chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.5
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Date the vial was initially stored in the refrigerator on 22Jul2022, Date of administration of vaccine on 22Aug2022, 9:06am; No adverse event; Administered a Moderna Covid-19 vaccine to one patient which has been in the refrigerator for 31 days; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Administered a Moderna Covid-19 vaccine to one patient which has been in the refrigerator for 31 days), PRODUCT STORAGE ERROR (Date the vial was initially stored in the refrigerator on 22Jul2022, Date of administration of vaccine on 22Aug2022, 9:06am) and NO ADVERSE EVENT (No adverse event) in a 7-month-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. AR9237B and AR9327B) for COVID-19 prophylaxis.     No Medical History information was reported.   On 25-Jul-2022, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .25 milliliter. On 22-Aug-2022 at 9:06 AM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to .25 milliliter. On 22-Aug-2022 at 9:06 AM,  after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced EXPIRED PRODUCT ADMINISTERED (Administered a Moderna Covid-19 vaccine to one patient which has been in the refrigerator for 31 days). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Date the vial was initially stored in the refrigerator on 22Jul2022, Date of administration of vaccine on 22Aug2022, 9:06am) and NO ADVERSE EVENT (No adverse event). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Administered a Moderna Covid-19 vaccine to one patient which has been in the refrigerator for 31 days), PRODUCT STORAGE ERROR (Date the vial was initially stored in the refrigerator on 22Jul2022, Date of administration of vaccine on 22Aug2022, 9:06am) and NO ADVERSE EVENT (No adverse event) outcome was unknown.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered NO ADVERSE EVENT (No adverse event) to be not related. No further causality assessments were provided for EXPIRED PRODUCT ADMINISTERED (Administered a Moderna Covid-19 vaccine to one patient which has been in the refrigerator for 31 days) and PRODUCT STORAGE ERROR (Date the vial was initially stored in the refrigerator on 22Jul2022, Date of administration of vaccine on 22Aug2022, 9:06am).    No concomitant medications were provided. Patients first dose and second dose was given on the left leg. The vial did not undergo any temperature excursions. The vial was initially stored in the refrigerator on 22Jul2022. Patient did not present any adverse event. No treatment medications were reported.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Injection site pain, Pain, Pyrexia
Clinical narrative: Headache,body aches,fever,injection site sore
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine vial sent to facility after expiration for booster dose. Vaccine expired 8/13/22. Sent 8/17/22. Vaccine administered 8/18/22. Patient not having adverse events at this time
Age: 5.0
Sex: F
Vaccine: COVID19, DTAP, IPV
Symptoms: Erythema, Injection site pruritus, Swelling face
Clinical narrative: WITHIN 2 MINUTES OF RECEIVING VACCINE FACE WAS BRIGHT RED & SWOLLEN. BENADRYL 7CC WAS GIVEN PULSE OX 98% PULSE 111 R15 NO RESP DISTRESS, MILD PURITIS AT SITE OF POLIO VACCINE
Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Injection site rash
Clinical narrative: Thigh rash Bilat, steroid Treatment
Age: 4.0
Sex: M
Vaccine: DTAPIPV, IPV
Symptoms: Extra dose administered
Clinical narrative: Pt was given Kinrix which already has Ipol and a dose of IPol. Discovered when Inventory count was done. Provider Review, with no Adverse reactions callout to pt's mother, waiting call Back
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Janssen 5/11/21. Positive on 8/23/22
Age: 6.0
Sex: M
Vaccine: MMRV
Symptoms: Wrong product administered
Clinical narrative: Patient who is a minor was due for MMR but was administer Proquad (MMRV). Parents notified of medication error. Patient monitored for 30 minutes post administration of Proquad and showed no signs or symptoms from vaccine administration. MMRV VIS provided to parent.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac stress test, Chest X-ray, Computerised tomogram, Echocardiogram, Laboratory test
Clinical narrative: I have developed pericarditis.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pericarditis
Clinical narrative: I have developed pericarditis.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized with covid; fully vaccinated with booster
Age: 1.25
Sex: M
Vaccine: DTAPIPV
Symptoms: Wrong product administered
Clinical narrative: Patient received Kinrix instead of DTAP only vaccine.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized with covid, fully vaccinated with booster (J&J and moderna)
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized with covid; fully vaccinated with booster
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Dysuria, Pyrexia, Urinary tract infection, Urine analysis, X-ray
Clinical narrative: Fever, Urinary pain, DX of UTI
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalized with COVID-19; fully vaccinated.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalized with covid; fully vaccinated with booster
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough case of COVID-19 after 2 doses of mRNA vaccine.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization with covid; fully vaccinated with booster
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immunisation reaction, Skin disorder
Clinical narrative: one week after first dose, I was having severe chest pains. Ended up in the ER getting all types of test done. EKG, Echo, D Dimer test to rule out blood clots. There were some abnormalities in my  EKG which resulted in an echo.  EKG showed an incomplete heart block and echo was not the best in the world. After my second dose, I had a skin condition pop up. I have tried steroid creams and shots to no avail. The doctor has linked this to the vaccine. It has started from the bottom of my foot and worked its way up the front of my leg.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Acute hepatic failure, Alanine aminotransferase increased, Alcohol use, Anion gap
Clinical narrative: Document Type: History and Physical Document Subject: History & Physical Note Performed By:  MD on April 21, 2022 00:14 EDT Verified By:  MD on April 21, 2022 00:14 EDT Encounter Info: 000920321825,  Inpatient, 04/20/22 - 05/23/22 * Final Report * History of Present Illness/Subjective  This is a 63-year-old male who uses with known underlying liver cirrhosis who presents on 4-20-2022 brought in to  emergency department with a chief complaint of abdominal pain and bilateral lower extremity edema with associated shortness of breath. He is being admitted for acute liver failure with meld of greater than 50% in the setting of acute alcoholic hepatitis and renal failure and impending withdrawal. Transplant was attempted however  are either on diversion or have a waiting list. So he is being admitted here in the meantime.  In the ER he is 130/80 on room air. Hemoglobin 12.1 from 13.5. INR 2.06 previously 1.04 back in January. Sodium 131, potassium 3.0, chloride 90, gap of 19 with a CO2 of 22, creatinine is 1.86 from 0.87. Alk phos is 145 from 50 and ALT is 166 from 35. Pending CT scan of the abdomen and pelvis without contrast.  Is unable to provide me any history. He is definitely encephalopathic. His wife is present at bedside and provides some history stating that he is a heavy drinker with last drink being the evening of 4-19-2022. She is known that something has been wrong with his liver for quite some time, I believe she said that he is only has had cirrhosis for multiple years now. Review of Systems  Unable to obtain as patient is encephalopathic.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood alkaline phosphatase increased, Blood chloride decreased, Blood creatinine increased, Blood potassium decreased, Blood sodium decreased
Clinical narrative: Document Type: History and Physical Document Subject: History & Physical Note Performed By:  MD on April 21, 2022 00:14 EDT Verified By:  MD on April 21, 2022 00:14 EDT Encounter Info: 000920321825,  Inpatient, 04/20/22 - 05/23/22 * Final Report * History of Present Illness/Subjective  This is a 63-year-old male who uses with known underlying liver cirrhosis who presents on 4-20-2022 brought in to  emergency department with a chief complaint of abdominal pain and bilateral lower extremity edema with associated shortness of breath. He is being admitted for acute liver failure with meld of greater than 50% in the setting of acute alcoholic hepatitis and renal failure and impending withdrawal. Transplant was attempted however  are either on diversion or have a waiting list. So he is being admitted here in the meantime.  In the ER he is 130/80 on room air. Hemoglobin 12.1 from 13.5. INR 2.06 previously 1.04 back in January. Sodium 131, potassium 3.0, chloride 90, gap of 19 with a CO2 of 22, creatinine is 1.86 from 0.87. Alk phos is 145 from 50 and ALT is 166 from 35. Pending CT scan of the abdomen and pelvis without contrast.  Is unable to provide me any history. He is definitely encephalopathic. His wife is present at bedside and provides some history stating that he is a heavy drinker with last drink being the evening of 4-19-2022. She is known that something has been wrong with his liver for quite some time, I believe she said that he is only has had cirrhosis for multiple years now. Review of Systems  Unable to obtain as patient is encephalopathic.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Carbon dioxide decreased, Chest X-ray abnormal, Cough, Dyspnoea, Encephalopathy
Clinical narrative: Document Type: History and Physical Document Subject: History & Physical Note Performed By:  MD on April 21, 2022 00:14 EDT Verified By:  MD on April 21, 2022 00:14 EDT Encounter Info: 000920321825,  Inpatient, 04/20/22 - 05/23/22 * Final Report * History of Present Illness/Subjective  This is a 63-year-old male who uses with known underlying liver cirrhosis who presents on 4-20-2022 brought in to  emergency department with a chief complaint of abdominal pain and bilateral lower extremity edema with associated shortness of breath. He is being admitted for acute liver failure with meld of greater than 50% in the setting of acute alcoholic hepatitis and renal failure and impending withdrawal. Transplant was attempted however  are either on diversion or have a waiting list. So he is being admitted here in the meantime.  In the ER he is 130/80 on room air. Hemoglobin 12.1 from 13.5. INR 2.06 previously 1.04 back in January. Sodium 131, potassium 3.0, chloride 90, gap of 19 with a CO2 of 22, creatinine is 1.86 from 0.87. Alk phos is 145 from 50 and ALT is 166 from 35. Pending CT scan of the abdomen and pelvis without contrast.  Is unable to provide me any history. He is definitely encephalopathic. His wife is present at bedside and provides some history stating that he is a heavy drinker with last drink being the evening of 4-19-2022. She is known that something has been wrong with his liver for quite some time, I believe she said that he is only has had cirrhosis for multiple years now. Review of Systems  Unable to obtain as patient is encephalopathic.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Haemoglobin decreased, Hepatitis alcoholic, International normalised ratio increased, Oedema peripheral, Pulmonary mass
Clinical narrative: Document Type: History and Physical Document Subject: History & Physical Note Performed By:  MD on April 21, 2022 00:14 EDT Verified By:  MD on April 21, 2022 00:14 EDT Encounter Info: 000920321825,  Inpatient, 04/20/22 - 05/23/22 * Final Report * History of Present Illness/Subjective  This is a 63-year-old male who uses with known underlying liver cirrhosis who presents on 4-20-2022 brought in to  emergency department with a chief complaint of abdominal pain and bilateral lower extremity edema with associated shortness of breath. He is being admitted for acute liver failure with meld of greater than 50% in the setting of acute alcoholic hepatitis and renal failure and impending withdrawal. Transplant was attempted however  are either on diversion or have a waiting list. So he is being admitted here in the meantime.  In the ER he is 130/80 on room air. Hemoglobin 12.1 from 13.5. INR 2.06 previously 1.04 back in January. Sodium 131, potassium 3.0, chloride 90, gap of 19 with a CO2 of 22, creatinine is 1.86 from 0.87. Alk phos is 145 from 50 and ALT is 166 from 35. Pending CT scan of the abdomen and pelvis without contrast.  Is unable to provide me any history. He is definitely encephalopathic. His wife is present at bedside and provides some history stating that he is a heavy drinker with last drink being the evening of 4-19-2022. She is known that something has been wrong with his liver for quite some time, I believe she said that he is only has had cirrhosis for multiple years now. Review of Systems  Unable to obtain as patient is encephalopathic.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Renal failure
Clinical narrative: Document Type: History and Physical Document Subject: History & Physical Note Performed By:  MD on April 21, 2022 00:14 EDT Verified By:  MD on April 21, 2022 00:14 EDT Encounter Info: 000920321825,  Inpatient, 04/20/22 - 05/23/22 * Final Report * History of Present Illness/Subjective  This is a 63-year-old male who uses with known underlying liver cirrhosis who presents on 4-20-2022 brought in to  emergency department with a chief complaint of abdominal pain and bilateral lower extremity edema with associated shortness of breath. He is being admitted for acute liver failure with meld of greater than 50% in the setting of acute alcoholic hepatitis and renal failure and impending withdrawal. Transplant was attempted however  are either on diversion or have a waiting list. So he is being admitted here in the meantime.  In the ER he is 130/80 on room air. Hemoglobin 12.1 from 13.5. INR 2.06 previously 1.04 back in January. Sodium 131, potassium 3.0, chloride 90, gap of 19 with a CO2 of 22, creatinine is 1.86 from 0.87. Alk phos is 145 from 50 and ALT is 166 from 35. Pending CT scan of the abdomen and pelvis without contrast.  Is unable to provide me any history. He is definitely encephalopathic. His wife is present at bedside and provides some history stating that he is a heavy drinker with last drink being the evening of 4-19-2022. She is known that something has been wrong with his liver for quite some time, I believe she said that he is only has had cirrhosis for multiple years now. Review of Systems  Unable to obtain as patient is encephalopathic.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Palpitations, Throat tightness
Clinical narrative: within 5 minutes, experienced shortness of breath, tight throat, palpitations, lightheadedness
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalized with covid; fully vaccinated with booster
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, B-cell lymphoma, Carcinogenicity, Chemotherapy, Condition aggravated
Clinical narrative: Tumorigenesis of Diffuse Large B cell Non-Hodgkin's Lymphoma. Initial diagnosis in September 2021 after suffering from unusual pain in mid-section. Scans showed widespread lymphoma. Underwent rounds of chemo and radiation. Received Covid-19 booster shot on November 9, 2021 at urging of medical doctors in order to continue chemotherapy and "qualify" for other treatments. Getting a booster Covid-19 shot was not negotiable if she wanted to continue being treated. Subsequent scans showed a remarkable increase and spread of the disease from scans just prior to receiving Moderna booster. Deceased on March 13, 2022.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Non-Hodgkin's lymphoma, Radiotherapy, Scan abnormal
Clinical narrative: Tumorigenesis of Diffuse Large B cell Non-Hodgkin's Lymphoma. Initial diagnosis in September 2021 after suffering from unusual pain in mid-section. Scans showed widespread lymphoma. Underwent rounds of chemo and radiation. Received Covid-19 booster shot on November 9, 2021 at urging of medical doctors in order to continue chemotherapy and "qualify" for other treatments. Getting a booster Covid-19 shot was not negotiable if she wanted to continue being treated. Subsequent scans showed a remarkable increase and spread of the disease from scans just prior to receiving Moderna booster. Deceased on March 13, 2022.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized with covid; fully vaccinated with booster
Age: 0.58
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: After both COVID-19 vaccines (7/27/2022 and 8/17/2022 - same lot#), 3 days later had a few hours of repeated vomiting. OK before and afterward.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalized with COVID-19; fully vaccinated.
Age: 56.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Lymphadenopathy
Clinical narrative: Monkey pox vaccine dose #1  administered on 8/22/2022 to right forearm. Approximately 4-5 hours after receiving vaccine, she noticed increase redness and itching to right forearm around injection site. Denies any pain. She states at night, swollen lymph under her right armpit area. States she took Benadryl to help with itch. She states she noticed center of injection site to be hard to touch. States today, lymph node disappeared.  Today, complain of swelling, itching and redness to right forearm. Lymph node disappeared. Denies any pain.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient given larger dose then ordered. Patient given 1.8 ml of gray cap
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse events noted, patient reports she feels fine.. Given at 9:30am on 8/23/22, drawn up on 8/22/22 at 8:40am.  Spoke to Pfizer and they stated since administer time exceeded 24 hours, may not be as effective. Referred to  site for further guidance.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood cholesterol increased, Cardiac disorder, Cardiac function test abnormal, Exercise tolerance decreased, Fatigue
Clinical narrative: I was very tired after the shot, however, the following day when I went to ride my exercise bike for half an hour as I usually do about 5 times a week for the prior year, I could not pedal for more than a minute. I thought I was just tired, but this complete exhaustion at exercise continued for months. This included not being able to walk up the escalators or stairs I walked up every day. I saw my doctor eventually for a physical, and I apparently have some heart issues that I didn't have before this. Only at about 6 months after the shot did I begin to be able to exercise again.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Laboratory test
Clinical narrative: I was very tired after the shot, however, the following day when I went to ride my exercise bike for half an hour as I usually do about 5 times a week for the prior year, I could not pedal for more than a minute. I thought I was just tired, but this complete exhaustion at exercise continued for months. This included not being able to walk up the escalators or stairs I walked up every day. I saw my doctor eventually for a physical, and I apparently have some heart issues that I didn't have before this. Only at about 6 months after the shot did I begin to be able to exercise again.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Lip dry, Pruritus, Pyrexia, Rash, Rash papular
Clinical narrative: One day after vaccination, developed papulo-vesicles isolated in face, spreading to rest of body (few in arms, trunk, legs), no mucous involvement, not in palms or soles, dry lips present until today, little pruritus. Low grade fever on day 2-3 after vaccination. Fine otherwise Seen today (day 6) at our office, to observe if  rash resolves spontaneously
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Monoplegia, Movement disorder
Clinical narrative: Pt. received the first  Moderna Covid-19 vaccine on 2/1/2021. On 2/2/21  patient reports his legs were paralyzed and could not move nor get himself out of bed. The paralysis lasted until late afternoon.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19
Clinical narrative: ASYMPTOMATIC
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia
Clinical narrative: Hospitalized for weakness on 8/23/22. On 2L O2.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Computerised tomogram head normal, Confusional state
Clinical narrative: 4/26/2022-Covid + on 4/14 treated with Decadron, presents with AMS and increased confusion. CT head- no acute intracranial abnormality. CXR: small to moderate left pleural effusion with left lower airspace disease. Admit Covid-19 pneumonia with possible concomitant steroid confusion. Start ceftriaxone and azithromycin.  4/30/2022- Improvement in AMS since d/c decadron and continues on RA, VSS.  5/2/2022-Improved, D/C to home.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Lung disorder, Mental status changes, Pleural effusion, SARS-CoV-2 test positive
Clinical narrative: 4/26/2022-Covid + on 4/14 treated with Decadron, presents with AMS and increased confusion. CT head- no acute intracranial abnormality. CXR: small to moderate left pleural effusion with left lower airspace disease. Admit Covid-19 pneumonia with possible concomitant steroid confusion. Start ceftriaxone and azithromycin.  4/30/2022- Improvement in AMS since d/c decadron and continues on RA, VSS.  5/2/2022-Improved, D/C to home.
Age: 49.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: I have a red raised bump that looks like a pox. It is very itchy and bright red.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia
Clinical narrative: Hospitalized for weakness.
Age: 6.0
Sex: F
Vaccine: DTAP, HEP, HEPA
Symptoms: Expired product administered
Clinical narrative: Client was given expired Hepatitis A vaccine. It was not noticed until after the client had already left and when immunizations were being placed in registry.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Acute left ventricular failure, COVID-19, Death, Hypotension, Lethargy
Clinical narrative: The patient was brought back to Hospital on 02/26/2022.  The patient previously had a 30-day admission at the facility for PNA, acute diastolic heart failure, and was found to have COVID towards the end of her hospitalization.  She was brought back to the facility for respiratory failure, hypotension, and lethargy.  In the ED the patient was found to be septic and have a new PNA.  The family agreed to perform only comfort measures.  The patient expired on 02/27/2022.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Respiratory failure, Sepsis
Clinical narrative: The patient was brought back to Hospital on 02/26/2022.  The patient previously had a 30-day admission at the facility for PNA, acute diastolic heart failure, and was found to have COVID towards the end of her hospitalization.  She was brought back to the facility for respiratory failure, hypotension, and lethargy.  In the ED the patient was found to be septic and have a new PNA.  The family agreed to perform only comfort measures.  The patient expired on 02/27/2022.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Parosmia
Clinical narrative: Pungent malodor deep in sinus cavity starting on 7/12/2022 evening, until 7/14/22 early afternoon. Became less pungent starting 7/15/2022. Trailed off to just a faint smell every once and awhile while eating or drinking. Still occurring as of 8/24/2022.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, COVID-19, Chills, Cough, Extra dose administered
Clinical narrative: A few hours after receiving my fourth dose of my Pfizer COVID-19 vaccine, I had chills and an elevated temperature of around 101. I had the chills off and on for several hours and the fever lasted for around 2 days, until the morning of 05/26/2022. I was also having a bit of an upset stomach, but no vomiting. I was feeling achy and tired and just not feeling well at all for those 2 days. I also contracted COVID-19 on 08/19/2022. I was prescribed PAXLOVID. I experienced sore throat, coughing, severe headache, a fever that reached 101.8, and chills. Those symptoms lasted for around 3 days. Along with the PAXLOVID, my doctor advised that I take ROBITUSSIN DM and TYLENOL for my symptoms.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Malaise, Oropharyngeal pain, Pain
Clinical narrative: A few hours after receiving my fourth dose of my Pfizer COVID-19 vaccine, I had chills and an elevated temperature of around 101. I had the chills off and on for several hours and the fever lasted for around 2 days, until the morning of 05/26/2022. I was also having a bit of an upset stomach, but no vomiting. I was feeling achy and tired and just not feeling well at all for those 2 days. I also contracted COVID-19 on 08/19/2022. I was prescribed PAXLOVID. I experienced sore throat, coughing, severe headache, a fever that reached 101.8, and chills. Those symptoms lasted for around 3 days. Along with the PAXLOVID, my doctor advised that I take ROBITUSSIN DM and TYLENOL for my symptoms.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: A few hours after receiving my fourth dose of my Pfizer COVID-19 vaccine, I had chills and an elevated temperature of around 101. I had the chills off and on for several hours and the fever lasted for around 2 days, until the morning of 05/26/2022. I was also having a bit of an upset stomach, but no vomiting. I was feeling achy and tired and just not feeling well at all for those 2 days. I also contracted COVID-19 on 08/19/2022. I was prescribed PAXLOVID. I experienced sore throat, coughing, severe headache, a fever that reached 101.8, and chills. Those symptoms lasted for around 3 days. Along with the PAXLOVID, my doctor advised that I take ROBITUSSIN DM and TYLENOL for my symptoms.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized with covid; fully vaccinated
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Flushing, Lip discolouration, Lip swelling, Respiratory tract congestion, Urticaria
Clinical narrative: Approximately 20 min after leaving the office Mom came back and reported 'flushed'  appearance and hives.  Given dose of Benadryl in the office and observed for following 30 min.  During that time frame, noticed lips began to swell slightly and had purplish appearance.  Vital signs stable.  No respiratory distress initially but began to sound congested and slight audible wheeze.  Given Epinephrine 30 min after Benadryl dose and EMS called to office.  Within 5 minutes of giving epi, pt. back to baseline.  Color and swelling improved, and mild congestion remaining.  Transported to local ER via EMS in stable condition.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Wheezing
Clinical narrative: Approximately 20 min after leaving the office Mom came back and reported 'flushed'  appearance and hives.  Given dose of Benadryl in the office and observed for following 30 min.  During that time frame, noticed lips began to swell slightly and had purplish appearance.  Vital signs stable.  No respiratory distress initially but began to sound congested and slight audible wheeze.  Given Epinephrine 30 min after Benadryl dose and EMS called to office.  Within 5 minutes of giving epi, pt. back to baseline.  Color and swelling improved, and mild congestion remaining.  Transported to local ER via EMS in stable condition.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalized with COVID-19; fully vaccinated with 3 boosters.
Age: 94.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Atrial fibrillation, COVID-19, Chest X-ray abnormal, Death
Clinical narrative: The patient presented to Hospital on 02/19/2022 with rectal bleeding.  She was recently admitted at another hospital for 10 days after a fall at home and complicated by PNA, severe encephalopathy, NSTEMI, atrial fib.  In the ED, the patient tested positive for COVID.  Other lab abnormalities in the ED included lactic acidosis.  The patient was placed on Bipap.   Chest x-ray showed low lung volumes.  The patient was hypotensive.  The patient was admitted to the ICU.   The patient's daughter elected to proceed with comfort care.  The patient expired on 02/23/2022.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Encephalopathy, Fall, Hypotension, Intensive care, Laboratory test abnormal
Clinical narrative: The patient presented to Hospital on 02/19/2022 with rectal bleeding.  She was recently admitted at another hospital for 10 days after a fall at home and complicated by PNA, severe encephalopathy, NSTEMI, atrial fib.  In the ED, the patient tested positive for COVID.  Other lab abnormalities in the ED included lactic acidosis.  The patient was placed on Bipap.   Chest x-ray showed low lung volumes.  The patient was hypotensive.  The patient was admitted to the ICU.   The patient's daughter elected to proceed with comfort care.  The patient expired on 02/23/2022.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Lactic acidosis, Pneumonia, Positive airway pressure therapy, Rectal haemorrhage, SARS-CoV-2 test positive
Clinical narrative: The patient presented to Hospital on 02/19/2022 with rectal bleeding.  She was recently admitted at another hospital for 10 days after a fall at home and complicated by PNA, severe encephalopathy, NSTEMI, atrial fib.  In the ED, the patient tested positive for COVID.  Other lab abnormalities in the ED included lactic acidosis.  The patient was placed on Bipap.   Chest x-ray showed low lung volumes.  The patient was hypotensive.  The patient was admitted to the ICU.   The patient's daughter elected to proceed with comfort care.  The patient expired on 02/23/2022.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Total lung capacity decreased
Clinical narrative: The patient presented to Hospital on 02/19/2022 with rectal bleeding.  She was recently admitted at another hospital for 10 days after a fall at home and complicated by PNA, severe encephalopathy, NSTEMI, atrial fib.  In the ED, the patient tested positive for COVID.  Other lab abnormalities in the ED included lactic acidosis.  The patient was placed on Bipap.   Chest x-ray showed low lung volumes.  The patient was hypotensive.  The patient was admitted to the ICU.   The patient's daughter elected to proceed with comfort care.  The patient expired on 02/23/2022.
Age: 14.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Injection site erythema
Clinical narrative: localized redness in the area where the vaccines were administered. No fever or pain.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine was expired, no temperature excursion occurred and Moderna determined the vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration". Patient reported no adverse reactions.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Heart rate increased, Myalgia, Nausea
Clinical narrative: Nausea and headache started last night. + emesis 3-4x  + chills, rapid pulse, fever to 101 + deltoid pain + muscle soreness
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Nausea and headache started last night. + emesis 3-4x  + chills, rapid pulse, fever to 101 + deltoid pain + muscle soreness
Age: 17.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: No adverse event, Wrong product administered
Clinical narrative: I gave the HPV vaccine instead of Trumenba vaccine. No symptoms or adverse reactions.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Lethargy, Pulse absent, Pyrexia
Clinical narrative: pt lives at nursing home; positive COVID test on 1/13/22; given IVFs; over several days pt became more lethargic, non-responsive, with tachypnea, fever; given Vitamin C, Pepcid; was seen by NP; supplemental O2, Depomedrol, Dexamethasone, Azithromax; DNR, comfort measures only; pt found not breathing and no pulse; expired in the nursing home
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory arrest, SARS-CoV-2 test positive, Tachypnoea, Unresponsive to stimuli
Clinical narrative: pt lives at nursing home; positive COVID test on 1/13/22; given IVFs; over several days pt became more lethargic, non-responsive, with tachypnea, fever; given Vitamin C, Pepcid; was seen by NP; supplemental O2, Depomedrol, Dexamethasone, Azithromax; DNR, comfort measures only; pt found not breathing and no pulse; expired in the nursing home
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursions occurred and moderna determined the vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration".   Patient reported no adverse reactions.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized; covid and fully vaccinated
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Cellulitis, Joint swelling, Skin reaction, Skin warm
Clinical narrative: Starting 08/18/2022, I noticed a bright red spot on the right elbow on the outer part of my arm. My elbow became real swollen and sore. As the day went on, it became very hot. I tried to make an appointment with my PCP but they were closed. I went to urgent care that day and they diagnosed me with cellulitis. They sent me home with cephalexin and I took that over the weekend. However, my arm didn't appear to get better. On 08/22/2022, I called my PCP and got to see my dr. right away. I was told I had cellulitis, given more antibiotics and told to take more frequently. Also, I was told to get an x-ray at the hospital. I have not heard the results of that yet. Today (08/24/2022) is the first day that I have noticed its not as red/swollen and not as warm.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: Starting 08/18/2022, I noticed a bright red spot on the right elbow on the outer part of my arm. My elbow became real swollen and sore. As the day went on, it became very hot. I tried to make an appointment with my PCP but they were closed. I went to urgent care that day and they diagnosed me with cellulitis. They sent me home with cephalexin and I took that over the weekend. However, my arm didn't appear to get better. On 08/22/2022, I called my PCP and got to see my dr. right away. I was told I had cellulitis, given more antibiotics and told to take more frequently. Also, I was told to get an x-ray at the hospital. I have not heard the results of that yet. Today (08/24/2022) is the first day that I have noticed its not as red/swollen and not as warm.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No adverse event. Patient given adult Pfizer (12 and above) instead of pediatric Pfizer (for 5 to 11). Patient was 2 days shy of turning 12 years old. Dose 1 was given on 11/01/2021. Patient turned 12 on 11/03/2021. No adverse events reported. Patient was observed for 15 minutes without any issues. Patient got adult Pfizer dose 2 on 12/13/2021 since he was already 12 at the time. No adverse events.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Expired vaccine. No temperature excursion occurred. Moderna determined vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration." No adverse event reported.
Age: 61.0
Sex: M
Vaccine: TDAP, VARZOS
Symptoms: Presyncope
Clinical narrative: patient had a vaso-vagel episode /vital signs checked/ po fluids given/patient discharged to home  after approx 30 minutes
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursion occurred and moderna determined the vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration".  Patient reported no adverse reactions.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursion occurred and moderna determined the vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration".  Patient reported no adverse reactions.
Age: 32.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Headache, Hypersensitivity, Myalgia, Pruritus, Urticaria
Clinical narrative: 8/11/22: Received first shot 8/12-14/22: Headache  8/14-15/22: Headache and Muscle Aches/Soreness 8/16/22: Hives appeared on the abdominal area, arms, and thighs  8/17/22: 50 mg prednisone prescribed for allergic reaction (hives) to allergy shots 8/18-23/22: Taking Double OTC Daily Dose of Zyrtec in the AM, and 50 mg Benadryl in the evenings 8/24/22: 10-20mg daily of Hydroxyzine HCl as needed for itchiness, continuing to take Zyrtec and Benedryl to manage symptoms  Presently, hive location moves around my body, up or down my arms, up or down my thighs and legs, and moves around my stomach area.   They are not concentrated in one spot. I do not have any hives at the injection site.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized with covid; fully vaccinated with booster
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized with covid; fully vaccinated
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized with covid; fully vaccinated
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, COVID-19, Nausea, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: reports sx of sore throat, nausea, and stomach ache started 8/22/2022- tested positive for covid 8/24/2022
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Expired vaccine. No temperature excursion occurred. Moderna determined vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration." No adverse event reported.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization with covid; fully vaccinated with 2 boosters
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, Oropharyngeal pain, Productive cough
Clinical narrative: Breakthrough case. He felt bad with a headache fatigue, sore throat and cough with a lot of phlegm and tested positive for COVID-19 on 7/8/2022. Quarantined for 5 days. then started feeling better within 10 days. Never felt the need to get retested. Still fatigued easily.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case. He felt bad with a headache fatigue, sore throat and cough with a lot of phlegm and tested positive for COVID-19 on 7/8/2022. Quarantined for 5 days. then started feeling better within 10 days. Never felt the need to get retested. Still fatigued easily.
Age: 103.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalized with COVID-19; fully vaccinated with 2 boosters.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Peripheral swelling
Clinical narrative: Approximately two hours after patient was seen, patient's mother called stating that  patient was seen today for "tetanus shot and now her hand is swollen". A nurse attempted to call patient's mother back to discuss this, but was unable to make contact so left a message advising patient to go to local urgent care for evaluation. I have tried calling patient's mother today to check on patient, but have been unable to reach her at this time.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal loss of weight, Alopecia, Anaemia, Blood creatinine increased, Blood iron decreased
Clinical narrative: After receiving my fourth dose of Moderna, my hair started falling out in large amounts. I had seen some hair loss in the previous few months, but it was noticeably worse after that fourth dose. I have very fine hair, but it started falling out to the point where you could see bald patches. My hair line also began to recede about an inch back. I was also losing weight very quickly without trying. I lost 22 pounds. My hair loss got so bad, that I felt the need to purchase a wig. On 06/20/2022, my doctor sent me to have some extensive blood tests. I'm still waiting on some of the results, but the results that have come in have shown low thyroid levels, low iron to the point of anemia, Creatinine levels were high, vitamin D was low, hemoglobin was low, along with other abnormalities. The second round of blood tests they did showed similar results. I am going to see a rheumatologist and an endocrinologist in a few weeks for further investigation. There is a concern that some medications I am on may be causing some of these test results.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Blood thyroid stimulating hormone decreased, Condition aggravated, Extra dose administered, Haemoglobin decreased
Clinical narrative: After receiving my fourth dose of Moderna, my hair started falling out in large amounts. I had seen some hair loss in the previous few months, but it was noticeably worse after that fourth dose. I have very fine hair, but it started falling out to the point where you could see bald patches. My hair line also began to recede about an inch back. I was also losing weight very quickly without trying. I lost 22 pounds. My hair loss got so bad, that I felt the need to purchase a wig. On 06/20/2022, my doctor sent me to have some extensive blood tests. I'm still waiting on some of the results, but the results that have come in have shown low thyroid levels, low iron to the point of anemia, Creatinine levels were high, vitamin D was low, hemoglobin was low, along with other abnormalities. The second round of blood tests they did showed similar results. I am going to see a rheumatologist and an endocrinologist in a few weeks for further investigation. There is a concern that some medications I am on may be causing some of these test results.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Vitamin D decreased
Clinical narrative: After receiving my fourth dose of Moderna, my hair started falling out in large amounts. I had seen some hair loss in the previous few months, but it was noticeably worse after that fourth dose. I have very fine hair, but it started falling out to the point where you could see bald patches. My hair line also began to recede about an inch back. I was also losing weight very quickly without trying. I lost 22 pounds. My hair loss got so bad, that I felt the need to purchase a wig. On 06/20/2022, my doctor sent me to have some extensive blood tests. I'm still waiting on some of the results, but the results that have come in have shown low thyroid levels, low iron to the point of anemia, Creatinine levels were high, vitamin D was low, hemoglobin was low, along with other abnormalities. The second round of blood tests they did showed similar results. I am going to see a rheumatologist and an endocrinologist in a few weeks for further investigation. There is a concern that some medications I am on may be causing some of these test results.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Pyrexia
Clinical narrative: I experienced a bad cough, fever and diarrhea.
Age: 33.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site urticaria, Urticaria
Clinical narrative: A wheal was not formed after pt was injected with 0.1 mL of the Jynneos/BN vaccine in the left forearm. There was no observed immediate reaction at the site and the pt did not complain of any discomfort. A wheal was formed 2 inches away from the site after a second attempt was made by another nurse.
Age: 53.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Extra dose administered
Clinical narrative: Client was vaccinated with intradermal vaccine 0.1ml  jynneos/BN vaccine twice, on left forearm by two deferent vaccinators , wheal did not form on either attend.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Loss of personal independence in daily activities, Muscle spasms, Myalgia, Pain in extremity
Clinical narrative: A week after being vaccinated, I had pain in my right shoulder where vaccine was administered. Pain for like 3 days. It kept getting stronger and stronger, it traveled into my muscle through my shoulder area. My muscle is in spasms. Also, this pain does not leave. It traveled inside my arm, down my arm, into my forearm. My whole complete arm is in non stop pain. I dont take pain meds, I have tried icing, mild stretching, yoga, even mild kayaking like I use to. It hurts so bad inside my arm. I cant even do the funky chicken. If I dont put my arm above my head and stretch it, thats the only way I can have my arm function for today. This is my right arm. If I grab and squeeze it, it relieves, but then goes right back.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Pain, Pyrexia
Clinical narrative: Cough, body aches, headaches, fever. The symptoms are still going on. They are moderate. The Dr. prescribed me PAXLOVID 5 day dose. I just started taking it today.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Cough, body aches, headaches, fever. The symptoms are still going on. They are moderate. The Dr. prescribed me PAXLOVID 5 day dose. I just started taking it today.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Feeling abnormal, Headache, Insomnia
Clinical narrative: Fatigue, brain fog, headaches, migraines, insomnia, shoulder pain, neck pain, joint pain, pain in arms and hands.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Migraine, Neck pain, Pain in extremity
Clinical narrative: Fatigue, brain fog, headaches, migraines, insomnia, shoulder pain, neck pain, joint pain, pain in arms and hands.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Antibody test, Blood immunoglobulin M, Herpes zoster
Clinical narrative: I developed Shingles which lasted ten days, not yet fully recovered.
Age: 1.0
Sex: F
Vaccine: HIBV, MNQ
Symptoms: Wrong product administered
Clinical narrative: Patient  given MCV4 instead of PCV13.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: IVth nerve paralysis, Laboratory test, Polymyalgia rheumatica, Red blood cell sedimentation rate increased
Clinical narrative: Polymyalgia Rheumatica Fourth Nerve Palsy
Age: 17.0
Sex: F
Vaccine: HEPA
Symptoms: Expired product administered, Product administered to patient of inappropriate age
Clinical narrative: 17 year old was given Havrix Adult (Hep A) and the vaccine expiration date was 6/14/22