chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 96.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Respiratory failure, SARS-CoV-2 test positive, Superinfection
Clinical narrative: COVID+ 12/3/2022  Vaccination status J&J x1 + Pfizer x1 hospitalized x2 12/3/22-12/5/2022 & readmitted 12/7/22 BRIEF OVERVIEW: Discharge Provider: Doctor Primary Care Provider: MD Admission Date: 12/3/2022 Discharge Date: Dec 5, 2022   Active Hospital Problems   Diagnosis Date Noted POA  COVID-19    DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Confusion [R41.0] Pneumonia of both lower lobes due to infectious organism [J18.9] COVID-19 [U07.1]   HOSPITAL COURSE: 97yo F admitted with concerns of acute hypoxic respiratory failure secondary to COVID pneumonia. Desaturated to 80s on RA requiring 2L oxygen. COVID positive. CXR revealed hazy patchy bilateral lower lung opacities suspicion for superimposed bacterial pneumonia. Respiratory status improved, weaned off oxygen. Mentation at baseline per son, given baseline dementia. Evaluated by PT/OT/SLP. Patient medically stable for discharge home with son and home health on 12/5.  12/7/22 re-admission:  BRIEF OVERVIEW: Discharge Provider:  DO Primary Care Provider at Discharge: MD  Admission Date: 12/7/2022 Discharge Date: 12/13/2022   Active Hospital Problems   Diagnosis Date Noted POA Dysphagia 12/13/2022 Unknown  Acute ischemic left PCA stroke (HCC) 12/07/2022 Yes  Dementia (HCC) 03/16/2021 Yes  Paroxysmal atrial fibrillation (HCC) 04/09/2020 Yes  Stage 3b chronic kidney disease (HCC) 01/06/2014 Yes  HTN (hypertension) 10/18/2011 Yes   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute ischemic left PCA stroke (HCC) [I63.532] Cerebrovascular accident (CVA), unspecified mechanism (HCC) [I63.9]   HOSPITAL COURSE:   Patient is a 97 y.o. female with history of AFib not on anticoagulation, hypertension and recent admission for COVID pneumonia/hypoxic respiratory failure who presented to the hospital today from home after noted to be more confused and trouble with walking/ambulating.  CT with left PCA territory acute infarct, CTA proximal PCA occlusion.  No tenecteplase administered (out of window).  Has paroxysmal atrial fibrillation not on anticoagulation due to recurrent falls/dementia.  She was seen by Neurology for acute stroke.  It was felt that given her age and obvious cardioembolic source, with contraindication to anticoagulation, that no further workup should be pursued.  Due to COVID-19 positivity equal (12/03/2022), she was kept in severe respiratory precautions.  She was seen by Physical therapy/Occupational therapy and subacute rehab was recommended however the patient did improve, and family felt comfortable taking her home with home PT, OT, nursing.   Please note that the family also deferred adding Lipitor at discharge, the patient has advanced dementia, and they would like minimal medication changes if at all possible.  They are focus more on her quality of life.     On the day of discharge, patient's neurological examination is unchanged, she has a right hemianopsia.  No other focal neurological findings identified, she is anxious to discharge.   Consult Neurology
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Asthenia, Vomiting
Clinical narrative: 11/01/22 presents to ED for "abdominal pain, vomiting, weakness" PMHx of "HTN, dyslipidemia, hypothyroidism"
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: patient was due for Monovalent Moderna and Bivalent Moderna was given in error. team did check online data and vaccine card and nurse gave wrong dose  . Patient notified once we could reach her. Error was discovered after she left the clinic
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test abnormal, Janus kinase 2 mutation, Leukaemia, Platelet count increased, Polycythaemia vera
Clinical narrative: They found in my blood work that I have a Jak 2 Mutation of the stem cell. It is causing me to produce too much blood and blood cells. They consider it a cancer of the blood. With that comes the diagnosis of Polycythemia Vera. I am having blood taken every 2 weeks. I had my first treatment of having 500 ml of blood from me every 2 weeks. He also wanted me to take a chemo pill, but he referred me to a doctor who specializes in rare blood and bone marrow.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Cough, Nasal congestion, Oropharyngeal pain
Clinical narrative: On 12/11/2022 I noticed a little sore throat around 08:00PM. I woke up later that night and could tell I was stuffy. While getting ready for work the next day, I tested myself for COVID-19. To my surprise, it was positive. That same day, I went into work for a PCR test which was also positive. I spoke with a fellow healthcare provider from work. We discussed that my symptoms did not seem sever enough for antiviral treatment. As the day wore on, I began to feel worse. I took some ADVIL 2 at least twice that day. Monday night, I had a fever and chills. I went to get THERAFLU the next day and have been taking it every six to eight hours. When I don't take it, I get sneezing, coughing and body aches but the medication does seem to be helping.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive, Sneezing
Clinical narrative: On 12/11/2022 I noticed a little sore throat around 08:00PM. I woke up later that night and could tell I was stuffy. While getting ready for work the next day, I tested myself for COVID-19. To my surprise, it was positive. That same day, I went into work for a PCR test which was also positive. I spoke with a fellow healthcare provider from work. We discussed that my symptoms did not seem sever enough for antiviral treatment. As the day wore on, I began to feel worse. I took some ADVIL 2 at least twice that day. Monday night, I had a fever and chills. I went to get THERAFLU the next day and have been taking it every six to eight hours. When I don't take it, I get sneezing, coughing and body aches but the medication does seem to be helping.
Age: 59.0
Sex: F
Vaccine: HEPA
Symptoms: Expired product administered, No adverse event
Clinical narrative: VACCINE EXPIRED ON 6/14/2022 NO SIGNS OR SYMPTOMS
Age: 68.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Chest X-ray normal, Cough, Headache, Malaise
Clinical narrative: I received my 5th dose of the Bivalent COVID-19 vaccine on 09/09/2022. On 10/31/2022 my COVID-19 symptoms started in the morning. I had headaches, cough, fever, and not feeling well over all. On 11/01/2022 my symptoms were worst and I took the home COVID-19 test which was positive. On 11/02/2022 I called my doctor and did telehealth. My doctor prescribed me with PAXLOVID for 5 days. I started taking the PAXLOVID on 11/03/2022 because I took my regular medications that day, according to my doctor's advise. I had a regularly scheduled check up with my Cardiologist on 12/01/2022 he did X-ray and everything was normal. My lungs were fine.
Age: 68.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I received my 5th dose of the Bivalent COVID-19 vaccine on 09/09/2022. On 10/31/2022 my COVID-19 symptoms started in the morning. I had headaches, cough, fever, and not feeling well over all. On 11/01/2022 my symptoms were worst and I took the home COVID-19 test which was positive. On 11/02/2022 I called my doctor and did telehealth. My doctor prescribed me with PAXLOVID for 5 days. I started taking the PAXLOVID on 11/03/2022 because I took my regular medications that day, according to my doctor's advise. I had a regularly scheduled check up with my Cardiologist on 12/01/2022 he did X-ray and everything was normal. My lungs were fine.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19-2
Symptoms: Antiphospholipid syndrome, Blood test, Platelet count decreased
Clinical narrative: On 06/03/2022 I had blood work done for upcoming surgery, it was noted that my platelet count was in  the 80's. I had repeat blood work done on 06/08/2022 and my platelet count dropped into the 70's. I was scheduled to see a hemotologist and he scheduled a series of tests. My platelet count remained low dropping into the 60's. During the tests it was determined I had developed Antiphospholipid Antibody Syndrome. Since this diagnosis on 06/28/2022 I was placed on 81mg Aspirin daily. On 10/21/2022, I was put on hydroxychoroquine 200 mg twice a day in hopes to raise my platelet count. To date my count is 69. My surgery has been cancelled and I was advised not to have my surgery until platelets increase.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chills, Cough, Feeling cold
Clinical narrative: 10/01/2022, about 8:00PM ET, I started coughing, throat tickled, had chills, could not get warm, I was achy. I took a COVID-19 test and I was positive. I was positive for almost 4 weeks. I was prescribed antibiotics and prednisone. Even after I tested negative, there was some weakness muscular-wise. I am still trying to get my strength back. I think I have recovered now.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness, Pain, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: 10/01/2022, about 8:00PM ET, I started coughing, throat tickled, had chills, could not get warm, I was achy. I took a COVID-19 test and I was positive. I was positive for almost 4 weeks. I was prescribed antibiotics and prednisone. Even after I tested negative, there was some weakness muscular-wise. I am still trying to get my strength back. I think I have recovered now.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 11/01/22 presents to ED for "shortness of breath". PMHx of "severe COVID-19 s/p tracheostomy, heroin use, CVA, HTN, HLD".
Age: 14.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Moderna Bivalent given instead of second dose vaccine. pt primary series was moderna.
Age: 43.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: COVID-19, Chest discomfort, Condition aggravated, Decreased appetite, Diarrhoea
Clinical narrative: I got the Covid booster on my upper left arm and the flu shot as well. I waited the fifteen minutes and was fine. I was exposed on the night of December 2 2022 and the morning of December 3 2022 because of this I quarantined and began taking rapid tests daily, on December 5 2022 my test came back positive. I kept quarantining and called my doctor who recommended quarantining for five days from date of positive test and after five days wear a mask for an additional five days and social distance. My first symptom was gastrointestinal with a lot of diarrhea which started on the evening of December third by the morning of December fourth I was nauseous with an increase in acid reflux a decrease in appetite as well I felt warmer than normal normally my temp is 97.8 degree far and it went as high as 99 degrees. I did have sinus pressure on my left side of my face which led to headaches. I felt mild heaviness in my chest. After day five symptoms cleared but a rapid heart would occur with activity this would create dizziness and me panting and out of breath. This is still occurring and my doctor is monitoring with a home heart rate monitor. My resting heart rate is 68 BPM it is now in the high seventies with light to moderate activity my heart rate will shoot up to between 120-140 BPM. I had a high of 154 BPM with moderate activity i.e.; climbed two flights of stairs. My doctor has had me taking GATORADE and PEDIALYTE. I did take DAYQUIL and NYQUIL and TUMS throughout.
Age: 43.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Dizziness, Dyspnoea, Exposure to SARS-CoV-2, Feeling hot, Gastrooesophageal reflux disease
Clinical narrative: I got the Covid booster on my upper left arm and the flu shot as well. I waited the fifteen minutes and was fine. I was exposed on the night of December 2 2022 and the morning of December 3 2022 because of this I quarantined and began taking rapid tests daily, on December 5 2022 my test came back positive. I kept quarantining and called my doctor who recommended quarantining for five days from date of positive test and after five days wear a mask for an additional five days and social distance. My first symptom was gastrointestinal with a lot of diarrhea which started on the evening of December third by the morning of December fourth I was nauseous with an increase in acid reflux a decrease in appetite as well I felt warmer than normal normally my temp is 97.8 degree far and it went as high as 99 degrees. I did have sinus pressure on my left side of my face which led to headaches. I felt mild heaviness in my chest. After day five symptoms cleared but a rapid heart would occur with activity this would create dizziness and me panting and out of breath. This is still occurring and my doctor is monitoring with a home heart rate monitor. My resting heart rate is 68 BPM it is now in the high seventies with light to moderate activity my heart rate will shoot up to between 120-140 BPM. I had a high of 154 BPM with moderate activity i.e.; climbed two flights of stairs. My doctor has had me taking GATORADE and PEDIALYTE. I did take DAYQUIL and NYQUIL and TUMS throughout.
Age: 43.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Headache, Heart rate increased, Nausea, Paranasal sinus discomfort, SARS-CoV-2 test positive
Clinical narrative: I got the Covid booster on my upper left arm and the flu shot as well. I waited the fifteen minutes and was fine. I was exposed on the night of December 2 2022 and the morning of December 3 2022 because of this I quarantined and began taking rapid tests daily, on December 5 2022 my test came back positive. I kept quarantining and called my doctor who recommended quarantining for five days from date of positive test and after five days wear a mask for an additional five days and social distance. My first symptom was gastrointestinal with a lot of diarrhea which started on the evening of December third by the morning of December fourth I was nauseous with an increase in acid reflux a decrease in appetite as well I felt warmer than normal normally my temp is 97.8 degree far and it went as high as 99 degrees. I did have sinus pressure on my left side of my face which led to headaches. I felt mild heaviness in my chest. After day five symptoms cleared but a rapid heart would occur with activity this would create dizziness and me panting and out of breath. This is still occurring and my doctor is monitoring with a home heart rate monitor. My resting heart rate is 68 BPM it is now in the high seventies with light to moderate activity my heart rate will shoot up to between 120-140 BPM. I had a high of 154 BPM with moderate activity i.e.; climbed two flights of stairs. My doctor has had me taking GATORADE and PEDIALYTE. I did take DAYQUIL and NYQUIL and TUMS throughout.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Menstruation delayed, Menstruation irregular, Pregnancy test negative
Clinical narrative: I received my vaccine on 05/01/2021, my menstrual cycle was supposed to start on 05/02/2021. It did not arrive, so I took a pregnancy that came back negative. I called my doctor, and we discussed what could have caused this issue. We both agreed that it was stress. It did not arrive in June, I went to the doctor and had a hormone test to check my hormone levels, the test came back normal. My menstrual cycle did show back up in July, but it has not been regular since. There are cycles that are heavy, there are cycles that are light, I miss monthly cycles all together.
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Feeling hot, Injection site erythema, Injection site swelling, Pain
Clinical narrative: Redness and swelling at injection site. Swelling and redness 38 x 38 mm. Student also endorses pain and states it feels "hot".
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19
Clinical narrative: ASYMPTOMATIC
Age: 61.0
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: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: I was told by the specialist that the PT needed an injection, I gave the injection with the thought that the NP told the specialist to instruct me to give it. That was not that case. The specialist made the call based on what the PT told. Once aware that the PT wasnt supposed to get the injection I alerted all parties as well as management of the incident.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Influenza virus test negative, Oropharyngeal pain
Clinical narrative: I tested positive for COVID-19 on 12/5/22. I had extreme fatigue, cough, sore throat, and a fever of 102. I contacted my doctor, and she told me to go to urgent care. I went to urgent care, and they prescribed 5 days' worth of PAXLOVID. I am feeling much better now.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I tested positive for COVID-19 on 12/5/22. I had extreme fatigue, cough, sore throat, and a fever of 102. I contacted my doctor, and she told me to go to urgent care. I went to urgent care, and they prescribed 5 days' worth of PAXLOVID. I am feeling much better now.
Age: 16.0
Sex: M
Vaccine: COVID19, HEP, HEPA, HPV9, IPV, MENB, MMR, MNQ, TDAP, VARCEL
Symptoms: Rash
Clinical narrative: The patient presented a rash over his chest, back, and both arms. No respiratory distress. He was given a Benadryl 20 mg around 04:15 pm and was then taken to the ER for further evaluation. He has been prescribed Prednisone 20 mg to be taken as follows: 2 tabs (40 mg total) PO, one time each day for 5 days.
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given 0.5mg of moderna bivalent but was to receive 0.25mg of moderna bivalent for booster dose.
Age: 10.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient came into office for well child check.  Patient family all got COVID vaccines at same time.  Patient was given one as well before staff realized that she was only 10 years old.  We notified the parent that this was a mistake.  Parent thankful that daughter got vaccinated even though she wasn't supposed to.  We have not recieved any notification that there was any harm to Patient and she didn't have an adverse reactions.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Joint range of motion decreased, Lymphadenopathy, Radiculopathy, Tenderness
Clinical narrative: Musculoskeletal: area of maximal tenderness is over anterior shoulder, limited AROM Right shoulder especially in internal rotation and extension;  Discussed that no sign of bacterial infection, most likely multifactorial, involving swelling of lymph nodes, nerve irritation and now possibly some tendinitis of shoulder, possibly from underuse
Age: 83.0
Sex: F
Vaccine: COVID19-2
Symptoms: Axillary pain, Breast pain, Injection site pain, Mobility decreased, Myalgia
Clinical narrative: Client had "severe deep pain" in upper left arm. Not in shoulder nor in elbow.  Radiated from injection around the upper arm, across the arm pit, into the left pectoral  and breast area. Arm movement reported as painful and limited. Client had No redness. No swelling. No lymph node swelling. Also reported  self-treatment "like for a sore muscle" of movement, heat or cold for comfort without change in painfulness and limited range of movement for two weeks.  Client reported this has improved starting 12/11/2022.
Age: 83.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain
Clinical narrative: Client had "severe deep pain" in upper left arm. Not in shoulder nor in elbow.  Radiated from injection around the upper arm, across the arm pit, into the left pectoral  and breast area. Arm movement reported as painful and limited. Client had No redness. No swelling. No lymph node swelling. Also reported  self-treatment "like for a sore muscle" of movement, heat or cold for comfort without change in painfulness and limited range of movement for two weeks.  Client reported this has improved starting 12/11/2022.
Age: 81.0
Sex: M
Vaccine: FLUA4
Symptoms: Unevaluable event
Clinical narrative: Temperature of the fridge used to store the vaccine is not monitored and the vaccine potentially may have been exposed to extreme temperatures and may have lost its potency.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Vomiting
Clinical narrative: Left thigh injection site pain starting 12/13, vomiting starting morning of 12/14
Age: 0.67
Sex: M
Vaccine: DTAPIPVHIB, HEP, HIBV, PNC13
Symptoms: Extra dose administered
Clinical narrative: Gave dose of Pentacel as well as dose of HIB on same day so patient was given two doses of HIB
Age: 62.0
Sex: M
Vaccine: COVID19-2, FLUC4
Symptoms: COVID-19, Chills, Cough, Myalgia, Nasal congestion
Clinical narrative: I started with chills, muscle aches, fever of 100.9F, a heavy cough, and mild nasal congestion. I decided to take an at-home COVID-19 on 12/08/2022 which came back negative. So I waited and retested on 12/10/2022 which came back positive almost immediately. I texted my doctor who prescribed me PAXLOVID. I started the prescription the same day and took 2 doses. The next morning, I had a terrible taste in my mouth and discontinued taking PAXLOVID on my own from the taste discomfort. I stopped taking atorvastatin during PAXLOVID and half-doses of amlodipine at the time. But for treatment, I started alternately taking ibuprofen and acetaminophen for treatment. I've been doing much better with still slight nasal congestion & light cough.
Age: 62.0
Sex: M
Vaccine: COVID19-2, FLUC4
Symptoms: Pyrexia, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: I started with chills, muscle aches, fever of 100.9F, a heavy cough, and mild nasal congestion. I decided to take an at-home COVID-19 on 12/08/2022 which came back negative. So I waited and retested on 12/10/2022 which came back positive almost immediately. I texted my doctor who prescribed me PAXLOVID. I started the prescription the same day and took 2 doses. The next morning, I had a terrible taste in my mouth and discontinued taking PAXLOVID on my own from the taste discomfort. I stopped taking atorvastatin during PAXLOVID and half-doses of amlodipine at the time. But for treatment, I started alternately taking ibuprofen and acetaminophen for treatment. I've been doing much better with still slight nasal congestion & light cough.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Fatigue, Influenza like illness, Nasal congestion
Clinical narrative: I went on vacation out of state in late June. Around 07/01/2022, I woke up with a sore throat. I was later diagnosed with COVID-19. My symptoms were a lot like a head cold. I was extremely fatigued, stuffy, sneezy, and had a runny nose. I began taking PAXLOVID almost immediately after being prescribed it by my doctor. I quickly recovered from my symptoms and got over COVID-19 for more than a week. At that point, I basically came down with a second round of COVID-19, but it was different. I was testing negative until around the middle of July, when I tested positive for COVID-19 again. This time, I wasn't nearly as fatigued, but I had a lot of phlegm producing coughing. There was also some nasal congestion. Other than the lack of exhaustion, it was like the first round but on steroids. I had fevers and night sweats, chills. It felt like a combination of flu and cold. I think my fever got up to 103 degrees.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Nasopharyngitis, Night sweats, Oropharyngeal pain, Productive cough, Pyrexia
Clinical narrative: I went on vacation out of state in late June. Around 07/01/2022, I woke up with a sore throat. I was later diagnosed with COVID-19. My symptoms were a lot like a head cold. I was extremely fatigued, stuffy, sneezy, and had a runny nose. I began taking PAXLOVID almost immediately after being prescribed it by my doctor. I quickly recovered from my symptoms and got over COVID-19 for more than a week. At that point, I basically came down with a second round of COVID-19, but it was different. I was testing negative until around the middle of July, when I tested positive for COVID-19 again. This time, I wasn't nearly as fatigued, but I had a lot of phlegm producing coughing. There was also some nasal congestion. Other than the lack of exhaustion, it was like the first round but on steroids. I had fevers and night sweats, chills. It felt like a combination of flu and cold. I think my fever got up to 103 degrees.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Sneezing
Clinical narrative: I went on vacation out of state in late June. Around 07/01/2022, I woke up with a sore throat. I was later diagnosed with COVID-19. My symptoms were a lot like a head cold. I was extremely fatigued, stuffy, sneezy, and had a runny nose. I began taking PAXLOVID almost immediately after being prescribed it by my doctor. I quickly recovered from my symptoms and got over COVID-19 for more than a week. At that point, I basically came down with a second round of COVID-19, but it was different. I was testing negative until around the middle of July, when I tested positive for COVID-19 again. This time, I wasn't nearly as fatigued, but I had a lot of phlegm producing coughing. There was also some nasal congestion. Other than the lack of exhaustion, it was like the first round but on steroids. I had fevers and night sweats, chills. It felt like a combination of flu and cold. I think my fever got up to 103 degrees.
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site induration, Injection site pain, Laboratory test normal, Lipase increased, Nausea
Clinical narrative: Acute pancreatitis severe pain nausea vomiting  elevated lipase visited ER on 11/2/22  received 2litera fluids no infection sent home
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Pancreatitis acute, Ultrasound abdomen abnormal, Vomiting
Clinical narrative: Acute pancreatitis severe pain nausea vomiting  elevated lipase visited ER on 11/2/22  received 2litera fluids no infection sent home
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Malaise, Myalgia, SARS-CoV-2 test positive
Clinical narrative: I did not have an adverse event following the vaccine. On 11/04/2022, I did not feel well with muscle aches and a cough, and I tested positive for COVID-19. I contacted my doctor and was given the prescription PAXLOVID. I finished the prescription and rebound on 11/14/2022 and my cough was worse this time. I finally tested negative on 11/21/2022. Today, I continue to have a cough.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Asthenia, Gait disturbance, Muscular weakness, Paraesthesia
Clinical narrative: When I woke up I was very weak and having trouble walking, a couple day after that I started getting tingling in my left leg and now I am limping and having trouble walking. Now it starting to spread down my left leg,  I just started getting tingling in my right leg. My arms are also very week and it?s been two weeks since I got this vaccination that my employer made me get.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19-2
Symptoms: Arthralgia, Dizziness, Fatigue, Heart rate abnormal, Hypoaesthesia
Clinical narrative: Racing heart, dizziness, intermediate heart rate. Numbing in left arm, joint aches and tiredness.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19-2
Symptoms: Palpitations
Clinical narrative: Racing heart, dizziness, intermediate heart rate. Numbing in left arm, joint aches and tiredness.
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Induration, Nodule, Skin warm, Tenderness
Clinical narrative: Redness and hard lump measuring 2cm x 3cm, sight also warm and tender to touch
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Vaccination site erythema, Vaccination site pain, Vaccination site swelling, Vaccination site warmth
Clinical narrative: Area of vaccination and surrounding area about the size of a clementine became red, raised and swollen. Area was painful and hot to the touch.
Age: 12.0
Sex: F
Vaccine: FLUN4
Symptoms: Expired product administered, No adverse event
Clinical narrative: No reaction to vaccine, Healthcare Provider recommended another dose to be administered since the one given was Expired.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Induration, Nodule, Skin warm, Tenderness
Clinical narrative: Redness hard lump 9cm x 7cm, warm and tender to touch
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Computerised tomogram abnormal, Death, Deep vein thrombosis, End stage renal disease
Clinical narrative: pt came to ED from rehab for evaluation of LE swelling and wounds are affecting ambulation; ESRD, tested positive for COVID in rehab facility and was unable to go to dialysis the morning of presenting to ED; c/o vaginal bleeding, too; tested positive in the ED for COVID; ABX given; CT showed necrotic mass, DVT, infiltrative metastatic disease; GYN Oncologist recommended DNR and hospice; pt agreed; pt moved to hospice where she passed away
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Limb injury, Metastatic neoplasm, Peripheral swelling, SARS-CoV-2 test positive
Clinical narrative: pt came to ED from rehab for evaluation of LE swelling and wounds are affecting ambulation; ESRD, tested positive for COVID in rehab facility and was unable to go to dialysis the morning of presenting to ED; c/o vaginal bleeding, too; tested positive in the ED for COVID; ABX given; CT showed necrotic mass, DVT, infiltrative metastatic disease; GYN Oncologist recommended DNR and hospice; pt agreed; pt moved to hospice where she passed away
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Tumour necrosis, Vaginal haemorrhage
Clinical narrative: pt came to ED from rehab for evaluation of LE swelling and wounds are affecting ambulation; ESRD, tested positive for COVID in rehab facility and was unable to go to dialysis the morning of presenting to ED; c/o vaginal bleeding, too; tested positive in the ED for COVID; ABX given; CT showed necrotic mass, DVT, infiltrative metastatic disease; GYN Oncologist recommended DNR and hospice; pt agreed; pt moved to hospice where she passed away
Age: 84.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Induration, Nodule, Skin warm, Tenderness
Clinical narrative: Redness hard lump 4cm x 5cm, warm and tender to touch
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: itchiness, and sometimes redness, that shows up in different parts of the body. It is still going on, 8 months later. Dr. prescribed Prednisone 2x20mg/d for 5 days. + Hydroxyzine 14 daysx1 25mg
Age: 31.0
Sex: M
Vaccine: SMALLMNK, SMALLMNK
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Patient reports onset of diffuse rash one week after the first dose that lasted about one week and progressed to hives after prolonged itching. After the second dose, he also developed a diffuse rash 1-2 days after receiving the vaccine which has lasted for 3 weeks.
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Dysstasia, Gait inability, Pelvic pain, Spinal pain
Clinical narrative: Severe spinal and pelvic pain. Could not walk or be up on feet longer than two minutes. Had to lay down for relief.
Age: 94.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Induration, Nodule, Pruritus, Skin warm
Clinical narrative: Redness, hard lump 6cm x 9cm, warm, tender to touch and itchy
Age: 94.0
Sex: F
Vaccine: COVID19-2
Symptoms: Tenderness
Clinical narrative: Redness, hard lump 6cm x 9cm, warm, tender to touch and itchy
Age: 82.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: COVID-19, Cough, Fatigue, Pain, SARS-CoV-2 test positive
Clinical narrative: 10/18/22 I was feeling achy. I took a home COVID test and it was positive. The next day I was really tired, and I had to take a lot of naps that day. The next day I began to cough a lot. This lasted for the next 10 days. I have recovered.
Age: 82.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Somnolence
Clinical narrative: 10/18/22 I was feeling achy. I took a home COVID test and it was positive. The next day I was really tired, and I had to take a lot of naps that day. The next day I began to cough a lot. This lasted for the next 10 days. I have recovered.
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: 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: 9.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Incorrect product formulation administered
Clinical narrative: Gave Covid 19 bivalent booster vaccination as first COVID 19 vaccine received. Order was for COVID 19 bivalent dose, vaccine drawn and administered. Whan charting administration of vaccines in patients room noticed no previous doses of COVID vaccine were recorded. Asked mother where first COVID vaccines were given. Mother states this is first COVID vaccine patient has received. Informed ordering provider, Dr. Checked documents the next day to see when another dose should be given. record documents due later, no specific date. This is a vaccine dose error, patient should have received the COVID 19 primary series vaccination.
Age: 31.0
Sex: F
Vaccine: COVID19-2
Symptoms: Delivery, Exposure during pregnancy, Hysterectomy, Laboratory test, Normal labour
Clinical narrative: Patient had uncomplicated pregnancy,did not have covid during pregnancy. Overall healthy adult. All prior labs were normal as well. Patient came in laboring. Delivered full-term vaginally, AGA weight, placenta delivered fully intact. After delivery patient began to hemorrhage. Could not stop the bleeding
Age: 31.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vaginal haemorrhage
Clinical narrative: Patient had uncomplicated pregnancy,did not have covid during pregnancy. Overall healthy adult. All prior labs were normal as well. Patient came in laboring. Delivered full-term vaginally, AGA weight, placenta delivered fully intact. After delivery patient began to hemorrhage. Could not stop the bleeding
Age: 72.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: No adverse event, Product administered at inappropriate site
Clinical narrative: Pt was given a Pfizer Bivalent dose in his left glute intramuscularly. No adverse reactions reported.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood magnesium, Blood thyroid stimulating hormone, Cardiac stress test, Computerised tomogram head
Clinical narrative: In February 2022, I experienced a hypertensive episode where my blood pressue (which was normally in the 130/90 range, had quickly escalated and I was experiencing unusual headaches over the weekend leading up to.  I have also had the flu and shingles vaccine administered earlier around this same time.   Went to the ER as a walk-in.  No treatment was provided and was told to see PCP for hypertension.   Have since been on a low does of blood pressure medications.   Since this incident, I started to experience a handful of symptoms which has yet to be attributed to any specific illness or disease., including but not limited to:   - initially internal tremors in the finger tips when sleeping - eventual progression to pins and needles in both hands and feet - eventually progressing to throbbing sensation and pins in the palm of my hands - Muscle aches, weakness - Appearance of muscle loss in 2 month period - Eventual progression of random pricks in arms and legs.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Differential white blood cell count, Echocardiogram, Electrocardiogram, Full blood count, Headache
Clinical narrative: In February 2022, I experienced a hypertensive episode where my blood pressue (which was normally in the 130/90 range, had quickly escalated and I was experiencing unusual headaches over the weekend leading up to.  I have also had the flu and shingles vaccine administered earlier around this same time.   Went to the ER as a walk-in.  No treatment was provided and was told to see PCP for hypertension.   Have since been on a low does of blood pressure medications.   Since this incident, I started to experience a handful of symptoms which has yet to be attributed to any specific illness or disease., including but not limited to:   - initially internal tremors in the finger tips when sleeping - eventual progression to pins and needles in both hands and feet - eventually progressing to throbbing sensation and pins in the palm of my hands - Muscle aches, weakness - Appearance of muscle loss in 2 month period - Eventual progression of random pricks in arms and legs.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Laboratory test, Magnetic resonance imaging head, Magnetic resonance imaging spinal abnormal, Muscle atrophy
Clinical narrative: In February 2022, I experienced a hypertensive episode where my blood pressue (which was normally in the 130/90 range, had quickly escalated and I was experiencing unusual headaches over the weekend leading up to.  I have also had the flu and shingles vaccine administered earlier around this same time.   Went to the ER as a walk-in.  No treatment was provided and was told to see PCP for hypertension.   Have since been on a low does of blood pressure medications.   Since this incident, I started to experience a handful of symptoms which has yet to be attributed to any specific illness or disease., including but not limited to:   - initially internal tremors in the finger tips when sleeping - eventual progression to pins and needles in both hands and feet - eventually progressing to throbbing sensation and pins in the palm of my hands - Muscle aches, weakness - Appearance of muscle loss in 2 month period - Eventual progression of random pricks in arms and legs.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Paraesthesia, Scan myocardial perfusion, Scan with contrast, Spinal X-ray
Clinical narrative: In February 2022, I experienced a hypertensive episode where my blood pressue (which was normally in the 130/90 range, had quickly escalated and I was experiencing unusual headaches over the weekend leading up to.  I have also had the flu and shingles vaccine administered earlier around this same time.   Went to the ER as a walk-in.  No treatment was provided and was told to see PCP for hypertension.   Have since been on a low does of blood pressure medications.   Since this incident, I started to experience a handful of symptoms which has yet to be attributed to any specific illness or disease., including but not limited to:   - initially internal tremors in the finger tips when sleeping - eventual progression to pins and needles in both hands and feet - eventually progressing to throbbing sensation and pins in the palm of my hands - Muscle aches, weakness - Appearance of muscle loss in 2 month period - Eventual progression of random pricks in arms and legs.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor, Troponin I
Clinical narrative: In February 2022, I experienced a hypertensive episode where my blood pressue (which was normally in the 130/90 range, had quickly escalated and I was experiencing unusual headaches over the weekend leading up to.  I have also had the flu and shingles vaccine administered earlier around this same time.   Went to the ER as a walk-in.  No treatment was provided and was told to see PCP for hypertension.   Have since been on a low does of blood pressure medications.   Since this incident, I started to experience a handful of symptoms which has yet to be attributed to any specific illness or disease., including but not limited to:   - initially internal tremors in the finger tips when sleeping - eventual progression to pins and needles in both hands and feet - eventually progressing to throbbing sensation and pins in the palm of my hands - Muscle aches, weakness - Appearance of muscle loss in 2 month period - Eventual progression of random pricks in arms and legs.
Age: 24.0
Sex: F
Vaccine: COVID19-2
Symptoms: Discomfort, Erythema, Feeling hot, Induration, Mass
Clinical narrative: Redness, hard lump 5cmx6cm, warm and tender to the touch. Ice and IBU for discomfort, 5 days
Age: 24.0
Sex: F
Vaccine: COVID19-2
Symptoms: Tenderness
Clinical narrative: Redness, hard lump 5cmx6cm, warm and tender to the touch. Ice and IBU for discomfort, 5 days
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Laboratory test
Clinical narrative: Type 11 high blood pressure
Age: 1.67
Sex: M
Vaccine: HEPA, IPV
Symptoms: Abnormal behaviour, Aggression, Screaming, Sleep disorder
Clinical narrative: Since patient has had vaccinations sleep patterns changed. He was a faithful slppeing with regular naps and sleep patterns. Mother notes that she finds most days patinet will not nap or sleep as before. Mother has also noted significant behaviorial changes. Mother notes that patient diregulated behaviorial outbursts with inconsolable melt downs where he flops backwards and screams at this top of his lungs.  These behaviors had not happened prior to vaccinations. Mother also staes that patient will scream "hold me" then she picks him up and patinet will push her away and says "don't hold me".
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Fall, Head injury, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Parasthesia, number and tingling that started in toes and fingertips, progressed up feet/legs and hands/arms over the summer and fall 2021, in the fall. Lips, cheeks and tongue became numb over the fall. Facial symptoms eased in November, came back much worse after a booster shot 12/01/2021, also proceeded further up arms/legs after booster. Other symptoms include knee buckling, falling over and hitting head, etc. No history of numbness or parasthesia. Symptoms still present 12/14/2022, 1.5 years after onset. Unable to continue in profession as watchmaker, dropping tools, etc.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Immunology test normal, Impaired work ability, Joint instability, Laboratory test normal, Magnetic resonance imaging normal
Clinical narrative: Parasthesia, number and tingling that started in toes and fingertips, progressed up feet/legs and hands/arms over the summer and fall 2021, in the fall. Lips, cheeks and tongue became numb over the fall. Facial symptoms eased in November, came back much worse after a booster shot 12/01/2021, also proceeded further up arms/legs after booster. Other symptoms include knee buckling, falling over and hitting head, etc. No history of numbness or parasthesia. Symptoms still present 12/14/2022, 1.5 years after onset. Unable to continue in profession as watchmaker, dropping tools, etc.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Nerve conduction studies normal, Paraesthesia, Symptom recurrence
Clinical narrative: Parasthesia, number and tingling that started in toes and fingertips, progressed up feet/legs and hands/arms over the summer and fall 2021, in the fall. Lips, cheeks and tongue became numb over the fall. Facial symptoms eased in November, came back much worse after a booster shot 12/01/2021, also proceeded further up arms/legs after booster. Other symptoms include knee buckling, falling over and hitting head, etc. No history of numbness or parasthesia. Symptoms still present 12/14/2022, 1.5 years after onset. Unable to continue in profession as watchmaker, dropping tools, etc.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Endotracheal intubation, Mechanical ventilation, Multiple organ dysfunction syndrome
Clinical narrative: PFIZER COVID VACCINE #3 GIVEN 12/22/2021, LOT #FL3198; family found pt unresponsive; EMS contacted; pt intubated and CPR started and continued en route; ROSC shortly before arrival; pt in shock with multiorgan failure; vasopressor support and mechanical ventilation; history of positive COVID test on 5/30/22 and was in quarantine in family member's home; positive COVID test 6/4/22 in hospital; pt status changed to DNR/active management; pt passed away in the hospital
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Resuscitation, SARS-CoV-2 test positive, Shock, Unresponsive to stimuli
Clinical narrative: PFIZER COVID VACCINE #3 GIVEN 12/22/2021, LOT #FL3198; family found pt unresponsive; EMS contacted; pt intubated and CPR started and continued en route; ROSC shortly before arrival; pt in shock with multiorgan failure; vasopressor support and mechanical ventilation; history of positive COVID test on 5/30/22 and was in quarantine in family member's home; positive COVID test 6/4/22 in hospital; pt status changed to DNR/active management; pt passed away in the hospital
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Diuretic therapy
Clinical narrative: Discharge Provider:  MD Primary Care Provider:  DO Admission Date: 12/6/2022 Discharge Date: 12/8/2022 COVID positive Date: 12/6/2022 Clinical Narrative:   Admitted for lower respiratory tract infection/pneumonia secondary to COVID.  Renal dysfunction.  Mild.  Treated with Decadron and remdesivir.  Was doing well 3 days and.  Oxygen needs back to baseline.  Did not wish to stay for a full 5 days of therapy.  Please see below.  He will be discharged this afternoon to the care of his family.   Please see the following problem-list oriented Hospital Course below:   * Pneumonia due to COVID-19 virus Assessment & Plan Prophylactic Zithromax in the setting of chronic obstructive pulmonary disease. Will give Decadron, vitamin- C, zinc, Pepcid and Remdesivir.  Continue home Eliquis.      12/7 - was reportedly be on home oxygen but has not really complied with that.  It is there for difficult to ascertain whether his oxygen needs early above baseline.  There are some findings on his chest film consistent with a lower respiratory tract infection/pneumonia and he is being treated with remdesivir.  We did discuss that this possibly could leave after 3 days of therapy should his symptoms not progress.  He remains on corticosteroids as well.   12/8 - has remained stable.  Discharge planning given continued stability    Acute on chronic respiratory failure with hypoxia (HCC) Assessment & Plan Titrate oxygen to effect.  Encourage prone positioning.  Encourage pulmonary toilet.  Bronchodilator p.r.n.  Pulse oximetry.   12/8 - tolerated gentle diuresis.  His oxygen needs are likely back to baseline as he had previously been prescribed home oxygen but was simply not wearing it
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Lower respiratory tract infection, Oxygen saturation abnormal, Renal impairment, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider:  MD Primary Care Provider:  DO Admission Date: 12/6/2022 Discharge Date: 12/8/2022 COVID positive Date: 12/6/2022 Clinical Narrative:   Admitted for lower respiratory tract infection/pneumonia secondary to COVID.  Renal dysfunction.  Mild.  Treated with Decadron and remdesivir.  Was doing well 3 days and.  Oxygen needs back to baseline.  Did not wish to stay for a full 5 days of therapy.  Please see below.  He will be discharged this afternoon to the care of his family.   Please see the following problem-list oriented Hospital Course below:   * Pneumonia due to COVID-19 virus Assessment & Plan Prophylactic Zithromax in the setting of chronic obstructive pulmonary disease. Will give Decadron, vitamin- C, zinc, Pepcid and Remdesivir.  Continue home Eliquis.      12/7 - was reportedly be on home oxygen but has not really complied with that.  It is there for difficult to ascertain whether his oxygen needs early above baseline.  There are some findings on his chest film consistent with a lower respiratory tract infection/pneumonia and he is being treated with remdesivir.  We did discuss that this possibly could leave after 3 days of therapy should his symptoms not progress.  He remains on corticosteroids as well.   12/8 - has remained stable.  Discharge planning given continued stability    Acute on chronic respiratory failure with hypoxia (HCC) Assessment & Plan Titrate oxygen to effect.  Encourage prone positioning.  Encourage pulmonary toilet.  Bronchodilator p.r.n.  Pulse oximetry.   12/8 - tolerated gentle diuresis.  His oxygen needs are likely back to baseline as he had previously been prescribed home oxygen but was simply not wearing it