
Age: 83.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: COVID-19, Dyspnoea, Fatigue, Hypoxia, Rhinorrhoea
Clinical narrative: COVID+ 1/21/23.  Vaccination Status - Moderna x4 + moderna BIVALENT x1 Discharge Summary DO (Physician) ? ? General Medicine  BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider: MD Admission Date: 1/21/2023 Discharge Date: Jan 23, 2023    Active Hospital Problems   Diagnosis Date Noted POA ? COVID-19 01/21/2023 Yes ? Hypoxia   ?  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID [U07.1] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 83 y.o. female with a past medical history of chronic obstructive pulmonary disease, paroxysmal atrial fibrillation on Eliquis, rheumatoid arthritis, essential hypertension, among other comorbid conditions presented to the Hospital Emergency Department on 01/21/2023 with complaints of worsening shortness of breath and rhinorrhea onset approximately 2 days prior to presentation.  In addition the patient reported significant fatigue.  On evaluation in the emergency department the patient was found to be hypoxic and COVID-19 positive.  She was admitted to the hospital service under observational status for ongoing management and coordination.  She was started on supplemental oxygen, improving her oxygen saturation from 85% on room air to approximately 94% on 2 L of supplemental oxygen via nasal cannula.  In addition she was started on Decadron 6 mg daily as well as remdesivir. Over the course of approximately 48 hours of admission the patient is a hypoxia resolved and was able to maintain oxygen saturation above 92% on room air.  The remainder of her hospital course was uncomplicated.  On 01/23/2023 with labs and vitals stable condition, able to oxygenate well without supplemental oxygen, the patient was discharged home with instructions follow-up with her primary care physician within 7 days of discharge.
Age: 83.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: SARS-CoV-2 test positive
Clinical narrative: COVID+ 1/21/23.  Vaccination Status - Moderna x4 + moderna BIVALENT x1 Discharge Summary DO (Physician) ? ? General Medicine  BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider: MD Admission Date: 1/21/2023 Discharge Date: Jan 23, 2023    Active Hospital Problems   Diagnosis Date Noted POA ? COVID-19 01/21/2023 Yes ? Hypoxia   ?  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID [U07.1] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 83 y.o. female with a past medical history of chronic obstructive pulmonary disease, paroxysmal atrial fibrillation on Eliquis, rheumatoid arthritis, essential hypertension, among other comorbid conditions presented to the Hospital Emergency Department on 01/21/2023 with complaints of worsening shortness of breath and rhinorrhea onset approximately 2 days prior to presentation.  In addition the patient reported significant fatigue.  On evaluation in the emergency department the patient was found to be hypoxic and COVID-19 positive.  She was admitted to the hospital service under observational status for ongoing management and coordination.  She was started on supplemental oxygen, improving her oxygen saturation from 85% on room air to approximately 94% on 2 L of supplemental oxygen via nasal cannula.  In addition she was started on Decadron 6 mg daily as well as remdesivir. Over the course of approximately 48 hours of admission the patient is a hypoxia resolved and was able to maintain oxygen saturation above 92% on room air.  The remainder of her hospital course was uncomplicated.  On 01/23/2023 with labs and vitals stable condition, able to oxygenate well without supplemental oxygen, the patient was discharged home with instructions follow-up with her primary care physician within 7 days of discharge.
Age: 46.0
Sex: M
Vaccine: COVID19-2
Symptoms: Atrial fibrillation, Blood urine present, Bronchitis, Computerised tomogram abdomen abnormal, Condition aggravated
Clinical narrative: I ended up having to go to urgent care twice for pneumonia and bronchitis and they prescribed albuterol, prednisone, and TESSALON PERLES. They also prescribed azithromycin. Pneumonia and Bronchitis which developed in November of 2022 and lasted through the beginning of January 2023. I had right flank pain and blood in the urine. I went to the emergency room and ended up passing the kidney stone. I was given pain medication and FLOMAX. I also developed atrial fibrillation at the beginning of January. I had a couple of minutes of a fib. I noticed my heart having palpitations and I captured it on my smart watch. I was placed on a Holter monitor for 5 days starting January 10, 2023. The report indicated that I was having PAC and PVC's as well as SVT's over the course of 5 days. They tested my thyroid and it was normal. I have a cardiology appointment next week. I also have to follow up with nephrology. I was placed on potassium citrate for the kidney stones. I am currently ok and there have not been any more problems since but we are still checking to see if there's any more concern. I would say that I have recovered.
Age: 46.0
Sex: M
Vaccine: COVID19-2
Symptoms: Electrocardiogram ambulatory abnormal, Flank pain, Nephrolithiasis, Palpitations, Pneumonia
Clinical narrative: I ended up having to go to urgent care twice for pneumonia and bronchitis and they prescribed albuterol, prednisone, and TESSALON PERLES. They also prescribed azithromycin. Pneumonia and Bronchitis which developed in November of 2022 and lasted through the beginning of January 2023. I had right flank pain and blood in the urine. I went to the emergency room and ended up passing the kidney stone. I was given pain medication and FLOMAX. I also developed atrial fibrillation at the beginning of January. I had a couple of minutes of a fib. I noticed my heart having palpitations and I captured it on my smart watch. I was placed on a Holter monitor for 5 days starting January 10, 2023. The report indicated that I was having PAC and PVC's as well as SVT's over the course of 5 days. They tested my thyroid and it was normal. I have a cardiology appointment next week. I also have to follow up with nephrology. I was placed on potassium citrate for the kidney stones. I am currently ok and there have not been any more problems since but we are still checking to see if there's any more concern. I would say that I have recovered.
Age: 46.0
Sex: M
Vaccine: COVID19-2
Symptoms: Supraventricular tachycardia, Thyroid function test normal, Urine analysis abnormal
Clinical narrative: I ended up having to go to urgent care twice for pneumonia and bronchitis and they prescribed albuterol, prednisone, and TESSALON PERLES. They also prescribed azithromycin. Pneumonia and Bronchitis which developed in November of 2022 and lasted through the beginning of January 2023. I had right flank pain and blood in the urine. I went to the emergency room and ended up passing the kidney stone. I was given pain medication and FLOMAX. I also developed atrial fibrillation at the beginning of January. I had a couple of minutes of a fib. I noticed my heart having palpitations and I captured it on my smart watch. I was placed on a Holter monitor for 5 days starting January 10, 2023. The report indicated that I was having PAC and PVC's as well as SVT's over the course of 5 days. They tested my thyroid and it was normal. I have a cardiology appointment next week. I also have to follow up with nephrology. I was placed on potassium citrate for the kidney stones. I am currently ok and there have not been any more problems since but we are still checking to see if there's any more concern. I would say that I have recovered.
Age: 34.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product label issue
Clinical narrative: labels provided by health department with the vial of moderna mrna bivalent were used on the consent but had incorrect dosage.  Correct dosage administered to adult male (0.5 ml) but documentation incorrect.  Documentation must be changed from 0.25 ml that is on the label to the 0.5 ml correct dose that was administered.  Documentation issue.  No patient harm.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: Patient called saying that she still has rash, redness, and it feels hot to touch at the site of injection
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pyrexia
Clinical narrative: I had my vaccination on 02/25/2021. A few hours later on 02/25/2021 I started to experience fever, fatigue and chills. This lasted about 24 hours. I did take TYLENOL to remedy the symptoms.
Age: 29.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Bivalent booster given without primary series No adverse reactions
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, COVID-19, Electrocardiogram normal, Epistaxis, Mouth haemorrhage
Clinical narrative: Got Covid 12/11/2022 fever chills; nose congestion. Developed blood clout in nasal passage; bleeding from mouth and nasal passages. Blood test conducted discovered enema. Prescribed iron supplements.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Pyrexia
Clinical narrative: Got Covid 12/11/2022 fever chills; nose congestion. Developed blood clout in nasal passage; bleeding from mouth and nasal passages. Blood test conducted discovered enema. Prescribed iron supplements.
Age: 44.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Biopsy thyroid gland, Gene mutation identification test, Oropharyngeal pain, Thyroid mass, Ultrasound thyroid abnormal
Clinical narrative: On 12/05/2022 I felt my left side of my throat was sore. I didn't think much of it because I have allergies. But I went to the doctor, to get cleared. She asked that I get an ultrasound on throat. She felt an issue with my thyroid. I haven't been diagnosed with anything just yet, my last test was inconclusive. They sent my results off for genetic testing I am awaiting those results. Now, my throat is feeling fine, it went away on 12/20/2022.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: I had no complications after receiving the vaccine. I started feeling sick and tested positive for COVID-19 on 12/24/2022. I went online and found out I needed to seek care. I went to the urgent care center, and I received a prescription for PAXLOVID and ZITHROMAX. The PAXLOVID upset my stomach a little in the beginning, but I adjusted to it.
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: Visual field defect
Clinical narrative: COVID+ 1/20/23.  Vaccination status - pfizer x4 + Pfizer BIVALENT booster x1 Discharge Summary 1/23/2023  4:52 PM    Attestation signed at 1/23/2023  4:52 PM (Updated)   ATTESTATION: Patient personally seen and interviewed on the date of discharge. Case was discussed in detail with the author of this document. I repeated pertinent portions of the examination and reviewed the relevant imaging and laboratory data. Agree with documentation below with the following additions or corrections:   COVID-19 pneumonia. Improving. On room air. Finished 3 days of remdesivir, complete decadron. 34 minutes for this discharge.    Meets sepsis criteria on admission, fever, tachycardia.      BRIEF OVERVIEW: Discharge Provider: Primary Care Provider: Admission Date: 1/20/2023 Discharge Date: 1/23/2023    Active Hospital Problems   Diagnosis Date Noted POA ? Dysphagia 01/23/2023 Yes ? Pneumonia due to COVID-19 virus 01/21/2023 Yes ? History of seizures     ?  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Transient alteration of awareness Seizure Transient speech disturbance   HOSPITAL COURSE: Patient is a 80 y.o. male with past medical history of seizure on carbamazepine, eosinophilic esophagitis, BPH who presented for altered mental status with concern for stroke versus seizure. Patient's wife reported increasing confusion and EMS found R side weakness and L eye visual field deficits. Neurology was consulted given neurological history and potential stroke etiology. Outside of window for thrombolytics.    Acute CVA workup unrevealing, including negative brain MRI, CTA, and CT. EEG also negative for seizures. Neurology was consulted and, based off MRI and EEG findings, assessed toxic encephalopathy 2/2 COVID as most likely cause. Given the unilateral weakness and confusion upon arrival has gradually improved and since resolved, the time course of recovery also consistent with this etiology. Family was seen at bedside prior to discharge and confirmed patient back to baseline mentation and ambulation. PT/OT initially recommending SNF but, at final assessment on day of discharge, recommended home with no services.   Patient was also treated for acute hypoxic respiratory failure secondary to an acute COVID-19 infection initially requiring 4L oxygen. He was given 3 days of remdesivir, decadron. He was able to be weaned to room air at rest and while ambulating. Patient to be discharged with decadron taper. Two nights prior to discharge, a 10 second run of V Tach was observed on telemetry, which resolved without intervention. Subsequent echo showed somewhat asymmetric septal hypertrophy but normal EF of 63% and no significant valvular abnormalities. Recommended outpatient cardiology f/u for further investigation into potential arrhythmia, communicated this to patient prior to d/c. CONSULTS / RECOMMENDATION: Inpatient consult to neurology - stroke workup negative for acute process, EEG and MRI consistent with covid encephalopathy Inpatient PT/OT/SLP - cleared for discharge home without assistance Outpatient cardiology - recommended outpatient followup on potential arrythmia
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cardiac disorder, Cardiac dysfunction, Condition aggravated, Dyspnoea
Clinical narrative: My breathing hasn't been well I'm currently on oxygen, I've been having heart problems, I got Covid after the first dose, got the second dose and booster but symptoms were mild. 4 days after the first dose, I was having trouble breathing and went to the hospital. I was hospitalized with Covid and in the hospital for 8 days. I developed ammonia March 2020; I was given blood thinners for blood clots in my lungs. I was given medication at the hospital for a year and developed bigger health problems. I ask my doctor if I have long term Covid, but I was given no direct answer and told I was fine. I went to lung doctor and told I was fine lungs working at 80 percent heart functioning at 50 percent. Hospitalized twice, first time 7 days and second time 8 days.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: General symptom, Pulmonary function test decreased
Clinical narrative: My breathing hasn't been well I'm currently on oxygen, I've been having heart problems, I got Covid after the first dose, got the second dose and booster but symptoms were mild. 4 days after the first dose, I was having trouble breathing and went to the hospital. I was hospitalized with Covid and in the hospital for 8 days. I developed ammonia March 2020; I was given blood thinners for blood clots in my lungs. I was given medication at the hospital for a year and developed bigger health problems. I ask my doctor if I have long term Covid, but I was given no direct answer and told I was fine. I went to lung doctor and told I was fine lungs working at 80 percent heart functioning at 50 percent. Hospitalized twice, first time 7 days and second time 8 days.
Age: 29.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product label issue
Clinical narrative: labels provided by health department with the vial of moderna mrna bivalent were used on the consent but had incorrect dosage.  Correct dosage administered to adult male (0.5 ml) but documentation incorrect.  Documentation must be changed from 0.25 ml that is on the label to the 0.5 ml correct dose that was administered.  Documentation issue.  No patient harm.
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test, Cardiac monitoring abnormal, Electrocardiogram, Electrocardiogram abnormal, Fatigue
Clinical narrative: Started feeling really tired and off one day. Started tracking heart rate the next day, because heartrate was getting faster. Home heart monitor showed I was in Tachycardia. Took a low dose of husbands beta blocker and went to an urgent care the next day. Urgent care gave an EKG, heartrate was slightly elevated. Sent to ER because they wanted to test for Troponin tested for past heart attack. ER did a blood panel and another ECG. Blood pressure was 136 and pulse was 54. After blood pressure leveled out to normal, went home and rested. Went to primary care physician for a follow up. Am being sent to a Cardiologist in a couple of days and they want me to wear a Holter monitor.
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Feeling abnormal, Heart rate increased, Tachycardia, Troponin
Clinical narrative: Started feeling really tired and off one day. Started tracking heart rate the next day, because heartrate was getting faster. Home heart monitor showed I was in Tachycardia. Took a low dose of husbands beta blocker and went to an urgent care the next day. Urgent care gave an EKG, heartrate was slightly elevated. Sent to ER because they wanted to test for Troponin tested for past heart attack. ER did a blood panel and another ECG. Blood pressure was 136 and pulse was 54. After blood pressure leveled out to normal, went home and rested. Went to primary care physician for a follow up. Am being sent to a Cardiologist in a couple of days and they want me to wear a Holter monitor.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Antibody test negative, Cerebrovascular accident, Computerised tomogram head abnormal, Confusional state, Differential white blood cell count
Clinical narrative: On Saturday, January 14, 2023, I felt extremely tired, napped several times throughout the day, and had a brief, mild headache in my left temple.  On Sunday, January 15, 2023, I was confused around mid-morning according to my daughter, whom I had called to help me move something.  She took me to the Emergency Room in the town that I live.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Electrocardiogram abnormal, Fatigue, Full blood count, Headache, International normalised ratio
Clinical narrative: On Saturday, January 14, 2023, I felt extremely tired, napped several times throughout the day, and had a brief, mild headache in my left temple.  On Sunday, January 15, 2023, I was confused around mid-morning according to my daughter, whom I had called to help me move something.  She took me to the Emergency Room in the town that I live.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Metabolic function test, Prothrombin level, Troponin I
Clinical narrative: On Saturday, January 14, 2023, I felt extremely tired, napped several times throughout the day, and had a brief, mild headache in my left temple.  On Sunday, January 15, 2023, I was confused around mid-morning according to my daughter, whom I had called to help me move something.  She took me to the Emergency Room in the town that I live.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Alopecia, Arthralgia, Bone scan, Magnetic resonance imaging abnormal, Muscle strain
Clinical narrative: I know that I'm on medication for my heart and those can cause hair loss. This hair loss is the top/crown of my head. It's very thin and I've been on my medications for years and I've never had this. In August 2022, I had COVID-19. Then I recently had the Pfizer bivalent vaccine (previous doses were Moderna) and my hair was coming out in brushfuls. With my hip, it felt like my leg was going to fall out of the socket. I went to an orthopedic and they did an x-ray and an MRI for my hip. I had a partial tear in my hamstring and I had to go to physical therapy for 4 weeks, twice weekly which I have just finished. That pain in my hip started in October, and it got worse in December after the vaccination. I do have a vitamin D deficiency, but the doctor said to go get it checked out. The physical therapy has helped and I've been put on calcium and vitamin D. I'm also hoping that my hair will regrow, but I don't know. I went on vitamin D which can maybe cause hair loss too, but I think it may be more related to having had COVID-19 or the vaccination. I was also given the PAXLOVID back in August, but I got a rebound case. I had COVID-19 for about 20 days. My doctor has reduced my metoprolol and has put me on amlodipine recently.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vitamin D deficiency, X-ray of pelvis and hip abnormal
Clinical narrative: I know that I'm on medication for my heart and those can cause hair loss. This hair loss is the top/crown of my head. It's very thin and I've been on my medications for years and I've never had this. In August 2022, I had COVID-19. Then I recently had the Pfizer bivalent vaccine (previous doses were Moderna) and my hair was coming out in brushfuls. With my hip, it felt like my leg was going to fall out of the socket. I went to an orthopedic and they did an x-ray and an MRI for my hip. I had a partial tear in my hamstring and I had to go to physical therapy for 4 weeks, twice weekly which I have just finished. That pain in my hip started in October, and it got worse in December after the vaccination. I do have a vitamin D deficiency, but the doctor said to go get it checked out. The physical therapy has helped and I've been put on calcium and vitamin D. I'm also hoping that my hair will regrow, but I don't know. I went on vitamin D which can maybe cause hair loss too, but I think it may be more related to having had COVID-19 or the vaccination. I was also given the PAXLOVID back in August, but I got a rebound case. I had COVID-19 for about 20 days. My doctor has reduced my metoprolol and has put me on amlodipine recently.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture positive, COVID-19, Chest X-ray abnormal, Cholecystitis, Cholelithiasis
Clinical narrative: 3rd DOSE OF PFIZER COVID VACCINE GIVEN 8/17/21, LOT #EW0171; pt brought to ED from where he resides; AMS; found to be positive for COVID; CXR showed small bilateral pleural effusions and pneumonia; given ABX; also has a UTI; blood cultures were positive for Klebsiella; CT of thorax, abdomen, pelvis showed cholelithiasis with gallbladder distention; cholecystitis; general surgery consulted; family opted to transition pt to comfort care; pt passed away in the hospital
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen abnormal, Computerised tomogram thorax, Death, Klebsiella test positive, Mental status changes
Clinical narrative: 3rd DOSE OF PFIZER COVID VACCINE GIVEN 8/17/21, LOT #EW0171; pt brought to ED from where he resides; AMS; found to be positive for COVID; CXR showed small bilateral pleural effusions and pneumonia; given ABX; also has a UTI; blood cultures were positive for Klebsiella; CT of thorax, abdomen, pelvis showed cholelithiasis with gallbladder distention; cholecystitis; general surgery consulted; family opted to transition pt to comfort care; pt passed away in the hospital
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Pleural effusion, Pneumonia, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: 3rd DOSE OF PFIZER COVID VACCINE GIVEN 8/17/21, LOT #EW0171; pt brought to ED from where he resides; AMS; found to be positive for COVID; CXR showed small bilateral pleural effusions and pneumonia; given ABX; also has a UTI; blood cultures were positive for Klebsiella; CT of thorax, abdomen, pelvis showed cholelithiasis with gallbladder distention; cholecystitis; general surgery consulted; family opted to transition pt to comfort care; pt passed away in the hospital
Age: 23.0
Sex: M
Vaccine: COVID19-2, HEP
Symptoms: Product label issue
Clinical narrative: labels provided by health department with the vial of moderna mrna bivalent were used on the consent but had incorrect dosage.  Correct dosage administered to adult male (0.5 ml) but documentation incorrect.  Documentation must be changed from 0.25 ml that is on the label to the 0.5 ml correct dose that was administered.  Documentation issue.  No patient harm.
Age: 26.0
Sex: F
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: pt was given varciella on 1/24/23when MMR was given on 1/9/23. pt was notified.
Age: 30.0
Sex: M
Vaccine: HEP
Symptoms: Feeling hot, Heart rate irregular
Clinical narrative: My body is on fire. I feel like my heart is not beating. You can put your hand in my chest and I have no beat. The vaccination is really going for me right now.
Age: 53.0
Sex: F
Vaccine: HIBV, PPV, TDAP
Symptoms: Blood test normal, Cardiac stress test normal, Dysstasia, Imaging procedure, Muscle spasms
Clinical narrative: About a week after getting the vaccine client suddenly experience severe muscle spasms, and was unable to stand for about a minute.  Then she had a longer more severe muscle spasm lasting a few minutes.  she continued to have the muscle spasms for the next couple of months.
Age: 79.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Asthenia, Balance disorder, Blood pressure increased, Blood thyroid stimulating hormone normal, Bradycardia
Clinical narrative: Date of Admission: 1/16/2023 Discharge Date: 1/20/2023 COVID positive 01/16/2023 PRESENTING PROBLEM: Weakness Lacunar infarction Cerebrovascular accident (CVA), unspecified mechanism COVID-19 Lacunar stroke   HOSPITAL COURSE: The patient is a 79yo female who presented to the hospital with weakness and falls. She was actually evaluated for the same in December at another hospital's ED and had elevated blood pressure but normal CT and negative MRI.   On presentation to the ED, she was noted to be confused and found to be COVID positive. CT with age indeterminate right basal ganglion lacunar stroke. She was admitted for further stroke workup. On her initial hospital day she remained confused and had difficulty with ambulating, falling to the right especially, but echo essentially normal and MRI with only 2 tiny strokes in right MCA territory. She was not hypoxic with her COVID and was not started on any specific therapy for this.    She initially qualified for acute rehab but then began to rapidly improve. She returned to her baseline mentation and her ambulation improved. She no longer qualified for acute rehab but PT/OT cleared for home care and home therapy.    Per neuro consultation, no additional antiplatelet agents given that the patient already takes Xarelto. Given her history of PCI and now CVA,will increase atorvastatin to 80mg.   During her admission, she became bradycardic so her metoprolol was initially held, then adjusted down to 12.5mg from 25mg BID and she seemed to tolerate this well.    Electrolytes were monitored and repleted PRN throughout the admission. Patient clinically improved and hemodynamically stable for discharge.  Discussed plan of care discharge with patient including outpatient follow-up PCP within 7 days. Patient voiced understanding was agreeable with plan of care discharge.
Age: 79.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: COVID-19, Cerebrovascular accident, Computerised tomogram head normal, Confusional state, Dizziness
Clinical narrative: Date of Admission: 1/16/2023 Discharge Date: 1/20/2023 COVID positive 01/16/2023 PRESENTING PROBLEM: Weakness Lacunar infarction Cerebrovascular accident (CVA), unspecified mechanism COVID-19 Lacunar stroke   HOSPITAL COURSE: The patient is a 79yo female who presented to the hospital with weakness and falls. She was actually evaluated for the same in December at another hospital's ED and had elevated blood pressure but normal CT and negative MRI.   On presentation to the ED, she was noted to be confused and found to be COVID positive. CT with age indeterminate right basal ganglion lacunar stroke. She was admitted for further stroke workup. On her initial hospital day she remained confused and had difficulty with ambulating, falling to the right especially, but echo essentially normal and MRI with only 2 tiny strokes in right MCA territory. She was not hypoxic with her COVID and was not started on any specific therapy for this.    She initially qualified for acute rehab but then began to rapidly improve. She returned to her baseline mentation and her ambulation improved. She no longer qualified for acute rehab but PT/OT cleared for home care and home therapy.    Per neuro consultation, no additional antiplatelet agents given that the patient already takes Xarelto. Given her history of PCI and now CVA,will increase atorvastatin to 80mg.   During her admission, she became bradycardic so her metoprolol was initially held, then adjusted down to 12.5mg from 25mg BID and she seemed to tolerate this well.    Electrolytes were monitored and repleted PRN throughout the admission. Patient clinically improved and hemodynamically stable for discharge.  Discussed plan of care discharge with patient including outpatient follow-up PCP within 7 days. Patient voiced understanding was agreeable with plan of care discharge.
Age: 79.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Echocardiogram normal, Electrolyte depletion, Electrolyte substitution therapy, Fall, Full blood count normal
Clinical narrative: Date of Admission: 1/16/2023 Discharge Date: 1/20/2023 COVID positive 01/16/2023 PRESENTING PROBLEM: Weakness Lacunar infarction Cerebrovascular accident (CVA), unspecified mechanism COVID-19 Lacunar stroke   HOSPITAL COURSE: The patient is a 79yo female who presented to the hospital with weakness and falls. She was actually evaluated for the same in December at another hospital's ED and had elevated blood pressure but normal CT and negative MRI.   On presentation to the ED, she was noted to be confused and found to be COVID positive. CT with age indeterminate right basal ganglion lacunar stroke. She was admitted for further stroke workup. On her initial hospital day she remained confused and had difficulty with ambulating, falling to the right especially, but echo essentially normal and MRI with only 2 tiny strokes in right MCA territory. She was not hypoxic with her COVID and was not started on any specific therapy for this.    She initially qualified for acute rehab but then began to rapidly improve. She returned to her baseline mentation and her ambulation improved. She no longer qualified for acute rehab but PT/OT cleared for home care and home therapy.    Per neuro consultation, no additional antiplatelet agents given that the patient already takes Xarelto. Given her history of PCI and now CVA,will increase atorvastatin to 80mg.   During her admission, she became bradycardic so her metoprolol was initially held, then adjusted down to 12.5mg from 25mg BID and she seemed to tolerate this well.    Electrolytes were monitored and repleted PRN throughout the admission. Patient clinically improved and hemodynamically stable for discharge.  Discussed plan of care discharge with patient including outpatient follow-up PCP within 7 days. Patient voiced understanding was agreeable with plan of care discharge.
Age: 79.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Gait disturbance, Headache, Hypertension, Laboratory test abnormal, Lacunar infarction
Clinical narrative: Date of Admission: 1/16/2023 Discharge Date: 1/20/2023 COVID positive 01/16/2023 PRESENTING PROBLEM: Weakness Lacunar infarction Cerebrovascular accident (CVA), unspecified mechanism COVID-19 Lacunar stroke   HOSPITAL COURSE: The patient is a 79yo female who presented to the hospital with weakness and falls. She was actually evaluated for the same in December at another hospital's ED and had elevated blood pressure but normal CT and negative MRI.   On presentation to the ED, she was noted to be confused and found to be COVID positive. CT with age indeterminate right basal ganglion lacunar stroke. She was admitted for further stroke workup. On her initial hospital day she remained confused and had difficulty with ambulating, falling to the right especially, but echo essentially normal and MRI with only 2 tiny strokes in right MCA territory. She was not hypoxic with her COVID and was not started on any specific therapy for this.    She initially qualified for acute rehab but then began to rapidly improve. She returned to her baseline mentation and her ambulation improved. She no longer qualified for acute rehab but PT/OT cleared for home care and home therapy.    Per neuro consultation, no additional antiplatelet agents given that the patient already takes Xarelto. Given her history of PCI and now CVA,will increase atorvastatin to 80mg.   During her admission, she became bradycardic so her metoprolol was initially held, then adjusted down to 12.5mg from 25mg BID and she seemed to tolerate this well.    Electrolytes were monitored and repleted PRN throughout the admission. Patient clinically improved and hemodynamically stable for discharge.  Discussed plan of care discharge with patient including outpatient follow-up PCP within 7 days. Patient voiced understanding was agreeable with plan of care discharge.
Age: 79.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Lacunar stroke, Magnetic resonance imaging head abnormal, Middle insomnia, Renal failure, SARS-CoV-2 test positive
Clinical narrative: Date of Admission: 1/16/2023 Discharge Date: 1/20/2023 COVID positive 01/16/2023 PRESENTING PROBLEM: Weakness Lacunar infarction Cerebrovascular accident (CVA), unspecified mechanism COVID-19 Lacunar stroke   HOSPITAL COURSE: The patient is a 79yo female who presented to the hospital with weakness and falls. She was actually evaluated for the same in December at another hospital's ED and had elevated blood pressure but normal CT and negative MRI.   On presentation to the ED, she was noted to be confused and found to be COVID positive. CT with age indeterminate right basal ganglion lacunar stroke. She was admitted for further stroke workup. On her initial hospital day she remained confused and had difficulty with ambulating, falling to the right especially, but echo essentially normal and MRI with only 2 tiny strokes in right MCA territory. She was not hypoxic with her COVID and was not started on any specific therapy for this.    She initially qualified for acute rehab but then began to rapidly improve. She returned to her baseline mentation and her ambulation improved. She no longer qualified for acute rehab but PT/OT cleared for home care and home therapy.    Per neuro consultation, no additional antiplatelet agents given that the patient already takes Xarelto. Given her history of PCI and now CVA,will increase atorvastatin to 80mg.   During her admission, she became bradycardic so her metoprolol was initially held, then adjusted down to 12.5mg from 25mg BID and she seemed to tolerate this well.    Electrolytes were monitored and repleted PRN throughout the admission. Patient clinically improved and hemodynamically stable for discharge.  Discussed plan of care discharge with patient including outpatient follow-up PCP within 7 days. Patient voiced understanding was agreeable with plan of care discharge.
Age: 79.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Troponin normal, Urine analysis normal
Clinical narrative: Date of Admission: 1/16/2023 Discharge Date: 1/20/2023 COVID positive 01/16/2023 PRESENTING PROBLEM: Weakness Lacunar infarction Cerebrovascular accident (CVA), unspecified mechanism COVID-19 Lacunar stroke   HOSPITAL COURSE: The patient is a 79yo female who presented to the hospital with weakness and falls. She was actually evaluated for the same in December at another hospital's ED and had elevated blood pressure but normal CT and negative MRI.   On presentation to the ED, she was noted to be confused and found to be COVID positive. CT with age indeterminate right basal ganglion lacunar stroke. She was admitted for further stroke workup. On her initial hospital day she remained confused and had difficulty with ambulating, falling to the right especially, but echo essentially normal and MRI with only 2 tiny strokes in right MCA territory. She was not hypoxic with her COVID and was not started on any specific therapy for this.    She initially qualified for acute rehab but then began to rapidly improve. She returned to her baseline mentation and her ambulation improved. She no longer qualified for acute rehab but PT/OT cleared for home care and home therapy.    Per neuro consultation, no additional antiplatelet agents given that the patient already takes Xarelto. Given her history of PCI and now CVA,will increase atorvastatin to 80mg.   During her admission, she became bradycardic so her metoprolol was initially held, then adjusted down to 12.5mg from 25mg BID and she seemed to tolerate this well.    Electrolytes were monitored and repleted PRN throughout the admission. Patient clinically improved and hemodynamically stable for discharge.  Discussed plan of care discharge with patient including outpatient follow-up PCP within 7 days. Patient voiced understanding was agreeable with plan of care discharge.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: patient requested the new shingles shot (she said it was the second dose); but dr's office called and said she received two doses already and we gave her the third one.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Transient ischaemic attack
Clinical narrative: TIA, swollen face
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Product label issue
Clinical narrative: labels provided by health department with the vial of moderna mrna bivalent were used on the consent but had incorrect dosage.  Correct dosage administered to adult male (0.5 ml) but documentation incorrect.  Documentation must be changed from 0.25 ml that is on the label to the 0.5 ml correct dose that was administered.  Documentation issue.  No patient harm.
Age: 67.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Blood test, Cardiac fibrillation, Cardiomyopathy, Catheterisation cardiac normal, Chest X-ray
Clinical narrative: When I got the shot approximately within a week I thought I was getting a cold and I noticed I was short of breath I let it go longer than I should but husband was sick, anyways I made an appointment with my primary doctor, my blood pressure was taken and it was 180 over 102 with a pulse rate of 122, they told my husband to take me to the hospital my blood pressure 190 over 129 and pulse was 138. I was put on heart medicine and a drip unsure what it was but I was admitted to the hospital on 12/14/2022 and released on 12/17/2022 a Heart catheter showed no blockage. Diagnosis was Arterial Fibrillation in addition chronic heart failure chronic systolic non ischemic cardio myopathy injection flow of twenty five percent. Was also fitted for a fibrillatory and heart vest. I was told I am a candidate for sudden cardiac death.
Age: 67.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Chronic left ventricular failure, Dyspnoea, Ejection fraction decreased, Electrocardiogram, Nasopharyngitis
Clinical narrative: When I got the shot approximately within a week I thought I was getting a cold and I noticed I was short of breath I let it go longer than I should but husband was sick, anyways I made an appointment with my primary doctor, my blood pressure was taken and it was 180 over 102 with a pulse rate of 122, they told my husband to take me to the hospital my blood pressure 190 over 129 and pulse was 138. I was put on heart medicine and a drip unsure what it was but I was admitted to the hospital on 12/14/2022 and released on 12/17/2022 a Heart catheter showed no blockage. Diagnosis was Arterial Fibrillation in addition chronic heart failure chronic systolic non ischemic cardio myopathy injection flow of twenty five percent. Was also fitted for a fibrillatory and heart vest. I was told I am a candidate for sudden cardiac death.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Pt received the Pfizer Bivalent when she should have received the second dose in the primary series.
Age: 68.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: COVID-19, Cough, Headache, Pain, Pyrexia
Clinical narrative: I started feeling achy in the beginning and it started to get worse as time went on. I then started to developed a cough, congestion, headache, and a slight fever. This lasted for about 4 or 5 days and then the symptoms started to dim down a little. I was taking ibuprofen and over the counter decongestion medication. This was the most intense side effects of a vaccine I had from a vaccine, and I contracted COVID still after taking them.
Age: 68.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Respiratory tract congestion
Clinical narrative: I started feeling achy in the beginning and it started to get worse as time went on. I then started to developed a cough, congestion, headache, and a slight fever. This lasted for about 4 or 5 days and then the symptoms started to dim down a little. I was taking ibuprofen and over the counter decongestion medication. This was the most intense side effects of a vaccine I had from a vaccine, and I contracted COVID still after taking them.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Administration of Non-Viable Vaccine.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Wrong product administered
Clinical narrative: Wrong vaccine given. Gave 3rd dose of primary Pfizer BioNTech Monovalent given instead of Pfizer Booster. Patient notified and open to receiving correct vaccine when the time is right.  Pt states feels fine and will notify clinic if develops any symptoms.
Age: 33.0
Sex: F
Vaccine: COVID19-2, TDAP
Symptoms: Product label issue
Clinical narrative: labels provided by health department with the vial of moderna mrna bivalent were used on the consent but had incorrect dosage.  Correct dosage administered to adult male (0.5 ml) but documentation incorrect.  Documentation must be changed from 0.25 ml that is on the label to the 0.5 ml correct dose that was administered.  Documentation issue.  No patient harm.
Age: 18.0
Sex: F
Vaccine: HEP
Symptoms: Extra dose administered, Incorrect dose administered
Clinical narrative: Patient inadvertently given 1.0mL dose of "adult" hepatitis B vaccine
Age: 72.0
Sex: M
Vaccine: FLUA4
Symptoms: Extra dose administered, Product storage error
Clinical narrative: Patient received a total of 3 Flu shot doses for the year 2022-2023 season. First flu shot was administered on 11/01/2022 and received second flu shot on 12/15/2022 since the flu shot given on 11/01/2022 was stored in a fridge where temperatures were not monitored. He received third dose on 01/19/2023 as a mistake.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Blood test, Coronary arterial stent insertion, Lower respiratory tract infection, Myocardial infarction
Clinical narrative: 10/14/2021 that is when I got the cold chest my heart was hurting, I thought I was having a heart attack. They sent me home with new medication for my heart. On March 9th, 2021, that is when I had a heart attack. They had to put a stent in the heart.