chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Toothache, Type 2 diabetes mellitus, Ultrasound biliary tract abnormal, Urine antigen test
Clinical narrative: Clinical Summary Patient is a 57 y.o. female with a history of HTN, DM2, CKDIV who was admitted to hospital from 11/8/22 to 11/13/22 for abdominal pain was diagnosed with H.pylori infection. Re-presented to hospital 11/14/2022 with increased upper abdominal pain and N/V. She was found to have acute cholecystitis, admitted to surgery. Consulted for pre-op evaluation and medical management. Underwent cholecystectomy 11/15/22. Course complicated by acute encephalopathy, likely secondary to delirium and uremia which resolved. Renal function worsened, so dialysis was initiated 11/22/22 with improvement in encephalopathy.  Patent then contracted COVID with hypoxia and required steroids and O2 then completed therapy and discharged to home.    1. COVID-19 infection: Unvaccinated.  Tested positive on 11/24/2022.  Minimal cough, with no phlegm.  Chest x-ray 11/26/2022 with patchy infiltrates at the periphery of the mid and lower lungs. Multifocal pneumonia versus developing pulmonary edema. Small bibasal pleural effusions.  Slightly hypoxic and given 5 days decadron with significant improvement. Stopped steroids early due to significant hyperglycemia with improvement in symptoms. Isolation complete on 12/5/22.   2. Uncontrolled DM2 with neuropathy and nephropathy: A1c 8.1, could use better control outpatient. With significant hyperglycemia >500 with decadron. 12/2/22 is last dose of steroids. Hyperglycemia resolved with stopping steroids.  3. Tooth pain: panorex 12/2/22 pending. Previously evaluted outpatient. Lasting last 6 months. Panorex negative for abscess. Will need outpatient follow up with dentistry 4. AKI on CKD stage IV: Likely ATN after decreased PO intake and vomiting and intra-op/post-op hypotension. Cr baseline 2.5 likely due to diabetic and hypertensive nephropathy. Cr 3.3 on admission, peaked around 6.5. IR HD cath placed 11/21/22, HD initiated 11/22/22, continued per nephrology.  Patient does have an outpatient dialysis chair arranged beginning 12/5/22.  5. Hospital acquired pneumonia: Patient febrile and hypoxic with new productive cough on 11/22/22. CXR with questionable LLL infiltrate. Unable to rule out aspiration given fluctuating mental status.  Blood culture no growth.  Urine antigens negative.  On Levaquin, ended 11/27/2022. 6. Cholelithiasis with acute cholecystitis: presented with RUQ abdominal pain and N/V. Admit US revealed distended GB with sludge/stones, CBD 4mm. S/p cholecystectomy 11/15/22. S/p IV abx. Follow up with surgery in 2-3 weeks. 7. Glaucoma: Patient reported pain and worsening of blurred vision 11/17/22. Ophthalmology evaluated, resumed glaucoma medications, follow up outpatient. 8. H. Pylori infection: Diagnosed 11/1/22. Triple therapy started 11/13/22, continued on admission, ended 11/27/22 9. Uncontrolled HTN: Continued Norvasc and BB. Monitor. Stable.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred, Vomiting, X-ray dental normal
Clinical narrative: Clinical Summary Patient is a 57 y.o. female with a history of HTN, DM2, CKDIV who was admitted to hospital from 11/8/22 to 11/13/22 for abdominal pain was diagnosed with H.pylori infection. Re-presented to hospital 11/14/2022 with increased upper abdominal pain and N/V. She was found to have acute cholecystitis, admitted to surgery. Consulted for pre-op evaluation and medical management. Underwent cholecystectomy 11/15/22. Course complicated by acute encephalopathy, likely secondary to delirium and uremia which resolved. Renal function worsened, so dialysis was initiated 11/22/22 with improvement in encephalopathy.  Patent then contracted COVID with hypoxia and required steroids and O2 then completed therapy and discharged to home.    1. COVID-19 infection: Unvaccinated.  Tested positive on 11/24/2022.  Minimal cough, with no phlegm.  Chest x-ray 11/26/2022 with patchy infiltrates at the periphery of the mid and lower lungs. Multifocal pneumonia versus developing pulmonary edema. Small bibasal pleural effusions.  Slightly hypoxic and given 5 days decadron with significant improvement. Stopped steroids early due to significant hyperglycemia with improvement in symptoms. Isolation complete on 12/5/22.   2. Uncontrolled DM2 with neuropathy and nephropathy: A1c 8.1, could use better control outpatient. With significant hyperglycemia >500 with decadron. 12/2/22 is last dose of steroids. Hyperglycemia resolved with stopping steroids.  3. Tooth pain: panorex 12/2/22 pending. Previously evaluted outpatient. Lasting last 6 months. Panorex negative for abscess. Will need outpatient follow up with dentistry 4. AKI on CKD stage IV: Likely ATN after decreased PO intake and vomiting and intra-op/post-op hypotension. Cr baseline 2.5 likely due to diabetic and hypertensive nephropathy. Cr 3.3 on admission, peaked around 6.5. IR HD cath placed 11/21/22, HD initiated 11/22/22, continued per nephrology.  Patient does have an outpatient dialysis chair arranged beginning 12/5/22.  5. Hospital acquired pneumonia: Patient febrile and hypoxic with new productive cough on 11/22/22. CXR with questionable LLL infiltrate. Unable to rule out aspiration given fluctuating mental status.  Blood culture no growth.  Urine antigens negative.  On Levaquin, ended 11/27/2022. 6. Cholelithiasis with acute cholecystitis: presented with RUQ abdominal pain and N/V. Admit US revealed distended GB with sludge/stones, CBD 4mm. S/p cholecystectomy 11/15/22. S/p IV abx. Follow up with surgery in 2-3 weeks. 7. Glaucoma: Patient reported pain and worsening of blurred vision 11/17/22. Ophthalmology evaluated, resumed glaucoma medications, follow up outpatient. 8. H. Pylori infection: Diagnosed 11/1/22. Triple therapy started 11/13/22, continued on admission, ended 11/27/22 9. Uncontrolled HTN: Continued Norvasc and BB. Monitor. Stable.
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Gave patient a 12 year + bivalent booster. Should have received a 5-11 booster.
Age: 65.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: COVID-19, Cough, Fatigue, Oropharyngeal pain, Pain
Clinical narrative: I tested positive for COVID-19 on 11/24/22. I had an extremely bad sore throat, body aches, fatigue, cough, congestion, low grade fever, and a runny nose. I went to urgent care and was prescribed 5 days worth of PAXLOVID. I had to stop taking atorvastatin for about a week and half because my doctor told me I could not take atorvastatin with PAXLOVID. I started to feel better after taking medication for a week and then I started to get worse again. I tested negative on 12/01/22. Then, I tested positive again on 12/8/22.
Age: 65.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I tested positive for COVID-19 on 11/24/22. I had an extremely bad sore throat, body aches, fatigue, cough, congestion, low grade fever, and a runny nose. I went to urgent care and was prescribed 5 days worth of PAXLOVID. I had to stop taking atorvastatin for about a week and half because my doctor told me I could not take atorvastatin with PAXLOVID. I started to feel better after taking medication for a week and then I started to get worse again. I tested negative on 12/01/22. Then, I tested positive again on 12/8/22.
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anticoagulant therapy, Blood test, COVID-19, Computerised tomogram thorax abnormal, Dyspnoea
Clinical narrative: I got short of breath and it got worse. Prior to COVID I got pneumonia, so I had an oximeter and read that it was 79. I did not go to the ER and went to the local hospital because that is where my doctor. He told me I had blood clots in my lung and legs. They treated me with blood thinners and oxygen. I was there for 4 days.
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pneumonia, Pulmonary thrombosis, Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: I got short of breath and it got worse. Prior to COVID I got pneumonia, so I had an oximeter and read that it was 79. I did not go to the ER and went to the local hospital because that is where my doctor. He told me I had blood clots in my lung and legs. They treated me with blood thinners and oxygen. I was there for 4 days.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Death, Endotracheal intubation
Clinical narrative: pt brought to the ED and found to be positive for COVID; COVID PNA; worsening O2 saturations and new/worsening infiltrates on the CXR; placed on Vapotherm; admitted to ICU; given ABX; O2 saturations worsened even more requiring intubation; pt's condition deteriorated and family transitioned her to comfort measures; extubated and placed under hospice care; she passed away in the hospital
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Extubation, General physical health deterioration, Intensive care, Lung infiltration, SARS-CoV-2 test positive
Clinical narrative: pt brought to the ED and found to be positive for COVID; COVID PNA; worsening O2 saturations and new/worsening infiltrates on the CXR; placed on Vapotherm; admitted to ICU; given ABX; O2 saturations worsened even more requiring intubation; pt's condition deteriorated and family transitioned her to comfort measures; extubated and placed under hospice care; she passed away in the hospital
Age: 47.0
Sex: M
Vaccine: COVID19-2
Symptoms: Heart rate increased, Palpitations, Sleep disorder
Clinical narrative: Feeling of 'pounding heart' to the degree that it interrupts my sleep.  Elevated heart rate compared to my normal.
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Half dose given
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Half dose given
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Feeling abnormal, Headache, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: On December 21, 2022, I woke up with a horrible headache. I also had a runny nose and felt very miserable. I tested myself for COVID-19 at home. The result was positive. I called my doctor's office. They scheduled a telehealth call. She prescribed PAXLOVID. I took it as directed for five days. I'm feeling much better now.
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The patient was given a dose of the undiluted (Gray cap) Pfizer COVID-19 Bivalent booster that was not stored in an ultra-cold temperature freezer and was instead stored in the regular freezer (between -30 to -20 F). It was moved out of the regular freezer to the refrigerator after more than 3 weeks in the regular freezer. The doses were then used after more than 24 hours in the refrigerator. We have contacted Pfizer about this and according to their off-label studies they provided via PDF file, they are not able to support the temperature excursions that occurred. As per CDC guidance, the recommendation is to re-vaccinate the individual with the full authorized dose of any Bivalent vaccine (either Pfizer or Moderna) and we have communicated with the patient for re-vaccination.
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Half dose given
Age: 25.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The patient was given a dose of the undiluted (Gray cap) Pfizer COVID-19 Bivalent booster that was not stored in an ultra-cold temperature freezer and was instead stored in the regular freezer (between -30 to -20 F). It was moved out of the regular freezer to the refrigerator after more than 3 weeks in the regular freezer. The doses were then used after more than 24 hours in the refrigerator. We have contacted Pfizer about this and according to their off-label studies they provided via PDF file, they are not able to support the temperature excursions that occurred. As per CDC guidance, the recommendation is to re-vaccinate the individual with the full authorized dose of any Bivalent vaccine (either Pfizer or Moderna) and we have communicated with the patient for re-vaccination.
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Inadvertent administration past the 30-day Use by Date of the Moderna vaccine. No Symptoms to report as no adverse event was reported.
Age: 38.0
Sex: F
Vaccine: MMR
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site warmth, Rash
Clinical narrative: Within 1 minute of administration, pt noted with redness, heat to injection site (R arm). Pt was given PO liquids and 50 mg PO benadryl. She was monitored for 15 minutes, and was noted with rash to B/L LE and chest. Denies difficulty breathing. With assessment from provider, pt was escorted to ED triage at entrance with RN for further evaluation.
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Inadvertent administration past the 30-day Use by Date of the Moderna vaccine. No Symptoms to report as no adverse event was reported.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Half dose given
Age: 21.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The patient was given a dose of the undiluted (Gray cap) Pfizer COVID-19 Bivalent booster that was not stored in an ultra-cold temperature freezer and was instead stored in the regular freezer (between -30 to -20 F). It was moved out of the regular freezer to the refrigerator after more than 3 weeks in the regular freezer. The doses were then used after more than 24 hours in the refrigerator. We have contacted Pfizer about this and according to their off-label studies they provided via PDF file, they are not able to support the temperature excursions that occurred. As per CDC guidance, the recommendation is to re-vaccinate the individual with the full authorized dose of any Bivalent vaccine (either Pfizer or Moderna) and we have communicated with the patient for re-vaccination.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood pressure abnormal, Headache
Clinical narrative: I was starting to get headaches, but I did not associate it my blood pressure. I decided to take my blood pressure and it was 185/105. Although my blood pressure is not necessarily always normal that is very high for me. I called and made an appointment to see my doctor. She and I worked with different medications to get a combination of medications that work together to get my blood pressure under control.
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Half dose given
Age: 25.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Half dose given
Age: 56.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Influenza A virus test negative, Influenza B virus test, Pain
Clinical narrative: On the evening of 12/11/2022 I had a low grade fever a felt achy and sore with runny nose and cough. I visited my healthcare provider I started taking ibuprofen, acetaminophen every four hours with cough drops. I quarantined and felt normal on 12/15/2022, I did not feel weak or lethargic and symptom of chest congestion, runny nose has rebounded. I am maintaining a course of some OTC decongestants.
Age: 56.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Symptom recurrence
Clinical narrative: On the evening of 12/11/2022 I had a low grade fever a felt achy and sore with runny nose and cough. I visited my healthcare provider I started taking ibuprofen, acetaminophen every four hours with cough drops. I quarantined and felt normal on 12/15/2022, I did not feel weak or lethargic and symptom of chest congestion, runny nose has rebounded. I am maintaining a course of some OTC decongestants.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, COVID-19, Death, Dilatation intrahepatic duct acquired, Hepatomegaly
Clinical narrative: 3RD DOSE OF PFIZER COVID VACCINE GIVEN 3/29/22, LOT #FJ762; 7/20/22  pt brought from hospital to our hospital; found to be positive for COVID; also having acute upper abdominal pain; RUQ Ultrasound showed hepatomegaly, splenomegaly, left intrahepatic ductal dilation; oncology and hepatology recommended palliative care; 7/27/22 family decided to take home with hospice care; hospice name not mentioned in medical records; pt passed away at home;
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Splenomegaly, Ultrasound abdomen abnormal
Clinical narrative: 3RD DOSE OF PFIZER COVID VACCINE GIVEN 3/29/22, LOT #FJ762; 7/20/22  pt brought from hospital to our hospital; found to be positive for COVID; also having acute upper abdominal pain; RUQ Ultrasound showed hepatomegaly, splenomegaly, left intrahepatic ductal dilation; oncology and hepatology recommended palliative care; 7/27/22 family decided to take home with hospice care; hospice name not mentioned in medical records; pt passed away at home;
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Inadvertent administration past the 30-day Use by Date of the Moderna vaccine. No Symptoms to report as no adverse event was reported.
Age: 31.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Half dose given
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Menstrual disorder, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I believe I got it around midnight 11/12, I felt like my skin was on fire. I was able to go back to sleep after a while and then I woke up and throughout the day I was having congestions and coughing. I then took a test for COVID-19 it was negative. I kept feeling worse than next day I tested again and still negative. I went to the doctor about a week later and was positive. They gave me no medication and sent me on my way. I did isolate from everyone for the next 5 days. It took about 6 weeks to completely recover. I developed a cough so bad that I was almost inconstant. I didn't start to recover until Dec 5. I felt like I was fighting Mono. Something else that was strange was that I started my cycle all over again and it lasted for weeks. I did reach put to my OBGYN and was told that COVID does throw off cycles.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Skin burning sensation
Clinical narrative: I believe I got it around midnight 11/12, I felt like my skin was on fire. I was able to go back to sleep after a while and then I woke up and throughout the day I was having congestions and coughing. I then took a test for COVID-19 it was negative. I kept feeling worse than next day I tested again and still negative. I went to the doctor about a week later and was positive. They gave me no medication and sent me on my way. I did isolate from everyone for the next 5 days. It took about 6 weeks to completely recover. I developed a cough so bad that I was almost inconstant. I didn't start to recover until Dec 5. I felt like I was fighting Mono. Something else that was strange was that I started my cycle all over again and it lasted for weeks. I did reach put to my OBGYN and was told that COVID does throw off cycles.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: This patient was confused by the media and thought she needed a second bivalent booster.
Age: 40.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Inadvertent administration past the 30-day Use by Date of the Moderna vaccine. No Symptoms to report as no adverse event was reported.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Moderna 9/15/21 Lot# 004f21A;  Moderna 10/11/21 Lot# 039D21A
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The patient was given a dose of the undiluted (Gray cap) Pfizer COVID-19 Bivalent booster that was not stored in an ultra-cold temperature freezer and was instead stored in the regular freezer (between -30 to -20 F). It was moved out of the regular freezer to the refrigerator after more than 3 weeks in the regular freezer. The doses were then used after more than 24 hours in the refrigerator. We have contacted Pfizer about this and according to their off-label studies they provided via PDF file, they are not able to support the temperature excursions that occurred. As per guidance, the recommendation is to re-vaccinate the individual with the full authorized dose of any Bivalent vaccine (either Pfizer or Moderna) and we have communicated with the patient for re-vaccination.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: patient did not advise physician that she had already received Moderna bivalent booster on 10/2/22 when Pfizer bivalent booster was offered to her. patient received pfizer bivalent booster as well on 12/27/22, and has now received 2 bivalent boosters.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Discharge, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test
Clinical narrative: I have a mild sore throat with congestion and drainage and a fever between 102-99.
Age: 3.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Covid 19 Bivalent booster given as a 1st dose. No adverse reaction to report.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after two vaccines Moderna 1/11/21 Lot# 026L20A;  Moderna 2/8/21 Lot# 007M20A
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Dyspnoea, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: 12/10/22  I woke up and felt totally fine. That afternoon I was visiting my friend and I started feeling sniffly and my throat was sore.   That evening, I tested positive with a home COVID test.  I had a runny nose and was feeling congested, but I did okay.  I called my doctor?s office on 12/10/22 and I was prescribed Paxlovid. I began taking the Paxlovid on 12/11/22 around 8:30am.  I had mucous in my chest and still a scratchy throat. On the night of 12/12/22, I woke up because I was having trouble breathing and would have to sit up to breathe.  This happened several times during the night going into 12/13/22.  After I finished the Paxlovid, I continued to feel congested and sniffly. I occasionally would have a cough, it felt like a mild cold. Then I felt better.  I thought I had fully recovered, then yesterday I went out for the first time and I felt sniffly and I came home. I tested for COVID with a home test and it was negative.
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Secretion discharge, Throat irritation
Clinical narrative: 12/10/22  I woke up and felt totally fine. That afternoon I was visiting my friend and I started feeling sniffly and my throat was sore.   That evening, I tested positive with a home COVID test.  I had a runny nose and was feeling congested, but I did okay.  I called my doctor?s office on 12/10/22 and I was prescribed Paxlovid. I began taking the Paxlovid on 12/11/22 around 8:30am.  I had mucous in my chest and still a scratchy throat. On the night of 12/12/22, I woke up because I was having trouble breathing and would have to sit up to breathe.  This happened several times during the night going into 12/13/22.  After I finished the Paxlovid, I continued to feel congested and sniffly. I occasionally would have a cough, it felt like a mild cold. Then I felt better.  I thought I had fully recovered, then yesterday I went out for the first time and I felt sniffly and I came home. I tested for COVID with a home test and it was negative.
Age: 29.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation error, Product storage error
Clinical narrative: The patient was given a dose of the undiluted (Gray cap) Pfizer COVID-19 Bivalent booster that was not stored in an ultra-cold temperature freezer and was instead stored in the regular freezer (between -30 to -20 F). It was moved out of the regular freezer to the refrigerator after more than 3 weeks in the regular freezer. The doses were then used after more than 24 hours in the refrigerator. We have contacted Pfizer about this and according to their off-label studies they provided via PDF file, they are not able to support the temperature excursions that occurred. As per CDC guidance, the recommendation is to re-vaccinate the individual with the full authorized dose of any Bivalent vaccine (either Pfizer or Moderna) and we have communicated with the patient for re-vaccination.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Exposure to communicable disease, Feeling abnormal, Headache, Respiratory tract congestion
Clinical narrative: I contracted COVID. It started with a mild headache that continued for 3 days before the congestion started. I was exposed and took a home test on the 3rd day, and it showed negative, but the next day my PCR test at a pharmacy and in 2 days the results came in and was negative, however a day after I took another home test and it was positive. The congestion continued and got worse and with a positive result I went to urgent care and was prescribed PAXLOVID. By the next day the congestion was backing off and by the 3rd day I was feeling almost normal again. After the treatment I felt fine and have had no rebound.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I contracted COVID. It started with a mild headache that continued for 3 days before the congestion started. I was exposed and took a home test on the 3rd day, and it showed negative, but the next day my PCR test at a pharmacy and in 2 days the results came in and was negative, however a day after I took another home test and it was positive. The congestion continued and got worse and with a positive result I went to urgent care and was prescribed PAXLOVID. By the next day the congestion was backing off and by the 3rd day I was feeling almost normal again. After the treatment I felt fine and have had no rebound.
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Inadvertent administration past the 30-day Use by Date of the Moderna vaccine. No Symptoms to report as no adverse event was reported.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three vaccines 2/3/21 Moderna Lot# 038K20A;  Moderna 3/5/21 Lot# 030A21A;  11/10/21 No manufacturer or lot # available
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Headache, Pain
Clinical narrative: Bell's palsy, right side.  This is in addition to the "normal" side effect of headache, body aches, etc.  Actually this is the second time I came down with Bell's palsy, also right side: my previous booster in July of 2022 also resulted in Bell's palsy.  It was acute for approximately ten days.  I hope this time it is no worse.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Headache, Oropharyngeal pain, Pain in jaw, Respiratory tract congestion
Clinical narrative: I did not have an adverse reaction to the vaccine. I began having symptoms on 12/23/2022 of a sore jaw. On 12/24/2022 I had a stuffy head and a mild headache. On 12/25/2022, I started feeling worse and tested positive for COVID-19. I contacted my doctor and received a prescription for PAXLOVID. As of today, I have a sore throat, minor congestion and mild headache.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I did not have an adverse reaction to the vaccine. I began having symptoms on 12/23/2022 of a sore jaw. On 12/24/2022 I had a stuffy head and a mild headache. On 12/25/2022, I started feeling worse and tested positive for COVID-19. I contacted my doctor and received a prescription for PAXLOVID. As of today, I have a sore throat, minor congestion and mild headache.
Age: 84.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 5 vaccines Pfizer 1/21/21 Lot# EL9261;  Pfizer 2/11/21 Lot# Em9810;  Pfizer 10/12/21 Lot# EW0183;  Pfizer 4/18/22 Lot# FK9894;  Pfizer 10/27/22 Lot# GJ6665
Age: 41.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The patient was given a dose of the undiluted (Gray cap) Pfizer COVID-19 Bivalent booster that was not stored in an ultra-cold temperature freezer and was instead stored in the regular freezer (between -30 to -20 F). It was moved out of the regular freezer to the refrigerator after more than 3 weeks in the regular freezer. The doses were then used after more than 24 hours in the refrigerator. We have contacted Pfizer about this and according to their off-label studies they provided via file, they are not able to support the temperature excursions that occurred. As per guidance, the recommendation is to re-vaccinate the individual with the full authorized dose of any Bivalent vaccine (either Pfizer or Moderna) and we have communicated with the patient for re-vaccination.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Pyrexia, Respiratory tract congestion
Clinical narrative: I contracted COVID-19 on 11/11/22 with symptoms of cough, congestion, fever, and fatigue. My symptoms began to resolve after 5 to 7 days, but I experienced lingering cough and fatigue for 2 additional weeks. I was not prescribed any medications due to my seeking care on day 11 of illness.  I am fully recovered now with no lingering symptoms.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 on 11/11/22 with symptoms of cough, congestion, fever, and fatigue. My symptoms began to resolve after 5 to 7 days, but I experienced lingering cough and fatigue for 2 additional weeks. I was not prescribed any medications due to my seeking care on day 11 of illness.  I am fully recovered now with no lingering symptoms.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Moderna 1/29/21 Lot# 004M20A;  Moderna 2/26/21 Lot# 002A21A;  10/21/21 Lot# 040C21A;  Moderna 5/21/22 Lot# 004M21A
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Burning sensation, Confusional state, Dizziness, Flushing, Heart rate increased
Clinical narrative: Within 10 minutes, felt lightheaded, dizzy, confused; face became flushed with burning sensation and fast beating heart. Pt felt fine 1 day later
Age: 25.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The patient was given a dose of the undiluted (Gray cap) Pfizer COVID-19 Bivalent booster that was not stored in an ultra-cold temperature freezer and was instead stored in the regular freezer (between -30 to -20 F). It was moved out of the regular freezer to the refrigerator after more than 3 weeks in the regular freezer. The doses were then used after more than 24 hours in the refrigerator. We have contacted Pfizer about this and according to their off-label studies they provided via file, they are not able to support the temperature excursions that occurred. As per guidance, the recommendation is to re-vaccinate the individual with the full authorized dose of any Bivalent vaccine (either Pfizer or Moderna) and we have communicated with the patient for re-vaccination.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest discomfort, Dyspnoea, Feeling cold, Paraesthesia
Clinical narrative: Patient received bivalent booster dose at 1410.  At 1415, patients daughter came up to me as vaccinator and said "my mom is having a reaction" Patient was found to be short of breath, complaining of chest heaviness, tingling in fingers and feeling cold. Vitals signs 22R 88P 148/78 100% O2. Patient was given water and asked to take relaxing breaths. Lungs were clear with no wheezing noted. Patient continued with symptoms, after discussing with pharmacist, PRN PO liquid Benadryl was given. Daughter requested 911 be called and patient to be transferred to ED. Patient left at 1422.
Age: 62.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Thrombosis
Clinical narrative: unknown. Per patient: Patient was in the hospital for blood clots after having her Covid booster and wanted the incident to be reported.  Risk manager reviewed the hospitalization record and did not see any documentation correlating the clots with vaccine.
Age: 83.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Balance disorder, Blood test, Computerised tomogram, Dysarthria
Clinical narrative: She got her vaccine, had no initial problems with the vaccine.  After the last one she did not have any outstanding reactions or anything.  On 11/12/22 she woke up in the morning without realizing she was sick and her speech was slurred, her vision was off, her balance was way off.  A friend came and said she had a stroke and took her to the hospital.  They did a work up and informed her that she had a stroke . The next day the symptoms regressed and she was able to go home.   They did lab work and all seemed to be OK.   She is 83 years old and has never been on any medication for anything, and has no history of any issues.  She is a very active person.  She did not receive any medication for someone who had a blood clot stroke.  She has been taking 1 aspirin a day since she had the stroke.  She still notices that she feels like she is a little weaker as she used to be, and cannot lift as much weight was as she used to.  Her balance is off a little bit, she can walk fine but if somebody bumps her she stumbles.  Her thinking process is back to normal, and feels more than adequate.  She otherwise is not having any other problems.   She has an appointment to see a neurologist in February.   All of her vaccines were Pfizer and kept them under one brand name, and had no issues with any of the other vaccines.
Age: 83.0
Sex: F
Vaccine: COVID19-2
Symptoms: Gait disturbance, Laboratory test normal, Neurological symptom, Thinking abnormal, Thrombotic stroke
Clinical narrative: She got her vaccine, had no initial problems with the vaccine.  After the last one she did not have any outstanding reactions or anything.  On 11/12/22 she woke up in the morning without realizing she was sick and her speech was slurred, her vision was off, her balance was way off.  A friend came and said she had a stroke and took her to the hospital.  They did a work up and informed her that she had a stroke . The next day the symptoms regressed and she was able to go home.   They did lab work and all seemed to be OK.   She is 83 years old and has never been on any medication for anything, and has no history of any issues.  She is a very active person.  She did not receive any medication for someone who had a blood clot stroke.  She has been taking 1 aspirin a day since she had the stroke.  She still notices that she feels like she is a little weaker as she used to be, and cannot lift as much weight was as she used to.  Her balance is off a little bit, she can walk fine but if somebody bumps her she stumbles.  Her thinking process is back to normal, and feels more than adequate.  She otherwise is not having any other problems.   She has an appointment to see a neurologist in February.   All of her vaccines were Pfizer and kept them under one brand name, and had no issues with any of the other vaccines.
Age: 83.0
Sex: F
Vaccine: COVID19-2
Symptoms: Visual impairment, X-ray
Clinical narrative: She got her vaccine, had no initial problems with the vaccine.  After the last one she did not have any outstanding reactions or anything.  On 11/12/22 she woke up in the morning without realizing she was sick and her speech was slurred, her vision was off, her balance was way off.  A friend came and said she had a stroke and took her to the hospital.  They did a work up and informed her that she had a stroke . The next day the symptoms regressed and she was able to go home.   They did lab work and all seemed to be OK.   She is 83 years old and has never been on any medication for anything, and has no history of any issues.  She is a very active person.  She did not receive any medication for someone who had a blood clot stroke.  She has been taking 1 aspirin a day since she had the stroke.  She still notices that she feels like she is a little weaker as she used to be, and cannot lift as much weight was as she used to.  Her balance is off a little bit, she can walk fine but if somebody bumps her she stumbles.  Her thinking process is back to normal, and feels more than adequate.  She otherwise is not having any other problems.   She has an appointment to see a neurologist in February.   All of her vaccines were Pfizer and kept them under one brand name, and had no issues with any of the other vaccines.
Age: 35.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event
Clinical narrative: NO ADVERSE EFFECTS.
Age: 63.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: COVID-19, Cough, Fatigue, Headache, Oropharyngeal pain
Clinical narrative: I woke up with a slight sore throat. A couple of days before I was tired with a headache. I completed a COVID-19 home test and it was positive. By 5:00 PM I had a fever of 102.5, body aches, congestion and headache. I developed a little cough after a couple of days. I went to the clinic on Saturday, and they prescribed PAXLOVID, and I started taking it the same day. My symptoms did improve but it took a little while. By Sunday I was still symptomatic. My fever was still slightly elevated. I ran a fever for another 7 days. I am still extremely fatigued and I still have a little cough.
Age: 63.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I woke up with a slight sore throat. A couple of days before I was tired with a headache. I completed a COVID-19 home test and it was positive. By 5:00 PM I had a fever of 102.5, body aches, congestion and headache. I developed a little cough after a couple of days. I went to the clinic on Saturday, and they prescribed PAXLOVID, and I started taking it the same day. My symptoms did improve but it took a little while. By Sunday I was still symptomatic. My fever was still slightly elevated. I ran a fever for another 7 days. I am still extremely fatigued and I still have a little cough.
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: Scrotal disorder, Scrotal swelling, Vaccine positive rechallenge
Clinical narrative: Dec 11, 2021 Moderna 032h21a Nov 30, 2022 Pfizer bl0446 About two weeks after both of these shots my scrotum got real big and hard on the left side. In 2021 I went to the ER and received Intravenous antibiotics followed up with Sulfamethoxazole-TMP DS Tablet,  twice a day, 10 days. This year, 2022, I am just taking the same pills as it was not quite as bad as it was last year. I am on day 11 of the meds and my scrotum is almost back to normal.
Age: 34.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The patient was given a dose of the undiluted (Gray cap) Pfizer COVID-19 Bivalent booster that was not stored in an ultra-cold temperature freezer and was instead stored in the regular freezer (between -30 to -20 F). It was moved out of the regular freezer to the refrigerator after more than 3 weeks in the regular freezer. The doses were then used after more than 24 hours in the refrigerator. We have contacted Pfizer about this and according to their off-label studies they provided via PDF file, they are not able to support the temperature excursions that occurred. As per CDC guidance, the recommendation is to re-vaccinate the individual with the full authorized dose of any Bivalent vaccine (either Pfizer or Moderna) and we have communicated with the patient for re-vaccination.
Age: 15.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Pfizer 12+ bivalent Vaccine as the 2nd dose.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Cough, Influenza A virus test positive, Pyrexia
Clinical narrative: She tested positive for COVID-19 on 12/8/22. She had Influenza A, COVID-19, and Strep all at the same time, so it is hard for me to determine which symptoms were COVID-19. She had fever of 103, congestion, a light cough. Her symptoms lasted for about 3 days. On 12/23/22, we had to take her to the ER because she was having chest pains. She was prescribed Xofluza and Amoxicillin, but nothing or COVID-19. She is doing better, but she was just diagnosed with another strain of Influenza A.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Streptococcus test positive
Clinical narrative: She tested positive for COVID-19 on 12/8/22. She had Influenza A, COVID-19, and Strep all at the same time, so it is hard for me to determine which symptoms were COVID-19. She had fever of 103, congestion, a light cough. Her symptoms lasted for about 3 days. On 12/23/22, we had to take her to the ER because she was having chest pains. She was prescribed Xofluza and Amoxicillin, but nothing or COVID-19. She is doing better, but she was just diagnosed with another strain of Influenza A.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Fatigue, Pain in extremity, Pyrexia
Clinical narrative: I experienced soreness in arm, fever, chills, fatigue, and, cough. I was not prescribed any medication for my symptoms. These symptoms persisted for 3 days before they resolved. I am fully recovered with no lingering symptoms.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine positive rechallenge
Clinical narrative: I experienced soreness in arm, fever, chills, fatigue, and, cough. I was not prescribed any medication for my symptoms. These symptoms persisted for 3 days before they resolved. I am fully recovered with no lingering symptoms.
Age: 70.0
Sex: M
Vaccine: HEP
Symptoms: Product administration error, Underdose
Clinical narrative: Was given a pediatric dose of Hepatitis Vaccine in error.
Age: 28.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The patient was given a dose of the undiluted (Gray cap) Pfizer COVID-19 Bivalent booster that was not stored in an ultra-cold temperature freezer and was instead stored in the regular freezer (between -30 to -20 F). It was moved out of the regular freezer to the refrigerator after more than 3 weeks in the regular freezer. The doses were then used after more than 24 hours in the refrigerator. We have contacted Pfizer about this and according to their off-label studies they provided via file, they are not able to support the temperature excursions that occurred. As per guidance, the recommendation is to re-vaccinate the individual with the full authorized dose of any Bivalent vaccine (either Pfizer or Moderna) and we have communicated with the patient for re-vaccination.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Maternal exposure before pregnancy
Clinical narrative: Child born with high bilirubin issue. Other mothers who have had babies at the same time have had the same bilirubin problems. some have been hospitalized, others just needing the bililight. The only thing in common was the covid vax.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Moderna 2/25/2 Lot# 002A21A;  Moderna 3/25/21 Lot# 017B21A;  Moderna 11/30/2 Lot# 057M21A;  Moderna 6/24/22 Lot# 057M21A
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Atrial fibrillation, COVID-19, Cardiac arrest, Chronic obstructive pulmonary disease
Clinical narrative: 7/16/22 pt to ED from a rehabilitation facility with acute respiratory failure; O2 saturations in 40s on RA; NRB; admitted for severe sepsis, left femoral DVT; 7/19/22 developed respiratory failure again due to PNA vs COPD exacerbation; intubated; 7/23/22 able to be extubated; found to be positive for COVID; steroids; pt's condition worsened (respiratory and renal); placed on NIPPV; was later able to wean to nasal canula; renal function worsened; A Fib with RVR; PEA arrest twice with ROSC; pt was transitioned to comfort care, extubated and passed away in the hospital
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Death, Deep vein thrombosis, Endotracheal intubation, General physical health deterioration
Clinical narrative: 7/16/22 pt to ED from a rehabilitation facility with acute respiratory failure; O2 saturations in 40s on RA; NRB; admitted for severe sepsis, left femoral DVT; 7/19/22 developed respiratory failure again due to PNA vs COPD exacerbation; intubated; 7/23/22 able to be extubated; found to be positive for COVID; steroids; pt's condition worsened (respiratory and renal); placed on NIPPV; was later able to wean to nasal canula; renal function worsened; A Fib with RVR; PEA arrest twice with ROSC; pt was transitioned to comfort care, extubated and passed away in the hospital
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Intermittent positive pressure breathing, Pneumonia, Pulseless electrical activity, Renal disorder, Renal impairment
Clinical narrative: 7/16/22 pt to ED from a rehabilitation facility with acute respiratory failure; O2 saturations in 40s on RA; NRB; admitted for severe sepsis, left femoral DVT; 7/19/22 developed respiratory failure again due to PNA vs COPD exacerbation; intubated; 7/23/22 able to be extubated; found to be positive for COVID; steroids; pt's condition worsened (respiratory and renal); placed on NIPPV; was later able to wean to nasal canula; renal function worsened; A Fib with RVR; PEA arrest twice with ROSC; pt was transitioned to comfort care, extubated and passed away in the hospital
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory disorder, SARS-CoV-2 test positive, Sepsis
Clinical narrative: 7/16/22 pt to ED from a rehabilitation facility with acute respiratory failure; O2 saturations in 40s on RA; NRB; admitted for severe sepsis, left femoral DVT; 7/19/22 developed respiratory failure again due to PNA vs COPD exacerbation; intubated; 7/23/22 able to be extubated; found to be positive for COVID; steroids; pt's condition worsened (respiratory and renal); placed on NIPPV; was later able to wean to nasal canula; renal function worsened; A Fib with RVR; PEA arrest twice with ROSC; pt was transitioned to comfort care, extubated and passed away in the hospital
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Cough, Fatigue, Gait disturbance, Rhinorrhoea
Clinical narrative: One day I had extreme join pain in the knees almost unable to walk followed in the evening by exhaustion and very strong fatigue. I had to lay down. It was a little bit better in the morning after sleeping. My nose started running with fatigue still. Unable to think straight. The doctor noticed I was coughing a lot and prescribed strong cough medicine for me. It has been ongoing for 10 days although I'm feeling a lot better. I had a telehealth interview with my doctor on Monday afternoon 12/19/2022. I started my first dose of PAXLOVID on the evening of 19th. I also only have one kidney so I got renal PAXLOVID.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Thinking abnormal
Clinical narrative: One day I had extreme join pain in the knees almost unable to walk followed in the evening by exhaustion and very strong fatigue. I had to lay down. It was a little bit better in the morning after sleeping. My nose started running with fatigue still. Unable to think straight. The doctor noticed I was coughing a lot and prescribed strong cough medicine for me. It has been ongoing for 10 days although I'm feeling a lot better. I had a telehealth interview with my doctor on Monday afternoon 12/19/2022. I started my first dose of PAXLOVID on the evening of 19th. I also only have one kidney so I got renal PAXLOVID.