chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Procalcitonin, SARS-CoV-2 test positive, Scan with contrast abnormal, Septic shock
Clinical narrative: Patient received pfizer vaccine on 8/24/21 and 9/22/21. COVID positive on 7/1/22. PResented to ER on 7/7/22. COVID test + about 7 days ago and was treated with Paxlovid and 2 L of oxygen and dexamethasone at NH. He went to Hospital ED because his respiratory status get worse with hypoxia and then required intubation. He was also found to be hypotensive and required pressor therapy.  He was then transferred for further care. patient's diagnosed and admitted as septic shock with acute hypoxic respiratory failure with COVID-19 pneumonia, hypernatremia, AKI, elevated transaminitis, Troponin. ICU, cardiologist, nephrologist, id is consulted. Patient received amiodarone drip for non sustained V-tach and then switched to oral Amiodarone. TTE showed stage 1 multiple segmental abnormalities.  No mention of EF and no pericardial effusion. Cardiologist requested records to see if findings are new.  Pt previously on meds for heart failure.  No further ischemic workup pursued given pt's comorbidities and acute illness. Pt to f/u with Cardiologist as OP and ischemic workup can be considered.  Initially patient require Levophed for septic shock, blood pressure is improved and levophed is off since 7/7/22 overnight    COVID 19 +,  WBC 23, Elevated inflammatory markers- D-dimer > 20, AST 680, ALT 496, troponin 557, BNP 460, C-reactive protein 200, procalcitonin 84, Inflammatory markers are improved.  patient was treated with cefepime, Flagyl, Decadron, Hydrocort, Remdesivir. oxygen saturation was improved and then patient is extubated on  07/11/2022,    MRSA nasal +. respiratory culture- MRSA, extended spectrum cephalosporin resistant Klebsiella pneumonia, continue Abx as per ID,  Initially cefepime and Flagyl and then switched to vancomycin meropenem which is completed.   sodium was 152 and improved, creatinine 2.4 and improved, and nephrology is consulted and appreciate recommendation. Electrolytes are replaced. Foley was placed initially for I/O but patient failed voiding trial and need to reinsert foley. Patient need to follow in urology clinic.   Imagings CXR- Patch like areas of opacification in the mid and lower lungs may be infectious/inflammatory in etiology.  Aspiration could be considered,  V/Q scan- Low probability for pulmonary embolus.   CT chest- Extensive changes of multifocal atypical pneumonia most confluent at the left greater than right lower lobes, with all lobes involved.Severe appearing changes of coronary artery disease are present.   CT abd Suspected colitis most likely infectious. Foley catheter is seen within the urinary bladder which is collapsed and thick-walled. Duplex no DVT, renal US- no acute changes Echo- Stage 1: 1: Multiple segmental abnormalities exist. See findings. Definity contrast agent was given IV to delineate the left ventricular endocardial borders. Discharged on 7/20/22
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Staphylococcus test positive, Transaminases increased, Trial of void, Troponin increased, Ultrasound Doppler normal
Clinical narrative: Patient received pfizer vaccine on 8/24/21 and 9/22/21. COVID positive on 7/1/22. PResented to ER on 7/7/22. COVID test + about 7 days ago and was treated with Paxlovid and 2 L of oxygen and dexamethasone at NH. He went to Hospital ED because his respiratory status get worse with hypoxia and then required intubation. He was also found to be hypotensive and required pressor therapy.  He was then transferred for further care. patient's diagnosed and admitted as septic shock with acute hypoxic respiratory failure with COVID-19 pneumonia, hypernatremia, AKI, elevated transaminitis, Troponin. ICU, cardiologist, nephrologist, id is consulted. Patient received amiodarone drip for non sustained V-tach and then switched to oral Amiodarone. TTE showed stage 1 multiple segmental abnormalities.  No mention of EF and no pericardial effusion. Cardiologist requested records to see if findings are new.  Pt previously on meds for heart failure.  No further ischemic workup pursued given pt's comorbidities and acute illness. Pt to f/u with Cardiologist as OP and ischemic workup can be considered.  Initially patient require Levophed for septic shock, blood pressure is improved and levophed is off since 7/7/22 overnight    COVID 19 +,  WBC 23, Elevated inflammatory markers- D-dimer > 20, AST 680, ALT 496, troponin 557, BNP 460, C-reactive protein 200, procalcitonin 84, Inflammatory markers are improved.  patient was treated with cefepime, Flagyl, Decadron, Hydrocort, Remdesivir. oxygen saturation was improved and then patient is extubated on  07/11/2022,    MRSA nasal +. respiratory culture- MRSA, extended spectrum cephalosporin resistant Klebsiella pneumonia, continue Abx as per ID,  Initially cefepime and Flagyl and then switched to vancomycin meropenem which is completed.   sodium was 152 and improved, creatinine 2.4 and improved, and nephrology is consulted and appreciate recommendation. Electrolytes are replaced. Foley was placed initially for I/O but patient failed voiding trial and need to reinsert foley. Patient need to follow in urology clinic.   Imagings CXR- Patch like areas of opacification in the mid and lower lungs may be infectious/inflammatory in etiology.  Aspiration could be considered,  V/Q scan- Low probability for pulmonary embolus.   CT chest- Extensive changes of multifocal atypical pneumonia most confluent at the left greater than right lower lobes, with all lobes involved.Severe appearing changes of coronary artery disease are present.   CT abd Suspected colitis most likely infectious. Foley catheter is seen within the urinary bladder which is collapsed and thick-walled. Duplex no DVT, renal US- no acute changes Echo- Stage 1: 1: Multiple segmental abnormalities exist. See findings. Definity contrast agent was given IV to delineate the left ventricular endocardial borders. Discharged on 7/20/22
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound kidney normal, Ventilation/perfusion scan, Ventricular tachycardia, White blood cell count increased
Clinical narrative: Patient received pfizer vaccine on 8/24/21 and 9/22/21. COVID positive on 7/1/22. PResented to ER on 7/7/22. COVID test + about 7 days ago and was treated with Paxlovid and 2 L of oxygen and dexamethasone at NH. He went to Hospital ED because his respiratory status get worse with hypoxia and then required intubation. He was also found to be hypotensive and required pressor therapy.  He was then transferred for further care. patient's diagnosed and admitted as septic shock with acute hypoxic respiratory failure with COVID-19 pneumonia, hypernatremia, AKI, elevated transaminitis, Troponin. ICU, cardiologist, nephrologist, id is consulted. Patient received amiodarone drip for non sustained V-tach and then switched to oral Amiodarone. TTE showed stage 1 multiple segmental abnormalities.  No mention of EF and no pericardial effusion. Cardiologist requested records to see if findings are new.  Pt previously on meds for heart failure.  No further ischemic workup pursued given pt's comorbidities and acute illness. Pt to f/u with Cardiologist as OP and ischemic workup can be considered.  Initially patient require Levophed for septic shock, blood pressure is improved and levophed is off since 7/7/22 overnight    COVID 19 +,  WBC 23, Elevated inflammatory markers- D-dimer > 20, AST 680, ALT 496, troponin 557, BNP 460, C-reactive protein 200, procalcitonin 84, Inflammatory markers are improved.  patient was treated with cefepime, Flagyl, Decadron, Hydrocort, Remdesivir. oxygen saturation was improved and then patient is extubated on  07/11/2022,    MRSA nasal +. respiratory culture- MRSA, extended spectrum cephalosporin resistant Klebsiella pneumonia, continue Abx as per ID,  Initially cefepime and Flagyl and then switched to vancomycin meropenem which is completed.   sodium was 152 and improved, creatinine 2.4 and improved, and nephrology is consulted and appreciate recommendation. Electrolytes are replaced. Foley was placed initially for I/O but patient failed voiding trial and need to reinsert foley. Patient need to follow in urology clinic.   Imagings CXR- Patch like areas of opacification in the mid and lower lungs may be infectious/inflammatory in etiology.  Aspiration could be considered,  V/Q scan- Low probability for pulmonary embolus.   CT chest- Extensive changes of multifocal atypical pneumonia most confluent at the left greater than right lower lobes, with all lobes involved.Severe appearing changes of coronary artery disease are present.   CT abd Suspected colitis most likely infectious. Foley catheter is seen within the urinary bladder which is collapsed and thick-walled. Duplex no DVT, renal US- no acute changes Echo- Stage 1: 1: Multiple segmental abnormalities exist. See findings. Definity contrast agent was given IV to delineate the left ventricular endocardial borders. Discharged on 7/20/22
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Covid 19 12plus vaccine given instead of 5-7year old dose.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: ADMINISTERED VACCINE AFTER BEYOND USE DATE
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Patient developed a red rash on her arm where the dtap was given.
Age: 1.08
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Rash macular
Clinical narrative: blanching macular rash about 15 minutes later. mostly on trunk and some on legs/arms.  no hives.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Condition aggravated, Depression, Interchange of vaccine products, Obsessive-compulsive disorder
Clinical narrative: Significant spike in OCD and anxiety - no triggers present  Depressive episode  - was not currently in depressive episode, no triggers present  Please note: this occurred after each of the 4 vaccine shots, but was far more pronounced with the two booster shots (Pfizer).
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: ADMINISTERED VACCINE AFTER BEYOND USE DATE
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: pt was given a moderna booster. She is not over 18yo and should not have rec'd a moderna booster.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: ADMINISTERED VACCINE AFTER BEYOND USE DATE.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Respiratory tract congestion, Throat irritation
Clinical narrative: Covid-19 I tested positive on July 15th  i experienced congestion, coughing, scratchy throat, and fatigue that was the first day and the second day i was prescribed paxlovid around 11am and while taking paxlovid i started to feel better and symptoms started to subside.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: pt was given a moderna booster, dose was incorrect for a booster (0.5ml given) and pt not eligible for Moderna booster based on age.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE ADMINISTERED AFTER BEYOND USE DATE
Age: 11.0
Sex: M
Vaccine: COVID19, HPV9
Symptoms: No adverse event, Product preparation issue
Clinical narrative: No know adverse events at this time. Pt was given undiluted dose of vaccine.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: ADMINISTERED VACCINE AFTER BEYOND USE DATE.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Oropharyngeal pain, Pyrexia
Clinical narrative: I got my Moderna booster for COVID-19 on 1/19/2022. On 6/26/2022, I was exposed to someone with COVID-19. On 6/28/2022, I began to have a runny nose, sore throat, and fever.  On 6/28/2022, 6/29/2022, and 6/30/2022, I tested negative for COVID-19 on some NAAT tests that I took at home. On 7/1/2022, I took another test, and this time I got a positive result. On that day, I got a prescription for a 5-day course of Paxlovid. The symptoms improved. I tested negative on 7/7/2022, and I had only had a little bit of a residual cough until 7/13/2022. On 7/13/2022, my symptoms suddenly worsened. I had fever and primarily chest congestion. On 7/15/2022, I tested negative, but the symptoms continued. On 7/17/2022, I tested positive again and started another 5-day round of Paxlovid. At the time of this writing, I am still in isolation and taking Paxlovid, but my symptoms are improving.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I got my Moderna booster for COVID-19 on 1/19/2022. On 6/26/2022, I was exposed to someone with COVID-19. On 6/28/2022, I began to have a runny nose, sore throat, and fever.  On 6/28/2022, 6/29/2022, and 6/30/2022, I tested negative for COVID-19 on some NAAT tests that I took at home. On 7/1/2022, I took another test, and this time I got a positive result. On that day, I got a prescription for a 5-day course of Paxlovid. The symptoms improved. I tested negative on 7/7/2022, and I had only had a little bit of a residual cough until 7/13/2022. On 7/13/2022, my symptoms suddenly worsened. I had fever and primarily chest congestion. On 7/15/2022, I tested negative, but the symptoms continued. On 7/17/2022, I tested positive again and started another 5-day round of Paxlovid. At the time of this writing, I am still in isolation and taking Paxlovid, but my symptoms are improving.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Body temperature increased, Febrile convulsion, Muscle twitching, Somnolence, Staring
Clinical narrative: Patient began to "stare off" and was not responding to interaction as she usually does. Seconds later, she began to have a seizure. Described as head turning/twitching and extremities shaking. Family called 911/ambulance. Reports that seizure lasted approximately 30 seconds. When EMS arrived, patient was interactive, but sleepy. Transported to local ER and upon arrival, temp noted to be 104.4 degrees. Partial workup for seizure and dx as febrile seizure. Discharged from ER in stable condition.
Age: 1.25
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Tremor, Unresponsive to stimuli
Clinical narrative: Patient began to "stare off" and was not responding to interaction as she usually does. Seconds later, she began to have a seizure. Described as head turning/twitching and extremities shaking. Family called 911/ambulance. Reports that seizure lasted approximately 30 seconds. When EMS arrived, patient was interactive, but sleepy. Transported to local ER and upon arrival, temp noted to be 104.4 degrees. Partial workup for seizure and dx as febrile seizure. Discharged from ER in stable condition.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Malaise, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: COVID-19 Tested on 07/10/2022 I  received my 4th dose on 04/19/2022 and my COVID-19 symptoms are  sore throat; body aches; Low grade fever.   I made a virtual appointment on Monday. My doctor  prescribed me PAXLOVIC for 5 days.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: COVID-19 Tested on 07/10/2022 I  received my 4th dose on 04/19/2022 and my COVID-19 symptoms are  sore throat; body aches; Low grade fever.   I made a virtual appointment on Monday. My doctor  prescribed me PAXLOVIC for 5 days.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Headache, Pain, Pain in extremity
Clinical narrative: Fever (up to 10-4.1); chills; headache; fatigue; body aches; sore arm  lasted 2 ½ days
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever (up to 10-4.1); chills; headache; fatigue; body aches; sore arm  lasted 2 ½ days
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Feeling abnormal, Malaise, Nasopharyngitis, Pneumonia
Clinical narrative: I started feeling bad like I had a cold so I started taking over the counter medications. I was sick all January and February and went to the doctor on March 15th; at that time the doctor gave me a COVID-19 test it was negative she thought it was a cold or flu she gave me a antibiotic to take for 10 days I also got a x-ray, then I had a follow-up with doctor and she got the x-ray results and saw I had pneumonia. Then she gave me another antibiotic for 10 days a well and cough syrup. I finished the medication and when back to my doctor and did another x-ray. The x-ray showed that the pneumonia was gone.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: I started feeling bad like I had a cold so I started taking over the counter medications. I was sick all January and February and went to the doctor on March 15th; at that time the doctor gave me a COVID-19 test it was negative she thought it was a cold or flu she gave me a antibiotic to take for 10 days I also got a x-ray, then I had a follow-up with doctor and she got the x-ray results and saw I had pneumonia. Then she gave me another antibiotic for 10 days a well and cough syrup. I finished the medication and when back to my doctor and did another x-ray. The x-ray showed that the pneumonia was gone.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Haemorrhagic stroke
Clinical narrative: Hemorrhagic stroke
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Nervousness, Visual impairment
Clinical narrative: Approximately 3 minutes  following vaccine administration, patient began to complain of headache, feeling shaken, and described that everything looked brighter.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Basal ganglia haemorrhage, Blood test, Bradycardia, Cerebral mass effect
Clinical narrative: Shortly afterwards, complained of headache, sore throat and general tiredness. Symptoms continued along with upset stomach and unrest throughout the night and next night. At 5 am on the 3rd day afterwards, In the ED, he was noted to be flaccid on the right side and with a poor exam. Head CT demonstrated a large left BG IPH with 6 mm midline shift, no IVH. BP 189/88, pulse 46. He was given keppra 1 g load for prophylaxis, and mannitol 100g given concern for herniation (midline shift, hypertension, bradycardia); he was started on propofol and nicardipine and transferred to hospital. On 1/10/22 had craniotomy decompression and evacuation. He was in NICU until 1/24/22 and was then transferred to Rehabilitation hospital. On 3/9/22 was transferred to Rehabilitation. Was discharged to home 7/6/22 and is currently attending outpatient therapy for PT, OT, ST. He was deemed completely disabled.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head abnormal, Craniotomy, Decompressive craniectomy, Disability, Fatigue
Clinical narrative: Shortly afterwards, complained of headache, sore throat and general tiredness. Symptoms continued along with upset stomach and unrest throughout the night and next night. At 5 am on the 3rd day afterwards, In the ED, he was noted to be flaccid on the right side and with a poor exam. Head CT demonstrated a large left BG IPH with 6 mm midline shift, no IVH. BP 189/88, pulse 46. He was given keppra 1 g load for prophylaxis, and mannitol 100g given concern for herniation (midline shift, hypertension, bradycardia); he was started on propofol and nicardipine and transferred to hospital. On 1/10/22 had craniotomy decompression and evacuation. He was in NICU until 1/24/22 and was then transferred to Rehabilitation hospital. On 3/9/22 was transferred to Rehabilitation. Was discharged to home 7/6/22 and is currently attending outpatient therapy for PT, OT, ST. He was deemed completely disabled.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Haemorrhage intracranial, Headache, Hypertension, Hypotonia, Intensive care
Clinical narrative: Shortly afterwards, complained of headache, sore throat and general tiredness. Symptoms continued along with upset stomach and unrest throughout the night and next night. At 5 am on the 3rd day afterwards, In the ED, he was noted to be flaccid on the right side and with a poor exam. Head CT demonstrated a large left BG IPH with 6 mm midline shift, no IVH. BP 189/88, pulse 46. He was given keppra 1 g load for prophylaxis, and mannitol 100g given concern for herniation (midline shift, hypertension, bradycardia); he was started on propofol and nicardipine and transferred to hospital. On 1/10/22 had craniotomy decompression and evacuation. He was in NICU until 1/24/22 and was then transferred to Rehabilitation hospital. On 3/9/22 was transferred to Rehabilitation. Was discharged to home 7/6/22 and is currently attending outpatient therapy for PT, OT, ST. He was deemed completely disabled.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Intracerebral haematoma evacuation, Laboratory test, Oropharyngeal pain, Restlessness
Clinical narrative: Shortly afterwards, complained of headache, sore throat and general tiredness. Symptoms continued along with upset stomach and unrest throughout the night and next night. At 5 am on the 3rd day afterwards, In the ED, he was noted to be flaccid on the right side and with a poor exam. Head CT demonstrated a large left BG IPH with 6 mm midline shift, no IVH. BP 189/88, pulse 46. He was given keppra 1 g load for prophylaxis, and mannitol 100g given concern for herniation (midline shift, hypertension, bradycardia); he was started on propofol and nicardipine and transferred to hospital. On 1/10/22 had craniotomy decompression and evacuation. He was in NICU until 1/24/22 and was then transferred to Rehabilitation hospital. On 3/9/22 was transferred to Rehabilitation. Was discharged to home 7/6/22 and is currently attending outpatient therapy for PT, OT, ST. He was deemed completely disabled.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Positive COVID breakthrough 3 months after 4th vaccine.  Treatment course:  Paxlovid, LevoFLOXacin, Prednisone, Albuterol nebulizer, Benzonatate
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood lactic acid normal, COVID-19, Computerised tomogram thorax normal, Dyspnoea
Clinical narrative: Patient received moderna vaccine on 3/18/21 and 4/15/21. Presnted to Er on 7/19/22. COVID positive on 7/04/22. presents to the ER with complaints of worsening weakness over the past few weeks.  Patient states he has developed a cough with brownish sputum production.  He denies any dysuria but has been somewhat short of breath as well lately.  No skin lesions or rashes noted.  He denies any fevers or chills at home.  He denies any vomiting or diarrhea either or abdominal pain.  Workup in the ER including a CT of the chest was unremarkable for any infectious process.  His vital signs were stable however his WBC count was 32,000 with a neutrophilic predominance.  No infectious etiology can not be determined other than COVID.  UA is normal. Lacitc and procal normal. Patient will be admitted for further workup of his leukocytosis. REceived ceftriaxone. Discharged on 7/21/22
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Leukocytosis, Procalcitonin normal, Productive cough, SARS-CoV-2 test positive, Sputum discoloured
Clinical narrative: Patient received moderna vaccine on 3/18/21 and 4/15/21. Presnted to Er on 7/19/22. COVID positive on 7/04/22. presents to the ER with complaints of worsening weakness over the past few weeks.  Patient states he has developed a cough with brownish sputum production.  He denies any dysuria but has been somewhat short of breath as well lately.  No skin lesions or rashes noted.  He denies any fevers or chills at home.  He denies any vomiting or diarrhea either or abdominal pain.  Workup in the ER including a CT of the chest was unremarkable for any infectious process.  His vital signs were stable however his WBC count was 32,000 with a neutrophilic predominance.  No infectious etiology can not be determined other than COVID.  UA is normal. Lacitc and procal normal. Patient will be admitted for further workup of his leukocytosis. REceived ceftriaxone. Discharged on 7/21/22
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis normal, White blood cell count increased
Clinical narrative: Patient received moderna vaccine on 3/18/21 and 4/15/21. Presnted to Er on 7/19/22. COVID positive on 7/04/22. presents to the ER with complaints of worsening weakness over the past few weeks.  Patient states he has developed a cough with brownish sputum production.  He denies any dysuria but has been somewhat short of breath as well lately.  No skin lesions or rashes noted.  He denies any fevers or chills at home.  He denies any vomiting or diarrhea either or abdominal pain.  Workup in the ER including a CT of the chest was unremarkable for any infectious process.  His vital signs were stable however his WBC count was 32,000 with a neutrophilic predominance.  No infectious etiology can not be determined other than COVID.  UA is normal. Lacitc and procal normal. Patient will be admitted for further workup of his leukocytosis. REceived ceftriaxone. Discharged on 7/21/22
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray normal, Fall, SARS-CoV-2 test positive
Clinical narrative: Patient received pfizer vaccine on 1/21/21, 2/11/21, and 10/20/2021. Presented to ER on 7/18/22. COVID positive on 7/18/22.  came in with history of generalized weakness for the last 3-4 days.  Patient says he was tested positive for COVID-19 on Thursday last week.  Patient denies any cough or shortness of breath or wheezing.  Patient is not vaccinated for COVID-19.  Patient denies any fever or chills.  Patient has been falling for the in the last few days.  Patient denies any headache or nausea or vomiting.  Denies any chest pain or shortness of breath or palpitations.Patient least not hypoxic doing well on room air, will continue to monitor closely Mild drop in WBCs. DIscharged on 7/20/22
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count decreased
Clinical narrative: Patient received pfizer vaccine on 1/21/21, 2/11/21, and 10/20/2021. Presented to ER on 7/18/22. COVID positive on 7/18/22.  came in with history of generalized weakness for the last 3-4 days.  Patient says he was tested positive for COVID-19 on Thursday last week.  Patient denies any cough or shortness of breath or wheezing.  Patient is not vaccinated for COVID-19.  Patient denies any fever or chills.  Patient has been falling for the in the last few days.  Patient denies any headache or nausea or vomiting.  Denies any chest pain or shortness of breath or palpitations.Patient least not hypoxic doing well on room air, will continue to monitor closely Mild drop in WBCs. DIscharged on 7/20/22
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Limb operation, Musculoskeletal stiffness, Pain
Clinical narrative: Since the first three vaccine ,I had hand surgery and severe arthritis developed in my hand and fingers. Then I took my 4 th vaccine on 7/14/2022 after having the surgery on my second hand and have also developed severe arthritis in the second hand andfingers
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myeloid leukaemia, Chills, Influenza like illness, Influenza virus test negative, Laboratory test abnormal
Clinical narrative: January 18 my  Dad, had flu like symptoms. Fever, aches, chills.  He tested negative for flu and covid 19.  In March he again had save symptoms.  In April again in May he had the same thing.  On May 28 his flu like symptoms reappeared this time worse.  June 7th the symptoms came back again and worsened.  June 13 he went to his family practitioner and demanded more blood work be done.  The results indicated acute myeloid leukemia.  He  was perfectly healthy leading up to this.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: January 18 my  Dad, had flu like symptoms. Fever, aches, chills.  He tested negative for flu and covid 19.  In March he again had save symptoms.  In April again in May he had the same thing.  On May 28 his flu like symptoms reappeared this time worse.  June 7th the symptoms came back again and worsened.  June 13 he went to his family practitioner and demanded more blood work be done.  The results indicated acute myeloid leukemia.  He  was perfectly healthy leading up to this.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Dyskinesia, Fatigue, Immediate post-injection reaction, Loss of consciousness, Musculoskeletal stiffness
Clinical narrative: During 1st Pfizer Booster vaccination of patient, she expressed to me, to not use a bandaid as last time she removed a bandaid from an injection point, she passed out. Patient denied feeling ill at this time, and denied having any side effects from previous Covid vaccinations. Patient was informed of possible side effects, and need to hold for minimum of 15 minutes post vaccination for observation. Patient agreed, and was vaccinated with 0.3ml Comirnaty Pfizer Booster dose into right deltoid while holding her mothers hand. Patient did not appear to be in distress, and had no signs of SOB. No bleeding of at site was observed post vaccination. Immediately after injection, patient laid her head on her mother's shoulder, looked up at her and 2 seconds later, started to stiffen her body leaned back into her vehicles passenger seat, eyes became fully dilated, 2 x mild body jerking motions observed, no breaths taken at time of what appears to be a seizure event that lasted no more than 8 seconds. As the possible seizure was occurring, patients mother reported that her husband (patient's father) has syncope events similar to this during blood work. Patient regained consciousness, took a deep breath, eyes returned to around 3mm. Breathing rate 12 per minute, stating that she was fine. Patient grabbed her water bottle and took sips, only to vomit the fluid out around 15 seconds later. Patient was given paper towels, and leaned her seat back. Patient reported feeling tired from her muscle flexion. Patient failed to inform me that during a previous flu vaccination, she had passed out in similar fashion. Patients mother stated that vasovagal syncope is thought to be the cause of her collapse and seizure activity, but have not completed blood work to determine final diagnosis and treatment. Patient was held for 30 minutes post vaccination (0911 - 0941hrs) for continued observation. Patient did not have any recurring episode and was using her phone for most of the waiting period. Patient reported feeling well, did not require additional medical assistance, and was permitted to depart, on basis of family history, denial of further assistance required, and feeling well after a possible seizure event. BASIC CAUSE/CONTRIBUTING FACTORS: Patient did not mention any known side effects when asked.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Mydriasis, Seizure, Syncope, Vomiting
Clinical narrative: During 1st Pfizer Booster vaccination of patient, she expressed to me, to not use a bandaid as last time she removed a bandaid from an injection point, she passed out. Patient denied feeling ill at this time, and denied having any side effects from previous Covid vaccinations. Patient was informed of possible side effects, and need to hold for minimum of 15 minutes post vaccination for observation. Patient agreed, and was vaccinated with 0.3ml Comirnaty Pfizer Booster dose into right deltoid while holding her mothers hand. Patient did not appear to be in distress, and had no signs of SOB. No bleeding of at site was observed post vaccination. Immediately after injection, patient laid her head on her mother's shoulder, looked up at her and 2 seconds later, started to stiffen her body leaned back into her vehicles passenger seat, eyes became fully dilated, 2 x mild body jerking motions observed, no breaths taken at time of what appears to be a seizure event that lasted no more than 8 seconds. As the possible seizure was occurring, patients mother reported that her husband (patient's father) has syncope events similar to this during blood work. Patient regained consciousness, took a deep breath, eyes returned to around 3mm. Breathing rate 12 per minute, stating that she was fine. Patient grabbed her water bottle and took sips, only to vomit the fluid out around 15 seconds later. Patient was given paper towels, and leaned her seat back. Patient reported feeling tired from her muscle flexion. Patient failed to inform me that during a previous flu vaccination, she had passed out in similar fashion. Patients mother stated that vasovagal syncope is thought to be the cause of her collapse and seizure activity, but have not completed blood work to determine final diagnosis and treatment. Patient was held for 30 minutes post vaccination (0911 - 0941hrs) for continued observation. Patient did not have any recurring episode and was using her phone for most of the waiting period. Patient reported feeling well, did not require additional medical assistance, and was permitted to depart, on basis of family history, denial of further assistance required, and feeling well after a possible seizure event. BASIC CAUSE/CONTRIBUTING FACTORS: Patient did not mention any known side effects when asked.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Blister, Deafness unilateral, Eye disorder, Lymphadenopathy
Clinical narrative: 1. Right lymph glands swelled immediately.  Was given oral dose of steroids.  Swelling went down within a week.   2. Red welps formed in right eye brown and eventually blistered and left scar.  Lasted about a month. 3.  Tinitis started right away but has progressively gotten worse and now have loss of hearing in right ear.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Ocular hyperaemia, Scar, Tinnitus, Urticaria
Clinical narrative: 1. Right lymph glands swelled immediately.  Was given oral dose of steroids.  Swelling went down within a week.   2. Red welps formed in right eye brown and eventually blistered and left scar.  Lasted about a month. 3.  Tinitis started right away but has progressively gotten worse and now have loss of hearing in right ear.
Age: 4.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: PATIENT GOT FIRST DOSE PFIZER TODDLER AND SECOND DOSE OF MODERNA TODDLER. HE GOT MIX AND MATCH VACCINE
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Computerised tomogram, Fall, Hallucination, Head injury
Clinical narrative: Hallucinations, falling-hit head
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Diarrhoea, Feeding disorder
Clinical narrative: Symptoms began on June 2, 2022.  I tested positive and I felt bad.  I got Paxlovid.   My symptoms began to get worse.  No flu symptoms but nothing tasted good.  After the 5th day I was better.  After two days it came back.  On June 13th I noticed I had no taste and no smell.   This time my symptoms were diarrhea, vomiting, headache, unable to eat.   I went to the internist office and saw the PA and she advised Pedialite.  Began to feel better.  I was better and without symptoms for a few days.  But it came back again and I just felt horrible with cold symptoms.  June 22 I started to feel better.  I still do not have taste or smell.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Malaise, Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: Symptoms began on June 2, 2022.  I tested positive and I felt bad.  I got Paxlovid.   My symptoms began to get worse.  No flu symptoms but nothing tasted good.  After the 5th day I was better.  After two days it came back.  On June 13th I noticed I had no taste and no smell.   This time my symptoms were diarrhea, vomiting, headache, unable to eat.   I went to the internist office and saw the PA and she advised Pedialite.  Began to feel better.  I was better and without symptoms for a few days.  But it came back again and I just felt horrible with cold symptoms.  June 22 I started to feel better.  I still do not have taste or smell.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Taste disorder, Vomiting
Clinical narrative: Symptoms began on June 2, 2022.  I tested positive and I felt bad.  I got Paxlovid.   My symptoms began to get worse.  No flu symptoms but nothing tasted good.  After the 5th day I was better.  After two days it came back.  On June 13th I noticed I had no taste and no smell.   This time my symptoms were diarrhea, vomiting, headache, unable to eat.   I went to the internist office and saw the PA and she advised Pedialite.  Began to feel better.  I was better and without symptoms for a few days.  But it came back again and I just felt horrible with cold symptoms.  June 22 I started to feel better.  I still do not have taste or smell.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Migraine, Neck pain
Clinical narrative: about 1.5 days after receiving vaccine, developed severe stomach pains and a migraine with neck pain. went to the emergency room and was prescribed medication. symptoms resolved after 4 days.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: Client came into local vaccination site for 1st booster of Pfizer COVID-19 vaccine. Patient was checked in appropriately. Pfizer 1st COVID-19 booster vaccine (0.3mL) lot # FP7139 was administered in the left deltoid at 1413 by RN. Client was then asked to wait in the observation area for 15 minutes. At 1416, client reported feeling "a little dizzy" to RN at the post-vaccination observation area. RN offered client the zero-gravity chair immediately. Both Nurses assessed the patient and vital signs were obtained at 1419 as follows: BP 115/98, HR 58, RR 16, Temp 97.4 degrees Fahrenheit, Oxygen sat 96%. After 2 minutes of being in the zero-gravity chair, client stated "I feel better now". Client is alert and oriented x4 and verbally responsive. During assessment by both Nurses client was noted to be sweating on the forehead and was wearing a baseball cap. Client denied any medical concerns and denied experiencing pain, headache, chills and stated, "It's hot outside". Client also reported that he normally would feel anxious whenever he sees needles and was unsure if that is also a contributing factor to his current dizziness. Client also reported that he had not eaten since dinner last night. Client was offered water and crackers which he consumed right away. Client denied experiencing any pain, headache or discomfort. Subsequent vitals were obtained at 1425 as follows:  BP 131/77, HR 65, RR 16, Temp 97.0 degrees Fahrenheit, Oxygen sat 98%. At 1430 client was joined by his wife and 2 children in the observation area.  Nurse noted that client's visibly sweating forehead had cleared. Client continued to deny any discomfort and continued to deny feelings of dizziness. At 1450 repeat vitals were taken as follows: BP 135/80, HR 72, Temp 97.9 degrees Fahrenheit, Oxygen sat 96%. Client was encouraged by Nurse to eat as soon as possible and to continue drinking fluids after leaving the vaccination site. Client was also encouraged by Nurse to follow up with his Primary Care Physician as needed and to call 911 for any emergencies. Client verbalized understanding and left vaccination site.  Nurse observed client walk away from vaccination site accompanied by his family, with steady gait and balance.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Fatigue, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: My husband and I were in France. I had a sore throat and was a little tired, one of the people in our group tested positive for COVID-19 so we tested using our home COVID-19 test that came back positive. I had brought my Flonase, Magic Mouthwash so I used those as I did not have access to a physician where I was at the time. By the time I returned in June 25, 2022 I had fully recovered.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 1.6 ML of vial were administered into left deltoid by MA.  Evaluated by MD, observed x 45 min,  monitored vital signs, gave water, detailed instructions for symptom monitoring and increased hydrating liquids, followed up by phone with patient 2 hours after leaving. Appt made for patient to follow up with provider tomorrow 7-22-2022.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blindness, Laboratory test, Ophthalmic artery thrombosis
Clinical narrative: Event: Blood clot in right eye causing loss of vision Treatment:  I have been told by 3 doctors that there is no treatment Outcome:  Loss of vision in right eye
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chest pain, Death, Oropharyngeal pain
Clinical narrative: Death after 2-3 days of stomach ache, sore throat and chest pain; two weeks after receiving the vaccination
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Product administered to patient of inappropriate age
Clinical narrative: Patient received Pediatric Pfizer  meant for ages 5years to 11 years instead of Baby Pfizer meant for ages 6months to 4 years. Patient observed for 30 minutes no adverse reaction noted. Patient /Parent informed of the vaccine the patient received. Patient /Parent advised to continue monitoring at home and to seek medical attention  for any abnormalities.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Magnetic resonance imaging, Muscular weakness, Nerve conduction studies
Clinical narrative: I have continued numbness/ wekness in my legs, especially my left leg from the knee down
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient started getting a rash all over face in the morning
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Cough, Dyspnoea, Hypertension
Clinical narrative: HTN and SOB chest pain activity intolerance I have to take BP meds now and rest all of the time.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities
Clinical narrative: HTN and SOB chest pain activity intolerance I have to take BP meds now and rest all of the time.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph nodes in left armpit
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Malaise, Oropharyngeal pain
Clinical narrative: Confirmed case of COVID from at home Antigen test. Prescribed Paxlovid from primary care. Used CDC 10 day protocol for isolation and masking. Symptoms: sore throat, coughing, malaise, headache, and fever.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Confirmed case of COVID from at home Antigen test. Prescribed Paxlovid from primary care. Used CDC 10 day protocol for isolation and masking. Symptoms: sore throat, coughing, malaise, headache, and fever.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Had a sore throat, then a runny nose, was very tired,  but no fever. Used a rapid home test. It was positive. Called Dr.  He prescribed Paxlovid. Took the Med. Symptoms stopped the next day. Masked and isolated self for five days. felt fine. After one week tested negative. Have had no symptoms since that time.
Age: 28.0
Sex: M
Vaccine: HEP
Symptoms: Arthralgia, Hypoaesthesia, Injection site pain, Swelling
Clinical narrative: Patient stated that he was having pain at the injection site after injection. Stated that when he return home he started to have increased pain in his left shoulder area. Stated that he also had swelling in the should and back. Patient stated his arm also felt numb.  Patient did report any adverse events too the company until 07/21/2022. Denies having any current symptoms.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, Chills, Decreased appetite, Headache
Clinical narrative: Fever, chills, and lethargy rapidly developed late morning after the vaccine was administered had little appetite. Several hours later, child vomited. Fever reached over 102F and did not always respond to medicine (Tylenol and/or Motrin). Fever, chills, lethargy, lack of appetite, and intermittent belly and throat pain continued for several days. Headache developed around 1.5 days after vaccine. By 2.5 days after the vaccine, the chills/fever dissipated and energy was much improved. Throat pain remained through to day 3. No one else who was exposed to the child became ill, and the timing seems suspect, which led us to believe it was a vaccine reaction.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative, Vomiting
Clinical narrative: Fever, chills, and lethargy rapidly developed late morning after the vaccine was administered had little appetite. Several hours later, child vomited. Fever reached over 102F and did not always respond to medicine (Tylenol and/or Motrin). Fever, chills, lethargy, lack of appetite, and intermittent belly and throat pain continued for several days. Headache developed around 1.5 days after vaccine. By 2.5 days after the vaccine, the chills/fever dissipated and energy was much improved. Throat pain remained through to day 3. No one else who was exposed to the child became ill, and the timing seems suspect, which led us to believe it was a vaccine reaction.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: severe pain
Age: 33.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site vesicles
Clinical narrative: 1 day after shot I developed a red circle rash around injection spot. Was itchy and had some blisters in the center. The next day, 2 days after shot,  I developed another red rash around the original circle and this was bright red and the size of  a softball. It has now been a week and it is not completely gone. It has been getting better and now the 2nd bigger rash is gone but the original one is still there but not as red.
Age: 50.0
Sex: F
Vaccine: UNK
Symptoms: Bruxism, Dizziness, Dysgeusia, Hypoacusis, Loss of personal independence in daily activities
Clinical narrative: I received the pfizer covid 19 vaccine on 02/06/2022. At first I got a funny taste in my mouth from it I was a little light headed but that went away. On the 8th of February I woke up at 2:30 or so in the morning both my hands where swollen and hurting really bad I had to have my son cut my rings off cause no matter what I tried they would not slip over my knuckles. I had a high fregacery sound in my left ear. That has not gone away and can't hear to good out of it. I can not get any relief from it. I have never had a problem with my ears no infections in them even as a child. I reported this to my doctor who in turn told me it's because I'm getting older. I do not believe that I just turned 50 and never had anything wrong with my ears period. I know this is from the vaccine period. Now I don't know what to do I can not function with this high pitch fregacery in my ear. I have to get my teeth to get a little relief which in turn I have broke 2 teeth doing this. This is not fare.  n
Age: 50.0
Sex: F
Vaccine: UNK
Symptoms: Pain in extremity, Peripheral swelling, Tinnitus, Tooth fracture
Clinical narrative: I received the pfizer covid 19 vaccine on 02/06/2022. At first I got a funny taste in my mouth from it I was a little light headed but that went away. On the 8th of February I woke up at 2:30 or so in the morning both my hands where swollen and hurting really bad I had to have my son cut my rings off cause no matter what I tried they would not slip over my knuckles. I had a high fregacery sound in my left ear. That has not gone away and can't hear to good out of it. I can not get any relief from it. I have never had a problem with my ears no infections in them even as a child. I reported this to my doctor who in turn told me it's because I'm getting older. I do not believe that I just turned 50 and never had anything wrong with my ears period. I know this is from the vaccine period. Now I don't know what to do I can not function with this high pitch fregacery in my ear. I have to get my teeth to get a little relief which in turn I have broke 2 teeth doing this. This is not fare.  n