chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: F
Vaccine: HPV4, HPV9, MENB
Symptoms: Syncope
Clinical narrative: Patient experienced syncope; dose of HPV vaccine; This spontaneous report was received from a consumer through Pfizer, referring to a 16-year-old female patient. Information regarding the patient's medical history, concurrent conditions and concomitant therapies was not provided.   On an unspecified date, the patient was administered a dose of HPV rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) or quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) (reported as HPV vaccine, manufacturer unknown) (product origin unknown) as prophylaxis (dose, route of administration, vaccine scheme, lot number and expiration date were not reported). Other suspect vaccine included meningococcal vaccine b rfhbpa/fhbpb (TRUMENBA) (indication, dose, route of administration, lot number and expiration date were not reported).   After the administration of the vaccines, the patient experienced syncope. The outcome of syncope and the causal relationship between the suspect vaccines and the event were not reported.   Upon internal review, the event of syncope was determined to be medically significant.
Sex: U
Vaccine: MMR
Symptoms: Expired product administered, No adverse event
Clinical narrative: No additional AE details available; patient received an expired MMR II dose today; This spontaneous report was received from a licensed practical nurse and refers to a 36-year-old patient of unknown gender. No information regarding the patient's medical history, concurrent conditions or concomitant therapies was provided.  On 27-MAY-2022, the patient was vaccinated with an expired dose of measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II) rHA, 1 dose, lot #T016352, expiration date: 12-MAY-2022 (strength and route of administration were not provided) for prophylaxis (Expired product administered). No adverse events were reported (No adverse event). No temperature excursions were reported.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Dizziness, Dysphagia, Dyspnoea, Flushing
Clinical narrative: Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: GIVEN IM DIPHENHYDRAMINE 50MG/ML 1ML- S/P 15 MINS GAVE 1 EPIPEPN 0.3MG EVERY 5 MINS- 1ST SHOT PATIENT ADMINSTERED. NO IMPROVEMENT-CALLED EMERGENCY NUMBER- PARAMEDICS CAME IN AND TOOK IT AFTER THAT
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Pruritus, Throat tightness
Clinical narrative: Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: GIVEN IM DIPHENHYDRAMINE 50MG/ML 1ML- S/P 15 MINS GAVE 1 EPIPEPN 0.3MG EVERY 5 MINS- 1ST SHOT PATIENT ADMINSTERED. NO IMPROVEMENT-CALLED EMERGENCY NUMBER- PARAMEDICS CAME IN AND TOOK IT AFTER THAT
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Dysphonia, Dyspnoea, Hypertensive emergency, Immediate post-injection reaction
Clinical narrative: Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: GIVEN IM DIPHENHYDRAMINE 50MG/ML 1ML- S/P 15 MINS GAVE 1 EPIPEPN 0.3MG EVERY 5 MINS- 1ST SHOT PATIENT ADMINSTERED. NO IMPROVEMENT-CALLED EMERGENCY NUMBER- PARAMEDICS CAME IN AND TOOK IT AFTER THAT
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Obstructive airways disorder, Speech disorder, Urticaria
Clinical narrative: Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: GIVEN IM DIPHENHYDRAMINE 50MG/ML 1ML- S/P 15 MINS GAVE 1 EPIPEPN 0.3MG EVERY 5 MINS- 1ST SHOT PATIENT ADMINSTERED. NO IMPROVEMENT-CALLED EMERGENCY NUMBER- PARAMEDICS CAME IN AND TOOK IT AFTER THAT
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Injection site pain, Pain in extremity, Product preparation issue
Clinical narrative: Site: Pain at Injection Site-Medium, Error: Wrong Dose of Vaccine - Too High-, Additional Details: Tacie was given 0.2ml of undiluted Pfizer vaccine.  Dose given was too high.  Spoke with dad and he states paitent is feeling fine other than a very sore arm.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Systemic: Allergic: Rash Generalized-Mild, Additional Details: Vaccine given around noon. Patient's father called at approximately 4:30 PM to let us know about patient's hives. He was advised to give patient Benadryl 25 mg, and to contact primary care provider if symptoms persist.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: Error: Leaking from Syringe-
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was given booster of Moderna right dose but he would be 18 in two months. Call to patient, No adverse reaction & he states he asked for Moderna not for Pfizer. No adverse effect.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: hospitalization for covid in a fully vaccinated and boosted pt
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Headache, Influenza like illness, Injection site pain, Insomnia
Clinical narrative: Feverish feeling but NO fever.  Generalized body aches (flu-like). Weak.  Headache.  Sleeplessness.  Injection site soreness.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Feverish feeling but NO fever.  Generalized body aches (flu-like). Weak.  Headache.  Sleeplessness.  Injection site soreness.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea
Clinical narrative: history of COVID-19 infection 5/29/22, lives at a nursing home and that his breathing is feeling more labored than usual.       Admin Location (Facility) Pharmacy Loc. "PRIVATE"
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: incidentally COVID positive. He is asymptomatic. No oxygen requirement. Initiate remdesivir x5 days.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Decreased appetite, Fatigue
Clinical narrative: generalized weakness, fatigue, dry cough, decrease appetite and congestion with recent diagnosis of COVID-19.  While in the emergency department she had oxygen saturation dropped to 86% and sustain for a long period that she was placed on 1-2 L
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Respiratory tract congestion
Clinical narrative: generalized weakness, fatigue, dry cough, decrease appetite and congestion with recent diagnosis of COVID-19.  While in the emergency department she had oxygen saturation dropped to 86% and sustain for a long period that she was placed on 1-2 L
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia
Clinical narrative: admitted 5/12 for management of acute hypoxic respiratory failure secondary to COVID pneumonia.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: His presentation comes in the context of an incidentally discovered COVID-19 infection
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Patient presents to the emergency department with a known history of positive COVID test on 05/27 with his wife being positive on 05/25.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Dyspnoea
Clinical narrative: who presents with concerns regarding shortness of breath and chest pain in the setting of COVID.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID BREAKTHROUGH CASE
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Sensory disturbance
Clinical narrative: Patient states that she is still experiencing intermittent pain in arm with pinching sensation on & off since vaccination.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray normal, Cough, Electrocardiogram abnormal
Clinical narrative: Pt to the ED 5/15 with c/o generalized weakness, pt reports inability to transfer from bed to wheelchair. Reports recent cough for two weeks. Upon evaluation in the ED the patient was found to be COVID-19 positive.  His twelve-lead EKG showed atrial sensed ventricular paced rhythm without ischemic changes.  Chest x-ray was unremarkable. Patient was evaluated in the ED where he was found to be resting comfortably in no acute distress denies having active chest pain or chest pressure.  During the remaining course of hospitalization, the patient had no other significant events and renal function remained relatively stable for discharge on 5/27.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mobility decreased, Pacemaker generated rhythm, SARS-CoV-2 test positive, Wheelchair user
Clinical narrative: Pt to the ED 5/15 with c/o generalized weakness, pt reports inability to transfer from bed to wheelchair. Reports recent cough for two weeks. Upon evaluation in the ED the patient was found to be COVID-19 positive.  His twelve-lead EKG showed atrial sensed ventricular paced rhythm without ischemic changes.  Chest x-ray was unremarkable. Patient was evaluated in the ED where he was found to be resting comfortably in no acute distress denies having active chest pain or chest pressure.  During the remaining course of hospitalization, the patient had no other significant events and renal function remained relatively stable for discharge on 5/27.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid breakthrough case
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood test abnormal, Breast cyst, Breast pain, Burning sensation
Clinical narrative: On Oct 11th, few months after shot, body started burning up and was hot to touch, but recorded temperature stayed normal in several different facilities. Was not able to sleep for 2-3 because of body heat, and when in cold rooms or showers would shake and have chills. Few days later found that B12 helped with sleep, anxiety, and cooling down-- so continued to take supplements after and was able to sleep, heat issues went away until Nov 1st.   Nov 1st heat issues came back again and lasted for a month. Experienced anxiety attacks on and off that month-- symptoms such as chest pain/difficulty breathing, ear ringing, spotting in urine everyday, breast pain and breast cysts occurred. Took several blood tests that came up clear excepts high levels of DHEAS (600 µg/dL).  After body heat issues went away towards the beginning of Dec, experienced a day of extreme fatigue followed by pinpricks of pain all over body, especially in left side of body and left arm. Bouts of insomnia for several weeks, spotting went away, DHEAS fluctuated, anxiety symptoms went away.  No diagnosis nor treatment was prescribed by any doctors or specialist. Sought alternative treatment, afterwards experienced symptoms of hormone imbalance for several months. Might have had something to do with thyroid, but unsure. Poor sleep, poor nutrition, B12 deficiency, and chronic stress could have also contributed to factors.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Condition aggravated, Dehydroepiandrosterone increased, Dyspnoea
Clinical narrative: On Oct 11th, few months after shot, body started burning up and was hot to touch, but recorded temperature stayed normal in several different facilities. Was not able to sleep for 2-3 because of body heat, and when in cold rooms or showers would shake and have chills. Few days later found that B12 helped with sleep, anxiety, and cooling down-- so continued to take supplements after and was able to sleep, heat issues went away until Nov 1st.   Nov 1st heat issues came back again and lasted for a month. Experienced anxiety attacks on and off that month-- symptoms such as chest pain/difficulty breathing, ear ringing, spotting in urine everyday, breast pain and breast cysts occurred. Took several blood tests that came up clear excepts high levels of DHEAS (600 µg/dL).  After body heat issues went away towards the beginning of Dec, experienced a day of extreme fatigue followed by pinpricks of pain all over body, especially in left side of body and left arm. Bouts of insomnia for several weeks, spotting went away, DHEAS fluctuated, anxiety symptoms went away.  No diagnosis nor treatment was prescribed by any doctors or specialist. Sought alternative treatment, afterwards experienced symptoms of hormone imbalance for several months. Might have had something to do with thyroid, but unsure. Poor sleep, poor nutrition, B12 deficiency, and chronic stress could have also contributed to factors.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling hot, Hormone level abnormal, Insomnia, Pain
Clinical narrative: On Oct 11th, few months after shot, body started burning up and was hot to touch, but recorded temperature stayed normal in several different facilities. Was not able to sleep for 2-3 because of body heat, and when in cold rooms or showers would shake and have chills. Few days later found that B12 helped with sleep, anxiety, and cooling down-- so continued to take supplements after and was able to sleep, heat issues went away until Nov 1st.   Nov 1st heat issues came back again and lasted for a month. Experienced anxiety attacks on and off that month-- symptoms such as chest pain/difficulty breathing, ear ringing, spotting in urine everyday, breast pain and breast cysts occurred. Took several blood tests that came up clear excepts high levels of DHEAS (600 µg/dL).  After body heat issues went away towards the beginning of Dec, experienced a day of extreme fatigue followed by pinpricks of pain all over body, especially in left side of body and left arm. Bouts of insomnia for several weeks, spotting went away, DHEAS fluctuated, anxiety symptoms went away.  No diagnosis nor treatment was prescribed by any doctors or specialist. Sought alternative treatment, afterwards experienced symptoms of hormone imbalance for several months. Might have had something to do with thyroid, but unsure. Poor sleep, poor nutrition, B12 deficiency, and chronic stress could have also contributed to factors.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus, Tremor
Clinical narrative: On Oct 11th, few months after shot, body started burning up and was hot to touch, but recorded temperature stayed normal in several different facilities. Was not able to sleep for 2-3 because of body heat, and when in cold rooms or showers would shake and have chills. Few days later found that B12 helped with sleep, anxiety, and cooling down-- so continued to take supplements after and was able to sleep, heat issues went away until Nov 1st.   Nov 1st heat issues came back again and lasted for a month. Experienced anxiety attacks on and off that month-- symptoms such as chest pain/difficulty breathing, ear ringing, spotting in urine everyday, breast pain and breast cysts occurred. Took several blood tests that came up clear excepts high levels of DHEAS (600 µg/dL).  After body heat issues went away towards the beginning of Dec, experienced a day of extreme fatigue followed by pinpricks of pain all over body, especially in left side of body and left arm. Bouts of insomnia for several weeks, spotting went away, DHEAS fluctuated, anxiety symptoms went away.  No diagnosis nor treatment was prescribed by any doctors or specialist. Sought alternative treatment, afterwards experienced symptoms of hormone imbalance for several months. Might have had something to do with thyroid, but unsure. Poor sleep, poor nutrition, B12 deficiency, and chronic stress could have also contributed to factors.
Age: 12.0
Sex: M
Vaccine: MENB
Symptoms: Wrong product administered
Clinical narrative: Bexero administered instead of Menveo
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid breakthrough case
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, Cough
Clinical narrative: I experienced bronchitis and a bad cough that is stuck in the upper part of my lungs.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Booster dose given to patient too soon after primary series. 1st dose Pfizer Lot # EW0186, given IM, RD, dose #1 in series given on 08/31/2021 2nd dose below
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Tremor
Clinical narrative: About 12 hours after the shot I got severe chills and shaking, with a headache.  This lasted about 6 and a half hours, in spite of taking a Tylenol ever 4-5 hours after the shot.
Age: 61.0
Sex: M
Vaccine: PPV
Symptoms: Wrong product administered
Clinical narrative: PPSV23 given instead of PCV20
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: On 5/25 I developed a dry cough, congestion, runny nose, and a headache. I took an at home Covid test and that was positive, so I went to my local hospital and verified my results. I had a telehealth appointment with my doctor who advised that I not take my pravastatin and prescribed Paxlovid, vitamin C, and zinc lozenges. I'm done with the medication now and feeling about 95% better. I really began feeling better around 3 days after I started the medication. The only thing I have now is a little bit of a cough and that is improved.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: On 5/25 I developed a dry cough, congestion, runny nose, and a headache. I took an at home Covid test and that was positive, so I went to my local hospital and verified my results. I had a telehealth appointment with my doctor who advised that I not take my pravastatin and prescribed Paxlovid, vitamin C, and zinc lozenges. I'm done with the medication now and feeling about 95% better. I really began feeling better around 3 days after I started the medication. The only thing I have now is a little bit of a cough and that is improved.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute myocardial infarction, Anticoagulant therapy, Asymptomatic COVID-19, Atrioventricular block complete, COVID-19
Clinical narrative: Patient presented with severe heart burn symptoms and was found to have inferior ST elevation on the EKG as well as 3AVB in the ER. She was taken emergently to the cath lab by Dr. and had PCI of the RCA on 5/22/2022. Her CHB resolved - there was no recurrence. 2 days later on 5/24/2022 she underwent staged PCI of the ramus branch. Echo showed EF 55-60% with no WMA. The second cardiac cath was complicated by a groin hematoma. Pressor support with Levophed was added and she was kept in the CCU. SQ heparin was held. Her Hgb dropped from ~ 11.4 to 9.5, likely because of continuous IVF being given at 75 mL/hour.  See procedure notes for complete details.  Her groin was stable with significant bruising, but no firmness or swelling.  On day of discharge, she was feeling well with no cardiorespiratory symptoms and was ambulating without difficulty. Vitals were stable and she was maintaining SR / ST; no recurrence of CHB. She was also incidentally found to have COVID - supportive care was recommended. She had no symptoms directly attributable to COVID during her hospitalization.  The remainder of her hospital course was unremarkable.  """
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Catheterisation cardiac abnormal, Contusion, Ejection fraction normal, Electrocardiogram ST segment elevation, Haematoma
Clinical narrative: Patient presented with severe heart burn symptoms and was found to have inferior ST elevation on the EKG as well as 3AVB in the ER. She was taken emergently to the cath lab by Dr. and had PCI of the RCA on 5/22/2022. Her CHB resolved - there was no recurrence. 2 days later on 5/24/2022 she underwent staged PCI of the ramus branch. Echo showed EF 55-60% with no WMA. The second cardiac cath was complicated by a groin hematoma. Pressor support with Levophed was added and she was kept in the CCU. SQ heparin was held. Her Hgb dropped from ~ 11.4 to 9.5, likely because of continuous IVF being given at 75 mL/hour.  See procedure notes for complete details.  Her groin was stable with significant bruising, but no firmness or swelling.  On day of discharge, she was feeling well with no cardiorespiratory symptoms and was ambulating without difficulty. Vitals were stable and she was maintaining SR / ST; no recurrence of CHB. She was also incidentally found to have COVID - supportive care was recommended. She had no symptoms directly attributable to COVID during her hospitalization.  The remainder of her hospital course was unremarkable.  """
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Haemoglobin decreased, Intensive care, Percutaneous coronary intervention, SARS-CoV-2 test positive
Clinical narrative: Patient presented with severe heart burn symptoms and was found to have inferior ST elevation on the EKG as well as 3AVB in the ER. She was taken emergently to the cath lab by Dr. and had PCI of the RCA on 5/22/2022. Her CHB resolved - there was no recurrence. 2 days later on 5/24/2022 she underwent staged PCI of the ramus branch. Echo showed EF 55-60% with no WMA. The second cardiac cath was complicated by a groin hematoma. Pressor support with Levophed was added and she was kept in the CCU. SQ heparin was held. Her Hgb dropped from ~ 11.4 to 9.5, likely because of continuous IVF being given at 75 mL/hour.  See procedure notes for complete details.  Her groin was stable with significant bruising, but no firmness or swelling.  On day of discharge, she was feeling well with no cardiorespiratory symptoms and was ambulating without difficulty. Vitals were stable and she was maintaining SR / ST; no recurrence of CHB. She was also incidentally found to have COVID - supportive care was recommended. She had no symptoms directly attributable to COVID during her hospitalization.  The remainder of her hospital course was unremarkable.  """
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Hysteroscopy normal, Immunisation reaction, Postmenopausal haemorrhage, Ultrasound scan abnormal
Clinical narrative: I had vagina blood spotting on Mon Jan 17th which was unusual because I no longer have a period so I called my GYM Dr.  I saw Dr. initially she did an ultrasound. Then I had another office visit with her, I went 3 days in a row to that office. She told me to get a hysteroscopy. I found a doctor with hysteroscopy equipment and (second Dr.) and it was performed in the office. Results showed everything was good, he said I was a 50th patient presenting with the same spotting bleeding incident that occurred just one time and he believes it's related to the vaccine and/or COVID but I never had COVID to my knowledge.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Benign prostatic hyperplasia, COVID-19, Carotid artery stenosis, Cerebellar infarction, Cerebral infarction
Clinical narrative: "87 YO male with h/o hypertension and BPH who presented to the ER for evaluation of acute onset vertigo and projectile vomiting.  At approximately 5:30 p.m. today, he sat down while eating dinner and developed acute onset vertigo characterized as room spinning sensation with subsequent projectile vomiting.  He went to go lay down, which was followed by patient falling off the bed and hitting his left forehead.  He notes chronic dizziness, but this was different from any other episode. He denies any previous history of CVA or TIA.  He denies any history of epilepsy. He follows with a doctor for carotid artery stenosis. Hospitalist team asked to admit for further monitoring. MRI brain obtained revealed multiple cerebellar infarcts. Teleneurology consulted and recommend DAPT for 21 days with Plavix 75mg Monotherapy indefinitely. He is to obtain TEE to assess for vegetations and atrial appendages. He is to wear Zio monitor to assess for arrhythmia with results sent to our cardiology team. He is to follow with Neurology and PCP as able. He is discharged home in stable condition. "
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cerebrovascular accident, Condition aggravated, Dizziness, Fall, Glaucoma
Clinical narrative: "87 YO male with h/o hypertension and BPH who presented to the ER for evaluation of acute onset vertigo and projectile vomiting.  At approximately 5:30 p.m. today, he sat down while eating dinner and developed acute onset vertigo characterized as room spinning sensation with subsequent projectile vomiting.  He went to go lay down, which was followed by patient falling off the bed and hitting his left forehead.  He notes chronic dizziness, but this was different from any other episode. He denies any previous history of CVA or TIA.  He denies any history of epilepsy. He follows with a doctor for carotid artery stenosis. Hospitalist team asked to admit for further monitoring. MRI brain obtained revealed multiple cerebellar infarcts. Teleneurology consulted and recommend DAPT for 21 days with Plavix 75mg Monotherapy indefinitely. He is to obtain TEE to assess for vegetations and atrial appendages. He is to wear Zio monitor to assess for arrhythmia with results sent to our cardiology team. He is to follow with Neurology and PCP as able. He is discharged home in stable condition. "
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Head injury, Hyperchloraemia, Hyperglycaemia, Lipase increased, Lower urinary tract symptoms
Clinical narrative: "87 YO male with h/o hypertension and BPH who presented to the ER for evaluation of acute onset vertigo and projectile vomiting.  At approximately 5:30 p.m. today, he sat down while eating dinner and developed acute onset vertigo characterized as room spinning sensation with subsequent projectile vomiting.  He went to go lay down, which was followed by patient falling off the bed and hitting his left forehead.  He notes chronic dizziness, but this was different from any other episode. He denies any previous history of CVA or TIA.  He denies any history of epilepsy. He follows with a doctor for carotid artery stenosis. Hospitalist team asked to admit for further monitoring. MRI brain obtained revealed multiple cerebellar infarcts. Teleneurology consulted and recommend DAPT for 21 days with Plavix 75mg Monotherapy indefinitely. He is to obtain TEE to assess for vegetations and atrial appendages. He is to wear Zio monitor to assess for arrhythmia with results sent to our cardiology team. He is to follow with Neurology and PCP as able. He is discharged home in stable condition. "
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging head abnormal, SARS-CoV-2 test positive, Troponin increased, Vertebral artery dissection, Vertebral artery occlusion
Clinical narrative: "87 YO male with h/o hypertension and BPH who presented to the ER for evaluation of acute onset vertigo and projectile vomiting.  At approximately 5:30 p.m. today, he sat down while eating dinner and developed acute onset vertigo characterized as room spinning sensation with subsequent projectile vomiting.  He went to go lay down, which was followed by patient falling off the bed and hitting his left forehead.  He notes chronic dizziness, but this was different from any other episode. He denies any previous history of CVA or TIA.  He denies any history of epilepsy. He follows with a doctor for carotid artery stenosis. Hospitalist team asked to admit for further monitoring. MRI brain obtained revealed multiple cerebellar infarcts. Teleneurology consulted and recommend DAPT for 21 days with Plavix 75mg Monotherapy indefinitely. He is to obtain TEE to assess for vegetations and atrial appendages. He is to wear Zio monitor to assess for arrhythmia with results sent to our cardiology team. He is to follow with Neurology and PCP as able. He is discharged home in stable condition. "
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vertebral artery stenosis, Vertigo, Vomiting projectile
Clinical narrative: "87 YO male with h/o hypertension and BPH who presented to the ER for evaluation of acute onset vertigo and projectile vomiting.  At approximately 5:30 p.m. today, he sat down while eating dinner and developed acute onset vertigo characterized as room spinning sensation with subsequent projectile vomiting.  He went to go lay down, which was followed by patient falling off the bed and hitting his left forehead.  He notes chronic dizziness, but this was different from any other episode. He denies any previous history of CVA or TIA.  He denies any history of epilepsy. He follows with a doctor for carotid artery stenosis. Hospitalist team asked to admit for further monitoring. MRI brain obtained revealed multiple cerebellar infarcts. Teleneurology consulted and recommend DAPT for 21 days with Plavix 75mg Monotherapy indefinitely. He is to obtain TEE to assess for vegetations and atrial appendages. He is to wear Zio monitor to assess for arrhythmia with results sent to our cardiology team. He is to follow with Neurology and PCP as able. He is discharged home in stable condition. "
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Wrong product administered
Clinical narrative: PPSV23 given instead of new guidelines to receive PCV20.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Anal incontinence, Antibody test positive, Asthenia, Balance disorder, Dysphagia
Clinical narrative: Time course to date from 2/22/22 to present. On 2/22/22 I got up out of bed and fell when my feet hit the floor. No pain or weakness prior. A was able to pull myself up used bed post to come to standing. My legs felt numb as if I were walking through mud. From onset to current I use walls and chairs for balance safety,  I use a cane for distance and when tired. Symptoms include frequent falls, bowel incontinence with inability to get to bathroom on time to urinate, balance issues, numbness and tingling, swallowing issues, crawling up stairs, descending stairs one step at a time, inability to climb hills, inability to perform self care, husband installed assistive bars to shower. Inability to walk more than 5 minutes at a time. Unable to navigate long aisles in stores causing me to shop with home delivery which is costly. Weakness/decreased strength both hands. Pins and needles, numbness from feet fingers arms face since onset. very mild to severe like a jolt of electricity. I am unable to get to emergencies quickly at work  and find it a great hardship being at work for a full 8 hours as I become extremely weak. I am unable to carry objects in both hands while walking as I lose my balance and fall.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Electric shock sensation, Fall, Gait disturbance, Hypoaesthesia, Impaired self-care
Clinical narrative: Time course to date from 2/22/22 to present. On 2/22/22 I got up out of bed and fell when my feet hit the floor. No pain or weakness prior. A was able to pull myself up used bed post to come to standing. My legs felt numb as if I were walking through mud. From onset to current I use walls and chairs for balance safety,  I use a cane for distance and when tired. Symptoms include frequent falls, bowel incontinence with inability to get to bathroom on time to urinate, balance issues, numbness and tingling, swallowing issues, crawling up stairs, descending stairs one step at a time, inability to climb hills, inability to perform self care, husband installed assistive bars to shower. Inability to walk more than 5 minutes at a time. Unable to navigate long aisles in stores causing me to shop with home delivery which is costly. Weakness/decreased strength both hands. Pins and needles, numbness from feet fingers arms face since onset. very mild to severe like a jolt of electricity. I am unable to get to emergencies quickly at work  and find it a great hardship being at work for a full 8 hours as I become extremely weak. I am unable to carry objects in both hands while walking as I lose my balance and fall.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Laboratory test abnormal, Muscular weakness, Paraesthesia, Walking aid user
Clinical narrative: Time course to date from 2/22/22 to present. On 2/22/22 I got up out of bed and fell when my feet hit the floor. No pain or weakness prior. A was able to pull myself up used bed post to come to standing. My legs felt numb as if I were walking through mud. From onset to current I use walls and chairs for balance safety,  I use a cane for distance and when tired. Symptoms include frequent falls, bowel incontinence with inability to get to bathroom on time to urinate, balance issues, numbness and tingling, swallowing issues, crawling up stairs, descending stairs one step at a time, inability to climb hills, inability to perform self care, husband installed assistive bars to shower. Inability to walk more than 5 minutes at a time. Unable to navigate long aisles in stores causing me to shop with home delivery which is costly. Weakness/decreased strength both hands. Pins and needles, numbness from feet fingers arms face since onset. very mild to severe like a jolt of electricity. I am unable to get to emergencies quickly at work  and find it a great hardship being at work for a full 8 hours as I become extremely weak. I am unable to carry objects in both hands while walking as I lose my balance and fall.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray normal, Exposure to SARS-CoV-2, Influenza A virus test negative
Clinical narrative: Patient sent by EMS 5/16 for being more lethargic at home for the last 2 days. She is a hospice patient with Hospice. Family states she had a recent covid exposure, has been more weak, and they have been unable to turn/change her. Patient currently states she feels good and is no pain. Denies CP, SOB, fevers, chills, n/v. Patient due to mental status issues, is unable to provide me any history. All history is from the chart. Patient's admission chest x-ray showed no acute process with COVID testing 5/16 showing positive results with negative flu A and B. Maintained on Rocephin. On day of DC, pt is stable for discharge home 5/23.  Patient is feeling better, denies CP, SOB, HA, dizziness.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Influenza B virus test, Lethargy, Mobility decreased, SARS-CoV-2 test positive
Clinical narrative: Patient sent by EMS 5/16 for being more lethargic at home for the last 2 days. She is a hospice patient with Hospice. Family states she had a recent covid exposure, has been more weak, and they have been unable to turn/change her. Patient currently states she feels good and is no pain. Denies CP, SOB, fevers, chills, n/v. Patient due to mental status issues, is unable to provide me any history. All history is from the chart. Patient's admission chest x-ray showed no acute process with COVID testing 5/16 showing positive results with negative flu A and B. Maintained on Rocephin. On day of DC, pt is stable for discharge home 5/23.  Patient is feeling better, denies CP, SOB, HA, dizziness.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Atrial fibrillation, Choking, Cognitive disorder, Condition aggravated
Clinical narrative: "Patient was admitted with Atrial fibrillation with rapid ventricular response which responded to rate control with NOAC for stroke preventions CHADs2 score 3. On the day prior to discharge she was found to be COVID 19 positive she remained asymptomatic. She was pleasant and ambulatory during her stay. Due to her cognitive impairment she tends to "wolf her food down" rapidly and has occ been noted to choke and cough. SLP evaluation early in the year noted same she was placed on a dysphagia 3 level diet. During her hospital stay she was maintained on a puree diet and it is now recommended she remain on the puree diet. Consider giving limited amount of food in sequence during meals."
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Dysphagia, Eating disorder, Medical diet, SARS-CoV-2 test positive
Clinical narrative: "Patient was admitted with Atrial fibrillation with rapid ventricular response which responded to rate control with NOAC for stroke preventions CHADs2 score 3. On the day prior to discharge she was found to be COVID 19 positive she remained asymptomatic. She was pleasant and ambulatory during her stay. Due to her cognitive impairment she tends to "wolf her food down" rapidly and has occ been noted to choke and cough. SLP evaluation early in the year noted same she was placed on a dysphagia 3 level diet. During her hospital stay she was maintained on a puree diet and it is now recommended she remain on the puree diet. Consider giving limited amount of food in sequence during meals."
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest, Death
Clinical narrative: Participant admitted to hospital with cardiac arrest 5/16. Expired 5/22.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: incidentally noted COVID infection.
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Eye movement disorder, Foaming at mouth, Joint stiffness, Seizure
Clinical narrative: Patient had a seizure on Sunday May 29th two days later at 5am ? eyes rolled in the back of his head? foaming at his mouth. ? and joints completely stiff. This was his first time having a seizure
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Productive cough, Respiratory tract congestion
Clinical narrative: Reports that he has had a cough with some production.  Also notes some chest congestion.  His initial symptom was sore throat, that persists.  He has not felt short of breath
Age: 59.0
Sex: M
Vaccine: PPV
Symptoms: Wrong product administered
Clinical narrative: PPSV23 administered instead of new guideline for PCV20.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pyrexia, Vomiting
Clinical narrative: history of cerebral palsy who presents from her facility for concerns of chills, nonbloody emesis x1, and fever.  T-max of 102° F.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Influenza A virus test, Influenza B virus test, Malaise
Clinical narrative: On Christmas day he started not feeling well, he had a runny nose and congestion. We did a rapid home test the next day and it was positive. He had started coughing at this point. We went and got a PCR test on the 27th and that was positive as well. He really only had cold like symptoms, coughing congestion runny nose and low grade fever. He was recovered and doing better with in about give days.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Nasopharyngitis, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: On Christmas day he started not feeling well, he had a runny nose and congestion. We did a rapid home test the next day and it was positive. He had started coughing at this point. We went and got a PCR test on the 27th and that was positive as well. He really only had cold like symptoms, coughing congestion runny nose and low grade fever. He was recovered and doing better with in about give days.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, SARS-CoV-2 test positive
Clinical narrative: COVID-19 testing positive.  Chest x-ray reported no significant change compared to 07/2016
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Mania, SARS-CoV-2 test positive
Clinical narrative: The patient presented to the emergency department for manic behavior and was incidentally found to be COVID positive.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Aspiration, COVID-19, Endotracheal intubation, Mechanical ventilation
Clinical narrative: Acute hypoxemic respiratory failure requiring intubation and mechanical ventilation, query aspiration event.  #COVID-19 infection (COVID-19 vaccine x2 April 2021) and pneumonia versus aspiration event (most likely).
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia
Clinical narrative: Acute hypoxemic respiratory failure requiring intubation and mechanical ventilation, query aspiration event.  #COVID-19 infection (COVID-19 vaccine x2 April 2021) and pneumonia versus aspiration event (most likely).
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: she tested positive for COVID-19 on admission asymptomatic PCR screening and her surgery was postponed.  Antigen COVID test was performed and was negative.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Injection site pain, Pain, Photophobia, Respiratory tract congestion
Clinical narrative: - Soreness at injection site, congestion and headache for 2-3 days. - Piercing pain/headache and light sensitivity originating in both eyes for 6-8 weeks gradually getting better. - Ringing in both ears, intermittent at first but now it is constant and seems to get worse.  Currently and continuing side effect.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: - Soreness at injection site, congestion and headache for 2-3 days. - Piercing pain/headache and light sensitivity originating in both eyes for 6-8 weeks gradually getting better. - Ringing in both ears, intermittent at first but now it is constant and seems to get worse.  Currently and continuing side effect.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal sensation in eye, Herpes zoster, Paraesthesia
Clinical narrative: Two days after vaccine patient development of tinging of right forehead and gritty sensation on right eye, diagnosed with herpes zoster without complication. Patient never received shingles vaccine. Evaluation in the ER on 04/30/2022, started on valacyclovir 1000mg PO three times daily and zofran PRN for nausea. Patient also had ophthomology examination on 04/30/22 without concern for ocular involvement.
Age: 59.0
Sex: M
Vaccine: PPV
Symptoms: Wrong product administered
Clinical narrative: PPSV23 administered instead of new guidelines to use PCV20.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, COVID-19, Death, Inappropriate schedule of product administration, Multimorbidity
Clinical narrative: 4/29/22 pt admitted to hosp; positive for COVID; extensive comorbidities; given O2 supplementation, dexamethasone, remdesivir; pt experienced A Fib with RVR; pt decided to become DNR/DNI; requesting comfort care and hospice; pt passed away in the hospital
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 4/29/22 pt admitted to hosp; positive for COVID; extensive comorbidities; given O2 supplementation, dexamethasone, remdesivir; pt experienced A Fib with RVR; pt decided to become DNR/DNI; requesting comfort care and hospice; pt passed away in the hospital
Sex: U
Vaccine: COVID19
Symptoms: Breast pain, Burning sensation, Lymph node pain, Mammogram normal, Oedema peripheral
Clinical narrative: Started as pain deep in left breast. Radiated under left arm and up to lymph nodes on left side of neck within two weeks. Left side of neck and under arm slightly swollen Pain, burning and throbbing have been intermittent with worst occurring the week Startinng May 15. Has been slowly lessening
Sex: U
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Swelling, Ultrasound scan normal
Clinical narrative: Started as pain deep in left breast. Radiated under left arm and up to lymph nodes on left side of neck within two weeks. Left side of neck and under arm slightly swollen Pain, burning and throbbing have been intermittent with worst occurring the week Startinng May 15. Has been slowly lessening
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiogram, Cerebral artery thrombosis, Cerebrovascular accident, Echocardiogram normal, Electrocardiogram normal
Clinical narrative: I suffered a stroke due to formation of a blood clot in a major artery leading to my brain. It is unknown as to whether this event correlates to the vaccines especially because the date of vaccination and the date of this event are separated by approx. 8 mos. I am reporting this as a precaution in the vent other adverse events similarly occurred in other people. It should be noted that all available heart tests have been performed with negative results thus the cause of this clot is unknown.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging, Scan brain
Clinical narrative: I suffered a stroke due to formation of a blood clot in a major artery leading to my brain. It is unknown as to whether this event correlates to the vaccines especially because the date of vaccination and the date of this event are separated by approx. 8 mos. I am reporting this as a precaution in the vent other adverse events similarly occurred in other people. It should be noted that all available heart tests have been performed with negative results thus the cause of this clot is unknown.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer, Case MOD22-013894. The manufacturer tested the lot number 084J21A. Data revealed that the vaccine administered on April 1 to April 8, 2022 from lot number 084J21A likely maintained activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. The vaccine administered on April 9 to May 11, 2022 from lot number 084J21A likely did not maintain the activity necessary to fully protect against the SARS-CoV-2 (COVID-19) virus at time of administration. We are working on contacting the patient and recommending re-vaccination. No ill effect post vaccination has been reported to our practice.
Age: 61.0
Sex: M
Vaccine: PPV
Symptoms: Wrong product administered
Clinical narrative: PPSV23 administered instead of new guideline for PCV 20.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Pulmonary embolism, Pulmonary thrombosis, Thrombosis, Tinnitus
Clinical narrative: severe tinnitus (still have though not acute) blood clot, traveled to lungs causing pulmonary embolism
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Dysstasia, Hemiparesis
Clinical narrative: neurological - left sided weakness, un able to stand well, leaning to left side
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer, Case MOD22-013894. The manufacturer tested the lot number 084J21A. Data revealed that the vaccine administered on April 1 to April 8, 2022 from lot number 084J21A likely maintained activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. The vaccine administered on April 9 to May 11, 2022 from lot number 084J21A likely did not maintain the activity necessary to fully protect against the SARS-CoV-2 (COVID-19) virus at time of administration. We are working on contacting the patient and recommending re-vaccination. No ill effect post vaccination has been reported to our practice.