chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Ceruloplasmin, Clostridium test, Culture stool negative, Dermatitis, Diarrhoea
Clinical narrative: Pink rash on genital area and nausea from early to mid January, 2022, saw primary care physician 1/31/2021. Rash was consistent with previous rash from 8/2020, which was also instance of a positive COVID-19 test. Diagnosed as dermatitis and prescribed a topical cream to treat the rash which resolved after a few weeks of use. Omeprazole was offered, but refused. Nausea issues persisted with loose and frequent stools and lower abdominal pain. Saw a new provider 3/2/2022 for second opinion. Omeprazole was ordered along with blood and fecal labs. Based on results, Cipro and Flagyl were ordered for a week due to possible GI infection and inflammation. Probiotic was also started during course of antibiotics. Symptoms improved somewhat after course of antibiotics. Referred to gastroenterologist for consult. On 3/28/2022 additional labs ordered, abdominal ultrasound, and scheduled for upper and lower endoscopy. Endoscopy completed 4/11/2022, noted gastritis, esophogitis, and ulcerated terminal ilium.  Concern for possible Crohn's disease was noted and Mesalamine and famotodine were ordered. Episode of syncope occurred 4/22/2022, medication was stopped and lab work ordered. Mesalamine was stopped and switched to Sulfasalazine. GI issues are still being monitored.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Differential white blood cell count, Endoscopy abnormal, Eosinophil count, Eosinophil percentage, Faecal calprotectin
Clinical narrative: Pink rash on genital area and nausea from early to mid January, 2022, saw primary care physician 1/31/2021. Rash was consistent with previous rash from 8/2020, which was also instance of a positive COVID-19 test. Diagnosed as dermatitis and prescribed a topical cream to treat the rash which resolved after a few weeks of use. Omeprazole was offered, but refused. Nausea issues persisted with loose and frequent stools and lower abdominal pain. Saw a new provider 3/2/2022 for second opinion. Omeprazole was ordered along with blood and fecal labs. Based on results, Cipro and Flagyl were ordered for a week due to possible GI infection and inflammation. Probiotic was also started during course of antibiotics. Symptoms improved somewhat after course of antibiotics. Referred to gastroenterologist for consult. On 3/28/2022 additional labs ordered, abdominal ultrasound, and scheduled for upper and lower endoscopy. Endoscopy completed 4/11/2022, noted gastritis, esophogitis, and ulcerated terminal ilium.  Concern for possible Crohn's disease was noted and Mesalamine and famotodine were ordered. Episode of syncope occurred 4/22/2022, medication was stopped and lab work ordered. Mesalamine was stopped and switched to Sulfasalazine. GI issues are still being monitored.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Flatulence, Frequent bowel movements, Full blood count, Gallbladder disorder, Gastritis
Clinical narrative: Pink rash on genital area and nausea from early to mid January, 2022, saw primary care physician 1/31/2021. Rash was consistent with previous rash from 8/2020, which was also instance of a positive COVID-19 test. Diagnosed as dermatitis and prescribed a topical cream to treat the rash which resolved after a few weeks of use. Omeprazole was offered, but refused. Nausea issues persisted with loose and frequent stools and lower abdominal pain. Saw a new provider 3/2/2022 for second opinion. Omeprazole was ordered along with blood and fecal labs. Based on results, Cipro and Flagyl were ordered for a week due to possible GI infection and inflammation. Probiotic was also started during course of antibiotics. Symptoms improved somewhat after course of antibiotics. Referred to gastroenterologist for consult. On 3/28/2022 additional labs ordered, abdominal ultrasound, and scheduled for upper and lower endoscopy. Endoscopy completed 4/11/2022, noted gastritis, esophogitis, and ulcerated terminal ilium.  Concern for possible Crohn's disease was noted and Mesalamine and famotodine were ordered. Episode of syncope occurred 4/22/2022, medication was stopped and lab work ordered. Mesalamine was stopped and switched to Sulfasalazine. GI issues are still being monitored.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Genital rash, Glomerular filtration rate normal, Haematocrit normal, Haemoglobin normal, Hepatitis viral test negative
Clinical narrative: Pink rash on genital area and nausea from early to mid January, 2022, saw primary care physician 1/31/2021. Rash was consistent with previous rash from 8/2020, which was also instance of a positive COVID-19 test. Diagnosed as dermatitis and prescribed a topical cream to treat the rash which resolved after a few weeks of use. Omeprazole was offered, but refused. Nausea issues persisted with loose and frequent stools and lower abdominal pain. Saw a new provider 3/2/2022 for second opinion. Omeprazole was ordered along with blood and fecal labs. Based on results, Cipro and Flagyl were ordered for a week due to possible GI infection and inflammation. Probiotic was also started during course of antibiotics. Symptoms improved somewhat after course of antibiotics. Referred to gastroenterologist for consult. On 3/28/2022 additional labs ordered, abdominal ultrasound, and scheduled for upper and lower endoscopy. Endoscopy completed 4/11/2022, noted gastritis, esophogitis, and ulcerated terminal ilium.  Concern for possible Crohn's disease was noted and Mesalamine and famotodine were ordered. Episode of syncope occurred 4/22/2022, medication was stopped and lab work ordered. Mesalamine was stopped and switched to Sulfasalazine. GI issues are still being monitored.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Ileal ulcer, Laboratory test, Lipase normal, Lymphocyte count, Lymphocyte percentage
Clinical narrative: Pink rash on genital area and nausea from early to mid January, 2022, saw primary care physician 1/31/2021. Rash was consistent with previous rash from 8/2020, which was also instance of a positive COVID-19 test. Diagnosed as dermatitis and prescribed a topical cream to treat the rash which resolved after a few weeks of use. Omeprazole was offered, but refused. Nausea issues persisted with loose and frequent stools and lower abdominal pain. Saw a new provider 3/2/2022 for second opinion. Omeprazole was ordered along with blood and fecal labs. Based on results, Cipro and Flagyl were ordered for a week due to possible GI infection and inflammation. Probiotic was also started during course of antibiotics. Symptoms improved somewhat after course of antibiotics. Referred to gastroenterologist for consult. On 3/28/2022 additional labs ordered, abdominal ultrasound, and scheduled for upper and lower endoscopy. Endoscopy completed 4/11/2022, noted gastritis, esophogitis, and ulcerated terminal ilium.  Concern for possible Crohn's disease was noted and Mesalamine and famotodine were ordered. Episode of syncope occurred 4/22/2022, medication was stopped and lab work ordered. Mesalamine was stopped and switched to Sulfasalazine. GI issues are still being monitored.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume increased, Metabolic function test
Clinical narrative: Pink rash on genital area and nausea from early to mid January, 2022, saw primary care physician 1/31/2021. Rash was consistent with previous rash from 8/2020, which was also instance of a positive COVID-19 test. Diagnosed as dermatitis and prescribed a topical cream to treat the rash which resolved after a few weeks of use. Omeprazole was offered, but refused. Nausea issues persisted with loose and frequent stools and lower abdominal pain. Saw a new provider 3/2/2022 for second opinion. Omeprazole was ordered along with blood and fecal labs. Based on results, Cipro and Flagyl were ordered for a week due to possible GI infection and inflammation. Probiotic was also started during course of antibiotics. Symptoms improved somewhat after course of antibiotics. Referred to gastroenterologist for consult. On 3/28/2022 additional labs ordered, abdominal ultrasound, and scheduled for upper and lower endoscopy. Endoscopy completed 4/11/2022, noted gastritis, esophogitis, and ulcerated terminal ilium.  Concern for possible Crohn's disease was noted and Mesalamine and famotodine were ordered. Episode of syncope occurred 4/22/2022, medication was stopped and lab work ordered. Mesalamine was stopped and switched to Sulfasalazine. GI issues are still being monitored.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Monocyte count, Monocyte percentage, Nausea, Neutrophil count, Neutrophil percentage
Clinical narrative: Pink rash on genital area and nausea from early to mid January, 2022, saw primary care physician 1/31/2021. Rash was consistent with previous rash from 8/2020, which was also instance of a positive COVID-19 test. Diagnosed as dermatitis and prescribed a topical cream to treat the rash which resolved after a few weeks of use. Omeprazole was offered, but refused. Nausea issues persisted with loose and frequent stools and lower abdominal pain. Saw a new provider 3/2/2022 for second opinion. Omeprazole was ordered along with blood and fecal labs. Based on results, Cipro and Flagyl were ordered for a week due to possible GI infection and inflammation. Probiotic was also started during course of antibiotics. Symptoms improved somewhat after course of antibiotics. Referred to gastroenterologist for consult. On 3/28/2022 additional labs ordered, abdominal ultrasound, and scheduled for upper and lower endoscopy. Endoscopy completed 4/11/2022, noted gastritis, esophogitis, and ulcerated terminal ilium.  Concern for possible Crohn's disease was noted and Mesalamine and famotodine were ordered. Episode of syncope occurred 4/22/2022, medication was stopped and lab work ordered. Mesalamine was stopped and switched to Sulfasalazine. GI issues are still being monitored.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Occult blood negative, Oesophagitis, Platelet count normal, Protein total normal, Rash erythematous
Clinical narrative: Pink rash on genital area and nausea from early to mid January, 2022, saw primary care physician 1/31/2021. Rash was consistent with previous rash from 8/2020, which was also instance of a positive COVID-19 test. Diagnosed as dermatitis and prescribed a topical cream to treat the rash which resolved after a few weeks of use. Omeprazole was offered, but refused. Nausea issues persisted with loose and frequent stools and lower abdominal pain. Saw a new provider 3/2/2022 for second opinion. Omeprazole was ordered along with blood and fecal labs. Based on results, Cipro and Flagyl were ordered for a week due to possible GI infection and inflammation. Probiotic was also started during course of antibiotics. Symptoms improved somewhat after course of antibiotics. Referred to gastroenterologist for consult. On 3/28/2022 additional labs ordered, abdominal ultrasound, and scheduled for upper and lower endoscopy. Endoscopy completed 4/11/2022, noted gastritis, esophogitis, and ulcerated terminal ilium.  Concern for possible Crohn's disease was noted and Mesalamine and famotodine were ordered. Episode of syncope occurred 4/22/2022, medication was stopped and lab work ordered. Mesalamine was stopped and switched to Sulfasalazine. GI issues are still being monitored.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell count normal, Red cell distribution width normal, SARS-CoV-2 test positive, Serum ferritin normal, Smooth muscle antibody
Clinical narrative: Pink rash on genital area and nausea from early to mid January, 2022, saw primary care physician 1/31/2021. Rash was consistent with previous rash from 8/2020, which was also instance of a positive COVID-19 test. Diagnosed as dermatitis and prescribed a topical cream to treat the rash which resolved after a few weeks of use. Omeprazole was offered, but refused. Nausea issues persisted with loose and frequent stools and lower abdominal pain. Saw a new provider 3/2/2022 for second opinion. Omeprazole was ordered along with blood and fecal labs. Based on results, Cipro and Flagyl were ordered for a week due to possible GI infection and inflammation. Probiotic was also started during course of antibiotics. Symptoms improved somewhat after course of antibiotics. Referred to gastroenterologist for consult. On 3/28/2022 additional labs ordered, abdominal ultrasound, and scheduled for upper and lower endoscopy. Endoscopy completed 4/11/2022, noted gastritis, esophogitis, and ulcerated terminal ilium.  Concern for possible Crohn's disease was noted and Mesalamine and famotodine were ordered. Episode of syncope occurred 4/22/2022, medication was stopped and lab work ordered. Mesalamine was stopped and switched to Sulfasalazine. GI issues are still being monitored.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Transferrin normal, Transferrin saturation, Ultrasound abdomen abnormal, White blood cell count normal
Clinical narrative: Pink rash on genital area and nausea from early to mid January, 2022, saw primary care physician 1/31/2021. Rash was consistent with previous rash from 8/2020, which was also instance of a positive COVID-19 test. Diagnosed as dermatitis and prescribed a topical cream to treat the rash which resolved after a few weeks of use. Omeprazole was offered, but refused. Nausea issues persisted with loose and frequent stools and lower abdominal pain. Saw a new provider 3/2/2022 for second opinion. Omeprazole was ordered along with blood and fecal labs. Based on results, Cipro and Flagyl were ordered for a week due to possible GI infection and inflammation. Probiotic was also started during course of antibiotics. Symptoms improved somewhat after course of antibiotics. Referred to gastroenterologist for consult. On 3/28/2022 additional labs ordered, abdominal ultrasound, and scheduled for upper and lower endoscopy. Endoscopy completed 4/11/2022, noted gastritis, esophogitis, and ulcerated terminal ilium.  Concern for possible Crohn's disease was noted and Mesalamine and famotodine were ordered. Episode of syncope occurred 4/22/2022, medication was stopped and lab work ordered. Mesalamine was stopped and switched to Sulfasalazine. GI issues are still being monitored.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cells stool positive
Clinical narrative: Pink rash on genital area and nausea from early to mid January, 2022, saw primary care physician 1/31/2021. Rash was consistent with previous rash from 8/2020, which was also instance of a positive COVID-19 test. Diagnosed as dermatitis and prescribed a topical cream to treat the rash which resolved after a few weeks of use. Omeprazole was offered, but refused. Nausea issues persisted with loose and frequent stools and lower abdominal pain. Saw a new provider 3/2/2022 for second opinion. Omeprazole was ordered along with blood and fecal labs. Based on results, Cipro and Flagyl were ordered for a week due to possible GI infection and inflammation. Probiotic was also started during course of antibiotics. Symptoms improved somewhat after course of antibiotics. Referred to gastroenterologist for consult. On 3/28/2022 additional labs ordered, abdominal ultrasound, and scheduled for upper and lower endoscopy. Endoscopy completed 4/11/2022, noted gastritis, esophogitis, and ulcerated terminal ilium.  Concern for possible Crohn's disease was noted and Mesalamine and famotodine were ordered. Episode of syncope occurred 4/22/2022, medication was stopped and lab work ordered. Mesalamine was stopped and switched to Sulfasalazine. GI issues are still being monitored.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Cardio-respiratory arrest, Catheter placement
Clinical narrative: Pfizer Dose 1 4/8/21 (EW0161) Pfizer Dose 2 4/30/21 (EW0161) COVID Positive 12/25/2021  12/25/21: This is a 54 yo female patient who presented to the ED this evening because of fatigue  Patient has a history of COPD, chronic diastolic heart failure, end-stage renal disease on peritoneal dialysis, depression  She is currently dependent on oxygen, wears 2 L of oxygen at home  She reports intermittent shortness of breath but currently is breathing comfortably on her home dose of oxygen requirement  She reports diarrhea and decreased appetite. She denies chest pain, abdominal pain. She reports being vaccinated against COVID with Pfizer however is not sure if she received her booster as of yet because she does not know where to go to receive this  States all family members are positive for COVID-19  Chest x-ray in the emergency department shows patterns consistent with COVID-19 pneumonia  She was given IV antibiotics in the emergency department  1/5/22: 59-year-old female admitted for COVID pneumonia complicated by acute hypoxemic respiratory failure, unresponsive episode requiring Code Blue, cardiopulmonary arrest status post CPR with successful ROSC. She was intubated and sedated and spent time in the ICU from 12/26 to 12/29. She was started on IV steroids, antibiotics and antivirals. Patient was placed on hemodialysis instead of regular PD so she could receive IV remdesivir.  However, remdesivir was discontinued due to elevated liver enzymes. She has underlying poorly controlled hypertension and COPD chronically on 2 L oxygen at home, ESRD with PD dependence, chronic pain disorder on methadone protocol initiated opiate dependence.  Patient improved and is no longer requiring any supplemental oxygen.  Nephrology has plans to switch the patient back to peritoneal dialysis, hemodialysis catheter was removed.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Decreased appetite, Diarrhoea, Dyspnoea, Endotracheal intubation
Clinical narrative: Pfizer Dose 1 4/8/21 (EW0161) Pfizer Dose 2 4/30/21 (EW0161) COVID Positive 12/25/2021  12/25/21: This is a 54 yo female patient who presented to the ED this evening because of fatigue  Patient has a history of COPD, chronic diastolic heart failure, end-stage renal disease on peritoneal dialysis, depression  She is currently dependent on oxygen, wears 2 L of oxygen at home  She reports intermittent shortness of breath but currently is breathing comfortably on her home dose of oxygen requirement  She reports diarrhea and decreased appetite. She denies chest pain, abdominal pain. She reports being vaccinated against COVID with Pfizer however is not sure if she received her booster as of yet because she does not know where to go to receive this  States all family members are positive for COVID-19  Chest x-ray in the emergency department shows patterns consistent with COVID-19 pneumonia  She was given IV antibiotics in the emergency department  1/5/22: 59-year-old female admitted for COVID pneumonia complicated by acute hypoxemic respiratory failure, unresponsive episode requiring Code Blue, cardiopulmonary arrest status post CPR with successful ROSC. She was intubated and sedated and spent time in the ICU from 12/26 to 12/29. She was started on IV steroids, antibiotics and antivirals. Patient was placed on hemodialysis instead of regular PD so she could receive IV remdesivir.  However, remdesivir was discontinued due to elevated liver enzymes. She has underlying poorly controlled hypertension and COPD chronically on 2 L oxygen at home, ESRD with PD dependence, chronic pain disorder on methadone protocol initiated opiate dependence.  Patient improved and is no longer requiring any supplemental oxygen.  Nephrology has plans to switch the patient back to peritoneal dialysis, hemodialysis catheter was removed.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Fatigue, Haemodialysis, Hepatic enzyme increased, Inappropriate schedule of product administration
Clinical narrative: Pfizer Dose 1 4/8/21 (EW0161) Pfizer Dose 2 4/30/21 (EW0161) COVID Positive 12/25/2021  12/25/21: This is a 54 yo female patient who presented to the ED this evening because of fatigue  Patient has a history of COPD, chronic diastolic heart failure, end-stage renal disease on peritoneal dialysis, depression  She is currently dependent on oxygen, wears 2 L of oxygen at home  She reports intermittent shortness of breath but currently is breathing comfortably on her home dose of oxygen requirement  She reports diarrhea and decreased appetite. She denies chest pain, abdominal pain. She reports being vaccinated against COVID with Pfizer however is not sure if she received her booster as of yet because she does not know where to go to receive this  States all family members are positive for COVID-19  Chest x-ray in the emergency department shows patterns consistent with COVID-19 pneumonia  She was given IV antibiotics in the emergency department  1/5/22: 59-year-old female admitted for COVID pneumonia complicated by acute hypoxemic respiratory failure, unresponsive episode requiring Code Blue, cardiopulmonary arrest status post CPR with successful ROSC. She was intubated and sedated and spent time in the ICU from 12/26 to 12/29. She was started on IV steroids, antibiotics and antivirals. Patient was placed on hemodialysis instead of regular PD so she could receive IV remdesivir.  However, remdesivir was discontinued due to elevated liver enzymes. She has underlying poorly controlled hypertension and COPD chronically on 2 L oxygen at home, ESRD with PD dependence, chronic pain disorder on methadone protocol initiated opiate dependence.  Patient improved and is no longer requiring any supplemental oxygen.  Nephrology has plans to switch the patient back to peritoneal dialysis, hemodialysis catheter was removed.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Resuscitation, SARS-CoV-2 test positive, Unresponsive to stimuli
Clinical narrative: Pfizer Dose 1 4/8/21 (EW0161) Pfizer Dose 2 4/30/21 (EW0161) COVID Positive 12/25/2021  12/25/21: This is a 54 yo female patient who presented to the ED this evening because of fatigue  Patient has a history of COPD, chronic diastolic heart failure, end-stage renal disease on peritoneal dialysis, depression  She is currently dependent on oxygen, wears 2 L of oxygen at home  She reports intermittent shortness of breath but currently is breathing comfortably on her home dose of oxygen requirement  She reports diarrhea and decreased appetite. She denies chest pain, abdominal pain. She reports being vaccinated against COVID with Pfizer however is not sure if she received her booster as of yet because she does not know where to go to receive this  States all family members are positive for COVID-19  Chest x-ray in the emergency department shows patterns consistent with COVID-19 pneumonia  She was given IV antibiotics in the emergency department  1/5/22: 59-year-old female admitted for COVID pneumonia complicated by acute hypoxemic respiratory failure, unresponsive episode requiring Code Blue, cardiopulmonary arrest status post CPR with successful ROSC. She was intubated and sedated and spent time in the ICU from 12/26 to 12/29. She was started on IV steroids, antibiotics and antivirals. Patient was placed on hemodialysis instead of regular PD so she could receive IV remdesivir.  However, remdesivir was discontinued due to elevated liver enzymes. She has underlying poorly controlled hypertension and COPD chronically on 2 L oxygen at home, ESRD with PD dependence, chronic pain disorder on methadone protocol initiated opiate dependence.  Patient improved and is no longer requiring any supplemental oxygen.  Nephrology has plans to switch the patient back to peritoneal dialysis, hemodialysis catheter was removed.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: received wrong dose, given dose for age 12+. Parent counseled on adverse event, no symptoms reported
Age: 33.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Laboratory test, Skin lesion
Clinical narrative: Patient with known high exposure to monkeypox on 6/16/22. As patient without fever or rash, decision to vaccinate when vaccine available on 6/27/22. On 6/28/22, patient developed lesions on body and groin. Presumed due to development of disease rather than side effect of vaccine. Sent to ER where lesion tested and results pending.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cerebrovascular accident, Intensive care
Clinical narrative: Had a stroke affecting the left side on May 17, 2022. Not in a risk category for stroke.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cerebral thrombosis, Facial paralysis, Feeling abnormal, Intensive care, Laboratory test
Clinical narrative: Had a stroke affecting the left side on May 17, 2022. Not in a risk category for stroke.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ocular discomfort, Sneezing
Clinical narrative: Had a stroke affecting the left side on May 17, 2022. Not in a risk category for stroke.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cerebrovascular accident, Intensive care
Clinical narrative: No symptoms after the injection on 4/29/2022. On 5/17/2022 the patient sneezed and she felt funny. Eyes felt strange, husband said she had a droopy face and ended up in the ICU for 2 days. Blood clot to left side of brain, started on aspirin 81 mg daily and told to follow up with cardiology for a cardiac panel in a few months
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cerebral thrombosis, Facial paralysis, Feeling abnormal, Intensive care, Laboratory test
Clinical narrative: No symptoms after the injection on 4/29/2022. On 5/17/2022 the patient sneezed and she felt funny. Eyes felt strange, husband said she had a droopy face and ended up in the ICU for 2 days. Blood clot to left side of brain, started on aspirin 81 mg daily and told to follow up with cardiology for a cardiac panel in a few months
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ocular discomfort, Sneezing
Clinical narrative: No symptoms after the injection on 4/29/2022. On 5/17/2022 the patient sneezed and she felt funny. Eyes felt strange, husband said she had a droopy face and ended up in the ICU for 2 days. Blood clot to left side of brain, started on aspirin 81 mg daily and told to follow up with cardiology for a cardiac panel in a few months
Age: 36.0
Sex: M
Vaccine: UNK
Symptoms: Dizziness, Hypotension, Loss of consciousness
Clinical narrative: After recieveing Mantoux, patient walked back in to secured area and become light headed and passed out. Due to low BP nurse on duty called ambulance.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Brain natriuretic peptide normal, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Pfizer Dose 1 3/24/21 (ER8732) Pfizer Dose 2 4/14/21 (EW0161) COVID Positive 1/20/22 (pt reported)  1/22/22: This is a 52 years old female who presented to the emergency department today because of shortness of breath  The patient has a history of COPD, chronic oxygen dependent on 4 L of oxygen at home via nasal cannula, asthma, hypertension, type 2 diabetes, hypothyroidism  The patient states that she began having symptoms about 4 days ago which included shortness of breath, headaches, nausea, productive cough.  Denies any loss of taste or sense of smell.  Denies reduced appetite.  Patient reports recently tested positive for COVID-19 two days ago. Reports she has been vaccinated with 2 doses of COVID-19 vaccine however did not get the booster shot.  Chest x-ray shows mild pulmonary venous congestion.  The patient states she takes oral Lasix at home for lower extremity swelling. Denies history of heart failure.  She desaturated with ambulation to 84% on her home dose of oxygen, hence she was admitted to the hospital for further evaluation and treatment.  She was given IV Lasix, IV steroids in the emergency room. D dimer within normal limit. BNP within normal limit  1/25/22: 52-year-old female with history of chronic hypoxic respiratory failure on 4 L by nasal cannula, COPD, OSA not on CPAP, presented to the emergency department with worsening shortness of breath secondary to COVID-19 pneumonia complicated by acute on chronic hypoxic respiratory failure.  Patient was started on COVID-19 specific treatment, was started on IV antibiotics, did very well, oxygen back to baseline, she was stable for discharge.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspnoea, Fibrin D dimer normal, Headache, Nausea
Clinical narrative: Pfizer Dose 1 3/24/21 (ER8732) Pfizer Dose 2 4/14/21 (EW0161) COVID Positive 1/20/22 (pt reported)  1/22/22: This is a 52 years old female who presented to the emergency department today because of shortness of breath  The patient has a history of COPD, chronic oxygen dependent on 4 L of oxygen at home via nasal cannula, asthma, hypertension, type 2 diabetes, hypothyroidism  The patient states that she began having symptoms about 4 days ago which included shortness of breath, headaches, nausea, productive cough.  Denies any loss of taste or sense of smell.  Denies reduced appetite.  Patient reports recently tested positive for COVID-19 two days ago. Reports she has been vaccinated with 2 doses of COVID-19 vaccine however did not get the booster shot.  Chest x-ray shows mild pulmonary venous congestion.  The patient states she takes oral Lasix at home for lower extremity swelling. Denies history of heart failure.  She desaturated with ambulation to 84% on her home dose of oxygen, hence she was admitted to the hospital for further evaluation and treatment.  She was given IV Lasix, IV steroids in the emergency room. D dimer within normal limit. BNP within normal limit  1/25/22: 52-year-old female with history of chronic hypoxic respiratory failure on 4 L by nasal cannula, COPD, OSA not on CPAP, presented to the emergency department with worsening shortness of breath secondary to COVID-19 pneumonia complicated by acute on chronic hypoxic respiratory failure.  Patient was started on COVID-19 specific treatment, was started on IV antibiotics, did very well, oxygen back to baseline, she was stable for discharge.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Peripheral swelling, Productive cough, Pulmonary congestion, Respiratory failure
Clinical narrative: Pfizer Dose 1 3/24/21 (ER8732) Pfizer Dose 2 4/14/21 (EW0161) COVID Positive 1/20/22 (pt reported)  1/22/22: This is a 52 years old female who presented to the emergency department today because of shortness of breath  The patient has a history of COPD, chronic oxygen dependent on 4 L of oxygen at home via nasal cannula, asthma, hypertension, type 2 diabetes, hypothyroidism  The patient states that she began having symptoms about 4 days ago which included shortness of breath, headaches, nausea, productive cough.  Denies any loss of taste or sense of smell.  Denies reduced appetite.  Patient reports recently tested positive for COVID-19 two days ago. Reports she has been vaccinated with 2 doses of COVID-19 vaccine however did not get the booster shot.  Chest x-ray shows mild pulmonary venous congestion.  The patient states she takes oral Lasix at home for lower extremity swelling. Denies history of heart failure.  She desaturated with ambulation to 84% on her home dose of oxygen, hence she was admitted to the hospital for further evaluation and treatment.  She was given IV Lasix, IV steroids in the emergency room. D dimer within normal limit. BNP within normal limit  1/25/22: 52-year-old female with history of chronic hypoxic respiratory failure on 4 L by nasal cannula, COPD, OSA not on CPAP, presented to the emergency department with worsening shortness of breath secondary to COVID-19 pneumonia complicated by acute on chronic hypoxic respiratory failure.  Patient was started on COVID-19 specific treatment, was started on IV antibiotics, did very well, oxygen back to baseline, she was stable for discharge.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Pfizer Dose 1 3/24/21 (ER8732) Pfizer Dose 2 4/14/21 (EW0161) COVID Positive 1/20/22 (pt reported)  1/22/22: This is a 52 years old female who presented to the emergency department today because of shortness of breath  The patient has a history of COPD, chronic oxygen dependent on 4 L of oxygen at home via nasal cannula, asthma, hypertension, type 2 diabetes, hypothyroidism  The patient states that she began having symptoms about 4 days ago which included shortness of breath, headaches, nausea, productive cough.  Denies any loss of taste or sense of smell.  Denies reduced appetite.  Patient reports recently tested positive for COVID-19 two days ago. Reports she has been vaccinated with 2 doses of COVID-19 vaccine however did not get the booster shot.  Chest x-ray shows mild pulmonary venous congestion.  The patient states she takes oral Lasix at home for lower extremity swelling. Denies history of heart failure.  She desaturated with ambulation to 84% on her home dose of oxygen, hence she was admitted to the hospital for further evaluation and treatment.  She was given IV Lasix, IV steroids in the emergency room. D dimer within normal limit. BNP within normal limit  1/25/22: 52-year-old female with history of chronic hypoxic respiratory failure on 4 L by nasal cannula, COPD, OSA not on CPAP, presented to the emergency department with worsening shortness of breath secondary to COVID-19 pneumonia complicated by acute on chronic hypoxic respiratory failure.  Patient was started on COVID-19 specific treatment, was started on IV antibiotics, did very well, oxygen back to baseline, she was stable for discharge.
Age: 99.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient brought to the emergency department by EMS for weakness on 6/6. COVID-19 PCR testing was positive on that day (6/6), however patient had a previous positive test on 5/20. The patient was admitted from 6/6-6/8. This meets criteria for vaccine breakthrough case review.
Age: 34.0
Sex: F
Vaccine: HEPA
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine expired 06/18/2022.  Patient contacted about event. Patient wants to readminister first series dose on 08/01/2022.  No adverse effects reported at this time.  Patient monitoring condition.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Circumstance or information capable of leading to medication error, Underdose
Clinical narrative: Vaccinator reports she was injecting vaccine into child's left arm when the child moved and more than half the vaccine dribbled down left arm. Re-vaccinated child in right arm successfully.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Disease complication
Clinical narrative: pt vaccinated on 2/19/2021  admitted to hospital on with covid 19 complication on 6/19/2022  passed away on 06/26/2022
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Magnetic resonance imaging, Scan brain, Unevaluable event
Clinical narrative: None stated.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Arteritis
Clinical narrative: steroids, artery swelling
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Feeling abnormal, SARS-CoV-2 test positive, Somnolence
Clinical narrative: I woke up on 6/25 with a scratchy throat. A few hours later I was feeling worse. I slept 6/25 all day. I felt bad with a scratchy throat and tightness in chest. I was very thirsty and drank lots of water. I slept until about 2 pm on 6/26 and felt much better. I have felt better every day since. By 6/27 I was mostly back to normal.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Thirst, Throat irritation
Clinical narrative: I woke up on 6/25 with a scratchy throat. A few hours later I was feeling worse. I slept 6/25 all day. I felt bad with a scratchy throat and tightness in chest. I was very thirsty and drank lots of water. I slept until about 2 pm on 6/26 and felt much better. I have felt better every day since. By 6/27 I was mostly back to normal.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray normal, Chest discomfort, Chest pain, Dizziness
Clinical narrative: Patient is a hospital employee who received dose 1 (11/27/2021) and dose 2 (05/28/2022) of Pfizer vaccine at a local pharmacy store.  Presented to hospital emergency room on 6/22/2022 at 10AM.   Sections of medical record copied below from ED physician assistant notes.    Chief complaint "Patient presents with palpitations.  Pt states he woke up at 2am with palpitations (heart racing). He said the started to feel tingling in his L face, L shoulder and hand. He denies chest pain/SOB. The "heart racing" feeling improved but then returned. He states he is vaccinated x3 but does not have his card with him. " History "35-year-old male presents for evaluation of palpitations that began around 2 PM this morning he woke up from sleep because his heart was racing and felt like it was pounding in his chest.  He felt pins and needle sensation in his left shoulder radiating down his left upper extremity and into his neck.  He got up tried to drink some water and felt lightheaded as though he was going to pass out.  He also reports discomfort to his left chest described as a dull ache that does not radiate. " ED Course Wed Jun 22, 2022 "1035AM EKG interpreted by me: sinus rhythm at 75 bpm;no ST/T changes; Qtc 405 (-)Brugada (-)WPW  1132AM CXR as read contemporaneously by me: no acute cardiopulmonary disease no pericardial effusion  1235PM Pt resting comfortably in bed. Complains of continued chest pain and paresthesias. Exam remains non-focal. Additional treatment with toradol 15 mg IV ordered 1320PM Pt counseled that all blood work and imaging studies are unremarkable. Vital signs remain stable and he is in no acute distress. Provided with cardiology f/u and given strict return precautions"
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Inappropriate schedule of product administration, Palpitations, Paraesthesia
Clinical narrative: Patient is a hospital employee who received dose 1 (11/27/2021) and dose 2 (05/28/2022) of Pfizer vaccine at a local pharmacy store.  Presented to hospital emergency room on 6/22/2022 at 10AM.   Sections of medical record copied below from ED physician assistant notes.    Chief complaint "Patient presents with palpitations.  Pt states he woke up at 2am with palpitations (heart racing). He said the started to feel tingling in his L face, L shoulder and hand. He denies chest pain/SOB. The "heart racing" feeling improved but then returned. He states he is vaccinated x3 but does not have his card with him. " History "35-year-old male presents for evaluation of palpitations that began around 2 PM this morning he woke up from sleep because his heart was racing and felt like it was pounding in his chest.  He felt pins and needle sensation in his left shoulder radiating down his left upper extremity and into his neck.  He got up tried to drink some water and felt lightheaded as though he was going to pass out.  He also reports discomfort to his left chest described as a dull ache that does not radiate. " ED Course Wed Jun 22, 2022 "1035AM EKG interpreted by me: sinus rhythm at 75 bpm;no ST/T changes; Qtc 405 (-)Brugada (-)WPW  1132AM CXR as read contemporaneously by me: no acute cardiopulmonary disease no pericardial effusion  1235PM Pt resting comfortably in bed. Complains of continued chest pain and paresthesias. Exam remains non-focal. Additional treatment with toradol 15 mg IV ordered 1320PM Pt counseled that all blood work and imaging studies are unremarkable. Vital signs remain stable and he is in no acute distress. Provided with cardiology f/u and given strict return precautions"
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Covid-19 vaccine was administered at 0845 on 06/27/2022 in the patient's left deltoid. After administering, realized it had expired on 06/24/2022. Patient was asked to wait fifteen minutes after administering the vaccine to be observed. Patient had no reactions of the vaccine.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase, Chest pain, Dyspnoea exertional, Electrocardiogram, Metabolic function test
Clinical narrative: About 36 hours after vaccine, pt reported fever of 101, mild chest pain, and dyspnea on exertion.  Advised rest and fluids
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Troponin I, Troponin T
Clinical narrative: About 36 hours after vaccine, pt reported fever of 101, mild chest pain, and dyspnea on exertion.  Advised rest and fluids
Age: 81.0
Sex: M
Vaccine: PPV, TDAP, VARZOS
Symptoms: Asthenia, Blood glucose, Blood lactic acid, Chest X-ray, Confusional state
Clinical narrative: WEAKNESS, CONFUSION, PROBLEMS WALKING, FEVER
Age: 81.0
Sex: M
Vaccine: PPV, TDAP, VARZOS
Symptoms: Electrocardiogram, Full blood count, Gait disturbance, Metabolic function test, Pyrexia
Clinical narrative: WEAKNESS, CONFUSION, PROBLEMS WALKING, FEVER
Age: 81.0
Sex: M
Vaccine: PPV, TDAP, VARZOS
Symptoms: SARS-CoV-2 test, Ultrasound kidney, Urine analysis
Clinical narrative: WEAKNESS, CONFUSION, PROBLEMS WALKING, FEVER
Age: 0.83
Sex: M
Vaccine: FLU4, HEPA
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse reaction ,  but child was 10 months old at the time of administration.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test abnormal, Full blood count, Platelet count decreased
Clinical narrative: I notices a change in my platelets they were first 198 to 99 then I got my shot then it dropped 149. Oct. 18 2021, 127 then I got the booster Dec 7, 2021 then I had blood work in Feb 23, 2022 the numbers dropped to 98. April 14, I had blood work again and it dropped to 82. June 8,2022, I had a platelet of 77 and they appear clumped. I have another doctor appoint. August 1, 2022 but I do have another appoint for blood work in July.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Injection site erythema, Wound
Clinical narrative: injection site redness, open sore and blisters
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Autoimmune disorder, Blood test, C-reactive protein increased, Headache
Clinical narrative: within 2 weeks I awoke with severe joint pain, muscle pain, scalp pain, headache I could not turn my neck, needed a walker it has now been almost 1.5 years since this and I still have autoimmune symptoms...they are better but prohibit me from many normal activities in my life. I needed to sell my dental practice as the limited range of motion and constant pain interfered with running a practice
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Joint range of motion decreased, Laboratory test, Loss of personal independence in daily activities, Myalgia
Clinical narrative: within 2 weeks I awoke with severe joint pain, muscle pain, scalp pain, headache I could not turn my neck, needed a walker it has now been almost 1.5 years since this and I still have autoimmune symptoms...they are better but prohibit me from many normal activities in my life. I needed to sell my dental practice as the limited range of motion and constant pain interfered with running a practice
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain of skin, Walking aid user
Clinical narrative: within 2 weeks I awoke with severe joint pain, muscle pain, scalp pain, headache I could not turn my neck, needed a walker it has now been almost 1.5 years since this and I still have autoimmune symptoms...they are better but prohibit me from many normal activities in my life. I needed to sell my dental practice as the limited range of motion and constant pain interfered with running a practice
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Diarrhoea, Hyperhidrosis, Malaise
Clinical narrative: COVID-19. I received my 1st booster shot on 12/02/2021 and my COVID-19 symptoms started on 12/24/2021 fever for 3 days, and sore throat, chills, sweats, diarrhea  for the first night. I was sick for 10 days. I did a home test on 12/25/2022. Then I went to the pharmacy drive thru on 12/26/2022 they also tested me for COVID positive. My doctor called after she received the result from the pharmacy and told me what to do for my symptoms. No medications were needed. End of March and first week of April I tested positive again.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: COVID-19. I received my 1st booster shot on 12/02/2021 and my COVID-19 symptoms started on 12/24/2021 fever for 3 days, and sore throat, chills, sweats, diarrhea  for the first night. I was sick for 10 days. I did a home test on 12/25/2022. Then I went to the pharmacy drive thru on 12/26/2022 they also tested me for COVID positive. My doctor called after she received the result from the pharmacy and told me what to do for my symptoms. No medications were needed. End of March and first week of April I tested positive again.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest discomfort, Cold sweat, Heart rate increased, Nasopharyngitis
Clinical narrative: Patient stated feeling nausea and cold. clammy skin.  Fast heart rate and elevated blood pressure. Then also chest tightness.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Patient stated feeling nausea and cold. clammy skin.  Fast heart rate and elevated blood pressure. Then also chest tightness.
Age: 4.0
Sex: F
Vaccine: COVID19, DTAPIPV, MMR, VARCEL, COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Patient is 4 years old and but given Pfizer COVID vaccine dose for 5-11year old (10mcg dose)
Age: 4.0
Sex: F
Vaccine: COVID19, DTAPIPV, MMR, VARCEL, COVID19
Symptoms: Incorrect dose administered, Wrong product administered
Clinical narrative: Patient is 4 years old and but given Pfizer COVID vaccine dose for 5-11year old (10mcg dose)
Age: 4.0
Sex: F
Vaccine: COVID19, DTAPIPV, MMR, VARCEL, COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: My daughter was given the wrong vaccine and the wrong dose. She should have received (according to the doctor we saw today) Moderna, 3mg and she was given Pfizer, 10mg.
Age: 4.0
Sex: F
Vaccine: COVID19, DTAPIPV, MMR, VARCEL, COVID19
Symptoms: Incorrect dose administered, Wrong product administered
Clinical narrative: My daughter was given the wrong vaccine and the wrong dose. She should have received (according to the doctor we saw today) Moderna, 3mg and she was given Pfizer, 10mg.
Age: 74.0
Sex: M
Vaccine: HEP
Symptoms: Expired product administered
Clinical narrative: Pt was given an expired vaccine. Vaccine expiration date: 5/29/22
Age: 61.0
Sex: F
Vaccine: PNC20
Symptoms: Vaccination site erythema, Vaccination site swelling
Clinical narrative: Redness , swelling growing from vaccine site, radiating out 8?.  Possible infection, prescribed Cephalexin
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: PATINET WAS GIVEN PFIZER FOR 5-11 YEAR OLDS INSTEAD OF THE OVER 12 PFIZER DOSE
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Expired product administered
Clinical narrative: Patient given expired vaccine. Expiration date of vaccine: 5/29/22
Age: 16.0
Sex: F
Vaccine: MENB, MNQ
Symptoms: Bone contusion, Immediate post-injection reaction, Injection site pain, Muscle injury
Clinical narrative: Persistent daily left shoulder pain for 4 weeks with initial onset immediately at time of injection.  Symptoms were moderate for the first week and now remain mild but consistent.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dyskinesia, Tardive dyskinesia
Clinical narrative: PATIENT REPORTED FEELING DIZZY, LIGHTHEADED, "ARMS FLOPPING" AND MY TARDIVE DYSKINESIA IS "ACTING UP"
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyskinesia, Headache, Vertigo
Clinical narrative: PATIENT REPORTED FEELING DIZZY, LIGHTHEADED, "ARMS FLOPPING" AND MY TARDIVE DYSKINESIA IS "ACTING UP"
Age: 1.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Wrong product administered
Clinical narrative: vaccines for multiple patients set out for admin and the wrong vaccines were mistakenly grabbed and administered the wrong vaccines to patient