chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Delayed type hypersensitivity reaction. Patient developed generalized weakness and rash one week after vaccine administration. Rashes red with raised borders. Rash most prominent on upper thigh bilaterally and in the lower abdomen.  Rash is very itchy and patient has been taking Benadryl 25 mg every 4 hours on Monday.  On Tuesday she took total of about 150 mg of Benadryl. Since Monday she complained of extreme weakness. Patient came to the emergency department because of the severe generalized weakness. Patient started on triamcinolone cream with no improvement and progressed to oral prednisone. Discharged with prednisone taper and triamcinolone cream.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Type IV hypersensitivity reaction
Clinical narrative: Delayed type hypersensitivity reaction. Patient developed generalized weakness and rash one week after vaccine administration. Rashes red with raised borders. Rash most prominent on upper thigh bilaterally and in the lower abdomen.  Rash is very itchy and patient has been taking Benadryl 25 mg every 4 hours on Monday.  On Tuesday she took total of about 150 mg of Benadryl. Since Monday she complained of extreme weakness. Patient came to the emergency department because of the severe generalized weakness. Patient started on triamcinolone cream with no improvement and progressed to oral prednisone. Discharged with prednisone taper and triamcinolone cream.
Age: 99.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Aortic valve stenosis, COVID-19
Clinical narrative: Admitted to the hospital with COVID-19
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient diagnosed with COVID after completing vaccine series, patient unable to provide vaccine information on booster dose
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The vaccine had expired 7/4/2022. The vaccine was administered to patient on the 1st of August. Calls were made to Pfizer and the CDC  for data on viability of the vaccine beyond the expiration date. Pfizer said there was no such info available. They advised to re-vaccinate. Several calls were made to the patient to inform them of this, but no response was obtained from the patient. The expired vials were under refrigeration the entire time. Patient's mother did not report any adverse effects to the shot.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Patient hospitalized with COVID after receiving vaccinations.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Blood culture, COVID-19, Death, Dyspnoea, Hypotension
Clinical narrative: Patient presented to ED on 02/06/2022 with SOB.  Patient required 100% nonrebreather, and continued to be tachypneic, and hypotensive.  Patient was placed on BiPAP and was barely able to maintain oxygen saturation 91-92% with  100% FiO2.  Patient was given fluid resuscitation and placed on dopamine drip.  She was given IV Rocephin and Iv cipro after blood cultures collected.  Patients daughter decided for the patient to be comfort care only.  Dopamine drip was discontinued, was placed on 100% nonrebreather and was given morphine 2mg IV every hour.  Patient was found to be Covid positive.  Patient expired in ED on 02/06/2022.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, SARS-CoV-2 test positive, Tachypnoea
Clinical narrative: Patient presented to ED on 02/06/2022 with SOB.  Patient required 100% nonrebreather, and continued to be tachypneic, and hypotensive.  Patient was placed on BiPAP and was barely able to maintain oxygen saturation 91-92% with  100% FiO2.  Patient was given fluid resuscitation and placed on dopamine drip.  She was given IV Rocephin and Iv cipro after blood cultures collected.  Patients daughter decided for the patient to be comfort care only.  Dopamine drip was discontinued, was placed on 100% nonrebreather and was given morphine 2mg IV every hour.  Patient was found to be Covid positive.  Patient expired in ED on 02/06/2022.
Age: 60.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site cellulitis
Clinical narrative: Cellulitis involving left upper arm with injection site at epicenter
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Computerised tomogram head, Full blood count, Human chorionic gonadotropin, Metabolic function test, Seizure
Clinical narrative: The day after vaccines, Patient had a seizure lasting 2.5 minutes ; there is no history of seizures in the past. Patient was taken by ambulance to Emergency Room for work up /Evaluation.
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Toxicologic test
Clinical narrative: The day after vaccines, Patient had a seizure lasting 2.5 minutes ; there is no history of seizures in the past. Patient was taken by ambulance to Emergency Room for work up /Evaluation.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Vaccination site discolouration, Vaccination site erythema, Vaccination site infection, Vaccination site pain, Vaccination site warmth
Clinical narrative: She got her vaccine, it was sore.  The next day it became real warm, and the redness started out about 1" in diameter, and progressively throughout the week it grew to the size of a baseball.  Then at times it is warm, and other times it almost looks black and blue and now 2 weeks out it's very noticeable.  She went to her doctor last Monday, 8/8/22, that he did not know what was going on and he prescribed antibiotics thinking it was an infection and also suggested taking Allegra D for a week to see if it was a reaction and also to apply Cortisone cream topically.   It has not improved much, it is still still the same size but not hot to touch anymore.
Age: 23.0
Sex: M
Vaccine: HEP
Symptoms: No adverse event
Clinical narrative: No adverse reaction to vaccine. Patient made appointment to get the vaccine because his school asked for him to get one. After receiving the vaccine the patient stated that the school called him saying that he doesn't need the vaccine and that he completed the series back in 2001
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Endotracheal intubation, General physical health deterioration, Malaise
Clinical narrative: Patient went to Medical  for fever and trouble breathing for COVID symptoms.  Workup at hospital revealed sepsis and bilateral PNA.  Despite aggressive care, including intubation patient continued to decline.  Patients family decided to extubate and focus on comfort measures with hospice.  Patient was then admitted to Hospice services on 03/30/2022.  Patient expired on 04/01/2022.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Pyrexia, Sepsis
Clinical narrative: Patient went to Medical  for fever and trouble breathing for COVID symptoms.  Workup at hospital revealed sepsis and bilateral PNA.  Despite aggressive care, including intubation patient continued to decline.  Patients family decided to extubate and focus on comfort measures with hospice.  Patient was then admitted to Hospice services on 03/30/2022.  Patient expired on 04/01/2022.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Admitted to the hospital with COVID-19
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 12+ vial  was used  instead of 5-11 vial
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested COVID positive 8/14/22 even  after receiving 2 vaccines and one booster. Was already in the hospital.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient hospitalized foe COVID 19.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Injection site bruising, Injection site swelling
Clinical narrative: 1st two days: severe pain in arm, severe headache, fatigue, chills Day 3 and Day 4: moderate pain in arm upon touching or moving, welps, swelling, bruising around injection site
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site urticaria, Pain, Pain in extremity
Clinical narrative: 1st two days: severe pain in arm, severe headache, fatigue, chills Day 3 and Day 4: moderate pain in arm upon touching or moving, welps, swelling, bruising around injection site
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID-19
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Person who administered noted they had gotten new doses and the needles were different. She also indicated she wasn?t real confident she knew how to use them.
Age: 4.0
Sex: F
Vaccine: HEPA
Symptoms: Unevaluable event
Clinical narrative: none  no changes,  follow up phone call on 8/16/2022 with mom  with  no problems noted
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Back pain, COVID-19, Chest X-ray abnormal, Cough
Clinical narrative: MODERNA COVID VACCINE #3 GIVEN 12/7/21, OT #064H21A; pt had a positive COVID test on 2/14/22 and was hospitalized for COVID, increasing SOB and cough from 2/14 - 2/22; dc'd to home; 3/7/22 pt back to ED with SOB, pain in ribs and back; admitted; O2 saturation in the 90s on RA; placed on O2 for comfort; CXR is concerning for pneumonia, possible pulmonary edema; given ABX; borderline hypotension; DVT in right femoral vein; started on heparin drip; later dc'd heparin and vascular surgery placed IVF filter; pt's renal condition worsened; put on dialysis; condition continued to worsen; transitioned to comfort care and pt expired in the hospital
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Deep vein thrombosis, Dialysis, Dyspnoea, General physical health deterioration
Clinical narrative: MODERNA COVID VACCINE #3 GIVEN 12/7/21, OT #064H21A; pt had a positive COVID test on 2/14/22 and was hospitalized for COVID, increasing SOB and cough from 2/14 - 2/22; dc'd to home; 3/7/22 pt back to ED with SOB, pain in ribs and back; admitted; O2 saturation in the 90s on RA; placed on O2 for comfort; CXR is concerning for pneumonia, possible pulmonary edema; given ABX; borderline hypotension; DVT in right femoral vein; started on heparin drip; later dc'd heparin and vascular surgery placed IVF filter; pt's renal condition worsened; put on dialysis; condition continued to worsen; transitioned to comfort care and pt expired in the hospital
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Musculoskeletal chest pain, Renal disorder, SARS-CoV-2 test positive, Vena cava filter insertion
Clinical narrative: MODERNA COVID VACCINE #3 GIVEN 12/7/21, OT #064H21A; pt had a positive COVID test on 2/14/22 and was hospitalized for COVID, increasing SOB and cough from 2/14 - 2/22; dc'd to home; 3/7/22 pt back to ED with SOB, pain in ribs and back; admitted; O2 saturation in the 90s on RA; placed on O2 for comfort; CXR is concerning for pneumonia, possible pulmonary edema; given ABX; borderline hypotension; DVT in right femoral vein; started on heparin drip; later dc'd heparin and vascular surgery placed IVF filter; pt's renal condition worsened; put on dialysis; condition continued to worsen; transitioned to comfort care and pt expired in the hospital
Age: 17.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Chills, Diarrhoea, Headache, Mobility decreased, Pyrexia
Clinical narrative: Patient reports shivering, diarrhea, and tactile fever within 5 hours of getting vaccines. Overnight had temp up to 102, shaking/shivering, complaining of  headaches and just laying in bed, not even wanting to open eyes
Age: 17.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Somnolence, Tremor
Clinical narrative: Patient reports shivering, diarrhea, and tactile fever within 5 hours of getting vaccines. Overnight had temp up to 102, shaking/shivering, complaining of  headaches and just laying in bed, not even wanting to open eyes
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Inappropriate schedule of product administration
Clinical narrative: Patient hospitalized with COVID 19 pneumonia.  Has had 2 vaccines and 1 booster.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Admitted to the hospital with COVID-19
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Feeling abnormal
Clinical narrative: Ongoing extreme fatigue and exhaustion since day after 4th dose, brain fog, joint pain.  (Lupus has been fairly stable for the last few years.)
Age: 45.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood gases abnormal, Blood pH normal, COVID-19, Computerised tomogram thorax normal
Clinical narrative: Patient was transferred to Medical Center ICU on 02/17/2022 for further evaluation of lower GI bleed.  Patient initially presented to Hospital on 01/27/2022 with COVID, patient was started on steroids, remdesivir, baricitinib, broad-spectrum antibiotics, and was intubated on 02/05/2022, and extubated on 02/15/2022.  Patient was placed on a full dose anticoagulation for subsegmental PE diagnosed on 01/30/2022 but repeat CT PE study was negative on 2/9/2022.  Patient started having maroon bowel movement, GI was consulted, and recommended patient transfer to higher level of care.  Upon arrival patients ABG showed PCO2 was in range of 70, normal PH.  Code status was changed to DNR d/t poor prognosis, and ultimately changed to Comfort care.  Patient expired on 03/02/2022.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Endotracheal intubation, Faeces discoloured, Intensive care, Lower gastrointestinal haemorrhage
Clinical narrative: Patient was transferred to Medical Center ICU on 02/17/2022 for further evaluation of lower GI bleed.  Patient initially presented to Hospital on 01/27/2022 with COVID, patient was started on steroids, remdesivir, baricitinib, broad-spectrum antibiotics, and was intubated on 02/05/2022, and extubated on 02/15/2022.  Patient was placed on a full dose anticoagulation for subsegmental PE diagnosed on 01/30/2022 but repeat CT PE study was negative on 2/9/2022.  Patient started having maroon bowel movement, GI was consulted, and recommended patient transfer to higher level of care.  Upon arrival patients ABG showed PCO2 was in range of 70, normal PH.  Code status was changed to DNR d/t poor prognosis, and ultimately changed to Comfort care.  Patient expired on 03/02/2022.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: PCO2 increased, Pulmonary embolism
Clinical narrative: Patient was transferred to Medical Center ICU on 02/17/2022 for further evaluation of lower GI bleed.  Patient initially presented to Hospital on 01/27/2022 with COVID, patient was started on steroids, remdesivir, baricitinib, broad-spectrum antibiotics, and was intubated on 02/05/2022, and extubated on 02/15/2022.  Patient was placed on a full dose anticoagulation for subsegmental PE diagnosed on 01/30/2022 but repeat CT PE study was negative on 2/9/2022.  Patient started having maroon bowel movement, GI was consulted, and recommended patient transfer to higher level of care.  Upon arrival patients ABG showed PCO2 was in range of 70, normal PH.  Code status was changed to DNR d/t poor prognosis, and ultimately changed to Comfort care.  Patient expired on 03/02/2022.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Covid vaccine x 3. tested positive for Covid on 7/26/2022. Expired on 7/29/2022.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Polymerase chain reaction
Clinical narrative: I had sore arm.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chest pain, Chronic obstructive pulmonary disease
Clinical narrative: Patient brought to the ED via EMS on 7/8/22 for shortness of breath and right-sided chest pain. At home, patient experiencing right-sided chest pain and increased shortness of breath. He increased his daily oxygen from 2L to 4L NC. COVID PCR test done in ED was positive. Patient admitted from 7/8 - 7/12 for acute hypoxic respiratory failure with combination of pneumonia and COPD, possible bacterial pneumonia, and COVID-19 pneumonia. Patient vaccinated against COVID-19. This meets criteria for vaccine breakthrough case review.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Pneumonia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient brought to the ED via EMS on 7/8/22 for shortness of breath and right-sided chest pain. At home, patient experiencing right-sided chest pain and increased shortness of breath. He increased his daily oxygen from 2L to 4L NC. COVID PCR test done in ED was positive. Patient admitted from 7/8 - 7/12 for acute hypoxic respiratory failure with combination of pneumonia and COPD, possible bacterial pneumonia, and COVID-19 pneumonia. Patient vaccinated against COVID-19. This meets criteria for vaccine breakthrough case review.
Age: 66.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Fatigue, Pain, Skin warm, Swelling
Clinical narrative: She noticed swelling and increased warmth to the touch. She notes the swelling is decreasing. She is concerned about how warm it feels and the spreading of the skin redness. She notes her temperature right now is 98.8 F. She notes her normal is 96.4 F. She feels the pain is getting better. Denies changes in shortness of breath. Denies any other significant symptoms. She also recalls the day after the shot she felt fatigued and had body aches. That has resolved as well.   Discussed she does appear to be experiencing an adverse effect from vaccine administration. Discussed this doesn't appear to be an infection. Symptoms will self resolve with time. Advised of RTC vs ED recommendations. Will make sure it is reported on VAERS. Conservative treatment measures for relief reviewed.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: HOSPITALIZATION.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Asymptomatic breakthrough COVID infection. Swab collected 08/11/2022. Tested as part of routine screening on admission to hospital.
Age: 33.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Lethargy
Clinical narrative: swelling, redness, itchiness, pain at injection site.  Fever, sinus congestion, lethargy.
Age: 33.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Sinus congestion
Clinical narrative: swelling, redness, itchiness, pain at injection site.  Fever, sinus congestion, lethargy.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Asthenia, COVID-19, Chest X-ray abnormal, Cough
Clinical narrative: Patient brought to hospital on 03/02/2022 because of progressively increasing weakness, cough, sore throat, difficulty swallowing, poor oral intake, lower abdominal pain.   In ED labs showed UTI and COVID Positive.  Chest XRAY showed decrease in size of left side pleural effusion.  Patient was admitted to hospital for Covid-19 infection, acute UTI, dehydration, vaginal candidiasis, generalized weakness, delirium.  Patient was placed on vancomycin, and budesonide.  With patients continued decline, family transitioned patient to comfort care.  Patient expired on 03/05/2022.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Dehydration, Delirium, Dysphagia, General physical health deterioration
Clinical narrative: Patient brought to hospital on 03/02/2022 because of progressively increasing weakness, cough, sore throat, difficulty swallowing, poor oral intake, lower abdominal pain.   In ED labs showed UTI and COVID Positive.  Chest XRAY showed decrease in size of left side pleural effusion.  Patient was admitted to hospital for Covid-19 infection, acute UTI, dehydration, vaginal candidiasis, generalized weakness, delirium.  Patient was placed on vancomycin, and budesonide.  With patients continued decline, family transitioned patient to comfort care.  Patient expired on 03/05/2022.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Hypophagia, Laboratory test abnormal, Oropharyngeal pain, Pleural effusion, SARS-CoV-2 test positive
Clinical narrative: Patient brought to hospital on 03/02/2022 because of progressively increasing weakness, cough, sore throat, difficulty swallowing, poor oral intake, lower abdominal pain.   In ED labs showed UTI and COVID Positive.  Chest XRAY showed decrease in size of left side pleural effusion.  Patient was admitted to hospital for Covid-19 infection, acute UTI, dehydration, vaginal candidiasis, generalized weakness, delirium.  Patient was placed on vancomycin, and budesonide.  With patients continued decline, family transitioned patient to comfort care.  Patient expired on 03/05/2022.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Vulvovaginal candidiasis
Clinical narrative: Patient brought to hospital on 03/02/2022 because of progressively increasing weakness, cough, sore throat, difficulty swallowing, poor oral intake, lower abdominal pain.   In ED labs showed UTI and COVID Positive.  Chest XRAY showed decrease in size of left side pleural effusion.  Patient was admitted to hospital for Covid-19 infection, acute UTI, dehydration, vaginal candidiasis, generalized weakness, delirium.  Patient was placed on vancomycin, and budesonide.  With patients continued decline, family transitioned patient to comfort care.  Patient expired on 03/05/2022.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: Hospitalized with COVID 19 pneumonia.  Had received 2 vaccines and a booster.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cough, Critical illness
Clinical narrative: PFIZER COVID #3 VACCINE GIVEN 9/30/21, LOT #FE3592; pt had a positive COVID test on 1/24/22 at the clinic; saw PCP and was given Molnupipavr x 5 days; SOB worsened along with cough; pt to ED 2/1/22; O2 supplement placed; continued to worsen; ABX given; transferred to ICU in critical condition; placed on BiPAP; pulmonary fibrotic changes and multifocal infiltrates notes on CXR; intubated; sedated; ventilated; tube feedings; corticosteroids; failed weaning (O2) trial; DNR; Severe COVID pneumonia; pt passed away in the hospital
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Endotracheal intubation, Enteral nutrition, Intensive care
Clinical narrative: PFIZER COVID #3 VACCINE GIVEN 9/30/21, LOT #FE3592; pt had a positive COVID test on 1/24/22 at the clinic; saw PCP and was given Molnupipavr x 5 days; SOB worsened along with cough; pt to ED 2/1/22; O2 supplement placed; continued to worsen; ABX given; transferred to ICU in critical condition; placed on BiPAP; pulmonary fibrotic changes and multifocal infiltrates notes on CXR; intubated; sedated; ventilated; tube feedings; corticosteroids; failed weaning (O2) trial; DNR; Severe COVID pneumonia; pt passed away in the hospital
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Lung disorder, Lung infiltration, Mechanical ventilation, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: PFIZER COVID #3 VACCINE GIVEN 9/30/21, LOT #FE3592; pt had a positive COVID test on 1/24/22 at the clinic; saw PCP and was given Molnupipavr x 5 days; SOB worsened along with cough; pt to ED 2/1/22; O2 supplement placed; continued to worsen; ABX given; transferred to ICU in critical condition; placed on BiPAP; pulmonary fibrotic changes and multifocal infiltrates notes on CXR; intubated; sedated; ventilated; tube feedings; corticosteroids; failed weaning (O2) trial; DNR; Severe COVID pneumonia; pt passed away in the hospital
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Sedative therapy
Clinical narrative: PFIZER COVID #3 VACCINE GIVEN 9/30/21, LOT #FE3592; pt had a positive COVID test on 1/24/22 at the clinic; saw PCP and was given Molnupipavr x 5 days; SOB worsened along with cough; pt to ED 2/1/22; O2 supplement placed; continued to worsen; ABX given; transferred to ICU in critical condition; placed on BiPAP; pulmonary fibrotic changes and multifocal infiltrates notes on CXR; intubated; sedated; ventilated; tube feedings; corticosteroids; failed weaning (O2) trial; DNR; Severe COVID pneumonia; pt passed away in the hospital
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case COVID-19 after fully vaccinated (2 doses mRNA )
Age: 17.0
Sex: M
Vaccine: SMALLMNK
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: This patient experienced no adverse reaction.     This patient came to the clinic and was given the Jynneos vaccine without having secured the consent of his parent as patient is under 18 years of age.    Mother was present at the clinic but this nurse did not realize this patient was under the age of 18 at the time of administering the vaccination.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Supraventricular extrasystoles
Clinical narrative: Within 2 days of vaccination, he started to have bigeminal PACs.  HR in 60's.  HR normally 50's-60's.  This made him feel "anxious".  Saw his cardiologist who said this was not dangerous.  It continues off and on.  In thinking back, he stated that he thinks this occurred after his first booster as well and took about 5 months to completely resolve.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Wrong Pfizer product / wrong dose. Pt is  7 yrs old and should have gotten the product for 5-12 yr olds but instead got the young child product
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: HOSPITALIZATION
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Fall, SARS-CoV-2 test positive
Clinical narrative: Patient seen in the ED and brought in by EMS on 7/8/22 after a fall at his senior assisted living apartment. Additionally patient was experiencing significant weakness and was tested for COVID-19 at an outside facility that day which was positive. Additional COVID-19 PCR swab done in the ED was also positive. Patient admitted from 7/8-7/15. During admission he briefly required supplemental O2 - about 1-2L O2. Patient has been vaccinated against COVID-19. This meets criteria for vaccine breakthrough case review.
Age: 64.0
Sex: F
Vaccine: HEP, MMR, PNC20, VARZOS
Symptoms: Erythema, Pain in extremity, Peripheral swelling
Clinical narrative: Client woke up Saturday morning with pain, redness, and swelling in bilateral arms where vaccines were administered.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Hypersensitivity, Nasopharyngitis, SARS-CoV-2 test negative
Clinical narrative: I got my Vaccination on 05/13/2022 and by the middle of June, I started getting worsen allergy symptom's, especially the cough.  It got worse over the fourth of July weekend, it became a full blown cold.  I never lost my taste or smell and I did a COVID-19 Test on July 5, and it was negative. It is now the 16th of August and I still continue with the symptoms of a cold and post nasil drip and a cough and mucus, and it is very annoying that I am still sick when I am never really sick. I believe that I am have an allergic reaction to the Pfizer Vaccine
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Secretion discharge, Upper-airway cough syndrome
Clinical narrative: I got my Vaccination on 05/13/2022 and by the middle of June, I started getting worsen allergy symptom's, especially the cough.  It got worse over the fourth of July weekend, it became a full blown cold.  I never lost my taste or smell and I did a COVID-19 Test on July 5, and it was negative. It is now the 16th of August and I still continue with the symptoms of a cold and post nasil drip and a cough and mucus, and it is very annoying that I am still sick when I am never really sick. I believe that I am have an allergic reaction to the Pfizer Vaccine
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case COVID-19 after fully vaccinated (2 doses mRNA )
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient presents to clinic for her second dose of the Covid 19 vaccine.  Pt had received the first dose of the Pfizer vaccine and was here to receive her second dose, patient was given Moderna as a second dose instead of the Pfizer needed.  No adverse reactions were noted and patient reported no symptoms.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Abscess jaw, Neck pain, Pain in jaw, Tooth injury
Clinical narrative: Immmediately after recieving the vaccine the left arm, neck and jaw started aching. The next morning, a broken tooth on the upper left side of my jaw abcessed causing a lot of pain, that continued to get worse. I went to the emergency in Castlegar and was given a perscription for antibiotics. I have been maintianing by taking Advil, and strated the antibiotics.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received wrong vaccine (under 5year). No reaction, explained to the parents what is a next step.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation reaction, Injection site erythema, Injection site swelling, Injection site warmth, Rash
Clinical narrative: 7 days after Vaccine #1, a raised, red, hot to the touch quarter-dollar sized bump appeared at the injection site.  (Covid arm?) 7 days after Vaccine #2  a very similar rash broke out on both cheeks. I took pictures of both for records.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient partially vaccinated and then tested positive for COVID19
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case COVID-19 after fully vaccinated with 2 doses.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case COVID-19 after fully vaccinated (2 doses mRNA )
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID-19.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Blood test, Chest X-ray, Computerised tomogram, Condition aggravated
Clinical narrative: Very high blood pressure, perhaps related to medication changes, worsening leg and back pain.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Hypertension, Pain in extremity
Clinical narrative: Very high blood pressure, perhaps related to medication changes, worsening leg and back pain.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Exposure to SARS-CoV-2, Hypersomnia, Lip swelling, Peripheral swelling
Clinical narrative: She got her vaccine, she slept for 20 hours the following day.  The 2nd day she started having hives.  They were really bad for about a week or so, and felt that it may have been something in the environment, but then realized she had been in bed the day before. She started taking Benadryl and Claritin and using Calamine and hydrocortisone cream.  Her bottom lip swelled up, her hand and the bottom of her feet were also.  She took Prednisone which she already had for 2 a day for 5 days, and then 1 a day for 5 days.  The hives got better, she continued on the Benadryl for a week or so, but it made her very tired and started taking the Allegra instead.   She did a telehealth visit in December as she was having some psoriatic arthritis and prescribed the Prednisone and took Aleve and did not take the Prednisone so had it on hand so when she broke out she took that prescription.    Her reaction now is much better, but still taking the Allegra every day and Claritin as well.  She spoke to the Pharmacy and was told to go to the ER, but her son has COVID and cannot right now, but if it worsens she will go to the ER.  She is also having a little bit of shortness of breath, and has never had this reaction in the past.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: She got her vaccine, she slept for 20 hours the following day.  The 2nd day she started having hives.  They were really bad for about a week or so, and felt that it may have been something in the environment, but then realized she had been in bed the day before. She started taking Benadryl and Claritin and using Calamine and hydrocortisone cream.  Her bottom lip swelled up, her hand and the bottom of her feet were also.  She took Prednisone which she already had for 2 a day for 5 days, and then 1 a day for 5 days.  The hives got better, she continued on the Benadryl for a week or so, but it made her very tired and started taking the Allegra instead.   She did a telehealth visit in December as she was having some psoriatic arthritis and prescribed the Prednisone and took Aleve and did not take the Prednisone so had it on hand so when she broke out she took that prescription.    Her reaction now is much better, but still taking the Allegra every day and Claritin as well.  She spoke to the Pharmacy and was told to go to the ER, but her son has COVID and cannot right now, but if it worsens she will go to the ER.  She is also having a little bit of shortness of breath, and has never had this reaction in the past.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough Covid
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID infection. Asymptomatic. Routine screening on admission. Positive test collected 08/14/2022.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test, Vaccine breakthrough infection
Clinical narrative: Breakthrough case COVID-19 after fully vaccinated 3 doses
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, Gait inability, Nausea
Clinical narrative: Patient brought to the ED via EMS on 7/14 for evaluation of COVID exacerbation. Patient has been unable to walk due to weakness, has been feeling nauseated and has been vomiting. Patient had a positive COVID home test on 7/10. Additional COVID-19 PCR swab taken in the ED on 7/14 was also positive. Patient admitted from 7/14-7/18 with acute  hypoxic operatory failure in the setting of COVID-19 infection and possible pneumonia as well as severe sepsis in the setting of possible pneumonia. Patient has been vaccinated against COVID-19. This meets criteria for vaccine breakthrough case review.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis, Vomiting
Clinical narrative: Patient brought to the ED via EMS on 7/14 for evaluation of COVID exacerbation. Patient has been unable to walk due to weakness, has been feeling nauseated and has been vomiting. Patient had a positive COVID home test on 7/10. Additional COVID-19 PCR swab taken in the ED on 7/14 was also positive. Patient admitted from 7/14-7/18 with acute  hypoxic operatory failure in the setting of COVID-19 infection and possible pneumonia as well as severe sepsis in the setting of possible pneumonia. Patient has been vaccinated against COVID-19. This meets criteria for vaccine breakthrough case review.
Age: 57.0
Sex: F
Vaccine: RAB
Symptoms: Headache, Musculoskeletal stiffness, Spinal pain
Clinical narrative: patient reported stiff neck, headache, pain in spine above her buttock and has lasted 24 hours
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Malaise, Muscular weakness, Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: ER 8/5/2022 Covid +, reported not feeling well, 3-4 days bilateral leg weakness. Wife tested Covid+ 4 days prior. SpO2 90% on RA then decreased to 89% on RA then improved to 94% on 1L O2NC. Temp 99.4. Patient admitted and started on Redesemir.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Expired vaccine. No temperature excursion occurred. Moderna determined vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration." No adverse event reported.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Dyspnoea, Illness, Respiratory distress
Clinical narrative: Patient was a resident of a HCF.  Patient had a history of Covid-19; tested positive on 01/20/2022.  Family felt she had recovered from illness.  On 02/20/2022 patient was being seen and in significant distress.  The patient became increasingly dyspneic.  Family was at the bedside and requested that nothing aggressive be done, including xrays.  Patient expired on 02/20/2022.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient was a resident of a HCF.  Patient had a history of Covid-19; tested positive on 01/20/2022.  Family felt she had recovered from illness.  On 02/20/2022 patient was being seen and in significant distress.  The patient became increasingly dyspneic.  Family was at the bedside and requested that nothing aggressive be done, including xrays.  Patient expired on 02/20/2022.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Hypoaesthesia, Laboratory test normal, Magnetic resonance imaging head normal, Sickle cell trait
Clinical narrative: Pt had second vaccine on 6/12/2021 - he continued to have fatigue for 1 month. L hand/L foot numbness started October of 2021 - pt has been evaluated by neurology, rheumatology, hematology - no known etiology. Pt is concerned that this is from his vaccine and refuses any booster doses.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursion occurred and moderna determined the vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration".  Patient reports on adverse reaction.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort
Clinical narrative: Male patient of 73 years of age, oriented in time, place and person. Reports feeling discomfort in the throat area. Vital Signs Pulse: 78, B/P 140/80 Spo2 98%, Dextrose: 119. Consultation is made with the Medical Director, who indicates that she be administered Benadryl and Tylenol at 3:17pm.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Expired vaccine. No temperature excursion occurred. Moderna determined vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration." No adverse events reported.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered one day after beyond-use-date (BUD) expiration.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Tested positive for Covid on 07/30/2022
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, COVID-19, Death, Endotracheal intubation, General physical health deterioration
Clinical narrative: Patient was diagnosed with Covid-19 on 02/09/2022.  He drove himself to ED and collapsed in the parking lot and was found down, he was taken to ED and CPR initiated, and he was intubated.  Patient was found to have Lacunar Infarct, Pulmonary edema, Afib with RVR.  Patient was admitted to hospital services.  Family eventually elected DNR/Comfort Care.  Patient was extubated.  Patient was transferred to Hospice.  Patient was unresponsive and actively dying.  Patient expired on 03/18/2022.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Lacunar infarction, Pulmonary oedema, Resuscitation, Syncope, Unresponsive to stimuli
Clinical narrative: Patient was diagnosed with Covid-19 on 02/09/2022.  He drove himself to ED and collapsed in the parking lot and was found down, he was taken to ED and CPR initiated, and he was intubated.  Patient was found to have Lacunar Infarct, Pulmonary edema, Afib with RVR.  Patient was admitted to hospital services.  Family eventually elected DNR/Comfort Care.  Patient was extubated.  Patient was transferred to Hospice.  Patient was unresponsive and actively dying.  Patient expired on 03/18/2022.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursion occurred and moderna determined the vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration".   Patient reported no adverse reactions.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient did not have a reaction, but was erroneously given a booster only two and a half months after finishing her primary series.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No adverse event.  A Covid booster shot was given 2 weeks early. 2nd vaccine was given on 3/25/22 and a booster on 8/12/22.  Contacted CDC and was advised to repeat the booster dose at a 3-month minimum interval.  The child's mother is notified of the information. No medical problem/AE was found with the child per mom.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Expired vaccine. No temperature excursion occurred. Moderna determined vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration." No adverse event reported.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Parents reported today as child's first COVID-19 vaccine to registration and to administering nurse.  Parent completed registration form and signed checking moderna, 1st vaccine, and NO - on history of previous COVID-19 vaccination.   Patient was not found on initial search of database during registration using name and DOB.  After vaccine administration, clinical team attempted to enter vaccine information into database and saw that patient had in fact received a two dose series of Pfizer vaccines in Nov and Dec 2021.  I called and spoke to patient's mother who had difficulty recalling his COVID-19 vaccinations in 2021.   She reported thinking that he needed this vaccine today because the "news said to get it."  I discussed the current recommendations for booster for his age in detail with her and explained the process for reporting the incident.  She expressed verbal understanding and had the opportunity to ask questions and had none.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Oropharyngeal pain, Pyrexia
Clinical narrative: contracted COVID-19; sore throat, sinus congestion, headache, cough, low grade fever (100.2) for 2 days.  Took Tylenol for headache, Robitussin for cough.  Symptoms other than fever lasted 6 days, cough lasted 2 weeks. Had tele-doc call with my doctor.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: contracted COVID-19; sore throat, sinus congestion, headache, cough, low grade fever (100.2) for 2 days.  Took Tylenol for headache, Robitussin for cough.  Symptoms other than fever lasted 6 days, cough lasted 2 weeks. Had tele-doc call with my doctor.
Age: 12.0
Sex: F
Vaccine: HPV9, MENB
Symptoms: No adverse event, Wrong product administered
Clinical narrative: men b administered instead of menveo. no adverse reactions noted
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Fatigue, Hemiparesis, Ischaemic stroke
Clinical narrative: Patient initially seen in urgent care on 7/15 for symptoms related to COVID-19. Starting 7/7, patient started feeling fatigue, and on 7/11 took a COVID home test which was positive. Additionally, he developed cough, sore throat, and fever. Due to symptoms, patient went to urgent care and while there the patient's SPO2 was 88% on room air so he was placed on 2L NC. It was felt that patient would benefit from an overnight stay in the hospital given his COVID-19 infection, so he was directly admitted to Hospital in on 7/15. During admission, patient developed left sided weakness and was diagnosed with acute ischemic stroke. Patient transferred to Hospital in on 7/17 and was admitted until 7/26. Patient was weaned off oxygen. He is vaccinated against COVID-19. This meets criteria for vaccine breakthrough case review.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Malaise, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient initially seen in urgent care on 7/15 for symptoms related to COVID-19. Starting 7/7, patient started feeling fatigue, and on 7/11 took a COVID home test which was positive. Additionally, he developed cough, sore throat, and fever. Due to symptoms, patient went to urgent care and while there the patient's SPO2 was 88% on room air so he was placed on 2L NC. It was felt that patient would benefit from an overnight stay in the hospital given his COVID-19 infection, so he was directly admitted to Hospital in on 7/15. During admission, patient developed left sided weakness and was diagnosed with acute ischemic stroke. Patient transferred to Hospital in on 7/17 and was admitted until 7/26. Patient was weaned off oxygen. He is vaccinated against COVID-19. This meets criteria for vaccine breakthrough case review.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Parents reported today as child's first COVID-19 vaccine to registration and to administering nurse.  Parent completed registration form and signed checking moderna, 1st vaccine, and NO - on history of previous COVID-19 vaccination.   Patient was not found on initial search of CVMS during registration using name and DOB.  After vaccine administration, clinical team attempted to enter vaccine information into CVMS and saw that patient had in fact received a two dose series of Pfizer vaccines in Nov and Dec 2021.  I called and spoke to patient's mother who had difficulty recalling his COVID-19 vaccinations in 2021.   She reported thinking that she needed this vaccine today because the "news said to get it."  I discussed the current recommendations for booster for her age in detail with her and explained the process for reporting the incident.  Also discovered patient's DOB was entered incorrectly into CVMS during the 2021 entry.  Patient's mother expressed verbal understanding and had the opportunity to ask questions and had none.
Age: 1.33
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria
Clinical narrative: Dermatographism