chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: swollen legs
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: patient was 17 years old at the time of administration and should have received Pfizer instead of Moderna, followed up with patient and no adverse effects were noted
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Interchange of vaccine products, Oropharyngeal pain, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID BREAK  My Husband had it first and we separated after he got a positive test May 14. The 18th of May I woke up wit a sore throat and tested positive on the 18th. I called my PCP they had me add to my chart the test result. I talked to a pharmacist two had a long conversation and I picked Paxlovid. The medication was very helpful. The first  vaccines I received were Pfizer and then I switched to Moderna
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PATIENT RECEIVED EXPIRED MODERNA VACCINE. NO ADVERSE EVENTS EXPERIENCED
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Cold sweat, Condition aggravated, Diverticulitis, Laboratory test normal
Clinical narrative: 11/23/2022 Vaccination; 05/16/2022 I started to get stomach cramps. The pain is pretty intense, bad. I didn't have a fever but was clammy. 05/17/2022 Symptoms were worse. Couldn't sit up as pain was worse. I remembered from 2007 to just drink liquids when had last flare-up of diverticulitis. I slowly can eat things like bread, bland things, very little things so not to shock my system. I emailed my NP. She said if I don't feel better soon to contact her to do a CT scan. I never had a fever.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain
Clinical narrative: 11/23/2022 Vaccination; 05/16/2022 I started to get stomach cramps. The pain is pretty intense, bad. I didn't have a fever but was clammy. 05/17/2022 Symptoms were worse. Couldn't sit up as pain was worse. I remembered from 2007 to just drink liquids when had last flare-up of diverticulitis. I slowly can eat things like bread, bland things, very little things so not to shock my system. I emailed my NP. She said if I don't feel better soon to contact her to do a CT scan. I never had a fever.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Moderna vaccine is only approved for adults 18 years of age and over.  No adverse reaction was noted at time of vaccine.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: There was no adverse reaction patient was given the booster early. We were unaware until we looked into regulatory authority report.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Rhinorrhoea, SARS-CoV-2 test, Sinusitis
Clinical narrative: Approximately a few weeks after my 4th dose vaccination I contracted COVID-19 and experienced the following symptoms: Scratchy throat, Runny nose, Cough, Sinus Infection. I took Allertex and Tylenol for treatment and after consulting with my doctor, I was prescribed with PAXLOVID for 5 days and I am currently on my 2nd day of taking it. So far, I felt so much better than before but unsure whether it's because of time or the effect of PAXLOVID.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Approximately a few weeks after my 4th dose vaccination I contracted COVID-19 and experienced the following symptoms: Scratchy throat, Runny nose, Cough, Sinus Infection. I took Allertex and Tylenol for treatment and after consulting with my doctor, I was prescribed with PAXLOVID for 5 days and I am currently on my 2nd day of taking it. So far, I felt so much better than before but unsure whether it's because of time or the effect of PAXLOVID.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PATIENT RECEIVED EXPIRED MODERNA VACCINE. NO ADVERSE EVENTS EXPERIENCED
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal faeces, COVID-19, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: On 5/19/2022, I began to have a scratchy throat and a little nose congestion. A couple of days later, my stools became pasty, but I don't know if this was the result of the DayQuil I had taken or COVID-19. I went to the doctor on 5/24/2022 to get tested for COVID, and the result was positive. At the time of this writing, I have just a tinge of a sore throat. I also still a little bit of congestion, though not as much as yesterday. I haven't had a fever or muscle aches at any time during my bout with COVID. I also haven't had a loss of taste or smell. My symptoms are so mild that I haven't felt the need to use an antiviral.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: On 5/19/2022, I began to have a scratchy throat and a little nose congestion. A couple of days later, my stools became pasty, but I don't know if this was the result of the DayQuil I had taken or COVID-19. I went to the doctor on 5/24/2022 to get tested for COVID, and the result was positive. At the time of this writing, I have just a tinge of a sore throat. I also still a little bit of congestion, though not as much as yesterday. I haven't had a fever or muscle aches at any time during my bout with COVID. I also haven't had a loss of taste or smell. My symptoms are so mild that I haven't felt the need to use an antiviral.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: PATIENT RECEIVED A MODENA VACCINE AT AGE 12. SHOULD HAVE RECEIVED PFIZER. PER CDC, DOSE DOESN'T HAVE TO BE REPEATED.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PATIENT RECEIVED EXPIRED MODERNA VACCINE. NO ADVERSE EVENTS EXPERIENCED
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: PATIENT RECEIVED EXPIRED MODERNA VACCINE. NO ADVERSE EVENTS EXPERIENCED
Age: 53.0
Sex: M
Vaccine: COVID19, TDAP
Symptoms: Arthralgia, COVID-19, Cough, Exposure to SARS-CoV-2, Fatigue
Clinical narrative: Friday 5/13 I started to feel as though I had a head cold. The previous Saturday 5/7 I was exposed to someone who ended up testing positive on 5/9. My symptoms progressed a bit on 5/14 on 5/15 I also experienced some body aches, joint aches, fatigue and a fever so I took an at home covid test which ended up being positive. My temperature on 5/15 was just shy of 101 and persisted until Monday 5/16. By Tuesday, 5/17, the fever began to reduce but I was starting to cough a bit and there was some upper respiratory irritation. At that point I reached out to my doctor via email and informed him of my symptoms. He advised that I continue to monitor symptoms and if they persisted or worsened to reach back out. They also advised that I continue to treat symptoms with over the counter medication. By Wednesday, my body aches and headache symptoms were improving. By Thursday, the cough and respiratory symptoms were improving. By Saturday, 5/21 almost all symptoms were gone with the exception of some minor fatigue. The fatigue is still lingering but is not terribly noticeable.
Age: 53.0
Sex: M
Vaccine: COVID19, TDAP
Symptoms: Headache, Malaise, Nasopharyngitis, Pain, Pyrexia
Clinical narrative: Friday 5/13 I started to feel as though I had a head cold. The previous Saturday 5/7 I was exposed to someone who ended up testing positive on 5/9. My symptoms progressed a bit on 5/14 on 5/15 I also experienced some body aches, joint aches, fatigue and a fever so I took an at home covid test which ended up being positive. My temperature on 5/15 was just shy of 101 and persisted until Monday 5/16. By Tuesday, 5/17, the fever began to reduce but I was starting to cough a bit and there was some upper respiratory irritation. At that point I reached out to my doctor via email and informed him of my symptoms. He advised that I continue to monitor symptoms and if they persisted or worsened to reach back out. They also advised that I continue to treat symptoms with over the counter medication. By Wednesday, my body aches and headache symptoms were improving. By Thursday, the cough and respiratory symptoms were improving. By Saturday, 5/21 almost all symptoms were gone with the exception of some minor fatigue. The fatigue is still lingering but is not terribly noticeable.
Age: 53.0
Sex: M
Vaccine: COVID19, TDAP
Symptoms: Respiratory symptom, SARS-CoV-2 test positive, Upper respiratory tract irritation
Clinical narrative: Friday 5/13 I started to feel as though I had a head cold. The previous Saturday 5/7 I was exposed to someone who ended up testing positive on 5/9. My symptoms progressed a bit on 5/14 on 5/15 I also experienced some body aches, joint aches, fatigue and a fever so I took an at home covid test which ended up being positive. My temperature on 5/15 was just shy of 101 and persisted until Monday 5/16. By Tuesday, 5/17, the fever began to reduce but I was starting to cough a bit and there was some upper respiratory irritation. At that point I reached out to my doctor via email and informed him of my symptoms. He advised that I continue to monitor symptoms and if they persisted or worsened to reach back out. They also advised that I continue to treat symptoms with over the counter medication. By Wednesday, my body aches and headache symptoms were improving. By Thursday, the cough and respiratory symptoms were improving. By Saturday, 5/21 almost all symptoms were gone with the exception of some minor fatigue. The fatigue is still lingering but is not terribly noticeable.
Age: 72.0
Sex: M
Vaccine: VARZOS
Symptoms: Skin ulcer, Urticaria
Clinical narrative: patient had severe sores and hives all over
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, SARS-CoV-2 test positive, Vaccine breakthrough infection, Wheezing
Clinical narrative: Breakthrough Case of COVID-19: I started to have a dry cough and wheezing, I self tested for COVID-19 and tested positive. I went to see the Physician Assistant at the Clinic, she prescribed Paxlovid and Albuterol inhaler.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: PAIN IN ARM AT INJECTION SITE.  PAIN LASTED IN MUSCLE FOR 5 MONTHS UNTIL END OF APRIL 2022.  hE STATES HIS MUSCLE WAS AGITATED AND THE PAIN INCREASED OVER THE FIRST FEW WEEKS AND THEN STAYED THE SAME, DECREASING IN APRIL UNTIL IT WENT AWAY BY END APRIL.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Dermatitis allergic, Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Additional Details: Patient had rash/swelling below the injection area. Itchy and red, but not hot to the touch.  She has tried using benadryl which has helped.  Rash has not gotten worse or better since it showed up.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Additional Details: Patient had rash/swelling below the injection area. Itchy and red, but not hot to the touch.  She has tried using benadryl which has helped.  Rash has not gotten worse or better since it showed up.
Age: 21.0
Sex: M
Vaccine: UNK
Symptoms: Abdominal discomfort, Headache
Clinical narrative: The employee called the center on 5/25/22 at approximately 1000 reporting current s/s of headache and upset stomach. Employee stated the onset was about 30 minutes after the vaccine was administered to him on 5/24/22 at approximately 1500. Employee states the s/s did not resolve at home and that the severity of s/s are about the same. Employee denies seeking outside medical care. Employee was educated to seek outside medical care if symptoms persist or worsen and to call the center with any further questions or concerns.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Apathy, Asthenia, Back pain, Blood thyroid stimulating hormone normal
Clinical narrative: Provider discharge documentation. a 85 YO female who presented to the hospital for evaluation of generalized weakness. The patient states that she had a sore throat on 1st of  May and was seen in the walk-in clinic.  She was prescribed Flonase but Covid swab was sent which came back positive and the second.  She was called with the results and the patient was prescribed a course of PAXLOVID which she completed. She states that she was feeling fine and was doing well except for the persistent cough (which she admits she has had for years).    She presented to the emergency room on the 11 th with symptoms of nausea, diarrhea and vomiting. During that evaluation, she was found to have a urinary tract infection. She was prescribed Keflex.  Her urine culture showed greater than 100,000 is trachea coli sensitive to all antibiotics tested.    She came back on the 16th feeling completely tired and fatigued.  She is very weak.  She is constipated, having some persistent cough, vague complaints of chest pains in the left upper chest area, describing this to be more like a heartburn type symptoms which she gets frequently.  She also reported of shortness of breath that emergency room although she denies feeling short of breath during the time that I evaluated her.    The companion is very concerned because apparently, after she started taking the Keflex, she has rapidly downhill. She is now unable to get out of bed, needing a lot of assistance with transfers.  She has not been able to walk.  She also does not have an appetite. She has no motivation and just not feeling up to par.  She also reports that she is having a lot of chest congestion and is considering that her infection might be going down into her chest.  I have advised them that her  chest x-ray came back negative for any evidence of infection or PNA. She does have persistent cough without any sputum production or expectoration.    ED work up shows that troponins were elevated.  She also has minimal changes on her EKG that did not seem to be significant. The rest of her work up was unremarkable. CBC and CMP are both unremarkable. UA noted. TSH was normal. Coags were normal.  She was given aspirin and IV heparin was started. Cardiology has been consulted. She underwent a stress test which was negative for evidence of ischemia. Her fatigue improved with supportive care and refraining from Keflex. Her repeat urine culture was negative. She participated with PT/OT who recommended home with therapy but she refused any home therapy. She was found to be iron deficient, given IV Venofer for 3 days and will start PO iron on discharge. She was discharged home in stable condition with strict return precautions. "
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cardiac stress test normal, Chest X-ray normal, Chest pain, Coagulation test normal
Clinical narrative: Provider discharge documentation. a 85 YO female who presented to the hospital for evaluation of generalized weakness. The patient states that she had a sore throat on 1st of  May and was seen in the walk-in clinic.  She was prescribed Flonase but Covid swab was sent which came back positive and the second.  She was called with the results and the patient was prescribed a course of PAXLOVID which she completed. She states that she was feeling fine and was doing well except for the persistent cough (which she admits she has had for years).    She presented to the emergency room on the 11 th with symptoms of nausea, diarrhea and vomiting. During that evaluation, she was found to have a urinary tract infection. She was prescribed Keflex.  Her urine culture showed greater than 100,000 is trachea coli sensitive to all antibiotics tested.    She came back on the 16th feeling completely tired and fatigued.  She is very weak.  She is constipated, having some persistent cough, vague complaints of chest pains in the left upper chest area, describing this to be more like a heartburn type symptoms which she gets frequently.  She also reported of shortness of breath that emergency room although she denies feeling short of breath during the time that I evaluated her.    The companion is very concerned because apparently, after she started taking the Keflex, she has rapidly downhill. She is now unable to get out of bed, needing a lot of assistance with transfers.  She has not been able to walk.  She also does not have an appetite. She has no motivation and just not feeling up to par.  She also reports that she is having a lot of chest congestion and is considering that her infection might be going down into her chest.  I have advised them that her  chest x-ray came back negative for any evidence of infection or PNA. She does have persistent cough without any sputum production or expectoration.    ED work up shows that troponins were elevated.  She also has minimal changes on her EKG that did not seem to be significant. The rest of her work up was unremarkable. CBC and CMP are both unremarkable. UA noted. TSH was normal. Coags were normal.  She was given aspirin and IV heparin was started. Cardiology has been consulted. She underwent a stress test which was negative for evidence of ischemia. Her fatigue improved with supportive care and refraining from Keflex. Her repeat urine culture was negative. She participated with PT/OT who recommended home with therapy but she refused any home therapy. She was found to be iron deficient, given IV Venofer for 3 days and will start PO iron on discharge. She was discharged home in stable condition with strict return precautions. "
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Constipation, Cough, Culture urine positive, Decreased appetite, Diarrhoea
Clinical narrative: Provider discharge documentation. a 85 YO female who presented to the hospital for evaluation of generalized weakness. The patient states that she had a sore throat on 1st of  May and was seen in the walk-in clinic.  She was prescribed Flonase but Covid swab was sent which came back positive and the second.  She was called with the results and the patient was prescribed a course of PAXLOVID which she completed. She states that she was feeling fine and was doing well except for the persistent cough (which she admits she has had for years).    She presented to the emergency room on the 11 th with symptoms of nausea, diarrhea and vomiting. During that evaluation, she was found to have a urinary tract infection. She was prescribed Keflex.  Her urine culture showed greater than 100,000 is trachea coli sensitive to all antibiotics tested.    She came back on the 16th feeling completely tired and fatigued.  She is very weak.  She is constipated, having some persistent cough, vague complaints of chest pains in the left upper chest area, describing this to be more like a heartburn type symptoms which she gets frequently.  She also reported of shortness of breath that emergency room although she denies feeling short of breath during the time that I evaluated her.    The companion is very concerned because apparently, after she started taking the Keflex, she has rapidly downhill. She is now unable to get out of bed, needing a lot of assistance with transfers.  She has not been able to walk.  She also does not have an appetite. She has no motivation and just not feeling up to par.  She also reports that she is having a lot of chest congestion and is considering that her infection might be going down into her chest.  I have advised them that her  chest x-ray came back negative for any evidence of infection or PNA. She does have persistent cough without any sputum production or expectoration.    ED work up shows that troponins were elevated.  She also has minimal changes on her EKG that did not seem to be significant. The rest of her work up was unremarkable. CBC and CMP are both unremarkable. UA noted. TSH was normal. Coags were normal.  She was given aspirin and IV heparin was started. Cardiology has been consulted. She underwent a stress test which was negative for evidence of ischemia. Her fatigue improved with supportive care and refraining from Keflex. Her repeat urine culture was negative. She participated with PT/OT who recommended home with therapy but she refused any home therapy. She was found to be iron deficient, given IV Venofer for 3 days and will start PO iron on discharge. She was discharged home in stable condition with strict return precautions. "
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram normal, Fatigue, Feeling abnormal, Full blood count normal
Clinical narrative: Provider discharge documentation. a 85 YO female who presented to the hospital for evaluation of generalized weakness. The patient states that she had a sore throat on 1st of  May and was seen in the walk-in clinic.  She was prescribed Flonase but Covid swab was sent which came back positive and the second.  She was called with the results and the patient was prescribed a course of PAXLOVID which she completed. She states that she was feeling fine and was doing well except for the persistent cough (which she admits she has had for years).    She presented to the emergency room on the 11 th with symptoms of nausea, diarrhea and vomiting. During that evaluation, she was found to have a urinary tract infection. She was prescribed Keflex.  Her urine culture showed greater than 100,000 is trachea coli sensitive to all antibiotics tested.    She came back on the 16th feeling completely tired and fatigued.  She is very weak.  She is constipated, having some persistent cough, vague complaints of chest pains in the left upper chest area, describing this to be more like a heartburn type symptoms which she gets frequently.  She also reported of shortness of breath that emergency room although she denies feeling short of breath during the time that I evaluated her.    The companion is very concerned because apparently, after she started taking the Keflex, she has rapidly downhill. She is now unable to get out of bed, needing a lot of assistance with transfers.  She has not been able to walk.  She also does not have an appetite. She has no motivation and just not feeling up to par.  She also reports that she is having a lot of chest congestion and is considering that her infection might be going down into her chest.  I have advised them that her  chest x-ray came back negative for any evidence of infection or PNA. She does have persistent cough without any sputum production or expectoration.    ED work up shows that troponins were elevated.  She also has minimal changes on her EKG that did not seem to be significant. The rest of her work up was unremarkable. CBC and CMP are both unremarkable. UA noted. TSH was normal. Coags were normal.  She was given aspirin and IV heparin was started. Cardiology has been consulted. She underwent a stress test which was negative for evidence of ischemia. Her fatigue improved with supportive care and refraining from Keflex. Her repeat urine culture was negative. She participated with PT/OT who recommended home with therapy but she refused any home therapy. She was found to be iron deficient, given IV Venofer for 3 days and will start PO iron on discharge. She was discharged home in stable condition with strict return precautions. "
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Gait inability, Iron deficiency, Laboratory test normal, Metabolic function test normal, Mobility decreased
Clinical narrative: Provider discharge documentation. a 85 YO female who presented to the hospital for evaluation of generalized weakness. The patient states that she had a sore throat on 1st of  May and was seen in the walk-in clinic.  She was prescribed Flonase but Covid swab was sent which came back positive and the second.  She was called with the results and the patient was prescribed a course of PAXLOVID which she completed. She states that she was feeling fine and was doing well except for the persistent cough (which she admits she has had for years).    She presented to the emergency room on the 11 th with symptoms of nausea, diarrhea and vomiting. During that evaluation, she was found to have a urinary tract infection. She was prescribed Keflex.  Her urine culture showed greater than 100,000 is trachea coli sensitive to all antibiotics tested.    She came back on the 16th feeling completely tired and fatigued.  She is very weak.  She is constipated, having some persistent cough, vague complaints of chest pains in the left upper chest area, describing this to be more like a heartburn type symptoms which she gets frequently.  She also reported of shortness of breath that emergency room although she denies feeling short of breath during the time that I evaluated her.    The companion is very concerned because apparently, after she started taking the Keflex, she has rapidly downhill. She is now unable to get out of bed, needing a lot of assistance with transfers.  She has not been able to walk.  She also does not have an appetite. She has no motivation and just not feeling up to par.  She also reports that she is having a lot of chest congestion and is considering that her infection might be going down into her chest.  I have advised them that her  chest x-ray came back negative for any evidence of infection or PNA. She does have persistent cough without any sputum production or expectoration.    ED work up shows that troponins were elevated.  She also has minimal changes on her EKG that did not seem to be significant. The rest of her work up was unremarkable. CBC and CMP are both unremarkable. UA noted. TSH was normal. Coags were normal.  She was given aspirin and IV heparin was started. Cardiology has been consulted. She underwent a stress test which was negative for evidence of ischemia. Her fatigue improved with supportive care and refraining from Keflex. Her repeat urine culture was negative. She participated with PT/OT who recommended home with therapy but she refused any home therapy. She was found to be iron deficient, given IV Venofer for 3 days and will start PO iron on discharge. She was discharged home in stable condition with strict return precautions. "
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Nausea, Oropharyngeal pain, Pulmonary congestion, SARS-CoV-2 test positive
Clinical narrative: Provider discharge documentation. a 85 YO female who presented to the hospital for evaluation of generalized weakness. The patient states that she had a sore throat on 1st of  May and was seen in the walk-in clinic.  She was prescribed Flonase but Covid swab was sent which came back positive and the second.  She was called with the results and the patient was prescribed a course of PAXLOVID which she completed. She states that she was feeling fine and was doing well except for the persistent cough (which she admits she has had for years).    She presented to the emergency room on the 11 th with symptoms of nausea, diarrhea and vomiting. During that evaluation, she was found to have a urinary tract infection. She was prescribed Keflex.  Her urine culture showed greater than 100,000 is trachea coli sensitive to all antibiotics tested.    She came back on the 16th feeling completely tired and fatigued.  She is very weak.  She is constipated, having some persistent cough, vague complaints of chest pains in the left upper chest area, describing this to be more like a heartburn type symptoms which she gets frequently.  She also reported of shortness of breath that emergency room although she denies feeling short of breath during the time that I evaluated her.    The companion is very concerned because apparently, after she started taking the Keflex, she has rapidly downhill. She is now unable to get out of bed, needing a lot of assistance with transfers.  She has not been able to walk.  She also does not have an appetite. She has no motivation and just not feeling up to par.  She also reports that she is having a lot of chest congestion and is considering that her infection might be going down into her chest.  I have advised them that her  chest x-ray came back negative for any evidence of infection or PNA. She does have persistent cough without any sputum production or expectoration.    ED work up shows that troponins were elevated.  She also has minimal changes on her EKG that did not seem to be significant. The rest of her work up was unremarkable. CBC and CMP are both unremarkable. UA noted. TSH was normal. Coags were normal.  She was given aspirin and IV heparin was started. Cardiology has been consulted. She underwent a stress test which was negative for evidence of ischemia. Her fatigue improved with supportive care and refraining from Keflex. Her repeat urine culture was negative. She participated with PT/OT who recommended home with therapy but she refused any home therapy. She was found to be iron deficient, given IV Venofer for 3 days and will start PO iron on discharge. She was discharged home in stable condition with strict return precautions. "
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Sciatica, Troponin increased, Urinary tract infection, Vomiting
Clinical narrative: Provider discharge documentation. a 85 YO female who presented to the hospital for evaluation of generalized weakness. The patient states that she had a sore throat on 1st of  May and was seen in the walk-in clinic.  She was prescribed Flonase but Covid swab was sent which came back positive and the second.  She was called with the results and the patient was prescribed a course of PAXLOVID which she completed. She states that she was feeling fine and was doing well except for the persistent cough (which she admits she has had for years).    She presented to the emergency room on the 11 th with symptoms of nausea, diarrhea and vomiting. During that evaluation, she was found to have a urinary tract infection. She was prescribed Keflex.  Her urine culture showed greater than 100,000 is trachea coli sensitive to all antibiotics tested.    She came back on the 16th feeling completely tired and fatigued.  She is very weak.  She is constipated, having some persistent cough, vague complaints of chest pains in the left upper chest area, describing this to be more like a heartburn type symptoms which she gets frequently.  She also reported of shortness of breath that emergency room although she denies feeling short of breath during the time that I evaluated her.    The companion is very concerned because apparently, after she started taking the Keflex, she has rapidly downhill. She is now unable to get out of bed, needing a lot of assistance with transfers.  She has not been able to walk.  She also does not have an appetite. She has no motivation and just not feeling up to par.  She also reports that she is having a lot of chest congestion and is considering that her infection might be going down into her chest.  I have advised them that her  chest x-ray came back negative for any evidence of infection or PNA. She does have persistent cough without any sputum production or expectoration.    ED work up shows that troponins were elevated.  She also has minimal changes on her EKG that did not seem to be significant. The rest of her work up was unremarkable. CBC and CMP are both unremarkable. UA noted. TSH was normal. Coags were normal.  She was given aspirin and IV heparin was started. Cardiology has been consulted. She underwent a stress test which was negative for evidence of ischemia. Her fatigue improved with supportive care and refraining from Keflex. Her repeat urine culture was negative. She participated with PT/OT who recommended home with therapy but she refused any home therapy. She was found to be iron deficient, given IV Venofer for 3 days and will start PO iron on discharge. She was discharged home in stable condition with strict return precautions. "
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy lymph gland abnormal, Lymphadenectomy, Lymphadenopathy, Lymphoma, Mammogram abnormal
Clinical narrative: I went for the mammogram and I had an abnormal lymph node it was swollen. When they took it out and tested it it was cancer. First they did a biopsy, then removed it, then I had to do cancer treatment. I get a mammogram every year and never had a lymph node swollen.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Cardio-respiratory arrest, Cognitive disorder
Clinical narrative: 1/17/22 pt presented to hosp after multiple falls, weakness, worsening cognitive function, poor oral intake; previous ED visits for same sx on 1/17/22 and 1/24/22 at the local Medical Center; 1/17/22 found to be positive for COVID; COVID pneumonia; outside the window for remdesivir; given O2 supplementation; Decadron; experienced GI bleed; transferred to another unit; code blue was called for pt and she was intubated; another code blue occurred and the pt passed away in the hospital; DC and med records sent to info@vaers.org per VAERS request
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Endotracheal intubation, Fall, Gastrointestinal haemorrhage, Hypophagia
Clinical narrative: 1/17/22 pt presented to hosp after multiple falls, weakness, worsening cognitive function, poor oral intake; previous ED visits for same sx on 1/17/22 and 1/24/22 at the local Medical Center; 1/17/22 found to be positive for COVID; COVID pneumonia; outside the window for remdesivir; given O2 supplementation; Decadron; experienced GI bleed; transferred to another unit; code blue was called for pt and she was intubated; another code blue occurred and the pt passed away in the hospital; DC and med records sent to info@vaers.org per VAERS request
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, SARS-CoV-2 test positive
Clinical narrative: 1/17/22 pt presented to hosp after multiple falls, weakness, worsening cognitive function, poor oral intake; previous ED visits for same sx on 1/17/22 and 1/24/22 at the local Medical Center; 1/17/22 found to be positive for COVID; COVID pneumonia; outside the window for remdesivir; given O2 supplementation; Decadron; experienced GI bleed; transferred to another unit; code blue was called for pt and she was intubated; another code blue occurred and the pt passed away in the hospital; DC and med records sent to info@vaers.org per VAERS request
Age: 32.0
Sex: F
Vaccine: VARCEL
Symptoms: Pruritus, Pyrexia
Clinical narrative: Vaccine was administered in the afternoon of 5/24/22. Pt states that she "had a fever and was itching all over" the night of 5/24/22. Pt denies rash/hives. Pt was advised to seek medical attention at local urgent care where she received a steroid injection and a prescription for prednisone.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cardiac failure congestive, Chest pain, Condition aggravated, Dehydration
Clinical narrative: Breakthrough COVID.  admitted 5/19/2022.  73 year old female with a Past Medical History of Hypertension, Hyperlipidemia, Diabetes Mellitus, Dilated Cardiomyopathy, Anxiety, Congestive Heart Failure, Pericardial Effusion, Peripheral Vascular Disease, Osteomyelitis, Smoker, Aortic Valve Stenosis, and Muscle Weakness.  She is Admitted to Medical for Hypoxemia, Chest Pain, Respiratory Failure, Shortness of Breath, Dehydration, Leukocytosis, Congestive Heart Failure, Hyperlipidemia, and Positive Troponin. First dose 1/5/2021 EK5730 Second dose 1/26/2021 EL 8982 Booster 11/10/2021  330268D
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Hyperlipidaemia, Hypoxia, Leukocytosis, Respiratory failure
Clinical narrative: Breakthrough COVID.  admitted 5/19/2022.  73 year old female with a Past Medical History of Hypertension, Hyperlipidemia, Diabetes Mellitus, Dilated Cardiomyopathy, Anxiety, Congestive Heart Failure, Pericardial Effusion, Peripheral Vascular Disease, Osteomyelitis, Smoker, Aortic Valve Stenosis, and Muscle Weakness.  She is Admitted to Medical for Hypoxemia, Chest Pain, Respiratory Failure, Shortness of Breath, Dehydration, Leukocytosis, Congestive Heart Failure, Hyperlipidemia, and Positive Troponin. First dose 1/5/2021 EK5730 Second dose 1/26/2021 EL 8982 Booster 11/10/2021  330268D
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Troponin increased, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID.  admitted 5/19/2022.  73 year old female with a Past Medical History of Hypertension, Hyperlipidemia, Diabetes Mellitus, Dilated Cardiomyopathy, Anxiety, Congestive Heart Failure, Pericardial Effusion, Peripheral Vascular Disease, Osteomyelitis, Smoker, Aortic Valve Stenosis, and Muscle Weakness.  She is Admitted to Medical for Hypoxemia, Chest Pain, Respiratory Failure, Shortness of Breath, Dehydration, Leukocytosis, Congestive Heart Failure, Hyperlipidemia, and Positive Troponin. First dose 1/5/2021 EK5730 Second dose 1/26/2021 EL 8982 Booster 11/10/2021  330268D
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Cough, Fatigue, Oropharyngeal pain
Clinical narrative: I started getting symptoms of sore throat, congestion, tight chest, runny nose, cough, and fatigue. I took an at home COVID-19 test on 5/22/2022 that was negative. On 5/23/2022, that morning I took another at home COVID-19 test that was positive. My symptoms progressed. I did a telehealth visit with my doctor and got a prescription of Paxlovid on 5/23/2022. I have took the Paxlovid since then and have had 2 doses with not much improvement yet. The only symptoms that I don't have today is no sore throat.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I started getting symptoms of sore throat, congestion, tight chest, runny nose, cough, and fatigue. I took an at home COVID-19 test on 5/22/2022 that was negative. On 5/23/2022, that morning I took another at home COVID-19 test that was positive. My symptoms progressed. I did a telehealth visit with my doctor and got a prescription of Paxlovid on 5/23/2022. I have took the Paxlovid since then and have had 2 doses with not much improvement yet. The only symptoms that I don't have today is no sore throat.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Hypersensitivity, Malaise, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID BREAKTHROUGH CASE I had allergy symptoms went to work and had a PCR test Monday 16 May. I did a video appointment on the 18th and the followed their guidelines. My employer told me to isolate and dr instruction monitor symptoms since they were so minor. Dr decided that we were outside of the 5 day period so we decided not to take the Paxlovid.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered at inappropriate site
Clinical narrative: PA gave IM in gluteus maximus
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chronic obstructive pulmonary disease, Condition aggravated, Inappropriate schedule of product administration, Myalgia
Clinical narrative: She recieved the first dose Covid on 2/26/21, the second dose on 3/22/21, and the third dose on 1/19/22. She presented ED of Hospital with 3 days of productive cough, body aches, and myalgia on 5/22/22. She was subsecently tested positive for COVID and admitted to manage COVID and COPD exacerbation. She was treated with steroids and Doxycycline. She is on room air during the entire hopsitalization and expected to be discharged on 5/25/22.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain, Productive cough, SARS-CoV-2 test positive
Clinical narrative: She recieved the first dose Covid on 2/26/21, the second dose on 3/22/21, and the third dose on 1/19/22. She presented ED of Hospital with 3 days of productive cough, body aches, and myalgia on 5/22/22. She was subsecently tested positive for COVID and admitted to manage COVID and COPD exacerbation. She was treated with steroids and Doxycycline. She is on room air during the entire hopsitalization and expected to be discharged on 5/25/22.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Death, Electroencephalogram normal
Clinical narrative: Patient presented to the ED on 5/22/22 from her LTC facility for altered mental status. On initial presentation to the ED was unresponsive and seizing. Intubated in the ED. Found to be septic, febrile, +COVID. She underwent work up for meningitis and was treated with broad spectrum antibiotics plus antiviral on admission. Neurology was consulted and she was started on keppra. EEG showed no seizure activity. Patient was admitted to the ICU, at that time further discussions had with the patient's husband. He states that she would not have wanted aggressive care, she has advanced dementia at baseline and he did not want to escalate care. He did want to wait to move to comfort measures on 5/23/22 so that he could notify family and have family see her, but did not want any additional therapy including no pressors. On 5/23/22 family was able to come see the patient, and decision was made to move to full comfort care. Patient was extubated 1743. Comfort measures maintained, and patient passed at 2003 on 5/23/2022 with her husband at bedside. Preliminary cause of death sepsis with acute respiratory failure in +COVID pneumonia patient.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Endotracheal intubation, Intensive care, Meningitis, Mental status changes, Pyrexia
Clinical narrative: Patient presented to the ED on 5/22/22 from her LTC facility for altered mental status. On initial presentation to the ED was unresponsive and seizing. Intubated in the ED. Found to be septic, febrile, +COVID. She underwent work up for meningitis and was treated with broad spectrum antibiotics plus antiviral on admission. Neurology was consulted and she was started on keppra. EEG showed no seizure activity. Patient was admitted to the ICU, at that time further discussions had with the patient's husband. He states that she would not have wanted aggressive care, she has advanced dementia at baseline and he did not want to escalate care. He did want to wait to move to comfort measures on 5/23/22 so that he could notify family and have family see her, but did not want any additional therapy including no pressors. On 5/23/22 family was able to come see the patient, and decision was made to move to full comfort care. Patient was extubated 1743. Comfort measures maintained, and patient passed at 2003 on 5/23/2022 with her husband at bedside. Preliminary cause of death sepsis with acute respiratory failure in +COVID pneumonia patient.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Seizure, Sepsis, Unresponsive to stimuli
Clinical narrative: Patient presented to the ED on 5/22/22 from her LTC facility for altered mental status. On initial presentation to the ED was unresponsive and seizing. Intubated in the ED. Found to be septic, febrile, +COVID. She underwent work up for meningitis and was treated with broad spectrum antibiotics plus antiviral on admission. Neurology was consulted and she was started on keppra. EEG showed no seizure activity. Patient was admitted to the ICU, at that time further discussions had with the patient's husband. He states that she would not have wanted aggressive care, she has advanced dementia at baseline and he did not want to escalate care. He did want to wait to move to comfort measures on 5/23/22 so that he could notify family and have family see her, but did not want any additional therapy including no pressors. On 5/23/22 family was able to come see the patient, and decision was made to move to full comfort care. Patient was extubated 1743. Comfort measures maintained, and patient passed at 2003 on 5/23/2022 with her husband at bedside. Preliminary cause of death sepsis with acute respiratory failure in +COVID pneumonia patient.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Tinnitus, Vision blurred
Clinical narrative: Here are the symptoms I am having:  ? New Headache started afternoon of 5/23 and continues still at present ? Worsening Tinnitus started 5/23 evening and continues still at present. For background, I experienced new onset Tinnitus with my first does of Pfizer COVID Vaccination. At first it was severe and over the months lessened into a mild background bilateral tinnitus. This was reported as a VAERS to the VAERS System by the previous our Nurse, Infection Control Nurse, and Dr. Infectious Disease Physician.  ? New Blurred Vision stared 7:30pm 5/24/22 and continues today.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong technique in product usage process
Clinical narrative: Patient registered for a first dose of Moderna. Pharmacist prepared a booster dose. Vaccinator administered a booster dose. Lead nurse caught the error and brought patient back into the clinic. The patient was administered the rest of the full dose.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Delivery, Exposure during pregnancy
Clinical narrative: Pregnant women who received COVID vaccine during pregnancy delivered a her baby. Per maternal report, child death occurred at 1 week old due to illness, no attribution to vaccination. Participant has withdrawn from our studies- no additional follow up or medical records will be obtained from participant.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Ear pain, Fatigue, Head discomfort
Clinical narrative: On the 18th I started having a worse cough than the normal couch I have and my daughter and husband had tested positive on the 16th and I had tested negative. But My head was killing me and I was having pain in my ear so I went back to urgent care and was positive on the 18th. I have had bad fatigue and a tightening in my throat. I was given molnupiravir due to my heart and other health issues.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Throat tightness
Clinical narrative: On the 18th I started having a worse cough than the normal couch I have and my daughter and husband had tested positive on the 16th and I had tested negative. But My head was killing me and I was having pain in my ear so I went back to urgent care and was positive on the 18th. I have had bad fatigue and a tightening in my throat. I was given molnupiravir due to my heart and other health issues.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was administered after a temperature excursion of an unknown amount of time but may have exceeded 36 hours room temperature (~72 hours would be the maximum time at room temperature). There was a failure in our temperature monitoring system to alert staff regarding the temperature excursion.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Back pain, COVID-19, Cervical cord compression, Cervical spinal stenosis, Cognitive disorder
Clinical narrative: 66 yo F PMH osteopenia, endometrial CA s/p hysterectomy, chronic urinary incontinence, presented to the ED with atraumatic bilateral leg weakness L>R and low back pain, inability to ambulate for 1 week. MRI in the ED showed multileval canal stenosis in the cervical and lumbar spine. She was noted to have severe spinal cord compression C4/5 - C6/7 and L1-L5 with moderate L5/S1.   She is now s/p C3-7 Laminoplasty with plate reconstruction C4/5 posterior lateral fusion, L1-S1 laminectomy, Right L2/3 discectomy, Repair of durotomy near right L4 nerve root 5/9/22 w Dr.    She denies any trauma but states that she works at Pharmacy and her job involves a lot of bending, twisting, and lifting. She would like to find work that is a little easier on her physically.    When medically stable, the patient was discharged to health center for  acute inpatient rehabilitation of functional and cognitive deficits.   Symptoms related to these abovementioned conditions and events were well-controlled, and the patient was discharged medically stable and improved. There were no significant acute episodes that affected length of stay or tolerance to therapies.    The patient was also provided orthotics / durable medical equipment to ensure improved function and safety in the rehabilitation and home setting.