chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Urine analysis abnormal, Vomiting
Clinical narrative: DATE OF ADMISSION:  05/19/2023 DATE OF DISCHARGE:  05/24/2023 Hospital  PROVISIONAL DIAGNOSES 1. Sepsis. 2. COVID-19, asymptomatic. 3. High-grade B-cell lymphoma. 4. History of follicular lymphoma. 5. Nausea, vomiting. 6. Hypovolemic hyponatremia. 7. Hypogammaglobulinemia. 8. History of asthma. 9. Gastroesophageal reflux disease. 10. Dyslipidemia.   DISCHARGE DIAGNOSES 1. Sepsis secondary to Escherichia coli bacteremia. 2. Asymptomatic COVID-19. 3. High-grade B-cell lymphoma with progression. 4. Follicular lymphoma. 5. Headaches. 6. Hypogammaglobulinemia. 7. Hyponatremia. 8. Hypertension. 9. History of asthma. 10. Pancytopenia with neutropenia. 11. Gastroesophageal reflux disease. 12. Dyslipidemia.   CONDITION ON DISCHARGE Stable.   PROCEDURES PERFORMED None.   CONSULTATIONS Infectious Disease.   HOSPITAL COURSE The patient is a very pleasant 77-year-old female with past medical history as listed above including high-grade B-cell lymphoma with antecedent follicular lymphoma, status post CAR-T cell therapy in July 2022, on 4th line Revlimid and Monjuvi, who presented initially to our Same-Day Clinic with nausea, vomiting, then the following morning awoke with chills and fever of 101.  She had an outpatient PET scan the morning of admission that did not show obvious source for her fever, but did suggest progression of disease.  The patient was leukopenic, neutropenic, tachycardic, febrile on presentation.  Blood cultures were obtained on 05/19 and grew E coli.  Chest x-ray showed right lower lobe perihilar pneumonia.  The patient was asymptomatic.  UA with few bacteria and nitrites suggestive of UTI.  Urine culture was positive for E coli.  FilmArray was positive for COVID but cycle threshold was 24.7.  She was started on cefepime and Zithromax.  This was transitioned to Zosyn.  Infectious Disease was consulted to deescalate antibiotics to Rocephin.  Repeat UA was negative.  ID recommended transitioning to oral Bactrim DS 2 tabs b.i.d. to complete a 7-day course with end of therapy May 27.  The patient recently tested positive for COVID in March of 2023 and was asymptomatic at that time.  Again, her cycle threshold with this positive result was 24.7.  No therapy was indicated at this time per Infectious Disease and they recommended continuing supportive care.  Again, her PET-CT overall showed significant progression of disease.  Malignant Hematology attending reviewed prognosis and available palliative options including possible clinical trial and loncastuximab.  We will arrange followup with Dr. in a couple of weeks as an outpatient to further discuss.  She did receive IVIG on May 21 while hospitalized with a serum IgG level of 261.  Nausea, vomiting had resolved.  Overall, she did well during the course of the hospital stay and was felt medically stable for discharge to home on 05/24/2023.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: (this booster) was given 5 weeks too soon (based on recent CDC Novavax COVID-19 vaccine guideline from 5-11-2023)
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic respiratory failure, Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE CHRONIC RESPIRATORY FAILURE 2/10/2023 &  1/17/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Angioedema
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ANGIOEDEMA, INIT
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Injections site red and warm to touch. Swelling and redness all the way down to his elbow. Low grade fever.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Tongue pruritus, Urticaria
Clinical narrative: Full body hives and tongue itching starting about 24 hours after vaccine and lasting for 48 hours. Benadryl taken round the clock until resolution of symptoms
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Discontinued product administered, No adverse event
Clinical narrative: Patient was administered dose of the monovalent COVID-19 vaccine after they were no longer authorized. Patient's parents were notified and reported patient did not have any symptoms.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE NON ST ELEVATION MI
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Symptom recurrence, Transient ischaemic attack
Clinical narrative: TRANSIENT CEREBRAL ISCHEMIA NEUROPATHY 3/2/2022 --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 58.0
Sex: M
Vaccine: COVID19-2
Symptoms: Ageusia, Anosmia, Arthralgia, Bone pain, Brain fog
Clinical narrative: Myalgias, arthralgias, bone pain, and testicular pain for 10 days Fever, chills, malaise, and intermittent profuse sweating  for 7 days Loss of sense of taste and smell persistent to present Fatigue and intermittent dyspnea, persistent  to present Hyperglycemia for 2 weeks Low grade constant headache and mental fogginess for 10 days Sensation of burning on inspiration  inside of oral cavity for 10 days Intermittent urinary retention x 2 weeks
Age: 58.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chills, Headache, Hyperglycaemia, Malaise, Myalgia
Clinical narrative: Myalgias, arthralgias, bone pain, and testicular pain for 10 days Fever, chills, malaise, and intermittent profuse sweating  for 7 days Loss of sense of taste and smell persistent to present Fatigue and intermittent dyspnea, persistent  to present Hyperglycemia for 2 weeks Low grade constant headache and mental fogginess for 10 days Sensation of burning on inspiration  inside of oral cavity for 10 days Intermittent urinary retention x 2 weeks
Age: 58.0
Sex: M
Vaccine: COVID19-2
Symptoms: Oral discomfort, Prostatitis, Pyelonephritis, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Myalgias, arthralgias, bone pain, and testicular pain for 10 days Fever, chills, malaise, and intermittent profuse sweating  for 7 days Loss of sense of taste and smell persistent to present Fatigue and intermittent dyspnea, persistent  to present Hyperglycemia for 2 weeks Low grade constant headache and mental fogginess for 10 days Sensation of burning on inspiration  inside of oral cavity for 10 days Intermittent urinary retention x 2 weeks
Age: 58.0
Sex: M
Vaccine: COVID19-2
Symptoms: Testicular pain, Urinary retention
Clinical narrative: Myalgias, arthralgias, bone pain, and testicular pain for 10 days Fever, chills, malaise, and intermittent profuse sweating  for 7 days Loss of sense of taste and smell persistent to present Fatigue and intermittent dyspnea, persistent  to present Hyperglycemia for 2 weeks Low grade constant headache and mental fogginess for 10 days Sensation of burning on inspiration  inside of oral cavity for 10 days Intermittent urinary retention x 2 weeks
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Discontinued product administered, No adverse event
Clinical narrative: Patient was administered a dose of the monovalent COVID-19 vaccines after they were no longer authorized. Patient's parents were notified and reported patient did not have any symptoms.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE NEUROPATHY 6/23/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Loss of personal independence in daily activities, Magnetic resonance imaging, Musculoskeletal disorder, Pain
Clinical narrative: My right shoulder started hurting a couple hours after I received the Moderna booster shot and continued being sore since then. Over the next few months my shoulder hurt so bad. I couldn't lift things anymore or raise my arm up to dress myself and was shaking when I would  I raise it or use it in everyday activities. In the fall I went to see my primary care doctor as my range of motion and capabilities was very limited and painful. I couldn't keep taking Advil everyday just to function. He gave me a cortizone shot in my upper shoulder .Over 2 weeks time I gained better motion capabilities and could dress myself without help. The soreness still continues to this day. I have to be careful in daily activities as to not injure or increase the soreness.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, X-ray
Clinical narrative: My right shoulder started hurting a couple hours after I received the Moderna booster shot and continued being sore since then. Over the next few months my shoulder hurt so bad. I couldn't lift things anymore or raise my arm up to dress myself and was shaking when I would  I raise it or use it in everyday activities. In the fall I went to see my primary care doctor as my range of motion and capabilities was very limited and painful. I couldn't keep taking Advil everyday just to function. He gave me a cortizone shot in my upper shoulder .Over 2 weeks time I gained better motion capabilities and could dress myself without help. The soreness still continues to this day. I have to be careful in daily activities as to not injure or increase the soreness.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Atrial fibrillation, Atypical pneumonia, COVID-19, COVID-19 pneumonia, Cough
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED AND BOOSTERS 2X, COVID POSITIVE. 72 yo presented to a HCF 2 ADMISSIONS  after pt reports since having COVID 19 prior to 1st admission, tested positive. Pt reported she has been feeling drained, productive approximately 1 week ago, states the sputum is yellow in color, SOB and dizziness with her coughing spells. Denies fevers, chills, HA, CP, N/V/D, abdominal pain, dysuria or MSK complaints.  Admitted to the ICU with AFib with RVR and atypical pneumonia. Pt diagnosis of COVID pneumonia. Discharged 9/2/2022 and readmitted 09/12/2022 Presented with SOB for the last 2 day likely due to patients COVID PNEUMONIA.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Electrocardiogram ST segment depression, Fatigue, Intensive care
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED AND BOOSTERS 2X, COVID POSITIVE. 72 yo presented to a HCF 2 ADMISSIONS  after pt reports since having COVID 19 prior to 1st admission, tested positive. Pt reported she has been feeling drained, productive approximately 1 week ago, states the sputum is yellow in color, SOB and dizziness with her coughing spells. Denies fevers, chills, HA, CP, N/V/D, abdominal pain, dysuria or MSK complaints.  Admitted to the ICU with AFib with RVR and atypical pneumonia. Pt diagnosis of COVID pneumonia. Discharged 9/2/2022 and readmitted 09/12/2022 Presented with SOB for the last 2 day likely due to patients COVID PNEUMONIA.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Legionella test, Productive cough, SARS-CoV-2 test positive, Scan, Sputum discoloured
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED AND BOOSTERS 2X, COVID POSITIVE. 72 yo presented to a HCF 2 ADMISSIONS  after pt reports since having COVID 19 prior to 1st admission, tested positive. Pt reported she has been feeling drained, productive approximately 1 week ago, states the sputum is yellow in color, SOB and dizziness with her coughing spells. Denies fevers, chills, HA, CP, N/V/D, abdominal pain, dysuria or MSK complaints.  Admitted to the ICU with AFib with RVR and atypical pneumonia. Pt diagnosis of COVID pneumonia. Discharged 9/2/2022 and readmitted 09/12/2022 Presented with SOB for the last 2 day likely due to patients COVID PNEUMONIA.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Streptococcus test negative, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED AND BOOSTERS 2X, COVID POSITIVE. 72 yo presented to a HCF 2 ADMISSIONS  after pt reports since having COVID 19 prior to 1st admission, tested positive. Pt reported she has been feeling drained, productive approximately 1 week ago, states the sputum is yellow in color, SOB and dizziness with her coughing spells. Denies fevers, chills, HA, CP, N/V/D, abdominal pain, dysuria or MSK complaints.  Admitted to the ICU with AFib with RVR and atypical pneumonia. Pt diagnosis of COVID pneumonia. Discharged 9/2/2022 and readmitted 09/12/2022 Presented with SOB for the last 2 day likely due to patients COVID PNEUMONIA.
Age: 18.0
Sex: M
Vaccine: HPV9
Symptoms: Abdominal pain upper, Dizziness, Fatigue, Pain
Clinical narrative: Dizziness, fatigue, body aches, stomach pain
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood potassium increased, Fall, Hemiparesis, Laboratory test, Magnetic resonance imaging
Clinical narrative: Resident had significant left sided weakness and fell- CVA like symptoms transported to hospital
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Neurological symptom
Clinical narrative: Resident had significant left sided weakness and fell- CVA like symptoms transported to hospital
Age: 16.0
Sex: F
Vaccine: MENB, MENB
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Patient received 2 doses of Bexsero on the same day.  She was supposed to get a Men B and MCV, but accidently received 2 Men B vaccines instead.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension
Clinical narrative: HYPOTENSION
Age: 4.0
Sex: F
Vaccine: DTAPIPV, DTAPIPVHIB
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was given a dose of Quadracel and Pentacel. Patient was supposed to receive ProQuad and Pentacel. Patient has had no reaction, and the parents have been notified.
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoxia
Clinical narrative: HYPOXIA
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, COVID-19, Chest pain, Coronary artery disease, Dyspnoea
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED WITH BOOSTER, COVID POSITIVE. PATIENT WAS ADMITTED D/T COVID+ PT C/O CHEST PAIN AND SHORTNESS OF BREATH, AND PRE PROCEDURE TEST WORK UP WAS NEGATIVE FOR ACUTE PROCESS. PAXLOVID FOR OUTPATIENT TREATMENT FOR HIGH RISK COVID PERSON.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Laboratory test normal, Peripheral artery stenosis, Pulmonary embolism, Pulmonary mass, SARS-CoV-2 test positive
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED WITH BOOSTER, COVID POSITIVE. PATIENT WAS ADMITTED D/T COVID+ PT C/O CHEST PAIN AND SHORTNESS OF BREATH, AND PRE PROCEDURE TEST WORK UP WAS NEGATIVE FOR ACUTE PROCESS. PAXLOVID FOR OUTPATIENT TREATMENT FOR HIGH RISK COVID PERSON.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Scan with contrast abnormal, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED WITH BOOSTER, COVID POSITIVE. PATIENT WAS ADMITTED D/T COVID+ PT C/O CHEST PAIN AND SHORTNESS OF BREATH, AND PRE PROCEDURE TEST WORK UP WAS NEGATIVE FOR ACUTE PROCESS. PAXLOVID FOR OUTPATIENT TREATMENT FOR HIGH RISK COVID PERSON.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Obstructive sleep apnoea syndrome
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA, MODERATE NEUROPATHY
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Cough, Headache, Oropharyngeal pain
Clinical narrative: I tested positive for COVID-19 on 5/31/2023. I had a headache, sore throat, cough, runny nose, chills, and a fever. I contacted my doctor and was prescribed Paxlovid. I also took Tylenol for the fever. I am still dealing with this at this time.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I tested positive for COVID-19 on 5/31/2023. I had a headache, sore throat, cough, runny nose, chills, and a fever. I contacted my doctor and was prescribed Paxlovid. I also took Tylenol for the fever. I am still dealing with this at this time.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Hypotension, Respiratory failure, Symptom recurrence
Clinical narrative: HYPOTENSION ACUTE ON CHRONIC RESPIRATORY FAILURE ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 6/23/2022 &  8/11/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Coagulopathy, Haematuria, Obstructive sleep apnoea syndrome
Clinical narrative: Pfizer vaccine was administered outside - reported by patient- ? NO LOT NUMBER WERE SUPPLIED --------------------------------------------------------------------------------------------------------------------------- D68.9 COAGULOPATHY, UNSPECIFIED TYPE 4/17/2023 HEMATURIA G47.33 ADULT OBSTRUCTIVE SLEEP APNEA 4/17/2023 HEMATURIA D68.9 COAGULOPATHY, UNSPECIFIED TYPE 4/17/2023 GROSS HEMATURIA G47.33 ADULT OBSTRUCTIVE SLEEP APNEA 4/17/2023 GROSS HEMATURIA
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cough, Eye swelling, Fatigue, Headache, Pain in jaw
Clinical narrative: I was diagnosed with Sinusitis on May 15, 2023 my symptoms were headaches, jaw pain, tooth pain, swollen eyes, congestion, fatigue and a cough. I was prescribed Prednisone for my symptoms.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Respiratory tract congestion, Sinusitis, Toothache
Clinical narrative: I was diagnosed with Sinusitis on May 15, 2023 my symptoms were headaches, jaw pain, tooth pain, swollen eyes, congestion, fatigue and a cough. I was prescribed Prednisone for my symptoms.
Age: 83.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Asthenia, COVID-19, Chest X-ray normal, Chronic kidney disease
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD Admission Date: 5/20/2023 Discharge Date: 5/23/2023  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute hypoxemic respiratory failure due to COVID-19 (HCC) [U07.1, J96.01] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 84 y.o. male with a history of DM2, HTN, HLD, polymyalgia rheumatica, CKD stage 3a,  who presented to hospital with cough and congestion that started 24 hours prior to presentation. His wife tested positive for COVID 19.  His family member realized that his coughing got worse and tried to swab his nose which started to bleed. The main reason he came to the hospital was to get tested for COVID 19. He has been having generalized weakness, chest congestion but no vomiting or diarrhea. No chronic lung disease and does not use any oxygen at home. No body or muscle aches. On presentation he was febrile, tachycardic, and hypoxic 87% on room air. He was stabilized with 2 liters of supplemental oxygen per NC. Lab work showed leukocytosis, mild worsening of CKD, and Covid positivity. CXR was without acute findings. He was admitted with sepsis due to Covid-19 and acute hypoxic respiratory failure for further supportive treatment and monitoring.   He was started on Remdesivir and prednisone 40 mg daily. He was weaned from oxygen on Day 1 and remained on room air for the duration of his stay. Tachycardia resolved. His cough reduced, appetite and strength remained near baseline. He received 2 doses of Remdesivir. He was discharged home in stable condition on all prior medications, nothing new prescribed. He is recommended to follow up with his PCP as needed. He was given quarantine information before leaving.
Age: 83.0
Sex: M
Vaccine: COVID19-2
Symptoms: Condition aggravated, Cough, Epistaxis, Exposure to SARS-CoV-2, Hypoxia
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD Admission Date: 5/20/2023 Discharge Date: 5/23/2023  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute hypoxemic respiratory failure due to COVID-19 (HCC) [U07.1, J96.01] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 84 y.o. male with a history of DM2, HTN, HLD, polymyalgia rheumatica, CKD stage 3a,  who presented to hospital with cough and congestion that started 24 hours prior to presentation. His wife tested positive for COVID 19.  His family member realized that his coughing got worse and tried to swab his nose which started to bleed. The main reason he came to the hospital was to get tested for COVID 19. He has been having generalized weakness, chest congestion but no vomiting or diarrhea. No chronic lung disease and does not use any oxygen at home. No body or muscle aches. On presentation he was febrile, tachycardic, and hypoxic 87% on room air. He was stabilized with 2 liters of supplemental oxygen per NC. Lab work showed leukocytosis, mild worsening of CKD, and Covid positivity. CXR was without acute findings. He was admitted with sepsis due to Covid-19 and acute hypoxic respiratory failure for further supportive treatment and monitoring.   He was started on Remdesivir and prednisone 40 mg daily. He was weaned from oxygen on Day 1 and remained on room air for the duration of his stay. Tachycardia resolved. His cough reduced, appetite and strength remained near baseline. He received 2 doses of Remdesivir. He was discharged home in stable condition on all prior medications, nothing new prescribed. He is recommended to follow up with his PCP as needed. He was given quarantine information before leaving.
Age: 83.0
Sex: M
Vaccine: COVID19-2
Symptoms: Laboratory test abnormal, Leukocytosis, Pyrexia, Quarantine, Respiratory tract congestion
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD Admission Date: 5/20/2023 Discharge Date: 5/23/2023  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute hypoxemic respiratory failure due to COVID-19 (HCC) [U07.1, J96.01] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 84 y.o. male with a history of DM2, HTN, HLD, polymyalgia rheumatica, CKD stage 3a,  who presented to hospital with cough and congestion that started 24 hours prior to presentation. His wife tested positive for COVID 19.  His family member realized that his coughing got worse and tried to swab his nose which started to bleed. The main reason he came to the hospital was to get tested for COVID 19. He has been having generalized weakness, chest congestion but no vomiting or diarrhea. No chronic lung disease and does not use any oxygen at home. No body or muscle aches. On presentation he was febrile, tachycardic, and hypoxic 87% on room air. He was stabilized with 2 liters of supplemental oxygen per NC. Lab work showed leukocytosis, mild worsening of CKD, and Covid positivity. CXR was without acute findings. He was admitted with sepsis due to Covid-19 and acute hypoxic respiratory failure for further supportive treatment and monitoring.   He was started on Remdesivir and prednisone 40 mg daily. He was weaned from oxygen on Day 1 and remained on room air for the duration of his stay. Tachycardia resolved. His cough reduced, appetite and strength remained near baseline. He received 2 doses of Remdesivir. He was discharged home in stable condition on all prior medications, nothing new prescribed. He is recommended to follow up with his PCP as needed. He was given quarantine information before leaving.
Age: 83.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Sepsis, Tachycardia
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD Admission Date: 5/20/2023 Discharge Date: 5/23/2023  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute hypoxemic respiratory failure due to COVID-19 (HCC) [U07.1, J96.01] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 84 y.o. male with a history of DM2, HTN, HLD, polymyalgia rheumatica, CKD stage 3a,  who presented to hospital with cough and congestion that started 24 hours prior to presentation. His wife tested positive for COVID 19.  His family member realized that his coughing got worse and tried to swab his nose which started to bleed. The main reason he came to the hospital was to get tested for COVID 19. He has been having generalized weakness, chest congestion but no vomiting or diarrhea. No chronic lung disease and does not use any oxygen at home. No body or muscle aches. On presentation he was febrile, tachycardic, and hypoxic 87% on room air. He was stabilized with 2 liters of supplemental oxygen per NC. Lab work showed leukocytosis, mild worsening of CKD, and Covid positivity. CXR was without acute findings. He was admitted with sepsis due to Covid-19 and acute hypoxic respiratory failure for further supportive treatment and monitoring.   He was started on Remdesivir and prednisone 40 mg daily. He was weaned from oxygen on Day 1 and remained on room air for the duration of his stay. Tachycardia resolved. His cough reduced, appetite and strength remained near baseline. He received 2 doses of Remdesivir. He was discharged home in stable condition on all prior medications, nothing new prescribed. He is recommended to follow up with his PCP as needed. He was given quarantine information before leaving.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Discontinued product administered
Clinical narrative: Monovalent mRNA vaccine administered for a bivalent mRNA dose after April 19, 2023. The morning that the patient was given the monovalent mRNA vaccine I was unaware that the monovalent mRNA vaccine had been discontinued and had it's EAU withdrawn by the FDA.  As soon as I had returned to the clinic and received the notice from then DHHS via E-mail that was forwarded to me, I destroyed the remaining doses of the monovalent mRNA vaccine FP7136 on hand. (The noticed that we received from the DHHS did not clearly state that the authorization had been withdrawn on April 18, and that doses were not to be given after THAT date.  The date of the announcement from them was dated May 1, 2023, received by my supervisor on 05/02/2023 and then forwarded to me, which I read the morning of 05/03/2023).  The patient suffered NO ill effects from the vaccine. The patient was notified regarding the vaccine on 05/24/2023 and stated that he would get his Bivalent vaccine from a pharmacy.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia
Clinical narrative: HYPOXIA
Age: 83.0
Sex: M
Vaccine: COVID19-2
Symptoms: Bronchitis, Death, Fatigue, Mobility decreased, Nervous system disorder
Clinical narrative: Patient received covid vaccine on 5/11/23 and reported feeling fatigued the next day.  Patient's wife reported patients increased fatigue throughout the next couple of days where he could not get out of bed. Patient was admitted to the hospital on 5/15/23 where he was diagnosed with bronchitis and degenerative neuro system. The patient passed away on 5/28/23.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction, Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE NON ST ELEVATION MI 10/21/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Brain fog, COVID-19, Cough, Fatigue, Hypersomnia
Clinical narrative: While on a trip, I noticed I felt like I was coming down with a cold, I had fatigue and body aches with a little brain fog.  6/1 returned and was just exhausted. 6/2 Tested with an At Home COVID-19 test that was expired. Negative result, but my throat started to hurt. I slept all day, very fatigued. On 6/3 I got a new at Home COVID-19 test, positive. I went to Urgent care at that time. I was tested again with a Rapid COVID-19 test, positive. They also tested for Strep and Flu, negative. Doctor prescribed a lighter dose of Paxlovid due to past kidney disease, and Icguaifen Codeine. Started Paxlovid 6/3 and cough syrup 6/4. Cough got really bad on 6/4 and I stayed in bed while taking Extra Strength TYLENOL as often as possible. 6/5 symptoms were diminished and only needed to take TYLENOL once, and so far not at all on day of reporting.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Influenza virus test negative, Nasopharyngitis, Oropharyngeal pain, Pain, SARS-CoV-2 test positive
Clinical narrative: While on a trip, I noticed I felt like I was coming down with a cold, I had fatigue and body aches with a little brain fog.  6/1 returned and was just exhausted. 6/2 Tested with an At Home COVID-19 test that was expired. Negative result, but my throat started to hurt. I slept all day, very fatigued. On 6/3 I got a new at Home COVID-19 test, positive. I went to Urgent care at that time. I was tested again with a Rapid COVID-19 test, positive. They also tested for Strep and Flu, negative. Doctor prescribed a lighter dose of Paxlovid due to past kidney disease, and Icguaifen Codeine. Started Paxlovid 6/3 and cough syrup 6/4. Cough got really bad on 6/4 and I stayed in bed while taking Extra Strength TYLENOL as often as possible. 6/5 symptoms were diminished and only needed to take TYLENOL once, and so far not at all on day of reporting.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Streptococcus test negative
Clinical narrative: While on a trip, I noticed I felt like I was coming down with a cold, I had fatigue and body aches with a little brain fog.  6/1 returned and was just exhausted. 6/2 Tested with an At Home COVID-19 test that was expired. Negative result, but my throat started to hurt. I slept all day, very fatigued. On 6/3 I got a new at Home COVID-19 test, positive. I went to Urgent care at that time. I was tested again with a Rapid COVID-19 test, positive. They also tested for Strep and Flu, negative. Doctor prescribed a lighter dose of Paxlovid due to past kidney disease, and Icguaifen Codeine. Started Paxlovid 6/3 and cough syrup 6/4. Cough got really bad on 6/4 and I stayed in bed while taking Extra Strength TYLENOL as often as possible. 6/5 symptoms were diminished and only needed to take TYLENOL once, and so far not at all on day of reporting.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: I had no symptoms but it took a week before the test was negative. I had absolutely nothing I tested for COVID-19 due to my wife's positive test.
Age: 49.0
Sex: F
Vaccine: PNC20
Symptoms: Arthralgia, Erythema, Hypersensitivity, Peripheral swelling, Rash macular
Clinical narrative: Patient was vaccinated on Friday 6/2/23 4:11 pm. Next morning, Saturday, had joint pain, red and warm blotches that travels down elbow. This continued to worsen still by Monday. Finally patient took a Benadry night of Monday which did not seem to help and arm still swollen some more. I advised her to seek medical attention since she may require prednisone to treat this allergic reaction. She said she will do.
Age: 49.0
Sex: F
Vaccine: PNC20
Symptoms: Skin warm
Clinical narrative: Patient was vaccinated on Friday 6/2/23 4:11 pm. Next morning, Saturday, had joint pain, red and warm blotches that travels down elbow. This continued to worsen still by Monday. Finally patient took a Benadry night of Monday which did not seem to help and arm still swollen some more. I advised her to seek medical attention since she may require prednisone to treat this allergic reaction. She said she will do.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ADULT OBSTRUCTIVE SLEEP APNEA
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE OBSTRUCTIVE SLEEP APNEA
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperglycaemia, Hypotension, Orthostatic hypotension, Type 2 diabetes mellitus
Clinical narrative: I95.9 HYPOTENSION 3/24/2023 DM 2 W HYPERGLYCEMIA I95.9 HYPOTENSION 3/24/2023 ORTHOSTATIC HYPOTENSION
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anaemia of chronic disease, Hyperglycaemia, Type 2 diabetes mellitus
Clinical narrative: Pfizer vaccine was administered outside of facility - reported by patient- ? NO LOT NUMBER WERE SUPPLIED ------------------------------------------------------------------------------------------------------------------- J96.00 ACUTE RESPIRATORY FAILURE 4/4/2023 DM 2 W HYPERGLYCEMIA J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/28/2023 DM 2 W HYPERGLYCEMIA J96.00 ACUTE RESPIRATORY FAILURE 4/4/2023 ACUTE HYPOXEMIC RESPIRATORY FAILURE J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/28/2023 ACUTE HYPOXEMIC RESPIRATORY FAILURE J96.00 ACUTE RESPIRATORY FAILURE 4/4/2023 ANEMIA OF CHRONIC DISEASE J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/28/2023 ANEMIA OF CHRONIC DISEASE
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Discontinued product administered
Clinical narrative: Monovalent mRNA vaccine administered for a bivalent mRNA dose. Patient was dosed with monovalent vaccine prior to me being notified that the monovalent vaccine had had it's EUA withdrawn by the FDA.  The noticed that was released by the Agency dated 05/01/2023 that my supervisor received and was forwarded to me on 05/02/2023.  I read the email on 05/03/2023 after I returned to the clinic office following vaccines.  The noticed from the Agency announcing the withdrawal of the EUA, did NOT specify the date the withdrawal went into effect.  Once I read the notice, I immediately destroyed the remaining stock of monovalent mRNA vaccine FP7136.   The patient did NOT suffer any adverse effects or have any adverse events following the vaccination.  The patient was notified on 05/24/2023  of the issue and that we wanted to vaccinate him with the updated Pfizer Bivalent vaccine but patient declined stating that he was  going to be transferred soon and that when he got there he would just have them give it there.  Patient was released from our custody and transferred on 06/02/2023.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Atrial fibrillation
Clinical narrative: J96.00 ACUTE RESPIRATORY FAILURE 3/6/2023 ATRIAL FIBRILLATION, UNSPECIFIED
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Arrhythmia, Asthenia, Brain fog, Catatonia
Clinical narrative: Starting with the first vaccine, Aleutia had symptoms that increased with severity with every vaccine.  Brain fog, heart arrhythmia, skin rashes, but the worst were psychological.  She was always a psychologically healthy person.  She suddenly developed insomnia, episodes of Catalonia, anxiety, intermittent and recurrent fever, panic, and depression states.   By the time she got the booster, she was experiencing psychosis (no prior history of mental illness) and suicidal ideation. . After the booster and starting immediately, she had visual and auditory hallucinations, mood and energy swings, and general delusions, and the suicidal thoughts increased significantly.  She ended up taking her life on November 28 2022. This was absolutely and directly related to the vaccine booster. After the booster, she was never the same again.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Completed suicide, Death, Delusion, Depression, Energy increased
Clinical narrative: Starting with the first vaccine, Aleutia had symptoms that increased with severity with every vaccine.  Brain fog, heart arrhythmia, skin rashes, but the worst were psychological.  She was always a psychologically healthy person.  She suddenly developed insomnia, episodes of Catalonia, anxiety, intermittent and recurrent fever, panic, and depression states.   By the time she got the booster, she was experiencing psychosis (no prior history of mental illness) and suicidal ideation. . After the booster and starting immediately, she had visual and auditory hallucinations, mood and energy swings, and general delusions, and the suicidal thoughts increased significantly.  She ended up taking her life on November 28 2022. This was absolutely and directly related to the vaccine booster. After the booster, she was never the same again.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Hallucinations, mixed, Hanging, Immediate post-injection reaction, Insomnia, Mental disorder
Clinical narrative: Starting with the first vaccine, Aleutia had symptoms that increased with severity with every vaccine.  Brain fog, heart arrhythmia, skin rashes, but the worst were psychological.  She was always a psychologically healthy person.  She suddenly developed insomnia, episodes of Catalonia, anxiety, intermittent and recurrent fever, panic, and depression states.   By the time she got the booster, she was experiencing psychosis (no prior history of mental illness) and suicidal ideation. . After the booster and starting immediately, she had visual and auditory hallucinations, mood and energy swings, and general delusions, and the suicidal thoughts increased significantly.  She ended up taking her life on November 28 2022. This was absolutely and directly related to the vaccine booster. After the booster, she was never the same again.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Mood swings, Panic attack, Psychotic disorder, Pyrexia, Rash
Clinical narrative: Starting with the first vaccine, Aleutia had symptoms that increased with severity with every vaccine.  Brain fog, heart arrhythmia, skin rashes, but the worst were psychological.  She was always a psychologically healthy person.  She suddenly developed insomnia, episodes of Catalonia, anxiety, intermittent and recurrent fever, panic, and depression states.   By the time she got the booster, she was experiencing psychosis (no prior history of mental illness) and suicidal ideation. . After the booster and starting immediately, she had visual and auditory hallucinations, mood and energy swings, and general delusions, and the suicidal thoughts increased significantly.  She ended up taking her life on November 28 2022. This was absolutely and directly related to the vaccine booster. After the booster, she was never the same again.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Suicidal ideation
Clinical narrative: Starting with the first vaccine, Aleutia had symptoms that increased with severity with every vaccine.  Brain fog, heart arrhythmia, skin rashes, but the worst were psychological.  She was always a psychologically healthy person.  She suddenly developed insomnia, episodes of Catalonia, anxiety, intermittent and recurrent fever, panic, and depression states.   By the time she got the booster, she was experiencing psychosis (no prior history of mental illness) and suicidal ideation. . After the booster and starting immediately, she had visual and auditory hallucinations, mood and energy swings, and general delusions, and the suicidal thoughts increased significantly.  She ended up taking her life on November 28 2022. This was absolutely and directly related to the vaccine booster. After the booster, she was never the same again.
Age: 7.0
Sex: F
Vaccine: DTAP
Symptoms: Vaccination error, Wrong product administered
Clinical narrative: None. Vaccination error secondary to provider given DTaP instead of TdaP
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Cerebrovascular accident, Hypoxia
Clinical narrative: J96.00 ACUTE RESPIRATORY FAILURE 4/21/2023 LATE EFFECT OF STROKE R09.02 HYPOXIA 4/21/2023 LATE EFFECT OF STROKE
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Body temperature increased, Chills, Headache, Malaise, Mobility decreased
Clinical narrative: Covid like symptoms left me bedridden for 36 hours. Temp, Chills, headache, nauseous, aches.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nausea, Pain, Vaccine positive rechallenge
Clinical narrative: Covid like symptoms left me bedridden for 36 hours. Temp, Chills, headache, nauseous, aches.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoglycaemia, Hypovolaemic shock
Clinical narrative: HYPOVOLEMIC SHOCK 4/11/2023 HYPOGLYCEMIA
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Brain fog, Depression, Disturbance in attention, Fatigue
Clinical narrative: Moderate psychological symptoms.  Headache, anxiety, brain fog, mild depression.  Fatigue, difficulty concentrating, memory issues. No prior history of any of those.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Memory impairment, Mental disorder
Clinical narrative: Moderate psychological symptoms.  Headache, anxiety, brain fog, mild depression.  Fatigue, difficulty concentrating, memory issues. No prior history of any of those.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE POSTPROCEDURAL DVT OF RIGHT LEG, UNSPECIFIED VEIN ACUTE DVT, UNSPECIFIED VEIN 8/2/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris
Clinical narrative: STABLE ANGINA
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site vesicles
Clinical narrative: PATIENT REPORTS LARGE BLISTERS AT THE INJECTION SITE 1 DAY FOLLOWING VACCINE ADMINISTRATION. PATIENT TO URGENT CARE TO GET TREATMENT OPTIONS AND WAS PRESCRIBED A MEDICATION.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Brain fog, Depression, Disturbance in attention, Executive dysfunction
Clinical narrative: Increasing severity of psychological symptoms present since first COVID vaccine. .  Headache, anxiety, brain fog, mild depression all increased in severity.  Additionally, panic, auditory hallucinations, executive function diminished.  Increased Fatigue, much more difficulty concentrating, memory issues. No prior history of any of those.p before the COVID vaccine.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Hallucination, auditory, Headache, Memory impairment, Mental disorder
Clinical narrative: Increasing severity of psychological symptoms present since first COVID vaccine. .  Headache, anxiety, brain fog, mild depression all increased in severity.  Additionally, panic, auditory hallucinations, executive function diminished.  Increased Fatigue, much more difficulty concentrating, memory issues. No prior history of any of those.p before the COVID vaccine.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Panic reaction
Clinical narrative: Increasing severity of psychological symptoms present since first COVID vaccine. .  Headache, anxiety, brain fog, mild depression all increased in severity.  Additionally, panic, auditory hallucinations, executive function diminished.  Increased Fatigue, much more difficulty concentrating, memory issues. No prior history of any of those.p before the COVID vaccine.
Age: 7.0
Sex: F
Vaccine: DTAPIPV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: 7 year old was given Kinrix, which is only indicated for 4-6 year old. No adverse event
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Coronary artery disease, Deep vein thrombosis, Otorrhoea
Clinical narrative: ACUTE DVT OF RIGHT FEMORAL VEIN 3/28/2023 CAD (CORONARY ARTERY DISEASE) WO ANGINA ACUTE RESPIRATORY FAILURE 3/28/2023 CAD (CORONARY ARTERY DISEASE) WO ANGINA ACUTE DVT OF RIGHT FEMORAL VEIN 3/28/2023 LEFT OTORRHEA ACUTE RESPIRATORY FAILURE 3/28/2023 LEFT OTORRHEA
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Headache, Influenza like illness, SARS-CoV-2 test positive
Clinical narrative: I had flu like symptoms, a very bad headache, fatigue. I used a home COVID-19 test that came back positive. I did not call my doctor; I chose to self-quarantine per the CDC guidelines. I rested, took Tylenol for the headache, drank plenty of fluids and got rest to help my body recover. I do not feel that I had a very bad case. It took me one week for the major symptoms to go away, an additional week to start feeling more like myself.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Anaemia, Chronic kidney disease, Diarrhoea, Glomerular filtration rate
Clinical narrative: I21.4 ACUTE NON ST ELEVATION MI 3/18/2023 ANEMIA I21.4 ACUTE NON ST ELEVATION MI 3/18/2023 PNEUMONIA I21.4 ACUTE NON ST ELEVATION MI 3/18/2023 UTI (URINARY TRACT INFECTION) I21.4 ACUTE NON ST ELEVATION MI 3/18/2023 DIARRHEA I21.4 ACUTE NON ST ELEVATION MI 3/18/2023 PITUITARY MACROADENOMA I21.4 ACUTE NON ST ELEVATION MI 3/18/2023 ANEMIA DUE TO CKD STAGE 4 (GFR 15-29) I21.4 ACUTE NON ST ELEVATION MI 3/18/2023 PITUITARY MACROADENOMA
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Nephrogenic anaemia, Pituitary tumour benign, Pneumonia, Urinary tract infection
Clinical narrative: I21.4 ACUTE NON ST ELEVATION MI 3/18/2023 ANEMIA I21.4 ACUTE NON ST ELEVATION MI 3/18/2023 PNEUMONIA I21.4 ACUTE NON ST ELEVATION MI 3/18/2023 UTI (URINARY TRACT INFECTION) I21.4 ACUTE NON ST ELEVATION MI 3/18/2023 DIARRHEA I21.4 ACUTE NON ST ELEVATION MI 3/18/2023 PITUITARY MACROADENOMA I21.4 ACUTE NON ST ELEVATION MI 3/18/2023 ANEMIA DUE TO CKD STAGE 4 (GFR 15-29) I21.4 ACUTE NON ST ELEVATION MI 3/18/2023 PITUITARY MACROADENOMA
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Hyperhidrosis, Nausea, Pallor
Clinical narrative: Pt given Menveo vaccine at 11:50 am; 11:55 am c/o mild dizziness, pt layed down; 11:58 am mild nausea, diaphoresis, and pale, BP 90/50, HR 56 (Conditional Athlete);   12:03 pm BP 92/54, HR 56; 12:07 pm BP 96/60, HR 70; 12:12 BP 96/60, HR 60; 12:22pm BP 94/64, HR 60; 12:32 pm BP 94/62, HR 62; 12:42 pm BP 94/62, HR 60.  No treatment initiated.  Pt accompanied by mother and brother and left clinic once feeling better.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Discontinued product administered, No adverse event
Clinical narrative: Monovalent mRNA vaccine administered for a bivalent mRNA dose. Patient was given the monovalent mRNA vaccine, as I was not aware at the time, that the EUA had been withdrawal by the FDA.  My supervisor received noticed on 05/01/2023 from Health Department with a link to the Agency which announced updates to Covid-19 vaccines.  That the Bivalent Moderna & Pfizer BioNTec vaccines were to be used for all doses administered to those 6 months of age and older.  In the announcement, NO where did it state that this change had gone into effect the month prior. I was forwarded the email announcement  on 05/02/2023 and it was read on 05/03/2023 as soon as I returned to the clinic office from doing vaccinations I destroyed all remaining doses of our Pfizer monovalent mRNA FP7136 vaccine.  The patient suffered NO adverse affects and had NO adverse events following his vaccination. This patient was notified on 05/24/2023 regarding the need to have his vaccine repeated with the updated Pfizer Bivalent vaccine and the patient stated that he wants to wait till early June to get his next vaccine.  Patient still remains in our custody and will be offered the Updated Pfizer Bivalent vaccine this week.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Apathy, Arrhythmia, Brain fog, Depression
Clinical narrative: Psychological and physical symptoms both.  Brain fog, fatigue, anxiety, depression, skin rash, heart arrhythmia, difficulty concentrating, short term memory issues, lack of motivation.  Suicidal thoughts, impulsive thoughts.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Fatigue, Impulse-control disorder, Memory impairment, Mental impairment
Clinical narrative: Psychological and physical symptoms both.  Brain fog, fatigue, anxiety, depression, skin rash, heart arrhythmia, difficulty concentrating, short term memory issues, lack of motivation.  Suicidal thoughts, impulsive thoughts.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Suicidal ideation
Clinical narrative: Psychological and physical symptoms both.  Brain fog, fatigue, anxiety, depression, skin rash, heart arrhythmia, difficulty concentrating, short term memory issues, lack of motivation.  Suicidal thoughts, impulsive thoughts.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Coagulopathy
Clinical narrative: COAGULOPATHY, UNSPECIFIED TYPE
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Exposed bone in jaw, Exposure during pregnancy, Gingival pain, Toothache
Clinical narrative: Pregnancy history: 7 months pregnant, EDD 6/14/23  Adverse event: developed trauma to oral gum tissue, lower left side, bone actually broke off from inner gum jaw area and worked its way out, severe gum and tooth pain. As of June, still struggling, another loose piece of bone working it?s way to surface. Been closely following with dentist and Endodontics. They were concerned of a vertical root fracture and possibly needing extraction. Previously I have had very healthy gums and teeth, never had a cavity, short dental visits, no root canals or crowns, no previous dental work. No smoking or chewing tobacco.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Symptom recurrence
Clinical narrative: ACUTE ST ELEVATION MI, UNSPECIFIED ACUTE NON ST ELEVATION MI 6/20/2022 -- RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 61.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: pt reported on 6/6/2023 that they had spot rash on chest , neck, and arm
Age: 32.0
Sex: M
Vaccine: MMR
Symptoms: Syncope
Clinical narrative: Patient fainted