chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anosmia, Chapped lips, Cough, Diarrhoea, Gastrointestinal disorder
Clinical narrative: On 11/23/2022, I woke up with GI issues. I was experiencing diarrhea throughout the day. That is very unlike me. On 11/26/2022, I started to show symptoms of a sore throat, headache and congestion. Within 24 hours, I developed a fever and a cough. I also experienced the skin on my lips started to become sore and the skin peeled off. It was like a really bad case of chapped lips. It hurt really badly. I contacted my physician and they prescribed Paxlovid. On 12/1/2022, I lost my sense of smell. I continued with GI issues while taking the medication. It cleared up once the medication was complete.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Lip pain, Oropharyngeal pain, Pyrexia, Respiratory tract congestion
Clinical narrative: On 11/23/2022, I woke up with GI issues. I was experiencing diarrhea throughout the day. That is very unlike me. On 11/26/2022, I started to show symptoms of a sore throat, headache and congestion. Within 24 hours, I developed a fever and a cough. I also experienced the skin on my lips started to become sore and the skin peeled off. It was like a really bad case of chapped lips. It hurt really badly. I contacted my physician and they prescribed Paxlovid. On 12/1/2022, I lost my sense of smell. I continued with GI issues while taking the medication. It cleared up once the medication was complete.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test, Skin exfoliation
Clinical narrative: On 11/23/2022, I woke up with GI issues. I was experiencing diarrhea throughout the day. That is very unlike me. On 11/26/2022, I started to show symptoms of a sore throat, headache and congestion. Within 24 hours, I developed a fever and a cough. I also experienced the skin on my lips started to become sore and the skin peeled off. It was like a really bad case of chapped lips. It hurt really badly. I contacted my physician and they prescribed Paxlovid. On 12/1/2022, I lost my sense of smell. I continued with GI issues while taking the medication. It cleared up once the medication was complete.
Age: 15.0
Sex: M
Vaccine: HPV9, MMR
Symptoms: No adverse event, Wrong product administered
Clinical narrative: MMR vaccine was given instead of Varicella vaccine. No adverse reaction has been reported to date.
Age: 1.42
Sex: M
Vaccine: DTAP, HEPA, PNC13
Symptoms: Wrong product administered
Clinical narrative: Nurse was completing a child health immunization visit. Child was needing the Dtap, HIB, & Prevnar 13 today; Mother had declined the Flu & Covid-19 vaccines. I had my sticky note with the vaccines written on there that the child needed, & I'm unsure as to why I pulled  a Hep A vaccine to administer instead of the HIB. I checked my 3 vaccines in hand 2-3 times of the expiration date, etc., but it never dawned on me that I didn't have the HIB in my hand. I came into the clinic room & had the child to get prepped to receive the vaccines in the legs; the vaccines had been scanned in system, & no warning box was provided to alert me that Hep A was up to date; only a pop-up box for no allergy assessment. I later called the mother to inform her of the occurrence of what had happened after I realized later that afternoon what I had done & she verbalized understanding & reports no issues with the child at this time, I informed her that this Hep A dose would be considered invalid & that he would need another dose at the appropriate interval in 3 months or so. I told the mother that he would need to have another appt. scheduled to receive the HIB vaccine & she states she will call back in 1 week or so for child to receive.
Age: 64.0
Sex: M
Vaccine: COVID19-2, VARZOS
Symptoms: Extra dose administered
Clinical narrative: ON 12/14/2022 PATIENT HAD COME IN FOR A COVID AND SHINGRIX #1 VACCINE. CONFIRMED WITH PATIENT THAT THIS WAS THEIR FIRST SHINGRIX. AFTER ADMINISTERING THE VACCINE AND DOCUMENTING IT IN DATABASE IT WAS DISCOVERED THAT THE PATIENT ALREADY HAD HIS SHINGLES VACCINATION SERIES DONE AND THIS WAS HIS 3RD DOSE.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Laboratory test normal, Meningitis aseptic, Meningitis viral
Clinical narrative: Received moderna vaccine in Jan 2021, followed by second dose march 2021.  April 2021 I had to go back on Advair disk after having been on PRN albuterol only for the past 10 years.  I have had worsening breathing every since I had the second vaccine.  I have had to see a pulmonologist, cardiologist, and PCP for continued follow up.  The timing of the issues correlates with the completion of the original series.  My symptoms can't be attributed to any medications or other factors.   Drs have run all tests and diagnostic labs possible to try and find another cause to no avail  I continued to have upper respiratory infections throughout the summer and was hospitalized with sepsis a few days before late November holiday 2021.   Also, in August of 2021, I was admitted to the hospital with aseptic / viral meningitis with pneumonia.     I received the J&J vaccine in December 2021 as a booster.   Jan 1, 2022 I tested positive for covid.   I had covid a second time Sept 2022.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, SARS-CoV-2 test positive, Sepsis, Upper respiratory tract infection
Clinical narrative: Received moderna vaccine in Jan 2021, followed by second dose march 2021.  April 2021 I had to go back on Advair disk after having been on PRN albuterol only for the past 10 years.  I have had worsening breathing every since I had the second vaccine.  I have had to see a pulmonologist, cardiologist, and PCP for continued follow up.  The timing of the issues correlates with the completion of the original series.  My symptoms can't be attributed to any medications or other factors.   Drs have run all tests and diagnostic labs possible to try and find another cause to no avail  I continued to have upper respiratory infections throughout the summer and was hospitalized with sepsis a few days before late November holiday 2021.   Also, in August of 2021, I was admitted to the hospital with aseptic / viral meningitis with pneumonia.     I received the J&J vaccine in December 2021 as a booster.   Jan 1, 2022 I tested positive for covid.   I had covid a second time Sept 2022.
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chest discomfort, Decreased appetite, Eye infection, Fatigue, Headache
Clinical narrative: Fever lasted about a week and a half, sore throat and nasal congestion, and drainage fatigue coughing hacking phlegm. Severe headaches fatigue and body ache loss of appetite lost 12 lbs. While chest constriction for about five hours, like a band around your chest. Took PAXLOVID prescription MUCINEX and MUCINEX DM alternating, eye infection as well, cleared it up with 3-4 days required Z Pak and albuterol.
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: Nasal congestion, Oropharyngeal pain, Pain, Productive cough, Pyrexia
Clinical narrative: Fever lasted about a week and a half, sore throat and nasal congestion, and drainage fatigue coughing hacking phlegm. Severe headaches fatigue and body ache loss of appetite lost 12 lbs. While chest constriction for about five hours, like a band around your chest. Took PAXLOVID prescription MUCINEX and MUCINEX DM alternating, eye infection as well, cleared it up with 3-4 days required Z Pak and albuterol.
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: Rhinorrhoea
Clinical narrative: Fever lasted about a week and a half, sore throat and nasal congestion, and drainage fatigue coughing hacking phlegm. Severe headaches fatigue and body ache loss of appetite lost 12 lbs. While chest constriction for about five hours, like a band around your chest. Took PAXLOVID prescription MUCINEX and MUCINEX DM alternating, eye infection as well, cleared it up with 3-4 days required Z Pak and albuterol.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Alanine aminotransferase increased, Asthenia, Blood bilirubin increased, COVID-19
Clinical narrative: COVID+ 12/09/2022  Vaccination status - Moderna x3 No d/c summary available to date: H&P 12/9/22:CHIEF COMPLAINT: Acute respiratory disease due to COVID-19 virus ASSESSMENT / PLAN: * Acute respiratory failure due to COVID-19   Assessment & Plan Patient had COVID at the end of September 2022.  Patient had 3 previous vaccinations.  Reports of shortness of breath since infection.  Worsening shortness of breath on 12/08/2020 to presented to the ER for further evaluation. Home baseline RA, currently requiring 2L with ambulation COVID positive Mild wheezes Plan: Supplemental O2 and continuous pulse ox monitor Ween as able PRN albuterol for wheezing procalcitonin pending, add antibiotic coverage if elevated Increased daily home decadron  Aggressive pulmonary toilet with cough and deep breath/ ICS Monitor daily CMP and CBC Cerebral arteriosclerosis with history of previous stroke Assessment & Plan Previous history of CVA Continue home Lipitor and eliquis Occasionally uses a cane with ambulation at baseline Known word finding difficulties per patient and spouse Atrial fibrillation   Assessment & Plan Rate controlled Continue home anticoagulation COPD (chronic obstructive pulmonary disease) Assessment & Plan Known COPD, worsened since initial COVID infection. Continue home medication. Will increased decadron from 2mg daily to 6mg for short taper.  GERD (gastroesophageal reflux disease) Assessment & Plan Auto sub home Prilosec for Protonix PRN tums Code status: Full resuscitation  Called spouse, and verified patient history, medications, code status and plan of care. All questions were answered at this time.  65 minutes were spent on the unit/floor with the patient with over 50% spent counseling and coordination of care related to disease process and plan of care. Subjective  HISTORY OF PRESENT ILLNESS: Patient is a 84 y.o. male who presents today with increased shortness of breath and cough. Patient reports history of CVA, COPD, and GERD. Patient reports history of COVID infection September 2022 with continued shortness of breath since that time. Patient stated this worsened on 12/8/2022 with increased yellow productive sputum. Due to fatigue, weakness and difficulty breathing patient called EMS for assistance.  EMS gave patient albuterol treatment and IV solumedrol. Patient was transported to ED for further evaluation. Patient's laboratory findings were mostly unremarkable expect with increased ALT, bilirubin and positive COVID detection. Chest xray was completed followed by CT thorax which showed concern for Left lower lobe pneumonia. Upon ambulation, patient had decreased oxygen saturation requiring 2 L nasal canula to maintain oxygen saturation. Patient was given IV rocephin and doxycycline. Admission to the hospitalist service was accepted for continued treatment of acute respiratory failure, LLL pna and COVID support.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Computerised tomogram thorax abnormal, Condition aggravated, Cough, Dyspnoea
Clinical narrative: COVID+ 12/09/2022  Vaccination status - Moderna x3 No d/c summary available to date: H&P 12/9/22:CHIEF COMPLAINT: Acute respiratory disease due to COVID-19 virus ASSESSMENT / PLAN: * Acute respiratory failure due to COVID-19   Assessment & Plan Patient had COVID at the end of September 2022.  Patient had 3 previous vaccinations.  Reports of shortness of breath since infection.  Worsening shortness of breath on 12/08/2020 to presented to the ER for further evaluation. Home baseline RA, currently requiring 2L with ambulation COVID positive Mild wheezes Plan: Supplemental O2 and continuous pulse ox monitor Ween as able PRN albuterol for wheezing procalcitonin pending, add antibiotic coverage if elevated Increased daily home decadron  Aggressive pulmonary toilet with cough and deep breath/ ICS Monitor daily CMP and CBC Cerebral arteriosclerosis with history of previous stroke Assessment & Plan Previous history of CVA Continue home Lipitor and eliquis Occasionally uses a cane with ambulation at baseline Known word finding difficulties per patient and spouse Atrial fibrillation   Assessment & Plan Rate controlled Continue home anticoagulation COPD (chronic obstructive pulmonary disease) Assessment & Plan Known COPD, worsened since initial COVID infection. Continue home medication. Will increased decadron from 2mg daily to 6mg for short taper.  GERD (gastroesophageal reflux disease) Assessment & Plan Auto sub home Prilosec for Protonix PRN tums Code status: Full resuscitation  Called spouse, and verified patient history, medications, code status and plan of care. All questions were answered at this time.  65 minutes were spent on the unit/floor with the patient with over 50% spent counseling and coordination of care related to disease process and plan of care. Subjective  HISTORY OF PRESENT ILLNESS: Patient is a 84 y.o. male who presents today with increased shortness of breath and cough. Patient reports history of CVA, COPD, and GERD. Patient reports history of COVID infection September 2022 with continued shortness of breath since that time. Patient stated this worsened on 12/8/2022 with increased yellow productive sputum. Due to fatigue, weakness and difficulty breathing patient called EMS for assistance.  EMS gave patient albuterol treatment and IV solumedrol. Patient was transported to ED for further evaluation. Patient's laboratory findings were mostly unremarkable expect with increased ALT, bilirubin and positive COVID detection. Chest xray was completed followed by CT thorax which showed concern for Left lower lobe pneumonia. Upon ambulation, patient had decreased oxygen saturation requiring 2 L nasal canula to maintain oxygen saturation. Patient was given IV rocephin and doxycycline. Admission to the hospitalist service was accepted for continued treatment of acute respiratory failure, LLL pna and COVID support.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Laboratory test, Oxygen saturation decreased, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: COVID+ 12/09/2022  Vaccination status - Moderna x3 No d/c summary available to date: H&P 12/9/22:CHIEF COMPLAINT: Acute respiratory disease due to COVID-19 virus ASSESSMENT / PLAN: * Acute respiratory failure due to COVID-19   Assessment & Plan Patient had COVID at the end of September 2022.  Patient had 3 previous vaccinations.  Reports of shortness of breath since infection.  Worsening shortness of breath on 12/08/2020 to presented to the ER for further evaluation. Home baseline RA, currently requiring 2L with ambulation COVID positive Mild wheezes Plan: Supplemental O2 and continuous pulse ox monitor Ween as able PRN albuterol for wheezing procalcitonin pending, add antibiotic coverage if elevated Increased daily home decadron  Aggressive pulmonary toilet with cough and deep breath/ ICS Monitor daily CMP and CBC Cerebral arteriosclerosis with history of previous stroke Assessment & Plan Previous history of CVA Continue home Lipitor and eliquis Occasionally uses a cane with ambulation at baseline Known word finding difficulties per patient and spouse Atrial fibrillation   Assessment & Plan Rate controlled Continue home anticoagulation COPD (chronic obstructive pulmonary disease) Assessment & Plan Known COPD, worsened since initial COVID infection. Continue home medication. Will increased decadron from 2mg daily to 6mg for short taper.  GERD (gastroesophageal reflux disease) Assessment & Plan Auto sub home Prilosec for Protonix PRN tums Code status: Full resuscitation  Called spouse, and verified patient history, medications, code status and plan of care. All questions were answered at this time.  65 minutes were spent on the unit/floor with the patient with over 50% spent counseling and coordination of care related to disease process and plan of care. Subjective  HISTORY OF PRESENT ILLNESS: Patient is a 84 y.o. male who presents today with increased shortness of breath and cough. Patient reports history of CVA, COPD, and GERD. Patient reports history of COVID infection September 2022 with continued shortness of breath since that time. Patient stated this worsened on 12/8/2022 with increased yellow productive sputum. Due to fatigue, weakness and difficulty breathing patient called EMS for assistance.  EMS gave patient albuterol treatment and IV solumedrol. Patient was transported to ED for further evaluation. Patient's laboratory findings were mostly unremarkable expect with increased ALT, bilirubin and positive COVID detection. Chest xray was completed followed by CT thorax which showed concern for Left lower lobe pneumonia. Upon ambulation, patient had decreased oxygen saturation requiring 2 L nasal canula to maintain oxygen saturation. Patient was given IV rocephin and doxycycline. Admission to the hospitalist service was accepted for continued treatment of acute respiratory failure, LLL pna and COVID support.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Blood immunoglobulin E increased, Blood immunoglobulin M increased, Laboratory test abnormal, Pruritus
Clinical narrative: I initially got the rashes in September. They were really big. They spread all over my arms, back, and legs. They were very warm to the touch. I went to my primary doctor, and she started me on hydroxyzine, and I took it for a week, but it did not go away. I went to an allergist that has helped with the rashes. She prescribed XOLAIR. It helped with the hives but not with the itching. I plan to get an appointment next week. The allergist did some testing regarding my immune system. I received the results back yesterday and they indicated that there were a couple of things concerning that we would need to discuss what actions to take for it. I was given a shot of Pneumovax on December 15, 2022, due to the Ferrotypes not at the levels it should be. They will complete another blood draw to see if this helps. I do feel like I have recovered from this but I think that it took a lot longer than it should have.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Skin warm, Urticaria
Clinical narrative: I initially got the rashes in September. They were really big. They spread all over my arms, back, and legs. They were very warm to the touch. I went to my primary doctor, and she started me on hydroxyzine, and I took it for a week, but it did not go away. I went to an allergist that has helped with the rashes. She prescribed XOLAIR. It helped with the hives but not with the itching. I plan to get an appointment next week. The allergist did some testing regarding my immune system. I received the results back yesterday and they indicated that there were a couple of things concerning that we would need to discuss what actions to take for it. I was given a shot of Pneumovax on December 15, 2022, due to the Ferrotypes not at the levels it should be. They will complete another blood draw to see if this helps. I do feel like I have recovered from this but I think that it took a lot longer than it should have.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood potassium decreased, Canalith repositioning procedure, Computerised tomogram head normal, Electrocardiogram normal, Fear
Clinical narrative: 11/12/2022 I experienced extreme vertigo around 8:00PM. I have tinnitus and just before the vertigo, it became abnormally loud. By around 11:00PM, the vertigo was so bad and the pounding in my ears was very scary. I had never experienced anything like that. This continued through the night into the morning. When I would wake up, the room was spinning. I called the doctor and was told to go to the urgent care or hospital. All day long the vertigo continued, and I was unable to do much. When I went to urgent care, they did an EKG, did not say the results, and said it could be a sign of a stroke, so I needed to go to the emergency department. I went to the emergency department. I had a negative COVID test. A CT was done that evening. I stayed in observation room overnight. I was given meclizine for the vertigo. I was also given ZOFRAN for nausea because I had become nauseated. The next morning around 9:00, I had an MRI. The results of the CT and MRI ruled out a stroke. I had an EKG that was normal. They also did blood work which showed I had low potassium. Later that day the physical therapist assessed me and believed it was a benign positional vertigo position which a Neurologist confirmed later that afternoon. He did an Epley maneuver. I was discharged a few hours later with physical therapy prescribed to continue treating the vertigo. I just finished physical therapy. I am still experiencing dizziness and reduced hearing in my left ear. I was advised to follow up with an ENT. I have that appointment next week. I have a follow up appointment with a Neurologist in February. I still have not fully recovered. I still experience dizziness and my balance is off.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoacusis, Magnetic resonance imaging head normal, Nausea, SARS-CoV-2 test negative, Tinnitus
Clinical narrative: 11/12/2022 I experienced extreme vertigo around 8:00PM. I have tinnitus and just before the vertigo, it became abnormally loud. By around 11:00PM, the vertigo was so bad and the pounding in my ears was very scary. I had never experienced anything like that. This continued through the night into the morning. When I would wake up, the room was spinning. I called the doctor and was told to go to the urgent care or hospital. All day long the vertigo continued, and I was unable to do much. When I went to urgent care, they did an EKG, did not say the results, and said it could be a sign of a stroke, so I needed to go to the emergency department. I went to the emergency department. I had a negative COVID test. A CT was done that evening. I stayed in observation room overnight. I was given meclizine for the vertigo. I was also given ZOFRAN for nausea because I had become nauseated. The next morning around 9:00, I had an MRI. The results of the CT and MRI ruled out a stroke. I had an EKG that was normal. They also did blood work which showed I had low potassium. Later that day the physical therapist assessed me and believed it was a benign positional vertigo position which a Neurologist confirmed later that afternoon. He did an Epley maneuver. I was discharged a few hours later with physical therapy prescribed to continue treating the vertigo. I just finished physical therapy. I am still experiencing dizziness and reduced hearing in my left ear. I was advised to follow up with an ENT. I have that appointment next week. I have a follow up appointment with a Neurologist in February. I still have not fully recovered. I still experience dizziness and my balance is off.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vertigo, Vertigo positional
Clinical narrative: 11/12/2022 I experienced extreme vertigo around 8:00PM. I have tinnitus and just before the vertigo, it became abnormally loud. By around 11:00PM, the vertigo was so bad and the pounding in my ears was very scary. I had never experienced anything like that. This continued through the night into the morning. When I would wake up, the room was spinning. I called the doctor and was told to go to the urgent care or hospital. All day long the vertigo continued, and I was unable to do much. When I went to urgent care, they did an EKG, did not say the results, and said it could be a sign of a stroke, so I needed to go to the emergency department. I went to the emergency department. I had a negative COVID test. A CT was done that evening. I stayed in observation room overnight. I was given meclizine for the vertigo. I was also given ZOFRAN for nausea because I had become nauseated. The next morning around 9:00, I had an MRI. The results of the CT and MRI ruled out a stroke. I had an EKG that was normal. They also did blood work which showed I had low potassium. Later that day the physical therapist assessed me and believed it was a benign positional vertigo position which a Neurologist confirmed later that afternoon. He did an Epley maneuver. I was discharged a few hours later with physical therapy prescribed to continue treating the vertigo. I just finished physical therapy. I am still experiencing dizziness and reduced hearing in my left ear. I was advised to follow up with an ENT. I have that appointment next week. I have a follow up appointment with a Neurologist in February. I still have not fully recovered. I still experience dizziness and my balance is off.
Age: 59.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Incomplete course of vaccination, Injected limb mobility decreased, Pain
Clinical narrative: unable/hardly to raise arm; little soreness; 1st dose in 2021, has not yet received 2nd dose; This case was reported by a consumer via call center representative and described the occurrence of injected limb mobility decreased in a 59-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   Co-suspect products included Flu unspecified (Flu vaccine) for prophylaxis and Herpes zoster (Shingrix) for prophylaxis.   In October 2021, the patient received the 1st dose of Shingrix and Flu vaccine. On an unknown date, the patient did not receive the 2nd dose of Shingrix. On an unknown date, less than 2 years after receiving Shingrix and Flu vaccine and not applicable after receiving Shingrix, the patient experienced injected limb mobility decreased, pain and incomplete course of vaccination. The patient was treated with diclofenac. On an unknown date, the outcome of the injected limb mobility decreased was not recovered/not resolved and the outcome of the pain and incomplete course of vaccination were unknown.   It was unknown if the reporter considered the injected limb mobility decreased and pain to be related to Shingrix and Flu vaccine.     Additional Information: GSK Receipt Date: 06-DEC-2022 Reporter's Comment: The reporter was the patient. The patient received her first dose of Shingrix over 1 year ago, in October 2021.  The patient also received a Flu vaccine (unknown manufacturer) at the same time.  The patient received the Shingrix vaccine in one arm, the Flu vaccine in the other.  The patient did not recall which vaccine was given in which arm.  The patient states after she received the vaccines, she was unable to raise either arm. Currently, the patient can raise her left arm, but can hardly raise her right arm.  The patient experiences a little soreness.  The patient was recently prescribed Diclofenac 50 mg to alleviate symptoms.  The patient had follow up with her doctor in February 2023.  At the time of the call, the patient has not yet received her second dose of Shingrix. The reporter consent to follow up. Additional supportive information: Till the time of reporting, the patient did not receive the 2nd dose of Shingrix, which led to incomplete course of vaccination.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Neuropathy peripheral
Clinical narrative: Patient with neuropathy.  Diffuse neuropathy- she has had this after the second vaccines as well.  severe after shot, resolves after a few monhts
Age: 53.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: On 11/17/2022, sore throat. Sore throat continued, cough without production, fever, the highest 101 once, continued like that for a week or 5 days. On 11/17/2022 I took a COVID-19 home test and the result was positive. I called the doctor on 11/18/2022, I had a phone consultation with him, and he gave me 3 prescriptions. Zinc 220 tablet, prednisone 10 mg tablet, and azithromycin 500 mg tablet. It took the full 10 days for me to feel better. A little bit of a body ache, dry cough, achy. On the 11 or 12th day I was coming out of it 100 percent.
Age: 53.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: On 11/17/2022, sore throat. Sore throat continued, cough without production, fever, the highest 101 once, continued like that for a week or 5 days. On 11/17/2022 I took a COVID-19 home test and the result was positive. I called the doctor on 11/18/2022, I had a phone consultation with him, and he gave me 3 prescriptions. Zinc 220 tablet, prednisone 10 mg tablet, and azithromycin 500 mg tablet. It took the full 10 days for me to feel better. A little bit of a body ache, dry cough, achy. On the 11 or 12th day I was coming out of it 100 percent.
Age: 47.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Cough, Fatigue, Feeling abnormal, Respiratory tract congestion
Clinical narrative: On Monday 12/12 my husband woke up sick and got a PCR as we waited for results, he ran a fever I had nothing. I started having lots of cough and congestion and his test came back positive which made me test. I tested positive for COVID-19. Throughout the day my symptoms got worse, so we called the MD and they prescribed PAXLOVID on 12/14. Took the medication at 3PM and then again at 11PM. Since then, I have been taking it in the morning and all symptoms have gotten better. Still have the cough congestion but it seems like I am getting a sinus infection. The fatigue is bad along brain fog.
Age: 47.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: SARS-CoV-2 test positive
Clinical narrative: On Monday 12/12 my husband woke up sick and got a PCR as we waited for results, he ran a fever I had nothing. I started having lots of cough and congestion and his test came back positive which made me test. I tested positive for COVID-19. Throughout the day my symptoms got worse, so we called the MD and they prescribed PAXLOVID on 12/14. Took the medication at 3PM and then again at 11PM. Since then, I have been taking it in the morning and all symptoms have gotten better. Still have the cough congestion but it seems like I am getting a sinus infection. The fatigue is bad along brain fog.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was given pediatric dose of moderna vaccine.
Age: 65.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Diarrhoea, Gastrointestinal disorder, Headache, Limb discomfort, Vomiting
Clinical narrative: Diarrhea followed by vomiting in the middle of the night (c 12 hours after receipt) Also the usual heavy arm & slight sore head. Stomach delicate but alright this morning.
Age: 62.0
Sex: M
Vaccine: COVID19-2
Symptoms: Deep vein thrombosis, Ultrasound Doppler abnormal
Clinical narrative: DVT right calf
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd dose 29 days after 1st; This case was reported by a nurse via call center representative and described the occurrence of drug dose administration interval too short in a 50-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis.   Concomitant products included RECOMBINANT VARICELLA ZOSTER VIRUS SURFACE GLYCOPROTEIN E (SHINGRIX).   On 4th November 2022, the patient received the 2nd dose of Shingrix. On 4th November 2022, unknown after receiving Shingrix, the patient experienced drug dose administration interval too short. On an unknown date, the outcome of the drug dose administration interval too short was unknown.   Additional Information: GSK Receipt Date: 6-DEC-2022. Reporter's Comment:  The reporter stated that the administration of Shingrix on 5th October 2022 and 2nd dose on November 4th November 2022.  The reporter stated the time of the call, it was unknown if patient was immunocompromised. No additional details regarding lot number and expiration dates for Shingrix. The reporter gave consent to follow up. Additional Supportive Information: The reporter stated that 2nd dose received earlier than the recommended interval, which led to drug dose administration interval too short.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Aspiration pleural cavity, Asthenia, Atrial fibrillation, COVID-19 pneumonia, Cardiac failure congestive
Clinical narrative: pt had a previous hospitalization for A Fib with RVR and COVID pneumonia; was dc'd to home; back to ED the following day with malaise, and body aches; family states unable to care for her; placed on steroids, O2 supplementation; suffered right pleural effusion, CHF, s/p thoracentesis x 2; generalized debilitation; poor prognosis; dc'd to Rehab where she later passed away; pt status changed to DNR; family refused PEG for pt
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Death, Malaise, Pain, Pleural effusion
Clinical narrative: pt had a previous hospitalization for A Fib with RVR and COVID pneumonia; was dc'd to home; back to ED the following day with malaise, and body aches; family states unable to care for her; placed on steroids, O2 supplementation; suffered right pleural effusion, CHF, s/p thoracentesis x 2; generalized debilitation; poor prognosis; dc'd to Rehab where she later passed away; pt status changed to DNR; family refused PEG for pt
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Cardiac pacemaker insertion, Malaise, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: Patient with 4 COVID vaccines with esophageal cancer admitted to acute care for ventricular asystole and had pacemaker placed.  Patient then admitted to Rehab unit and tested detected for COVID prior to discharge.  Provider d/c note re COVID:  "1. Symptomatic Covid 19 detected the evening before planned discharge.  He was given 3 days of iv remdesivir and had an oncology appt rescheduled.  He will be seen next 12/21  by oncology and has f/u with cardiology and sleep medicine.  He has remained afebrile and on room air (except for evening cpap/bipap - which is baseline) for over 48 hours. 2. He feels safe and ready to dc home today.  He has been room independent for over 48 hours and has done well."
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Ventricular asystole
Clinical narrative: Patient with 4 COVID vaccines with esophageal cancer admitted to acute care for ventricular asystole and had pacemaker placed.  Patient then admitted to Rehab unit and tested detected for COVID prior to discharge.  Provider d/c note re COVID:  "1. Symptomatic Covid 19 detected the evening before planned discharge.  He was given 3 days of iv remdesivir and had an oncology appt rescheduled.  He will be seen next 12/21  by oncology and has f/u with cardiology and sleep medicine.  He has remained afebrile and on room air (except for evening cpap/bipap - which is baseline) for over 48 hours. 2. He feels safe and ready to dc home today.  He has been room independent for over 48 hours and has done well."
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Gluten sensitivity, Laboratory test normal
Clinical narrative: Developed major gluten allergy after vaccination.  ONLY known precipitating factor for development of gluten allergy at 55 years oif age.  Quite sure the immune stimulation from vaccination activated a latent propensity to gluten allergy.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram cerebral abnormal, Anticoagulant therapy, Asymptomatic COVID-19, Cerebral venous thrombosis, Electroencephalogram normal
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital after COVID detected test for left sided numbness.  Provider d/c note: "Hospital Course: No notes on file  These were her acute medical issues addressed:   1. Transient L sided paresthesias. No acute CVA on imaging(brain MRI); could have been a TIA? EEG - unremarkable. No seizure activity. -- consulted Neurology. Neurologic symptoms of transient nature. Unclear source.   2. ? L cortical venous thrombosis by Cerebral angiogram 11/28/22. -- continue with Eliquis BID. -- diagnosed by conventional angiography on 11/28/2022.   3. Migraines. -- continued Topamax/ Neurontin/ Nortriptyline   4. ?Psudotumor cerebri   5. HTN -- cont Amlodipine   6. Obesity -- BMI 48.8   7. OSA   8. Polypharmacy. DC'd redundant medications from her medication list.   9. COVID-19 positive: Asymptomatic. NOT hypoxic at all                                      Vaccinated x 2 and boosted x 1.    DC home with paresthesia symptoms completely resolved.  Will follow up with Neurology as previously scheduled."
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Idiopathic intracranial hypertension, Magnetic resonance imaging head normal, Neurological symptom, Paraesthesia
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital after COVID detected test for left sided numbness.  Provider d/c note: "Hospital Course: No notes on file  These were her acute medical issues addressed:   1. Transient L sided paresthesias. No acute CVA on imaging(brain MRI); could have been a TIA? EEG - unremarkable. No seizure activity. -- consulted Neurology. Neurologic symptoms of transient nature. Unclear source.   2. ? L cortical venous thrombosis by Cerebral angiogram 11/28/22. -- continue with Eliquis BID. -- diagnosed by conventional angiography on 11/28/2022.   3. Migraines. -- continued Topamax/ Neurontin/ Nortriptyline   4. ?Psudotumor cerebri   5. HTN -- cont Amlodipine   6. Obesity -- BMI 48.8   7. OSA   8. Polypharmacy. DC'd redundant medications from her medication list.   9. COVID-19 positive: Asymptomatic. NOT hypoxic at all                                      Vaccinated x 2 and boosted x 1.    DC home with paresthesia symptoms completely resolved.  Will follow up with Neurology as previously scheduled."
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital after COVID detected test for left sided numbness.  Provider d/c note: "Hospital Course: No notes on file  These were her acute medical issues addressed:   1. Transient L sided paresthesias. No acute CVA on imaging(brain MRI); could have been a TIA? EEG - unremarkable. No seizure activity. -- consulted Neurology. Neurologic symptoms of transient nature. Unclear source.   2. ? L cortical venous thrombosis by Cerebral angiogram 11/28/22. -- continue with Eliquis BID. -- diagnosed by conventional angiography on 11/28/2022.   3. Migraines. -- continued Topamax/ Neurontin/ Nortriptyline   4. ?Psudotumor cerebri   5. HTN -- cont Amlodipine   6. Obesity -- BMI 48.8   7. OSA   8. Polypharmacy. DC'd redundant medications from her medication list.   9. COVID-19 positive: Asymptomatic. NOT hypoxic at all                                      Vaccinated x 2 and boosted x 1.    DC home with paresthesia symptoms completely resolved.  Will follow up with Neurology as previously scheduled."
Age: 26.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site rash, Rash, Rash erythematous, Rash pruritic
Clinical narrative: pt got  itchy small red bumps all over both arms and neck and lower part of face. it is worse around the injection site on the left arm .  she took a benadryl last night but it did not help so i told her to go to MD.  pt said she already contacted her Dr and the dr told her to go tell the pharmacist and then go to an urgent care. pt said she has no hives and no shortness of breath or trouble  breathing .
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood glucose, Condition aggravated, Diabetes mellitus, Glycosylated haemoglobin increased
Clinical narrative: My A1c went from prediabetic to diabetic at age 65. My A1c was normally reading at 6.4 with a fasting blood test after receiving the last vaccine my fasting A1c is now at 7.0. I have been prescribed TRULICITY as I was not taking this before the vaccine.
Age: 0.5
Sex: F
Vaccine: DTAPIPV
Symptoms: Inappropriate schedule of product administration, Product administered to patient of inappropriate age
Clinical narrative: given as 3rd dose in Dtap and IPV schedule; 6 months old received Kinrix; This case was reported by a nurse via call center representative and described the occurrence of inappropriate schedule of vaccine administered in a 6-month-old female patient who received DTPa-IPV (Kinrix) (batch number 2KL4K, expiry date 9th November 2023) for prophylaxis.   Co-suspect products included dtpa-ipv vaccine pre-filled syringe device (Kinrix Pre-Filled Syringe Device) injection syringe for prophylaxis.   On 9th November 2022, the patient received Kinrix and Kinrix Pre-Filled Syringe Device. On 9th November 2022, unknown after receiving Kinrix and Kinrix Pre-Filled Syringe Device, the patient experienced inappropriate schedule of vaccine administered and inappropriate age at vaccine administration. On an unknown date, the outcome of the inappropriate schedule of vaccine administered and inappropriate age at vaccine administration were unknown.   This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences.   Additional Information: GSK Receipt Date: 06-DEC-2022 Reporter's comment: The nurse reported that a 6 month old patient received a dose of Kinrix. No symptoms reported. The reporter also stated that  DTAP and IPV was their (the patient's) 3rd dose with the Kinrix. The reporter gave consent to follow up. Additional Supportive Information: The 6 month old received a dose of kinrix, which led to inappropriate age at vaccine administration. The DTAP and IPV 3rd dose with Kinrix, which led to inappropriate schedule of vaccine administered.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: Vaccine was over diluted when reconstituted. No adverse reaction reported by mother. Patient to be boosted per CDC guidelines.
Age: 32.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Lymphadenopathy, Pain in extremity
Clinical narrative: Fatigue on 1st day after shot & 2nd day after shot I had a sore L arm and swollen L armpit lymph node
Age: 9.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cough, Nasal congestion, Respiratory tract congestion, Secretion discharge
Clinical narrative: She had a cough that was a week long; she has stuffy nose and mucus she sounded congested.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness, Tinnitus
Clinical narrative: Tinnitus & hearing loss
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Cough, Fatigue, Immunoglobulin therapy
Clinical narrative: I was asking the doctor for medicine, because I had a cold I could not shake. I was told to take to a COVID-19 test first. It was negative. The next day I was sick with fever and fatigue and congestion in the head and face. I was having cold like symptoms and prescribed PAXLOVID. I had and experimental CART-T five years ago to treat my Lymphoma. One of the side effects is that I have a compromised immune system. After taking the PAXLOVID, it was the second time I took it, I had COVID-19 in July. This time around I did not rebound. The symptoms stayed the same. My doctor prescribed and IV-IG treatment the next week, three days later, I felt 100% better. The medicine it helped but the congestion in head and chest was very much present. I was coughing so much my abdomen muscles started to hurt. The PAXLOVID keeps the symptoms at a minimum.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Nasopharyngitis, Pyrexia, Respiratory tract congestion
Clinical narrative: I was asking the doctor for medicine, because I had a cold I could not shake. I was told to take to a COVID-19 test first. It was negative. The next day I was sick with fever and fatigue and congestion in the head and face. I was having cold like symptoms and prescribed PAXLOVID. I had and experimental CART-T five years ago to treat my Lymphoma. One of the side effects is that I have a compromised immune system. After taking the PAXLOVID, it was the second time I took it, I had COVID-19 in July. This time around I did not rebound. The symptoms stayed the same. My doctor prescribed and IV-IG treatment the next week, three days later, I felt 100% better. The medicine it helped but the congestion in head and chest was very much present. I was coughing so much my abdomen muscles started to hurt. The PAXLOVID keeps the symptoms at a minimum.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Atrial tachycardia, COVID-19, Cardiac failure
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "74yoF ho coronary artery disease, there is stenosis, hypertension, dm 2, HLD, BPH, MI 2003, paroxysmal SVT presenting on 12/05 for progressive shortness of breath.  Three day duration, never had the past, exacerbated by exertion, relieved with rest, denies chest discomfort, endorses nonproductive cough.  Found to be in atrial tachycardia with rate exceeding 140, CXR suggesting volume overload versus pulmonary edema.  Initial blood pressure 172/113 and hypoxic to 80% on room air.  CTA negative for PE revealed bilateral effusions and ground-glass opacities with mosaic attenuation consistent with pulmonary edema.  Also found be COVID positive.  Troponin/EKG unremarkable for ischemia.  Blood pressure and hypoxia improved with IV diuretics and rate control.  Echo revealed reduced EF 20% with severe global hypokinesis.  Compared to 2021 echo EF 55%.  Cardiology consulted and recommend LifeVest on discharge with repeat echo as NM stress test on 12/01 was negative for ischemia.  Patient discharged without requirements for therapy or home oxygen.    Acute hypoxic respiratory failure due to new HFrEF exacerbation  -transition IV Lasix to oral, GDMT valsartan and beta-blocker.  Selected tartrate for rate control and patient could not afford Entresto.  Life vest given on discharge.  Close cardiology follow-up.  Consider SGLT2.  Multifocal atrial tachycardia with history SVT  -SVT seen on outpatient cardiac monitor and MATseen on tele/EKG while inpatient, amiodarone 400mg q12h 10 days, 200mg daily thereafter, metoprolol tartrate  COVID-19 infection  -likely minimal contribution, respiratory status improved with control of HR, BP, and volume status, continue supportive care outpatient"
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cardiac monitoring abnormal, Cardiac stress test normal, Cardiac telemetry abnormal, Chest X-ray abnormal, Condition aggravated
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "74yoF ho coronary artery disease, there is stenosis, hypertension, dm 2, HLD, BPH, MI 2003, paroxysmal SVT presenting on 12/05 for progressive shortness of breath.  Three day duration, never had the past, exacerbated by exertion, relieved with rest, denies chest discomfort, endorses nonproductive cough.  Found to be in atrial tachycardia with rate exceeding 140, CXR suggesting volume overload versus pulmonary edema.  Initial blood pressure 172/113 and hypoxic to 80% on room air.  CTA negative for PE revealed bilateral effusions and ground-glass opacities with mosaic attenuation consistent with pulmonary edema.  Also found be COVID positive.  Troponin/EKG unremarkable for ischemia.  Blood pressure and hypoxia improved with IV diuretics and rate control.  Echo revealed reduced EF 20% with severe global hypokinesis.  Compared to 2021 echo EF 55%.  Cardiology consulted and recommend LifeVest on discharge with repeat echo as NM stress test on 12/01 was negative for ischemia.  Patient discharged without requirements for therapy or home oxygen.    Acute hypoxic respiratory failure due to new HFrEF exacerbation  -transition IV Lasix to oral, GDMT valsartan and beta-blocker.  Selected tartrate for rate control and patient could not afford Entresto.  Life vest given on discharge.  Close cardiology follow-up.  Consider SGLT2.  Multifocal atrial tachycardia with history SVT  -SVT seen on outpatient cardiac monitor and MATseen on tele/EKG while inpatient, amiodarone 400mg q12h 10 days, 200mg daily thereafter, metoprolol tartrate  COVID-19 infection  -likely minimal contribution, respiratory status improved with control of HR, BP, and volume status, continue supportive care outpatient"