chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Thrombocytopenia, Upper respiratory tract infection
Clinical narrative: Patient with 3 COVID vaccines who admitted with pulmonary embolism and positive COVID PCR.  Provider d/c note: "50 year old female with PMHx significant for active cholangiocarcinoma s/p unsuccessful chemotherapy, pulmonary embolism on Lovenox, asthma, and depression who presented to the emergency department following a positive COVID-19 test the evening prior to admission. Since she had her diagnosis of a PE she has had shortness of breath but feels that it has worsened in the past week. In addition she endorses nausea, poor appetite, worsening fever, and generalized malaise x3 days. She also had a cough that has become more productive in the last 24 hours. She has not examined her sputum. Patient has recently underwent a second opinion for her cholangiocarcinoma at Clinic, and is set to begin gemcitabine, dose attenuated cisplatin, and durvalumab for further palliation. Infusion was to begin today. She recently underwent a port exchange approximately once week prior to admission, during the procedure was found to have SVC occlusion and required angioplasty.             Upon arrival the patient underwent a CTA, finding a right sided pleural effusion without signs of pulmonary embolism. In addition she was found to have a consolidation in the right lower lobe concerning for pneumonia. She again tested + for COVID-19.    Hospital Course:  1. CAP: from COVID-19 URI with likely supraimposed bacterial PNA. Pt initially febrile though improved. Otherwise hemodynamically stable. Urine strep/legionella Ag negative. Blood cx also negative She was started on empiric ceftriaxone/doxycycline with improvement in symptoms. She was discharged on Levaquin to complete course of abx   2. R pleural effusion: possibly related to above vs malignant effusion. Given elevated INR and lack of hypoxia thoracentesis was deferred   3. Cholangiocarcinoma: follows with Health    4. Hyponatremia: suspectd due to dehydration. Improving    5. Thrombocytopenia: likely reactive-repeat CBC in few days    6. Normocytic anemia    7. Hx PE - Continue Lovenox   8. MDD - Lexapro   Issues Requiring Follow Up:  - Follow up with PCP, oncology"
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Nasopharyngitis, Pyrexia, Respiratory symptom, Urticaria
Clinical narrative: On 12/6 at 7am patient woke up with hives on her inner thighs, back of armpits, insides/backs of legs. The hives spread quickly to all of legs, arms, belly, hands, and face. We gave her Benedryl at 830am which did help the hives subside, but by 4pm they came back with increased amount. We brought her to urgent care at 5pm. The doctor evaluated her with no clear diagnosis, diagnosed uticaria and told to f/u with PCP. She has had upper respiratory s/s, fever, vomiting, and cold symptoms intermittently for the past 4-6 weeks, which I reported to the doctor. She was prescribed Prednisone, benadryl, and pepcid. Following day, PCP was called - we were advised to change benadryl to oral Zyrtec instead. We don't know if these hives are from one of the vaccines from 11/21/22 or from circulating Flu/RSV/viral illnesses in the community. Today, 12/8/22, she now has superficial bruising to her abdomen, legs, and buttocks. Her disposition and appetite are normal. She does not appear to be overtly itchy or uncomfortable.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: On 12/6 at 7am patient woke up with hives on her inner thighs, back of armpits, insides/backs of legs. The hives spread quickly to all of legs, arms, belly, hands, and face. We gave her Benedryl at 830am which did help the hives subside, but by 4pm they came back with increased amount. We brought her to urgent care at 5pm. The doctor evaluated her with no clear diagnosis, diagnosed uticaria and told to f/u with PCP. She has had upper respiratory s/s, fever, vomiting, and cold symptoms intermittently for the past 4-6 weeks, which I reported to the doctor. She was prescribed Prednisone, benadryl, and pepcid. Following day, PCP was called - we were advised to change benadryl to oral Zyrtec instead. We don't know if these hives are from one of the vaccines from 11/21/22 or from circulating Flu/RSV/viral illnesses in the community. Today, 12/8/22, she now has superficial bruising to her abdomen, legs, and buttocks. Her disposition and appetite are normal. She does not appear to be overtly itchy or uncomfortable.
Age: 60.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given the bivalent booster dose as his first dose of the vaccine.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood albumin normal, Blood calcium normal, Blood chloride increased, Blood creatinine normal
Clinical narrative: It was on May 20 2021 between four and five AM that my smart watch woke me up with high rate heart notification so I did one lead EKG on watch and indicated I was in atrial filiation I took six readings from my home to the hospital and the heart rate ranged form 116-143 BPMs. At the hospital blood work was done and all results were normal.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood test normal, Blood urea normal
Clinical narrative: It was on May 20 2021 between four and five AM that my smart watch woke me up with high rate heart notification so I did one lead EKG on watch and indicated I was in atrial filiation I took six readings from my home to the hospital and the heart rate ranged form 116-143 BPMs. At the hospital blood work was done and all results were normal.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Carbon dioxide normal, Chest X-ray normal, Electrocardiogram abnormal, Electrocardiogram ambulatory normal, Electrocardiogram normal
Clinical narrative: It was on May 20 2021 between four and five AM that my smart watch woke me up with high rate heart notification so I did one lead EKG on watch and indicated I was in atrial filiation I took six readings from my home to the hospital and the heart rate ranged form 116-143 BPMs. At the hospital blood work was done and all results were normal.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count normal, Glomerular filtration rate normal, Heart rate increased, Metabolic function test, Prothrombin time normal
Clinical narrative: It was on May 20 2021 between four and five AM that my smart watch woke me up with high rate heart notification so I did one lead EKG on watch and indicated I was in atrial filiation I took six readings from my home to the hospital and the heart rate ranged form 116-143 BPMs. At the hospital blood work was done and all results were normal.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder, Troponin increased
Clinical narrative: It was on May 20 2021 between four and five AM that my smart watch woke me up with high rate heart notification so I did one lead EKG on watch and indicated I was in atrial filiation I took six readings from my home to the hospital and the heart rate ranged form 116-143 BPMs. At the hospital blood work was done and all results were normal.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event, Wrong product administered
Clinical narrative: Incorrect vaccine given. Intended vaccine was Moderna COVID Bivalent Booster ages 6+, vaccine administered was Moderna (monovalent) COVID Vaccine ages 6 Months-5 years.  No adverse reactions reported
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Neck pain, Pain, Swelling face
Clinical narrative: injection site pain, radiating down her arm and up the R side of neck. Some slight R sided facial swelling. Pt instructed to take a benadryl and advised to seek ED or urgent care eval if respiratory distress or worsening symptoms.
Age: 14.0
Sex: M
Vaccine: COVID19-2, COVID19-2, FLUC4, FLUC4
Symptoms: Incorrect product formulation administered
Clinical narrative: The young man came to the vaccine clinic because his guardian wanted him to recieve the covid vaccine. Staff asked the young man what he was receiving today and he replied the flu and the covid vaccine. Staff administed the flu vaccine to his right deltoid, and the Covid bivalent booster to his left arm. The patient returned to class after waiting 15 mintues. Staff went to speak to the  nurse about returning the following day with the original covid vaccine for some siblings who recently recieved the first dose. At this time, we found out that the young man was also their sibling, and was supposed to be recieving the original vaccine as well. Staff went to notify the nurse so she could speak with the guardian. Staff then contacted the HCF to nofity the director and doctor about the vaccine incident. The nurse reported that the pt. had not expereinced any side effects from the vaccine since administration. The doctor advised to administed the original covid vaccine series to the pt. so he can be proberly protected. The first dose of the covid series was administered to the boy on 12/6/2022.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody positive, Arthralgia, Autoimmune disorder
Clinical narrative: Joint pain in all joints that lasted approximately one month. Tested positive for autoimmune issues two months later.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain, Asthenia, Fatigue, Headache, Injection site pain
Clinical narrative: She got her vaccine, the shot was very painful at the time of the vaccine.  It got sore pretty quickly.  She went home and felt very tired and weak, and had a headache, nausea, felt like she was going to throw up but did not.  She had extreme abdominal cramping, the pain from that was very severe and she had not had anything to eat.   She has an ostomy and gets that reaction if she eats something that didn't agree with her, but she had not eaten anything.  She could not move for hours and just laid on the couch.  She could not get up to take anything for her symptoms due to not being able to move.  The next morning it started to get better and ease and she knew it was going to clear.  She was surprised that this happened and thinks that this should be documented and out there for people who have this type of condition to inform them.  It took about a day and half for her to be back to her normal pre-vaccine condition .    She had the pneumonia vaccine a few months prior but had no discomfort from that or the flu vaccine.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Mobility decreased, Nausea
Clinical narrative: She got her vaccine, the shot was very painful at the time of the vaccine.  It got sore pretty quickly.  She went home and felt very tired and weak, and had a headache, nausea, felt like she was going to throw up but did not.  She had extreme abdominal cramping, the pain from that was very severe and she had not had anything to eat.   She has an ostomy and gets that reaction if she eats something that didn't agree with her, but she had not eaten anything.  She could not move for hours and just laid on the couch.  She could not get up to take anything for her symptoms due to not being able to move.  The next morning it started to get better and ease and she knew it was going to clear.  She was surprised that this happened and thinks that this should be documented and out there for people who have this type of condition to inform them.  It took about a day and half for her to be back to her normal pre-vaccine condition .    She had the pneumonia vaccine a few months prior but had no discomfort from that or the flu vaccine.
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, Blood gases normal, Blood potassium decreased, COVID-19, Chest X-ray normal
Clinical narrative: Patient with 4 COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note: "Hospital Course: Patient initial admitted due to severe hypokalemia (2.7) which was repleted with KCl infusion and at this time stable at 4.7.  Patient had also been showing signs of cough and feeling severely weak for the prior 7 days, RSV panel positive for COVID-19. CXR without acute abnormalities.  Evaluated by PT: (P) Home with 24 hr supervision and/or assist.  Patient lives alone, we discussed with patient consideration for a nursing facility which she unequivocally refuses to go to.  Also suggested home physical therapy which she also absolutely refuses.  She states she has 2 daughters in the area and they can come to help her at home.  ABG wnl, SpO2 has been stable with ambulatory SpO2 98%. At this time she is afebrile, WBC wnl  and potassium is stable.  She is stable to discharge home. "
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Cough, Hypokalaemia, Infusion, Respiratory syncytial virus test positive, SARS-CoV-2 test positive
Clinical narrative: Patient with 4 COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note: "Hospital Course: Patient initial admitted due to severe hypokalemia (2.7) which was repleted with KCl infusion and at this time stable at 4.7.  Patient had also been showing signs of cough and feeling severely weak for the prior 7 days, RSV panel positive for COVID-19. CXR without acute abnormalities.  Evaluated by PT: (P) Home with 24 hr supervision and/or assist.  Patient lives alone, we discussed with patient consideration for a nursing facility which she unequivocally refuses to go to.  Also suggested home physical therapy which she also absolutely refuses.  She states she has 2 daughters in the area and they can come to help her at home.  ABG wnl, SpO2 has been stable with ambulatory SpO2 98%. At this time she is afebrile, WBC wnl  and potassium is stable.  She is stable to discharge home. "
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: White blood cell count normal
Clinical narrative: Patient with 4 COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note: "Hospital Course: Patient initial admitted due to severe hypokalemia (2.7) which was repleted with KCl infusion and at this time stable at 4.7.  Patient had also been showing signs of cough and feeling severely weak for the prior 7 days, RSV panel positive for COVID-19. CXR without acute abnormalities.  Evaluated by PT: (P) Home with 24 hr supervision and/or assist.  Patient lives alone, we discussed with patient consideration for a nursing facility which she unequivocally refuses to go to.  Also suggested home physical therapy which she also absolutely refuses.  She states she has 2 daughters in the area and they can come to help her at home.  ABG wnl, SpO2 has been stable with ambulatory SpO2 98%. At this time she is afebrile, WBC wnl  and potassium is stable.  She is stable to discharge home. "
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient had a breakthrough infection.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, Blood creatinine increased, Blood lactic acid, Brain natriuretic peptide normal, COVID-19
Clinical narrative: Patient with 4 COVID vaccines who admitted with COVID complications and a detected COVID PCR.  Provider d/c note:  "78 YO-year-old male with PMHX of Afib on eliquis, COPD, HFrEF 35%, HX of CVA(9/2022) not on DAPT, HTN, BPH who presented via EMS to due to complaints of increased weakness, shortness of breath, and cough.  Patient reports he started experiencing a fever with chills on Monday which have progressively worsened since then to include body aches, cough productive for clear to light yellow sputum, and sore throat.  Patient is a poor historian as much of his speaking was hard to understand at the time which according to patient's niece is his baseline.  Patient is vaccinated and denied any hospitalization for COVID any history.  Patient did admit to having a sick contact with the past week which was reportedly his son who he resides with.  At baseline patient is fully independent.  Patient did have recent admission (9/22) for CVA of left temporal frontal lobes as well as left parietal lobe no longer on dapt.  Patient otherwise denied any dizziness, lightheadedness, chest pain, palpitations, abdominal pain or any diarrhea/constipation   ED vitals:  Febrile 101.1 F, Tachypneic RR 22, 148/100, 86% room air ED labs: Cr:  1.3 HGB 11.7 BNP 13.1K Trope 47-- >56 lactate:1.7-- >0.7 procal:0.12              CXR: B/L airspace disease R>L has developed since 9/13/2022              RVP: covid +              EKG: Normal Sinus Rhythm  ED Course: Given DuoNebs En-route to emergency department, Lasix 40, Solumedrol, Ofirmev, Zofran.   Upon admission, Patient completed 4 days of Remdesivir and decadron. He is to continue Dexamethasone 6mg daily through 12/10. His respiratory status greatly improved and cognition at baseline after discussion with patient's son.  A walk test performed indicative of hypoxia upon ambulation to 84% with improvement of 1L Nasal cannula.. Patient is set up with Oxygen prior to discharge. He is to continue his home medications and follow with PCP. "
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Cerebrovascular accident, Chest X-ray abnormal, Chills, Cough, Dyspnoea
Clinical narrative: Patient with 4 COVID vaccines who admitted with COVID complications and a detected COVID PCR.  Provider d/c note:  "78 YO-year-old male with PMHX of Afib on eliquis, COPD, HFrEF 35%, HX of CVA(9/2022) not on DAPT, HTN, BPH who presented via EMS to due to complaints of increased weakness, shortness of breath, and cough.  Patient reports he started experiencing a fever with chills on Monday which have progressively worsened since then to include body aches, cough productive for clear to light yellow sputum, and sore throat.  Patient is a poor historian as much of his speaking was hard to understand at the time which according to patient's niece is his baseline.  Patient is vaccinated and denied any hospitalization for COVID any history.  Patient did admit to having a sick contact with the past week which was reportedly his son who he resides with.  At baseline patient is fully independent.  Patient did have recent admission (9/22) for CVA of left temporal frontal lobes as well as left parietal lobe no longer on dapt.  Patient otherwise denied any dizziness, lightheadedness, chest pain, palpitations, abdominal pain or any diarrhea/constipation   ED vitals:  Febrile 101.1 F, Tachypneic RR 22, 148/100, 86% room air ED labs: Cr:  1.3 HGB 11.7 BNP 13.1K Trope 47-- >56 lactate:1.7-- >0.7 procal:0.12              CXR: B/L airspace disease R>L has developed since 9/13/2022              RVP: covid +              EKG: Normal Sinus Rhythm  ED Course: Given DuoNebs En-route to emergency department, Lasix 40, Solumedrol, Ofirmev, Zofran.   Upon admission, Patient completed 4 days of Remdesivir and decadron. He is to continue Dexamethasone 6mg daily through 12/10. His respiratory status greatly improved and cognition at baseline after discussion with patient's son.  A walk test performed indicative of hypoxia upon ambulation to 84% with improvement of 1L Nasal cannula.. Patient is set up with Oxygen prior to discharge. He is to continue his home medications and follow with PCP. "
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Electrocardiogram normal, Haemoglobin decreased, Hypoxia, Lung disorder, Oropharyngeal pain
Clinical narrative: Patient with 4 COVID vaccines who admitted with COVID complications and a detected COVID PCR.  Provider d/c note:  "78 YO-year-old male with PMHX of Afib on eliquis, COPD, HFrEF 35%, HX of CVA(9/2022) not on DAPT, HTN, BPH who presented via EMS to due to complaints of increased weakness, shortness of breath, and cough.  Patient reports he started experiencing a fever with chills on Monday which have progressively worsened since then to include body aches, cough productive for clear to light yellow sputum, and sore throat.  Patient is a poor historian as much of his speaking was hard to understand at the time which according to patient's niece is his baseline.  Patient is vaccinated and denied any hospitalization for COVID any history.  Patient did admit to having a sick contact with the past week which was reportedly his son who he resides with.  At baseline patient is fully independent.  Patient did have recent admission (9/22) for CVA of left temporal frontal lobes as well as left parietal lobe no longer on dapt.  Patient otherwise denied any dizziness, lightheadedness, chest pain, palpitations, abdominal pain or any diarrhea/constipation   ED vitals:  Febrile 101.1 F, Tachypneic RR 22, 148/100, 86% room air ED labs: Cr:  1.3 HGB 11.7 BNP 13.1K Trope 47-- >56 lactate:1.7-- >0.7 procal:0.12              CXR: B/L airspace disease R>L has developed since 9/13/2022              RVP: covid +              EKG: Normal Sinus Rhythm  ED Course: Given DuoNebs En-route to emergency department, Lasix 40, Solumedrol, Ofirmev, Zofran.   Upon admission, Patient completed 4 days of Remdesivir and decadron. He is to continue Dexamethasone 6mg daily through 12/10. His respiratory status greatly improved and cognition at baseline after discussion with patient's son.  A walk test performed indicative of hypoxia upon ambulation to 84% with improvement of 1L Nasal cannula.. Patient is set up with Oxygen prior to discharge. He is to continue his home medications and follow with PCP. "
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Pain, Procalcitonin, Productive cough, Pyrexia, Respiratory viral panel
Clinical narrative: Patient with 4 COVID vaccines who admitted with COVID complications and a detected COVID PCR.  Provider d/c note:  "78 YO-year-old male with PMHX of Afib on eliquis, COPD, HFrEF 35%, HX of CVA(9/2022) not on DAPT, HTN, BPH who presented via EMS to due to complaints of increased weakness, shortness of breath, and cough.  Patient reports he started experiencing a fever with chills on Monday which have progressively worsened since then to include body aches, cough productive for clear to light yellow sputum, and sore throat.  Patient is a poor historian as much of his speaking was hard to understand at the time which according to patient's niece is his baseline.  Patient is vaccinated and denied any hospitalization for COVID any history.  Patient did admit to having a sick contact with the past week which was reportedly his son who he resides with.  At baseline patient is fully independent.  Patient did have recent admission (9/22) for CVA of left temporal frontal lobes as well as left parietal lobe no longer on dapt.  Patient otherwise denied any dizziness, lightheadedness, chest pain, palpitations, abdominal pain or any diarrhea/constipation   ED vitals:  Febrile 101.1 F, Tachypneic RR 22, 148/100, 86% room air ED labs: Cr:  1.3 HGB 11.7 BNP 13.1K Trope 47-- >56 lactate:1.7-- >0.7 procal:0.12              CXR: B/L airspace disease R>L has developed since 9/13/2022              RVP: covid +              EKG: Normal Sinus Rhythm  ED Course: Given DuoNebs En-route to emergency department, Lasix 40, Solumedrol, Ofirmev, Zofran.   Upon admission, Patient completed 4 days of Remdesivir and decadron. He is to continue Dexamethasone 6mg daily through 12/10. His respiratory status greatly improved and cognition at baseline after discussion with patient's son.  A walk test performed indicative of hypoxia upon ambulation to 84% with improvement of 1L Nasal cannula.. Patient is set up with Oxygen prior to discharge. He is to continue his home medications and follow with PCP. "
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Speech disorder, Sputum discoloured, Tachypnoea, Troponin increased
Clinical narrative: Patient with 4 COVID vaccines who admitted with COVID complications and a detected COVID PCR.  Provider d/c note:  "78 YO-year-old male with PMHX of Afib on eliquis, COPD, HFrEF 35%, HX of CVA(9/2022) not on DAPT, HTN, BPH who presented via EMS to due to complaints of increased weakness, shortness of breath, and cough.  Patient reports he started experiencing a fever with chills on Monday which have progressively worsened since then to include body aches, cough productive for clear to light yellow sputum, and sore throat.  Patient is a poor historian as much of his speaking was hard to understand at the time which according to patient's niece is his baseline.  Patient is vaccinated and denied any hospitalization for COVID any history.  Patient did admit to having a sick contact with the past week which was reportedly his son who he resides with.  At baseline patient is fully independent.  Patient did have recent admission (9/22) for CVA of left temporal frontal lobes as well as left parietal lobe no longer on dapt.  Patient otherwise denied any dizziness, lightheadedness, chest pain, palpitations, abdominal pain or any diarrhea/constipation   ED vitals:  Febrile 101.1 F, Tachypneic RR 22, 148/100, 86% room air ED labs: Cr:  1.3 HGB 11.7 BNP 13.1K Trope 47-- >56 lactate:1.7-- >0.7 procal:0.12              CXR: B/L airspace disease R>L has developed since 9/13/2022              RVP: covid +              EKG: Normal Sinus Rhythm  ED Course: Given DuoNebs En-route to emergency department, Lasix 40, Solumedrol, Ofirmev, Zofran.   Upon admission, Patient completed 4 days of Remdesivir and decadron. He is to continue Dexamethasone 6mg daily through 12/10. His respiratory status greatly improved and cognition at baseline after discussion with patient's son.  A walk test performed indicative of hypoxia upon ambulation to 84% with improvement of 1L Nasal cannula.. Patient is set up with Oxygen prior to discharge. He is to continue his home medications and follow with PCP. "
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Walking distance test abnormal
Clinical narrative: Patient with 4 COVID vaccines who admitted with COVID complications and a detected COVID PCR.  Provider d/c note:  "78 YO-year-old male with PMHX of Afib on eliquis, COPD, HFrEF 35%, HX of CVA(9/2022) not on DAPT, HTN, BPH who presented via EMS to due to complaints of increased weakness, shortness of breath, and cough.  Patient reports he started experiencing a fever with chills on Monday which have progressively worsened since then to include body aches, cough productive for clear to light yellow sputum, and sore throat.  Patient is a poor historian as much of his speaking was hard to understand at the time which according to patient's niece is his baseline.  Patient is vaccinated and denied any hospitalization for COVID any history.  Patient did admit to having a sick contact with the past week which was reportedly his son who he resides with.  At baseline patient is fully independent.  Patient did have recent admission (9/22) for CVA of left temporal frontal lobes as well as left parietal lobe no longer on dapt.  Patient otherwise denied any dizziness, lightheadedness, chest pain, palpitations, abdominal pain or any diarrhea/constipation   ED vitals:  Febrile 101.1 F, Tachypneic RR 22, 148/100, 86% room air ED labs: Cr:  1.3 HGB 11.7 BNP 13.1K Trope 47-- >56 lactate:1.7-- >0.7 procal:0.12              CXR: B/L airspace disease R>L has developed since 9/13/2022              RVP: covid +              EKG: Normal Sinus Rhythm  ED Course: Given DuoNebs En-route to emergency department, Lasix 40, Solumedrol, Ofirmev, Zofran.   Upon admission, Patient completed 4 days of Remdesivir and decadron. He is to continue Dexamethasone 6mg daily through 12/10. His respiratory status greatly improved and cognition at baseline after discussion with patient's son.  A walk test performed indicative of hypoxia upon ambulation to 84% with improvement of 1L Nasal cannula.. Patient is set up with Oxygen prior to discharge. He is to continue his home medications and follow with PCP. "
Age: 50.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was given Pfizer bivalent covid vaccine on 11/16/2022 thinking it was the very first Covid vaccine. Patient intended to receive the first Pfizer Covid vaccine in the series and was administered Pfizer bivalent booster covid vaccine. Patient experienced no symptoms or had any adverse event.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Heart rate increased
Clinical narrative: shortness of breath, trouble breathing, increase heart rate
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Decreased appetite, Diarrhoea, Erythema, Nausea, Pain in extremity
Clinical narrative: Starting day 2 and continued to day 3  very sore arm with large red swelled area, vertigo, diarrhea, nausea, loss of appetite
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Peripheral swelling, Vertigo
Clinical narrative: Starting day 2 and continued to day 3  very sore arm with large red swelled area, vertigo, diarrhea, nausea, loss of appetite
Age: 79.0
Sex: M
Vaccine: PPV
Symptoms: Blood test, Chest scan, Chills, Dehydration, Discomfort
Clinical narrative: General discomfort following day: esp chills. 2d day: syncope 4 episodes, nausea. Ambulance: IV fluids. Hospital : IV fluids (1) Zofran (2ml).
Age: 79.0
Sex: M
Vaccine: PPV
Symptoms: Nausea, Red blood cell count decreased, Scan, Syncope, White blood cell count increased
Clinical narrative: General discomfort following day: esp chills. 2d day: syncope 4 episodes, nausea. Ambulance: IV fluids. Hospital : IV fluids (1) Zofran (2ml).
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Gait disturbance
Clinical narrative: Patient reported to his home health nurse that he couldn't walk for a couple of days after receiving the vaccine.  He feels it was due to the COVID shot, not the flu vaccine he received on the same day as he has had many flu vaccines in the past.  The feeling of not being able to walk resolved and he is doing fine now.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: Patient was given Moderna bivalent by nurse but he already had a bivalent dose on 10/4/22
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received the monovalent covid for booster instead of the bivalent covid booster. patient already had received 2 doses of the monovalent covid.  no reaction after dose.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blister, Dry eye, Dry mouth, Eye pain, Lip blister
Clinical narrative: Recurring, persistent Blister inside mouth and on the outside on lips, followed by pain in the eye and eye blisters. (2/2021 thru 12/2021 ). Dry mouth and dry eye ( 02/201 till current date )
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oral mucosal blistering
Clinical narrative: Recurring, persistent Blister inside mouth and on the outside on lips, followed by pain in the eye and eye blisters. (2/2021 thru 12/2021 ). Dry mouth and dry eye ( 02/201 till current date )
Age: 15.0
Sex: F
Vaccine: FLUR4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 15 y.o administered flublok
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: PATIENT WAS GIVEN BIVALENT MODERNA BOOSTER ON 12/2/22 BY A NURSE, ALTHOUGH HE ALREADY RECEIVED PFIZER BIVALENT ON 11/4/22
Age: 81.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: Body aches, low grade fever 100.1 F, Fatigue.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Discomfort, Fatigue, Loss of personal independence in daily activities, Myalgia, Pain
Clinical narrative: She got her vaccine, and unlike the first 4 she had very little discomfort, the shot did not hurt and had minimal discomfort.  She was a little tired.  6 days later it aches, it was stabbing pains alternating with aching, felt like she needed her arm in a sling, could not sit or do anything.  She took Advil or Tylenol and iced it.  It was bad the next day, talked to her PCP and he informed her to go to an UC and then it went away.  Then last night in the middle of the night the sensation came back again, uncomfortable most of the night, woke up with a lot of pain in that arm, specifically in the muscle itself.  It's better than it was this morning, and felt like she was having some symptoms of a strange muscular symptoms, it's just her arm in the muscle where the shot was.   Her PCP had no idea what to do for her symptoms.   It is easy up, the severe sharp have gotten better as the day goes on, had serious discomfort for 7 hours.   She wonders if this is going to continue to happen.  She can feel it lurking, but not severe.  She is clutching her arm and rubbing her muscle.    She reacted badly to the Shingles vaccine a few years ago.  Was in bed for 2 days and an infected arm from that and had to take antibiotics.   She did not have this type of reaction with the COVID vaccines, just tired, but able to get up and go about her daily activities.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain in extremity, Sitting disability
Clinical narrative: She got her vaccine, and unlike the first 4 she had very little discomfort, the shot did not hurt and had minimal discomfort.  She was a little tired.  6 days later it aches, it was stabbing pains alternating with aching, felt like she needed her arm in a sling, could not sit or do anything.  She took Advil or Tylenol and iced it.  It was bad the next day, talked to her PCP and he informed her to go to an UC and then it went away.  Then last night in the middle of the night the sensation came back again, uncomfortable most of the night, woke up with a lot of pain in that arm, specifically in the muscle itself.  It's better than it was this morning, and felt like she was having some symptoms of a strange muscular symptoms, it's just her arm in the muscle where the shot was.   Her PCP had no idea what to do for her symptoms.   It is easy up, the severe sharp have gotten better as the day goes on, had serious discomfort for 7 hours.   She wonders if this is going to continue to happen.  She can feel it lurking, but not severe.  She is clutching her arm and rubbing her muscle.    She reacted badly to the Shingles vaccine a few years ago.  Was in bed for 2 days and an infected arm from that and had to take antibiotics.   She did not have this type of reaction with the COVID vaccines, just tired, but able to get up and go about her daily activities.
Age: 36.0
Sex: M
Vaccine: COVID19-2
Symptoms: Anosmia, COVID-19, Chills, Cough, Fatigue
Clinical narrative: Sunday October 23 2022 before I was diagnosed with COVID-19 I had symptoms of a dry cough and headache, and then on Monday morning I felt under the weather with chills, headache, body aches, fatigue. My legs would hurt if at rest and not up moving around. I went to a clinic and was swabbed for the flu and COVID-19 the COVID-19 was positive. I had a fever from October 24-26 2022 after October 26 2022 I lost sense of smell and this loss for four to five days, my cough lasted for two weeks.
Age: 36.0
Sex: M
Vaccine: COVID19-2
Symptoms: Feeling abnormal, Headache, Influenza virus test, Pain, Pain in extremity
Clinical narrative: Sunday October 23 2022 before I was diagnosed with COVID-19 I had symptoms of a dry cough and headache, and then on Monday morning I felt under the weather with chills, headache, body aches, fatigue. My legs would hurt if at rest and not up moving around. I went to a clinic and was swabbed for the flu and COVID-19 the COVID-19 was positive. I had a fever from October 24-26 2022 after October 26 2022 I lost sense of smell and this loss for four to five days, my cough lasted for two weeks.
Age: 36.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Sunday October 23 2022 before I was diagnosed with COVID-19 I had symptoms of a dry cough and headache, and then on Monday morning I felt under the weather with chills, headache, body aches, fatigue. My legs would hurt if at rest and not up moving around. I went to a clinic and was swabbed for the flu and COVID-19 the COVID-19 was positive. I had a fever from October 24-26 2022 after October 26 2022 I lost sense of smell and this loss for four to five days, my cough lasted for two weeks.
Age: 6.0
Sex: F
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: None known at the time of this reporting
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Condition aggravated, Dizziness, Fatigue
Clinical narrative: I received the Pfizer booster for COVID-19 on 12/7/2021. On 1/6/2022, I woke up with headache, body aches, fatigue, and sore throat. I self-isolated in case I had COVID-19. I took a home test that day and got a negative result. I then arranged to get a PCR test later that day; when I got the PCR results back a few days later, they indicated a negative result. On 1/8/2022, I took another home antigen test and got a positive result. The headache, body aches, fatigue, and sore throat persisted for about 7 days, and I ended up being off from work for a week and half. I also developed chills and nausea at one point, and those lasted for about 3 days. I never vomited, though. I treated my symptoms with TYLENOL, which helped a little, but not much. The COVID-19 exacerbated some of the symptoms of my pre-existing conditions. For example, the dizziness and fatigue associated with POTS were exacerbated for about a week or two after I became infected.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Impaired work ability, Nausea, Oropharyngeal pain, Pain
Clinical narrative: I received the Pfizer booster for COVID-19 on 12/7/2021. On 1/6/2022, I woke up with headache, body aches, fatigue, and sore throat. I self-isolated in case I had COVID-19. I took a home test that day and got a negative result. I then arranged to get a PCR test later that day; when I got the PCR results back a few days later, they indicated a negative result. On 1/8/2022, I took another home antigen test and got a positive result. The headache, body aches, fatigue, and sore throat persisted for about 7 days, and I ended up being off from work for a week and half. I also developed chills and nausea at one point, and those lasted for about 3 days. I never vomited, though. I treated my symptoms with TYLENOL, which helped a little, but not much. The COVID-19 exacerbated some of the symptoms of my pre-existing conditions. For example, the dizziness and fatigue associated with POTS were exacerbated for about a week or two after I became infected.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Postural orthostatic tachycardia syndrome, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: I received the Pfizer booster for COVID-19 on 12/7/2021. On 1/6/2022, I woke up with headache, body aches, fatigue, and sore throat. I self-isolated in case I had COVID-19. I took a home test that day and got a negative result. I then arranged to get a PCR test later that day; when I got the PCR results back a few days later, they indicated a negative result. On 1/8/2022, I took another home antigen test and got a positive result. The headache, body aches, fatigue, and sore throat persisted for about 7 days, and I ended up being off from work for a week and half. I also developed chills and nausea at one point, and those lasted for about 3 days. I never vomited, though. I treated my symptoms with TYLENOL, which helped a little, but not much. The COVID-19 exacerbated some of the symptoms of my pre-existing conditions. For example, the dizziness and fatigue associated with POTS were exacerbated for about a week or two after I became infected.
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine given 5 days after beyond use date.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration
Clinical narrative: patient received 2 moderna bivalent shots less than 2 months apart
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Cough, Hyperhidrosis, Rhinorrhoea
Clinical narrative: I tested positive for COVID-19 on 11/28/22. I had a runny nose, cough, and brief sweating, and light chills. I had no fever though. I was prescribed 5 days' worth of PAXLOVID. I wasn't feeling terrible to begin with, but I started feeling better after taking PAXLOVID. I tested negative on 12/6/22.
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I tested positive for COVID-19 on 11/28/22. I had a runny nose, cough, and brief sweating, and light chills. I had no fever though. I was prescribed 5 days' worth of PAXLOVID. I wasn't feeling terrible to begin with, but I started feeling better after taking PAXLOVID. I tested negative on 12/6/22.
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect route of product administration, Vaccination site erythema, Vaccination site induration, Vaccination site swelling
Clinical narrative: Patient came in for a COVID Bivalent booster on Friday 12/2/2022. He was administered a vaccine subcutaneously on his anterior left forearm.  It was determined that the vaccine was administered subcutaneously. The vaccine site has been swollen and red since 12/2/2022.  On 12/6/2022, Patient presented to the clinic, with his partner, reporting redness and induration at the vaccine site. Patient was examined by the Medical Director.   Medical Director noted in the progress note that the patient was doing well and the vaccine reaction appeared to be localized and limited to some erythema and central induration at the point of injection.  There were no signs of cellulitis, such as pain or warmth and there was no evidence of abscess or granulation.  Medical Director measured the erythematous area and provided the patient with a measuring tape to continue to monitor.  Medical Director instructed the patient to apply clean warm moist compresses to the area in hopes of a faster absorption.  It was recommended that the patient re-vaccinate against COVID once all symptoms have resolved.  Patient is to contact Medical Director if additional symptoms, either local or systemic were to appear.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine was given 2 days after beyond use date.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: Pfizer vaccine was not diluted before withdrawing the 0.2 ml dose for administration.  No known harm at this time.
Age: 92.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chronic obstructive pulmonary disease, Condition aggravated, Death, Immunisation reaction, Mental status changes
Clinical narrative: On 12/1/22 resident was in respiratory distress and sent to the hospital. She was sent back with a dx of COPD excaberation started tx at that time. On 12/5/22 The resident had AMS and was not responding. NP saw the resident and her RP and it was decided to place her on comfort measures at that time.  On 12/6/2022 the MD saw the resident and believes that the events are related to her poor respiratory conditiona dn covid vaccine complications.  He continued comfort measures as discussed with the residents daughter.  On 12/7/2022 the resident passed away.
Age: 92.0
Sex: F
Vaccine: COVID19-2
Symptoms: Respiratory distress, Unresponsive to stimuli
Clinical narrative: On 12/1/22 resident was in respiratory distress and sent to the hospital. She was sent back with a dx of COPD excaberation started tx at that time. On 12/5/22 The resident had AMS and was not responding. NP saw the resident and her RP and it was decided to place her on comfort measures at that time.  On 12/6/2022 the MD saw the resident and believes that the events are related to her poor respiratory conditiona dn covid vaccine complications.  He continued comfort measures as discussed with the residents daughter.  On 12/7/2022 the resident passed away.
Age: 17.0
Sex: F
Vaccine: FLUR4
Symptoms: Product administered to patient of inappropriate age, Product administration error
Clinical narrative: 17 y.o administered a flublok in error
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine was given 19 days after beyond use date
Age: 76.0
Sex: F
Vaccine: FLUA4
Symptoms: Product administered at inappropriate site, Vaccination site erythema
Clinical narrative: THE PATIENT CAME IN THE NEXT DAY COMPLAINING OF REDNESS IN HER ARM WHERE SHE RECEIVED THE VACCINE.  AFTER EXAMINING IT APPEARED RED.  THE VACCINE WAS ALSO ADMINISTERED LOWER THAN USUALLY GIVEN, AROUND THE MIDDLE OF HER ARM INSTEAD OF SHOULDER.
Age: 55.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine was given 1 day after beyond use date.
Age: 33.0
Sex: F
Vaccine: TDAP
Symptoms: Exposure during pregnancy, Injection site swelling, Malaise, Pain
Clinical narrative: Swelling at injection site, pain, body aches, general malaise . Pregnancy #2 due date 2-5-23
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Malaise, Pain in extremity
Clinical narrative: After receiving the vaccine, I had a sore arm for two or three days and fatigue for one day. I started to not feel well on  11/27/2022 with a cough, fever and congestion. On 11/28/2022, I tested positive for COVID-19, and I started taking PAXLOVID. I was sick for about eight days.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: After receiving the vaccine, I had a sore arm for two or three days and fatigue for one day. I started to not feel well on  11/27/2022 with a cough, fever and congestion. On 11/28/2022, I tested positive for COVID-19, and I started taking PAXLOVID. I was sick for about eight days.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Lymphadenopathy, Wrong product administered
Clinical narrative: Wrong vaccine was given.  Pt requested Pfizer COVID bivalent vaccine, but was given Pfizer COVID monovalent vaccine in error due to the provider moving quickly and not double-checking the label.  Pt did report mild axillary lymphadenopathy after the vaccine but otherwise no adverse effects.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Fatigue, Feeling abnormal
Clinical narrative: I felt fatigue and weak. The next morning went I woke up my throat hurt. My wife made me take a COVID-19 test when I got a 102 fever, and it was positive. The next day I felt like crap, I had a cough and the other symptoms as well. I ended up getting a sinus infection. Six days later I tested negative. I still have a cough. The fever lasted for 2-3 days. I talked to my doctor and he gave me a cough syrup but I never took it.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive, Sinusitis
Clinical narrative: I felt fatigue and weak. The next morning went I woke up my throat hurt. My wife made me take a COVID-19 test when I got a 102 fever, and it was positive. The next day I felt like crap, I had a cough and the other symptoms as well. I ended up getting a sinus infection. Six days later I tested negative. I still have a cough. The fever lasted for 2-3 days. I talked to my doctor and he gave me a cough syrup but I never took it.
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine was given 1 day after beyond use date.
Age: 9.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Second influenza vaccine given after first of the season on 9/28/2022.
Age: 72.0
Sex: M
Vaccine: UNK
Symptoms: Diarrhoea
Clinical narrative: Diarhea
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Circumstance or information capable of leading to medication error, Fatigue, Incorrect product formulation administered, Pain in extremity
Clinical narrative: Pt requested Pfizer COVID bivalent vaccine but was given monovalent in error due to the provider moving quickly and not double-checking the label.  The patient reported having a sore arm and feeling fatigued the next day but otherwise, no other adverse effects
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine given 16 days after beyond use date.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: No adverse events, Patient came for 2nd dose of Covid vaccine RN gave second dose of Pfizer Patient reported getting 1st dose around 06/2021 of Moderna