chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: U
Vaccine: COVID19-2
Symptoms: Tenderness, Testicular disorder, Testicular pain
Clinical narrative: Patient called into primary care office to report possible reaction to the COVID booster (received at pharmacy, not at this doctor's office he is unsure the Lot number). He developed his typical reaction on 10/12- felt "sick",  nauseous, tired/weak. Thursday 10/13 developed left testicular tenderness, pain. Friday 10/14 in addition to the left testicular pain developed left lower abdominal aching. he had the abdominal aching and testicular pain through Monday 10/17. He also had temp up to 100F. by 10/17 started to notice improvement in symptoms and on 10/18 feeling much better. Patient states some online research showed other people having a similar reaction to COVID vaccine and/or COVID illness.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Injection site haemorrhage
Clinical narrative: Patient came in for Pfizer Bivalent vaccination.  Upon administration of vaccine, there was no sign of bleeding.  The patient waited the 15 minute period of observation in our lobby and left without adverse events.  About 15-30 minutes after leaving, the patient came back in and was bleeding abnormally from the site of injection (left deltoid).  He had bled through his bandage, through his shirt, and blood was running down his arm.  We quickly cleaned his arm, applied pressure to stop the bleeding, and wrapped his arm with gauze and tape.  Him and his wife (who also was vaccinated) were instructed to go to the emergency room if bleeding did not stop.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Incorrect formulation administered.
Age: 14.0
Sex: M
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: none
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Incorrect formulation administered.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Blood immunoglobulin G increased, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization, admit transitional care,  tested positive in anticipation to d/c. IgG positive, presumed PCR positive as result of previous undocumented COVID.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Decreased appetite, Ear discomfort, Fatigue
Clinical narrative: It started with ear pressure on the left side. Lots of sinus drainage and headache mostly on the left side. I was also fatigued and had lack of appetite. I didn't want to do anything. I just wanted to sit in my car for like three days. My doctor prescribed PAXLOVID for it.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, SARS-CoV-2 test positive, Sinus operation
Clinical narrative: It started with ear pressure on the left side. Lots of sinus drainage and headache mostly on the left side. I was also fatigued and had lack of appetite. I didn't want to do anything. I just wanted to sit in my car for like three days. My doctor prescribed PAXLOVID for it.
Age: 41.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, Language disorder, No adverse event, Product administration error
Clinical narrative: Administration error due to language barrier. patient got pfizer bivalent booster instead of primary series. there is no adverse event occurs. Patient is completely  normal.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Came down with Covid on July 31, 2022
Age: 16.0
Sex: M
Vaccine: TD
Symptoms: Expired product administered
Clinical narrative: Once documenting to records noticed that vaccine was expired. Patient kept in clinic for monitoring for adverse effects. Patient verbally stated feeling well. Advised mother to bring child if any s/s of adverse effect present. We will keep mother updated if revaccination of TD vaccine is need.   TD Tenivac Lot C5779AA EXP 10/2/2022
Age: 55.0
Sex: M
Vaccine: COVID19-2
Symptoms: Circumstance or information capable of leading to medication error
Clinical narrative: Patient in clinic for 2nd Covid vaccine.  Per chart, patient received bivalent Covid vaccine on 10/4/22.  Patient reports that he had never received any previous Covid vaccines.  RN checked in immunization registry, no previous Covid vaccines noted.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction, Acute respiratory failure, Asthenia, COVID-19, Death
Clinical narrative: Discharge Provider: Private MD Primary Care Physician at Discharge: Private DO  Admission Date: 10/8/2022  Date of Death: 10/13/22 Time of Death:  2:13 AM Preliminary Cause of Death: acute respiratory failure with hypoxia  PRESENTING PROBLEM: Somnolence [R40.0] STEMI (ST elevation myocardial infarction) (HCC) [I21.3] ST elevation myocardial infarction (STEMI), unspecified artery (HCC) [I21.3] COVID [U07.1] Failure to thrive   HOSPITAL COURSE: 87 y.o. female with a history of CAD s/p CABG, recent GIB due to gastric erosions/esophagitis, HTN, HLD, carotid stenosis who presented with weakness and lethargy and found to have ST elevation, elevated troponins concerning for STEMI, in addition to COVID. Patient was not a candidate for catheterization per cardiology and unable to be put on heparin drip due to recent GIB.  On admission, patient initially admitted as comfort care. Given further evaluation, the EKG more likely indicative of NSTEMI or myocarditis (less likely STEMI) based off prior EKG, discussion with patient's daughter to change patient from comfort care to DNR/DNI (on 10/9). Echo showed normal EF 66%. Patient also given one dose remdemisvir and decadron, given her COVID infection.   Discussion with family on 10/10: The family came to the conclusion to move the patient to comfort care status given her overall well being, including her inability to eat, her body mass index, and her other medical comorbidities. Patient was then admitted to general inpatient hospice, and her symptoms were well controlled with scheduled sublingual morphine and ativan. Patient passed away comfortably on the morning of 10/13/22 with daughter at bedside.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram normal, Ejection fraction normal, Electrocardiogram ST segment elevation, Failure to thrive, Feeding disorder
Clinical narrative: Discharge Provider: Private MD Primary Care Physician at Discharge: Private DO  Admission Date: 10/8/2022  Date of Death: 10/13/22 Time of Death:  2:13 AM Preliminary Cause of Death: acute respiratory failure with hypoxia  PRESENTING PROBLEM: Somnolence [R40.0] STEMI (ST elevation myocardial infarction) (HCC) [I21.3] ST elevation myocardial infarction (STEMI), unspecified artery (HCC) [I21.3] COVID [U07.1] Failure to thrive   HOSPITAL COURSE: 87 y.o. female with a history of CAD s/p CABG, recent GIB due to gastric erosions/esophagitis, HTN, HLD, carotid stenosis who presented with weakness and lethargy and found to have ST elevation, elevated troponins concerning for STEMI, in addition to COVID. Patient was not a candidate for catheterization per cardiology and unable to be put on heparin drip due to recent GIB.  On admission, patient initially admitted as comfort care. Given further evaluation, the EKG more likely indicative of NSTEMI or myocarditis (less likely STEMI) based off prior EKG, discussion with patient's daughter to change patient from comfort care to DNR/DNI (on 10/9). Echo showed normal EF 66%. Patient also given one dose remdemisvir and decadron, given her COVID infection.   Discussion with family on 10/10: The family came to the conclusion to move the patient to comfort care status given her overall well being, including her inability to eat, her body mass index, and her other medical comorbidities. Patient was then admitted to general inpatient hospice, and her symptoms were well controlled with scheduled sublingual morphine and ativan. Patient passed away comfortably on the morning of 10/13/22 with daughter at bedside.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lethargy, Myocarditis, Somnolence
Clinical narrative: Discharge Provider: Private MD Primary Care Physician at Discharge: Private DO  Admission Date: 10/8/2022  Date of Death: 10/13/22 Time of Death:  2:13 AM Preliminary Cause of Death: acute respiratory failure with hypoxia  PRESENTING PROBLEM: Somnolence [R40.0] STEMI (ST elevation myocardial infarction) (HCC) [I21.3] ST elevation myocardial infarction (STEMI), unspecified artery (HCC) [I21.3] COVID [U07.1] Failure to thrive   HOSPITAL COURSE: 87 y.o. female with a history of CAD s/p CABG, recent GIB due to gastric erosions/esophagitis, HTN, HLD, carotid stenosis who presented with weakness and lethargy and found to have ST elevation, elevated troponins concerning for STEMI, in addition to COVID. Patient was not a candidate for catheterization per cardiology and unable to be put on heparin drip due to recent GIB.  On admission, patient initially admitted as comfort care. Given further evaluation, the EKG more likely indicative of NSTEMI or myocarditis (less likely STEMI) based off prior EKG, discussion with patient's daughter to change patient from comfort care to DNR/DNI (on 10/9). Echo showed normal EF 66%. Patient also given one dose remdemisvir and decadron, given her COVID infection.   Discussion with family on 10/10: The family came to the conclusion to move the patient to comfort care status given her overall well being, including her inability to eat, her body mass index, and her other medical comorbidities. Patient was then admitted to general inpatient hospice, and her symptoms were well controlled with scheduled sublingual morphine and ativan. Patient passed away comfortably on the morning of 10/13/22 with daughter at bedside.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction, Asthenia, COVID-19, Death, Echocardiogram normal
Clinical narrative: Discharge Provider: Private MD Primary Care Physician at Discharge: Private DO  Admission Date: 10/8/2022  Date of Death: 10/13/22 Time of Death:  2:13 AM Preliminary Cause of Death: acute respiratory failure with hypoxia  PRESENTING PROBLEM: Somnolence [R40.0] STEMI (ST elevation myocardial infarction) (HCC) [I21.3] ST elevation myocardial infarction (STEMI), unspecified artery (HCC) [I21.3] COVID [U07.1] Failure to thrive   HOSPITAL COURSE: 87 y.o. female with a history of CAD s/p CABG, recent GIB due to gastric erosions/esophagitis, HTN, HLD, carotid stenosis who presented with weakness and lethargy and found to have ST elevation, elevated troponins concerning for STEMI, in addition to COVID. Patient was not a candidate for catheterization per cardiology and unable to be put on heparin drip due to recent GIB.  On admission, patient initially admitted as comfort care. Given further evaluation, the EKG more likely indicative of NSTEMI or myocarditis (less likely STEMI) based off prior EKG, discussion with patient's daughter to change patient from comfort care to DNR/DNI (on 10/9). Echo showed normal EF 66%. Patient also given one dose remdemisvir and decadron, given her COVID infection.   Discussion with family on 10/10: The family came to the conclusion to move the patient to comfort care status given her overall well being, including her inability to eat, her body mass index, and her other medical comorbidities. Patient was then admitted to general inpatient hospice, and her symptoms were well controlled with scheduled sublingual morphine and ativan. Patient passed away comfortably on the morning of 10/13/22 with daughter at bedside.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ejection fraction normal, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Failure to thrive, Feeding disorder
Clinical narrative: Discharge Provider: Private MD Primary Care Physician at Discharge: Private DO  Admission Date: 10/8/2022  Date of Death: 10/13/22 Time of Death:  2:13 AM Preliminary Cause of Death: acute respiratory failure with hypoxia  PRESENTING PROBLEM: Somnolence [R40.0] STEMI (ST elevation myocardial infarction) (HCC) [I21.3] ST elevation myocardial infarction (STEMI), unspecified artery (HCC) [I21.3] COVID [U07.1] Failure to thrive   HOSPITAL COURSE: 87 y.o. female with a history of CAD s/p CABG, recent GIB due to gastric erosions/esophagitis, HTN, HLD, carotid stenosis who presented with weakness and lethargy and found to have ST elevation, elevated troponins concerning for STEMI, in addition to COVID. Patient was not a candidate for catheterization per cardiology and unable to be put on heparin drip due to recent GIB.  On admission, patient initially admitted as comfort care. Given further evaluation, the EKG more likely indicative of NSTEMI or myocarditis (less likely STEMI) based off prior EKG, discussion with patient's daughter to change patient from comfort care to DNR/DNI (on 10/9). Echo showed normal EF 66%. Patient also given one dose remdemisvir and decadron, given her COVID infection.   Discussion with family on 10/10: The family came to the conclusion to move the patient to comfort care status given her overall well being, including her inability to eat, her body mass index, and her other medical comorbidities. Patient was then admitted to general inpatient hospice, and her symptoms were well controlled with scheduled sublingual morphine and ativan. Patient passed away comfortably on the morning of 10/13/22 with daughter at bedside.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Gastritis erosive, Gastrointestinal haemorrhage, Lethargy, Myocarditis, Oesophagitis
Clinical narrative: Discharge Provider: Private MD Primary Care Physician at Discharge: Private DO  Admission Date: 10/8/2022  Date of Death: 10/13/22 Time of Death:  2:13 AM Preliminary Cause of Death: acute respiratory failure with hypoxia  PRESENTING PROBLEM: Somnolence [R40.0] STEMI (ST elevation myocardial infarction) (HCC) [I21.3] ST elevation myocardial infarction (STEMI), unspecified artery (HCC) [I21.3] COVID [U07.1] Failure to thrive   HOSPITAL COURSE: 87 y.o. female with a history of CAD s/p CABG, recent GIB due to gastric erosions/esophagitis, HTN, HLD, carotid stenosis who presented with weakness and lethargy and found to have ST elevation, elevated troponins concerning for STEMI, in addition to COVID. Patient was not a candidate for catheterization per cardiology and unable to be put on heparin drip due to recent GIB.  On admission, patient initially admitted as comfort care. Given further evaluation, the EKG more likely indicative of NSTEMI or myocarditis (less likely STEMI) based off prior EKG, discussion with patient's daughter to change patient from comfort care to DNR/DNI (on 10/9). Echo showed normal EF 66%. Patient also given one dose remdemisvir and decadron, given her COVID infection.   Discussion with family on 10/10: The family came to the conclusion to move the patient to comfort care status given her overall well being, including her inability to eat, her body mass index, and her other medical comorbidities. Patient was then admitted to general inpatient hospice, and her symptoms were well controlled with scheduled sublingual morphine and ativan. Patient passed away comfortably on the morning of 10/13/22 with daughter at bedside.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Somnolence, Troponin increased
Clinical narrative: Discharge Provider: Private MD Primary Care Physician at Discharge: Private DO  Admission Date: 10/8/2022  Date of Death: 10/13/22 Time of Death:  2:13 AM Preliminary Cause of Death: acute respiratory failure with hypoxia  PRESENTING PROBLEM: Somnolence [R40.0] STEMI (ST elevation myocardial infarction) (HCC) [I21.3] ST elevation myocardial infarction (STEMI), unspecified artery (HCC) [I21.3] COVID [U07.1] Failure to thrive   HOSPITAL COURSE: 87 y.o. female with a history of CAD s/p CABG, recent GIB due to gastric erosions/esophagitis, HTN, HLD, carotid stenosis who presented with weakness and lethargy and found to have ST elevation, elevated troponins concerning for STEMI, in addition to COVID. Patient was not a candidate for catheterization per cardiology and unable to be put on heparin drip due to recent GIB.  On admission, patient initially admitted as comfort care. Given further evaluation, the EKG more likely indicative of NSTEMI or myocarditis (less likely STEMI) based off prior EKG, discussion with patient's daughter to change patient from comfort care to DNR/DNI (on 10/9). Echo showed normal EF 66%. Patient also given one dose remdemisvir and decadron, given her COVID infection.   Discussion with family on 10/10: The family came to the conclusion to move the patient to comfort care status given her overall well being, including her inability to eat, her body mass index, and her other medical comorbidities. Patient was then admitted to general inpatient hospice, and her symptoms were well controlled with scheduled sublingual morphine and ativan. Patient passed away comfortably on the morning of 10/13/22 with daughter at bedside.
Age: 33.0
Sex: M
Vaccine: UNK
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent is administered instead of bivalent
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: Injection site rash, Injection site scab
Clinical narrative: Patient states he took bandaid off vaccine next am and there was a rash. It is scabbed up, approximately 2x2 inch circle on upper left arm at vax injection site. Patient reports no itching, no hotness, just scabs.
Age: 66.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Chest X-ray, Confusional state, Cough, Dyspnoea, Dyspnoea exertional
Clinical narrative: The first symptom I felt and has continued is a fever. Every day has gone up to about 101 degrees usually in the afternoon to early evening. I took my temperature once today and it was normal although I felt sweaty. The fever is very noticeable and has stayed with me. The second symptom is elevated heart rate for the whole week and is still happening. My smart watch showed me my heart rate and it just became a downer. It's about 10 beats higher from where it should be. Walking down the hallway and back to go to the kitchen and bathroom, it will go over 100 beats per minute and that's not typical for me. The third symptom is a bit of a bumpy heartbeat or irregular heartbeat. It's not anything wild, but it's annoying, concerning, and noticeable. It would make me have an impulse cough and that would sometimes relieve it. The bumpy heartbeat has decreased substantially and now the cough is just a normal cough on its own. When I went to my doctor, walking to the office from the parking lot caused shortness of breath and fatigue. I had the worst sleep last night and I wasn't sure if it was a high fever, but I was a little bit confused last night. I woke up and every time I looked at the clock, no time would have passed but I was confused about the read out. It felt like I was getting two pieces of information, and just woke up confused.
Age: 66.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Electrocardiogram normal, Fatigue, Heart rate increased, Heart rate irregular, Hyperhidrosis
Clinical narrative: The first symptom I felt and has continued is a fever. Every day has gone up to about 101 degrees usually in the afternoon to early evening. I took my temperature once today and it was normal although I felt sweaty. The fever is very noticeable and has stayed with me. The second symptom is elevated heart rate for the whole week and is still happening. My smart watch showed me my heart rate and it just became a downer. It's about 10 beats higher from where it should be. Walking down the hallway and back to go to the kitchen and bathroom, it will go over 100 beats per minute and that's not typical for me. The third symptom is a bit of a bumpy heartbeat or irregular heartbeat. It's not anything wild, but it's annoying, concerning, and noticeable. It would make me have an impulse cough and that would sometimes relieve it. The bumpy heartbeat has decreased substantially and now the cough is just a normal cough on its own. When I went to my doctor, walking to the office from the parking lot caused shortness of breath and fatigue. I had the worst sleep last night and I wasn't sure if it was a high fever, but I was a little bit confused last night. I woke up and every time I looked at the clock, no time would have passed but I was confused about the read out. It felt like I was getting two pieces of information, and just woke up confused.
Age: 66.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Poor quality sleep, Pyrexia, Red blood cell count, Sleep disorder, Urine analysis normal
Clinical narrative: The first symptom I felt and has continued is a fever. Every day has gone up to about 101 degrees usually in the afternoon to early evening. I took my temperature once today and it was normal although I felt sweaty. The fever is very noticeable and has stayed with me. The second symptom is elevated heart rate for the whole week and is still happening. My smart watch showed me my heart rate and it just became a downer. It's about 10 beats higher from where it should be. Walking down the hallway and back to go to the kitchen and bathroom, it will go over 100 beats per minute and that's not typical for me. The third symptom is a bit of a bumpy heartbeat or irregular heartbeat. It's not anything wild, but it's annoying, concerning, and noticeable. It would make me have an impulse cough and that would sometimes relieve it. The bumpy heartbeat has decreased substantially and now the cough is just a normal cough on its own. When I went to my doctor, walking to the office from the parking lot caused shortness of breath and fatigue. I had the worst sleep last night and I wasn't sure if it was a high fever, but I was a little bit confused last night. I woke up and every time I looked at the clock, no time would have passed but I was confused about the read out. It felt like I was getting two pieces of information, and just woke up confused.
Age: 66.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: White blood cell count
Clinical narrative: The first symptom I felt and has continued is a fever. Every day has gone up to about 101 degrees usually in the afternoon to early evening. I took my temperature once today and it was normal although I felt sweaty. The fever is very noticeable and has stayed with me. The second symptom is elevated heart rate for the whole week and is still happening. My smart watch showed me my heart rate and it just became a downer. It's about 10 beats higher from where it should be. Walking down the hallway and back to go to the kitchen and bathroom, it will go over 100 beats per minute and that's not typical for me. The third symptom is a bit of a bumpy heartbeat or irregular heartbeat. It's not anything wild, but it's annoying, concerning, and noticeable. It would make me have an impulse cough and that would sometimes relieve it. The bumpy heartbeat has decreased substantially and now the cough is just a normal cough on its own. When I went to my doctor, walking to the office from the parking lot caused shortness of breath and fatigue. I had the worst sleep last night and I wasn't sure if it was a high fever, but I was a little bit confused last night. I woke up and every time I looked at the clock, no time would have passed but I was confused about the read out. It felt like I was getting two pieces of information, and just woke up confused.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Expired product administered
Clinical narrative: Vaccine expired on 09/04/2022. two days before administration on 09/06/2022 didnt catch it prior to administration refreshed account after administration and vaccine was counted as valid so did not think it needed to be readministered with different vaccine.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, COVID-19, Computerised tomogram abdomen normal, Confusional state, Feeling abnormal
Clinical narrative: Discharge Provider: MD Primary Care Provider: PA-C Admission Date: 10/7/2022 Discharge Date:  10/08/2022  PRESENTING PROBLEM: Hypoxia  Altered mental status, unspecified altered mental status type  COVID-19 virus infection  COVID-19    HOSPITAL COURSE: Patient is an 83-year-old female with medical history of heart failure with preserved ejection fraction, type 2 diabetes mellitus, CKD stage 4 and obstructive sleep apnea.  Patient presented 1 day ago for altered mental status and COVID-19.  Patient stated that overnight she felt foggy and confused and when she woke up she was still experiencing this.  Patient does have history of sleep apnea but is insistent that she is using her CPAP correctly.  When patient came to ER was found that patient was positive for COVID-19.  Patient was originally hypoxic satting 86 on room air him briefly requiring 2 L nasal cannula.  Patient only required oxygen with exertion and was satting comfortably on room air in the mid 90s otherwise.  Because patient did not have true oxygen need, no steroids were prescribed.  Additionally patient's kidney function ruled her out for remdesivir.  Patient additionally was complaining of lower abdominal pain however CT abdomen did not reveal any acute processes.  When patient moved to floor patient was satting comfortably on room air.  Patient's confusion had completely resolved.  Patient's abdominal pain had completely resolved.  Patient did well overnight and use CPAP as prescribed.  Patient did fall asleep well CPAP was off and that did result in some confusion however this quickly resolved.  Patient passed her ambulatory pulse ox and continued to sat at 94.  Patient is stable for discharge home.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Mental status changes, Positive airway pressure therapy, Renal impairment, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider: PA-C Admission Date: 10/7/2022 Discharge Date:  10/08/2022  PRESENTING PROBLEM: Hypoxia  Altered mental status, unspecified altered mental status type  COVID-19 virus infection  COVID-19    HOSPITAL COURSE: Patient is an 83-year-old female with medical history of heart failure with preserved ejection fraction, type 2 diabetes mellitus, CKD stage 4 and obstructive sleep apnea.  Patient presented 1 day ago for altered mental status and COVID-19.  Patient stated that overnight she felt foggy and confused and when she woke up she was still experiencing this.  Patient does have history of sleep apnea but is insistent that she is using her CPAP correctly.  When patient came to ER was found that patient was positive for COVID-19.  Patient was originally hypoxic satting 86 on room air him briefly requiring 2 L nasal cannula.  Patient only required oxygen with exertion and was satting comfortably on room air in the mid 90s otherwise.  Because patient did not have true oxygen need, no steroids were prescribed.  Additionally patient's kidney function ruled her out for remdesivir.  Patient additionally was complaining of lower abdominal pain however CT abdomen did not reveal any acute processes.  When patient moved to floor patient was satting comfortably on room air.  Patient's confusion had completely resolved.  Patient's abdominal pain had completely resolved.  Patient did well overnight and use CPAP as prescribed.  Patient did fall asleep well CPAP was off and that did result in some confusion however this quickly resolved.  Patient passed her ambulatory pulse ox and continued to sat at 94.  Patient is stable for discharge home.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulation drug level increased, Chills, Fatigue, Injection site pain, Pain
Clinical narrative: pt states the night after getting the vaccine he developed 103 fever along with chills,  body aches and fatigue.  He tested his coumadin level was doubled read 5.1 and is normally 2.5 to 3.5.  He has had muscle ache and pain in left arm from his elbow to his shoulder. He has been alternating heat and cold packs to help with pain.  He continues to have pain at this time.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: pt states the night after getting the vaccine he developed 103 fever along with chills,  body aches and fatigue.  He tested his coumadin level was doubled read 5.1 and is normally 2.5 to 3.5.  He has had muscle ache and pain in left arm from his elbow to his shoulder. He has been alternating heat and cold packs to help with pain.  He continues to have pain at this time.
Age: 76.0
Sex: F
Vaccine: FLU4
Symptoms: Blood test, Electrocardiogram abnormal, Heart rate decreased, Muscular weakness, Musculoskeletal disorder
Clinical narrative: WINTHIN AN HOUR OF GETING OF RECIEING THE FLU VACCINE I STARTED FEELING REALLY DIZZING I WENT TO GET MY HUSBAND THEN MY LEGS GOT SO WEAAK THEY FOLDED UP AND GOT REALLY PALE. MY NEWPHE SAID CALL 911 SHES'S BOUT TO  PASS OUT. RESCURED SQUAD CAME AND CHECK MY OXYGEN WAS LOW  THEN TOOK ME TO THE HOSPITAL. THE EKG SHOWED  MY HEART REPEATLY DROPPING. ONCE THE DIZZY NESS PAST THE EKG WAS FINE.  THEY GAVE ME A BAG OF FLUID, CHECKECD MY BLOOD PRESSURE AND DREW BLOOD THEN SENT ME HOME.   10/15/2022
Age: 76.0
Sex: F
Vaccine: FLU4
Symptoms: Oxygen saturation decreased, Pallor, Presyncope
Clinical narrative: WINTHIN AN HOUR OF GETING OF RECIEING THE FLU VACCINE I STARTED FEELING REALLY DIZZING I WENT TO GET MY HUSBAND THEN MY LEGS GOT SO WEAAK THEY FOLDED UP AND GOT REALLY PALE. MY NEWPHE SAID CALL 911 SHES'S BOUT TO  PASS OUT. RESCURED SQUAD CAME AND CHECK MY OXYGEN WAS LOW  THEN TOOK ME TO THE HOSPITAL. THE EKG SHOWED  MY HEART REPEATLY DROPPING. ONCE THE DIZZY NESS PAST THE EKG WAS FINE.  THEY GAVE ME A BAG OF FLUID, CHECKECD MY BLOOD PRESSURE AND DREW BLOOD THEN SENT ME HOME.   10/15/2022
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: Contracted COVID 19.  Symptoms: fatigue, cough, sore throat Treatment: Paxlovid Tested positive for 5 days; had rebound positive after 10 days; remained positive for additional 5 days
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Condition aggravated, Cough, Duchenne muscular dystrophy
Clinical narrative: Discharge Provider: MD Primary Care Provider:  DO Admission Date: 10/7/2022 Discharge Date: Oct 9, 2022  PRESENTING PROBLEM: Duchenne muscular dystrophy (HCC) [G71.01] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 30 y.o. male with history of Duchenne muscular dystrophy, essential hypertension, anxiety.  He follows with his PCP as well as Hospital Specialists for his Duchenne's.  He is steroid dependent and takes deflazacort 36 mg daily.  He is also enrolled in a research medication which he takes every 3 week. He presented to the ED for due to positive home covid test with 10 day hx of cough, congestion, and transient mild hypoxia with SPO2 as low as 88%.  In the emergency department vitals are hemodynamically stable on RA.  Chest x-ray showed streaky bilateral opacities without new airspace consolidation.  Procalcitonin was normal.  Case was discussed with specialist from Hospital and patient was given 1 time dose of 100 mg IV hydrocortisone for stress dose steroids.  He was transition to 40 mg prednisone daily in place of his home 36 mg deflazacort.  Pulmonology was consulted given history of Duchenne's.  They recommended cough assist and 10 day course of PO prednisone prior to transitioning back to Deflazacort.  Patient remained on room air throughout hospitalization and had noted symptomatic improvement.  Was prescribed prednisone as above.  Patient and mother in agreement with discharge plan and discharged in stable condition.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Lung consolidation, Lung opacity, Oxygen saturation decreased, Procalcitonin normal
Clinical narrative: Discharge Provider: MD Primary Care Provider:  DO Admission Date: 10/7/2022 Discharge Date: Oct 9, 2022  PRESENTING PROBLEM: Duchenne muscular dystrophy (HCC) [G71.01] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 30 y.o. male with history of Duchenne muscular dystrophy, essential hypertension, anxiety.  He follows with his PCP as well as Hospital Specialists for his Duchenne's.  He is steroid dependent and takes deflazacort 36 mg daily.  He is also enrolled in a research medication which he takes every 3 week. He presented to the ED for due to positive home covid test with 10 day hx of cough, congestion, and transient mild hypoxia with SPO2 as low as 88%.  In the emergency department vitals are hemodynamically stable on RA.  Chest x-ray showed streaky bilateral opacities without new airspace consolidation.  Procalcitonin was normal.  Case was discussed with specialist from Hospital and patient was given 1 time dose of 100 mg IV hydrocortisone for stress dose steroids.  He was transition to 40 mg prednisone daily in place of his home 36 mg deflazacort.  Pulmonology was consulted given history of Duchenne's.  They recommended cough assist and 10 day course of PO prednisone prior to transitioning back to Deflazacort.  Patient remained on room air throughout hospitalization and had noted symptomatic improvement.  Was prescribed prednisone as above.  Patient and mother in agreement with discharge plan and discharged in stable condition.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider:  DO Admission Date: 10/7/2022 Discharge Date: Oct 9, 2022  PRESENTING PROBLEM: Duchenne muscular dystrophy (HCC) [G71.01] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 30 y.o. male with history of Duchenne muscular dystrophy, essential hypertension, anxiety.  He follows with his PCP as well as Hospital Specialists for his Duchenne's.  He is steroid dependent and takes deflazacort 36 mg daily.  He is also enrolled in a research medication which he takes every 3 week. He presented to the ED for due to positive home covid test with 10 day hx of cough, congestion, and transient mild hypoxia with SPO2 as low as 88%.  In the emergency department vitals are hemodynamically stable on RA.  Chest x-ray showed streaky bilateral opacities without new airspace consolidation.  Procalcitonin was normal.  Case was discussed with specialist from Hospital and patient was given 1 time dose of 100 mg IV hydrocortisone for stress dose steroids.  He was transition to 40 mg prednisone daily in place of his home 36 mg deflazacort.  Pulmonology was consulted given history of Duchenne's.  They recommended cough assist and 10 day course of PO prednisone prior to transitioning back to Deflazacort.  Patient remained on room air throughout hospitalization and had noted symptomatic improvement.  Was prescribed prednisone as above.  Patient and mother in agreement with discharge plan and discharged in stable condition.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Pain in extremity
Clinical narrative: Patient came in 10/18/22 to let us know her arm is still sore/painful to raise past her shoulder. Received vaccine on 9/8/2022. Patient referred to PCP for consultation.
Age: 67.0
Sex: F
Vaccine: PNC20
Symptoms: Chills, Injection site erythema, Injection site pain, Injection site pruritus, Pain
Clinical narrative: achy, chills, red, swollen, itchy, injection site very sore-sx started the day after injection and each day got a bit worse
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, Cough, Diarrhoea, Pyrexia, Respiratory tract congestion
Clinical narrative: Weakness Cough  Diarrhea  Fever 101.5 max Congestion
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: Weakness Cough  Diarrhea  Fever 101.5 max Congestion
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Asthenia, COVID-19, Condition aggravated, Cough
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD Admission Date: 10/7/2022 Discharge Date: 10/9/2022  PRESENTING PROBLEM: Anemia [D64.9] Anemia, unspecified type [D64.9] COVID-19 [U07.1]   HOSPITAL COURSE:  95 year old female with known dementia admitted with weakness and cough. Found to be Covid positive, but was already positive 7/29/2022. She was given dexamethasone in the ED and started on remdesivir here. She has not been hypoxic since presentation.Her hemoglobin is stable and actually increased, She was given IV iron. Discussed CHF, anemia, atrial fibrillation, hypertension, and dementia with the caregiver (who was bedside). Explained that I would like an echocardiogram on Monday. Just feels terrible, but due to dementia cannot specify. Denies chest pain or shortness of breath or abdominal pain.   No notes on file Family decided later today that she would go home with Hospice. Initially plan was tomorrow after echocardiogram, but the family decided she should go home today and have Hospice intake tomorrow.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Haemoglobin increased, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD Admission Date: 10/7/2022 Discharge Date: 10/9/2022  PRESENTING PROBLEM: Anemia [D64.9] Anemia, unspecified type [D64.9] COVID-19 [U07.1]   HOSPITAL COURSE:  95 year old female with known dementia admitted with weakness and cough. Found to be Covid positive, but was already positive 7/29/2022. She was given dexamethasone in the ED and started on remdesivir here. She has not been hypoxic since presentation.Her hemoglobin is stable and actually increased, She was given IV iron. Discussed CHF, anemia, atrial fibrillation, hypertension, and dementia with the caregiver (who was bedside). Explained that I would like an echocardiogram on Monday. Just feels terrible, but due to dementia cannot specify. Denies chest pain or shortness of breath or abdominal pain.   No notes on file Family decided later today that she would go home with Hospice. Initially plan was tomorrow after echocardiogram, but the family decided she should go home today and have Hospice intake tomorrow.
Age: 35.0
Sex: M
Vaccine: FLU4
Symptoms: Blood test normal, HIV test negative, Hepatitis B test negative, Hepatitis C test negative, Injury associated with device
Clinical narrative: Gave patient their flu vaccine - patient started to bleed so I set down the vaccine before engaging the safety device. Wiped off blood and put bandaid on the patient. When I picked up the shot to engage the safety device I accidently stabbed myself in the left 1st finger.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent vaccine was accidentally given as booster dose in stead of bivalent
Age: 64.0
Sex: M
Vaccine: COVID19-2, FLU4, COVID19
Symptoms: Rash
Clinical narrative: Patient stated that he developed rashes after one week of receiving the covid-19 bivalent booster. Patient was advised to follow up with his PCP or seek medical care but he stated he would observe some more and see if it resolves on it's own.
Age: 64.0
Sex: M
Vaccine: COVID19-2, FLU4, COVID19
Symptoms: Interchange of vaccine products, Pruritus, Rash erythematous, Rash pustular, Rash vesicular
Clinical narrative: Patient stated that he developed rashes after one week of receiving the covid-19 bivalent booster. Patient was advised to follow up with his PCP or seek medical care but he stated he would observe some more and see if it resolves on it's own.
Age: 64.0
Sex: M
Vaccine: COVID19-2, FLU4, COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: Patient stated that he developed rashes after one week of receiving the covid-19 bivalent booster. Patient was advised to follow up with his PCP or seek medical care but he stated he would observe some more and see if it resolves on it's own.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Brain scan normal, Dizziness, Facial asymmetry, Gait disturbance, Neck pain
Clinical narrative: I had dizzy spell on the 18th from afternoon to the late evening and was unable to walk by myself. I thought I was dehydrated so I had water and ate. On the 20th it happened again. After that I was fine for the rest of the week. The following week I started getting a pain in my neck on the right side that got more and more painful and became bilateral. I decided to call the Dr. I saw him on 9/30, the doctor sent me for a brain scan  because he felt my facial features were off when I smiled. I saw my RA doctor and they confirmed it wasn't a flare up of RA. I was prescribed pain medications and physical therapy.
Age: 78.0
Sex: F
Vaccine: COVID19-2, COVID19
Symptoms: Arthralgia, Chills, Headache, Nausea
Clinical narrative: Now five days after vaccination - Am experiencing severe joint pain in hands, chills, headache, nausea.  Am worried because did not have anything like this before.  I took two Moderna vaccines and one booster in 2021
Age: 78.0
Sex: F
Vaccine: COVID19-2, COVID19
Symptoms: Arthralgia, Chills, Fatigue, Myalgia, Nausea
Clinical narrative: Now five days after vaccination - Am experiencing severe joint pain in hands, chills, headache, nausea.  Am worried because did not have anything like this before.  I took two Moderna vaccines and one booster in 2021
Age: 78.0
Sex: F
Vaccine: COVID19-2, COVID19
Symptoms: Somnolence
Clinical narrative: Now five days after vaccination - Am experiencing severe joint pain in hands, chills, headache, nausea.  Am worried because did not have anything like this before.  I took two Moderna vaccines and one booster in 2021
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Carotidynia, Hunger, Nausea, Neck pain
Clinical narrative: Extreme hunger sensation followed in approximately 30 minutes by extreme upper abdominal pain and nausea.  Adverse event recurred 7 times over the next 12 months, though severity was diminished with each episode.    Carotidynia: right sided neck pain radiating down to the right side base of the neck.  Pain occurs when moving neck in a certain way.  Palpation of the area causes an increase in pain.  Approximately 10 days to resolve.  Recurrence of carotidynia has occurred 3 times to-date since the first episode.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Palpitations
Clinical narrative: Extreme hunger sensation followed in approximately 30 minutes by extreme upper abdominal pain and nausea.  Adverse event recurred 7 times over the next 12 months, though severity was diminished with each episode.    Carotidynia: right sided neck pain radiating down to the right side base of the neck.  Pain occurs when moving neck in a certain way.  Palpation of the area causes an increase in pain.  Approximately 10 days to resolve.  Recurrence of carotidynia has occurred 3 times to-date since the first episode.
Age: 12.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Vaccine recipient should have received Pfizer monovalent as primary series dose #1. The vaccine recipient received Pfizer bivalent as primary series dose #1.  Vaccine recipient was observed approximately 90  minutes post administration with no adverse  reaction signs noted, and recipients one-on-one school aid said vaccine recipient was "doing fine" and had not c/o any adverse reaction to vaccine.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Per the County Health reported to VAERS since child had already received 2 Moderna doses for 6mo - 6 yr and was given a Pfizer for that age group in error when provider did not realize patient had already received the Moderna series.  Patient has had no side effects from the dose.
Age: 6.0
Sex: F
Vaccine: HEPA
Symptoms: Expired product administered, No adverse event, Product expiration date issue
Clinical narrative: Vaccine exp date on syringe 10/15/22 and on box 10/2022; exp check on box administered when charted in computer exp 10/15/22 noted and adverse event found.
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Fatigue, Headache, Influenza, Malaise, Myalgia
Clinical narrative: Many of us have gotten sick from this flu vaccine, feeling like we have the flu (fatigue, nausea, muscle aches, headaches, etc).  None of us have ever had such a bad reaction to a any vaccine before so I thought I should report it in case something was wrong.
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea
Clinical narrative: Many of us have gotten sick from this flu vaccine, feeling like we have the flu (fatigue, nausea, muscle aches, headaches, etc).  None of us have ever had such a bad reaction to a any vaccine before so I thought I should report it in case something was wrong.
Age: 1.5
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient had already received 2 doses of the Moderna Covid vaccine for this age group was inadvertently given a dose of Pfizer for this age group not aware had already received the Moderna series.
Age: 7.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Pt was administered 0.3 ml of Pfizer adult Bivalent instead of 0.2 ml of pediatric 5-11 Pfizer vaccine
Age: 1.5
Sex: F
Vaccine: FLU4
Symptoms: Seizure
Clinical narrative: Mother reports seizure activity after vaccine administration.   Did not seek care or report event to PCP until following year.
Age: 8.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Health department COVID clinic nurse administered 8 year old the incorrect vaccine. The patient was there to receive a bivalent booster but instead received the adult bivalent booster vaccine. The nurse was not aware of the medication error until the admin staff entered the information into the system and the family had already left. Per standing orders patient waited their 15 minute observation time and had no adverse reactions at that time. MD was contacted by nurse and went over the error and standing orders. Nurse notified the parents of the inadvertent error. Give reassurance that no adverse clinical sequellae would be likely but any worrisome post-vaccination symptom(s) should be followed up with urgent-immediate medical attention per MD contacted.
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: Alanine aminotransferase normal, Anion gap, Aspartate aminotransferase normal, Basophil count normal, Basophil percentage
Clinical narrative: I almost immediately experienced dizziness and nausea. I figured it was from not really eating breakfast before. The dizziness and nausea continued to the point where I messaged my doctor through the patient portal a week later. She suggested I try meclizine, and if that didn't help to call for an appointment. The meclizine seemed to stop the nausea, dizziness, and at this point also sweating. Then a week after having relief, I had a dentist appointment. Being tipped back in the chair set it all off again. My doctor ordered bloodwork, and my thyroid had swung very hyper. I am currently awaiting an appointment with endocrinology. My Hashi's had been well controlled on medication for several years to this point.
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride normal
Clinical narrative: I almost immediately experienced dizziness and nausea. I figured it was from not really eating breakfast before. The dizziness and nausea continued to the point where I messaged my doctor through the patient portal a week later. She suggested I try meclizine, and if that didn't help to call for an appointment. The meclizine seemed to stop the nausea, dizziness, and at this point also sweating. Then a week after having relief, I had a dentist appointment. Being tipped back in the chair set it all off again. My doctor ordered bloodwork, and my thyroid had swung very hyper. I am currently awaiting an appointment with endocrinology. My Hashi's had been well controlled on medication for several years to this point.