chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was vaccinated on 6/23/22.  On the afternoon of Friday, June  24th, expired Moderna Covid-19 Vaccine was discovered in the refrigerator.  Lot 54A22A was placed into the refrigerator on 5/19/22 and expired 30 days after on 6/18/22.  The expired vaccine was immediately removed from inventory.  A clinic pharmacist then called the manufacturer, Moderna, to report the incident and inquire about the stability of the expired product.  The pharmacist from Moderna submitted a ?lot analysis? request to evaluate the effectiveness of the affected lot against Covid-19 past the 30 day expiration date.  On Tuesday, June 28th, Moderna responded and stated that: ?The vaccine administered on June 22 and June 23, 2022 from lot number 054A22A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration.?  No patient harm resulted.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Required hospitalization in COVID + vaccinated patient
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaemia, Anti-thyroid antibody increased, Blood creatinine decreased, Blood culture negative, Blood thyroid stimulating hormone decreased
Clinical narrative: High Fevers (5 illness events leading Up to Hospitalization Starting in 5/2021 Hospitalization 4/8/2022 8 days Cardiac ICU  Severely Swollen Glands Night Sweats  Diarrhea Weight Loss Thyroiditis  Severe Pericarditis (Requiring operative pericardial window) local Medical Center Pneumonia (Requiring Operative Thoracotomy) Left Lung local Medical Center  Anemia  High Platelets  High Monocytes High Neutrophils Negative Blood Culture x 2  Low Creatinine  Multiple Cat Scans Chest and Lungs with Contrast and without  Multiple Chest X-rays
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray, Computerised tomogram, Computerised tomogram thorax, Diarrhoea, Fibrin D dimer
Clinical narrative: High Fevers (5 illness events leading Up to Hospitalization Starting in 5/2021 Hospitalization 4/8/2022 8 days Cardiac ICU  Severely Swollen Glands Night Sweats  Diarrhea Weight Loss Thyroiditis  Severe Pericarditis (Requiring operative pericardial window) local Medical Center Pneumonia (Requiring Operative Thoracotomy) Left Lung local Medical Center  Anemia  High Platelets  High Monocytes High Neutrophils Negative Blood Culture x 2  Low Creatinine  Multiple Cat Scans Chest and Lungs with Contrast and without  Multiple Chest X-rays
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hepatic enzyme increased, Illness, Intensive care, International normalised ratio increased, Lymphadenopathy
Clinical narrative: High Fevers (5 illness events leading Up to Hospitalization Starting in 5/2021 Hospitalization 4/8/2022 8 days Cardiac ICU  Severely Swollen Glands Night Sweats  Diarrhea Weight Loss Thyroiditis  Severe Pericarditis (Requiring operative pericardial window) local Medical Center Pneumonia (Requiring Operative Thoracotomy) Left Lung local Medical Center  Anemia  High Platelets  High Monocytes High Neutrophils Negative Blood Culture x 2  Low Creatinine  Multiple Cat Scans Chest and Lungs with Contrast and without  Multiple Chest X-rays
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Monocyte count increased, Neutrophil count increased, Night sweats, Pericardial excision, Pericarditis
Clinical narrative: High Fevers (5 illness events leading Up to Hospitalization Starting in 5/2021 Hospitalization 4/8/2022 8 days Cardiac ICU  Severely Swollen Glands Night Sweats  Diarrhea Weight Loss Thyroiditis  Severe Pericarditis (Requiring operative pericardial window) local Medical Center Pneumonia (Requiring Operative Thoracotomy) Left Lung local Medical Center  Anemia  High Platelets  High Monocytes High Neutrophils Negative Blood Culture x 2  Low Creatinine  Multiple Cat Scans Chest and Lungs with Contrast and without  Multiple Chest X-rays
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Platelet count increased, Pneumonia, Pyrexia, Red blood cell sedimentation rate increased, SARS-CoV-2 test negative
Clinical narrative: High Fevers (5 illness events leading Up to Hospitalization Starting in 5/2021 Hospitalization 4/8/2022 8 days Cardiac ICU  Severely Swollen Glands Night Sweats  Diarrhea Weight Loss Thyroiditis  Severe Pericarditis (Requiring operative pericardial window) local Medical Center Pneumonia (Requiring Operative Thoracotomy) Left Lung local Medical Center  Anemia  High Platelets  High Monocytes High Neutrophils Negative Blood Culture x 2  Low Creatinine  Multiple Cat Scans Chest and Lungs with Contrast and without  Multiple Chest X-rays
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Scan with contrast, Thoracotomy, Thyroiditis, Weight decreased, White blood cell count increased
Clinical narrative: High Fevers (5 illness events leading Up to Hospitalization Starting in 5/2021 Hospitalization 4/8/2022 8 days Cardiac ICU  Severely Swollen Glands Night Sweats  Diarrhea Weight Loss Thyroiditis  Severe Pericarditis (Requiring operative pericardial window) local Medical Center Pneumonia (Requiring Operative Thoracotomy) Left Lung local Medical Center  Anemia  High Platelets  High Monocytes High Neutrophils Negative Blood Culture x 2  Low Creatinine  Multiple Cat Scans Chest and Lungs with Contrast and without  Multiple Chest X-rays
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: X-ray
Clinical narrative: High Fevers (5 illness events leading Up to Hospitalization Starting in 5/2021 Hospitalization 4/8/2022 8 days Cardiac ICU  Severely Swollen Glands Night Sweats  Diarrhea Weight Loss Thyroiditis  Severe Pericarditis (Requiring operative pericardial window) local Medical Center Pneumonia (Requiring Operative Thoracotomy) Left Lung local Medical Center  Anemia  High Platelets  High Monocytes High Neutrophils Negative Blood Culture x 2  Low Creatinine  Multiple Cat Scans Chest and Lungs with Contrast and without  Multiple Chest X-rays
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Head discomfort, Muscle spasms, Muscle twitching
Clinical narrative: 3 days after dose 2 vaccine, I started having muscle cramps in lower back and nerve pain shooting into left hip and leg. I was also nauseated possibly due to the pain. The intensity increased over the night and into the next day so I went into the walk in clinic on 7-29. They did not order any tests or labs because he felt it could be a delayed reaction to the vaccine. He prescribed a muscle relaxer but I did not take any and just took TYLENOL. On 7-30 I had to go back to the walk in clinic because I was having vertigo if I turned my head to look in any direction other than straight ahead. The doctor just did a physical workup in the office and also stated these symptoms were likely due to the vaccine. On 7-31, I had a squeezing and burning sensation in my head. Today, 8-1, I feel better but I am having muscle twitching all over. I had COVID19 back in March 2021, and 4-5 months later, I did have muscle twitching at the time and was told by a doctor that I am a long COVID19 sufferer.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Neuralgia, Pain, Pain in extremity, Vertigo
Clinical narrative: 3 days after dose 2 vaccine, I started having muscle cramps in lower back and nerve pain shooting into left hip and leg. I was also nauseated possibly due to the pain. The intensity increased over the night and into the next day so I went into the walk in clinic on 7-29. They did not order any tests or labs because he felt it could be a delayed reaction to the vaccine. He prescribed a muscle relaxer but I did not take any and just took TYLENOL. On 7-30 I had to go back to the walk in clinic because I was having vertigo if I turned my head to look in any direction other than straight ahead. The doctor just did a physical workup in the office and also stated these symptoms were likely due to the vaccine. On 7-31, I had a squeezing and burning sensation in my head. Today, 8-1, I feel better but I am having muscle twitching all over. I had COVID19 back in March 2021, and 4-5 months later, I did have muscle twitching at the time and was told by a doctor that I am a long COVID19 sufferer.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, Hypersomnia, Oropharyngeal pain
Clinical narrative: I had a headache and sore throat on night of July 24th.  I had runny nose and was really tired.  I slept most of the next day.  I called the doctor to get medication.  I was warned about Paxlovid causing rebound case.  I still have a runny nose.  I am just taking it easy and laying low.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had a headache and sore throat on night of July 24th.  I had runny nose and was really tired.  I slept most of the next day.  I called the doctor to get medication.  I was warned about Paxlovid causing rebound case.  I still have a runny nose.  I am just taking it easy and laying low.
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Injection site erythema, Injection site swelling, Pain, Pain in extremity
Clinical narrative: Large redenning and swelling of skin at injection site. Significant soreness of upper arm. Fever. Significant aches and pains, Chills.
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Large redenning and swelling of skin at injection site. Significant soreness of upper arm. Fever. Significant aches and pains, Chills.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Angiogram pulmonary abnormal, COVID-19, Chest X-ray abnormal, Death
Clinical narrative: Patient presented to Hospital, at the urgency of his oncologist.  The patient reported dyspnea for several weeks.  In ED oxygen saturation at 77% RA, and he then tested positive for Covid-19.  He was anemic, thrombocytopenic, mildly elevated troponin, and signs of renal failure.  CXR showed interstitial and mild groundglass opacities concerning for pulmonary edema.  CT angiogram of chest showed no PE, did reveal patchy interstitial and groundglass airspace disease.  Patient was placed on BiPAP, he was found to be occult blood positive, and was transfused.  Patient was transitioned to comfort care and expired on 09/28/2021.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Interstitial lung disease, Lung opacity, Occult blood positive, Positive airway pressure therapy
Clinical narrative: Patient presented to Hospital, at the urgency of his oncologist.  The patient reported dyspnea for several weeks.  In ED oxygen saturation at 77% RA, and he then tested positive for Covid-19.  He was anemic, thrombocytopenic, mildly elevated troponin, and signs of renal failure.  CXR showed interstitial and mild groundglass opacities concerning for pulmonary edema.  CT angiogram of chest showed no PE, did reveal patchy interstitial and groundglass airspace disease.  Patient was placed on BiPAP, he was found to be occult blood positive, and was transfused.  Patient was transitioned to comfort care and expired on 09/28/2021.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Renal failure, SARS-CoV-2 test positive, Thrombocytopenia, Transfusion, Troponin increased
Clinical narrative: Patient presented to Hospital, at the urgency of his oncologist.  The patient reported dyspnea for several weeks.  In ED oxygen saturation at 77% RA, and he then tested positive for Covid-19.  He was anemic, thrombocytopenic, mildly elevated troponin, and signs of renal failure.  CXR showed interstitial and mild groundglass opacities concerning for pulmonary edema.  CT angiogram of chest showed no PE, did reveal patchy interstitial and groundglass airspace disease.  Patient was placed on BiPAP, he was found to be occult blood positive, and was transfused.  Patient was transitioned to comfort care and expired on 09/28/2021.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Asthma, Atrial fibrillation, Cardiac ablation, Condition aggravated, Dyspnoea
Clinical narrative: After receiving 2nd COVID -19 Pfizer Vaccine I began to have uncontrollable hypertension. blood pressure had been about 130/75 prior to vaccination, and was elevated to 180/115 for several months after vaccination. Doctor continued to increase medication with minimal changes. in April started a Holter monitor and was found to have started having A-Fib. In November of 2021 had cardiac nerve ablation which has helped with the A-Fib. I continue to have elevated blood pressure that is being controlled with 40mg lisinopril and 12.5mg HTZC to allow BP to continue to be around 130/85. I have also had increased difficulty with respiration since the vaccination. I had asthma as a child but had not used an inhaler in years and now have to use one 6-8x a month.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory abnormal, Hypertension
Clinical narrative: After receiving 2nd COVID -19 Pfizer Vaccine I began to have uncontrollable hypertension. blood pressure had been about 130/75 prior to vaccination, and was elevated to 180/115 for several months after vaccination. Doctor continued to increase medication with minimal changes. in April started a Holter monitor and was found to have started having A-Fib. In November of 2021 had cardiac nerve ablation which has helped with the A-Fib. I continue to have elevated blood pressure that is being controlled with 40mg lisinopril and 12.5mg HTZC to allow BP to continue to be around 130/85. I have also had increased difficulty with respiration since the vaccination. I had asthma as a child but had not used an inhaler in years and now have to use one 6-8x a month.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood test, Cardiac monitoring, Cardioversion, Echocardiogram
Clinical narrative: I went into atrial fibrillation on Thursday evening at about 9pm, after my second dose.  March of 2021.  On Friday morning my heart beat had not gone back to morning and my husband took me to the Hospital. I had another event after 3rd dose and on June 6th they did a cardioversion. Since then I have had another episode July 16th and ended up in the hospital again and struggled to get my heartbeat back to normal. The doctor said that it was the pain of several IV attempts that put my heart back to normal. Since then, I have had some increased heart beat episodes. I have been working  with an electrophysiologists and he gave me a heart monitor that I have to wear for 30 days.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Heart rate irregular, Ultrasound scan, X-ray
Clinical narrative: I went into atrial fibrillation on Thursday evening at about 9pm, after my second dose.  March of 2021.  On Friday morning my heart beat had not gone back to morning and my husband took me to the Hospital. I had another event after 3rd dose and on June 6th they did a cardioversion. Since then I have had another episode July 16th and ended up in the hospital again and struggled to get my heartbeat back to normal. The doctor said that it was the pain of several IV attempts that put my heart back to normal. Since then, I have had some increased heart beat episodes. I have been working  with an electrophysiologists and he gave me a heart monitor that I have to wear for 30 days.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Fatigue, Nasal congestion, Oropharyngeal pain
Clinical narrative: fatigue, nasal congestion, sore throat, tested positive for covid on 7/30/22
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: fatigue, nasal congestion, sore throat, tested positive for covid on 7/30/22
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Insomnia, Oropharyngeal pain, Pyrexia
Clinical narrative: COVID-19 symptoms started 06/13/22; tested positive 06/15/22. Symptoms started Sunday night and I woke up next morning with sore throat and I had tossed and turned and when I had woken up the next morning I felt some degree of fatigue and sore throat as well as low grade fever. I called PCP on 06/15/22 and they prescribed PAXLOVID but I was on other medications that would interact with it so I didn't start that until the 16th. Symptoms were cleared up after 2 days of taking PAXLOVID. I'm still a little off but vastly improved.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: COVID-19 symptoms started 06/13/22; tested positive 06/15/22. Symptoms started Sunday night and I woke up next morning with sore throat and I had tossed and turned and when I had woken up the next morning I felt some degree of fatigue and sore throat as well as low grade fever. I called PCP on 06/15/22 and they prescribed PAXLOVID but I was on other medications that would interact with it so I didn't start that until the 16th. Symptoms were cleared up after 2 days of taking PAXLOVID. I'm still a little off but vastly improved.
Age: 1.58
Sex: F
Vaccine: COVID19
Symptoms: Arthropod bite, Borrelia test, Injection site bruising, Petechiae, Purpura
Clinical narrative: On the 25th, she woke up from her nap. On the back of her right leg was a large bruise and some petechiae   spotting. There was a larger purpura as well. She had what looked like a bug bite 24 hours prior but it progressed rapidly to the petechia. We went to the urgent care and they were concerned about a possible tick bite so they tested her for some tick-borne illnesses. She was acting normally throughout. They called 24 hours later and her initial tests for Lyme came back equivocal. It was early exposure and she's taking Doxycycline and she was sent for confirmatory testing. The bruising improved within 24 hours and there was one persistent spot that got better a week later.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Blood immunoglobulin A decreased, Blood immunoglobulin G normal, Blood immunoglobulin M decreased, CSF test normal, Immunoglobulin therapy
Clinical narrative: Status epilepticus requiring multiple antiepileptics, IVIG, high-dose steroids, plasmapheresis. Afebrile. The patient is still in the ICU as of 8/1/2022.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Magnetic resonance imaging head normal, Plasmapheresis, Status epilepticus, Thrombocytopenia
Clinical narrative: Status epilepticus requiring multiple antiepileptics, IVIG, high-dose steroids, plasmapheresis. Afebrile. The patient is still in the ICU as of 8/1/2022.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Viral test negative
Clinical narrative: Status epilepticus requiring multiple antiepileptics, IVIG, high-dose steroids, plasmapheresis. Afebrile. The patient is still in the ICU as of 8/1/2022.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy uterus, Blood test, Chest pain, Dyspnoea, Full blood count abnormal
Clinical narrative: I just started bleeding after week one in March and it lasted 3 weeks. The same thing happened in April and then May I bleed the entire month all except one day. I had an appointment in May, but I couldn't go because of the cost. I went to the emergency room because I was having shortness of breath, chest pain and the bleeding made my blood count very low. The emergency doctor was saying the blood count was so low and referred me back to the OB doctor. I called my OB doctor, but he told me I needed to get surgery for birth control or ablation or a hysterectomy alt. to eliminate the amount of bleeding. I told the doctor that I really didn't want to go through surgery again since I just got a kidney transplant 3 years ago. I have started to eat foods that increase my platelets (B12 collagens, vitamin C).
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhage
Clinical narrative: I just started bleeding after week one in March and it lasted 3 weeks. The same thing happened in April and then May I bleed the entire month all except one day. I had an appointment in May, but I couldn't go because of the cost. I went to the emergency room because I was having shortness of breath, chest pain and the bleeding made my blood count very low. The emergency doctor was saying the blood count was so low and referred me back to the OB doctor. I called my OB doctor, but he told me I needed to get surgery for birth control or ablation or a hysterectomy alt. to eliminate the amount of bleeding. I told the doctor that I really didn't want to go through surgery again since I just got a kidney transplant 3 years ago. I have started to eat foods that increase my platelets (B12 collagens, vitamin C).
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was vaccinated on 6/23/22.  On the afternoon of Friday, June  24th, expired Moderna Covid-19 Vaccine was discovered in the refrigerator.  Lot 54A22A was placed into the refrigerator on 5/19/22 and expired 30 days after on 6/18/22.  The expired vaccine was immediately removed from inventory.  A clinic pharmacist then called the manufacturer, Moderna, to report the incident and inquire about the stability of the expired product.  The pharmacist from Moderna submitted a ?lot analysis? request to evaluate the effectiveness of the affected lot against Covid-19 past the 30 day expiration date.  On Tuesday, June 28th, Moderna responded and stated that: ?The vaccine administered on June 22 and June 23, 2022 from lot number 054A22A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration.?  No patient harm resulted.
Age: 0.83
Sex: M
Vaccine: COVID19
Symptoms: Dysphonia
Clinical narrative: Just hoarseness two days post vaccination but I think unrelated virus.
Age: 0.83
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: patient was given Pfizer vaccine for second dose, but first dose was Moderna
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood test abnormal, Computerised tomogram abdomen normal, Enteritis, Fatigue
Clinical narrative: On 05/13/2022 I was having abdominal pain that went all the way around like a belt. I had difficultly walking and sitting up. My pain score was around a 7 or 8 and continued to get higher while I was in the hospital. I went to urgent care and was sent to the hospital and admitted and was release 3 days later. It says that I had a possible small bowel obstruction vs enteritis. I feel about 75% better but I am still having some fatigue.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Hepatic enzyme increased, Sitting disability, Small intestinal obstruction
Clinical narrative: On 05/13/2022 I was having abdominal pain that went all the way around like a belt. I had difficultly walking and sitting up. My pain score was around a 7 or 8 and continued to get higher while I was in the hospital. I went to urgent care and was sent to the hospital and admitted and was release 3 days later. It says that I had a possible small bowel obstruction vs enteritis. I feel about 75% better but I am still having some fatigue.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Arthropathy, Asthenia, Magnetic resonance imaging head normal, Scan brain, Speech disorder
Clinical narrative: I was on the telephone I was standing and working on the phone and all of sudden I buckled and my legs went under me and I felt like I was losing strength and I called for my daughter and I said to her I have to lay down and she started asking me stroke questions and  later told I didn't make since. My doctor is very responsive and called me later that night and I told him what happen and he state that I "needed to go for a brain scan".
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was vaccinated on 6/23/22.  On the afternoon of Friday, June  24th, expired Moderna Covid-19 Vaccine was discovered in the refrigerator.  Lot 54A22A was placed into the refrigerator on 5/19/22 and expired 30 days after on 6/18/22.  The expired vaccine was immediately removed from inventory.  A clinic pharmacist then called the manufacturer, Moderna, to report the incident and inquire about the stability of the expired product.  The pharmacist from Moderna submitted a ?lot analysis? request to evaluate the effectiveness of the affected lot against Covid-19 past the 30 day expiration date.  On Tuesday, June 28th, Moderna responded and stated that: ?The vaccine administered on June 22 and June 23, 2022 from lot number 054A22A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration.?  No patient harm resulted.
Age: 18.0
Sex: F
Vaccine: MMRV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: The patient received MMRV instead of Varicella and MMR separately.  No adverse affect noted
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Malaise, Paralysis
Clinical narrative: She felt sick later in the evening, felt like paralysed  and tired.   She couldn't do anything for 2 days.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Symptom recurrence
Clinical narrative: Tested Positve  for COVID-19 at home, then went to Urgent care and tested positive as well.  Took Paxlovid for 5 days, on that 5th day tested Negative. Then 2 days later I tested Positive again and my symptoms returned. Didn't take anymore medications and waited it out. Stilled tested positve for 9 days after.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was vaccinated on 6/23/22.  On the afternoon of Friday, June  24th, expired Moderna Covid-19 Vaccine was discovered in the refrigerator.  Lot 54A22A was placed into the refrigerator on 5/19/22 and expired 30 days after on 6/18/22.  The expired vaccine was immediately removed from inventory.  A clinic pharmacist then called the manufacturer, Moderna, to report the incident and inquire about the stability of the expired product.  The pharmacist from Moderna submitted a ?lot analysis? request to evaluate the effectiveness of the affected lot against Covid-19 past the 30 day expiration date.  On Tuesday, June 28th, Moderna responded and stated that: ?The vaccine administered on June 22 and June 23, 2022 from lot number 054A22A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration.?  No patient harm resulted.
Age: 73.0
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: diagnosed with covid.  Had covid vaccine.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: On July 21, 2022 I tested positive for COVID-19 at my doctor office. I tested twice, the rapid test came back negative and the PCR test came back positive.  My Dr. prescribe me Paxlovid on the same day.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration
Clinical narrative: Vaccinated patient required hospitalization for COVID-19.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain, Paraesthesia, Rash, Rash vesicular
Clinical narrative: Patient stated had pins and needles feeling and burning pain day after injection. Beginning three days after injection patient states he has a chicken pox like rash on neck and chest.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, COVID-19, Cough, Diarrhoea
Clinical narrative: Cough; fatigue; deep pain in bones and joint; didn't sleep well; diarrhea; fever. All symptoms last 5 day except the cough.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Poor quality sleep, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Cough; fatigue; deep pain in bones and joint; didn't sleep well; diarrhea; fever. All symptoms last 5 day except the cough.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral abnormal, Anticoagulant therapy, Arteriogram carotid abnormal, Asymptomatic COVID-19, Blood glucose increased
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 7/26/2022 Discharge Date: Jul 29, 2022  PRESENTING PROBLEM: Left-sided sensory deficit present [R44.9] Acute ischemic stroke (HCC) [I63.9] Stroke-like symptoms [R29.90]   HOSPITAL COURSE: Patient is a 64 year old male (speaks Spanish only) with a PMH significant for HTN, HLD, prior R MCA stroke (2014) without residual deficits, left PCA stroke found on MRI 1/2021, severe stenosis of left vertebral artery on ASA & Plavix (Non-compliant), CAD, OSA, Diabetes type 2, and glaucoma that presented 7/26 with slurred speech, acute onset dizziness and lightheadedness, left facial droop concerning for acute ishcemic stroke. Initial NIHSS 8. CTH negative for acute pathology demonstrates prior strokes, CTA head/neck revealed unchanged chronic occlusion of left A2 and left P2, occlusion of V3/V4, severe stenosis of left vertebral artery with possible dissection, CT perfusion with 64 ml hypoperfusion in A2/P2 segments. TNK was administered at 1801, he was not a mechanical thrombectomy candidate as there was no noted proximal occlusion. Neurosurgery was consulted for possible CT angiogram but patient is not deemed a candidate for intervention given occlusion is chronic. MRI brain 7/27 showed a 7mm focus of restricted diffusion in the pons just to the left of midline. TTE w/ EF 48%, mild global hypokinesis, LA mildly dilated, no shunting. Initial blood glucose was 426, HbA1c of 11.3, LDL 63. Etiology secondary to intracranial atherosclerosis. Patient was started on Lipitor 80 mg daily and DAPT with ASA 81 mg daily and Plavix 75 mg daily for 90 days, followed by monotherapy of ASA 81 mg daily. Pt mildly hypertensive despite home Losartan 100 mg daily and Norvasc 10mg daily so Coreg 6.25 mg BID was added with improvement in blood pressure. Patient was evaluated by endocrinology who resumed home diabetic agents upon discharge with plans to follow up with DGMS outpatient. Pt was re-evaluated by PT/OT day of discharge who recommended disposition of home with outpatient PT/OT. He tested positive for covid during admission but remained asymptomatic. Discussed at length with patient and his wife (using hospital translation services) importance of medication and follow up compliance. Pt was also provided educational materials regarding recent hospitalization, medications, and covid. Pt verbalized understanding. Patient discharged in stable condition to home with plans for follow up with stroke clinic, neurosurgery team, and DGMS outpatient.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral arteriosclerosis, Cerebral artery occlusion, Cerebral hypoperfusion, Computerised tomogram head normal, Condition aggravated
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 7/26/2022 Discharge Date: Jul 29, 2022  PRESENTING PROBLEM: Left-sided sensory deficit present [R44.9] Acute ischemic stroke (HCC) [I63.9] Stroke-like symptoms [R29.90]   HOSPITAL COURSE: Patient is a 64 year old male (speaks Spanish only) with a PMH significant for HTN, HLD, prior R MCA stroke (2014) without residual deficits, left PCA stroke found on MRI 1/2021, severe stenosis of left vertebral artery on ASA & Plavix (Non-compliant), CAD, OSA, Diabetes type 2, and glaucoma that presented 7/26 with slurred speech, acute onset dizziness and lightheadedness, left facial droop concerning for acute ishcemic stroke. Initial NIHSS 8. CTH negative for acute pathology demonstrates prior strokes, CTA head/neck revealed unchanged chronic occlusion of left A2 and left P2, occlusion of V3/V4, severe stenosis of left vertebral artery with possible dissection, CT perfusion with 64 ml hypoperfusion in A2/P2 segments. TNK was administered at 1801, he was not a mechanical thrombectomy candidate as there was no noted proximal occlusion. Neurosurgery was consulted for possible CT angiogram but patient is not deemed a candidate for intervention given occlusion is chronic. MRI brain 7/27 showed a 7mm focus of restricted diffusion in the pons just to the left of midline. TTE w/ EF 48%, mild global hypokinesis, LA mildly dilated, no shunting. Initial blood glucose was 426, HbA1c of 11.3, LDL 63. Etiology secondary to intracranial atherosclerosis. Patient was started on Lipitor 80 mg daily and DAPT with ASA 81 mg daily and Plavix 75 mg daily for 90 days, followed by monotherapy of ASA 81 mg daily. Pt mildly hypertensive despite home Losartan 100 mg daily and Norvasc 10mg daily so Coreg 6.25 mg BID was added with improvement in blood pressure. Patient was evaluated by endocrinology who resumed home diabetic agents upon discharge with plans to follow up with DGMS outpatient. Pt was re-evaluated by PT/OT day of discharge who recommended disposition of home with outpatient PT/OT. He tested positive for covid during admission but remained asymptomatic. Discussed at length with patient and his wife (using hospital translation services) importance of medication and follow up compliance. Pt was also provided educational materials regarding recent hospitalization, medications, and covid. Pt verbalized understanding. Patient discharged in stable condition to home with plans for follow up with stroke clinic, neurosurgery team, and DGMS outpatient.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dysarthria, Echocardiogram abnormal, Ejection fraction, Facial paralysis
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 7/26/2022 Discharge Date: Jul 29, 2022  PRESENTING PROBLEM: Left-sided sensory deficit present [R44.9] Acute ischemic stroke (HCC) [I63.9] Stroke-like symptoms [R29.90]   HOSPITAL COURSE: Patient is a 64 year old male (speaks Spanish only) with a PMH significant for HTN, HLD, prior R MCA stroke (2014) without residual deficits, left PCA stroke found on MRI 1/2021, severe stenosis of left vertebral artery on ASA & Plavix (Non-compliant), CAD, OSA, Diabetes type 2, and glaucoma that presented 7/26 with slurred speech, acute onset dizziness and lightheadedness, left facial droop concerning for acute ishcemic stroke. Initial NIHSS 8. CTH negative for acute pathology demonstrates prior strokes, CTA head/neck revealed unchanged chronic occlusion of left A2 and left P2, occlusion of V3/V4, severe stenosis of left vertebral artery with possible dissection, CT perfusion with 64 ml hypoperfusion in A2/P2 segments. TNK was administered at 1801, he was not a mechanical thrombectomy candidate as there was no noted proximal occlusion. Neurosurgery was consulted for possible CT angiogram but patient is not deemed a candidate for intervention given occlusion is chronic. MRI brain 7/27 showed a 7mm focus of restricted diffusion in the pons just to the left of midline. TTE w/ EF 48%, mild global hypokinesis, LA mildly dilated, no shunting. Initial blood glucose was 426, HbA1c of 11.3, LDL 63. Etiology secondary to intracranial atherosclerosis. Patient was started on Lipitor 80 mg daily and DAPT with ASA 81 mg daily and Plavix 75 mg daily for 90 days, followed by monotherapy of ASA 81 mg daily. Pt mildly hypertensive despite home Losartan 100 mg daily and Norvasc 10mg daily so Coreg 6.25 mg BID was added with improvement in blood pressure. Patient was evaluated by endocrinology who resumed home diabetic agents upon discharge with plans to follow up with DGMS outpatient. Pt was re-evaluated by PT/OT day of discharge who recommended disposition of home with outpatient PT/OT. He tested positive for covid during admission but remained asymptomatic. Discussed at length with patient and his wife (using hospital translation services) importance of medication and follow up compliance. Pt was also provided educational materials regarding recent hospitalization, medications, and covid. Pt verbalized understanding. Patient discharged in stable condition to home with plans for follow up with stroke clinic, neurosurgery team, and DGMS outpatient.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Glycosylated haemoglobin increased, Hypertension, Ischaemic stroke, Left atrial dilatation, Low density lipoprotein normal
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 7/26/2022 Discharge Date: Jul 29, 2022  PRESENTING PROBLEM: Left-sided sensory deficit present [R44.9] Acute ischemic stroke (HCC) [I63.9] Stroke-like symptoms [R29.90]   HOSPITAL COURSE: Patient is a 64 year old male (speaks Spanish only) with a PMH significant for HTN, HLD, prior R MCA stroke (2014) without residual deficits, left PCA stroke found on MRI 1/2021, severe stenosis of left vertebral artery on ASA & Plavix (Non-compliant), CAD, OSA, Diabetes type 2, and glaucoma that presented 7/26 with slurred speech, acute onset dizziness and lightheadedness, left facial droop concerning for acute ishcemic stroke. Initial NIHSS 8. CTH negative for acute pathology demonstrates prior strokes, CTA head/neck revealed unchanged chronic occlusion of left A2 and left P2, occlusion of V3/V4, severe stenosis of left vertebral artery with possible dissection, CT perfusion with 64 ml hypoperfusion in A2/P2 segments. TNK was administered at 1801, he was not a mechanical thrombectomy candidate as there was no noted proximal occlusion. Neurosurgery was consulted for possible CT angiogram but patient is not deemed a candidate for intervention given occlusion is chronic. MRI brain 7/27 showed a 7mm focus of restricted diffusion in the pons just to the left of midline. TTE w/ EF 48%, mild global hypokinesis, LA mildly dilated, no shunting. Initial blood glucose was 426, HbA1c of 11.3, LDL 63. Etiology secondary to intracranial atherosclerosis. Patient was started on Lipitor 80 mg daily and DAPT with ASA 81 mg daily and Plavix 75 mg daily for 90 days, followed by monotherapy of ASA 81 mg daily. Pt mildly hypertensive despite home Losartan 100 mg daily and Norvasc 10mg daily so Coreg 6.25 mg BID was added with improvement in blood pressure. Patient was evaluated by endocrinology who resumed home diabetic agents upon discharge with plans to follow up with DGMS outpatient. Pt was re-evaluated by PT/OT day of discharge who recommended disposition of home with outpatient PT/OT. He tested positive for covid during admission but remained asymptomatic. Discussed at length with patient and his wife (using hospital translation services) importance of medication and follow up compliance. Pt was also provided educational materials regarding recent hospitalization, medications, and covid. Pt verbalized understanding. Patient discharged in stable condition to home with plans for follow up with stroke clinic, neurosurgery team, and DGMS outpatient.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head abnormal, NIH stroke scale, Neurological symptom, Perfusion brain scan abnormal, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 7/26/2022 Discharge Date: Jul 29, 2022  PRESENTING PROBLEM: Left-sided sensory deficit present [R44.9] Acute ischemic stroke (HCC) [I63.9] Stroke-like symptoms [R29.90]   HOSPITAL COURSE: Patient is a 64 year old male (speaks Spanish only) with a PMH significant for HTN, HLD, prior R MCA stroke (2014) without residual deficits, left PCA stroke found on MRI 1/2021, severe stenosis of left vertebral artery on ASA & Plavix (Non-compliant), CAD, OSA, Diabetes type 2, and glaucoma that presented 7/26 with slurred speech, acute onset dizziness and lightheadedness, left facial droop concerning for acute ishcemic stroke. Initial NIHSS 8. CTH negative for acute pathology demonstrates prior strokes, CTA head/neck revealed unchanged chronic occlusion of left A2 and left P2, occlusion of V3/V4, severe stenosis of left vertebral artery with possible dissection, CT perfusion with 64 ml hypoperfusion in A2/P2 segments. TNK was administered at 1801, he was not a mechanical thrombectomy candidate as there was no noted proximal occlusion. Neurosurgery was consulted for possible CT angiogram but patient is not deemed a candidate for intervention given occlusion is chronic. MRI brain 7/27 showed a 7mm focus of restricted diffusion in the pons just to the left of midline. TTE w/ EF 48%, mild global hypokinesis, LA mildly dilated, no shunting. Initial blood glucose was 426, HbA1c of 11.3, LDL 63. Etiology secondary to intracranial atherosclerosis. Patient was started on Lipitor 80 mg daily and DAPT with ASA 81 mg daily and Plavix 75 mg daily for 90 days, followed by monotherapy of ASA 81 mg daily. Pt mildly hypertensive despite home Losartan 100 mg daily and Norvasc 10mg daily so Coreg 6.25 mg BID was added with improvement in blood pressure. Patient was evaluated by endocrinology who resumed home diabetic agents upon discharge with plans to follow up with DGMS outpatient. Pt was re-evaluated by PT/OT day of discharge who recommended disposition of home with outpatient PT/OT. He tested positive for covid during admission but remained asymptomatic. Discussed at length with patient and his wife (using hospital translation services) importance of medication and follow up compliance. Pt was also provided educational materials regarding recent hospitalization, medications, and covid. Pt verbalized understanding. Patient discharged in stable condition to home with plans for follow up with stroke clinic, neurosurgery team, and DGMS outpatient.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Sensory loss, Ventricular hypokinesia, Vertebral artery occlusion, Vertebral artery stenosis
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 7/26/2022 Discharge Date: Jul 29, 2022  PRESENTING PROBLEM: Left-sided sensory deficit present [R44.9] Acute ischemic stroke (HCC) [I63.9] Stroke-like symptoms [R29.90]   HOSPITAL COURSE: Patient is a 64 year old male (speaks Spanish only) with a PMH significant for HTN, HLD, prior R MCA stroke (2014) without residual deficits, left PCA stroke found on MRI 1/2021, severe stenosis of left vertebral artery on ASA & Plavix (Non-compliant), CAD, OSA, Diabetes type 2, and glaucoma that presented 7/26 with slurred speech, acute onset dizziness and lightheadedness, left facial droop concerning for acute ishcemic stroke. Initial NIHSS 8. CTH negative for acute pathology demonstrates prior strokes, CTA head/neck revealed unchanged chronic occlusion of left A2 and left P2, occlusion of V3/V4, severe stenosis of left vertebral artery with possible dissection, CT perfusion with 64 ml hypoperfusion in A2/P2 segments. TNK was administered at 1801, he was not a mechanical thrombectomy candidate as there was no noted proximal occlusion. Neurosurgery was consulted for possible CT angiogram but patient is not deemed a candidate for intervention given occlusion is chronic. MRI brain 7/27 showed a 7mm focus of restricted diffusion in the pons just to the left of midline. TTE w/ EF 48%, mild global hypokinesis, LA mildly dilated, no shunting. Initial blood glucose was 426, HbA1c of 11.3, LDL 63. Etiology secondary to intracranial atherosclerosis. Patient was started on Lipitor 80 mg daily and DAPT with ASA 81 mg daily and Plavix 75 mg daily for 90 days, followed by monotherapy of ASA 81 mg daily. Pt mildly hypertensive despite home Losartan 100 mg daily and Norvasc 10mg daily so Coreg 6.25 mg BID was added with improvement in blood pressure. Patient was evaluated by endocrinology who resumed home diabetic agents upon discharge with plans to follow up with DGMS outpatient. Pt was re-evaluated by PT/OT day of discharge who recommended disposition of home with outpatient PT/OT. He tested positive for covid during admission but remained asymptomatic. Discussed at length with patient and his wife (using hospital translation services) importance of medication and follow up compliance. Pt was also provided educational materials regarding recent hospitalization, medications, and covid. Pt verbalized understanding. Patient discharged in stable condition to home with plans for follow up with stroke clinic, neurosurgery team, and DGMS outpatient.
Age: 15.0
Sex: M
Vaccine: MMRV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: PATIENT RECEIVED MMRV INSTEAD OF MMR AND VARICELLA SEPERATELY
Age: 53.0
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Diagnosed with Covid.  Received Covid vaccine.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: Patient received Moderna COVID-19 vaccine as first dose 7 months ago inadvertently. He received Pfizer brand of vaccine as second dose. No side effects or adverse reactions reported.
Age: 57.0
Sex: F
Vaccine: COVID19, TDAP, VARZOS
Symptoms: COVID-19, Chronic obstructive pulmonary disease, Condition aggravated, Dyspnoea, Respiratory tract infection
Clinical narrative: Discharge Provider: Private MD Primary Care Provider: Private MD Admission Date: 7/23/2022 Discharge Date: Jul 31, 2022  PRESENTING PROBLEM: COPD exacerbation (HCC) [J44.1] Respiratory tract infection due to COVID-19 virus [U07.1, J98.8]   HOSPITAL COURSE: Patient is a 57 year-old female with PMHx significant for chronic obstructive pulmonary disease on 2-3 L at baseline, pulmonary hypertension, heart failure with preserved ejection fraction, obstructive sleep apnea, chronic pain, depression, history of DVT off anticoagulation and active tobacco abuse presenting with chief complaint of shortness of breath.  The patient was found to have COVID-19 and acute chronic obstructive pulmonary disease exacerbation.  She was requiring 5 L by nasal cannula.  She was treated with Decadron 6 mg daily, IV Remdesivir, doxycycline, nebs, Symbicort, Singulair with improvement.  PT/OT initially recommended SAR however patient progressed to home with outpatient therapy.  The patient discharged home with improved and stable respiratory status back on her baseline O2.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: Hospitalization for COVID 19 pneumonia in a patient with 2 COVID vaccines and one booster
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Body temperature increased, Chills, Decreased appetite, Dyspnoea
Clinical narrative: Administration after 11:00.  Was ok until 3 PM and then started feeling tired. Nausea during supper and little food eaten. Continued to feel weak and tired.  Headache by 9:00 and nausea, chills and Temp 100.5.  Went to bed. Could not even sip water. Felt awful. At 2:00 AM woke up to urinate. Still feeling very nauseated. Could not get up and return to bed. My husband heard me in bathroom. Something like breathing difficulty, he found me sitting and he called my name but I did not respond. He put me on the floor and blew into my mouth 2 times. I remember looking up and saying " I just want to go to bed" I felt so nauseated and weak. B/P 117/77. Pulse 88. I was sweating all over, arms, legs. He used cool compresses on them. I slept  and awoke  7/28,  somewhat better overall. No appetite, some nausea and headache. Felt ill until Friday night. Started to eat and drink more.7/29
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Dysstasia, Fatigue, Feeling abnormal, Fluid intake reduced, Headache
Clinical narrative: Administration after 11:00.  Was ok until 3 PM and then started feeling tired. Nausea during supper and little food eaten. Continued to feel weak and tired.  Headache by 9:00 and nausea, chills and Temp 100.5.  Went to bed. Could not even sip water. Felt awful. At 2:00 AM woke up to urinate. Still feeling very nauseated. Could not get up and return to bed. My husband heard me in bathroom. Something like breathing difficulty, he found me sitting and he called my name but I did not respond. He put me on the floor and blew into my mouth 2 times. I remember looking up and saying " I just want to go to bed" I felt so nauseated and weak. B/P 117/77. Pulse 88. I was sweating all over, arms, legs. He used cool compresses on them. I slept  and awoke  7/28,  somewhat better overall. No appetite, some nausea and headache. Felt ill until Friday night. Started to eat and drink more.7/29