chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 78.0
Sex: M
Vaccine: COVID19, FLUX
Symptoms: Ageusia, Blood test, COVID-19, COVID-19 pneumonia, Computerised tomogram normal
Clinical narrative: Around June 1, 2022I finish cutting my grass and was breathing funny. My throat was raspy and I started coughing. My body got sore. My legs and back were very sore. I was spitting up a lot of mucus. I had no appetitive and when I did eat I did not get the flavor. I finally called the doctor and was seen. The lower part of my lung and pneumonia and the doctor informed me it was Covid related. I was prescribed medication but am unsure of what they were. I was given a Covid test at the doctor but do not know the results. My at home government Covid test came back positive. I was dehydrated and ended up in a local hospital and was given 2 bags of saline solution and a shot of morphine to ease my pain on Wednesday 6/15/2022. I was kept in the emergency room for about 6 hours and then was sent home. Today I still have a cough, bringing up phlegm.
Age: 78.0
Sex: M
Vaccine: COVID19, FLUX
Symptoms: Cough, Decreased appetite, Dehydration, Pain, Productive cough
Clinical narrative: Around June 1, 2022I finish cutting my grass and was breathing funny. My throat was raspy and I started coughing. My body got sore. My legs and back were very sore. I was spitting up a lot of mucus. I had no appetitive and when I did eat I did not get the flavor. I finally called the doctor and was seen. The lower part of my lung and pneumonia and the doctor informed me it was Covid related. I was prescribed medication but am unsure of what they were. I was given a Covid test at the doctor but do not know the results. My at home government Covid test came back positive. I was dehydrated and ended up in a local hospital and was given 2 bags of saline solution and a shot of morphine to ease my pain on Wednesday 6/15/2022. I was kept in the emergency room for about 6 hours and then was sent home. Today I still have a cough, bringing up phlegm.
Age: 78.0
Sex: M
Vaccine: COVID19, FLUX
Symptoms: Respiration abnormal, SARS-CoV-2 test positive, Secretion discharge, Throat irritation, X-ray abnormal
Clinical narrative: Around June 1, 2022I finish cutting my grass and was breathing funny. My throat was raspy and I started coughing. My body got sore. My legs and back were very sore. I was spitting up a lot of mucus. I had no appetitive and when I did eat I did not get the flavor. I finally called the doctor and was seen. The lower part of my lung and pneumonia and the doctor informed me it was Covid related. I was prescribed medication but am unsure of what they were. I was given a Covid test at the doctor but do not know the results. My at home government Covid test came back positive. I was dehydrated and ended up in a local hospital and was given 2 bags of saline solution and a shot of morphine to ease my pain on Wednesday 6/15/2022. I was kept in the emergency room for about 6 hours and then was sent home. Today I still have a cough, bringing up phlegm.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Impaired driving ability, Lumbar puncture, Magnetic resonance imaging head normal, Magnetic resonance imaging spinal abnormal
Clinical narrative: Chief Complaint: Left lower extremity numbness, jaw numbness  Discharge Diagnosis: Peripheral neuropathy vs transverse myelitis vs related to T9 small lesion  Discharge Condition: Fair  Discharge Diet: Regular  Discharge Activity Level: As tolerated except no driving  Plan of Treatment: Discharge home with home health and physical therapy Prednisone for 3 days Follow-up with primary provider in 1 week Refer to neurologist EMG as outpatient in 4-6 weeks, also repeat MRI T spine in 6-8 months
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Myelitis transverse, Neuropathy peripheral, Vertebral lesion
Clinical narrative: Chief Complaint: Left lower extremity numbness, jaw numbness  Discharge Diagnosis: Peripheral neuropathy vs transverse myelitis vs related to T9 small lesion  Discharge Condition: Fair  Discharge Diet: Regular  Discharge Activity Level: As tolerated except no driving  Plan of Treatment: Discharge home with home health and physical therapy Prednisone for 3 days Follow-up with primary provider in 1 week Refer to neurologist EMG as outpatient in 4-6 weeks, also repeat MRI T spine in 6-8 months
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Axillary pain, Basophil count increased, Bell's palsy, Blood creatinine increased
Clinical narrative: I know I received 5 CC of the vaccine and gave me it in my left arm and my arm started cramping and after the 2nd day I started having fever and pain in my left arm pit for about week. I also started having pain in my shoulder, neck, and arm pit. I also started experiencing dizziness and numbness and my sister said it was normal to feel that and that they made fun of me. It was recently I found out that I got an overdose of the vaccine. My primary doctor sent me for tests. My doctor said I had Bell's Palsy and I still have the cramping and numbness on my left side of my body. It feels like I have needles touching me when I touch it.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test abnormal, Chest X-ray normal, Computerised tomogram normal, Dizziness, Electrocardiogram normal
Clinical narrative: I know I received 5 CC of the vaccine and gave me it in my left arm and my arm started cramping and after the 2nd day I started having fever and pain in my left arm pit for about week. I also started having pain in my shoulder, neck, and arm pit. I also started experiencing dizziness and numbness and my sister said it was normal to feel that and that they made fun of me. It was recently I found out that I got an overdose of the vaccine. My primary doctor sent me for tests. My doctor said I had Bell's Palsy and I still have the cramping and numbness on my left side of my body. It feels like I have needles touching me when I touch it.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered, Full blood count, Hypoaesthesia, Immature granulocyte count, Laboratory test abnormal
Clinical narrative: I know I received 5 CC of the vaccine and gave me it in my left arm and my arm started cramping and after the 2nd day I started having fever and pain in my left arm pit for about week. I also started having pain in my shoulder, neck, and arm pit. I also started experiencing dizziness and numbness and my sister said it was normal to feel that and that they made fun of me. It was recently I found out that I got an overdose of the vaccine. My primary doctor sent me for tests. My doctor said I had Bell's Palsy and I still have the cramping and numbness on my left side of my body. It feels like I have needles touching me when I touch it.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Metabolic function test, Muscle spasms, Neck pain, Pain in extremity, Paraesthesia
Clinical narrative: I know I received 5 CC of the vaccine and gave me it in my left arm and my arm started cramping and after the 2nd day I started having fever and pain in my left arm pit for about week. I also started having pain in my shoulder, neck, and arm pit. I also started experiencing dizziness and numbness and my sister said it was normal to feel that and that they made fun of me. It was recently I found out that I got an overdose of the vaccine. My primary doctor sent me for tests. My doctor said I had Bell's Palsy and I still have the cramping and numbness on my left side of my body. It feels like I have needles touching me when I touch it.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Troponin normal, Ultrasound Doppler normal
Clinical narrative: I know I received 5 CC of the vaccine and gave me it in my left arm and my arm started cramping and after the 2nd day I started having fever and pain in my left arm pit for about week. I also started having pain in my shoulder, neck, and arm pit. I also started experiencing dizziness and numbness and my sister said it was normal to feel that and that they made fun of me. It was recently I found out that I got an overdose of the vaccine. My primary doctor sent me for tests. My doctor said I had Bell's Palsy and I still have the cramping and numbness on my left side of my body. It feels like I have needles touching me when I touch it.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Cardiac monitoring, Chest pain, Dizziness, Facial paralysis
Clinical narrative: I know I received 5 CC of the vaccine and gave me it in my left arm and my arm started cramping and after the 2nd day I started having fever and pain in my left arm pit for about week. I also started having pain in my shoulder, neck, and arm pit. I also started experiencing dizziness and numbness and my sister said it was normal to feel that and that they made fun of me. It was recently I found out that I got an overdose of the vaccine. My primary doctor sent me for tests. My doctor said I had Bell's Palsy and I still have the cramping and numbness on my left side of my body. It feels like I have needles touching me when I touch it.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Pain, Pyrexia, Swelling, Ultrasound scan
Clinical narrative: I know I received 5 CC of the vaccine and gave me it in my left arm and my arm started cramping and after the 2nd day I started having fever and pain in my left arm pit for about week. I also started having pain in my shoulder, neck, and arm pit. I also started experiencing dizziness and numbness and my sister said it was normal to feel that and that they made fun of me. It was recently I found out that I got an overdose of the vaccine. My primary doctor sent me for tests. My doctor said I had Bell's Palsy and I still have the cramping and numbness on my left side of my body. It feels like I have needles touching me when I touch it.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Cough, Dyspnoea, Fatigue
Clinical narrative: Approximately 5 months after my 3rd dose vaccination I contracted COVID-19 and experienced the following symptoms: Body aches, Mild fever, Sneezing, Cough that would trigger a chest pain, Sore throat and fatigue. I took Advil cold and sinus which helped with the majority of my symptoms to get better  and Most of the symptoms lasted for 2-3 days except for the cough which has not improved even after 10 days, . I decided to see a doctor regarding this because there were instances that I was feeling out of breath because of the cough. The Doctor and initially prescribed me with a cough suppressant but it didn't really help me as much. So I went back and they gave me another prescription of  Albuterol Inhaler and Prednisone which has helped me feel so much better. I can't say that i'm a 100 percent back to normal but I have been feeling better ever since.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test, Sneezing
Clinical narrative: Approximately 5 months after my 3rd dose vaccination I contracted COVID-19 and experienced the following symptoms: Body aches, Mild fever, Sneezing, Cough that would trigger a chest pain, Sore throat and fatigue. I took Advil cold and sinus which helped with the majority of my symptoms to get better  and Most of the symptoms lasted for 2-3 days except for the cough which has not improved even after 10 days, . I decided to see a doctor regarding this because there were instances that I was feeling out of breath because of the cough. The Doctor and initially prescribed me with a cough suppressant but it didn't really help me as much. So I went back and they gave me another prescription of  Albuterol Inhaler and Prednisone which has helped me feel so much better. I can't say that i'm a 100 percent back to normal but I have been feeling better ever since.
Age: 59.0
Sex: F
Vaccine: PNC20
Symptoms: Gait disturbance, Nausea, Pain, Pyrexia, Vertigo
Clinical narrative: Severe vertigo, body aches, fever. The vertigo was so severe that I could not move without feeling like I would fall down.  Also nauseous from said vertigo
Age: 99.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Atelectasis, Blood culture negative, Blood lactic acid, C-reactive protein increased
Clinical narrative: Patient is a 100 y.o. female who presented to the emergency department on 6/14/22 with fatigue, cough and shortness of breath.  She began feeling ill on 06/12/2022 with main complaints of fatigue, weakness, cough, fever, shortness of breath, and sore throat.  She tested positive for COVID-19 via home test prior to presentation.    In the ER she was found to be mildly hypoxic and subsequently placed on 2 L oxygen nasal cannula.  Labs reveal relatively unremarkable CMP, CRP of 36.3, procalcitonin 0.07, lactic acid 1.4, WBC 8.16.  Positive COVID-19 confirmed.  Chest x-ray showed mild interstitial prominence likely chronic and less likely due to mild congestion, mild right perihilar and right medial opacity likely due to atelectasis.  She was given 6 mg of dexamethasone in the ER.     She was admitted to the hospitalist service for ongoing management evaluation of COVID-19 hypoxia.    During hospital course, dexamethasone was continued and Remdesivir was initiated. PT/OT evaluations were completed due to generalized weakness. Patient does reside at home with family. Medications for hypertension and prior stroke continued. Dysphagia evaluation completed. Diagnosed with mild pharyngeal phase dysphagia. Recommending mildly thick (nectar-thick) liquids, minced and moist (dysphagia mechanically altered), liquids via cup and straw (cup with handle/mug easiest for pt's self-feeding).   Today, she is sitting in a chair in no acute distress.  Is on room air.  Has no complaints of shortness of breath, chest pain.  Is at her mental baseline.  Appetite is intact.  She is requesting discharge home.  Son in laws at the bedside and states that family is ready for her discharge.   As she is on room air, will discontinue dexamethasone at this time.  Home physical, occupational therapies arranged with home health RN.   Patient is stable for discharge home to the care of her family at this time.  They are agreeable with the plan of care.  All questions and concerns were addressed.  Please see discharge instructions for further information.
Age: 99.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Degenerative bone disease, Dysphagia
Clinical narrative: Patient is a 100 y.o. female who presented to the emergency department on 6/14/22 with fatigue, cough and shortness of breath.  She began feeling ill on 06/12/2022 with main complaints of fatigue, weakness, cough, fever, shortness of breath, and sore throat.  She tested positive for COVID-19 via home test prior to presentation.    In the ER she was found to be mildly hypoxic and subsequently placed on 2 L oxygen nasal cannula.  Labs reveal relatively unremarkable CMP, CRP of 36.3, procalcitonin 0.07, lactic acid 1.4, WBC 8.16.  Positive COVID-19 confirmed.  Chest x-ray showed mild interstitial prominence likely chronic and less likely due to mild congestion, mild right perihilar and right medial opacity likely due to atelectasis.  She was given 6 mg of dexamethasone in the ER.     She was admitted to the hospitalist service for ongoing management evaluation of COVID-19 hypoxia.    During hospital course, dexamethasone was continued and Remdesivir was initiated. PT/OT evaluations were completed due to generalized weakness. Patient does reside at home with family. Medications for hypertension and prior stroke continued. Dysphagia evaluation completed. Diagnosed with mild pharyngeal phase dysphagia. Recommending mildly thick (nectar-thick) liquids, minced and moist (dysphagia mechanically altered), liquids via cup and straw (cup with handle/mug easiest for pt's self-feeding).   Today, she is sitting in a chair in no acute distress.  Is on room air.  Has no complaints of shortness of breath, chest pain.  Is at her mental baseline.  Appetite is intact.  She is requesting discharge home.  Son in laws at the bedside and states that family is ready for her discharge.   As she is on room air, will discontinue dexamethasone at this time.  Home physical, occupational therapies arranged with home health RN.   Patient is stable for discharge home to the care of her family at this time.  They are agreeable with the plan of care.  All questions and concerns were addressed.  Please see discharge instructions for further information.
Age: 99.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Hiatus hernia, Hypoxia, Lung opacity
Clinical narrative: Patient is a 100 y.o. female who presented to the emergency department on 6/14/22 with fatigue, cough and shortness of breath.  She began feeling ill on 06/12/2022 with main complaints of fatigue, weakness, cough, fever, shortness of breath, and sore throat.  She tested positive for COVID-19 via home test prior to presentation.    In the ER she was found to be mildly hypoxic and subsequently placed on 2 L oxygen nasal cannula.  Labs reveal relatively unremarkable CMP, CRP of 36.3, procalcitonin 0.07, lactic acid 1.4, WBC 8.16.  Positive COVID-19 confirmed.  Chest x-ray showed mild interstitial prominence likely chronic and less likely due to mild congestion, mild right perihilar and right medial opacity likely due to atelectasis.  She was given 6 mg of dexamethasone in the ER.     She was admitted to the hospitalist service for ongoing management evaluation of COVID-19 hypoxia.    During hospital course, dexamethasone was continued and Remdesivir was initiated. PT/OT evaluations were completed due to generalized weakness. Patient does reside at home with family. Medications for hypertension and prior stroke continued. Dysphagia evaluation completed. Diagnosed with mild pharyngeal phase dysphagia. Recommending mildly thick (nectar-thick) liquids, minced and moist (dysphagia mechanically altered), liquids via cup and straw (cup with handle/mug easiest for pt's self-feeding).   Today, she is sitting in a chair in no acute distress.  Is on room air.  Has no complaints of shortness of breath, chest pain.  Is at her mental baseline.  Appetite is intact.  She is requesting discharge home.  Son in laws at the bedside and states that family is ready for her discharge.   As she is on room air, will discontinue dexamethasone at this time.  Home physical, occupational therapies arranged with home health RN.   Patient is stable for discharge home to the care of her family at this time.  They are agreeable with the plan of care.  All questions and concerns were addressed.  Please see discharge instructions for further information.
Age: 99.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Metabolic function test normal, Oropharyngeal pain, Procalcitonin, Pyrexia
Clinical narrative: Patient is a 100 y.o. female who presented to the emergency department on 6/14/22 with fatigue, cough and shortness of breath.  She began feeling ill on 06/12/2022 with main complaints of fatigue, weakness, cough, fever, shortness of breath, and sore throat.  She tested positive for COVID-19 via home test prior to presentation.    In the ER she was found to be mildly hypoxic and subsequently placed on 2 L oxygen nasal cannula.  Labs reveal relatively unremarkable CMP, CRP of 36.3, procalcitonin 0.07, lactic acid 1.4, WBC 8.16.  Positive COVID-19 confirmed.  Chest x-ray showed mild interstitial prominence likely chronic and less likely due to mild congestion, mild right perihilar and right medial opacity likely due to atelectasis.  She was given 6 mg of dexamethasone in the ER.     She was admitted to the hospitalist service for ongoing management evaluation of COVID-19 hypoxia.    During hospital course, dexamethasone was continued and Remdesivir was initiated. PT/OT evaluations were completed due to generalized weakness. Patient does reside at home with family. Medications for hypertension and prior stroke continued. Dysphagia evaluation completed. Diagnosed with mild pharyngeal phase dysphagia. Recommending mildly thick (nectar-thick) liquids, minced and moist (dysphagia mechanically altered), liquids via cup and straw (cup with handle/mug easiest for pt's self-feeding).   Today, she is sitting in a chair in no acute distress.  Is on room air.  Has no complaints of shortness of breath, chest pain.  Is at her mental baseline.  Appetite is intact.  She is requesting discharge home.  Son in laws at the bedside and states that family is ready for her discharge.   As she is on room air, will discontinue dexamethasone at this time.  Home physical, occupational therapies arranged with home health RN.   Patient is stable for discharge home to the care of her family at this time.  They are agreeable with the plan of care.  All questions and concerns were addressed.  Please see discharge instructions for further information.
Age: 99.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Swallow study abnormal, White blood cell count normal
Clinical narrative: Patient is a 100 y.o. female who presented to the emergency department on 6/14/22 with fatigue, cough and shortness of breath.  She began feeling ill on 06/12/2022 with main complaints of fatigue, weakness, cough, fever, shortness of breath, and sore throat.  She tested positive for COVID-19 via home test prior to presentation.    In the ER she was found to be mildly hypoxic and subsequently placed on 2 L oxygen nasal cannula.  Labs reveal relatively unremarkable CMP, CRP of 36.3, procalcitonin 0.07, lactic acid 1.4, WBC 8.16.  Positive COVID-19 confirmed.  Chest x-ray showed mild interstitial prominence likely chronic and less likely due to mild congestion, mild right perihilar and right medial opacity likely due to atelectasis.  She was given 6 mg of dexamethasone in the ER.     She was admitted to the hospitalist service for ongoing management evaluation of COVID-19 hypoxia.    During hospital course, dexamethasone was continued and Remdesivir was initiated. PT/OT evaluations were completed due to generalized weakness. Patient does reside at home with family. Medications for hypertension and prior stroke continued. Dysphagia evaluation completed. Diagnosed with mild pharyngeal phase dysphagia. Recommending mildly thick (nectar-thick) liquids, minced and moist (dysphagia mechanically altered), liquids via cup and straw (cup with handle/mug easiest for pt's self-feeding).   Today, she is sitting in a chair in no acute distress.  Is on room air.  Has no complaints of shortness of breath, chest pain.  Is at her mental baseline.  Appetite is intact.  She is requesting discharge home.  Son in laws at the bedside and states that family is ready for her discharge.   As she is on room air, will discontinue dexamethasone at this time.  Home physical, occupational therapies arranged with home health RN.   Patient is stable for discharge home to the care of her family at this time.  They are agreeable with the plan of care.  All questions and concerns were addressed.  Please see discharge instructions for further information.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Chest pain, Dizziness, Dyspnoea, Electrocardiogram
Clinical narrative: 30 y/o male following-up after ED visit at  MEDICAL CENTER d/t adverse allergic reaction to J&J Covid- 19 vaccine. States he experienced hives, rash that extended  from his forearm to the back of his neck on the side where  injection was administered, severe CP, HA, lightheadness, and  BPs=220s/100s within 4 hours of vaccine administration. He was  transported via ambulance to the ED where labs and some "CXR or  EKG" was completed. Per patient, they placed an IV and  administered Benadryl. He denies recieving EPI-PEN at the ED.  He was monitored and subsequently discharged same-day.  Currently, denies rash, CP, HAs, SOB, and lightheadedness.  Continues to have some mild pruritis and localized tenderness  on injection site. Reports BP has return to his baseline.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Laboratory test, Pruritus, Rash
Clinical narrative: 30 y/o male following-up after ED visit at  MEDICAL CENTER d/t adverse allergic reaction to J&J Covid- 19 vaccine. States he experienced hives, rash that extended  from his forearm to the back of his neck on the side where  injection was administered, severe CP, HA, lightheadness, and  BPs=220s/100s within 4 hours of vaccine administration. He was  transported via ambulance to the ED where labs and some "CXR or  EKG" was completed. Per patient, they placed an IV and  administered Benadryl. He denies recieving EPI-PEN at the ED.  He was monitored and subsequently discharged same-day.  Currently, denies rash, CP, HAs, SOB, and lightheadedness.  Continues to have some mild pruritis and localized tenderness  on injection site. Reports BP has return to his baseline.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: 30 y/o male following-up after ED visit at  MEDICAL CENTER d/t adverse allergic reaction to J&J Covid- 19 vaccine. States he experienced hives, rash that extended  from his forearm to the back of his neck on the side where  injection was administered, severe CP, HA, lightheadness, and  BPs=220s/100s within 4 hours of vaccine administration. He was  transported via ambulance to the ED where labs and some "CXR or  EKG" was completed. Per patient, they placed an IV and  administered Benadryl. He denies recieving EPI-PEN at the ED.  He was monitored and subsequently discharged same-day.  Currently, denies rash, CP, HAs, SOB, and lightheadedness.  Continues to have some mild pruritis and localized tenderness  on injection site. Reports BP has return to his baseline.
Age: 48.0
Sex: F
Vaccine: MMR
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: NO ADVERSE REACTION.  SHE HAD HISTORY DOSE OF MMR YEARS BACK.  PER POLICY SHE NEEDED MMR #2 DOSE AND 2 STEP TBST.   MMR# 2 DOSE WAS ADM 6/1/2022, THE SAME DAY AS TBST #1.  PER PPROTOCOL TBST #2 TO COMPLETE THE 2 STEP IS DUE 1-3 WEEKS AFTER THE FIRST NEG TBST.  NURSE ADMINISTERED TBST #2 6/17/2022. AFTER PLACING THE SKIN TEST NURSE REALIZED THERE IS SUPPOSE TO BE 4-6 WEEK INTERVAL BETWEEN LIVE VIRUS VACCINE AND TBST PLACEMENT AND IT HAD ONLY BEEN 2 WEEKS AND 2 DAYS SINCE MMR DOSE.  DO REACTIONS TO NOTE.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis allergic, Erythema, Feeling hot, Flushing, Initial insomnia
Clinical narrative: From 11/16/21 appt: Pt has had full body itchiness which began 9 days after getting the covid vaccine, she is having to take benadryl to be able to relax enough to go to sleep, Pt says its worse at night. No new soaps, foods, detergents, lotions, toothpaste. Not out gardening. No bug bites. No increased stress. Any friction against skin and it'll get red and swollen/hive. red flush goes up her body. began about 9 days ago. Had booster 9 days before the itching. Used biofreeze and it helps some and ice packs. Benadryl helps but can't use during day because she's too tired. Nothing new that she's in contact with. Stopped her medications to see if that would help but no help as she had been diagnosed by dermatologist with acne, tinea versicolor and raynaud's and was taking medication for it. She was working in nursery with a child who had a bad diaper rash. She checked skin for signs of scabies and didn't see any. She can't think of anything else that could have caused it. Her vitamin does have niacin in it.  We treated her with steroid dose pack as well as Allegra as she had a rash which was felt to be hives /allergic dermatitis 6/16/22 appt: She continued to break out in hives whenever she got hot. It is very itchy. She also experienced a histamine release type of flush whenever her core would get hot. She was seen by the dermatologist who diagnosed it as a cholinergic urticaria. She continues to take allegra and it's not as bad if she keeps core cool.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Skin swelling, Temperature intolerance, Urticaria
Clinical narrative: From 11/16/21 appt: Pt has had full body itchiness which began 9 days after getting the covid vaccine, she is having to take benadryl to be able to relax enough to go to sleep, Pt says its worse at night. No new soaps, foods, detergents, lotions, toothpaste. Not out gardening. No bug bites. No increased stress. Any friction against skin and it'll get red and swollen/hive. red flush goes up her body. began about 9 days ago. Had booster 9 days before the itching. Used biofreeze and it helps some and ice packs. Benadryl helps but can't use during day because she's too tired. Nothing new that she's in contact with. Stopped her medications to see if that would help but no help as she had been diagnosed by dermatologist with acne, tinea versicolor and raynaud's and was taking medication for it. She was working in nursery with a child who had a bad diaper rash. She checked skin for signs of scabies and didn't see any. She can't think of anything else that could have caused it. Her vitamin does have niacin in it.  We treated her with steroid dose pack as well as Allegra as she had a rash which was felt to be hives /allergic dermatitis 6/16/22 appt: She continued to break out in hives whenever she got hot. It is very itchy. She also experienced a histamine release type of flush whenever her core would get hot. She was seen by the dermatologist who diagnosed it as a cholinergic urticaria. She continues to take allegra and it's not as bad if she keeps core cool.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria cholinergic
Clinical narrative: From 11/16/21 appt: Pt has had full body itchiness which began 9 days after getting the covid vaccine, she is having to take benadryl to be able to relax enough to go to sleep, Pt says its worse at night. No new soaps, foods, detergents, lotions, toothpaste. Not out gardening. No bug bites. No increased stress. Any friction against skin and it'll get red and swollen/hive. red flush goes up her body. began about 9 days ago. Had booster 9 days before the itching. Used biofreeze and it helps some and ice packs. Benadryl helps but can't use during day because she's too tired. Nothing new that she's in contact with. Stopped her medications to see if that would help but no help as she had been diagnosed by dermatologist with acne, tinea versicolor and raynaud's and was taking medication for it. She was working in nursery with a child who had a bad diaper rash. She checked skin for signs of scabies and didn't see any. She can't think of anything else that could have caused it. Her vitamin does have niacin in it.  We treated her with steroid dose pack as well as Allegra as she had a rash which was felt to be hives /allergic dermatitis 6/16/22 appt: She continued to break out in hives whenever she got hot. It is very itchy. She also experienced a histamine release type of flush whenever her core would get hot. She was seen by the dermatologist who diagnosed it as a cholinergic urticaria. She continues to take allegra and it's not as bad if she keeps core cool.
Age: 1.33
Sex: F
Vaccine: UNK, UNK
Symptoms: Wrong product administered
Clinical narrative: child received DTap-IPV instead of DTaP in error.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: No adverse event -- the pediatric (orange-top) vial was accidentally given to patient for his 2nd adult booster. The vial was not diluted and 0.3mL was given. I spoke with Pfizer directly and based on the undiluted volume and concentration, the patient received a 30mcg dose (the correct Pfizer adult dose).
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, COVID-19, Chest X-ray abnormal, Cough, Dyspnoea
Clinical narrative: The patient is a 84 gentleman who presented to the hospital with chief complaints of worsening cough, sore throat and shortness of breath.  He has a past medical history significant for coronary disease status post quadruple bypass, hypertension, dyslipidemia, chronic renal disease, hypothyroidism, chronic microcytic anemia.  The patient was at his baseline health 3-4 days ago started having sore throat and cough that was productive of yellow to green phlegm.  Also noted some shortness of breath and exertion.  Symptoms have been getting worse gradually.  He did notice the low-grade temperature at home.  Denies any chest pain pressure or palpitations.  Denies nausea vomiting or any urinary symptoms.  The patient does reported in a awaiting prior to onset of symptoms.  He did a COVID-19 home test which resulted positive on Sundays the goal of view.  The patient has healed initial tumor no vaccines and a booster in November of 2021. Patient continued to have cough and therefore presented to the emergency department.  Pulse ox was found to be 88-89% with ambulation.  He was started on dexamethasone.  X-ray chest showed no acute process.  COVID-19 was positive in the ER.  Would also started on albuterol inhalers.  The patient responded well to conservative management.  His oxygenation improved and he was taken off oxygen and was able to ambulate.  He did have some cough that also got Norco improved.  He was given a prescription to complete 10 days of dexamethasone 6 mg at description for the inhaler.  The patient did well and was discharged home with recommendation to follow with the primary care physician.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Oropharyngeal pain, Productive cough, SARS-CoV-2 test positive, Sputum discoloured
Clinical narrative: The patient is a 84 gentleman who presented to the hospital with chief complaints of worsening cough, sore throat and shortness of breath.  He has a past medical history significant for coronary disease status post quadruple bypass, hypertension, dyslipidemia, chronic renal disease, hypothyroidism, chronic microcytic anemia.  The patient was at his baseline health 3-4 days ago started having sore throat and cough that was productive of yellow to green phlegm.  Also noted some shortness of breath and exertion.  Symptoms have been getting worse gradually.  He did notice the low-grade temperature at home.  Denies any chest pain pressure or palpitations.  Denies nausea vomiting or any urinary symptoms.  The patient does reported in a awaiting prior to onset of symptoms.  He did a COVID-19 home test which resulted positive on Sundays the goal of view.  The patient has healed initial tumor no vaccines and a booster in November of 2021. Patient continued to have cough and therefore presented to the emergency department.  Pulse ox was found to be 88-89% with ambulation.  He was started on dexamethasone.  X-ray chest showed no acute process.  COVID-19 was positive in the ER.  Would also started on albuterol inhalers.  The patient responded well to conservative management.  His oxygenation improved and he was taken off oxygen and was able to ambulate.  He did have some cough that also got Norco improved.  He was given a prescription to complete 10 days of dexamethasone 6 mg at description for the inhaler.  The patient did well and was discharged home with recommendation to follow with the primary care physician.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient came into the pharmacy to receive a HPV(Gardasil) vaccine but received a Covid 19 (Pfizer Biontech) instead.  No adverse effects have been noticed yet.
Age: 8.0
Sex: M
Vaccine: DTAP
Symptoms: Product administered to patient of inappropriate age, Product administration error
Clinical narrative: No adverse event. Reporting vaccine administration error. DTAP was administered and patient was above the allowable age range for DTAP. Patient was over the age of 7yrs at the time of administration.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Covid Vaccine expired per 10 week rule (refrigerator storage) on 6/16/2022 at the end of the day. Staff administered expired vaccine. Information relayed to patient's mother. Waited 15 minutes after administration. Patient not having adverse reaction at the time of leaving clinic.
Age: 42.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Injection site pain, swollen redness, warm to touch.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dysphagia, Dyspnoea, Pharyngeal swelling
Clinical narrative: Swollen throat, difficulty swallowing and breathing within 30 minutes of infection. Swallowing became easier after two hours. Severe lower back pain symptoms began 48 hours after injection.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Sore arm
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Asthenia, Cognitive disorder, Confusional state
Clinical narrative: I am not completely sure if I was COVID free. I don't know if the symptoms started before or after the shot. When I sleep at night, I cant get air into one nostril. Sometimes it does not go away, I have to sleep thru it. It makes it tough to breath. I get dry nose a lot now but I never had that before. I was tasting food as much as I use to due to loss of taste and smell. When I first got the shot, I had an itchy dry throat which caused me to have to cough to make my throat feel better. I felt fatigued and has less energy than I normally have. I did not treat these symptoms. I didn't see a doctor but I am trying to schedule an appointment. I was having confusion where I felt not fully aware. I have a dirty room and was breathing in bad stuff that could have affected my respiratory for like a month which could have done something to me but I am uncertain. I had gardening materials in my room that I was breathing in that could have also affected me. I have not gotten better.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Fatigue, Nasal dryness, Sleep disorder
Clinical narrative: I am not completely sure if I was COVID free. I don't know if the symptoms started before or after the shot. When I sleep at night, I cant get air into one nostril. Sometimes it does not go away, I have to sleep thru it. It makes it tough to breath. I get dry nose a lot now but I never had that before. I was tasting food as much as I use to due to loss of taste and smell. When I first got the shot, I had an itchy dry throat which caused me to have to cough to make my throat feel better. I felt fatigued and has less energy than I normally have. I did not treat these symptoms. I didn't see a doctor but I am trying to schedule an appointment. I was having confusion where I felt not fully aware. I have a dirty room and was breathing in bad stuff that could have affected my respiratory for like a month which could have done something to me but I am uncertain. I had gardening materials in my room that I was breathing in that could have also affected me. I have not gotten better.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: I am not completely sure if I was COVID free. I don't know if the symptoms started before or after the shot. When I sleep at night, I cant get air into one nostril. Sometimes it does not go away, I have to sleep thru it. It makes it tough to breath. I get dry nose a lot now but I never had that before. I was tasting food as much as I use to due to loss of taste and smell. When I first got the shot, I had an itchy dry throat which caused me to have to cough to make my throat feel better. I felt fatigued and has less energy than I normally have. I did not treat these symptoms. I didn't see a doctor but I am trying to schedule an appointment. I was having confusion where I felt not fully aware. I have a dirty room and was breathing in bad stuff that could have affected my respiratory for like a month which could have done something to me but I am uncertain. I had gardening materials in my room that I was breathing in that could have also affected me. I have not gotten better.
Age: 9.0
Sex: F
Vaccine: DTAP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event. Reporting vaccine administration error. DTAP was administered and patient was above the allowable age range for DTAP. Patient was over the age of 7yrs at the time of administration which is the age cut off for DTAP. Pt. was 9 years old at time of receiving this DTAP vaccine.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: pharmacist did not dilute vaccine before giving vaccination. patient received 0.3ml of undiluted vaccine resulting in higher dose than authorized.  pharmacist informed parent (father) and pediatrician.  pharmacist filled out incident report for pharmacy and VAERS report.  pharmacist also called pfizer support line.  patient has not experienced any side effects at time of reporting.
Age: 0.42
Sex: F
Vaccine: DTAPIPVHIB, RV5, UNK
Symptoms: Product preparation issue
Clinical narrative: Nurse drew up 0.4% Sodium Chloride solution from the ActHIB immunization box and mixed with the Dtap and IPV component from the Pentacel box. Sanofi was consulted. Health Department consulted. Expert Physcian said that DTap and IPV is considered a valid dose. Plan is to give HIB for completion of the Pentacel. Pt arrived on 6/17/2022 and received ActHIB.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Flushing, Hyperhidrosis, Lethargy, Pallor
Clinical narrative: 5 MINUTES AFTER RECEIVING HER FIRST DOSE IN THE MODERNA SERIES - PATIENT STATES THAT SHE SUDDENLY FELT VERY WEAK /LETHARGIC, BECAME BOTH PALE AND FLUSHED AND VERY DIAPHORETIC. SHE WENT TO THE LOCAL ER. VITALS WERE TAKEN. NO IV FLUIDS OR MEDICATIONS WERE GIVEN. NO DIAGNOSTICS TESTS WERE PERFORMED. AFTER MONITORING, SHE WAS DISCHARGED HOME.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling abnormal, Nausea
Clinical narrative: I have been feeling not myself since my last vaccination on 5/13/22. I have been tired, nauseous and dizzy most days since approx. one week, maybe two  after vaccination #4.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Fall, Injury, SARS-CoV-2 test positive
Clinical narrative: Case denies any COVID symptoms. She tested positive when admitted to hospital on 06/12/2022 after falling and sustaining injuries.
Age: 61.0
Sex: F
Vaccine: COVID19, PPV
Symptoms: Arthralgia, Loss of consciousness
Clinical narrative: Patient called to let us know that she had passed out after receiving her vaccines.  Per phone conversation she stated, she remembers letting the dog out when she got home on Wednesday, the next thing she remembers is waking up on the floor face down and her knees are sore and stated she was down for 2 days.  States she feels better today.   She was instructed by staff to go to ER she stated she would have her brother take her.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The vaccine expiration date was identified to expire on June 22, 2021, but the manufacturer expiration date was February 25, 2021. Based on the information learned, County Health took the following steps: Covid-19 Response Unit Pharmacists contacted Moderna for guidance and based on Moderna data, the Moderna Medical Information team provided the following information: The vaccine administered on March 4, 2021 through March 10, 2021 from lot number 025J20-2A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. A county medical director was contacted and based on this information from Moderna, no re-vaccination is needed.
Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Breast pain, Chills, Injection site rash, Pain in extremity, Pyrexia
Clinical narrative: Patient reports chills, fever, right breast pain, left arm pain and localized rash at injection site.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Blood lactic acid, Brain injury, Brain natriuretic peptide increased, Cardiac arrest
Clinical narrative: Patient seen in ED at the Hospital. Patient presented to ED with worsening shortness of breath and hypoxia. Patient was hypoxic at home. Patient had recent admission with sepsis secondary to lumbar spine infection with MSSA bacteremia and intracranial hemorrhage discharged to rehab on IV cefazolin. Patient was initially tachycardic. Lactic acid 1.92, white blood cell count 9.01.  Noted to have elevated troponin. He appeared fluid overloaded with JVD and peripheral edema. BNP was elevated and chest x-ray appeared to show no focal infiltrates to suggest pneumonia. Cardiac enzymes were very mildly elevated. His EKG showed A. fib. He has no chest pain and no shortness of breath at rest. Chest xray with Rt pleural effusion. Patient was treated with Lasix. Patient was scheduled to have an MRI to further assess his infection and lumbar spine. This was performed in the emergency department and showed worsening of the fluid collection than previously noted. He had been on IV antibiotics with no acute surgical intervention, but the areas needed to be drained by interventional radiology. Patient was admitted for further management. Patient developed PEA arrest. No PE or significant rise in troponin level. Echocardiogram did show significant decrease of LVE F, from 40% to 20%. Suspect viral cardiomyopathy. He was intubated and started on Decadron protocol. Mentally, he was unresponsive off sedation. Head imaging with MRI was negative for acute process. Suspected anoxic brain injury. Treatment was continued but no meaningful mental recovery. POA elected to pursue comfort/hospice care. Discharge to inpatient hospice service 6/6/22 Pt was on comfort cares and transitioned to in hospital hospice. He time of death was 1610.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Condition aggravated, Death, Dyspnoea, Echocardiogram abnormal
Clinical narrative: Patient seen in ED at the Hospital. Patient presented to ED with worsening shortness of breath and hypoxia. Patient was hypoxic at home. Patient had recent admission with sepsis secondary to lumbar spine infection with MSSA bacteremia and intracranial hemorrhage discharged to rehab on IV cefazolin. Patient was initially tachycardic. Lactic acid 1.92, white blood cell count 9.01.  Noted to have elevated troponin. He appeared fluid overloaded with JVD and peripheral edema. BNP was elevated and chest x-ray appeared to show no focal infiltrates to suggest pneumonia. Cardiac enzymes were very mildly elevated. His EKG showed A. fib. He has no chest pain and no shortness of breath at rest. Chest xray with Rt pleural effusion. Patient was treated with Lasix. Patient was scheduled to have an MRI to further assess his infection and lumbar spine. This was performed in the emergency department and showed worsening of the fluid collection than previously noted. He had been on IV antibiotics with no acute surgical intervention, but the areas needed to be drained by interventional radiology. Patient was admitted for further management. Patient developed PEA arrest. No PE or significant rise in troponin level. Echocardiogram did show significant decrease of LVE F, from 40% to 20%. Suspect viral cardiomyopathy. He was intubated and started on Decadron protocol. Mentally, he was unresponsive off sedation. Head imaging with MRI was negative for acute process. Suspected anoxic brain injury. Treatment was continued but no meaningful mental recovery. POA elected to pursue comfort/hospice care. Discharge to inpatient hospice service 6/6/22 Pt was on comfort cares and transitioned to in hospital hospice. He time of death was 1610.