chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Chest X-ray, Computerised tomogram abnormal, Lymphadenopathy, Neoplasm malignant, Ultrasound scan abnormal
Clinical narrative: The day after receiving the vaccine I had enlarged lymph nodes on the same side as I received the vaccine. I went to see my PCP, he told me they should go away two weeks later they were still there, he did an ultrasound and found that the swelling was still there. He sent me to see an ENT. He looked at the lump by using a camera through my nose down my throat he told me it was nothing to come back in three weeks. I was not happy with this answer, I went back to my PCP who referred me to another doctor who told me I should have come to see him sooner. The mass has gotten larger and continues to grow, I ended up in the emergency room I have been told I have stage four cancer.
Age: 58.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: COVID-19, Decreased appetite, Fatigue, Headache, Pain
Clinical narrative: I started becoming really tired which was abnormal for me because I have high energy. I lost my appetite and had a pounding headache with a runny nose, but put it off thinking it was my sinuses due to weather change. The entire weekend, I stayed in bed resting and forced myself to eat something. By 12/19/2022, my body started aching terribly as if I was just beat with a baseball bat. That's when I knew something was terribly wrong; I woke up in the middle of that evening and took an at-home COVID-19 test which came back positive so fast. So the next morning, I called my doctor to see what I should do. My physician prescribed me PAXLOVID which I started taking the same day. Since taking the treatment, my body aches have gone; but I still have slight headaches, slight fatigue, and slowly regaining my appetite back.
Age: 58.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I started becoming really tired which was abnormal for me because I have high energy. I lost my appetite and had a pounding headache with a runny nose, but put it off thinking it was my sinuses due to weather change. The entire weekend, I stayed in bed resting and forced myself to eat something. By 12/19/2022, my body started aching terribly as if I was just beat with a baseball bat. That's when I knew something was terribly wrong; I woke up in the middle of that evening and took an at-home COVID-19 test which came back positive so fast. So the next morning, I called my doctor to see what I should do. My physician prescribed me PAXLOVID which I started taking the same day. Since taking the treatment, my body aches have gone; but I still have slight headaches, slight fatigue, and slowly regaining my appetite back.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Fatigue, Feeling abnormal, Gait disturbance
Clinical narrative: She got her vaccine, had fatigue, headache, tired, achy.  She had the feeling that she thought she had too much of the immunity stuff in her.  She felt like she was going to explode.  She had little headaches that kept popping up, and was walking still and could put your finger down on it and that's where it was.  She mentioned this to her husband who said he had them as well but said they would go away.  That went on until she had a stroke on 4/7/22 and those headaches went until July or August.  The type of stroke she had was a hemorrhagic stroke.  She was in the hospital/rehab until 5/20/22.  She went to Hospital for about 11 days, on 4/18/22 she was then sent to the rehab hospital.   When she went to the rehab hospital they got her up and walking, and she had therapy while in the hospital.  She was in the rehab center for about a month, which got her up and walking again.  She still walks with a cane but does not walk well with a cane.  She has been in out-patient therapy until mid November and is going back in a week to get her walking better.  She has enough function that she has figured out that she walking so wrong that she is breaking down (hips aches, back hurts) other parts of her body.  She was healthy as a horse up until she had the vaccine.   She feels that once she gets her body retrained she will be able to walk better with a cane.  Her upper body is pretty good she said.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhagic stroke, Headache, Laboratory test, Pain, Walking aid user
Clinical narrative: She got her vaccine, had fatigue, headache, tired, achy.  She had the feeling that she thought she had too much of the immunity stuff in her.  She felt like she was going to explode.  She had little headaches that kept popping up, and was walking still and could put your finger down on it and that's where it was.  She mentioned this to her husband who said he had them as well but said they would go away.  That went on until she had a stroke on 4/7/22 and those headaches went until July or August.  The type of stroke she had was a hemorrhagic stroke.  She was in the hospital/rehab until 5/20/22.  She went to Hospital for about 11 days, on 4/18/22 she was then sent to the rehab hospital.   When she went to the rehab hospital they got her up and walking, and she had therapy while in the hospital.  She was in the rehab center for about a month, which got her up and walking again.  She still walks with a cane but does not walk well with a cane.  She has been in out-patient therapy until mid November and is going back in a week to get her walking better.  She has enough function that she has figured out that she walking so wrong that she is breaking down (hips aches, back hurts) other parts of her body.  She was healthy as a horse up until she had the vaccine.   She feels that once she gets her body retrained she will be able to walk better with a cane.  Her upper body is pretty good she said.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram head, Confusional state, Derealisation, Insomnia
Clinical narrative: Confusion, trouble sleeping, unrealistic thoughts.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Positron emission tomogram, Urine analysis
Clinical narrative: Confusion, trouble sleeping, unrealistic thoughts.
Age: 10.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Both the patient and the Mom were sent to the LPN's station for a Pfizer Booster and Flu vaccine.  In error, the pediatric patient was administered the Adult Pfizer Bivalent booster.  The parent was informed of this error.  Follow up for assessment of any symptoms will be performed by an RN with the parent on 12/24/2022 and 12/25/2022.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Given to patient 60 years of age. No symptoms of adverse reaction.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, COVID-19, Chills, Computerised tomogram thorax normal, Condition aggravated
Clinical narrative: After the vaccine, I had chills, fever (39.5C), bone pain, cough, and runny nose; They gave me antibiotics, I got bronchopneumonia. I took a home test for COVID-19 and it came back positive and I got cold sores. COVID-19 lasted 2 months, I had to go to the Pulmonologist and they did X-rays and they gave me medicine and I was cured, (Ivermectin). Now I also have Liver Metastases. I had been clean from cancer for 10 years and until 2020 I was fine and now with liver cancer they won't let me get vaccinated again.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Hepatic cancer recurrent, Liver function test abnormal, Metastases to liver, Oral herpes
Clinical narrative: After the vaccine, I had chills, fever (39.5C), bone pain, cough, and runny nose; They gave me antibiotics, I got bronchopneumonia. I took a home test for COVID-19 and it came back positive and I got cold sores. COVID-19 lasted 2 months, I had to go to the Pulmonologist and they did X-rays and they gave me medicine and I was cured, (Ivermectin). Now I also have Liver Metastases. I had been clean from cancer for 10 years and until 2020 I was fine and now with liver cancer they won't let me get vaccinated again.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, X-ray normal
Clinical narrative: After the vaccine, I had chills, fever (39.5C), bone pain, cough, and runny nose; They gave me antibiotics, I got bronchopneumonia. I took a home test for COVID-19 and it came back positive and I got cold sores. COVID-19 lasted 2 months, I had to go to the Pulmonologist and they did X-rays and they gave me medicine and I was cured, (Ivermectin). Now I also have Liver Metastases. I had been clean from cancer for 10 years and until 2020 I was fine and now with liver cancer they won't let me get vaccinated again.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Epistaxis
Clinical narrative: Heavy nose bleeds
Age: 40.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Asthma, Condition aggravated, Pneumonia, SARS-CoV-2 test negative
Clinical narrative: Beginning in October my asthma became worse. I spoke to my allergist in November that I was having to use my emergency inhaler more often. I saw my allergist on November 15th, and they gave me a nebulizer due to an asthma attack. I was seen in the urgent care center for asthma attack I was given prednisone and a different inhaler. I was diagnosed with pneumonia. I saw my doctor via virtual visit, and they prescribed more prednisone due to uncontrollable asthma attacks. As of now I have used my rescue inhaler and nebulizer nonstop for almost a few months. I am now just starting to feel like I do not need to use it all the time. I did not test positive for COVID19 on time in that span of time.
Age: 53.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: expired vaccine administered to patient
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Decreased appetite, Dizziness, Fatigue, Hypersomnia
Clinical narrative: Dizzy and severe runny nose first within a few hours after injection.  Next by early evening fatigue and weakness and loss of appetite and muscle aches.  No fever!  Slept many hours that night and the next morning but by evening of the 12th of November started feeling better!  Slowly better each day!  Lasting about 3-4 days total.  Notified Medical Center and nurse contacted me and took details!  Since essentially back to normal the weekend no studies done
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Myalgia, Rhinorrhoea
Clinical narrative: Dizzy and severe runny nose first within a few hours after injection.  Next by early evening fatigue and weakness and loss of appetite and muscle aches.  No fever!  Slept many hours that night and the next morning but by evening of the 12th of November started feeling better!  Slowly better each day!  Lasting about 3-4 days total.  Notified Medical Center and nurse contacted me and took details!  Since essentially back to normal the weekend no studies done
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Malaise, Nasopharyngitis, Pyrexia
Clinical narrative: 08/08/2022 I came down with a COVID-19 positive test. 2 weeks prior I started to notice that I was having issues catching my breath. I then went on vacation with my family and then got extremely sick with a fever and I just couldn't catch my breath. I thought originally it was a sinus issue and it went on for about a week. I then tested positive for COVID-19 and I was feeling much better at that point. I was given recommendations for quarantining and afterwards I felt much better. As of now I just came down with a general cold and I don't think it is related to COVID-19 or the vaccine at all.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 08/08/2022 I came down with a COVID-19 positive test. 2 weeks prior I started to notice that I was having issues catching my breath. I then went on vacation with my family and then got extremely sick with a fever and I just couldn't catch my breath. I thought originally it was a sinus issue and it went on for about a week. I then tested positive for COVID-19 and I was feeling much better at that point. I was given recommendations for quarantining and afterwards I felt much better. As of now I just came down with a general cold and I don't think it is related to COVID-19 or the vaccine at all.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Headache, Pain
Clinical narrative: I tested positive for COVID-19 12/16/2022. My symptoms were that I had a fever, headaches, scratchy throat, cough and overall achiness. I did not have difficulty breathing. I took received Paxlovid medication. I have a little bit of residual cough still today and slight bit of tiredness. I also took Tylenol and Ibuprofen as pain medication. I tested for COVID-19 today and showed very slight line.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I tested positive for COVID-19 12/16/2022. My symptoms were that I had a fever, headaches, scratchy throat, cough and overall achiness. I did not have difficulty breathing. I took received Paxlovid medication. I have a little bit of residual cough still today and slight bit of tiredness. I also took Tylenol and Ibuprofen as pain medication. I tested for COVID-19 today and showed very slight line.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Pt received a bivalent Pfizer dose when the patient should have received 2nd Monovalent Pfizer dose.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Dyspnoea, Headache, Hypoxia
Clinical narrative: Hospitalized 1/8/22-2/7/22 Fever, cough, headache, chest discomfort, body aches, SOB, hypoxia, PNA
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pneumonia, Pyrexia
Clinical narrative: Hospitalized 1/8/22-2/7/22 Fever, cough, headache, chest discomfort, body aches, SOB, hypoxia, PNA
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: dizziness
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Dyspnoea, Malaise, Respiratory tract congestion
Clinical narrative: I did not have an adverse event following my vaccination. On 12/05/2022, I began not feeling well with a cough, congestion and shortness of breath. I went to the emergency room on 12/07/2022 for six hours and tested positive for COVID-19.
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I did not have an adverse event following my vaccination. On 12/05/2022, I began not feeling well with a cough, congestion and shortness of breath. I went to the emergency room on 12/07/2022 for six hours and tested positive for COVID-19.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction
Clinical narrative: My Parkinsons medicine quit working  for about 4 weeks
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Pain, Respiratory tract congestion
Clinical narrative: I developed symptoms I believe on 12/14, a scratchy throat. The next day I had body aches, no temperature but a really bad headache and I started coughing and developed some congestion. Took at home COVID-19 test, was positive. I called my doctor and he gave me a prescription antibiotic and a cough medicine. About a week later I would say I am about 80% recovered. I still have the cough and some congestion but that is about it.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I developed symptoms I believe on 12/14, a scratchy throat. The next day I had body aches, no temperature but a really bad headache and I started coughing and developed some congestion. Took at home COVID-19 test, was positive. I called my doctor and he gave me a prescription antibiotic and a cough medicine. About a week later I would say I am about 80% recovered. I still have the cough and some congestion but that is about it.
Age: 4.0
Sex: U
Vaccine: FLUC4
Symptoms: Extra dose administered
Clinical narrative: patient received extra dose of flu vaccine. patient already received dose on 09/22/22.
Age: 58.0
Sex: M
Vaccine: COVID19, PNC20
Symptoms: COVID-19, Rhinorrhoea, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I had a scratchy throat and runny nose. They were both mild and felt like hay fever. I took PAXLOVID for the normal dose days. I felt better in a day.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chest X-ray abnormal, Chest pain, Dyspnoea
Clinical narrative: a couple of days after getting the vaccine i developed heart palpitations, tachicardia , some chest pain. The chest pain and some difficulty breathing persisted for a few days and i went to see my PCP.  i had pain in my shoulders weakness.  My doctor told me I was fine.  My palpitations continued for the next several months. I am now also having heahaches, pains all body. I am always tired and weak. I started to experience some brain fog.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Palpitations, Pneumonia
Clinical narrative: a couple of days after getting the vaccine i developed heart palpitations, tachicardia , some chest pain. The chest pain and some difficulty breathing persisted for a few days and i went to see my PCP.  i had pain in my shoulders weakness.  My doctor told me I was fine.  My palpitations continued for the next several months. I am now also having heahaches, pains all body. I am always tired and weak. I started to experience some brain fog.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: a couple of days after getting the vaccine i developed heart palpitations, tachicardia , some chest pain. The chest pain and some difficulty breathing persisted for a few days and i went to see my PCP.  i had pain in my shoulders weakness.  My doctor told me I was fine.  My palpitations continued for the next several months. I am now also having heahaches, pains all body. I am always tired and weak. I started to experience some brain fog.
Age: 8.0
Sex: F
Vaccine: UNK
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: rash at injection site by next morning (much like mosquito bites appear).  complaint of itching. resolved with treatment with 1? triamcinolone cream.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, Blood creatinine increased, Blood glucose normal, Blood potassium normal
Clinical narrative: Patient is a 70 y.o. female patient of a HCF, CNP with history of DMII, ESRD, HTN  presented to a local Hospital with weakness .   Weakness Covid virus infection  Acute Hypoxic respiratory failure P/w weakness after dialysis Likely from Covid and Hypoglycemia  WBC 4.9, Hgb 13, Plt 160, NA 133, K 3.7, Creatinine 3.72 Date of onset of symptoms: unknown  Symptoms present on admission: weakness, hypoxia  Date of covid positive test: 11/28/22  Vaccination status: unknown  Imaging: CXR NAD  Oxygen requirements on admission: 1L Medical therapy: steroids, due ESRD not a candidate for remdesevir  Consultants following: none  Anticipated special isolation end date: 12/8/22  Wean oxygen as able PT/OT CRP 65  11/29/22 Currently on RA - O2 sat 94%. Rx for decadron x 10 days     Hypoglycemia Glucose 52 Started on D5 0.9% NS x 1 liter  Glucose every 2 hours x 4 then every 4 hours  11/29/22 FBS 182   HTN SBP 130s    Hyponatremia Sodium 134 No change in treatment in this ESRD patient     ESRD Per ER provider she is M-W-F dialysis Last dialysis 11/28/22   Discussed with patient that she needs to call her dialysis center and let them know she is COVID +
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium decreased, C-reactive protein increased, COVID-19, Chest X-ray normal, Haemoglobin normal
Clinical narrative: Patient is a 70 y.o. female patient of a HCF, CNP with history of DMII, ESRD, HTN  presented to a local Hospital with weakness .   Weakness Covid virus infection  Acute Hypoxic respiratory failure P/w weakness after dialysis Likely from Covid and Hypoglycemia  WBC 4.9, Hgb 13, Plt 160, NA 133, K 3.7, Creatinine 3.72 Date of onset of symptoms: unknown  Symptoms present on admission: weakness, hypoxia  Date of covid positive test: 11/28/22  Vaccination status: unknown  Imaging: CXR NAD  Oxygen requirements on admission: 1L Medical therapy: steroids, due ESRD not a candidate for remdesevir  Consultants following: none  Anticipated special isolation end date: 12/8/22  Wean oxygen as able PT/OT CRP 65  11/29/22 Currently on RA - O2 sat 94%. Rx for decadron x 10 days     Hypoglycemia Glucose 52 Started on D5 0.9% NS x 1 liter  Glucose every 2 hours x 4 then every 4 hours  11/29/22 FBS 182   HTN SBP 130s    Hyponatremia Sodium 134 No change in treatment in this ESRD patient     ESRD Per ER provider she is M-W-F dialysis Last dialysis 11/28/22   Discussed with patient that she needs to call her dialysis center and let them know she is COVID +
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoglycaemia, Hyponatraemia, Platelet count normal, SARS-CoV-2 test positive, White blood cell count decreased
Clinical narrative: Patient is a 70 y.o. female patient of a HCF, CNP with history of DMII, ESRD, HTN  presented to a local Hospital with weakness .   Weakness Covid virus infection  Acute Hypoxic respiratory failure P/w weakness after dialysis Likely from Covid and Hypoglycemia  WBC 4.9, Hgb 13, Plt 160, NA 133, K 3.7, Creatinine 3.72 Date of onset of symptoms: unknown  Symptoms present on admission: weakness, hypoxia  Date of covid positive test: 11/28/22  Vaccination status: unknown  Imaging: CXR NAD  Oxygen requirements on admission: 1L Medical therapy: steroids, due ESRD not a candidate for remdesevir  Consultants following: none  Anticipated special isolation end date: 12/8/22  Wean oxygen as able PT/OT CRP 65  11/29/22 Currently on RA - O2 sat 94%. Rx for decadron x 10 days     Hypoglycemia Glucose 52 Started on D5 0.9% NS x 1 liter  Glucose every 2 hours x 4 then every 4 hours  11/29/22 FBS 182   HTN SBP 130s    Hyponatremia Sodium 134 No change in treatment in this ESRD patient     ESRD Per ER provider she is M-W-F dialysis Last dialysis 11/28/22   Discussed with patient that she needs to call her dialysis center and let them know she is COVID +
Age: 1.0
Sex: M
Vaccine: PNC20
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient recieved a Prevnar 20 instead of Prevanr 13, no adverse symptoms after injection
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Computerised tomogram, Fatigue, Feeling abnormal, Flushing, Full blood count
Clinical narrative: 48 hours after the vaccine I started feeling flushed cheeks; vertigo; nausea; neuropathy; numbness in arms, hands and legs; headache; nerve pain; brain fog and fatigue. I was in bed for 3 weeks and I was out of work for 5 weeks off in October. My Immunologist believes it is a neurological disorder that is making my immune system attack my nervous system. My COVID antibody levels are 11,800 way higher then what they are supposed to be. This went on for a few weeks. I also wanted to add that my husband and daughter had RSV in late November which re-flared my immune system. Taking an additional 3 days off work as my condition has only improved slightly but is still ongoing. I was prescribed gabapentin which blocks the nervous system and a tapered dose of prednisone. I started my course of steroids last 12/20/2022.
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Hypoaesthesia, Immune system disorder, Impaired work ability, Magnetic resonance imaging
Clinical narrative: 48 hours after the vaccine I started feeling flushed cheeks; vertigo; nausea; neuropathy; numbness in arms, hands and legs; headache; nerve pain; brain fog and fatigue. I was in bed for 3 weeks and I was out of work for 5 weeks off in October. My Immunologist believes it is a neurological disorder that is making my immune system attack my nervous system. My COVID antibody levels are 11,800 way higher then what they are supposed to be. This went on for a few weeks. I also wanted to add that my husband and daughter had RSV in late November which re-flared my immune system. Taking an additional 3 days off work as my condition has only improved slightly but is still ongoing. I was prescribed gabapentin which blocks the nervous system and a tapered dose of prednisone. I started my course of steroids last 12/20/2022.
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nausea, Nervous system disorder, Neuralgia, Neuropathy peripheral, Vertigo
Clinical narrative: 48 hours after the vaccine I started feeling flushed cheeks; vertigo; nausea; neuropathy; numbness in arms, hands and legs; headache; nerve pain; brain fog and fatigue. I was in bed for 3 weeks and I was out of work for 5 weeks off in October. My Immunologist believes it is a neurological disorder that is making my immune system attack my nervous system. My COVID antibody levels are 11,800 way higher then what they are supposed to be. This went on for a few weeks. I also wanted to add that my husband and daughter had RSV in late November which re-flared my immune system. Taking an additional 3 days off work as my condition has only improved slightly but is still ongoing. I was prescribed gabapentin which blocks the nervous system and a tapered dose of prednisone. I started my course of steroids last 12/20/2022.
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Viral test positive
Clinical narrative: 48 hours after the vaccine I started feeling flushed cheeks; vertigo; nausea; neuropathy; numbness in arms, hands and legs; headache; nerve pain; brain fog and fatigue. I was in bed for 3 weeks and I was out of work for 5 weeks off in October. My Immunologist believes it is a neurological disorder that is making my immune system attack my nervous system. My COVID antibody levels are 11,800 way higher then what they are supposed to be. This went on for a few weeks. I also wanted to add that my husband and daughter had RSV in late November which re-flared my immune system. Taking an additional 3 days off work as my condition has only improved slightly but is still ongoing. I was prescribed gabapentin which blocks the nervous system and a tapered dose of prednisone. I started my course of steroids last 12/20/2022.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cough
Clinical narrative: Hospital Course:    Patient is a 91 y.o. male patient with a history of hypertension, atrial fibrillation (on Eliquis), HFpEF (echo 8/29/2022 showed EF 56%), and recent lacunar stroke without residual motor deficits who presented to the ED complaining of persistent cough. Chest x-ray in the ED showed slight fluid and mild infiltrate concerning for pneumonia in the right lung base.  He was found to be COVID-positive. He was started on Vanco/cefepime for concern of HAP, on further evaluation presentation appeared more consistent with viral etiology and antibiotics were discontinued. Was started on remdesivir and steroids. He has been afebrile and was weaned from 1LNC to room air. Found stable for discharge on 11/17. AMPAC 15/17. Per discussion with family, preferred to go home with previously established PRIVATE for disposition. OP follow-up with PCP, stroke clinic, and urology.   Discharge Diagnoses: Acute hypoxemic respiratory failure COVID-pneumonia Cough Patient presented with productive cough since he left the hospital on 11/3/2022 Chest x-ray 11/13 showed slight fluid and mild infiltrate in the right lung base COVID positive 11/13/22, flu negative.MRSA nare swab positive Patient was hypoxic on admission, requiring 2 L nasal cannula.  He was not showing any signs of acute respiratory distress. Corrected with supplemental oxygen and has been weaned to room air.  -Remdesivir infusions and decadron given while inpatient, transitioned to oral prednisone taper at discharge
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram normal, Ejection fraction normal, Hypoxia, Influenza virus test negative, Lacunar stroke
Clinical narrative: Hospital Course:    Patient is a 91 y.o. male patient with a history of hypertension, atrial fibrillation (on Eliquis), HFpEF (echo 8/29/2022 showed EF 56%), and recent lacunar stroke without residual motor deficits who presented to the ED complaining of persistent cough. Chest x-ray in the ED showed slight fluid and mild infiltrate concerning for pneumonia in the right lung base.  He was found to be COVID-positive. He was started on Vanco/cefepime for concern of HAP, on further evaluation presentation appeared more consistent with viral etiology and antibiotics were discontinued. Was started on remdesivir and steroids. He has been afebrile and was weaned from 1LNC to room air. Found stable for discharge on 11/17. AMPAC 15/17. Per discussion with family, preferred to go home with previously established PRIVATE for disposition. OP follow-up with PCP, stroke clinic, and urology.   Discharge Diagnoses: Acute hypoxemic respiratory failure COVID-pneumonia Cough Patient presented with productive cough since he left the hospital on 11/3/2022 Chest x-ray 11/13 showed slight fluid and mild infiltrate in the right lung base COVID positive 11/13/22, flu negative.MRSA nare swab positive Patient was hypoxic on admission, requiring 2 L nasal cannula.  He was not showing any signs of acute respiratory distress. Corrected with supplemental oxygen and has been weaned to room air.  -Remdesivir infusions and decadron given while inpatient, transitioned to oral prednisone taper at discharge
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Lung infiltration, Motor dysfunction, Pleural effusion, Productive cough, SARS-CoV-2 test positive
Clinical narrative: Hospital Course:    Patient is a 91 y.o. male patient with a history of hypertension, atrial fibrillation (on Eliquis), HFpEF (echo 8/29/2022 showed EF 56%), and recent lacunar stroke without residual motor deficits who presented to the ED complaining of persistent cough. Chest x-ray in the ED showed slight fluid and mild infiltrate concerning for pneumonia in the right lung base.  He was found to be COVID-positive. He was started on Vanco/cefepime for concern of HAP, on further evaluation presentation appeared more consistent with viral etiology and antibiotics were discontinued. Was started on remdesivir and steroids. He has been afebrile and was weaned from 1LNC to room air. Found stable for discharge on 11/17. AMPAC 15/17. Per discussion with family, preferred to go home with previously established PRIVATE for disposition. OP follow-up with PCP, stroke clinic, and urology.   Discharge Diagnoses: Acute hypoxemic respiratory failure COVID-pneumonia Cough Patient presented with productive cough since he left the hospital on 11/3/2022 Chest x-ray 11/13 showed slight fluid and mild infiltrate in the right lung base COVID positive 11/13/22, flu negative.MRSA nare swab positive Patient was hypoxic on admission, requiring 2 L nasal cannula.  He was not showing any signs of acute respiratory distress. Corrected with supplemental oxygen and has been weaned to room air.  -Remdesivir infusions and decadron given while inpatient, transitioned to oral prednisone taper at discharge
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Staphylococcus test positive
Clinical narrative: Hospital Course:    Patient is a 91 y.o. male patient with a history of hypertension, atrial fibrillation (on Eliquis), HFpEF (echo 8/29/2022 showed EF 56%), and recent lacunar stroke without residual motor deficits who presented to the ED complaining of persistent cough. Chest x-ray in the ED showed slight fluid and mild infiltrate concerning for pneumonia in the right lung base.  He was found to be COVID-positive. He was started on Vanco/cefepime for concern of HAP, on further evaluation presentation appeared more consistent with viral etiology and antibiotics were discontinued. Was started on remdesivir and steroids. He has been afebrile and was weaned from 1LNC to room air. Found stable for discharge on 11/17. AMPAC 15/17. Per discussion with family, preferred to go home with previously established PRIVATE for disposition. OP follow-up with PCP, stroke clinic, and urology.   Discharge Diagnoses: Acute hypoxemic respiratory failure COVID-pneumonia Cough Patient presented with productive cough since he left the hospital on 11/3/2022 Chest x-ray 11/13 showed slight fluid and mild infiltrate in the right lung base COVID positive 11/13/22, flu negative.MRSA nare swab positive Patient was hypoxic on admission, requiring 2 L nasal cannula.  He was not showing any signs of acute respiratory distress. Corrected with supplemental oxygen and has been weaned to room air.  -Remdesivir infusions and decadron given while inpatient, transitioned to oral prednisone taper at discharge
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Bivalent vaccine incorrectly administered for the primary series by RN.  Recognized immediately and mother of the patient notified.  Patient received first primary Pediatric Pfizer dose on 11/29/2022.
Age: 74.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Chest X-ray normal, Chest discomfort, Chills, Cough, Feeling abnormal
Clinical narrative: I had this really different cough; I was bringing up some phlegm. It was off color, it lingered. It was a 10-day period and constant at night. It was odd because it was independent. I did not feel too much pain, there was a little chest tightness.  I had a low-grade temperature of 100. My doctor thought it could be pneumonia, I had a chest x-ray, and it was not.  I was put on amoxicillin. It helped; I am immune compromised. I did test negative COVID-19. I had been vaccinated this 5th time. I had felt horrible with a temperature and chills. I felt awful.
Age: 74.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Pain, SARS-CoV-2 test negative, Sputum discoloured
Clinical narrative: I had this really different cough; I was bringing up some phlegm. It was off color, it lingered. It was a 10-day period and constant at night. It was odd because it was independent. I did not feel too much pain, there was a little chest tightness.  I had a low-grade temperature of 100. My doctor thought it could be pneumonia, I had a chest x-ray, and it was not.  I was put on amoxicillin. It helped; I am immune compromised. I did test negative COVID-19. I had been vaccinated this 5th time. I had felt horrible with a temperature and chills. I felt awful.
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: patient was given a High Dose Flu vaccine by mistake. Patient tolerated ok and no adverse reaction to receiving this vaccine
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Alanine aminotransferase normal, Aspartate aminotransferase increased, Asthenia, Blood alkaline phosphatase increased
Clinical narrative: Patient is a 75 y.o. female patient of MD with history of bullous pemphigoid, diabetes, GERD, hyperlipidemia, hypertension, and rheumatoid arthritis presented to Doctors Hospital with nausea and vomiting.   Gastroenteritis - resolved  Generalized weakness Patient presented to the ER with 3-day history of nausea, vomiting, and diarrhea In the setting of COVID-19 + diagnosis Afebrile, no leukocytosis, lactic acid 1.8, lipase 15, ALT 33, AST 86, ALP 205 Patient received bolus IV fluids in ER Reports symptoms have improved, no longer vomiting, but has minimal appetitie Continue supportive care, consult PT/OT   Acute respiratory failure with hypoxiaCovid-19 Virus Infection COVID pneumonia Date of onset of symptoms: 1-2 weeks ago Symptoms present on admission: Nausea, vomiting, diarrhea, fatigue, decreased p.o. intake Date of covid positive test: 11/18/2022 Vaccination status: vaccinated Imaging: Chest x-ray showed pulmonary edema, most likely COVID pneumonia, BNP 60 Oxygen requirements on admission: Saturating 90-91% on room air, desats w minimal activity down to 85% Decadron started 11/21/2022, out of window for remdesivir   Diabetes mellitus, type II, with long-term insulin Hemoglobin A1c 9.9% Patient reports she takes 15 units Lantus twice a day Will continue along with SSI and glucose checks Patient follows with Dr. of Endocrinology   Essential hypertension Restart home dose of lisinopril   Bullous pemphigoid Patient on Rituxan infusions Follow-up outpatient
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactic acid, Brain natriuretic peptide normal, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Patient is a 75 y.o. female patient of MD with history of bullous pemphigoid, diabetes, GERD, hyperlipidemia, hypertension, and rheumatoid arthritis presented to Doctors Hospital with nausea and vomiting.   Gastroenteritis - resolved  Generalized weakness Patient presented to the ER with 3-day history of nausea, vomiting, and diarrhea In the setting of COVID-19 + diagnosis Afebrile, no leukocytosis, lactic acid 1.8, lipase 15, ALT 33, AST 86, ALP 205 Patient received bolus IV fluids in ER Reports symptoms have improved, no longer vomiting, but has minimal appetitie Continue supportive care, consult PT/OT   Acute respiratory failure with hypoxiaCovid-19 Virus Infection COVID pneumonia Date of onset of symptoms: 1-2 weeks ago Symptoms present on admission: Nausea, vomiting, diarrhea, fatigue, decreased p.o. intake Date of covid positive test: 11/18/2022 Vaccination status: vaccinated Imaging: Chest x-ray showed pulmonary edema, most likely COVID pneumonia, BNP 60 Oxygen requirements on admission: Saturating 90-91% on room air, desats w minimal activity down to 85% Decadron started 11/21/2022, out of window for remdesivir   Diabetes mellitus, type II, with long-term insulin Hemoglobin A1c 9.9% Patient reports she takes 15 units Lantus twice a day Will continue along with SSI and glucose checks Patient follows with Dr. of Endocrinology   Essential hypertension Restart home dose of lisinopril   Bullous pemphigoid Patient on Rituxan infusions Follow-up outpatient
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Diarrhoea, Fatigue, Gastroenteritis, Glycosylated haemoglobin increased
Clinical narrative: Patient is a 75 y.o. female patient of MD with history of bullous pemphigoid, diabetes, GERD, hyperlipidemia, hypertension, and rheumatoid arthritis presented to Doctors Hospital with nausea and vomiting.   Gastroenteritis - resolved  Generalized weakness Patient presented to the ER with 3-day history of nausea, vomiting, and diarrhea In the setting of COVID-19 + diagnosis Afebrile, no leukocytosis, lactic acid 1.8, lipase 15, ALT 33, AST 86, ALP 205 Patient received bolus IV fluids in ER Reports symptoms have improved, no longer vomiting, but has minimal appetitie Continue supportive care, consult PT/OT   Acute respiratory failure with hypoxiaCovid-19 Virus Infection COVID pneumonia Date of onset of symptoms: 1-2 weeks ago Symptoms present on admission: Nausea, vomiting, diarrhea, fatigue, decreased p.o. intake Date of covid positive test: 11/18/2022 Vaccination status: vaccinated Imaging: Chest x-ray showed pulmonary edema, most likely COVID pneumonia, BNP 60 Oxygen requirements on admission: Saturating 90-91% on room air, desats w minimal activity down to 85% Decadron started 11/21/2022, out of window for remdesivir   Diabetes mellitus, type II, with long-term insulin Hemoglobin A1c 9.9% Patient reports she takes 15 units Lantus twice a day Will continue along with SSI and glucose checks Patient follows with Dr. of Endocrinology   Essential hypertension Restart home dose of lisinopril   Bullous pemphigoid Patient on Rituxan infusions Follow-up outpatient
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Hypophagia, Insulin-requiring type 2 diabetes mellitus, Lipase normal, Nausea, Oxygen saturation decreased
Clinical narrative: Patient is a 75 y.o. female patient of MD with history of bullous pemphigoid, diabetes, GERD, hyperlipidemia, hypertension, and rheumatoid arthritis presented to Doctors Hospital with nausea and vomiting.   Gastroenteritis - resolved  Generalized weakness Patient presented to the ER with 3-day history of nausea, vomiting, and diarrhea In the setting of COVID-19 + diagnosis Afebrile, no leukocytosis, lactic acid 1.8, lipase 15, ALT 33, AST 86, ALP 205 Patient received bolus IV fluids in ER Reports symptoms have improved, no longer vomiting, but has minimal appetitie Continue supportive care, consult PT/OT   Acute respiratory failure with hypoxiaCovid-19 Virus Infection COVID pneumonia Date of onset of symptoms: 1-2 weeks ago Symptoms present on admission: Nausea, vomiting, diarrhea, fatigue, decreased p.o. intake Date of covid positive test: 11/18/2022 Vaccination status: vaccinated Imaging: Chest x-ray showed pulmonary edema, most likely COVID pneumonia, BNP 60 Oxygen requirements on admission: Saturating 90-91% on room air, desats w minimal activity down to 85% Decadron started 11/21/2022, out of window for remdesivir   Diabetes mellitus, type II, with long-term insulin Hemoglobin A1c 9.9% Patient reports she takes 15 units Lantus twice a day Will continue along with SSI and glucose checks Patient follows with Dr. of Endocrinology   Essential hypertension Restart home dose of lisinopril   Bullous pemphigoid Patient on Rituxan infusions Follow-up outpatient
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary oedema, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient is a 75 y.o. female patient of MD with history of bullous pemphigoid, diabetes, GERD, hyperlipidemia, hypertension, and rheumatoid arthritis presented to Doctors Hospital with nausea and vomiting.   Gastroenteritis - resolved  Generalized weakness Patient presented to the ER with 3-day history of nausea, vomiting, and diarrhea In the setting of COVID-19 + diagnosis Afebrile, no leukocytosis, lactic acid 1.8, lipase 15, ALT 33, AST 86, ALP 205 Patient received bolus IV fluids in ER Reports symptoms have improved, no longer vomiting, but has minimal appetitie Continue supportive care, consult PT/OT   Acute respiratory failure with hypoxiaCovid-19 Virus Infection COVID pneumonia Date of onset of symptoms: 1-2 weeks ago Symptoms present on admission: Nausea, vomiting, diarrhea, fatigue, decreased p.o. intake Date of covid positive test: 11/18/2022 Vaccination status: vaccinated Imaging: Chest x-ray showed pulmonary edema, most likely COVID pneumonia, BNP 60 Oxygen requirements on admission: Saturating 90-91% on room air, desats w minimal activity down to 85% Decadron started 11/21/2022, out of window for remdesivir   Diabetes mellitus, type II, with long-term insulin Hemoglobin A1c 9.9% Patient reports she takes 15 units Lantus twice a day Will continue along with SSI and glucose checks Patient follows with Dr. of Endocrinology   Essential hypertension Restart home dose of lisinopril   Bullous pemphigoid Patient on Rituxan infusions Follow-up outpatient
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Electrocardiogram ambulatory, Heart rate increased, Pain in extremity, Pyrexia
Clinical narrative: After receiving the vaccine, I had a sore arm and fever for one day. On 08/23/2022, I was on vacation and was hiking and noticed I had a rapid heartrate. On 09/06/2022, I had an EKG, and I wore a Holter monitor for a week. In October 2022, I was diagnosed with rapid heart rate when not at rest. I am not taking anything to help with my symptoms.
Age: 79.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Cough, Dyspnoea, Hypersomnia, Malaise, Poor quality sleep
Clinical narrative: On December 9, 2022, two days after my dose 5, I began coughing heavily. I have not been feeling well and I am sleeping more. I would wake up coughing and I be awake for an hour because of my coughing. The cough has been affecting my breathing. I took some TYLENOL and ROBITUSSIN. On Saturday I went to the walk-in-clinic. I took benzonatate for a few days and that relieved my cough a bit. I am still not sleeping well due to waking up with my cough. I have had Asthma cough for so many years, but this cough is different.
Age: 79.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Sleep disorder
Clinical narrative: On December 9, 2022, two days after my dose 5, I began coughing heavily. I have not been feeling well and I am sleeping more. I would wake up coughing and I be awake for an hour because of my coughing. The cough has been affecting my breathing. I took some TYLENOL and ROBITUSSIN. On Saturday I went to the walk-in-clinic. I took benzonatate for a few days and that relieved my cough a bit. I am still not sleeping well due to waking up with my cough. I have had Asthma cough for so many years, but this cough is different.
Age: 44.0
Sex: M
Vaccine: COVID19-2
Symptoms: General symptom
Clinical narrative: Called for telehealth visit after receiving 4th dose, prescribed Paxlovid symptoms subsided after a day or two.
Age: 54.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Impaired work ability, Oropharyngeal pain, Paranasal sinus discomfort
Clinical narrative: 12/13/2022 in the evening I noticed head congestion, fatigue, and sore throat. 12/14 tested with an at home COVID-19 test positive. Saw Dr. that day, prescribed PAXLOVID and treat symptomatically. Symptoms were worse on 12/14, fever 102. Symptoms tapered off the next couple of days. Felt much better by 12/17. Returned to work 12/19. 12/19 was last dose of PAXLOVID. 12/21 symptoms of congestion, fatigue, and sinus pressure returned and are being treated symptomatically. 12/22 tested positive on at home Covid-19 test. This is where participant was at time of reporting.
Age: 54.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: 12/13/2022 in the evening I noticed head congestion, fatigue, and sore throat. 12/14 tested with an at home COVID-19 test positive. Saw Dr. that day, prescribed PAXLOVID and treat symptomatically. Symptoms were worse on 12/14, fever 102. Symptoms tapered off the next couple of days. Felt much better by 12/17. Returned to work 12/19. 12/19 was last dose of PAXLOVID. 12/21 symptoms of congestion, fatigue, and sinus pressure returned and are being treated symptomatically. 12/22 tested positive on at home Covid-19 test. This is where participant was at time of reporting.
Age: 1.33
Sex: M
Vaccine: FLUC4
Symptoms: Extra dose administered
Clinical narrative: patient received extra dose for flu vaccine. patient already received the dose on 11/3/22.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Malaise, Pain
Clinical narrative: I received my 3rd dose on 12/22/2021. My COVID-19 infection symptoms started on 12/19/2022. I had fever, cough, and body aches. On 12/20/2022 I had chest congestions, body aches, cough, headaches, and fever. On 12/21/2022 I did a home test which was positive. I called my doctor's office on the same day and they returned my call around 01:00PM. I was also took TYLENOL to reduce fever and body aches. My doctor prescribed me with PAXLOVID for 5 days. I still have cough and chest congestions but I am recovering.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I received my 3rd dose on 12/22/2021. My COVID-19 infection symptoms started on 12/19/2022. I had fever, cough, and body aches. On 12/20/2022 I had chest congestions, body aches, cough, headaches, and fever. On 12/21/2022 I did a home test which was positive. I called my doctor's office on the same day and they returned my call around 01:00PM. I was also took TYLENOL to reduce fever and body aches. My doctor prescribed me with PAXLOVID for 5 days. I still have cough and chest congestions but I am recovering.
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Injection site pain, Peripheral swelling
Clinical narrative: I experienced severe pain at injection site, weakness and some swelling in my left arm where the needle went in.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Peripheral swelling, Pruritus, Skin warm
Clinical narrative: She received the Shingrix vaccination in her right arm on 12/7/22. Her arm became very warm, itchy, and very swollen on 12/12/2022. The pharmacist advised the patient to contact her primary care physician about these symptoms. Patient reported to me on 12/23/22 that her symptoms lasted for 3 days and her symptoms had now resolved.