chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Diabetic ketoacidosis, Intensive care, Malaise
Clinical narrative: COVID+ 12/30/2022.  Vaccination Status - moderna x3   BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: MD Admission Date: 12/30/2022 Discharge Date: 1/1/2023     Active Hospital Problems   Diagnosis Date Noted POA ? COVID-19 12/31/2022 Yes ? DKA, type 1, not at goal  12/30/2022 Unknown ? Hypertension 08/31/2022 Yes ? AKI (acute kidney injury) 05/25/2022 Yes ? Other emphysema 12/14/2020 Yes ? Hypothyroidism 11/18/2020 Unknown ? Type 1 diabetes mellitus with hyperglycemia   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: DKA, type 1, not at goal [E10.10] Diabetic ketoacidosis without coma associated with type 1 diabetes mellitus [E10.10] COVID-19 [U07.1]   HOSPITAL COURSE:   Patient is a 67 y.o. female with a history of Type 1 diabetes, hypertension and COPD presented with a one day history of nausea, vomiting, fever, myalgia, generalized malaise, decreased appetite, intermittent cough and congestion. She denied any chest pain, abdominal pain or diarrhea. She took a home COVID test which was positive. This prompted her to the emergency department for evaluation.   Workup in the emergency department demonstrated an AKI and DKA. Her vitals were stable. Patient was started on Endotool and IV insulin. COVID-19 positive. She was admitted to critical care unit for further management of DKA with IV insulin, aggressive fluid resuscitation and EndoTool.   Patient's blood glucose levels were well controlled with IV insulin.  Her anion gap closed while on EndoTool.  Patient's bicarbonate level trended up.  AKI resolved.  Patient was able to transition to basal bolus insulin dosing.  Her blood glucose levels remained within range while on basal bolus insulin dosing.  Patient was able to tolerate advancement in her diet.  She was discharged home in stable condition
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: COVID+ 12/30/2022.  Vaccination Status - moderna x3   BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: MD Admission Date: 12/30/2022 Discharge Date: 1/1/2023     Active Hospital Problems   Diagnosis Date Noted POA ? COVID-19 12/31/2022 Yes ? DKA, type 1, not at goal  12/30/2022 Unknown ? Hypertension 08/31/2022 Yes ? AKI (acute kidney injury) 05/25/2022 Yes ? Other emphysema 12/14/2020 Yes ? Hypothyroidism 11/18/2020 Unknown ? Type 1 diabetes mellitus with hyperglycemia   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: DKA, type 1, not at goal [E10.10] Diabetic ketoacidosis without coma associated with type 1 diabetes mellitus [E10.10] COVID-19 [U07.1]   HOSPITAL COURSE:   Patient is a 67 y.o. female with a history of Type 1 diabetes, hypertension and COPD presented with a one day history of nausea, vomiting, fever, myalgia, generalized malaise, decreased appetite, intermittent cough and congestion. She denied any chest pain, abdominal pain or diarrhea. She took a home COVID test which was positive. This prompted her to the emergency department for evaluation.   Workup in the emergency department demonstrated an AKI and DKA. Her vitals were stable. Patient was started on Endotool and IV insulin. COVID-19 positive. She was admitted to critical care unit for further management of DKA with IV insulin, aggressive fluid resuscitation and EndoTool.   Patient's blood glucose levels were well controlled with IV insulin.  Her anion gap closed while on EndoTool.  Patient's bicarbonate level trended up.  AKI resolved.  Patient was able to transition to basal bolus insulin dosing.  Her blood glucose levels remained within range while on basal bolus insulin dosing.  Patient was able to tolerate advancement in her diet.  She was discharged home in stable condition
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: COVID+ 12/30/2022.  Vaccination Status - moderna x3   BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: MD Admission Date: 12/30/2022 Discharge Date: 1/1/2023     Active Hospital Problems   Diagnosis Date Noted POA ? COVID-19 12/31/2022 Yes ? DKA, type 1, not at goal  12/30/2022 Unknown ? Hypertension 08/31/2022 Yes ? AKI (acute kidney injury) 05/25/2022 Yes ? Other emphysema 12/14/2020 Yes ? Hypothyroidism 11/18/2020 Unknown ? Type 1 diabetes mellitus with hyperglycemia   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: DKA, type 1, not at goal [E10.10] Diabetic ketoacidosis without coma associated with type 1 diabetes mellitus [E10.10] COVID-19 [U07.1]   HOSPITAL COURSE:   Patient is a 67 y.o. female with a history of Type 1 diabetes, hypertension and COPD presented with a one day history of nausea, vomiting, fever, myalgia, generalized malaise, decreased appetite, intermittent cough and congestion. She denied any chest pain, abdominal pain or diarrhea. She took a home COVID test which was positive. This prompted her to the emergency department for evaluation.   Workup in the emergency department demonstrated an AKI and DKA. Her vitals were stable. Patient was started on Endotool and IV insulin. COVID-19 positive. She was admitted to critical care unit for further management of DKA with IV insulin, aggressive fluid resuscitation and EndoTool.   Patient's blood glucose levels were well controlled with IV insulin.  Her anion gap closed while on EndoTool.  Patient's bicarbonate level trended up.  AKI resolved.  Patient was able to transition to basal bolus insulin dosing.  Her blood glucose levels remained within range while on basal bolus insulin dosing.  Patient was able to tolerate advancement in her diet.  She was discharged home in stable condition
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Pyrexia, Respiratory tract congestion
Clinical narrative: The initial symptoms were a cough and then they progressed to congestion and general body fatigue which lasted 2 days. I tested negative for COVID-19 on both days. My fever got up to 101 but went away by Wednesday morning. My symptoms were also a little less, but I tested and, I was positive. I called my doctor that day and he prescribed PAXLOVID. I was already taking CORICIDIN HB. I started the PAXLOVID on Wednesday. They gradually improved over the weekend. I still had a residual cough and congestion but nothing severe on Monday. I tested negative on Tuesday. I feel I am 90% recovered but with continual improvement.
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: The initial symptoms were a cough and then they progressed to congestion and general body fatigue which lasted 2 days. I tested negative for COVID-19 on both days. My fever got up to 101 but went away by Wednesday morning. My symptoms were also a little less, but I tested and, I was positive. I called my doctor that day and he prescribed PAXLOVID. I was already taking CORICIDIN HB. I started the PAXLOVID on Wednesday. They gradually improved over the weekend. I still had a residual cough and congestion but nothing severe on Monday. I tested negative on Tuesday. I feel I am 90% recovered but with continual improvement.
Age: 76.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Asthenia, COVID-19, Chills, Cough, Middle insomnia
Clinical narrative: 12/31/2022 you woke up in the middle of the night with a sore throat. I was drained of energy, had a cough, chills and achy body off and on. On 1/3/23 I saw a nurse practitioner. She ran a COVID test and it came back positive. I was prescribed PAXLOVID and started it that day. Today I am about the same, but the throat is not as bad.
Age: 76.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Oropharyngeal pain, Pain, SARS-CoV-2 test positive, Streptococcus test negative
Clinical narrative: 12/31/2022 you woke up in the middle of the night with a sore throat. I was drained of energy, had a cough, chills and achy body off and on. On 1/3/23 I saw a nurse practitioner. She ran a COVID test and it came back positive. I was prescribed PAXLOVID and started it that day. Today I am about the same, but the throat is not as bad.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acupuncture, Bell's palsy, Facial paralysis
Clinical narrative: I did not have a reaction to the vaccine. On 11/23/2022, I woke up with facial paralysis. I had an appointment with my doctor and was prescribed an antiviral medication for one week and prednisone for two weeks. On my own, I went to an acupuncturist for my symptoms. I went to the emergency room to be evaluated for a stroke. I was admitted for one night and it was determined that I was not having a stroke. I was diagnosed with Bell's Palsy. As of today, I am symptom free.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test normal, COVID-19, Computerised tomogram thorax normal, Electrocardiogram normal, Fatigue
Clinical narrative: 12/27/2022 in the evening Fever peaking at 100, body aches, and a severe headache.  12/28 symptoms continued into the day.  Tested positive with an At Home COVID-19 Test.  Televisit with Doctor.  Prescribed Paxlovid and treat symptomatically.   12/29 fever broke, symptoms improved, but developed a productive cough and felt fatigued.  Night of 12/29 pulse ox levels 80-83%.  Consulted Doctor 12/30 who recommended going to ER.  I went to ER that day.  Tests reviled no blood clot.  Once participant got up and about Blood Oxygen level went into the low 90?s%.  EKG, blood work and Chest CT scan also performed in ER, revealing all normal findings.  Released from ER after a few hours.  Blood Oxygen level returned to normal range.  Symptoms improved over the next few days.  Fatigue lingers with strenuous activity.   Still coughing.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Laboratory test normal, Pain, Productive cough, SARS-CoV-2 test positive
Clinical narrative: 12/27/2022 in the evening Fever peaking at 100, body aches, and a severe headache.  12/28 symptoms continued into the day.  Tested positive with an At Home COVID-19 Test.  Televisit with Doctor.  Prescribed Paxlovid and treat symptomatically.   12/29 fever broke, symptoms improved, but developed a productive cough and felt fatigued.  Night of 12/29 pulse ox levels 80-83%.  Consulted Doctor 12/30 who recommended going to ER.  I went to ER that day.  Tests reviled no blood clot.  Once participant got up and about Blood Oxygen level went into the low 90?s%.  EKG, blood work and Chest CT scan also performed in ER, revealing all normal findings.  Released from ER after a few hours.  Blood Oxygen level returned to normal range.  Symptoms improved over the next few days.  Fatigue lingers with strenuous activity.   Still coughing.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Alopecia
Clinical narrative: A month after the vaccine I went to the hairdresser for my birthday to have a new hairstyle. I discovered after I washed it that I had missing hair. I made an appointment with my dermatologist to have it looked at to confirm that I did have missing spots of hair. I had an appointment on 04/04/2023 who did confirm that I did have hair loss, but it is clearing up and growing back. I had started using steroid cream that I had at home on that patches before I was able to get in to help get the har to grow back
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute kidney injury, Angiogram pulmonary abnormal, Chronic kidney disease, Coronavirus infection, Cough
Clinical narrative: Vaccination Status - moderna x4 + Pfizer BIVALENT   BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: NP   Admission Date: 12/28/2022 Discharge Date: 01/01/2023     HOSPITAL COURSE: Per HPI or hospital summary: " Patient is a 72 y.o. female  Past medical history as noted below   History of non-small cell done carcinoma status post left lower lobectomy Diagnosed initially via biopsy April of 2022 0 Lobectomy done May of 2022.   Brain MRI and PET CT negative for metastatic disease Patient had underwent cisplatin treatment which caused some renal insufficiency. Cisplatin held due to this.  Plans for repeat CT in January   Comes in primarily due to shortness of breath over the past several days Has also had worsening cough, congestion, myalgia, general malaise Recent travel during the holiday but with no known sick contacts   The emergency department,  CT angiogram thorax showed multiple new small patchy areas of airspace disease in the right upper lobe and left lower lobe Concern for multifocal pneumonia or pneumonitis Stable small bilateral pulmonary nodules   "   Interim hospital course:  Patient hospitalized for viral pneumonia with etiology identified as rhinovirus as well as coronavirus.  In addition patient was treated for superimposed community-acquired pneumonia, received 4 days of IV antibiotics discharge within 1 additional day of oral antibiotic Augmentin to complete a course of therapy.  Patient improved with supportive management in addition antitussive medications which will be continued on discharge.  In addition patient had acute kidney injury on chronic kidney disease on admission likely secondary to the above mentioned problems and dehydration.  Following initial fluid resuscitation and supportive management her renal function improved with the assistance of Nephrology.  Patient will remain on her home medications at time of discharge.  Recommend follow-up with primary care team in 1 week to ensure resolution of symptoms and for repeat labs.  Recommend follow-up with Dr. does her oncology physician in the next 1 month.  Nursing reporting the patient is ambulatory independently in the room, no need for additional therapy evaluation at this time.  Discussed care with patient and her family member prior to discharge.  Medically stable for discharge on 01/01/2023.  Patient reports she was not taking Norvasc at home and blood pressures were borderline during her admissions of this was discontinued on discharge.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dehydration, Dyspnoea, Hypertension, Malaise, Myalgia
Clinical narrative: Vaccination Status - moderna x4 + Pfizer BIVALENT   BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: NP   Admission Date: 12/28/2022 Discharge Date: 01/01/2023     HOSPITAL COURSE: Per HPI or hospital summary: " Patient is a 72 y.o. female  Past medical history as noted below   History of non-small cell done carcinoma status post left lower lobectomy Diagnosed initially via biopsy April of 2022 0 Lobectomy done May of 2022.   Brain MRI and PET CT negative for metastatic disease Patient had underwent cisplatin treatment which caused some renal insufficiency. Cisplatin held due to this.  Plans for repeat CT in January   Comes in primarily due to shortness of breath over the past several days Has also had worsening cough, congestion, myalgia, general malaise Recent travel during the holiday but with no known sick contacts   The emergency department,  CT angiogram thorax showed multiple new small patchy areas of airspace disease in the right upper lobe and left lower lobe Concern for multifocal pneumonia or pneumonitis Stable small bilateral pulmonary nodules   "   Interim hospital course:  Patient hospitalized for viral pneumonia with etiology identified as rhinovirus as well as coronavirus.  In addition patient was treated for superimposed community-acquired pneumonia, received 4 days of IV antibiotics discharge within 1 additional day of oral antibiotic Augmentin to complete a course of therapy.  Patient improved with supportive management in addition antitussive medications which will be continued on discharge.  In addition patient had acute kidney injury on chronic kidney disease on admission likely secondary to the above mentioned problems and dehydration.  Following initial fluid resuscitation and supportive management her renal function improved with the assistance of Nephrology.  Patient will remain on her home medications at time of discharge.  Recommend follow-up with primary care team in 1 week to ensure resolution of symptoms and for repeat labs.  Recommend follow-up with Dr. does her oncology physician in the next 1 month.  Nursing reporting the patient is ambulatory independently in the room, no need for additional therapy evaluation at this time.  Discussed care with patient and her family member prior to discharge.  Medically stable for discharge on 01/01/2023.  Patient reports she was not taking Norvasc at home and blood pressures were borderline during her admissions of this was discontinued on discharge.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pneumonia, Pneumonia viral, Pulmonary mass, Renal impairment, Respiratory tract congestion
Clinical narrative: Vaccination Status - moderna x4 + Pfizer BIVALENT   BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: NP   Admission Date: 12/28/2022 Discharge Date: 01/01/2023     HOSPITAL COURSE: Per HPI or hospital summary: " Patient is a 72 y.o. female  Past medical history as noted below   History of non-small cell done carcinoma status post left lower lobectomy Diagnosed initially via biopsy April of 2022 0 Lobectomy done May of 2022.   Brain MRI and PET CT negative for metastatic disease Patient had underwent cisplatin treatment which caused some renal insufficiency. Cisplatin held due to this.  Plans for repeat CT in January   Comes in primarily due to shortness of breath over the past several days Has also had worsening cough, congestion, myalgia, general malaise Recent travel during the holiday but with no known sick contacts   The emergency department,  CT angiogram thorax showed multiple new small patchy areas of airspace disease in the right upper lobe and left lower lobe Concern for multifocal pneumonia or pneumonitis Stable small bilateral pulmonary nodules   "   Interim hospital course:  Patient hospitalized for viral pneumonia with etiology identified as rhinovirus as well as coronavirus.  In addition patient was treated for superimposed community-acquired pneumonia, received 4 days of IV antibiotics discharge within 1 additional day of oral antibiotic Augmentin to complete a course of therapy.  Patient improved with supportive management in addition antitussive medications which will be continued on discharge.  In addition patient had acute kidney injury on chronic kidney disease on admission likely secondary to the above mentioned problems and dehydration.  Following initial fluid resuscitation and supportive management her renal function improved with the assistance of Nephrology.  Patient will remain on her home medications at time of discharge.  Recommend follow-up with primary care team in 1 week to ensure resolution of symptoms and for repeat labs.  Recommend follow-up with Dr. does her oncology physician in the next 1 month.  Nursing reporting the patient is ambulatory independently in the room, no need for additional therapy evaluation at this time.  Discussed care with patient and her family member prior to discharge.  Medically stable for discharge on 01/01/2023.  Patient reports she was not taking Norvasc at home and blood pressures were borderline during her admissions of this was discontinued on discharge.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rhinovirus infection, Superinfection
Clinical narrative: Vaccination Status - moderna x4 + Pfizer BIVALENT   BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: NP   Admission Date: 12/28/2022 Discharge Date: 01/01/2023     HOSPITAL COURSE: Per HPI or hospital summary: " Patient is a 72 y.o. female  Past medical history as noted below   History of non-small cell done carcinoma status post left lower lobectomy Diagnosed initially via biopsy April of 2022 0 Lobectomy done May of 2022.   Brain MRI and PET CT negative for metastatic disease Patient had underwent cisplatin treatment which caused some renal insufficiency. Cisplatin held due to this.  Plans for repeat CT in January   Comes in primarily due to shortness of breath over the past several days Has also had worsening cough, congestion, myalgia, general malaise Recent travel during the holiday but with no known sick contacts   The emergency department,  CT angiogram thorax showed multiple new small patchy areas of airspace disease in the right upper lobe and left lower lobe Concern for multifocal pneumonia or pneumonitis Stable small bilateral pulmonary nodules   "   Interim hospital course:  Patient hospitalized for viral pneumonia with etiology identified as rhinovirus as well as coronavirus.  In addition patient was treated for superimposed community-acquired pneumonia, received 4 days of IV antibiotics discharge within 1 additional day of oral antibiotic Augmentin to complete a course of therapy.  Patient improved with supportive management in addition antitussive medications which will be continued on discharge.  In addition patient had acute kidney injury on chronic kidney disease on admission likely secondary to the above mentioned problems and dehydration.  Following initial fluid resuscitation and supportive management her renal function improved with the assistance of Nephrology.  Patient will remain on her home medications at time of discharge.  Recommend follow-up with primary care team in 1 week to ensure resolution of symptoms and for repeat labs.  Recommend follow-up with Dr. does her oncology physician in the next 1 month.  Nursing reporting the patient is ambulatory independently in the room, no need for additional therapy evaluation at this time.  Discussed care with patient and her family member prior to discharge.  Medically stable for discharge on 01/01/2023.  Patient reports she was not taking Norvasc at home and blood pressures were borderline during her admissions of this was discontinued on discharge.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: WAS ADMINISTERED 1ML INSTEAD OF 0.5ML
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Activated partial thromboplastin time prolonged, Atrial fibrillation, Brain natriuretic peptide increased, Hysterectomy, Myocardial infarction
Clinical narrative: atrial fibrillation, appeared 6 weeks after bivalent booster myocardial infarction, 6 weeks after bivalent booster vaginal bleeding s/p hysterectomy, pending workup
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Troponin I, Vaginal haemorrhage
Clinical narrative: atrial fibrillation, appeared 6 weeks after bivalent booster myocardial infarction, 6 weeks after bivalent booster vaginal bleeding s/p hysterectomy, pending workup
Age: 9.0
Sex: M
Vaccine: DTAPHEPBIP
Symptoms: Extra dose administered
Clinical narrative: Patient was given the combo vaccine along with the tdap
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Cough, Hypoxia, Pyrexia
Clinical narrative: PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE:    Patient is a 79 y.o. male with history of chronic atrial fib (on pradaxa), hypertension and chronic back pain who presented to Hospital on 12/27/2022 with 3 days of of fever, chills and nonproductive cough and was found to have COVID-19 with hypoxia. The patient was admitted to the hospital for further monitoring. He was treated with decadron and remdesivir, will transition to prednisone 20mg daily for an additional 3 days upon discharge as well as mucinex for supportive care. He required up to 2L NC during the stay but has been weaned to room air.    Recommend post-hospitalization follow-up with PCP in 1-week.    Other medical issues addressed this stay:    Chronic midline low back pain, unspecified whether sciatica present Has spinal stimulator in place to help with pain control  PRN pain control with tylenol    Essential hypertension Controlled, continue atenolol    Chronic atrial fibrillation  Rate controlled, continue atenolol  Continue pradaxa
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Electrocardiogram abnormal, Ventricular extrasystoles
Clinical narrative: At my last doctor visit, I was advised that I was having premature ventricular contractions which I'd never had before.  When the symptoms were described, I remembered that I'd starting having a "fluttery" feeling in my chest as far back as January of 2021 when I had my first Covid-19 vaccine.  At this point, we're just monitoring.
Age: 13.0
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Unevaluable event
Clinical narrative: Patient was given the combo vaccine along with the t dap
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy, Chemotherapy, Mantle cell lymphoma, Non-Hodgkin's lymphoma, Positron emission tomogram abnormal
Clinical narrative: I had the full 2-vaccine, booster and bivalent booster series for Covid-19 between 1/29/2021 and 10/2/2022, with no or minor side effects. Two months after my fourth shot, I was diagnosed with lymphoma on 12/5/2022, and am currently undergoing chemotherapy treatment. (I don't see how these could be possibly be related.)
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Chest X-ray normal, Cough, Dyspnoea, Hypoxia
Clinical narrative: COVID+ 12/28/2022.  Vaccination status - pfizer x3 _ Pfizer BIVALENT BRIEF OVERVIEW: Discharge Provider: PRIVATE MD Primary Care Provider: PRIVATE MD Admission Date: 12/30/2022 Discharge Date: 01/02/2023 Active Hospital Problems   Diagnosis Date Noted POA ? COVID-19    DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] COVID-19 [U07.1]   HOSPITAL COURSE: The patient is a 73-year-old male with history of Pompe disease, ischemic CMP, CAD, systolic heart failure, Afib on Eliquis, COPD, HTN, and anemia who presented with nasal congestion, cough, and shortness of breath.  His symptoms started 12/26 and he tested positive for COVID 12/28.  In the emergency department his oxygen dropped to 84% with ambulation.  Chest x-ray was without an acute process.  He received 1 dose of IV steroids and albuterol.  He was admitted to the hospitalist service.  Steroids were continued on admission.  His symptoms improved and he was evaluated for home oxygen, but did not qualify as his oxygen saturation remained stable at rest and with activity.He had clinically improved on the day of discharge and was discharged home in stable condition. Decadron was stopped as he was on room air and he felt it was not allowing him to sleep at night. He was advised to follow up with his PCP within 5 days of discharge. He also will need to reschedule his infusion of Nexviazyme which he missed this am while hospitalized.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Nasal congestion, Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: COVID+ 12/28/2022.  Vaccination status - pfizer x3 _ Pfizer BIVALENT BRIEF OVERVIEW: Discharge Provider: PRIVATE MD Primary Care Provider: PRIVATE MD Admission Date: 12/30/2022 Discharge Date: 01/02/2023 Active Hospital Problems   Diagnosis Date Noted POA ? COVID-19    DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] COVID-19 [U07.1]   HOSPITAL COURSE: The patient is a 73-year-old male with history of Pompe disease, ischemic CMP, CAD, systolic heart failure, Afib on Eliquis, COPD, HTN, and anemia who presented with nasal congestion, cough, and shortness of breath.  His symptoms started 12/26 and he tested positive for COVID 12/28.  In the emergency department his oxygen dropped to 84% with ambulation.  Chest x-ray was without an acute process.  He received 1 dose of IV steroids and albuterol.  He was admitted to the hospitalist service.  Steroids were continued on admission.  His symptoms improved and he was evaluated for home oxygen, but did not qualify as his oxygen saturation remained stable at rest and with activity.He had clinically improved on the day of discharge and was discharged home in stable condition. Decadron was stopped as he was on room air and he felt it was not allowing him to sleep at night. He was advised to follow up with his PCP within 5 days of discharge. He also will need to reschedule his infusion of Nexviazyme which he missed this am while hospitalized.
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Eye pain, Fatigue, Headache
Clinical narrative: I received my Covid-19 vaccine on 09/11/2022. On the morning of 11/18/2022 I woke up with a 102 fever, fatigue, headache, sore throat, runny nose, eyes hurt, muscle pain, and cough. I tested positive for Covid-19 on 11/22/2022 after having previous negative results. I went to the doctor and was prescribed PAXLOVID. Took about a month to fully recover.
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: Myalgia, Oropharyngeal pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I received my Covid-19 vaccine on 09/11/2022. On the morning of 11/18/2022 I woke up with a 102 fever, fatigue, headache, sore throat, runny nose, eyes hurt, muscle pain, and cough. I tested positive for Covid-19 on 11/22/2022 after having previous negative results. I went to the doctor and was prescribed PAXLOVID. Took about a month to fully recover.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dyspnoea, Fatigue, Full blood count abnormal, Platelet count decreased
Clinical narrative: About 48 after dose 4 I began to feel fatigued, and I had shortness of breath. I let my doctor know about my symptoms. I had lab work done and my blood work showed that my platelet levels had dropped.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Headache, Nasal congestion, Pyrexia, Respiratory tract congestion
Clinical narrative: On first day I had stuffy nose and headache. I tested because I had just gotten back from a funeral. Next day I was stuffy, congested, and slight fever. After PAXLOVID, symptoms went away after about the 4th day. Last Friday I started having symptoms again due to rebound.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: On first day I had stuffy nose and headache. I tested because I had just gotten back from a funeral. Next day I was stuffy, congested, and slight fever. After PAXLOVID, symptoms went away after about the 4th day. Last Friday I started having symptoms again due to rebound.
Age: 24.0
Sex: M
Vaccine: HEP
Symptoms: Product administered to patient of inappropriate age, Underdose
Clinical narrative: Patient was accidentally given a Pediatric dose of Engerix-B
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acoustic stimulation tests abnormal, Tinnitus
Clinical narrative: I have developed persistent tinnitus
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cyst, Joint swelling, Peripheral swelling, Swelling
Clinical narrative: I've been having swelling into my joints and fingers after receiving my vaccine. It grows larger in size with heat sensation and swelling every time. This has happened since receiving my first dose concurrently up to now receiving my bivalent dose. Currently, there's a cyst that has developed on my right hand by my fingernail. My physician sent me to a rheumatologist to rule out any immune disorders through bloodwork tests. With each new dose, it happens. It'll settle in between and reoccur after receiving a new dose.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Temperature intolerance
Clinical narrative: I've been having swelling into my joints and fingers after receiving my vaccine. It grows larger in size with heat sensation and swelling every time. This has happened since receiving my first dose concurrently up to now receiving my bivalent dose. Currently, there's a cyst that has developed on my right hand by my fingernail. My physician sent me to a rheumatologist to rule out any immune disorders through bloodwork tests. With each new dose, it happens. It'll settle in between and reoccur after receiving a new dose.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Urticaria
Clinical narrative: patch of hives on right lower face and on left bend of arm immediately after injection.  No shortness of breath, dizziness, or any other symptoms.   monitored patient for 30 minutes after.
Age: 37.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abscess, Breast tenderness, Erythema, Inflammation, Tenderness
Clinical narrative: I had tenderness of my underarm and under my breast area, a few days later I also noticed an abscess an inflammation with redness. I called telehealth and was prescribed antibiotics Cephalexin for seven days which I received improvement from but it did not fully resolve the issue.
Age: 11.0
Sex: F
Vaccine: COVID19-2, MNQ, TDAP
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was 11 yrs old at the time of visit. Incorrect dose was ordered and given to patient. No symptoms, no signs of adverse reaction.
Age: 40.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Underdose
Clinical narrative: Patient who is an adult was given 0.25mL of the Moderna Bivalent COVID booster vaccine, which is less than the authorized dose of 0.50mL.  No adverse events were noted at the time of the administration.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Atypical pneumonia, Bronchitis, Cough, Headache, Influenza virus test negative
Clinical narrative: I had a terrible cough, sore throat and headache. I made an appointment to see my doctor, he was not available, so I saw an associate. We discussed my symptoms, he had an influenza, PCR COVID-19 test ran both came back negative. I was sent home that day with a Z-pak and a cough syrup with codeine to sleep. I was diagnosed with bronchitis and walking pneumonia. I feel fine now.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain, SARS-CoV-2 test negative
Clinical narrative: I had a terrible cough, sore throat and headache. I made an appointment to see my doctor, he was not available, so I saw an associate. We discussed my symptoms, he had an influenza, PCR COVID-19 test ran both came back negative. I was sent home that day with a Z-pak and a cough syrup with codeine to sleep. I was diagnosed with bronchitis and walking pneumonia. I feel fine now.
Age: 22.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No symptoms or adverse events.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Fatigue, SARS-CoV-2 test positive
Clinical narrative: 11/14/22 presents to ED for "fatigue" "weakness". PMHx of "advanced dementia, rheumatoid arthritis, hypertension, PUD"
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Skin laceration, Suture insertion
Clinical narrative: Shortly after the vaccine, I started having dizzy spells.  One dizzy spell resulted in a fall where I received a six-inch cut in my scalp requiring stitches in a hospital emergency room.
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Immediate post-injection reaction, Injection site pain, Limb injury, Nausea, Pain
Clinical narrative: patient stated had pain immediately upon injection (not abnormal amount, similar to other vaccines), arm started out sore like after other vaccines, but later that night pain continued to spread down to the elbow.  since that day has had pain in the muscle from shoulder to elbow.  also reported at one point in the last month he hit his hand and felt intense pain shoot up his arm so painful he felt sick to his stomach.  has an appointment with his PCP january 10 for follow up.
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pain in extremity
Clinical narrative: patient stated had pain immediately upon injection (not abnormal amount, similar to other vaccines), arm started out sore like after other vaccines, but later that night pain continued to spread down to the elbow.  since that day has had pain in the muscle from shoulder to elbow.  also reported at one point in the last month he hit his hand and felt intense pain shoot up his arm so painful he felt sick to his stomach.  has an appointment with his PCP january 10 for follow up.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling abnormal, Nasopharyngitis, Pain
Clinical narrative: My body was achy. I have a history of migraines so I thought I just had a cold and migraine. Lack of appetite, sore body, very fatigued. The symptoms lasted 3-4 days, it started on he 20th and I started feeling better Christmas eve and was up and about the next day. Then I started with post-COVID-19 vertigo later that day. I'm still getting over this. I took Sudafed and Antivert, neither of these worked. My Dr. diagnosis me with post COVID-19 vertigo and I was given Valium and Prednisone.  I still have dizziness, fatigue and brain fog.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: My body was achy. I have a history of migraines so I thought I just had a cold and migraine. Lack of appetite, sore body, very fatigued. The symptoms lasted 3-4 days, it started on he 20th and I started feeling better Christmas eve and was up and about the next day. Then I started with post-COVID-19 vertigo later that day. I'm still getting over this. I took Sudafed and Antivert, neither of these worked. My Dr. diagnosis me with post COVID-19 vertigo and I was given Valium and Prednisone.  I still have dizziness, fatigue and brain fog.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac arrest, Death, Feeling abnormal, Malaise
Clinical narrative: "sick" and not feeling right for the day and then died that night, labeled as cardiac arrest resulting in  death
Age: 0.58
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The patient received the 5 -11 year old COVID 19 Pfizer vaccine instead of the 6 months - 4years vaccine
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pt was administered Monovalent vaccine as a booster instead of Bivalent vaccine.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune hepatitis, Biopsy liver, Blood test
Clinical narrative: I had a blood test done, and the Dr. stated that my liver levels were up and he wanted me to see a specialist,  and when I did it was confirmed that I have Auto Immune Hepatitis.  I was given a Steroid called Prednisone, and Azathioprine, which I am about to stop taking the Prednisone  .  I had no symptoms to let me know that I had Hepatitis and was very shocked to here that I did.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Ear infection, Ear pain, Impaired driving ability, Impaired work ability
Clinical narrative: No symptoms, no problems after the vaccine. In November I started having feel very dizzy, I couldn't drive, I couldn't work, my ear hurt, no fever.   I went to the doctor twice and they gave me steroid shot, antibodies and steroids pills. I had ear and sinus infection. I went back last Friday, and I had an ear infection again, left ear hurt but no dizziness this time, they gave me prescriptions to take for 10 days.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza virus test negative, SARS-CoV-2 test negative, Sinusitis
Clinical narrative: No symptoms, no problems after the vaccine. In November I started having feel very dizzy, I couldn't drive, I couldn't work, my ear hurt, no fever.   I went to the doctor twice and they gave me steroid shot, antibodies and steroids pills. I had ear and sinus infection. I went back last Friday, and I had an ear infection again, left ear hurt but no dizziness this time, they gave me prescriptions to take for 10 days.
Age: 6.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site reaction, Injection site warmth, Pain, Swelling
Clinical narrative: Mother presented with pt to clinic to get siblings vaccinated and advised that pt had a reaction to the shot he received in his left arm. Pt has a 35mm x 35mm raised welt that is red in color and warm to the touch at injection site for Kinrix vaccine he received on 1/3/23. Pt advised that he woke last night with his arm hurting and he could feel the welt. Mother advised she has not given any medications at this time. Advised mother to treat with cold compresses and Tylenol/Motrin to relieve swelling and pain. Encourage to take to local Emergency Department if symptoms worsen and provided with address and contact information.
Age: 6.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Urticaria
Clinical narrative: Mother presented with pt to clinic to get siblings vaccinated and advised that pt had a reaction to the shot he received in his left arm. Pt has a 35mm x 35mm raised welt that is red in color and warm to the touch at injection site for Kinrix vaccine he received on 1/3/23. Pt advised that he woke last night with his arm hurting and he could feel the welt. Mother advised she has not given any medications at this time. Advised mother to treat with cold compresses and Tylenol/Motrin to relieve swelling and pain. Encourage to take to local Emergency Department if symptoms worsen and provided with address and contact information.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: COVID-19, Diarrhoea, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 12/24/2022 - 1/3/23 (10 days) Presentation to the ED: worsening diarrhea. COVID + date: 12/24/2022 Treatment: no treatment specific to COVID.  Discharge to: SNF   Moderna 002A21A 3/12/2021 Moderna 046B21A 4/9/2021. Pfizer FH8030 11/17/2021 Pfizer Bivalent GJ5342 9/15/2022
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: Patient received Pfizer Bivalent vaccine in October of this 2022 and scheduled another dose today 01/04/2023. We missed the previous dose and administered a second dose of Bivalent vaccine today.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received Pfizer vaccine for 6m- 4 years instead of Pfizer vaccine 5 years-11years old.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was administered Monovalent vaccine as a booster instead of bivalent vaccine.
Age: 1.75
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: patient was given the 5 - 11 year COVID 19 vaccine and should have received the 6 months - 4 years vaccine
Age: 64.0
Sex: M
Vaccine: FLU4
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Based on age patient was to receive a regular dose flu. Patient was give a high dose flu for ages 65 and over in error. Provider and patient were informed of the event. Patient monitored in the clinic. No adverse reactions noted.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest X-ray abnormal, Cough, Fatigue, Pneumonia
Clinical narrative: 11/25/22  I started with a little cough, it wasn?t bad at all. It progressively worsened. I was feeling tired with not much energy by the end of the week. I had postnasal drip that continued to get worse.  On 12/9/2022 I saw my physician and was diagnosed with pneumonia. I was given a breathing treatment in the office and was sent home with a prescription for albuterol and an antibiotic. It took about 4-5 days to start feeling better.  The cough was getting less and less. All the symptoms I had started to diminish. It took at least 10 days for me to start to feel better.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Upper-airway cough syndrome
Clinical narrative: 11/25/22  I started with a little cough, it wasn?t bad at all. It progressively worsened. I was feeling tired with not much energy by the end of the week. I had postnasal drip that continued to get worse.  On 12/9/2022 I saw my physician and was diagnosed with pneumonia. I was given a breathing treatment in the office and was sent home with a prescription for albuterol and an antibiotic. It took about 4-5 days to start feeling better.  The cough was getting less and less. All the symptoms I had started to diminish. It took at least 10 days for me to start to feel better.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Dry throat, Malaise, Ocular hyperaemia, Pain in extremity
Clinical narrative: I had a slightly sore arm after receiving the vaccine. On 12/18/2022, I started not feeling well with a dry throat, one eye was red and a runny nose. I tested positive for COVID-19 on 12/19/2022 with a home test. I had PCR test on 12/20/2022 which confirmed I was COVID-19 positive.  I received a prescription for Paxlovid and tolerated it very well.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had a slightly sore arm after receiving the vaccine. On 12/18/2022, I started not feeling well with a dry throat, one eye was red and a runny nose. I tested positive for COVID-19 on 12/19/2022 with a home test. I had PCR test on 12/20/2022 which confirmed I was COVID-19 positive.  I received a prescription for Paxlovid and tolerated it very well.
Age: 60.0
Sex: M
Vaccine: COVID19-2, PPV, TDAP
Symptoms: C-reactive protein, Differential white blood cell count, Full blood count, Injection site erosion, Injection site erythema
Clinical narrative: The patient was noted to have "red circular spots" on the left arm, darkened scab area on the left upper arm, and "circle-like red spots" in the abdominal area. No pain or itching was reported. No respiratory distress was noted or reported." Maculopapular rash concentrated on the trunk (abd/chest/back) with a few scattered similar lesions on Bilat UE. LUE with 1 solitary lesion that appears larger excoriated with central dark scab & Minimal surrounding erythema.
Age: 60.0
Sex: M
Vaccine: COVID19-2, PPV, TDAP
Symptoms: Injection site scab, Laboratory test, Rash, Rash macular, Rash maculo-papular
Clinical narrative: The patient was noted to have "red circular spots" on the left arm, darkened scab area on the left upper arm, and "circle-like red spots" in the abdominal area. No pain or itching was reported. No respiratory distress was noted or reported." Maculopapular rash concentrated on the trunk (abd/chest/back) with a few scattered similar lesions on Bilat UE. LUE with 1 solitary lesion that appears larger excoriated with central dark scab & Minimal surrounding erythema.
Age: 60.0
Sex: M
Vaccine: COVID19-2, PPV, TDAP
Symptoms: Red blood cell sedimentation rate, Skin lesion, Treponema test
Clinical narrative: The patient was noted to have "red circular spots" on the left arm, darkened scab area on the left upper arm, and "circle-like red spots" in the abdominal area. No pain or itching was reported. No respiratory distress was noted or reported." Maculopapular rash concentrated on the trunk (abd/chest/back) with a few scattered similar lesions on Bilat UE. LUE with 1 solitary lesion that appears larger excoriated with central dark scab & Minimal surrounding erythema.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 12/26/2022 - 1/3/2023 (8 days) Presentation to the ED: AMS.  COVID + date: 12/26/2022  Treatment: steroids.  Discharge to: home.  Pfizer ER8733 3/29/2021 Pfizer EW0161 4/19/2021 Pfizer 33026BD 11/19/2021 Pfizer FM9992 5/1/2022 Pfizer Bivalent GJ2524 9/14/2022
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was administered Monovalent vaccine as a booster instead of Bivalent.
Age: 46.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Headache, Pyrexia, Urticaria, Vomiting
Clinical narrative: Starting at 1 hour post injection: severe headache, fever, vomiting, hives covering left arm Resolved at 72 hours post injection
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 11/14/22 presents to ED for "shortness of breath". PMHx of "hypertension, HFpEF LVEF 60, ESRD on HD (Monday, Wednesday, Friday), chronic anemia"
Age: 45.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Cough, Nasal congestion, Oropharyngeal pain, Pain
Clinical narrative: I developed a COVID-19 infection the following month and an upper respiratory infection after that.  Diagnosed 01/03/2023 with URI.  I had a sore throat and next day I had a cough and nasal and sinus congestion.  Small fever 98.0 degrees and body aches.  I was able to get Paxlovid on day zero of positive COVID-19 test.
Age: 45.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Pyrexia, SARS-CoV-2 test positive, Sinus congestion, Upper respiratory tract infection
Clinical narrative: I developed a COVID-19 infection the following month and an upper respiratory infection after that.  Diagnosed 01/03/2023 with URI.  I had a sore throat and next day I had a cough and nasal and sinus congestion.  Small fever 98.0 degrees and body aches.  I was able to get Paxlovid on day zero of positive COVID-19 test.