chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray normal, Condition aggravated, Cough
Clinical narrative: 78 y.o. male patient with history of UTIs, T2DM, paroxysmal atrial fibrillation, DVT, PAD, HTN, urinary incontinence, depression and anxiety who presented with anxiety and fever, found to have respiratory failure, COVID-19, severe sepsis and acute ESBL UTI. He was treated with steroids and was weaned off of O2 prior to discharge. He was treated with Ertapenem for 3 days until urine culture returned with typical E. Coli s/t Bactrim (same as before) and ID recommended that he finish 14 total days of Bactrim.    Acute hypoxic respiratory failure -- resovled COVID-19 Virus Infection Date of onset of symptoms: 7 days prior to admission Symptoms present on admission: nausea, fever, diarrhea, cough Date of covid positive test: 11/29 Vaccination status: vaccinated CXR (reviewed personally): No acute pulmonary findings CTPA: No evidence of PE or acute pulmonary abnormality Oxygen requirements on admission: 3-4L NC in ED Current oxygen requirements: RA Medical therapy: steroids x10d, out of window for remdesivir (already took Paxlovid) Consultants following: Infectious Disease Anticipated special isolation end date: 12/8/22   Severe Sepsis, POA -- resolved Urinary Tract Infection Hx of ESBL E. Coli Hx of Pyelonephritis Patient febrile (101.8), tachypneic, with leukocytosis on admission Likely sources include UTI and COVID-19 pneumonia LA 4.4 on admission UA positive nitrite, large leukocyte esterase, 122 WBCs, >180 RBCs, many bacteria Blood cultures pending, urine cultures with ESBL E. Coli ID consulted -- PO Bactrim through 12/10   Type 2 Diabetes, Insulin Dependent A1c of 8.7 on 10/24/22 Home regimen 30u lantus nightly with SSI Continued on admission   Urinary Incontinence Likely due to radiation after prostate cancer treatment Follows with doctor Home solifenacin 10mg daily  Paroxysmal Atrial Fibrillation EKG with NSR Continue home BB and restart apixaban (especially in light of COVID infection) Pt will f/u with doctor to discuss further   Peripheral Arterial Disease Hx of DVT Continue home lipitor, plavix Restarted apixaban as above   HTN Continue home lisinopril, hydrochlorothiazide, toprol   Anxiety/Depression Continue home buspar, cymbalta, ativan PRN
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Culture urine positive, Diarrhoea, Electrocardiogram normal, Escherichia test positive, Leukocytosis
Clinical narrative: 78 y.o. male patient with history of UTIs, T2DM, paroxysmal atrial fibrillation, DVT, PAD, HTN, urinary incontinence, depression and anxiety who presented with anxiety and fever, found to have respiratory failure, COVID-19, severe sepsis and acute ESBL UTI. He was treated with steroids and was weaned off of O2 prior to discharge. He was treated with Ertapenem for 3 days until urine culture returned with typical E. Coli s/t Bactrim (same as before) and ID recommended that he finish 14 total days of Bactrim.    Acute hypoxic respiratory failure -- resovled COVID-19 Virus Infection Date of onset of symptoms: 7 days prior to admission Symptoms present on admission: nausea, fever, diarrhea, cough Date of covid positive test: 11/29 Vaccination status: vaccinated CXR (reviewed personally): No acute pulmonary findings CTPA: No evidence of PE or acute pulmonary abnormality Oxygen requirements on admission: 3-4L NC in ED Current oxygen requirements: RA Medical therapy: steroids x10d, out of window for remdesivir (already took Paxlovid) Consultants following: Infectious Disease Anticipated special isolation end date: 12/8/22   Severe Sepsis, POA -- resolved Urinary Tract Infection Hx of ESBL E. Coli Hx of Pyelonephritis Patient febrile (101.8), tachypneic, with leukocytosis on admission Likely sources include UTI and COVID-19 pneumonia LA 4.4 on admission UA positive nitrite, large leukocyte esterase, 122 WBCs, >180 RBCs, many bacteria Blood cultures pending, urine cultures with ESBL E. Coli ID consulted -- PO Bactrim through 12/10   Type 2 Diabetes, Insulin Dependent A1c of 8.7 on 10/24/22 Home regimen 30u lantus nightly with SSI Continued on admission   Urinary Incontinence Likely due to radiation after prostate cancer treatment Follows with doctor Home solifenacin 10mg daily  Paroxysmal Atrial Fibrillation EKG with NSR Continue home BB and restart apixaban (especially in light of COVID infection) Pt will f/u with doctor to discuss further   Peripheral Arterial Disease Hx of DVT Continue home lipitor, plavix Restarted apixaban as above   HTN Continue home lisinopril, hydrochlorothiazide, toprol   Anxiety/Depression Continue home buspar, cymbalta, ativan PRN
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Nausea, Pathogen resistance, Pyrexia, Red blood cells urine positive, Respiratory failure
Clinical narrative: 78 y.o. male patient with history of UTIs, T2DM, paroxysmal atrial fibrillation, DVT, PAD, HTN, urinary incontinence, depression and anxiety who presented with anxiety and fever, found to have respiratory failure, COVID-19, severe sepsis and acute ESBL UTI. He was treated with steroids and was weaned off of O2 prior to discharge. He was treated with Ertapenem for 3 days until urine culture returned with typical E. Coli s/t Bactrim (same as before) and ID recommended that he finish 14 total days of Bactrim.    Acute hypoxic respiratory failure -- resovled COVID-19 Virus Infection Date of onset of symptoms: 7 days prior to admission Symptoms present on admission: nausea, fever, diarrhea, cough Date of covid positive test: 11/29 Vaccination status: vaccinated CXR (reviewed personally): No acute pulmonary findings CTPA: No evidence of PE or acute pulmonary abnormality Oxygen requirements on admission: 3-4L NC in ED Current oxygen requirements: RA Medical therapy: steroids x10d, out of window for remdesivir (already took Paxlovid) Consultants following: Infectious Disease Anticipated special isolation end date: 12/8/22   Severe Sepsis, POA -- resolved Urinary Tract Infection Hx of ESBL E. Coli Hx of Pyelonephritis Patient febrile (101.8), tachypneic, with leukocytosis on admission Likely sources include UTI and COVID-19 pneumonia LA 4.4 on admission UA positive nitrite, large leukocyte esterase, 122 WBCs, >180 RBCs, many bacteria Blood cultures pending, urine cultures with ESBL E. Coli ID consulted -- PO Bactrim through 12/10   Type 2 Diabetes, Insulin Dependent A1c of 8.7 on 10/24/22 Home regimen 30u lantus nightly with SSI Continued on admission   Urinary Incontinence Likely due to radiation after prostate cancer treatment Follows with doctor Home solifenacin 10mg daily  Paroxysmal Atrial Fibrillation EKG with NSR Continue home BB and restart apixaban (especially in light of COVID infection) Pt will f/u with doctor to discuss further   Peripheral Arterial Disease Hx of DVT Continue home lipitor, plavix Restarted apixaban as above   HTN Continue home lisinopril, hydrochlorothiazide, toprol   Anxiety/Depression Continue home buspar, cymbalta, ativan PRN
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Sepsis, Tachypnoea, Urinary tract infection, Urine analysis abnormal
Clinical narrative: 78 y.o. male patient with history of UTIs, T2DM, paroxysmal atrial fibrillation, DVT, PAD, HTN, urinary incontinence, depression and anxiety who presented with anxiety and fever, found to have respiratory failure, COVID-19, severe sepsis and acute ESBL UTI. He was treated with steroids and was weaned off of O2 prior to discharge. He was treated with Ertapenem for 3 days until urine culture returned with typical E. Coli s/t Bactrim (same as before) and ID recommended that he finish 14 total days of Bactrim.    Acute hypoxic respiratory failure -- resovled COVID-19 Virus Infection Date of onset of symptoms: 7 days prior to admission Symptoms present on admission: nausea, fever, diarrhea, cough Date of covid positive test: 11/29 Vaccination status: vaccinated CXR (reviewed personally): No acute pulmonary findings CTPA: No evidence of PE or acute pulmonary abnormality Oxygen requirements on admission: 3-4L NC in ED Current oxygen requirements: RA Medical therapy: steroids x10d, out of window for remdesivir (already took Paxlovid) Consultants following: Infectious Disease Anticipated special isolation end date: 12/8/22   Severe Sepsis, POA -- resolved Urinary Tract Infection Hx of ESBL E. Coli Hx of Pyelonephritis Patient febrile (101.8), tachypneic, with leukocytosis on admission Likely sources include UTI and COVID-19 pneumonia LA 4.4 on admission UA positive nitrite, large leukocyte esterase, 122 WBCs, >180 RBCs, many bacteria Blood cultures pending, urine cultures with ESBL E. Coli ID consulted -- PO Bactrim through 12/10   Type 2 Diabetes, Insulin Dependent A1c of 8.7 on 10/24/22 Home regimen 30u lantus nightly with SSI Continued on admission   Urinary Incontinence Likely due to radiation after prostate cancer treatment Follows with doctor Home solifenacin 10mg daily  Paroxysmal Atrial Fibrillation EKG with NSR Continue home BB and restart apixaban (especially in light of COVID infection) Pt will f/u with doctor to discuss further   Peripheral Arterial Disease Hx of DVT Continue home lipitor, plavix Restarted apixaban as above   HTN Continue home lisinopril, hydrochlorothiazide, toprol   Anxiety/Depression Continue home buspar, cymbalta, ativan PRN
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Urine leukocyte esterase positive, White blood cells urine positive
Clinical narrative: 78 y.o. male patient with history of UTIs, T2DM, paroxysmal atrial fibrillation, DVT, PAD, HTN, urinary incontinence, depression and anxiety who presented with anxiety and fever, found to have respiratory failure, COVID-19, severe sepsis and acute ESBL UTI. He was treated with steroids and was weaned off of O2 prior to discharge. He was treated with Ertapenem for 3 days until urine culture returned with typical E. Coli s/t Bactrim (same as before) and ID recommended that he finish 14 total days of Bactrim.    Acute hypoxic respiratory failure -- resovled COVID-19 Virus Infection Date of onset of symptoms: 7 days prior to admission Symptoms present on admission: nausea, fever, diarrhea, cough Date of covid positive test: 11/29 Vaccination status: vaccinated CXR (reviewed personally): No acute pulmonary findings CTPA: No evidence of PE or acute pulmonary abnormality Oxygen requirements on admission: 3-4L NC in ED Current oxygen requirements: RA Medical therapy: steroids x10d, out of window for remdesivir (already took Paxlovid) Consultants following: Infectious Disease Anticipated special isolation end date: 12/8/22   Severe Sepsis, POA -- resolved Urinary Tract Infection Hx of ESBL E. Coli Hx of Pyelonephritis Patient febrile (101.8), tachypneic, with leukocytosis on admission Likely sources include UTI and COVID-19 pneumonia LA 4.4 on admission UA positive nitrite, large leukocyte esterase, 122 WBCs, >180 RBCs, many bacteria Blood cultures pending, urine cultures with ESBL E. Coli ID consulted -- PO Bactrim through 12/10   Type 2 Diabetes, Insulin Dependent A1c of 8.7 on 10/24/22 Home regimen 30u lantus nightly with SSI Continued on admission   Urinary Incontinence Likely due to radiation after prostate cancer treatment Follows with doctor Home solifenacin 10mg daily  Paroxysmal Atrial Fibrillation EKG with NSR Continue home BB and restart apixaban (especially in light of COVID infection) Pt will f/u with doctor to discuss further   Peripheral Arterial Disease Hx of DVT Continue home lipitor, plavix Restarted apixaban as above   HTN Continue home lisinopril, hydrochlorothiazide, toprol   Anxiety/Depression Continue home buspar, cymbalta, ativan PRN
Age: 79.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: COVID-19, Chills, Cough, Dysphonia, Fatigue
Clinical narrative: On Monday night around 7PM I was having really bad chills and noticed that I was tired. By the 28th I was having a fever as well with a runny nose and was coughing. That led me to take a home COVID-19 test, and it was positive. Yesterday I reached out to my healthcare provider and since I am doing better, they said as long as I am continuing to get better that I should be good to go. I feel like I am about seventy percent better, I have a hoarse voice and I am easily tired while doing things but am getting better overall. I would like to note that I did get a flu shot on the same day that I got my Bivalent COVID-19 vaccine.
Age: 79.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: On Monday night around 7PM I was having really bad chills and noticed that I was tired. By the 28th I was having a fever as well with a runny nose and was coughing. That led me to take a home COVID-19 test, and it was positive. Yesterday I reached out to my healthcare provider and since I am doing better, they said as long as I am continuing to get better that I should be good to go. I feel like I am about seventy percent better, I have a hoarse voice and I am easily tired while doing things but am getting better overall. I would like to note that I did get a flu shot on the same day that I got my Bivalent COVID-19 vaccine.
Age: 12.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: 12 year old patient rec'd Fluzone High Dose, no treatment necessary, no adverse reaction.
Age: 52.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Underdose
Clinical narrative: Patient who is an adult was given 0.25mL of the Moderna Bivalent COVID booster vaccine, which is less than the authorized dose of 0.50mL.  No adverse events were noted at the time of the administration.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Culture urine, Diarrhoea
Clinical narrative: Patient is a 74 y.o. female patient of local MD with history of fibromyalgia, depression, lumbar degenerative disc presented to Hospital with diffuse body aches.   Patient presents today from her senior living apartment for diffuse body aches and fatigue and inability to care for herself.  She has been to the emergency room 3 times since 11/26.  She initially presented with pain everywhere and was found to have a URI and musculoskeletal pain.  Today she tested positive for COVID in the ED.  She also reports having a dry cough that is occasionally productive of mucus.  Mucus used to be white, now is yellow.  She reports nausea without vomiting.  She reports night sweats.  Denies diarrhea but reports loose stools.  She just quit smoking 1125   Diffuse body aches and failure to thrive Covid-19 Virus Infection Date of onset of symptoms: 11/26 Symptoms present on admission: Body ache, loose stool, cough Date of covid positive test: 12/5 Vaccination status: vaccinated Imaging: None on admission Oxygen requirements on admission: Room air Current oxygen requirements: Room air Medical therapy: not indicated Consultants following: none Anticipated special isolation end date: 12/15 IV hydration Tylenol for fever and symptomatic pain control Flexeril for diffuse body aches as needed Lidocaine patch   Hypokalemia Very mild in the setting of COVID Replete and monitor   UTI Diffuse body aches Follow-up urine culture Continue cefazolin   Depression Continue home citalopram     General weakness PT OT
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Ex-tobacco user, Failure to thrive, Fatigue, Hypokalaemia, Impaired self-care
Clinical narrative: Patient is a 74 y.o. female patient of local MD with history of fibromyalgia, depression, lumbar degenerative disc presented to Hospital with diffuse body aches.   Patient presents today from her senior living apartment for diffuse body aches and fatigue and inability to care for herself.  She has been to the emergency room 3 times since 11/26.  She initially presented with pain everywhere and was found to have a URI and musculoskeletal pain.  Today she tested positive for COVID in the ED.  She also reports having a dry cough that is occasionally productive of mucus.  Mucus used to be white, now is yellow.  She reports nausea without vomiting.  She reports night sweats.  Denies diarrhea but reports loose stools.  She just quit smoking 1125   Diffuse body aches and failure to thrive Covid-19 Virus Infection Date of onset of symptoms: 11/26 Symptoms present on admission: Body ache, loose stool, cough Date of covid positive test: 12/5 Vaccination status: vaccinated Imaging: None on admission Oxygen requirements on admission: Room air Current oxygen requirements: Room air Medical therapy: not indicated Consultants following: none Anticipated special isolation end date: 12/15 IV hydration Tylenol for fever and symptomatic pain control Flexeril for diffuse body aches as needed Lidocaine patch   Hypokalemia Very mild in the setting of COVID Replete and monitor   UTI Diffuse body aches Follow-up urine culture Continue cefazolin   Depression Continue home citalopram     General weakness PT OT
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Mucosal discolouration, Musculoskeletal pain, Nausea, Night sweats, Pain
Clinical narrative: Patient is a 74 y.o. female patient of local MD with history of fibromyalgia, depression, lumbar degenerative disc presented to Hospital with diffuse body aches.   Patient presents today from her senior living apartment for diffuse body aches and fatigue and inability to care for herself.  She has been to the emergency room 3 times since 11/26.  She initially presented with pain everywhere and was found to have a URI and musculoskeletal pain.  Today she tested positive for COVID in the ED.  She also reports having a dry cough that is occasionally productive of mucus.  Mucus used to be white, now is yellow.  She reports nausea without vomiting.  She reports night sweats.  Denies diarrhea but reports loose stools.  She just quit smoking 1125   Diffuse body aches and failure to thrive Covid-19 Virus Infection Date of onset of symptoms: 11/26 Symptoms present on admission: Body ache, loose stool, cough Date of covid positive test: 12/5 Vaccination status: vaccinated Imaging: None on admission Oxygen requirements on admission: Room air Current oxygen requirements: Room air Medical therapy: not indicated Consultants following: none Anticipated special isolation end date: 12/15 IV hydration Tylenol for fever and symptomatic pain control Flexeril for diffuse body aches as needed Lidocaine patch   Hypokalemia Very mild in the setting of COVID Replete and monitor   UTI Diffuse body aches Follow-up urine culture Continue cefazolin   Depression Continue home citalopram     General weakness PT OT
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough, SARS-CoV-2 test positive, Upper respiratory tract infection, Urinary tract infection
Clinical narrative: Patient is a 74 y.o. female patient of local MD with history of fibromyalgia, depression, lumbar degenerative disc presented to Hospital with diffuse body aches.   Patient presents today from her senior living apartment for diffuse body aches and fatigue and inability to care for herself.  She has been to the emergency room 3 times since 11/26.  She initially presented with pain everywhere and was found to have a URI and musculoskeletal pain.  Today she tested positive for COVID in the ED.  She also reports having a dry cough that is occasionally productive of mucus.  Mucus used to be white, now is yellow.  She reports nausea without vomiting.  She reports night sweats.  Denies diarrhea but reports loose stools.  She just quit smoking 1125   Diffuse body aches and failure to thrive Covid-19 Virus Infection Date of onset of symptoms: 11/26 Symptoms present on admission: Body ache, loose stool, cough Date of covid positive test: 12/5 Vaccination status: vaccinated Imaging: None on admission Oxygen requirements on admission: Room air Current oxygen requirements: Room air Medical therapy: not indicated Consultants following: none Anticipated special isolation end date: 12/15 IV hydration Tylenol for fever and symptomatic pain control Flexeril for diffuse body aches as needed Lidocaine patch   Hypokalemia Very mild in the setting of COVID Replete and monitor   UTI Diffuse body aches Follow-up urine culture Continue cefazolin   Depression Continue home citalopram     General weakness PT OT
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Mobility decreased, Pyrexia
Clinical narrative: Patient had fever 24 hours after administration but resolved within 48 hours after administration.  Patient also had extreme fatigue and was unable to get out of bed which resolved within 48 to 72 hours after administration.
Age: 37.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest pain, Computerised tomogram normal, Electrocardiogram normal, Heart rate increased, X-ray normal
Clinical narrative: Chest pains, left side Higher than normal heart rate (resting heart rate over a month increased by 10bpm)  Went to urgent care: EKG normal CT scan normal  Went to ER: X-ray normal EKG normal Possible plurisy or myocarditis diagnosis
Age: 74.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Chest discomfort, Headache, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I received my 5th dose on 09/29/2022. My COVID-19 infections symptoms started on 12/23/2022 in the morning around 08:00AM. I had a runny nose, severe headache, and tightness in my chest. I called my doctor on Friday morning he prescribed me with PAXLOVID for 5 days. On 12/23/2022 I did a COVID-19 home test which was positive then I called my doctor to inform him about my positive test.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Cough, Dyspnoea, Fatigue
Clinical narrative: Patient with history of lung cancer in remission. She was seen in the ED on 10/30 with cough, shortness of breath, fatigue, and sore throat.  She was tested for COVID in the ED by PCR and was positive. Patient was admitted from 10/30 - 11/1 with RLL pneumonia, COVID-19, and acute hypoxic respiratory failure.  She was initially on 3L O2 but was able to be weaned down to room air. She was discharged home. Patient has received the primary COVID vaccine series and two boosters.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Oropharyngeal pain, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient with history of lung cancer in remission. She was seen in the ED on 10/30 with cough, shortness of breath, fatigue, and sore throat.  She was tested for COVID in the ED by PCR and was positive. Patient was admitted from 10/30 - 11/1 with RLL pneumonia, COVID-19, and acute hypoxic respiratory failure.  She was initially on 3L O2 but was able to be weaned down to room air. She was discharged home. Patient has received the primary COVID vaccine series and two boosters.
Age: 24.0
Sex: M
Vaccine: COVID19-2, FLU4, HPV9
Symptoms: Expired product administered
Clinical narrative: The Moderna Covid vaccine was administered from a vial that was accessed for greater than 24 hours.  The vial was punctured at 0803 am on 12/29/22 and a dose was given to the patient from the vial at 1001 am on 12/30/22
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anticoagulant therapy, Blood pressure increased, Blood test, Catheterisation cardiac normal, Chest X-ray
Clinical narrative: On 10/23 in the eVening, I developed  chest pain which became severe, had very elevated blood pressure.  Called the squad.  Was given aspirin to chew.  They started  an IV and game me nitroglycerin under my tongue and fentanyl in my IV.  Chest pain improved after nitroglycerin.  I did not have EKG changes. My troponin was 48 upon arrival and increased to 150, then 860. I was on a heparin drip.  I was taken for a heart cath and possible stint placement.  My heart cath showed no blockage, despite my presentation and elevated cardiac enzymes.
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest pain, Coagulation test, Echocardiogram, Electrocardiogram normal, Myocardial necrosis marker increased
Clinical narrative: On 10/23 in the eVening, I developed  chest pain which became severe, had very elevated blood pressure.  Called the squad.  Was given aspirin to chew.  They started  an IV and game me nitroglycerin under my tongue and fentanyl in my IV.  Chest pain improved after nitroglycerin.  I did not have EKG changes. My troponin was 48 upon arrival and increased to 150, then 860. I was on a heparin drip.  I was taken for a heart cath and possible stint placement.  My heart cath showed no blockage, despite my presentation and elevated cardiac enzymes.
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Troponin increased
Clinical narrative: On 10/23 in the eVening, I developed  chest pain which became severe, had very elevated blood pressure.  Called the squad.  Was given aspirin to chew.  They started  an IV and game me nitroglycerin under my tongue and fentanyl in my IV.  Chest pain improved after nitroglycerin.  I did not have EKG changes. My troponin was 48 upon arrival and increased to 150, then 860. I was on a heparin drip.  I was taken for a heart cath and possible stint placement.  My heart cath showed no blockage, despite my presentation and elevated cardiac enzymes.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: not an adverse event, however incident reached patient.  Nurse called patient to her station with guardians. Nurse followed proper protocol and obtained documents, showed questionnaires, and obtained consent before preparing and giving the vaccine. Pediatrics patient was antsy during the whole vaccine prep. The nurse instructed both parents to properly hold the pediatrics limbs, especially the legs. The nurse prepared to administer and once the needle punctured the skin, the pedi patient jerked, disloging the needle out of the limb, causing none of the vaccine to be administered. The nurse reported to the Supervisor. Dr. was called and he recommends that the patient can get another vaccine today.
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Started feeling achy and felt feverish; Took a home COVID-19 test and it was positive; Went to ER and was prescribed PAXLOVID, azithromycin and albuterol inhaler; Started feeling better 4 days after medication.
Age: 32.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: Patient came requesting Pfizer Biv vaccine. Patient was checked in and seen as usual. When patient was triaged, patient stated the dose was needed for work requirement. Patient presented with two forms of records for previous vaccines received. One was a picture of the first two doses of the Pfizer Mono. Patient was asked if she had any severe allergic reactions to the first two doses, patient denied. Administration of the vaccine was done per protocol. Post administration, patient asked if we could correct a physical card she was given from her last visit. On the card she had a previous dose of Pfizer Biv with the date of 12/20/2022. I stated to patient she had already received the bivalent dose and did not need a second. Patient stated her job required tow booster doses for employment. I stated that only one Bivalent booster was needed and that the vaccine should of not been administered. Patient had no immediate reactions to the vaccine. Patient exited our clinic in no apparent distress. The administration of the second dose was reported to our management per protocol and the appropriate steps were taken.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Headache, Neck pain, SARS-CoV-2 test positive
Clinical narrative: Severe pain at lower base of my skull,the evening after my shot, worst pain ever, lasted through the night until 2nd Tylenol the following morning. Pain left UNTIL Covid positive November 4, 2022, same head pain returned & is still causing pain at the base of my skull & neck.
Age: 6.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: 6 year old patient rec'd Fluzone High Dose, no treatment necessary, no adverse reaction.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Malaise, No adverse event
Clinical narrative: I did not have an adverse reaction to the vaccine. On 12/02/2022, I started not feeling well with body aches, tired, cough and respiratory issues. On 12/06/2022, I test positive for COVID-19 with a home test. I contacted my doctor and got the prescription for PAXLOVID. I tolerated the medication, but it did leave a nasty taste in my mouth. As of today, I continue to have congestion and a cough.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pain, Respiratory symptom, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I did not have an adverse reaction to the vaccine. On 12/02/2022, I started not feeling well with body aches, tired, cough and respiratory issues. On 12/06/2022, I test positive for COVID-19 with a home test. I contacted my doctor and got the prescription for PAXLOVID. I tolerated the medication, but it did leave a nasty taste in my mouth. As of today, I continue to have congestion and a cough.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Chills, Cough, Dyspnoea
Clinical narrative: felt effects of  Covid-19 around November 19-20. Probable transmission on evening of November 17.  Nov 19 experienced bouts of sneezing. 2 a.m. Nov. 20 woke with chills, muscle aches, excessive sneezing. Tested negative (RAT) at 9 a.m. but continued to feel ill.  9 a.m. Nov 21 tested positive  (RAT). Same symptoms, more intense. Temp 100.7.  Coughing and heavy chest. Called my doctor to ask about getting Paxlovid.  Began course late that afternoon. Nov 22-24 Fatigued but gradual improvement of original symptoms except for coughing and inability to take full breaths. Fever gone by Nov 23. Nov 25-27 main complaint cough, fatigue, and difficulty with full breaths Nov 28 still positive (RAT) Nov 30 and Dec 2 negative RAT cough persisted until ~Dec 15 Symptom free since then
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Fatigue, Malaise, Myalgia, Pyrexia
Clinical narrative: felt effects of  Covid-19 around November 19-20. Probable transmission on evening of November 17.  Nov 19 experienced bouts of sneezing. 2 a.m. Nov. 20 woke with chills, muscle aches, excessive sneezing. Tested negative (RAT) at 9 a.m. but continued to feel ill.  9 a.m. Nov 21 tested positive  (RAT). Same symptoms, more intense. Temp 100.7.  Coughing and heavy chest. Called my doctor to ask about getting Paxlovid.  Began course late that afternoon. Nov 22-24 Fatigued but gradual improvement of original symptoms except for coughing and inability to take full breaths. Fever gone by Nov 23. Nov 25-27 main complaint cough, fatigue, and difficulty with full breaths Nov 28 still positive (RAT) Nov 30 and Dec 2 negative RAT cough persisted until ~Dec 15 Symptom free since then
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sneezing
Clinical narrative: felt effects of  Covid-19 around November 19-20. Probable transmission on evening of November 17.  Nov 19 experienced bouts of sneezing. 2 a.m. Nov. 20 woke with chills, muscle aches, excessive sneezing. Tested negative (RAT) at 9 a.m. but continued to feel ill.  9 a.m. Nov 21 tested positive  (RAT). Same symptoms, more intense. Temp 100.7.  Coughing and heavy chest. Called my doctor to ask about getting Paxlovid.  Began course late that afternoon. Nov 22-24 Fatigued but gradual improvement of original symptoms except for coughing and inability to take full breaths. Fever gone by Nov 23. Nov 25-27 main complaint cough, fatigue, and difficulty with full breaths Nov 28 still positive (RAT) Nov 30 and Dec 2 negative RAT cough persisted until ~Dec 15 Symptom free since then
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Hypoxia, Oxygen saturation decreased
Clinical narrative: Patient with history of anoxic brain injury and persistent vegetative state.   She was brought to the ED by EMS on 10/31 after she had an episode of emesis and associated drop in sats at her LTCF. When she arrived to the ED, she had increased respiratory rate and hypoxia. Patient tested positive for COVID in the ED by PCR. Ultimately, she was admitted 10/31 - 11/16 for acute on chronic hypoxic respiratory failure, Serratia pneumonia, and COVID pneumonia. She was discharged back to her LTC on 11/16. She has received the primary COVID vaccine series and one booster.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pneumonia serratia, Respiratory failure, Respiratory rate increased, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient with history of anoxic brain injury and persistent vegetative state.   She was brought to the ED by EMS on 10/31 after she had an episode of emesis and associated drop in sats at her LTCF. When she arrived to the ED, she had increased respiratory rate and hypoxia. Patient tested positive for COVID in the ED by PCR. Ultimately, she was admitted 10/31 - 11/16 for acute on chronic hypoxic respiratory failure, Serratia pneumonia, and COVID pneumonia. She was discharged back to her LTC on 11/16. She has received the primary COVID vaccine series and one booster.
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Underdose
Clinical narrative: Patient who is an adult was given 0.25mL of the Moderna Bivalent COVID booster vaccine, which is less than the authorized dose of 0.50mL.  No adverse events were noted at the time of the administration.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Underdose
Clinical narrative: Patient who is an adult was given 0.25mL of the Moderna Bivalent COVID booster vaccine, which is less than the authorized dose of 0.50mL.  No adverse events were noted at the time of the administration.
Age: 61.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Dysgeusia
Clinical narrative: It was body aches, headache, fever for the first couple of days. I had a sore throat, cough, and congestion. I tested on 12/16/2022 and started PAXLOVID that evening and took that for 5 full days. My sore throat, body aches, fever, and headaches went away while on the antiviral. I did have a bitter taste in my mouth but I believe that was in relation to the medication. I had a couple of days after I finished the anti viral where I felt fine. Then I started with a cough and a headache again along with a lot more congestion. I did not have a fever, but just a few body aches. Nothing near like the first body aches I experienced. The headache went away a couple of days ago so on 12/28/2022. I'm still experiencing the cough and congestion, but no more body aches. Once I was finished with the medication, the bitterness went away but I did lose my taste and smell again. I'm just now regaining both of these senses.
Age: 61.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Headache, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion
Clinical narrative: It was body aches, headache, fever for the first couple of days. I had a sore throat, cough, and congestion. I tested on 12/16/2022 and started PAXLOVID that evening and took that for 5 full days. My sore throat, body aches, fever, and headaches went away while on the antiviral. I did have a bitter taste in my mouth but I believe that was in relation to the medication. I had a couple of days after I finished the anti viral where I felt fine. Then I started with a cough and a headache again along with a lot more congestion. I did not have a fever, but just a few body aches. Nothing near like the first body aches I experienced. The headache went away a couple of days ago so on 12/28/2022. I'm still experiencing the cough and congestion, but no more body aches. Once I was finished with the medication, the bitterness went away but I did lose my taste and smell again. I'm just now regaining both of these senses.
Age: 61.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: SARS-CoV-2 test positive
Clinical narrative: It was body aches, headache, fever for the first couple of days. I had a sore throat, cough, and congestion. I tested on 12/16/2022 and started PAXLOVID that evening and took that for 5 full days. My sore throat, body aches, fever, and headaches went away while on the antiviral. I did have a bitter taste in my mouth but I believe that was in relation to the medication. I had a couple of days after I finished the anti viral where I felt fine. Then I started with a cough and a headache again along with a lot more congestion. I did not have a fever, but just a few body aches. Nothing near like the first body aches I experienced. The headache went away a couple of days ago so on 12/28/2022. I'm still experiencing the cough and congestion, but no more body aches. Once I was finished with the medication, the bitterness went away but I did lose my taste and smell again. I'm just now regaining both of these senses.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Pain, SARS-CoV-2 test positive
Clinical narrative: 12/29/2022 started around 4:00 a.m. with coughing, aches,fatigue, no fever. Covid Tested negative. 12/30/2022 still coughing, aches, fatigue, no fever. Tested positive. Redid test, tested positive again.
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Magnetic resonance imaging, Pain in extremity
Clinical narrative: Pain in arm.  I saw her in clinic a week after injection.  No injection site abnormality.  Pain in consistent part of arm.  Shoulder joint itself does not appear involved.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthritis, COVID-19, Condition aggravated, Cough, Dizziness
Clinical narrative: I had a headache, dizziness, body aches, arthritis more annoying, and moderate cough. I took an at home COVID-19 test and it was positive. My doctor said I qualified for PAXLOVID, so I started taking it. I sleep a lot and I my head still feels fuzzy.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Feeling abnormal, Headache, Hypersomnia, Pain, SARS-CoV-2 test positive
Clinical narrative: I had a headache, dizziness, body aches, arthritis more annoying, and moderate cough. I took an at home COVID-19 test and it was positive. My doctor said I qualified for PAXLOVID, so I started taking it. I sleep a lot and I my head still feels fuzzy.
Age: 70.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: no immediate adverse effects or events.  I contracted COVID and tested positive of 12-15-2022, upon returning from a 7 day vacation.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Acetabulum fracture, COVID-19, Chest X-ray abnormal, Comminuted fracture, Computerised tomogram abnormal
Clinical narrative: Discharge Disposition:     Medications, instructions, follow up information: See patient Discharge Instructions/AVS.   Hospital Course and Significant Findings: Pt is a 90 y/o F with hx of asthma, HTN, GERD, breast CA, aortic valve regurgitation, CKD3a (baseline Cr 0.6-0.8), and L hip cephalomedullary nail insertion in 1/2021 who presented 12/17/22 to KVal ED with pain after a mechanical fall that evening. Pt reports that she was standing to use her commode when she tripped and fell on her L side. In ED, CT showed " New comminuted fracture of the right hemipelvis. Comminuted fracture of the left iliac wing distracted from the acetabulum. Comminuted intra-articular left acetabulum with 8 mm distraction along the superior acetabular surface axial image 55." Pt received tylenol 650 mg IV x 1, norco 5/325 tab 1 tab PO x 1, and zofran 4 mg SL x 1. Pt was incidentally tested (+) COVID   Palliative care was consulted and had long discussion with patient with orthopedic surgery re goals of care AM of 12/18/22. Patient ultimately elected to proceed with surgical repair of left acetabular fx. Orthopedic surgeon recommended patient be transferred to KP Vacaville on 12/18/22 for surgical repair of left acetabular fracture.   Pt also incidentally tested (+) COVID. She endorsed cough for 1 week. CXR (+) patchy airspace dz. She was mildly hypoxic and placed on 2L O2 and Decadron was started. Patient will complete 10 day course of steroid therapy. Patient was on room air satting 96% prior to discharge.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fall, Gait disturbance, Hypoxia, Lung disorder
Clinical narrative: Discharge Disposition:     Medications, instructions, follow up information: See patient Discharge Instructions/AVS.   Hospital Course and Significant Findings: Pt is a 90 y/o F with hx of asthma, HTN, GERD, breast CA, aortic valve regurgitation, CKD3a (baseline Cr 0.6-0.8), and L hip cephalomedullary nail insertion in 1/2021 who presented 12/17/22 to KVal ED with pain after a mechanical fall that evening. Pt reports that she was standing to use her commode when she tripped and fell on her L side. In ED, CT showed " New comminuted fracture of the right hemipelvis. Comminuted fracture of the left iliac wing distracted from the acetabulum. Comminuted intra-articular left acetabulum with 8 mm distraction along the superior acetabular surface axial image 55." Pt received tylenol 650 mg IV x 1, norco 5/325 tab 1 tab PO x 1, and zofran 4 mg SL x 1. Pt was incidentally tested (+) COVID   Palliative care was consulted and had long discussion with patient with orthopedic surgery re goals of care AM of 12/18/22. Patient ultimately elected to proceed with surgical repair of left acetabular fx. Orthopedic surgeon recommended patient be transferred to KP Vacaville on 12/18/22 for surgical repair of left acetabular fracture.   Pt also incidentally tested (+) COVID. She endorsed cough for 1 week. CXR (+) patchy airspace dz. She was mildly hypoxic and placed on 2L O2 and Decadron was started. Patient will complete 10 day course of steroid therapy. Patient was on room air satting 96% prior to discharge.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pelvic fracture, SARS-CoV-2 test positive
Clinical narrative: Discharge Disposition:     Medications, instructions, follow up information: See patient Discharge Instructions/AVS.   Hospital Course and Significant Findings: Pt is a 90 y/o F with hx of asthma, HTN, GERD, breast CA, aortic valve regurgitation, CKD3a (baseline Cr 0.6-0.8), and L hip cephalomedullary nail insertion in 1/2021 who presented 12/17/22 to KVal ED with pain after a mechanical fall that evening. Pt reports that she was standing to use her commode when she tripped and fell on her L side. In ED, CT showed " New comminuted fracture of the right hemipelvis. Comminuted fracture of the left iliac wing distracted from the acetabulum. Comminuted intra-articular left acetabulum with 8 mm distraction along the superior acetabular surface axial image 55." Pt received tylenol 650 mg IV x 1, norco 5/325 tab 1 tab PO x 1, and zofran 4 mg SL x 1. Pt was incidentally tested (+) COVID   Palliative care was consulted and had long discussion with patient with orthopedic surgery re goals of care AM of 12/18/22. Patient ultimately elected to proceed with surgical repair of left acetabular fx. Orthopedic surgeon recommended patient be transferred to KP Vacaville on 12/18/22 for surgical repair of left acetabular fracture.   Pt also incidentally tested (+) COVID. She endorsed cough for 1 week. CXR (+) patchy airspace dz. She was mildly hypoxic and placed on 2L O2 and Decadron was started. Patient will complete 10 day course of steroid therapy. Patient was on room air satting 96% prior to discharge.
Age: 61.0
Sex: M
Vaccine: FLUR4
Symptoms: Pain in extremity, Product administered at inappropriate site
Clinical narrative: Patient's wife came to pharmacy on 12/9/22 stating that she just wanted to let us know that "whoever gave her husband his flu shot in October gave it in the joint instead of the correct place" and he had to have a "steroid shot". She said his arm pain didn't get better so he went to the Dr. that the Dr. told him the above information.
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Headache, Malaise
Clinical narrative: Breakthrough Covid-19 infection occurred 11/18/2022. Note, In my vsafe 3 month check-in, I mistakenly put 12/19 as the infection date which was incorrect. 11/18/2022 is the correct start of symptoms. Symptoms included Headache, Sore Throat, Muscle Aches, Tired, Cough (mixed phlegmy and some dry cough as well) As of 12/30/2022, I still have a very,very minor cough (phelgmy/wet) which is getting better each day. It's almost but not quite gone! I used telemedicine to get Paxlovid from Dr. on 11/19/2022
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Myalgia, Oropharyngeal pain, Productive cough, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough Covid-19 infection occurred 11/18/2022. Note, In my vsafe 3 month check-in, I mistakenly put 12/19 as the infection date which was incorrect. 11/18/2022 is the correct start of symptoms. Symptoms included Headache, Sore Throat, Muscle Aches, Tired, Cough (mixed phlegmy and some dry cough as well) As of 12/30/2022, I still have a very,very minor cough (phelgmy/wet) which is getting better each day. It's almost but not quite gone! I used telemedicine to get Paxlovid from Dr. on 11/19/2022
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood test normal, Computerised tomogram normal, Diplopia, Dizziness, Electrocardiogram normal
Clinical narrative: 12/21/2022 at around 7PM that night, I started seeing double vison horizontally. I was seeing two of everything, it lasted to around 7:03PM. It was over, I took my blood pressure, and it was normal. Once it happened it was nothing to worry about. I may have had a dizziness. I did sit down very quickly. I was afraid I was having some cerebral event. Having that happened the next day I called my PCP and was directed to go to the ER that afternoon after researching my symptoms. After the testing at the ER all was cleared for me to go home. I believe I had a mini stroke; I believe I will be having testing done shortly. I will see my PCP on the 01/11/2022, a carotid arteria sonogram, and another and MRI of my head.
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Full blood count normal, Liver function test normal, Metabolic function test normal, Troponin I
Clinical narrative: 12/21/2022 at around 7PM that night, I started seeing double vison horizontally. I was seeing two of everything, it lasted to around 7:03PM. It was over, I took my blood pressure, and it was normal. Once it happened it was nothing to worry about. I may have had a dizziness. I did sit down very quickly. I was afraid I was having some cerebral event. Having that happened the next day I called my PCP and was directed to go to the ER that afternoon after researching my symptoms. After the testing at the ER all was cleared for me to go home. I believe I had a mini stroke; I believe I will be having testing done shortly. I will see my PCP on the 01/11/2022, a carotid arteria sonogram, and another and MRI of my head.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anaemia, Blood test abnormal, Fatigue, Feeling cold
Clinical narrative: I had mild fatigue, and I was getting cold easy. I went to an annual checkup, and they ran some blood work, and it came back that I had developed Anemia. I received two iron infusions not long after my blood work came back.
Age: 26.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Underdose
Clinical narrative: Patient who is an adult was given 0.25mL of the Moderna Bivalent COVID booster vaccine, which is less than the authorized dose of 0.50mL.  No adverse events were noted at the time of the administration.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: COVID-19 Disease - Test positive 12/19/22 at SNF.   mild symptoms.  Remdesivir therapy completed.  - end isolation 12/31/22 per ID rec
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nasal congestion, Oropharyngeal pain, Pyrexia
Clinical narrative: Chills, slight fever, nasal congestion, headache, sore throat
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: Chills, slight fever, nasal congestion, headache, sore throat
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash
Clinical narrative: Patient received COVID Moderna Booster on 11/18/22, called into the office today to report an adverse effect from vaccine. Patient reported a rash to both arms and legs starting on Saturday 11/19/22, after receiving the Moderna Booster.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Cardiac stress test, Chest pain, Electrocardiogram
Clinical narrative: increased blood pressure and chest pain