chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Back pain, Chest X-ray, Chest pain, Computerised tomogram abnormal, Discomfort
Clinical narrative: Started feeling a faint, dull, continuous ache in my chest and back. Woke up, got ready for work, went to work (2nd shift), but the ache increased, and every now and then, I felt sharp pangs in my chest. I left work 2 hrs early and drove myself to the ER. I had experienced milder versions of this pain before during the three times I?ve had Covid, and after the second and third Pfizer shots. The pain after this 4th Pfizer shot has been much stronger and longer-lasting. The ER prescribed 800 mg of ibuprofen and 0.6 mg colchicine, but I still have uncomfortable moments where I wonder if it will become a heart attack. Apparently it can take a couple weeks before there?s improvement in symptoms.
Age: 45.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Electrocardiogram abnormal, Fibrin D dimer increased, Impaired work ability, Pericarditis, Stress
Clinical narrative: Started feeling a faint, dull, continuous ache in my chest and back. Woke up, got ready for work, went to work (2nd shift), but the ache increased, and every now and then, I felt sharp pangs in my chest. I left work 2 hrs early and drove myself to the ER. I had experienced milder versions of this pain before during the three times I?ve had Covid, and after the second and third Pfizer shots. The pain after this 4th Pfizer shot has been much stronger and longer-lasting. The ER prescribed 800 mg of ibuprofen and 0.6 mg colchicine, but I still have uncomfortable moments where I wonder if it will become a heart attack. Apparently it can take a couple weeks before there?s improvement in symptoms.
Age: 78.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema
Clinical narrative: patient states redness from injection site down to elbow with no pain.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Headache, Pain
Clinical narrative: Headache, Body Aches, Fever, Chills, Coughing, Sneezing, Chest Congestion  Proscribed Paxlovid... symptoms subsided within a few days, however, on day 6, one day after completing the round of Paxlovid, symptoms started to progress and patient still tested positive for COVID. No test given to confirm or rule out if it is true rebound COVID or not.  Patient is still recovering and testing positive today, 10/31/2022. It has been 13 days since initial positive rapid test and original symptoms began.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Sneezing
Clinical narrative: Headache, Body Aches, Fever, Chills, Coughing, Sneezing, Chest Congestion  Proscribed Paxlovid... symptoms subsided within a few days, however, on day 6, one day after completing the round of Paxlovid, symptoms started to progress and patient still tested positive for COVID. No test given to confirm or rule out if it is true rebound COVID or not.  Patient is still recovering and testing positive today, 10/31/2022. It has been 13 days since initial positive rapid test and original symptoms began.
Age: 33.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer Bivalent booster given instead of 2nd Pfizer dose no reactions
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: On 09/28/2022, I woke up with mild head cold like symptoms and a cough. I tested positive for COVID-19 with an at home test. I called my physician who prescribed PAXLOVID which I began taking right away. My symptoms got a bit worse before they began to improve although they were only mild to begin with. On 10/06/2022, I had a rebound case of COVID-19. The symptoms were even more mild than before, and I recovered within a few days.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain, Periarthritis
Clinical narrative: Excruciating pain in shoulder of arm where vaccine was administered. Persistent pain at 8+ for 72 hours.  When pain resolved to a 3-4 level, symptoms of frozen shoulder were experienced. I continue to have these symptoms and ongoing discomfort to this day.
Age: 67.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Cough, Pyrexia, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: I was running a fever, took a home COVID-19 test that came back negative. The next day I still had a fever, so I decided to go to urgent care and get a COVID-19 test and it came back positive. I asked about getting a prescription for PAXLOVID, the doctor was wary about prescribing for fear of me getting rebound COVID-19. Once I got home, I called my regular PCP who prescribed the PAXLOVID, my fever broke overnight. I am now feeling better with the exception of a dry lingering cough.
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Diarrhoea, Exposure to communicable disease, Product preparation issue, Vaccine breakthrough infection, Varicella
Clinical narrative: On 10/17/22 Patient was exposed to shingles. On 10/22/22 he received his bivalent booster. On 10/24/22 we received a call from the pharmacist that Patient received an undiluted dose of the vaccine. On 10/25/22 Patient was diagnosed with a break through case of chicken pox. On 10/30 and 10/31 Patient suffered from vomiting and profuse diarrhea.
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Vomiting
Clinical narrative: On 10/17/22 Patient was exposed to shingles. On 10/22/22 he received his bivalent booster. On 10/24/22 we received a call from the pharmacist that Patient received an undiluted dose of the vaccine. On 10/25/22 Patient was diagnosed with a break through case of chicken pox. On 10/30 and 10/31 Patient suffered from vomiting and profuse diarrhea.
Age: 11.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given Pfizer bivalent booster for >12 year olds and he is 11 years old.  Parent was advised and states no concerns.  Will watch for any reaction and will contact the clinic.
Age: 42.0
Sex: F
Vaccine: RAB
Symptoms: Dyspnoea, Pain, Paraesthesia
Clinical narrative: leg and arms tingling, sharp pains, and ache; shortness of breath; persists
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hypersomnia, Lacrimation increased, Vaccination site discolouration
Clinical narrative: I experienced mild redness and discoloration around the vaccination site with a really severe headache that brought me to tears in addition, heavy fatigue where I slept twelve hours straight.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site erythema
Clinical narrative: I experienced mild redness and discoloration around the vaccination site with a really severe headache that brought me to tears in addition, heavy fatigue where I slept twelve hours straight.
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Bone pain, Chills, Dysgeusia, Fatigue, Gastrooesophageal reflux disease
Clinical narrative: About 30 minutes after the vaccine, I had a metallic taste in my mouth and my head started hurting. Around 0230 am the following morning while lying in bed I started to have chills and total body bone pain, with continued headache. My temperature was up to 100 degrees F. I took ibuprofen but could not fall back to sleep. I had continued chills and pain the day after the vaccine up until 10/30/22 morning. I did take around the clock ibuprofen/acetaminophen on 10/29/22.  Currently, I have reflux (which I do not typically suffer from), fatigue and a mild headache with a swollen armpit in the arm that was vaccinated. I experienced a similar side effect profile with the 1st booster from Pfizer (dose 3).
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Initial insomnia, Oedema peripheral, Pain
Clinical narrative: About 30 minutes after the vaccine, I had a metallic taste in my mouth and my head started hurting. Around 0230 am the following morning while lying in bed I started to have chills and total body bone pain, with continued headache. My temperature was up to 100 degrees F. I took ibuprofen but could not fall back to sleep. I had continued chills and pain the day after the vaccine up until 10/30/22 morning. I did take around the clock ibuprofen/acetaminophen on 10/29/22.  Currently, I have reflux (which I do not typically suffer from), fatigue and a mild headache with a swollen armpit in the arm that was vaccinated. I experienced a similar side effect profile with the 1st booster from Pfizer (dose 3).
Age: 70.0
Sex: U
Vaccine: UNK
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Diagnosed with Covid.  Had Covid vaccination
Age: 6.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chills, Injection site pain
Clinical narrative: Site pain and chills
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Exposure to SARS-CoV-2, Headache, Malaise, Ocular discomfort
Clinical narrative: On 10/27 my husband tested positive. Then on 10/28 in the morning I began not feeling well and my eyes felt funny. Also, developed post-nasal drip. Woke up on 10/29 still not feeling well and tested positive on at home test. Woke up in the middle of the night of 10/29 and was up most of the night with terrible headache. The head was in my forehead, temples, and lower back region of my head. Nothing I tried at home eased the pain. Called PCP's office on 10/30, and was prescribed CELEBREX for the headache. Began CELEBREX after call with PCP and headache was almost gone by afternoon. Still having sinus pressure and congestion treating with OTC meds and warm compresses.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Paranasal sinus discomfort, SARS-CoV-2 test positive, Sinus congestion, Sleep disorder, Upper-airway cough syndrome
Clinical narrative: On 10/27 my husband tested positive. Then on 10/28 in the morning I began not feeling well and my eyes felt funny. Also, developed post-nasal drip. Woke up on 10/29 still not feeling well and tested positive on at home test. Woke up in the middle of the night of 10/29 and was up most of the night with terrible headache. The head was in my forehead, temples, and lower back region of my head. Nothing I tried at home eased the pain. Called PCP's office on 10/30, and was prescribed CELEBREX for the headache. Began CELEBREX after call with PCP and headache was almost gone by afternoon. Still having sinus pressure and congestion treating with OTC meds and warm compresses.
Age: 72.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No adverse effect. Patient received monovalent Moderna as booster dose instead of bivalent Moderna.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Gestational hypertension, Labour induction, Maternal exposure before pregnancy, SARS-CoV-2 test positive
Clinical narrative: 09/06/22 presents to FBC triage for "scheduled induction" "gestational hypertension" "38w2d". PMHx of "Hypothroidism" "cesarean section"
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Pt diagnosed with Covid.  Had Covid Vaccine
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus, Rash, Rash erythematous
Clinical narrative: - extremely itchy and red rash behind my thighs, on my butt, lower back, and arm pit area  I took an over the counter antihistamine and a prescription antihistamine and the rash went away overnight.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Hypertension, SARS-CoV-2 test positive
Clinical narrative: Patient tested for COVID during routine admission testing for semi-private room which resulted detected.  No s/s of COVID.  Patient admitted for Hypertension.  Patient had previous infection 01/19/2021.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product use issue
Clinical narrative: Patient was administered the vaccine after the beyond use date, which was 8/15/2022. There was no symptoms or adverse reactions, however the vaccine was administered 12 days after its beyond use date.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No adverse effect. Patient received monovalent Moderna as booster dose instead of bivalent Moderna.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalization due to COVID infection after being vaccinated with Moderna x 4.
Age: 88.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: Inadvertently gave Moderna booster when pt already had it 9/26/22
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, COVID-19, Cough, Diarrhoea, Dysgeusia
Clinical narrative: I felt kind of bad, so I tested on Sept 21, 2022, and the results were negative. Then on the 22of September had head congestions and I tested again and was still negative. Then on the 23rd I was having congestion in my chest, a weird metallic taste, coughing, a low-grade fever, and head was full of congestion, and I tested again for COVID-1 and the results were positive. I have asthma so I called my doctor?s office, and they sent a script for Paxlovid, and I stared ed it the September 23. It totally cleared up my chest and head congestion, but I was having foggy brain like loss of memory. Not so much congestion and I was having a difficult time going to sleep. I was tired but couldn?t completely relax. On the September the 26 I started having diarrhea. After completing the medication, I felt better but it was a total of 14 days before I was feeling 100%.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Insomnia, Nasal congestion, Pulmonary congestion
Clinical narrative: I felt kind of bad, so I tested on Sept 21, 2022, and the results were negative. Then on the 22of September had head congestions and I tested again and was still negative. Then on the 23rd I was having congestion in my chest, a weird metallic taste, coughing, a low-grade fever, and head was full of congestion, and I tested again for COVID-1 and the results were positive. I have asthma so I called my doctor?s office, and they sent a script for Paxlovid, and I stared ed it the September 23. It totally cleared up my chest and head congestion, but I was having foggy brain like loss of memory. Not so much congestion and I was having a difficult time going to sleep. I was tired but couldn?t completely relax. On the September the 26 I started having diarrhea. After completing the medication, I felt better but it was a total of 14 days before I was feeling 100%.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I felt kind of bad, so I tested on Sept 21, 2022, and the results were negative. Then on the 22of September had head congestions and I tested again and was still negative. Then on the 23rd I was having congestion in my chest, a weird metallic taste, coughing, a low-grade fever, and head was full of congestion, and I tested again for COVID-1 and the results were positive. I have asthma so I called my doctor?s office, and they sent a script for Paxlovid, and I stared ed it the September 23. It totally cleared up my chest and head congestion, but I was having foggy brain like loss of memory. Not so much congestion and I was having a difficult time going to sleep. I was tired but couldn?t completely relax. On the September the 26 I started having diarrhea. After completing the medication, I felt better but it was a total of 14 days before I was feeling 100%.
Age: 89.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Incorrect product formulation administered
Clinical narrative: Inadvertently gave Moderna bivalent booster when pt already had it 9/26/22.
Age: 66.0
Sex: M
Vaccine: HEPA
Symptoms: No adverse event
Clinical narrative: No known symptoms.
Age: 66.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No adverse effect. Patient received monovalent Moderna as booster dose instead of bivalent Moderna.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Nasal congestion, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: COVID 19 positive on 08/16/2022. I had a sore throat; nasal congestion; body aches and a low-grade fever.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: COVID 19 positive on 08/16/2022. I had a sore throat; nasal congestion; body aches and a low-grade fever.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event
Clinical narrative: No adverse events to report
Age: 63.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Pt was given high dose influenza immunization instead of standard dose for age (63 yrs); no adverse outcome, no treatment required
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Acute kidney injury, Anticoagulant therapy, Blood lactic acid increased, COVID-19
Clinical narrative: Patient with 2 COVID vaccines who admitted with a COVID detected test.  Provider d/c note:  "81-year-old male, history of extensive bilateral lower extremity DVTs, nephrolithiasis, CKD 3, type 2 diabetes, who presented to the emergency department on 10/16/2022 with abdominal pain.  Per patient, he woke up the morning of 10/16 with a steady ache in the suprapubic region that radiated to the bilateral flanks.  He was also experiencing rigors, nausea, diaphoresis, dysuria, urinary frequency.  Of note, patient stop taking majority of his medications about 2 weeks prior.  His sister advised him to go to the emergency department to be evaluated for possible urinary tract infection.  On arrival to the be emergency room, he was tachycardic, had leukocytosis, elevated lactic acid and a clinical picture consistent with septic shock.  CT of the abdomen pelvis showed a right ureteropelvic junction stone with mild hydronephrosis.       Brief Summary of Hospital Stay:   Patient had cystoscopy done with right ureteroscopy with right ureteral stent placement done by Urology on 10/17/2022.  He has completed a full course of antibiotics, with E coli noted in urine culture.  We have scheduled a urology appointment for follow-up stent and stone removal as appropriate.  Patient was also noted to have COVID-19 but did not have any pulmonary compromise.  We discussed quarantine measures per CDC guidelines.  The patient had a stress test that was not concerning for ischemia, but did note a low ejection fraction.  The patient agrees to follow with his cardiologist.  He had an acute kidney injury which is steadily improving, his medications have been adjusted accordingly.  Xarelto dose decreased for renal function.  Meds may need to be titrated with renal recovery.  We did recommend home care, but the patient refused.  I did discuss the patient's medications with him but he is unsure of what he takes.  I asked her pharmacist to review, they were unable to do so since the patient goes through the system.  I recommended that the patient and his family members review the meds as soon as possible with PCP.    the patient states his Lantus insulin was decreased to 20 units as an outpatient.  This will be continued, recommend PCP continue to titrate diabetes medications as needed.  The patient was advised to check his blood sugars 3 times a day and report them to his PCP.  He may require prandial insulin going forward.   Issues Requiring Follow Up:  Patient to see Urology in very close follow-up, and will also beats see PCP in follow-up.  PCP please please review above, and also review labs and imaging as below:  "
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Calculus urinary, Cardiac stress test abnormal, Chills, Computerised tomogram abdomen abnormal, Culture urine positive
Clinical narrative: Patient with 2 COVID vaccines who admitted with a COVID detected test.  Provider d/c note:  "81-year-old male, history of extensive bilateral lower extremity DVTs, nephrolithiasis, CKD 3, type 2 diabetes, who presented to the emergency department on 10/16/2022 with abdominal pain.  Per patient, he woke up the morning of 10/16 with a steady ache in the suprapubic region that radiated to the bilateral flanks.  He was also experiencing rigors, nausea, diaphoresis, dysuria, urinary frequency.  Of note, patient stop taking majority of his medications about 2 weeks prior.  His sister advised him to go to the emergency department to be evaluated for possible urinary tract infection.  On arrival to the be emergency room, he was tachycardic, had leukocytosis, elevated lactic acid and a clinical picture consistent with septic shock.  CT of the abdomen pelvis showed a right ureteropelvic junction stone with mild hydronephrosis.       Brief Summary of Hospital Stay:   Patient had cystoscopy done with right ureteroscopy with right ureteral stent placement done by Urology on 10/17/2022.  He has completed a full course of antibiotics, with E coli noted in urine culture.  We have scheduled a urology appointment for follow-up stent and stone removal as appropriate.  Patient was also noted to have COVID-19 but did not have any pulmonary compromise.  We discussed quarantine measures per CDC guidelines.  The patient had a stress test that was not concerning for ischemia, but did note a low ejection fraction.  The patient agrees to follow with his cardiologist.  He had an acute kidney injury which is steadily improving, his medications have been adjusted accordingly.  Xarelto dose decreased for renal function.  Meds may need to be titrated with renal recovery.  We did recommend home care, but the patient refused.  I did discuss the patient's medications with him but he is unsure of what he takes.  I asked her pharmacist to review, they were unable to do so since the patient goes through the system.  I recommended that the patient and his family members review the meds as soon as possible with PCP.    the patient states his Lantus insulin was decreased to 20 units as an outpatient.  This will be continued, recommend PCP continue to titrate diabetes medications as needed.  The patient was advised to check his blood sugars 3 times a day and report them to his PCP.  He may require prandial insulin going forward.   Issues Requiring Follow Up:  Patient to see Urology in very close follow-up, and will also beats see PCP in follow-up.  PCP please please review above, and also review labs and imaging as below:  "
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cystoscopy abnormal, Dysuria, Ejection fraction decreased, Escherichia test positive, Flank pain
Clinical narrative: Patient with 2 COVID vaccines who admitted with a COVID detected test.  Provider d/c note:  "81-year-old male, history of extensive bilateral lower extremity DVTs, nephrolithiasis, CKD 3, type 2 diabetes, who presented to the emergency department on 10/16/2022 with abdominal pain.  Per patient, he woke up the morning of 10/16 with a steady ache in the suprapubic region that radiated to the bilateral flanks.  He was also experiencing rigors, nausea, diaphoresis, dysuria, urinary frequency.  Of note, patient stop taking majority of his medications about 2 weeks prior.  His sister advised him to go to the emergency department to be evaluated for possible urinary tract infection.  On arrival to the be emergency room, he was tachycardic, had leukocytosis, elevated lactic acid and a clinical picture consistent with septic shock.  CT of the abdomen pelvis showed a right ureteropelvic junction stone with mild hydronephrosis.       Brief Summary of Hospital Stay:   Patient had cystoscopy done with right ureteroscopy with right ureteral stent placement done by Urology on 10/17/2022.  He has completed a full course of antibiotics, with E coli noted in urine culture.  We have scheduled a urology appointment for follow-up stent and stone removal as appropriate.  Patient was also noted to have COVID-19 but did not have any pulmonary compromise.  We discussed quarantine measures per CDC guidelines.  The patient had a stress test that was not concerning for ischemia, but did note a low ejection fraction.  The patient agrees to follow with his cardiologist.  He had an acute kidney injury which is steadily improving, his medications have been adjusted accordingly.  Xarelto dose decreased for renal function.  Meds may need to be titrated with renal recovery.  We did recommend home care, but the patient refused.  I did discuss the patient's medications with him but he is unsure of what he takes.  I asked her pharmacist to review, they were unable to do so since the patient goes through the system.  I recommended that the patient and his family members review the meds as soon as possible with PCP.    the patient states his Lantus insulin was decreased to 20 units as an outpatient.  This will be continued, recommend PCP continue to titrate diabetes medications as needed.  The patient was advised to check his blood sugars 3 times a day and report them to his PCP.  He may require prandial insulin going forward.   Issues Requiring Follow Up:  Patient to see Urology in very close follow-up, and will also beats see PCP in follow-up.  PCP please please review above, and also review labs and imaging as below:  "
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hydronephrosis, Hyperhidrosis, Leukocytosis, Nausea, Pain
Clinical narrative: Patient with 2 COVID vaccines who admitted with a COVID detected test.  Provider d/c note:  "81-year-old male, history of extensive bilateral lower extremity DVTs, nephrolithiasis, CKD 3, type 2 diabetes, who presented to the emergency department on 10/16/2022 with abdominal pain.  Per patient, he woke up the morning of 10/16 with a steady ache in the suprapubic region that radiated to the bilateral flanks.  He was also experiencing rigors, nausea, diaphoresis, dysuria, urinary frequency.  Of note, patient stop taking majority of his medications about 2 weeks prior.  His sister advised him to go to the emergency department to be evaluated for possible urinary tract infection.  On arrival to the be emergency room, he was tachycardic, had leukocytosis, elevated lactic acid and a clinical picture consistent with septic shock.  CT of the abdomen pelvis showed a right ureteropelvic junction stone with mild hydronephrosis.       Brief Summary of Hospital Stay:   Patient had cystoscopy done with right ureteroscopy with right ureteral stent placement done by Urology on 10/17/2022.  He has completed a full course of antibiotics, with E coli noted in urine culture.  We have scheduled a urology appointment for follow-up stent and stone removal as appropriate.  Patient was also noted to have COVID-19 but did not have any pulmonary compromise.  We discussed quarantine measures per CDC guidelines.  The patient had a stress test that was not concerning for ischemia, but did note a low ejection fraction.  The patient agrees to follow with his cardiologist.  He had an acute kidney injury which is steadily improving, his medications have been adjusted accordingly.  Xarelto dose decreased for renal function.  Meds may need to be titrated with renal recovery.  We did recommend home care, but the patient refused.  I did discuss the patient's medications with him but he is unsure of what he takes.  I asked her pharmacist to review, they were unable to do so since the patient goes through the system.  I recommended that the patient and his family members review the meds as soon as possible with PCP.    the patient states his Lantus insulin was decreased to 20 units as an outpatient.  This will be continued, recommend PCP continue to titrate diabetes medications as needed.  The patient was advised to check his blood sugars 3 times a day and report them to his PCP.  He may require prandial insulin going forward.   Issues Requiring Follow Up:  Patient to see Urology in very close follow-up, and will also beats see PCP in follow-up.  PCP please please review above, and also review labs and imaging as below:  "
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pollakiuria, SARS-CoV-2 test positive, Septic shock, Suprapubic pain, Tachycardia
Clinical narrative: Patient with 2 COVID vaccines who admitted with a COVID detected test.  Provider d/c note:  "81-year-old male, history of extensive bilateral lower extremity DVTs, nephrolithiasis, CKD 3, type 2 diabetes, who presented to the emergency department on 10/16/2022 with abdominal pain.  Per patient, he woke up the morning of 10/16 with a steady ache in the suprapubic region that radiated to the bilateral flanks.  He was also experiencing rigors, nausea, diaphoresis, dysuria, urinary frequency.  Of note, patient stop taking majority of his medications about 2 weeks prior.  His sister advised him to go to the emergency department to be evaluated for possible urinary tract infection.  On arrival to the be emergency room, he was tachycardic, had leukocytosis, elevated lactic acid and a clinical picture consistent with septic shock.  CT of the abdomen pelvis showed a right ureteropelvic junction stone with mild hydronephrosis.       Brief Summary of Hospital Stay:   Patient had cystoscopy done with right ureteroscopy with right ureteral stent placement done by Urology on 10/17/2022.  He has completed a full course of antibiotics, with E coli noted in urine culture.  We have scheduled a urology appointment for follow-up stent and stone removal as appropriate.  Patient was also noted to have COVID-19 but did not have any pulmonary compromise.  We discussed quarantine measures per CDC guidelines.  The patient had a stress test that was not concerning for ischemia, but did note a low ejection fraction.  The patient agrees to follow with his cardiologist.  He had an acute kidney injury which is steadily improving, his medications have been adjusted accordingly.  Xarelto dose decreased for renal function.  Meds may need to be titrated with renal recovery.  We did recommend home care, but the patient refused.  I did discuss the patient's medications with him but he is unsure of what he takes.  I asked her pharmacist to review, they were unable to do so since the patient goes through the system.  I recommended that the patient and his family members review the meds as soon as possible with PCP.    the patient states his Lantus insulin was decreased to 20 units as an outpatient.  This will be continued, recommend PCP continue to titrate diabetes medications as needed.  The patient was advised to check his blood sugars 3 times a day and report them to his PCP.  He may require prandial insulin going forward.   Issues Requiring Follow Up:  Patient to see Urology in very close follow-up, and will also beats see PCP in follow-up.  PCP please please review above, and also review labs and imaging as below:  "
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ureteral stent insertion, Ureteroscopy abnormal
Clinical narrative: Patient with 2 COVID vaccines who admitted with a COVID detected test.  Provider d/c note:  "81-year-old male, history of extensive bilateral lower extremity DVTs, nephrolithiasis, CKD 3, type 2 diabetes, who presented to the emergency department on 10/16/2022 with abdominal pain.  Per patient, he woke up the morning of 10/16 with a steady ache in the suprapubic region that radiated to the bilateral flanks.  He was also experiencing rigors, nausea, diaphoresis, dysuria, urinary frequency.  Of note, patient stop taking majority of his medications about 2 weeks prior.  His sister advised him to go to the emergency department to be evaluated for possible urinary tract infection.  On arrival to the be emergency room, he was tachycardic, had leukocytosis, elevated lactic acid and a clinical picture consistent with septic shock.  CT of the abdomen pelvis showed a right ureteropelvic junction stone with mild hydronephrosis.       Brief Summary of Hospital Stay:   Patient had cystoscopy done with right ureteroscopy with right ureteral stent placement done by Urology on 10/17/2022.  He has completed a full course of antibiotics, with E coli noted in urine culture.  We have scheduled a urology appointment for follow-up stent and stone removal as appropriate.  Patient was also noted to have COVID-19 but did not have any pulmonary compromise.  We discussed quarantine measures per CDC guidelines.  The patient had a stress test that was not concerning for ischemia, but did note a low ejection fraction.  The patient agrees to follow with his cardiologist.  He had an acute kidney injury which is steadily improving, his medications have been adjusted accordingly.  Xarelto dose decreased for renal function.  Meds may need to be titrated with renal recovery.  We did recommend home care, but the patient refused.  I did discuss the patient's medications with him but he is unsure of what he takes.  I asked her pharmacist to review, they were unable to do so since the patient goes through the system.  I recommended that the patient and his family members review the meds as soon as possible with PCP.    the patient states his Lantus insulin was decreased to 20 units as an outpatient.  This will be continued, recommend PCP continue to titrate diabetes medications as needed.  The patient was advised to check his blood sugars 3 times a day and report them to his PCP.  He may require prandial insulin going forward.   Issues Requiring Follow Up:  Patient to see Urology in very close follow-up, and will also beats see PCP in follow-up.  PCP please please review above, and also review labs and imaging as below:  "
Age: 11.0
Sex: F
Vaccine: FLU4
Symptoms: Dyspnoea, Headache, Loss of consciousness, Syncope, Tonic clonic movements
Clinical narrative: Headache, blackout, difficulty breathing, syncope with tonic-clonic limb motion that lasted a few minutes;  occurrence was approximately 15 minutes after vaccination.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated x4 (3/4/21, 3/25/21, 10/7/21, 5/3/22) Patient admitted to hospital and tested COVID+ on 10/30/2022
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Pt did not experience any signs or symptoms.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Given 2 days too early from her last booster on 8/31/2022
Age: 64.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No adverse effect. Patient received monovalent Moderna as booster dose instead of bivalent Moderna.
Age: 33.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site infection, Injection site pain, Injection site swelling
Clinical narrative: Patient developed cellulitis-like reaction (redness, swelling, pain) at injection site a few days after vaccination. She sought medical care and received antibiotics for the infection.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Atrioventricular block, C-reactive protein, Chest discomfort, Condition aggravated, Dyspnoea
Clinical narrative: Heart block, presumed cardiac inflammation. Awoke on 10/06/2022 with neck pain, left arm pain, headache, fatigue,  vision disturbance, chest tightness and shortness of breath. Intermittent episodes of syncope between 10:20-10:45 AM with feeling of heart "constriction"/squeezing sensation and very strong feeling of pins & needles in arms, some numbness in legs during episodes. Unable to get up off floor for 25 minutes or so. Heart rhythm resolved by 11:00 AM, feeling of chest tightness, shortness of breath, fatigue, neck & arm pain greatly reduced, resolved completely after 3 further days--by 1:00 PM on 10/10/2022.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Full blood count, Headache, Hypoaesthesia, Inflammation
Clinical narrative: Heart block, presumed cardiac inflammation. Awoke on 10/06/2022 with neck pain, left arm pain, headache, fatigue,  vision disturbance, chest tightness and shortness of breath. Intermittent episodes of syncope between 10:20-10:45 AM with feeling of heart "constriction"/squeezing sensation and very strong feeling of pins & needles in arms, some numbness in legs during episodes. Unable to get up off floor for 25 minutes or so. Heart rhythm resolved by 11:00 AM, feeling of chest tightness, shortness of breath, fatigue, neck & arm pain greatly reduced, resolved completely after 3 further days--by 1:00 PM on 10/10/2022.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Metabolic function test, Mobility decreased, Neck pain, Pain in extremity, Paraesthesia
Clinical narrative: Heart block, presumed cardiac inflammation. Awoke on 10/06/2022 with neck pain, left arm pain, headache, fatigue,  vision disturbance, chest tightness and shortness of breath. Intermittent episodes of syncope between 10:20-10:45 AM with feeling of heart "constriction"/squeezing sensation and very strong feeling of pins & needles in arms, some numbness in legs during episodes. Unable to get up off floor for 25 minutes or so. Heart rhythm resolved by 11:00 AM, feeling of chest tightness, shortness of breath, fatigue, neck & arm pain greatly reduced, resolved completely after 3 further days--by 1:00 PM on 10/10/2022.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Syncope, Urine analysis, Visual impairment
Clinical narrative: Heart block, presumed cardiac inflammation. Awoke on 10/06/2022 with neck pain, left arm pain, headache, fatigue,  vision disturbance, chest tightness and shortness of breath. Intermittent episodes of syncope between 10:20-10:45 AM with feeling of heart "constriction"/squeezing sensation and very strong feeling of pins & needles in arms, some numbness in legs during episodes. Unable to get up off floor for 25 minutes or so. Heart rhythm resolved by 11:00 AM, feeling of chest tightness, shortness of breath, fatigue, neck & arm pain greatly reduced, resolved completely after 3 further days--by 1:00 PM on 10/10/2022.
Age: 69.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No adverse effect. Patient received monovalent Moderna as booster dose instead of bivalent Moderna.
Age: 64.0
Sex: F
Vaccine: TDAP
Symptoms: Bone marrow oedema, Bursitis, C-reactive protein normal, Fluid retention, Full blood count
Clinical narrative: Patient reports right shoulder and neck pain that radiates down her right arm. Pt has never had a reaction to vaccination before. Used cold compresses Tylenol without relief. after receiving tetanus vaccine. Went to urgent care and was diagnosed with possible allergic reaction and given Medrol dose pack. There continues to be pain with range of motion over deltoid region. Symptoms are consistent with bursitis.  Xray normal. Soft tissue inflammation found.
Age: 64.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Joint effusion, Magnetic resonance imaging abnormal, Neck pain, Red blood cell sedimentation rate normal
Clinical narrative: Patient reports right shoulder and neck pain that radiates down her right arm. Pt has never had a reaction to vaccination before. Used cold compresses Tylenol without relief. after receiving tetanus vaccine. Went to urgent care and was diagnosed with possible allergic reaction and given Medrol dose pack. There continues to be pain with range of motion over deltoid region. Symptoms are consistent with bursitis.  Xray normal. Soft tissue inflammation found.
Age: 64.0
Sex: F
Vaccine: TDAP
Symptoms: Soft tissue inflammation, X-ray normal
Clinical narrative: Patient reports right shoulder and neck pain that radiates down her right arm. Pt has never had a reaction to vaccination before. Used cold compresses Tylenol without relief. after receiving tetanus vaccine. Went to urgent care and was diagnosed with possible allergic reaction and given Medrol dose pack. There continues to be pain with range of motion over deltoid region. Symptoms are consistent with bursitis.  Xray normal. Soft tissue inflammation found.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was administered the vaccine after the beyond use date, which was 8/15/2022. There was no symptoms or adverse reactions, however the vaccine was administered 12 days after its beyond use date.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Dysstasia, Erythema, Gait disturbance, Inflammation
Clinical narrative: In July of 2022, I woke up one morning and couldn't do my daily activities. I couldn't put my clothes on, it was difficult to walk, and even to stand up. It got a little bit better as the day went on, but it was severe pain. On 08/10/2022, I was seen by my doctor. She thought I may have rheumatoid arthritis from visible red rings around my wrists and swelling of the hands and feet. Blood tests later showed no evidence of rheumatoid arthritis though. She prescribed 60 milligrams of Prednisone. The pain and swelling went away immediately. The dosage was then reduced. She also referred me to be seen by a rheumatologist. On 09/06/2022, I was able to be seen by a rheumatologist. Based on my previous blood work, she started me on a new drug regimen of Prednisone and once a week Methotrexate.  I had to begin taking a Folic Acid supplement to help the effects on my stomach. I had a follow up appointment with the rheumatologist on 10/19/2022 after having more blood work done on 10/06/2022. She said that things are moving in the right direction and prescribed Hydroxychloroquine, decreased the Prednisone and increased the Methotrexate.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Pain, Peripheral swelling
Clinical narrative: In July of 2022, I woke up one morning and couldn't do my daily activities. I couldn't put my clothes on, it was difficult to walk, and even to stand up. It got a little bit better as the day went on, but it was severe pain. On 08/10/2022, I was seen by my doctor. She thought I may have rheumatoid arthritis from visible red rings around my wrists and swelling of the hands and feet. Blood tests later showed no evidence of rheumatoid arthritis though. She prescribed 60 milligrams of Prednisone. The pain and swelling went away immediately. The dosage was then reduced. She also referred me to be seen by a rheumatologist. On 09/06/2022, I was able to be seen by a rheumatologist. Based on my previous blood work, she started me on a new drug regimen of Prednisone and once a week Methotrexate.  I had to begin taking a Folic Acid supplement to help the effects on my stomach. I had a follow up appointment with the rheumatologist on 10/19/2022 after having more blood work done on 10/06/2022. She said that things are moving in the right direction and prescribed Hydroxychloroquine, decreased the Prednisone and increased the Methotrexate.
Age: 93.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No adverse effect. Patient received monovalent Moderna as booster dose instead of bivalent Moderna.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was administered the vaccine after the beyond use date, which was 8/15/2022. There was no symptoms or adverse reactions, however the vaccine was administered 12 days after its beyond use date.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Insomnia, Magnetic resonance imaging normal, Mobility decreased, Pain in extremity, X-ray normal
Clinical narrative: I have had extreme pain in my right arm which began approximately 30 days after my 3rd vaccine (booster) it got so bad I was losing sleep and losing use of my arm and hand. I had it checked out and was sent to an orthopedic doctor. X-rays we?re done, am MRI was done along with many other tests and nothing could explain the pain as my arm shoulder and rotator cuff are in excellent condition. I was given steroid shots for 15 months and it only worked on the pain temporarily. The doctor does not want to give me more in fear of more damage so now I am in pain 24 hours a day and again losing use of my right arm and hand.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was administered the vaccine after the beyond use date, which was 8/15/2022. There was no symptoms or adverse reactions, however the vaccine was administered 12 days after its beyond use date.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No adverse effect. Patient received monovalent Moderna as booster dose instead of bivalent Moderna.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was administered the vaccine after the beyond use date, which was 8/15/2022. There was no symptoms or adverse reactions, however the vaccine was administered 12 days after its beyond use date.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Insomnia, Pain in extremity
Clinical narrative: I've been experiencing pain my hands from the wrist to the fingers. First the pain was tolerable and then it became aggravating. The pain has been interrupting my sleep. The pain doesn't last long, but it can last to 3 to 10 minutes. The hand pain shows up off and on. I received instructions for at home therapy. I've been using a gel called diclofenac that I was prescribed. I've also been doing hand exercises. I was also told to use ice for the pain. I was prescribed NEURONTIN but it did not help. I've been taking methocarbamol which has given me some relief.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was administered the vaccine after the beyond use date, which was 8/15/2022. There was no symptoms or adverse reactions, however the vaccine was administered 12 days after its beyond use date.
Age: 92.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No adverse effect. Patient received monovalent Moderna as booster dose instead of bivalent Moderna.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Dermal cyst, Sebaceous cyst excision
Clinical narrative: Surgical removal of three sebaceous cysts on my back.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No adverse effect. Patient received monovalent Moderna as booster dose instead of bivalent Moderna.