chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chronic obstructive pulmonary disease
Clinical narrative: Hospitalization for acute exacerbation of COPD and found to have COVID-19 on dates 1/15/2023- 1/22/2023. Treated with Solu-medrol, vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 90.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Break through Covid
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization for non-STEMI and tested positive for COVID-19 on dates 1/15/2023-1/18/2023. Treated with vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Dehydration
Clinical narrative: Hospitalization for deyhdration on dates 1/16/2023- 1/27/2023. Treated with no COVID-19 medications.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: Monday evening, I started having nasal drainage and it started going into my throat. I woke up Tuesday morning and I was very congested, I had more nasal drainage, and my throat was very sore. I did an at home test and it was negative. I started taking MUCINEX and TYLENOL. As the day went on it got worse, so I went to urgent care. I had a fever of 101 there. They did a COVID-19 test and a Strep Test and they were negative. He gave me a steroid shot and two days' worth of prednisone. He also prescribed cefdinir.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Streptococcus test negative
Clinical narrative: Monday evening, I started having nasal drainage and it started going into my throat. I woke up Tuesday morning and I was very congested, I had more nasal drainage, and my throat was very sore. I did an at home test and it was negative. I started taking MUCINEX and TYLENOL. As the day went on it got worse, so I went to urgent care. I had a fever of 101 there. They did a COVID-19 test and a Strep Test and they were negative. He gave me a steroid shot and two days' worth of prednisone. He also prescribed cefdinir.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient given monovalent vaccine for booster dose, instead of bivalent
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Nasopharyngitis, Oropharyngeal pain
Clinical narrative: I felt like I had a bad cold after receiving the vaccine and a sore arm for 24 hours. I started having symptoms of congestion, headache and sore throat. I tested positive for COVID-19 in 08/2022. I contacted my doctor, and I received an infusion to help with my symptoms. As of today, I have an ongoing cough, but I do feel better.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I felt like I had a bad cold after receiving the vaccine and a sore arm for 24 hours. I started having symptoms of congestion, headache and sore throat. I tested positive for COVID-19 in 08/2022. I contacted my doctor, and I received an infusion to help with my symptoms. As of today, I have an ongoing cough, but I do feel better.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient given monovalent vaccine for booster dose, instead of bivalent
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient given monovalent vaccine for booster dose, instead of bivalent
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient given monovalent vaccine for booster dose, instead of bivalent
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient given monovalent vaccine for booster dose, instead of bivalent
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test normal, Chest X-ray normal, Chest discomfort, Echocardiogram normal, Electrocardiogram ambulatory abnormal
Clinical narrative: Heart palpitations (~500 per day) and constant chest tightness (rubber-band feeling around chest) starting three weeks after 2nd booster, lasting about 6 weeks total.  I had identical symptoms in 2021 three weeks after 2nd shot (from the original 2 doses), also lasting 6 weeks.
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram normal, Palpitations
Clinical narrative: Heart palpitations (~500 per day) and constant chest tightness (rubber-band feeling around chest) starting three weeks after 2nd booster, lasting about 6 weeks total.  I had identical symptoms in 2021 three weeks after 2nd shot (from the original 2 doses), also lasting 6 weeks.
Age: 81.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: COVID-19, Cough, Fatigue, Migraine, Pyrexia
Clinical narrative: I started out having postnasal drip on January 31. I did take pharmacy sinus congestion PE which didn't help at all. I had a low-grade fever of about 100, lots of fatigue and a migraine. I dealt with this for one day then I took a home test and the results were bright pink stating a positive reading for COVID-19. I then contacted my doctor and was given PAXLOIVD. I'm not sure if the medication worked because all symptoms were gone by the time, I got the script. I am still dealing with the cough maybe from the long-term postnasal drip. If I had to describe this, I would say I had a mild case I just have the cough still. I have been told its common to have this cough.
Age: 81.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: SARS-CoV-2 test positive, Upper-airway cough syndrome
Clinical narrative: I started out having postnasal drip on January 31. I did take pharmacy sinus congestion PE which didn't help at all. I had a low-grade fever of about 100, lots of fatigue and a migraine. I dealt with this for one day then I took a home test and the results were bright pink stating a positive reading for COVID-19. I then contacted my doctor and was given PAXLOIVD. I'm not sure if the medication worked because all symptoms were gone by the time, I got the script. I am still dealing with the cough maybe from the long-term postnasal drip. If I had to describe this, I would say I had a mild case I just have the cough still. I have been told its common to have this cough.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient given monovalent vaccine for booster dose, instead of bivalent
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received Pfizer Covid-19 Vaccine dose #2 after BUD-expiration date. Doctor recommendation is for patient to be revaccinated. Patient's parents were informed of the adverse event and Doctor recommendations.  No symptoms or sign were reported by parents in reference to this event.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough event  dose 1 2/25/21  Moderna  010A21A dose 2 3/25/21 Moderna  018B21A
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient given monovalent vaccine for booster dose, instead of bivalent
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient given monovalent vaccine for booster dose, instead of bivalent
Age: 5.0
Sex: M
Vaccine: UNK
Symptoms: Blood test, Chronic inflammatory demyelinating polyradiculoneuropathy, Electromyogram abnormal, Hand deformity, Immunoglobulin therapy
Clinical narrative: Approximately 10 days after receiving the vaccination, pt. suddenly could not straighten out his hands, which he normally could do. His hands appeared to be almost locked in a clawed position. He also experienced pain when we tried to straighten out his hands.  Over the following year, pt. completed multiple tests (bloodwork, X-Rays, EMG, etc.) at hospitals and was diagnosed with Chronic Inflammatory Demyelinating Polyneuropathy  (CIDP).  He has since received three IVIG infusions.
Age: 5.0
Sex: M
Vaccine: UNK
Symptoms: Joint contracture, Magnetic resonance imaging, Mobility decreased, Pain, Pain in extremity
Clinical narrative: Approximately 10 days after receiving the vaccination, pt. suddenly could not straighten out his hands, which he normally could do. His hands appeared to be almost locked in a clawed position. He also experienced pain when we tried to straighten out his hands.  Over the following year, pt. completed multiple tests (bloodwork, X-Rays, EMG, etc.) at hospitals and was diagnosed with Chronic Inflammatory Demyelinating Polyneuropathy  (CIDP).  He has since received three IVIG infusions.
Age: 5.0
Sex: M
Vaccine: UNK
Symptoms: Peripheral motor neuropathy, Peripheral sensory neuropathy, X-ray
Clinical narrative: Approximately 10 days after receiving the vaccination, pt. suddenly could not straighten out his hands, which he normally could do. His hands appeared to be almost locked in a clawed position. He also experienced pain when we tried to straighten out his hands.  Over the following year, pt. completed multiple tests (bloodwork, X-Rays, EMG, etc.) at hospitals and was diagnosed with Chronic Inflammatory Demyelinating Polyneuropathy  (CIDP).  He has since received three IVIG infusions.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Immunisation reaction
Clinical narrative: Patient received Pfizer Covid-19 Vaccine dose #2 after BUD-expiration date. Doctor recommendation is for patient to be revaccinated. Patient's parents were informed of the adverse event and Doctor recommendations.  No symptoms or sign were reported by parents in reference to this event.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction, Bladder catheterisation, COVID-19, Cardiogenic shock, Cough
Clinical narrative: Pt arrived with a fever, cough, and shortness of breath. He also has a suprapubic catheter in place. He was found to have myocarditis and an NSTEMI. He was found to be COVID positive and admitted due to undifferentiated shock, septic versus cardiogenic.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Myocarditis, Pyrexia, SARS-CoV-2 test positive, Septic shock
Clinical narrative: Pt arrived with a fever, cough, and shortness of breath. He also has a suprapubic catheter in place. He was found to have myocarditis and an NSTEMI. He was found to be COVID positive and admitted due to undifferentiated shock, septic versus cardiogenic.
Age: 63.0
Sex: M
Vaccine: PNC20
Symptoms: Erythema, Pain in extremity, Skin warm
Clinical narrative: Redness of Left Arm Soreness of Left Arm Warm to touch of Left Arm
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received Pfizer Covid-19 Vaccine dose #2 after BUD-expiration date. Doctor recommendation is for patient to be revaccinated. Patient's parents were informed of the adverse event and Doctor recommendations.  No symptoms or sign were reported by parents in reference to this event.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ageusia, Aphonia, COVID-19, Headache, Nasal congestion
Clinical narrative: 1/29/2023 symptoms started with aches, congestion, headache. The next day symptoms continued, with loss of taste being added. Tested positive 1/31 at home COVID-19 test. Televisit on 2/3, doctor prescribed PAXLOVID. Voice loss also started that day. 2/4 voice returned. Symptoms tapered off gradually and were gone by 2/12, except nasal congestion which lingered until 2/15.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, SARS-CoV-2 test positive
Clinical narrative: 1/29/2023 symptoms started with aches, congestion, headache. The next day symptoms continued, with loss of taste being added. Tested positive 1/31 at home COVID-19 test. Televisit on 2/3, doctor prescribed PAXLOVID. Voice loss also started that day. 2/4 voice returned. Symptoms tapered off gradually and were gone by 2/12, except nasal congestion which lingered until 2/15.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Arrhythmia, COVID-19, COVID-19 pneumonia, Colitis
Clinical narrative: #3 DOSE PFIZER COVID VACCINE GIVEN 10/24/21, #FF2593; #4 DOSE COMIRNATY COVID VACCINE GIVEN 6/28/22, #FM0173; pt brought to hospital from rehab on 7/16/22; found to be positive for COVID; COVID pneumonia; streptococcal pneumonia; streptococcal bacteremia; septic shock; volume overload; ABX; "COVID treatment" (specifics not noted in medical record); GI bleed; PRBCs transfused; high flow O2 via NC; dc'd to rehab on 8/6/22; 8/10/22 pt brought back to hospital with lower abdominal cramping and poor oral intake; on BiPAP; ICU; colitis with sepsis; hypotension; hyperkalemic with heart rhythm disturbances; pneumonia and septic shock; pt is DNI; respiratory status worsened; pt transitioned to DNR; she passed away in the hospital
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Gastrointestinal haemorrhage, Hyperkalaemia, Hypervolaemia, Hypophagia
Clinical narrative: #3 DOSE PFIZER COVID VACCINE GIVEN 10/24/21, #FF2593; #4 DOSE COMIRNATY COVID VACCINE GIVEN 6/28/22, #FM0173; pt brought to hospital from rehab on 7/16/22; found to be positive for COVID; COVID pneumonia; streptococcal pneumonia; streptococcal bacteremia; septic shock; volume overload; ABX; "COVID treatment" (specifics not noted in medical record); GI bleed; PRBCs transfused; high flow O2 via NC; dc'd to rehab on 8/6/22; 8/10/22 pt brought back to hospital with lower abdominal cramping and poor oral intake; on BiPAP; ICU; colitis with sepsis; hypotension; hyperkalemic with heart rhythm disturbances; pneumonia and septic shock; pt is DNI; respiratory status worsened; pt transitioned to DNR; she passed away in the hospital
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Pneumonia, Pneumonia streptococcal, Positive airway pressure therapy, Red blood cell transfusion
Clinical narrative: #3 DOSE PFIZER COVID VACCINE GIVEN 10/24/21, #FF2593; #4 DOSE COMIRNATY COVID VACCINE GIVEN 6/28/22, #FM0173; pt brought to hospital from rehab on 7/16/22; found to be positive for COVID; COVID pneumonia; streptococcal pneumonia; streptococcal bacteremia; septic shock; volume overload; ABX; "COVID treatment" (specifics not noted in medical record); GI bleed; PRBCs transfused; high flow O2 via NC; dc'd to rehab on 8/6/22; 8/10/22 pt brought back to hospital with lower abdominal cramping and poor oral intake; on BiPAP; ICU; colitis with sepsis; hypotension; hyperkalemic with heart rhythm disturbances; pneumonia and septic shock; pt is DNI; respiratory status worsened; pt transitioned to DNR; she passed away in the hospital
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory disorder, SARS-CoV-2 test positive, Sepsis, Septic shock
Clinical narrative: #3 DOSE PFIZER COVID VACCINE GIVEN 10/24/21, #FF2593; #4 DOSE COMIRNATY COVID VACCINE GIVEN 6/28/22, #FM0173; pt brought to hospital from rehab on 7/16/22; found to be positive for COVID; COVID pneumonia; streptococcal pneumonia; streptococcal bacteremia; septic shock; volume overload; ABX; "COVID treatment" (specifics not noted in medical record); GI bleed; PRBCs transfused; high flow O2 via NC; dc'd to rehab on 8/6/22; 8/10/22 pt brought back to hospital with lower abdominal cramping and poor oral intake; on BiPAP; ICU; colitis with sepsis; hypotension; hyperkalemic with heart rhythm disturbances; pneumonia and septic shock; pt is DNI; respiratory status worsened; pt transitioned to DNR; she passed away in the hospital
Age: 50.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Insomnia, Malaise, Middle insomnia, Pain in extremity, Rhinorrhoea
Clinical narrative: Patient complained of extreme pain in the arm 'extending all the way down to hand', general malaise, runny nose, sneezing, waking up at 3am and being unable to sleep.
Age: 50.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Sneezing
Clinical narrative: Patient complained of extreme pain in the arm 'extending all the way down to hand', general malaise, runny nose, sneezing, waking up at 3am and being unable to sleep.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: PATIENT EXPIRED ON 01/14/2023
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Immunisation reaction
Clinical narrative: Patient received Pfizer Covid-19 Vaccine dose #2 after BUD-expiration date. Doctor recommendation is for patient to be revaccinated. Patient's parents were informed of the adverse event and Doctor recommendations.  No symptoms or sign were reported by parents in reference to this event.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Femoral neck fracture, SARS-CoV-2 test positive
Clinical narrative: Pt was admitted on 2/18 due to a left femoral neck fracture. A COVID swab was taken on 2/22 due to transfer requirements to hospice care and pt was COVID positive, yet asymptomatic.
Age: 53.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cardiac ventricular thrombosis, Chest X-ray, Computerised tomogram thorax, Deep vein thrombosis, Dyspnoea
Clinical narrative: Saddle embolism, pulmonary embolism,  deep vein thrombosis,  right ventricular thrombus , shortness of breath, leg pain, pulmonary hypertension,  almost died
Age: 53.0
Sex: M
Vaccine: COVID19-2
Symptoms: Echocardiogram, Laboratory test, Pain in extremity, Prothrombin time, Pulmonary embolism
Clinical narrative: Saddle embolism, pulmonary embolism,  deep vein thrombosis,  right ventricular thrombus , shortness of breath, leg pain, pulmonary hypertension,  almost died
Age: 53.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pulmonary hypertension, Troponin T, Ultrasound Doppler abnormal
Clinical narrative: Saddle embolism, pulmonary embolism,  deep vein thrombosis,  right ventricular thrombus , shortness of breath, leg pain, pulmonary hypertension,  almost died
Age: 34.0
Sex: F
Vaccine: UNK
Symptoms: COVID-19, Endoscopy abnormal, Gastritis, Gastrointestinal disorder, Gastrointestinal inflammation
Clinical narrative: GI problems- steatorrhea, nausea, vomiting, weight loss, headaches, low grade fevers, heart throbbing, discoloration to vaccine site (vitiligo).  Tested positive for Covid 19 2 days after my vaccine. I am questioning if I received the correct vaccine. I have received flu vaccines for the past 10 years with no side effects. I called to ask the manufacturer and they were unable to tell me. I?m wondering if I received the COVID-19 vaccine instead of the flu vaccine.
Age: 34.0
Sex: F
Vaccine: UNK
Symptoms: Headache, Nausea, Palpitations, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: GI problems- steatorrhea, nausea, vomiting, weight loss, headaches, low grade fevers, heart throbbing, discoloration to vaccine site (vitiligo).  Tested positive for Covid 19 2 days after my vaccine. I am questioning if I received the correct vaccine. I have received flu vaccines for the past 10 years with no side effects. I called to ask the manufacturer and they were unable to tell me. I?m wondering if I received the COVID-19 vaccine instead of the flu vaccine.
Age: 34.0
Sex: F
Vaccine: UNK
Symptoms: Steatorrhoea, Vaccination site discolouration, Vitiligo, Vomiting, Weight decreased
Clinical narrative: GI problems- steatorrhea, nausea, vomiting, weight loss, headaches, low grade fevers, heart throbbing, discoloration to vaccine site (vitiligo).  Tested positive for Covid 19 2 days after my vaccine. I am questioning if I received the correct vaccine. I have received flu vaccines for the past 10 years with no side effects. I called to ask the manufacturer and they were unable to tell me. I?m wondering if I received the COVID-19 vaccine instead of the flu vaccine.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received Pfizer Covid-19 Vaccine dose #1 after BUD-expiration date. Doctor recommendation is for patient to be revaccinated. Patient's parents were informed of the adverse event and Doctor recommendations.  No symptoms or sign were reported by parents in reference to this event.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Death
Clinical narrative: PATIENT EXPIRED ON 02/15/2023
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient with history of 3 COVID vaccines who had incidental positive COVID test found upon admission to inpatient rehab unit.  Asymptomatic throughout stay.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Mom called in stating patient has a red bump where patient received the vaccine, stated it was itching. mom treated her with Tylenol at the time.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: Asthenia, COVID-19, Dyspnoea, Hypoxia, Pneumonia pseudomonal
Clinical narrative: Patient up to date on COVID vaccines who admitted with hypoxia and COVID detected PCR.  Provider d/c note:  "81 YO year old female with past medical history of COPD, CAD, PVD, HTN, HLD, RA on immunosuppressed, depression presenting to Hospital with complaint of weakness and sob.  She was found to be positive for COVID-19 and treated with full course course of remdesivir and 10 days of steroids.  Her methotrexate and adalimumab were held. She required supplemental oxygen.  She was subsequently discovered to have bacterial (Pseudomonas) pneumonia and treated with 6 days of IV cefepime and discharged on 1 day of oral Cipro.  Her clinical status improved and she was deemed appropriate for placement on 12/28/2022."
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient up to date on COVID vaccines who admitted with hypoxia and COVID detected PCR.  Provider d/c note:  "81 YO year old female with past medical history of COPD, CAD, PVD, HTN, HLD, RA on immunosuppressed, depression presenting to Hospital with complaint of weakness and sob.  She was found to be positive for COVID-19 and treated with full course course of remdesivir and 10 days of steroids.  Her methotrexate and adalimumab were held. She required supplemental oxygen.  She was subsequently discovered to have bacterial (Pseudomonas) pneumonia and treated with 6 days of IV cefepime and discharged on 1 day of oral Cipro.  Her clinical status improved and she was deemed appropriate for placement on 12/28/2022."
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac disorder, Gastrointestinal disorder
Clinical narrative: Heart and GI issues
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: Anxiety, COVID-19, COVID-19 pneumonia, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: Patient up to date on COVID vaccines who admitted with hypoxia and COVID detected PCR.  Provider d/c note:  "patient came in with increased SOB. He was found to have COVID pneumonia and COPD exacerbation.  He required oxygen initially.  Patient was noted to have an elevated D dimer.  Patient was weaned off his oxygen quickly.  He was discharged home.  He was sent with his inhalers from here as he has no medication coverage.  Pulmonary saw him and recommended an echo as there was some question of fluid overload.  This was not done and could be ordered as an outpatient.  The patient was not very compliant with care because of this.  Patient was very anxious to be discharge.  PFTs were also recommended after discharge and would need to be set up.  Patient would benefit from a LDCT yearly. Would benefit from checking for alpha 1 antitrypsin."
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: Dyspnoea, Fibrin D dimer increased, Hypoxia, SARS-CoV-2 test positive, Treatment noncompliance
Clinical narrative: Patient up to date on COVID vaccines who admitted with hypoxia and COVID detected PCR.  Provider d/c note:  "patient came in with increased SOB. He was found to have COVID pneumonia and COPD exacerbation.  He required oxygen initially.  Patient was noted to have an elevated D dimer.  Patient was weaned off his oxygen quickly.  He was discharged home.  He was sent with his inhalers from here as he has no medication coverage.  Pulmonary saw him and recommended an echo as there was some question of fluid overload.  This was not done and could be ordered as an outpatient.  The patient was not very compliant with care because of this.  Patient was very anxious to be discharge.  PFTs were also recommended after discharge and would need to be set up.  Patient would benefit from a LDCT yearly. Would benefit from checking for alpha 1 antitrypsin."
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Decreased appetite, Fatigue, SARS-CoV-2 test positive
Clinical narrative: I received my Covid-19 vaccine on 08/31/2022. On the evening of 12/24/2022 I started to have bad chills, loss of appetite and fatigue. I tested positive for Covid-19 on 12/26/2022. After reaching to my doctor and was prescribed medication and symptoms lasted approx. 5 weeks.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was previously immunized and doses were overlooked on transcription resulting in patient receiving extra dose of above vaccines.  No adverse reaction has been noted.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Respiratory tract congestion, Respiratory tract infection
Clinical narrative: I contracted COVID about a month after the vaccine. The symptoms were mild, I did not have a temperature. I did have strong fatigue, congestion and a cough. The doctor gave me PAXLOVID where I felt immediate improvement for about a week, but the cough and the congestion felt consistent. I went back to the doctor and was diagnosed with a respiratory infection. I was given antibiotics and everything cleared up in about a week.
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: vaccine given that was expired, moved to fridge on 1/14/23 and BUD 2/13/23
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: vaccine given that was expired, put in fridge 1/14/23 BUD 2/13/23
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized with covid; fully vaccinated with 3 boosters
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient  received expired vaccine, no  s/s of  any effects  or  reaction.  Patient is doing well,  no  distress noted  or reported.  Patient  was  updated.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized with covid; fully vaccinated
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Chronic respiratory failure, Death, Dyspnoea
Clinical narrative: pt had a positive COVID test on 8/1/22 and was hospitalized with pneumonia, COVID, urosepsis; 8/18/22 pt back to hospital with lethargy and SOB; UTI; chronic respiratory failure; O2 supplementation; pt's condition worsened and she passed away in the hospital; COD:  acute on chronic respiratory failure secondary to COVID infection
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: General physical health deterioration, Lethargy, Pneumonia, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: pt had a positive COVID test on 8/1/22 and was hospitalized with pneumonia, COVID, urosepsis; 8/18/22 pt back to hospital with lethargy and SOB; UTI; chronic respiratory failure; O2 supplementation; pt's condition worsened and she passed away in the hospital; COD:  acute on chronic respiratory failure secondary to COVID infection
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Urosepsis
Clinical narrative: pt had a positive COVID test on 8/1/22 and was hospitalized with pneumonia, COVID, urosepsis; 8/18/22 pt back to hospital with lethargy and SOB; UTI; chronic respiratory failure; O2 supplementation; pt's condition worsened and she passed away in the hospital; COD:  acute on chronic respiratory failure secondary to COVID infection
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chills, Costochondritis, Fatigue
Clinical narrative: After receiving the first dose of Pfizer I started having brain fog, fatigue, chills and the next day I had all over body, joint, and muscle pain. I tried over the counter pain medication, and it diminished but I missed some days of work because of the pain. I still was having rib cage, shoulder and back pain. I followed up with my doctor and she said I had Costochondritis, and I was given methocarbamol. The pain medication did help, and I used it after the other dosages as well. I was told that it wasn't normal or common but its possible for someone with my medical profile to have this happened.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Impaired work ability, Musculoskeletal chest pain, Myalgia, Pain
Clinical narrative: After receiving the first dose of Pfizer I started having brain fog, fatigue, chills and the next day I had all over body, joint, and muscle pain. I tried over the counter pain medication, and it diminished but I missed some days of work because of the pain. I still was having rib cage, shoulder and back pain. I followed up with my doctor and she said I had Costochondritis, and I was given methocarbamol. The pain medication did help, and I used it after the other dosages as well. I was told that it wasn't normal or common but its possible for someone with my medical profile to have this happened.
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: Vaers being submitted per work policy due to getting booster too early.  we gave bivalent booster on 4/1/2023, pharmacy 9/7/2022 then we did again on 11/23/2022.
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Audiogram abnormal, Balance disorder, Blood test normal, Computerised tomogram head normal, Deafness unilateral
Clinical narrative: Upon waking up the morning after the day I receive the vaccine I was dizzy, with nausea, vomiting, tinnitus, poor with balance, and lost hearing from the right ear. I remained sick during the following week, symptoms gradually worsened to the point that I had to go to the Hospital ED on 1/11/23. I had blood work up that were WDL, I was treated with IV fluids, Zofran and Meclizine, also had a CT that was negative. On 1/12/23 I had an appointment with my PCP, was referred to ENT. I had the first evaluation with ENT 1/27/23 and follow up visits on 2/3/23 and 2/17/23.  The two audiometries  done by ENT doctor showed total loss of hearing on the right ear, I also had an MRI with contrast on 2/7/23 ruling out other etiologies such as tumors. As of today, I still have vertigo and dizziness when changing positions and I cannot hear from the right ear.
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness postural, Magnetic resonance imaging head normal, Malaise, Nausea, Scan with contrast normal
Clinical narrative: Upon waking up the morning after the day I receive the vaccine I was dizzy, with nausea, vomiting, tinnitus, poor with balance, and lost hearing from the right ear. I remained sick during the following week, symptoms gradually worsened to the point that I had to go to the Hospital ED on 1/11/23. I had blood work up that were WDL, I was treated with IV fluids, Zofran and Meclizine, also had a CT that was negative. On 1/12/23 I had an appointment with my PCP, was referred to ENT. I had the first evaluation with ENT 1/27/23 and follow up visits on 2/3/23 and 2/17/23.  The two audiometries  done by ENT doctor showed total loss of hearing on the right ear, I also had an MRI with contrast on 2/7/23 ruling out other etiologies such as tumors. As of today, I still have vertigo and dizziness when changing positions and I cannot hear from the right ear.
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Tinnitus, Vertigo positional, Vomiting
Clinical narrative: Upon waking up the morning after the day I receive the vaccine I was dizzy, with nausea, vomiting, tinnitus, poor with balance, and lost hearing from the right ear. I remained sick during the following week, symptoms gradually worsened to the point that I had to go to the Hospital ED on 1/11/23. I had blood work up that were WDL, I was treated with IV fluids, Zofran and Meclizine, also had a CT that was negative. On 1/12/23 I had an appointment with my PCP, was referred to ENT. I had the first evaluation with ENT 1/27/23 and follow up visits on 2/3/23 and 2/17/23.  The two audiometries  done by ENT doctor showed total loss of hearing on the right ear, I also had an MRI with contrast on 2/7/23 ruling out other etiologies such as tumors. As of today, I still have vertigo and dizziness when changing positions and I cannot hear from the right ear.
Age: 21.0
Sex: F
Vaccine: UNK
Symptoms: Incorrect product formulation administered
Clinical narrative: Booster dose given instead of 2nd dose mono valent
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered, Inappropriate schedule of product administration, No adverse event
Clinical narrative: Booster gave too soon. we gave bivalent booster on 4/1/2023, pharmacy 9/7/2022 then clinic again on 11/25/2022.  Patient did not have reaction
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chills, Costochondritis, Fatigue
Clinical narrative: After receiving the second dose of Pfizer I started having brain fog, fatigue, chills and the next day I had all over body, joint, and muscle pain.  I tried over the counter pain medication, and it diminished but I missed some days of work because of the pain. I still was having rib cage, shoulder and back pain. I followed up with my doctor and she said I had Costochondritis, and I was given methocarbamol. The pain medication did help, and I used it after the other dosages as well. I was told that it wasn't normal or common but its possible for someone with my medical profile to have this happened. This event lasted for 3 days.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Impaired work ability, Musculoskeletal chest pain, Myalgia, Pain
Clinical narrative: After receiving the second dose of Pfizer I started having brain fog, fatigue, chills and the next day I had all over body, joint, and muscle pain.  I tried over the counter pain medication, and it diminished but I missed some days of work because of the pain. I still was having rib cage, shoulder and back pain. I followed up with my doctor and she said I had Costochondritis, and I was given methocarbamol. The pain medication did help, and I used it after the other dosages as well. I was told that it wasn't normal or common but its possible for someone with my medical profile to have this happened. This event lasted for 3 days.
Age: 22.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient should have received 0.5 ml but instead received 0.25 ml of the vaccine.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Costochondritis, Fatigue, Feeling abnormal
Clinical narrative: After receiving the third dose of Pfizer I started having brain fog, fatigue, chills and the next day I had all over body, joint, and muscle pain. I had Costochondritis, and I was given methocarbamol for the prior doses so I just used these medications to treat the pain. This event lasted for 3 days in total.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain
Clinical narrative: After receiving the third dose of Pfizer I started having brain fog, fatigue, chills and the next day I had all over body, joint, and muscle pain. I had Costochondritis, and I was given methocarbamol for the prior doses so I just used these medications to treat the pain. This event lasted for 3 days in total.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Acute myocardial infarction, Anticoagulant therapy, Blood bicarbonate decreased, Blood culture
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "86 yo female, with PMH significant for OSA on CPAP, asthma, bipolar depression, HTN, who presented from nursing home to the ED today due to decreased responsiveness and fevers   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) treated in intensive care unit setting initially for urosepsis, E coli bacteremia, NSTEMI 1/7 Transferred to general floor   1/8 Underwent nuclear cardiac stress tests-ischemia of the lateral wall, mild   1/ 10 Seen by Cardiology, started on beta-blocker   1/11 Planned discharge to SNF on hold due to rising leukocytosis, leukocytosis improved down to 14 K the time of discharge     Altered mental status, Improving gradually, most likely due to urosepsis Has significantly improved   History of bipolar depression Continue with Tegretol and Cymbalta   History of asthma Oxygen p.r.n., albuterol inhalers   History of OSA On CPAP   NSTEMI Appreciate cardiology consultation, echo showed normal LVEF of 55-60%, mild AS Giving IV heparin for 48 hours On aspirin, beta-blocker  nuclear stress test,1/ 9 , as Cardiology, mild reversible defect, in the lateral wall consistent with mild ischemia, Cardiology recommended to treated medically , with beta-blocker, patient already on aspirin Urosepsis with E coli bacteremia Was on Levophed in intensive care unit setting Weaned of Levophed On ceftriaxone from 01/05, anticipate total course of antibiotic of 10 days at least Leukocytosis improving, has normalized 1/11 significant rise in leukocytosis to 19 K, planned discharge to SNF on hold  No fever, patient does not look toxic, currently on IV Rocephin Has anion gap acidosis with bicarb of 15, check lactic acid, do sepsis workup, including blood culture   History of hypertension PTA antihypertensives on hold   Acute kidney injury, solitary right kidney, status post left nephrectomy Due to urosepsis, improving renal function   Possible cognition impairment, move Moca scoring by speech, checked  vitamin B12.  Normal     Condition at the time of discharge-   Vss  Constitutional:  No distress, elderly, 2 liters/minute HENT:  Normocephalic, Atraumatic, Pupils Reactive, Normal oropharynx, Nose normal.  Cardiovascular:  Normal heart rate, Normal rhythm, No murmurs, No rubs, No gallops.  Respiratory:  Normal breath sounds, No respiratory distress, No wheezing, No chest tenderness.  GI:  Bowel sounds normal, Soft, No tenderness, No masses, No pulsatile masses.  Extremities:  Intact distal pulses, No edema, No tenderness, No cyanosis, No clubbing.  Neurologic:  Alert & oriented x 2 , confused at times,  No focal deficits noted. Skin:  Warm and dry   Issues Requiring Follow Up: (Who, what, when, and how communicated?)  Losartan & Aldactone are on hold  till f/u BMP & CBC , renal function improvement To follow-up on tolerance and efficacy of Augmentin"
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cardiac stress test abnormal, Confusional state, Echocardiogram normal, Ejection fraction
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "86 yo female, with PMH significant for OSA on CPAP, asthma, bipolar depression, HTN, who presented from nursing home to the ED today due to decreased responsiveness and fevers   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) treated in intensive care unit setting initially for urosepsis, E coli bacteremia, NSTEMI 1/7 Transferred to general floor   1/8 Underwent nuclear cardiac stress tests-ischemia of the lateral wall, mild   1/ 10 Seen by Cardiology, started on beta-blocker   1/11 Planned discharge to SNF on hold due to rising leukocytosis, leukocytosis improved down to 14 K the time of discharge     Altered mental status, Improving gradually, most likely due to urosepsis Has significantly improved   History of bipolar depression Continue with Tegretol and Cymbalta   History of asthma Oxygen p.r.n., albuterol inhalers   History of OSA On CPAP   NSTEMI Appreciate cardiology consultation, echo showed normal LVEF of 55-60%, mild AS Giving IV heparin for 48 hours On aspirin, beta-blocker  nuclear stress test,1/ 9 , as Cardiology, mild reversible defect, in the lateral wall consistent with mild ischemia, Cardiology recommended to treated medically , with beta-blocker, patient already on aspirin Urosepsis with E coli bacteremia Was on Levophed in intensive care unit setting Weaned of Levophed On ceftriaxone from 01/05, anticipate total course of antibiotic of 10 days at least Leukocytosis improving, has normalized 1/11 significant rise in leukocytosis to 19 K, planned discharge to SNF on hold  No fever, patient does not look toxic, currently on IV Rocephin Has anion gap acidosis with bicarb of 15, check lactic acid, do sepsis workup, including blood culture   History of hypertension PTA antihypertensives on hold   Acute kidney injury, solitary right kidney, status post left nephrectomy Due to urosepsis, improving renal function   Possible cognition impairment, move Moca scoring by speech, checked  vitamin B12.  Normal     Condition at the time of discharge-   Vss  Constitutional:  No distress, elderly, 2 liters/minute HENT:  Normocephalic, Atraumatic, Pupils Reactive, Normal oropharynx, Nose normal.  Cardiovascular:  Normal heart rate, Normal rhythm, No murmurs, No rubs, No gallops.  Respiratory:  Normal breath sounds, No respiratory distress, No wheezing, No chest tenderness.  GI:  Bowel sounds normal, Soft, No tenderness, No masses, No pulsatile masses.  Extremities:  Intact distal pulses, No edema, No tenderness, No cyanosis, No clubbing.  Neurologic:  Alert & oriented x 2 , confused at times,  No focal deficits noted. Skin:  Warm and dry   Issues Requiring Follow Up: (Who, what, when, and how communicated?)  Losartan & Aldactone are on hold  till f/u BMP & CBC , renal function improvement To follow-up on tolerance and efficacy of Augmentin"
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Escherichia bacteraemia, Hyporesponsive to stimuli, Intensive care, Leukocytosis, Mental status changes
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "86 yo female, with PMH significant for OSA on CPAP, asthma, bipolar depression, HTN, who presented from nursing home to the ED today due to decreased responsiveness and fevers   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) treated in intensive care unit setting initially for urosepsis, E coli bacteremia, NSTEMI 1/7 Transferred to general floor   1/8 Underwent nuclear cardiac stress tests-ischemia of the lateral wall, mild   1/ 10 Seen by Cardiology, started on beta-blocker   1/11 Planned discharge to SNF on hold due to rising leukocytosis, leukocytosis improved down to 14 K the time of discharge     Altered mental status, Improving gradually, most likely due to urosepsis Has significantly improved   History of bipolar depression Continue with Tegretol and Cymbalta   History of asthma Oxygen p.r.n., albuterol inhalers   History of OSA On CPAP   NSTEMI Appreciate cardiology consultation, echo showed normal LVEF of 55-60%, mild AS Giving IV heparin for 48 hours On aspirin, beta-blocker  nuclear stress test,1/ 9 , as Cardiology, mild reversible defect, in the lateral wall consistent with mild ischemia, Cardiology recommended to treated medically , with beta-blocker, patient already on aspirin Urosepsis with E coli bacteremia Was on Levophed in intensive care unit setting Weaned of Levophed On ceftriaxone from 01/05, anticipate total course of antibiotic of 10 days at least Leukocytosis improving, has normalized 1/11 significant rise in leukocytosis to 19 K, planned discharge to SNF on hold  No fever, patient does not look toxic, currently on IV Rocephin Has anion gap acidosis with bicarb of 15, check lactic acid, do sepsis workup, including blood culture   History of hypertension PTA antihypertensives on hold   Acute kidney injury, solitary right kidney, status post left nephrectomy Due to urosepsis, improving renal function   Possible cognition impairment, move Moca scoring by speech, checked  vitamin B12.  Normal     Condition at the time of discharge-   Vss  Constitutional:  No distress, elderly, 2 liters/minute HENT:  Normocephalic, Atraumatic, Pupils Reactive, Normal oropharynx, Nose normal.  Cardiovascular:  Normal heart rate, Normal rhythm, No murmurs, No rubs, No gallops.  Respiratory:  Normal breath sounds, No respiratory distress, No wheezing, No chest tenderness.  GI:  Bowel sounds normal, Soft, No tenderness, No masses, No pulsatile masses.  Extremities:  Intact distal pulses, No edema, No tenderness, No cyanosis, No clubbing.  Neurologic:  Alert & oriented x 2 , confused at times,  No focal deficits noted. Skin:  Warm and dry   Issues Requiring Follow Up: (Who, what, when, and how communicated?)  Losartan & Aldactone are on hold  till f/u BMP & CBC , renal function improvement To follow-up on tolerance and efficacy of Augmentin"
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Metabolic acidosis, Myocardial ischaemia, Nephrectomy, Pyrexia, Renal impairment
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "86 yo female, with PMH significant for OSA on CPAP, asthma, bipolar depression, HTN, who presented from nursing home to the ED today due to decreased responsiveness and fevers   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) treated in intensive care unit setting initially for urosepsis, E coli bacteremia, NSTEMI 1/7 Transferred to general floor   1/8 Underwent nuclear cardiac stress tests-ischemia of the lateral wall, mild   1/ 10 Seen by Cardiology, started on beta-blocker   1/11 Planned discharge to SNF on hold due to rising leukocytosis, leukocytosis improved down to 14 K the time of discharge     Altered mental status, Improving gradually, most likely due to urosepsis Has significantly improved   History of bipolar depression Continue with Tegretol and Cymbalta   History of asthma Oxygen p.r.n., albuterol inhalers   History of OSA On CPAP   NSTEMI Appreciate cardiology consultation, echo showed normal LVEF of 55-60%, mild AS Giving IV heparin for 48 hours On aspirin, beta-blocker  nuclear stress test,1/ 9 , as Cardiology, mild reversible defect, in the lateral wall consistent with mild ischemia, Cardiology recommended to treated medically , with beta-blocker, patient already on aspirin Urosepsis with E coli bacteremia Was on Levophed in intensive care unit setting Weaned of Levophed On ceftriaxone from 01/05, anticipate total course of antibiotic of 10 days at least Leukocytosis improving, has normalized 1/11 significant rise in leukocytosis to 19 K, planned discharge to SNF on hold  No fever, patient does not look toxic, currently on IV Rocephin Has anion gap acidosis with bicarb of 15, check lactic acid, do sepsis workup, including blood culture   History of hypertension PTA antihypertensives on hold   Acute kidney injury, solitary right kidney, status post left nephrectomy Due to urosepsis, improving renal function   Possible cognition impairment, move Moca scoring by speech, checked  vitamin B12.  Normal     Condition at the time of discharge-   Vss  Constitutional:  No distress, elderly, 2 liters/minute HENT:  Normocephalic, Atraumatic, Pupils Reactive, Normal oropharynx, Nose normal.  Cardiovascular:  Normal heart rate, Normal rhythm, No murmurs, No rubs, No gallops.  Respiratory:  Normal breath sounds, No respiratory distress, No wheezing, No chest tenderness.  GI:  Bowel sounds normal, Soft, No tenderness, No masses, No pulsatile masses.  Extremities:  Intact distal pulses, No edema, No tenderness, No cyanosis, No clubbing.  Neurologic:  Alert & oriented x 2 , confused at times,  No focal deficits noted. Skin:  Warm and dry   Issues Requiring Follow Up: (Who, what, when, and how communicated?)  Losartan & Aldactone are on hold  till f/u BMP & CBC , renal function improvement To follow-up on tolerance and efficacy of Augmentin"