chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Nasal congestion, Pain
Clinical narrative: On 5-5-2022, I started having a stuffy nose, cough, headache and body aches. I took a home Covid test on this day and it was negative. My symptoms increased in severity. I took a second home Covid test on 5-8 and it was negative as well. I took another home test on 5-11 and it was positive. I called my doctors office and had a telehealth visit on that same day. They prescribed Cetirizine, Flonase and a pain medication due to headaches. On 5-12, I took a drive thru Covid test and it was positive as well. I am doing very well today and all symptoms have resolved. I am reporting a breakthru case of Covid.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: On 5-5-2022, I started having a stuffy nose, cough, headache and body aches. I took a home Covid test on this day and it was negative. My symptoms increased in severity. I took a second home Covid test on 5-8 and it was negative as well. I took another home test on 5-11 and it was positive. I called my doctors office and had a telehealth visit on that same day. They prescribed Cetirizine, Flonase and a pain medication due to headaches. On 5-12, I took a drive thru Covid test and it was positive as well. I am doing very well today and all symptoms have resolved. I am reporting a breakthru case of Covid.
Age: 55.0
Sex: U
Vaccine: UNK
Symptoms: Urticaria
Clinical narrative: Hives.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Feeling abnormal, Headache
Clinical narrative: Breakthrough case of Covid sx began 06/06/2022. Positive test 6/07/2022. Sx began later in the day of 6/06/2022 with sneezing a lot. By the next morning, 06/07/2022 I woke up feeling terrible. Over the course of the night, I had a fever (without use of thermometer as I did not have one handy) but I know my body. I had coughing and congestion, I also had a terrible headache. I booked a PCR test which came back positive, and a rapid home test was also positive. My PCP. Things got worse before they got better, I am fatigued, I was still had a fever of 102.5 - 102.9. I was taking TYLENOL and MOTRIN alternating and did not go down. My SpO2 was getting into the 80s and I was feeling over all crappy. My PCP prescribed PAXLOVID. I improved by 06/10/2022, my sense of smell and taste have been altered slightly but are starting to comeback. I am grateful for the vaccine, I feel it could have been worse.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Parosmia, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case of Covid sx began 06/06/2022. Positive test 6/07/2022. Sx began later in the day of 6/06/2022 with sneezing a lot. By the next morning, 06/07/2022 I woke up feeling terrible. Over the course of the night, I had a fever (without use of thermometer as I did not have one handy) but I know my body. I had coughing and congestion, I also had a terrible headache. I booked a PCR test which came back positive, and a rapid home test was also positive. My PCP. Things got worse before they got better, I am fatigued, I was still had a fever of 102.5 - 102.9. I was taking TYLENOL and MOTRIN alternating and did not go down. My SpO2 was getting into the 80s and I was feeling over all crappy. My PCP prescribed PAXLOVID. I improved by 06/10/2022, my sense of smell and taste have been altered slightly but are starting to comeback. I am grateful for the vaccine, I feel it could have been worse.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing, Taste disorder, Vaccine breakthrough infection
Clinical narrative: Breakthrough case of Covid sx began 06/06/2022. Positive test 6/07/2022. Sx began later in the day of 6/06/2022 with sneezing a lot. By the next morning, 06/07/2022 I woke up feeling terrible. Over the course of the night, I had a fever (without use of thermometer as I did not have one handy) but I know my body. I had coughing and congestion, I also had a terrible headache. I booked a PCR test which came back positive, and a rapid home test was also positive. My PCP. Things got worse before they got better, I am fatigued, I was still had a fever of 102.5 - 102.9. I was taking TYLENOL and MOTRIN alternating and did not go down. My SpO2 was getting into the 80s and I was feeling over all crappy. My PCP prescribed PAXLOVID. I improved by 06/10/2022, my sense of smell and taste have been altered slightly but are starting to comeback. I am grateful for the vaccine, I feel it could have been worse.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was given the 3rd dose for the Pfizer-COVID Booster prior to authorization from the CDC, FDA and Hospital. Patient did not sustain any adverse effects, symptoms, etc. Mistake was made aware of immediately to clinic manager and clinic supervisor, as well as PCP.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, X-ray
Clinical narrative: Extreme swelling in left hand
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Malaise, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I started to feel ill with a fever on Friday June 3, 2022. I took a home COVID-19 test on Monday June 6, 2022 that came up positive. I called my doctor and had a telehealth visit. She prescribed PAXLOVID that I started taking that evening. I feel much better today, Tuesday June 14, 2022.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: SECOND DOSE WAS ADMINISTERED ON 4/02/2022. THIRD DOSE OR BOOSTER ADMINISTERED TODAY WAS AN EARLY DOSE GIVEN 3 MONTHS EARLY.  PATIENT IS STABLE, NO SIDE EFFECTS REPORTED.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Granuloma annulare, Injection site swelling, Pruritus
Clinical narrative: My daughter was diagnosed with Granuloma Annulare. It started as a raised bump by injection site. It was the size of a mosquito bit, raised. Intermittently itchy. Today, it is the size of a quarter. We saw a dermatologist who prescribed Clobetasol .05% (topical steroid ointment). Today, her arm appears to be significantly better.
Age: 43.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Dizziness, Fatigue, Headache, Pain
Clinical narrative: Headache, body aches, fatigue and slight dizziness.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial septal defect, Atrial septal defect repair, Atrioventricular block first degree, Autonomic nervous system imbalance, Cardiac operation
Clinical narrative: The morning after her second dose of the Pfizer covid vaccine, Patient woke up very dizzy and, on standing, passed out. She fell over, almost losing consciousness, three more times that morning.  From that point on, Patient was "dizzy" or lightheaded daily. She had been an avid athlete, playing soccer at least three times per week and teaching swim lessons 4 times a week. She began to have to sit out at soccer practice and to have to leave the field during soccer games. Her dizziness was worse with exertion. She was treated zealously for assumed dehydration, but it did not help. She continued to be more and more dizzy until in January she had to quit her job teaching swim lessons because she would get dizzy in the pool where she was watching young kids. She is home schooled and only attends school twice a week, but she did miss school at least 6 times from dizziness (and more due to heart surgery but I am not counting that). Patient stopped playing soccer completely  in November due to her symptoms.  In the quest to try to find out what was wrong, her pediatrician, (since retired), found a first degree AV block on her EKG. She was referred to cardiology where she was diagnosed with a 17mm atrial septal defect. Her cardiologist, thought this could be causing the dizziness. The ASD was repaired on 3/2/22 with open heart surgery. Patient felt less dizzy for a day or two while in the hospital, but unfortunately after a week it was clear that the symptoms had not gone away. After further testing (blood pressure tests, holter monitor) she was diagnosed by Dr. with POTS/Disautonomia. Dr. said this could have been caused by her COVID vaccine, especially condsidering the timing of onset and never having symptoms before the vaccine. Dr said disautonomia was a possible side effect of the vaccines. At this time, a year after the vaccine, Patient is still suffering with debilitating dizziness and light-headedness not associated with dehydration. She is still unable to play soccer or to work, or can't tolerate heat and humidity well. This has been very difficult for her.  With her concurrent heart condition, we have been to Emergency Room and many doctors trying to tease out what is going on with her.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Dizziness, Dizziness exertional, Dizziness postural, Educational problem
Clinical narrative: The morning after her second dose of the Pfizer covid vaccine, Patient woke up very dizzy and, on standing, passed out. She fell over, almost losing consciousness, three more times that morning.  From that point on, Patient was "dizzy" or lightheaded daily. She had been an avid athlete, playing soccer at least three times per week and teaching swim lessons 4 times a week. She began to have to sit out at soccer practice and to have to leave the field during soccer games. Her dizziness was worse with exertion. She was treated zealously for assumed dehydration, but it did not help. She continued to be more and more dizzy until in January she had to quit her job teaching swim lessons because she would get dizzy in the pool where she was watching young kids. She is home schooled and only attends school twice a week, but she did miss school at least 6 times from dizziness (and more due to heart surgery but I am not counting that). Patient stopped playing soccer completely  in November due to her symptoms.  In the quest to try to find out what was wrong, her pediatrician, (since retired), found a first degree AV block on her EKG. She was referred to cardiology where she was diagnosed with a 17mm atrial septal defect. Her cardiologist, thought this could be causing the dizziness. The ASD was repaired on 3/2/22 with open heart surgery. Patient felt less dizzy for a day or two while in the hospital, but unfortunately after a week it was clear that the symptoms had not gone away. After further testing (blood pressure tests, holter monitor) she was diagnosed by Dr. with POTS/Disautonomia. Dr. said this could have been caused by her COVID vaccine, especially condsidering the timing of onset and never having symptoms before the vaccine. Dr said disautonomia was a possible side effect of the vaccines. At this time, a year after the vaccine, Patient is still suffering with debilitating dizziness and light-headedness not associated with dehydration. She is still unable to play soccer or to work, or can't tolerate heat and humidity well. This has been very difficult for her.  With her concurrent heart condition, we have been to Emergency Room and many doctors trying to tease out what is going on with her.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Electrocardiogram ambulatory, Fall, Humidity intolerance, Impaired work ability
Clinical narrative: The morning after her second dose of the Pfizer covid vaccine, Patient woke up very dizzy and, on standing, passed out. She fell over, almost losing consciousness, three more times that morning.  From that point on, Patient was "dizzy" or lightheaded daily. She had been an avid athlete, playing soccer at least three times per week and teaching swim lessons 4 times a week. She began to have to sit out at soccer practice and to have to leave the field during soccer games. Her dizziness was worse with exertion. She was treated zealously for assumed dehydration, but it did not help. She continued to be more and more dizzy until in January she had to quit her job teaching swim lessons because she would get dizzy in the pool where she was watching young kids. She is home schooled and only attends school twice a week, but she did miss school at least 6 times from dizziness (and more due to heart surgery but I am not counting that). Patient stopped playing soccer completely  in November due to her symptoms.  In the quest to try to find out what was wrong, her pediatrician, (since retired), found a first degree AV block on her EKG. She was referred to cardiology where she was diagnosed with a 17mm atrial septal defect. Her cardiologist, thought this could be causing the dizziness. The ASD was repaired on 3/2/22 with open heart surgery. Patient felt less dizzy for a day or two while in the hospital, but unfortunately after a week it was clear that the symptoms had not gone away. After further testing (blood pressure tests, holter monitor) she was diagnosed by Dr. with POTS/Disautonomia. Dr. said this could have been caused by her COVID vaccine, especially condsidering the timing of onset and never having symptoms before the vaccine. Dr said disautonomia was a possible side effect of the vaccines. At this time, a year after the vaccine, Patient is still suffering with debilitating dizziness and light-headedness not associated with dehydration. She is still unable to play soccer or to work, or can't tolerate heat and humidity well. This has been very difficult for her.  With her concurrent heart condition, we have been to Emergency Room and many doctors trying to tease out what is going on with her.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Loss of personal independence in daily activities, Postural orthostatic tachycardia syndrome, Temperature intolerance
Clinical narrative: The morning after her second dose of the Pfizer covid vaccine, Patient woke up very dizzy and, on standing, passed out. She fell over, almost losing consciousness, three more times that morning.  From that point on, Patient was "dizzy" or lightheaded daily. She had been an avid athlete, playing soccer at least three times per week and teaching swim lessons 4 times a week. She began to have to sit out at soccer practice and to have to leave the field during soccer games. Her dizziness was worse with exertion. She was treated zealously for assumed dehydration, but it did not help. She continued to be more and more dizzy until in January she had to quit her job teaching swim lessons because she would get dizzy in the pool where she was watching young kids. She is home schooled and only attends school twice a week, but she did miss school at least 6 times from dizziness (and more due to heart surgery but I am not counting that). Patient stopped playing soccer completely  in November due to her symptoms.  In the quest to try to find out what was wrong, her pediatrician, (since retired), found a first degree AV block on her EKG. She was referred to cardiology where she was diagnosed with a 17mm atrial septal defect. Her cardiologist, thought this could be causing the dizziness. The ASD was repaired on 3/2/22 with open heart surgery. Patient felt less dizzy for a day or two while in the hospital, but unfortunately after a week it was clear that the symptoms had not gone away. After further testing (blood pressure tests, holter monitor) she was diagnosed by Dr. with POTS/Disautonomia. Dr. said this could have been caused by her COVID vaccine, especially condsidering the timing of onset and never having symptoms before the vaccine. Dr said disautonomia was a possible side effect of the vaccines. At this time, a year after the vaccine, Patient is still suffering with debilitating dizziness and light-headedness not associated with dehydration. She is still unable to play soccer or to work, or can't tolerate heat and humidity well. This has been very difficult for her.  With her concurrent heart condition, we have been to Emergency Room and many doctors trying to tease out what is going on with her.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pruritus, Skin reaction, Skin warm
Clinical narrative: My child began with a sore arm and with a sore, red, round spot. That spot began on June 11, 2022, one day after the injection. The red spot then doubled in size by June 12, 2022 and quadrupled in size by June 14, 2022. I have pictures available to show the growth of the red spot.. My child said the spot was slightly itchy and sore to the touch. It also feels warm to the touch.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anticoagulant therapy, Asthenia, C-reactive protein increased, COVID-19, COVID-19 pneumonia
Clinical narrative: 12/19/2021 - Came to ED with Fever, cough, fatigue for 3-4 days. BP 157/78, HR 97, RR 20, temp 96.8, SpO2-95% RA. Covid positive in ED. WBC 13.1, CRP 12.3. Admit Covid pneumonia. Doxycycline and Ceftriaxone initiated in ER. Not candidate for steroids/baricitinib/remedsivir o2 sat above 95%. 12/20 - Overnight became hypoxic 87%. Started on 2L O2NC. Improved to 95%. Started Baricitinib and Remdisivir. Temp elevated 99.9. All other vitals WNL. D-dimer 242. Continuing with Heparin. 12/21 - Weaning O2-97% on 2L via NC. Cough continues, weakness, however able to ambulate to bathroom. Temp 97.9 12/23 - Now on room air saturating 97%. IV antibiotics stopped after developing diarrhea. Diarrhea improved. Additional information for Item 18:  12/24 - Completed covid treatment course, weaned off O2 and doing well. Discharged to home.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Fatigue, Fibrin D dimer, Hypoxia, Pyrexia
Clinical narrative: 12/19/2021 - Came to ED with Fever, cough, fatigue for 3-4 days. BP 157/78, HR 97, RR 20, temp 96.8, SpO2-95% RA. Covid positive in ED. WBC 13.1, CRP 12.3. Admit Covid pneumonia. Doxycycline and Ceftriaxone initiated in ER. Not candidate for steroids/baricitinib/remedsivir o2 sat above 95%. 12/20 - Overnight became hypoxic 87%. Started on 2L O2NC. Improved to 95%. Started Baricitinib and Remdisivir. Temp elevated 99.9. All other vitals WNL. D-dimer 242. Continuing with Heparin. 12/21 - Weaning O2-97% on 2L via NC. Cough continues, weakness, however able to ambulate to bathroom. Temp 97.9 12/23 - Now on room air saturating 97%. IV antibiotics stopped after developing diarrhea. Diarrhea improved. Additional information for Item 18:  12/24 - Completed covid treatment course, weaned off O2 and doing well. Discharged to home.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, White blood cell count increased
Clinical narrative: 12/19/2021 - Came to ED with Fever, cough, fatigue for 3-4 days. BP 157/78, HR 97, RR 20, temp 96.8, SpO2-95% RA. Covid positive in ED. WBC 13.1, CRP 12.3. Admit Covid pneumonia. Doxycycline and Ceftriaxone initiated in ER. Not candidate for steroids/baricitinib/remedsivir o2 sat above 95%. 12/20 - Overnight became hypoxic 87%. Started on 2L O2NC. Improved to 95%. Started Baricitinib and Remdisivir. Temp elevated 99.9. All other vitals WNL. D-dimer 242. Continuing with Heparin. 12/21 - Weaning O2-97% on 2L via NC. Cough continues, weakness, however able to ambulate to bathroom. Temp 97.9 12/23 - Now on room air saturating 97%. IV antibiotics stopped after developing diarrhea. Diarrhea improved. Additional information for Item 18:  12/24 - Completed covid treatment course, weaned off O2 and doing well. Discharged to home.
Age: 79.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: Blood test, Musculoskeletal stiffness, Myalgia, Pain in extremity, Polymyalgia rheumatica
Clinical narrative: At the same time, I received my second shingles vaccination in my right arm.  Tentative diagnosis is polymyalgia reumatica .  Extreme bilateral stiffness in upper arms, neck, lower back and hamstrings.  First three covid vaccinations had next to no soreness at injection  site, but this 4th covid and 2nd shingles vaccination caused extremely soreness for a week in both vaccinated arms.  Celebrex only bid 200mg, is current treatment.   Referred to a rheumatologist later this month.  Presently the muscle soreness is increasing daily.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Angiogram cerebral normal, Anticoagulant therapy, Asthenia, C-reactive protein increased
Clinical narrative: 12/26/2021 - In ED with c/o sudden weakness/stroke possibility. BP 138/70, HR 101, Temp 97.8, RR 24. Tested Covid positive. Admitted metabolic encephalopathy/r/o stroke. Received MAB in ED. Does have Cough. CRP-1.1. GFR-57. Mild AKI.  CTA-no acute intracranial abnormality.  12/27/2022-MRI Brain-Probable small subacute infarct left centrum semiovale. Start Eliquis. 12/28 - started on Decadron/Lovenox therapeutic. O2 stable on rm air. Continuing to monitor. Vitals WNL. 12/30 - EGFR decrease-33, Covid symptoms improved.Discharged to home.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cerebral infarction, Condition aggravated, Cough, Glomerular filtration rate decreased
Clinical narrative: 12/26/2021 - In ED with c/o sudden weakness/stroke possibility. BP 138/70, HR 101, Temp 97.8, RR 24. Tested Covid positive. Admitted metabolic encephalopathy/r/o stroke. Received MAB in ED. Does have Cough. CRP-1.1. GFR-57. Mild AKI.  CTA-no acute intracranial abnormality.  12/27/2022-MRI Brain-Probable small subacute infarct left centrum semiovale. Start Eliquis. 12/28 - started on Decadron/Lovenox therapeutic. O2 stable on rm air. Continuing to monitor. Vitals WNL. 12/30 - EGFR decrease-33, Covid symptoms improved.Discharged to home.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging head abnormal, Malaise, Metabolic encephalopathy, SARS-CoV-2 test positive
Clinical narrative: 12/26/2021 - In ED with c/o sudden weakness/stroke possibility. BP 138/70, HR 101, Temp 97.8, RR 24. Tested Covid positive. Admitted metabolic encephalopathy/r/o stroke. Received MAB in ED. Does have Cough. CRP-1.1. GFR-57. Mild AKI.  CTA-no acute intracranial abnormality.  12/27/2022-MRI Brain-Probable small subacute infarct left centrum semiovale. Start Eliquis. 12/28 - started on Decadron/Lovenox therapeutic. O2 stable on rm air. Continuing to monitor. Vitals WNL. 12/30 - EGFR decrease-33, Covid symptoms improved.Discharged to home.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Fatigue, Feeling abnormal, Glossodynia
Clinical narrative: Patient received the vaccine with no problems and sat in the pharmacy waiting area for 15minutes. When I told her the 15 minute wait was done, she said she wasn't feeling right and was a little light headed. I got her a bottle of water and told her I had a cot for her to lay down on but she didn't want to lay down and continued sitting in the chair. She said her face felt tingly but denied having cough, wheeze, flushing, nausea, dizziness or difficulty breathing. She did not want rescue squad called. She did say her tongue and roof of mouth hurt and tingling face. I gave her a bag to breathe in because she was hyperventilating. She said she has had panic attacks/ hyperventilated in her past but wasn't currently being treated. She was in the pharmacy until around 2:30 when her brother came to get her since I did not want her driving. I followed up today and she said she had a mild HA, fatigue, and joint aches that she didn't get with previous Pfizer doses. She did contact her doctor, but can't be seen for a few weeks. I recommended she get further Covid boosters at the clinic.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperventilation, Oral pain, Paraesthesia
Clinical narrative: Patient received the vaccine with no problems and sat in the pharmacy waiting area for 15minutes. When I told her the 15 minute wait was done, she said she wasn't feeling right and was a little light headed. I got her a bottle of water and told her I had a cot for her to lay down on but she didn't want to lay down and continued sitting in the chair. She said her face felt tingly but denied having cough, wheeze, flushing, nausea, dizziness or difficulty breathing. She did not want rescue squad called. She did say her tongue and roof of mouth hurt and tingling face. I gave her a bag to breathe in because she was hyperventilating. She said she has had panic attacks/ hyperventilated in her past but wasn't currently being treated. She was in the pharmacy until around 2:30 when her brother came to get her since I did not want her driving. I followed up today and she said she had a mild HA, fatigue, and joint aches that she didn't get with previous Pfizer doses. She did contact her doctor, but can't be seen for a few weeks. I recommended she get further Covid boosters at the clinic.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, COVID-19, Chest X-ray normal, Dyspnoea
Clinical narrative: 12/28/2021 - Brought to ED SOB. Hypoxic to 91% en route. Placed on 2L O2NC - sat 96%. WBC 11.9, D-dimer 772. Vitals WNL. Admit for respiratory failure secondary to Covid 19.  Started on Decadron, Ceftriaxone, Doxy, Remdisivir. Avoiding Baricitinib due to elevated LFTs AST-352 and ALT-337. Chest XR reveals clear lungs.  12/29 - Changed Ceftriaxone to Zosyn due to possible anaerobic coverage in the setting of pneumo/abdominal source. Continued all other treatments. Weaned to 02 to RA sat 95%. 12/30 - Planning for discharge. Respiratory status normal.  12/31 - Asymptomatic. Discharged to home with Augmentin.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fibrin D dimer, Hypoxia, Liver function test increased, Respiratory failure, White blood cell count increased
Clinical narrative: 12/28/2021 - Brought to ED SOB. Hypoxic to 91% en route. Placed on 2L O2NC - sat 96%. WBC 11.9, D-dimer 772. Vitals WNL. Admit for respiratory failure secondary to Covid 19.  Started on Decadron, Ceftriaxone, Doxy, Remdisivir. Avoiding Baricitinib due to elevated LFTs AST-352 and ALT-337. Chest XR reveals clear lungs.  12/29 - Changed Ceftriaxone to Zosyn due to possible anaerobic coverage in the setting of pneumo/abdominal source. Continued all other treatments. Weaned to 02 to RA sat 95%. 12/30 - Planning for discharge. Respiratory status normal.  12/31 - Asymptomatic. Discharged to home with Augmentin.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient was administered an extra booster dose in error, was not due for a booster dose.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Blood gases, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: 1/30/2022- Presents to ER, c/o SOB and back from fall 2 weeks ago. Baseline o2 use, 2L via NC. Covid+ test, d-Dimer-549, Hgb-7.2 1 unit PRBC given.  Chest x ray-bibasilar infiltrates. Admit acute chronic respiratory failure with hypoxia and hypercapnia pneumonia due to Covid-19 with COPD.   Placed on bipap, 80% Fi02 96%, ABG- 7.3/52.1/77/30.3. Started on Solu-medrol, IV vancomycin x 1 dose, IV zosyn x 1 dose , bariticinib and sotrivimab.  1/31/2022- Chest CT-severe Covid pneumonia. Fio2 reduced to 70%, o2 sat 96%. Doxycycline PO and Rocephin IV. Increase Hgb- 8.2. D/c antibiotics due to procalcintonin of 0.11. Currently satting 97% on 30L HFNC. 2/8/2022- D- Dimer improved at 392. Maintaining o2 sat with NC at 2L. 2/9/2022- Tapered down to 2L o2 via NC. Continue steroids and discharged home.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chronic obstructive pulmonary disease, Computerised tomogram thorax abnormal, Dyspnoea, Fall, Fibrin D dimer
Clinical narrative: 1/30/2022- Presents to ER, c/o SOB and back from fall 2 weeks ago. Baseline o2 use, 2L via NC. Covid+ test, d-Dimer-549, Hgb-7.2 1 unit PRBC given.  Chest x ray-bibasilar infiltrates. Admit acute chronic respiratory failure with hypoxia and hypercapnia pneumonia due to Covid-19 with COPD.   Placed on bipap, 80% Fi02 96%, ABG- 7.3/52.1/77/30.3. Started on Solu-medrol, IV vancomycin x 1 dose, IV zosyn x 1 dose , bariticinib and sotrivimab.  1/31/2022- Chest CT-severe Covid pneumonia. Fio2 reduced to 70%, o2 sat 96%. Doxycycline PO and Rocephin IV. Increase Hgb- 8.2. D/c antibiotics due to procalcintonin of 0.11. Currently satting 97% on 30L HFNC. 2/8/2022- D- Dimer improved at 392. Maintaining o2 sat with NC at 2L. 2/9/2022- Tapered down to 2L o2 via NC. Continue steroids and discharged home.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Haemoglobin decreased, Hypercapnia, Hypoxia, Lung infiltration, Positive airway pressure therapy
Clinical narrative: 1/30/2022- Presents to ER, c/o SOB and back from fall 2 weeks ago. Baseline o2 use, 2L via NC. Covid+ test, d-Dimer-549, Hgb-7.2 1 unit PRBC given.  Chest x ray-bibasilar infiltrates. Admit acute chronic respiratory failure with hypoxia and hypercapnia pneumonia due to Covid-19 with COPD.   Placed on bipap, 80% Fi02 96%, ABG- 7.3/52.1/77/30.3. Started on Solu-medrol, IV vancomycin x 1 dose, IV zosyn x 1 dose , bariticinib and sotrivimab.  1/31/2022- Chest CT-severe Covid pneumonia. Fio2 reduced to 70%, o2 sat 96%. Doxycycline PO and Rocephin IV. Increase Hgb- 8.2. D/c antibiotics due to procalcintonin of 0.11. Currently satting 97% on 30L HFNC. 2/8/2022- D- Dimer improved at 392. Maintaining o2 sat with NC at 2L. 2/9/2022- Tapered down to 2L o2 via NC. Continue steroids and discharged home.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Procalcitonin, Red blood cell transfusion, SARS-CoV-2 test positive
Clinical narrative: 1/30/2022- Presents to ER, c/o SOB and back from fall 2 weeks ago. Baseline o2 use, 2L via NC. Covid+ test, d-Dimer-549, Hgb-7.2 1 unit PRBC given.  Chest x ray-bibasilar infiltrates. Admit acute chronic respiratory failure with hypoxia and hypercapnia pneumonia due to Covid-19 with COPD.   Placed on bipap, 80% Fi02 96%, ABG- 7.3/52.1/77/30.3. Started on Solu-medrol, IV vancomycin x 1 dose, IV zosyn x 1 dose , bariticinib and sotrivimab.  1/31/2022- Chest CT-severe Covid pneumonia. Fio2 reduced to 70%, o2 sat 96%. Doxycycline PO and Rocephin IV. Increase Hgb- 8.2. D/c antibiotics due to procalcintonin of 0.11. Currently satting 97% on 30L HFNC. 2/8/2022- D- Dimer improved at 392. Maintaining o2 sat with NC at 2L. 2/9/2022- Tapered down to 2L o2 via NC. Continue steroids and discharged home.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, C-reactive protein increased, COVID-19, Chest X-ray normal, Computerised tomogram abdomen abnormal
Clinical narrative: 2/3/2022- Presents to ER, c/o scrotal swelling and pain for 2 days with purulent drainage. Covid + test.WBC-10.7. ESR-29. CRP-6.5. US scrotum-moderate heterogeneity of the right epididymis. CT Abdomen/pelvis- a 6.2 x 1.9 cm heterogenous, fluid collection in the right scrotal skin, concern for hemorrhagic blood products. Admit cellulitis of the scrotum secondary to accidental trauma. + gram positive cocci and WBC. Start Vancomycin and IV Bactrim. O2 sat 88-92% on RA, placed on 2L o2 via NC. 2/4/2022- Desatted overnight, placed on 6L o2 via NC,. Start Remdesivir and IV steroids. CXR- no acute cardiopulmonary disease. HFeEG sec to nonischemic cardiomyopathy status post ICD implant (2018). Heparin SQ started. Afebrile. 2/6/2022- Scrotal swelling improving. O2 sat 92% on RA.  Covid symptoms improving, Discharged to home with PO antibiotics.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Discharge, Fluid retention, Injury, Malaise, Oxygen saturation decreased
Clinical narrative: 2/3/2022- Presents to ER, c/o scrotal swelling and pain for 2 days with purulent drainage. Covid + test.WBC-10.7. ESR-29. CRP-6.5. US scrotum-moderate heterogeneity of the right epididymis. CT Abdomen/pelvis- a 6.2 x 1.9 cm heterogenous, fluid collection in the right scrotal skin, concern for hemorrhagic blood products. Admit cellulitis of the scrotum secondary to accidental trauma. + gram positive cocci and WBC. Start Vancomycin and IV Bactrim. O2 sat 88-92% on RA, placed on 2L o2 via NC. 2/4/2022- Desatted overnight, placed on 6L o2 via NC,. Start Remdesivir and IV steroids. CXR- no acute cardiopulmonary disease. HFeEG sec to nonischemic cardiomyopathy status post ICD implant (2018). Heparin SQ started. Afebrile. 2/6/2022- Scrotal swelling improving. O2 sat 92% on RA.  Covid symptoms improving, Discharged to home with PO antibiotics.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Red blood cell sedimentation rate increased, SARS-CoV-2 test positive, Scrotal cellulitis, Scrotal disorder, Scrotal pain
Clinical narrative: 2/3/2022- Presents to ER, c/o scrotal swelling and pain for 2 days with purulent drainage. Covid + test.WBC-10.7. ESR-29. CRP-6.5. US scrotum-moderate heterogeneity of the right epididymis. CT Abdomen/pelvis- a 6.2 x 1.9 cm heterogenous, fluid collection in the right scrotal skin, concern for hemorrhagic blood products. Admit cellulitis of the scrotum secondary to accidental trauma. + gram positive cocci and WBC. Start Vancomycin and IV Bactrim. O2 sat 88-92% on RA, placed on 2L o2 via NC. 2/4/2022- Desatted overnight, placed on 6L o2 via NC,. Start Remdesivir and IV steroids. CXR- no acute cardiopulmonary disease. HFeEG sec to nonischemic cardiomyopathy status post ICD implant (2018). Heparin SQ started. Afebrile. 2/6/2022- Scrotal swelling improving. O2 sat 92% on RA.  Covid symptoms improving, Discharged to home with PO antibiotics.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Scrotal swelling, Ultrasound scan abnormal, White blood cell count increased
Clinical narrative: 2/3/2022- Presents to ER, c/o scrotal swelling and pain for 2 days with purulent drainage. Covid + test.WBC-10.7. ESR-29. CRP-6.5. US scrotum-moderate heterogeneity of the right epididymis. CT Abdomen/pelvis- a 6.2 x 1.9 cm heterogenous, fluid collection in the right scrotal skin, concern for hemorrhagic blood products. Admit cellulitis of the scrotum secondary to accidental trauma. + gram positive cocci and WBC. Start Vancomycin and IV Bactrim. O2 sat 88-92% on RA, placed on 2L o2 via NC. 2/4/2022- Desatted overnight, placed on 6L o2 via NC,. Start Remdesivir and IV steroids. CXR- no acute cardiopulmonary disease. HFeEG sec to nonischemic cardiomyopathy status post ICD implant (2018). Heparin SQ started. Afebrile. 2/6/2022- Scrotal swelling improving. O2 sat 92% on RA.  Covid symptoms improving, Discharged to home with PO antibiotics.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arteriospasm coronary, Axillary pain, Catheterisation cardiac normal, Chest pain, Echocardiogram
Clinical narrative: On the third day after the Covid 19 vaccine, I developed left sided chest that radiated into the left axillary area. This continued to be present intermittently. I was self medicating with Aspirin. I contacted my PCP who recommended that I come to the office to be evaluated. This pain continued for approximately 3 weeks and then went away. I did not see my PCP until 12/2021. I had chest pain that took me to the ED on 2 occasions. The 12 lead EKG reported previous anteroseptal MI and T wave changes. I was evaluated by cardiology and then underwent heart cath which revealed clear coronaries. I was placed on Amlodipine to treat the chest pain which was likely due to coronary artery spasms. I continue to have intermitted left sided chest pain related to exertion and excessive heat.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram T wave abnormal, Electrocardiogram abnormal
Clinical narrative: On the third day after the Covid 19 vaccine, I developed left sided chest that radiated into the left axillary area. This continued to be present intermittently. I was self medicating with Aspirin. I contacted my PCP who recommended that I come to the office to be evaluated. This pain continued for approximately 3 weeks and then went away. I did not see my PCP until 12/2021. I had chest pain that took me to the ED on 2 occasions. The 12 lead EKG reported previous anteroseptal MI and T wave changes. I was evaluated by cardiology and then underwent heart cath which revealed clear coronaries. I was placed on Amlodipine to treat the chest pain which was likely due to coronary artery spasms. I continue to have intermitted left sided chest pain related to exertion and excessive heat.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Skin warm, Swelling, Swelling face, Tenderness
Clinical narrative: Swelling in the face and neck on left side. Tender and warm to touch. Swelling lasted Friday to Sunday after vaccine. Patient used OTC ibuprofen and ice to treat.
Sex: U
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Mobility decreased, Pyrexia, Respiratory tract congestion
Clinical narrative: Horrible headaches, hives on back and hips, extreme fatigue for over 2 weeks, congestion, low grade fever for 7 days, didn?t get out of bed for 3 days.
Sex: U
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: Horrible headaches, hives on back and hips, extreme fatigue for over 2 weeks, congestion, low grade fever for 7 days, didn?t get out of bed for 3 days.
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was taken out of refrigeration at 9 am by other staff member when 2 doses were administered at that time and vaccine was not returned to fridge after administration.  Additional dose drawn up at 11:20 am by a different staff member, not realizing the vaccine was beyond 2 hours at room temperature and dose was administered.  Called Jansen (6/14/22 at 12:00 pm) manufacturer who stated that vaccine company had conducted studies regarding vaccine stability in vial at room temperature and showed stability for up to 12 hours.  Contacted client (6/14/22 at 12:20 pm) and informed of error and information that manufacturer shared.  Identified that he was ok with dose and declined additional information be sent by email provided by manufacturer.
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Poor quality product administered, Product storage error
Clinical narrative: Vaccine was taken out of refrigeration at 9 am by other staff member when 2 doses were administered at that time and vaccine was not returned to fridge after administration.  Additional dose drawn up at 11:20 am by a different staff member, not realizing the vaccine was beyond 2 hours at room temperature and dose was administered.  Called Jansen (6/14/22 at 12:00 pm) manufacturer who stated that vaccine company had conducted studies regarding vaccine stability in vial at room temperature and showed stability for up to 12 hours.  Contacted client (6/14/22 at 12:20 pm) and informed of error and information that manufacturer shared.  Identified that he was ok with dose and declined additional information be sent by email provided by manufacturer.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse reaction.  Vaccine temperature excursion.  Vaccine was kept at a frozen temperature, not refrigerated temperature upon receipt of shipment
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Possible temperature excursion.  No adverse event noted.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: No adverse reaction.  Vaccine temperature excursion.  Vaccine was kept at a frozen temperature, not refrigerated temperature upon receipt of shipment
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cellulitis, Culture wound, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: May 28/2022 sore throat turned into POS Covid. After getting COVID, I had an outbreak of severe cellulitis that required 2 ABX, drainage and packing and continued sinus issues.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus disorder, Wound drainage
Clinical narrative: May 28/2022 sore throat turned into POS Covid. After getting COVID, I had an outbreak of severe cellulitis that required 2 ABX, drainage and packing and continued sinus issues.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse reaction.  Vaccine temperature excursion.  Vaccine was kept at a frozen temperature, not refrigerated temperature upon receipt of shipment
Age: 26.0
Sex: F
Vaccine: HEP, MMR, VARCEL
Symptoms: Expired product administered
Clinical narrative: The MMR vaccine given to the patient on 06/14/22 expired on 05/29/2022. Patient was notified immediately when the event was discovered and told to call if she noticed any adverse reactions.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Condition aggravated, Dizziness, Electrocardiogram normal, Exercise tolerance decreased
Clinical narrative: I was already having palpitations, dizziness, and light headedness prior to getting the vaccine, but it was only when I was on my menstrual my cycle. In the last 6 months starting in January 2022 or February 2022 they have increased. I cant workout the week of or after my cycle. These symptoms are still present and more frequent now. I started noticing in March 2022 and April 2022 that i was having the symptoms even when I wasn't on my cycle. I would just maybe be sitting at my desk then it starts happening or even in the grocery store it would happen. I had a follow up with my rheumatologist. Then I went to see my PCP. She referred me to see a cardiologist. to see if I am having a cardiac issue.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: I was already having palpitations, dizziness, and light headedness prior to getting the vaccine, but it was only when I was on my menstrual my cycle. In the last 6 months starting in January 2022 or February 2022 they have increased. I cant workout the week of or after my cycle. These symptoms are still present and more frequent now. I started noticing in March 2022 and April 2022 that i was having the symptoms even when I wasn't on my cycle. I would just maybe be sitting at my desk then it starts happening or even in the grocery store it would happen. I had a follow up with my rheumatologist. Then I went to see my PCP. She referred me to see a cardiologist. to see if I am having a cardiac issue.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Cough, Gingival blister, Laryngitis, Pain
Clinical narrative: On the 16th of May, I got an itchy throat. I thought it was allergies. The next day, on the 17th, I started with a cough. The cough went on until the 31st. During that time, on the 20th, I had a temp of 99 and, on the 22nd, it went up to 101. I had an asthma prepared pack because, as of April, my doctor diagnosed me with asthma. She prescribed a pack that included MEDROL. I started the MEDROL and my laryngitis started on the 19th. I had a video visit with my doctor on the 24th. She told me to switch off the MEDROL to prednisone. I took prednisone from the 24th to the 30th. She also told me to start a Z-PAK on the 24th and that was 5 days. It ended on the 28th. She also had me start a medication that included guaifenesin and codeine. I wheezed worse. During this time, I was also talking albuterol in a nebulizer. I ran out of albuterol so the next batch of albuterol solution was DUONEB - ipratropium bromide and albuterol sulfate inhalation solution. During this time, I couldn't blow more than 220 or 230 so we were doing more of the inhalation therapy. I wasn't getting better so she prescribed another Z-PAK. I took that from June 1st to the 5th. On June 6th, I thought I had a sinus infection. It was intense. Within a day, I ended up with a huge blister on my gum over one of my teeth. It ended up being a dental abscess. That was 3 days of pain. It deflated on the 8th. I had to see an oral surgeon and will be having it removed on Tuesday.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Throat irritation, Tooth abscess, Wheezing
Clinical narrative: On the 16th of May, I got an itchy throat. I thought it was allergies. The next day, on the 17th, I started with a cough. The cough went on until the 31st. During that time, on the 20th, I had a temp of 99 and, on the 22nd, it went up to 101. I had an asthma prepared pack because, as of April, my doctor diagnosed me with asthma. She prescribed a pack that included MEDROL. I started the MEDROL and my laryngitis started on the 19th. I had a video visit with my doctor on the 24th. She told me to switch off the MEDROL to prednisone. I took prednisone from the 24th to the 30th. She also told me to start a Z-PAK on the 24th and that was 5 days. It ended on the 28th. She also had me start a medication that included guaifenesin and codeine. I wheezed worse. During this time, I was also talking albuterol in a nebulizer. I ran out of albuterol so the next batch of albuterol solution was DUONEB - ipratropium bromide and albuterol sulfate inhalation solution. During this time, I couldn't blow more than 220 or 230 so we were doing more of the inhalation therapy. I wasn't getting better so she prescribed another Z-PAK. I took that from June 1st to the 5th. On June 6th, I thought I had a sinus infection. It was intense. Within a day, I ended up with a huge blister on my gum over one of my teeth. It ended up being a dental abscess. That was 3 days of pain. It deflated on the 8th. I had to see an oral surgeon and will be having it removed on Tuesday.
Age: 3.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Underdose, Unintentional medical device removal
Clinical narrative: NO adverse reaction, pt withdrew during vaccination process and only received a small dose
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I had a really bad sore throat and fatigue. I decided to take a rapid test and it came back positive. I decided to contact my doctor and did a PCR test and it came back positive. She advised I should take Paxlovid which did help. After 4-5 days I felt better.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Possible temperature excursion.  No adverse event noted.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Possible temperature excursion.  No adverse event noted.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: A patient  who was 4y 7mo was given a pediatric immunization approved for 5y and older,  patient did not exhibit any symptoms, there were no adverse reactions
Age: 9.0
Sex: F
Vaccine: COVID19, COVID19, HPVX
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Pfizer Covid 19 vaccine for 12 year and up given instead of 5-11 year vaccine. Patient did not have any side effects after first dose was given.  Clinic became aware of this four days after it was given and family was notified and patient was doing well.
Age: 9.0
Sex: F
Vaccine: COVID19, COVID19, HPVX
Symptoms: Off label use, Wrong technique in product usage process
Clinical narrative: Pfizer Covid 19 vaccine for 12 year and up given instead of 5-11 year vaccine. Patient did not have any side effects after first dose was given.  Clinic became aware of this four days after it was given and family was notified and patient was doing well.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Systemic: pt states covid positive 3 datys after vaccination-Severe
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Systemic: pt states tested positive for covid 6 days after booster vaccination-Severe
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, COVID-19, Chest X-ray normal, Computerised tomogram head normal, Cough
Clinical narrative: Patient is fully vaccinated and boosted.  Tested COVID positive.  45-year-old male presenting to the ED for dizziness, lightheadedness, and multiple syncopal episodes.   Hypotensive and bradycardic on arrival. Positive for cough, fatigue, myalgias. BP 99/58  | Pulse 57  | Temp 97.3 °F (36.3 °C) (Oral)  | Resp 16  | Ht 180.3 cm (5' 11")  | Wt 113 kg (250 lb)  | SpO2 96% CT of head: no acute pathology. CXR: no acute process. Medications: fluids, rocephin, decadron. discharged home.