chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 63.0
Sex: M
Vaccine: COVID19-2, FLU4, HEP, TDAP
Symptoms: Neutropenia, Occult blood positive, Red blood cell transfusion, SARS-CoV-2 test positive, Staphylococcal infection
Clinical narrative: Discharge Provider: DO Primary Care Provider: MD Admission Date: 5/2/2023 Discharge Date: 5/9/23   PRESENTING PROBLEM: AKI (acute kidney injury) (HCC) [N17.9]   HOSPITAL COURSE: 64  Yo male 3 months  s/p bilateral lung transplasnt for COPD presented with complaints of worsening diarrhea. He was sent initially to OSH  ER and found to have profound neutropenia, anemia, AKI with metabolic acidosis and hyperkalemia. CT thorax with new tree-in-bud opacities in RLL. Found to be Covid +. He was transferred to hospital for further management. A bronchoscopy was completed upon admission given CT changes which was positive for staph aureus. Patient was treated with 10d of abx, initially ancef then cefuroxime on dc. Additional his film array was positive for COVID. Given ongoing diarrhea symptoms which was thought to be related to COVID, treatment with remdesivir was completed.  Regarding his severe AKI, this was felt to be likely from a combination of dehydration from diarrhea as well as severely high tacrolimus level also likely from diarrhea symptoms. Tacrolimus was held. AKI resolved completely after initiation of IVF and holding offending agents. Eventually tacrolimus was resumed without issue once kidney injury had resolved  In addition to the AKI patient was severely neutropenic and anemic. He was given 1u RBC and hematology was consulted. After testing it was determined the cause was likely bone marrow suppression from toxic levels of his valcyte and tacrolimus. Patient was given 3 doses of neupogen inpatient and neutropenia recovered. Valcyte was eventually resumed 5/8 after CMV level was checked which was 0. For his anemia, EPO was given 5/7 and hemoglobin remained stable after 1u RBC. Stool occult blood was found to be positive but given stable hemologobin and known colitis on CT which can cause positive occult blood, further GI workup was not completed but this will be followed closely as an outpatient.  Patient was discharged home in stable condition with plans to get outpatient labs 5/11 and be seen in clinic next week.
Age: 63.0
Sex: M
Vaccine: COVID19-2, FLU4, HEP, TDAP
Symptoms: Staphylococcus test positive
Clinical narrative: Discharge Provider: DO Primary Care Provider: MD Admission Date: 5/2/2023 Discharge Date: 5/9/23   PRESENTING PROBLEM: AKI (acute kidney injury) (HCC) [N17.9]   HOSPITAL COURSE: 64  Yo male 3 months  s/p bilateral lung transplasnt for COPD presented with complaints of worsening diarrhea. He was sent initially to OSH  ER and found to have profound neutropenia, anemia, AKI with metabolic acidosis and hyperkalemia. CT thorax with new tree-in-bud opacities in RLL. Found to be Covid +. He was transferred to hospital for further management. A bronchoscopy was completed upon admission given CT changes which was positive for staph aureus. Patient was treated with 10d of abx, initially ancef then cefuroxime on dc. Additional his film array was positive for COVID. Given ongoing diarrhea symptoms which was thought to be related to COVID, treatment with remdesivir was completed.  Regarding his severe AKI, this was felt to be likely from a combination of dehydration from diarrhea as well as severely high tacrolimus level also likely from diarrhea symptoms. Tacrolimus was held. AKI resolved completely after initiation of IVF and holding offending agents. Eventually tacrolimus was resumed without issue once kidney injury had resolved  In addition to the AKI patient was severely neutropenic and anemic. He was given 1u RBC and hematology was consulted. After testing it was determined the cause was likely bone marrow suppression from toxic levels of his valcyte and tacrolimus. Patient was given 3 doses of neupogen inpatient and neutropenia recovered. Valcyte was eventually resumed 5/8 after CMV level was checked which was 0. For his anemia, EPO was given 5/7 and hemoglobin remained stable after 1u RBC. Stool occult blood was found to be positive but given stable hemologobin and known colitis on CT which can cause positive occult blood, further GI workup was not completed but this will be followed closely as an outpatient.  Patient was discharged home in stable condition with plans to get outpatient labs 5/11 and be seen in clinic next week.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Headache, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I had congestion, headache, no fever. I went to the doctor because I thought I head cold. They tested me for COVID-19, it came back positive, I was prescribed Paxlovid. I did start feeling better within a couple of days. I tested negative within four days of starting the medication.
Age: 1.0
Sex: M
Vaccine: HEPA, MMRV
Symptoms: Inappropriate schedule of product administration
Clinical narrative: PATEINT WAS GIVEN VACCINE TO SOON
Age: 4.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient received incorrect dose after CDC discontinued monovalent dose.  Patient given Moderna Bivalent Pink Cap/yellow label 0.2ml/10ug. Should have received Moderna Bivalent Blue cap/gray label 0.25ml/25ug.
Age: 87.0
Sex: M
Vaccine: COVID19-2
Symptoms: Anaemia, Asthenia, Bundle branch block right, COVID-19, Chest X-ray normal
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 5/5/2023 Discharge Date: 5/7/2023  PRESENTING PROBLEM: Weakness [R53.1] Generalized weakness [R53.1] Laceration of scalp without foreign body, initial encounter [S01.01XA] Fall from standing, initial encounter [W19.XXXA] COVID-19 virus infection [U07.1]   HOSPITAL COURSE: Patient is a 87 y.o. male who presented to the emergency department with complaints of weakness.  Patient has a past medical history including hypertension, coronary artery disease, stage 3 chronic kidney disease, anemia of chronic disease, glaucoma, and OSA. Patient states that for the past week, he has had increasing weakness, cough, as sustained a fall.  He states that he is too weak to care for himself independently or navigate stairs at home without difficulty.  He presented to the emergency department for evaluation.  In the emergency department, patient was hypertensive and tachypneic, however, other vital signs were stable.  He did not require supplemental oxygen.  Complete blood count revealed anemia, which is chronic for this patient.  CMP was unremarkable.  Troponin was stable at 17. COVID-19 was positive.  EKG showed normal sinus rhythm with a right bundle-branch block.  CT of the head showed no acute intracranial abnormality.  Chest x-ray shows no acute cardiopulmonary disease.  Suspect generalized weakness secondary to COVID-19.  Patient has been admitted for further evaluation and management of generalized weakness secondary to COVID-19.   The patient improved overnight. He did have a 20 second episode around 6 am on 5/6 that was seizure like. MRI with and without contrast was negative for any acute findings. Neurology reviewed and felt low suspicion for seizure. He was referred to the neurology clinic for outpatient 2 hour EEG and review. PT and OT evaluated the patient and did not feel he needed home services, though there was continued concern because of the amount of stairs in the home. He was unable to try stairs in the hospital due to isolation precautions, so HHC PT will follow up outpatient to monitor and help with progress in the home.    He was discharged home in stable condition on prior medications with HHC PT and RN. He is recommended to follow up with PCP for suture removal from left scalp laceration, and has been referred to neurology for follow up appointment and EEG.   Active Issues Requiring Follow-up Issue: Sutures left scalp laceration Recommended follow-up provider/specialty: PCP What is needed: suture removal and evaluation of healing.
Age: 87.0
Sex: M
Vaccine: COVID19-2
Symptoms: Computerised tomogram head normal, Condition aggravated, Cough, Electrocardiogram abnormal, Fall
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 5/5/2023 Discharge Date: 5/7/2023  PRESENTING PROBLEM: Weakness [R53.1] Generalized weakness [R53.1] Laceration of scalp without foreign body, initial encounter [S01.01XA] Fall from standing, initial encounter [W19.XXXA] COVID-19 virus infection [U07.1]   HOSPITAL COURSE: Patient is a 87 y.o. male who presented to the emergency department with complaints of weakness.  Patient has a past medical history including hypertension, coronary artery disease, stage 3 chronic kidney disease, anemia of chronic disease, glaucoma, and OSA. Patient states that for the past week, he has had increasing weakness, cough, as sustained a fall.  He states that he is too weak to care for himself independently or navigate stairs at home without difficulty.  He presented to the emergency department for evaluation.  In the emergency department, patient was hypertensive and tachypneic, however, other vital signs were stable.  He did not require supplemental oxygen.  Complete blood count revealed anemia, which is chronic for this patient.  CMP was unremarkable.  Troponin was stable at 17. COVID-19 was positive.  EKG showed normal sinus rhythm with a right bundle-branch block.  CT of the head showed no acute intracranial abnormality.  Chest x-ray shows no acute cardiopulmonary disease.  Suspect generalized weakness secondary to COVID-19.  Patient has been admitted for further evaluation and management of generalized weakness secondary to COVID-19.   The patient improved overnight. He did have a 20 second episode around 6 am on 5/6 that was seizure like. MRI with and without contrast was negative for any acute findings. Neurology reviewed and felt low suspicion for seizure. He was referred to the neurology clinic for outpatient 2 hour EEG and review. PT and OT evaluated the patient and did not feel he needed home services, though there was continued concern because of the amount of stairs in the home. He was unable to try stairs in the hospital due to isolation precautions, so HHC PT will follow up outpatient to monitor and help with progress in the home.    He was discharged home in stable condition on prior medications with HHC PT and RN. He is recommended to follow up with PCP for suture removal from left scalp laceration, and has been referred to neurology for follow up appointment and EEG.   Active Issues Requiring Follow-up Issue: Sutures left scalp laceration Recommended follow-up provider/specialty: PCP What is needed: suture removal and evaluation of healing.
Age: 87.0
Sex: M
Vaccine: COVID19-2
Symptoms: Full blood count abnormal, Gait disturbance, Hypertension, Loss of personal independence in daily activities, Magnetic resonance imaging head normal
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 5/5/2023 Discharge Date: 5/7/2023  PRESENTING PROBLEM: Weakness [R53.1] Generalized weakness [R53.1] Laceration of scalp without foreign body, initial encounter [S01.01XA] Fall from standing, initial encounter [W19.XXXA] COVID-19 virus infection [U07.1]   HOSPITAL COURSE: Patient is a 87 y.o. male who presented to the emergency department with complaints of weakness.  Patient has a past medical history including hypertension, coronary artery disease, stage 3 chronic kidney disease, anemia of chronic disease, glaucoma, and OSA. Patient states that for the past week, he has had increasing weakness, cough, as sustained a fall.  He states that he is too weak to care for himself independently or navigate stairs at home without difficulty.  He presented to the emergency department for evaluation.  In the emergency department, patient was hypertensive and tachypneic, however, other vital signs were stable.  He did not require supplemental oxygen.  Complete blood count revealed anemia, which is chronic for this patient.  CMP was unremarkable.  Troponin was stable at 17. COVID-19 was positive.  EKG showed normal sinus rhythm with a right bundle-branch block.  CT of the head showed no acute intracranial abnormality.  Chest x-ray shows no acute cardiopulmonary disease.  Suspect generalized weakness secondary to COVID-19.  Patient has been admitted for further evaluation and management of generalized weakness secondary to COVID-19.   The patient improved overnight. He did have a 20 second episode around 6 am on 5/6 that was seizure like. MRI with and without contrast was negative for any acute findings. Neurology reviewed and felt low suspicion for seizure. He was referred to the neurology clinic for outpatient 2 hour EEG and review. PT and OT evaluated the patient and did not feel he needed home services, though there was continued concern because of the amount of stairs in the home. He was unable to try stairs in the hospital due to isolation precautions, so HHC PT will follow up outpatient to monitor and help with progress in the home.    He was discharged home in stable condition on prior medications with HHC PT and RN. He is recommended to follow up with PCP for suture removal from left scalp laceration, and has been referred to neurology for follow up appointment and EEG.   Active Issues Requiring Follow-up Issue: Sutures left scalp laceration Recommended follow-up provider/specialty: PCP What is needed: suture removal and evaluation of healing.
Age: 87.0
Sex: M
Vaccine: COVID19-2
Symptoms: Metabolic function test normal, SARS-CoV-2 test positive, Scan with contrast normal, Seizure like phenomena, Sinus rhythm
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 5/5/2023 Discharge Date: 5/7/2023  PRESENTING PROBLEM: Weakness [R53.1] Generalized weakness [R53.1] Laceration of scalp without foreign body, initial encounter [S01.01XA] Fall from standing, initial encounter [W19.XXXA] COVID-19 virus infection [U07.1]   HOSPITAL COURSE: Patient is a 87 y.o. male who presented to the emergency department with complaints of weakness.  Patient has a past medical history including hypertension, coronary artery disease, stage 3 chronic kidney disease, anemia of chronic disease, glaucoma, and OSA. Patient states that for the past week, he has had increasing weakness, cough, as sustained a fall.  He states that he is too weak to care for himself independently or navigate stairs at home without difficulty.  He presented to the emergency department for evaluation.  In the emergency department, patient was hypertensive and tachypneic, however, other vital signs were stable.  He did not require supplemental oxygen.  Complete blood count revealed anemia, which is chronic for this patient.  CMP was unremarkable.  Troponin was stable at 17. COVID-19 was positive.  EKG showed normal sinus rhythm with a right bundle-branch block.  CT of the head showed no acute intracranial abnormality.  Chest x-ray shows no acute cardiopulmonary disease.  Suspect generalized weakness secondary to COVID-19.  Patient has been admitted for further evaluation and management of generalized weakness secondary to COVID-19.   The patient improved overnight. He did have a 20 second episode around 6 am on 5/6 that was seizure like. MRI with and without contrast was negative for any acute findings. Neurology reviewed and felt low suspicion for seizure. He was referred to the neurology clinic for outpatient 2 hour EEG and review. PT and OT evaluated the patient and did not feel he needed home services, though there was continued concern because of the amount of stairs in the home. He was unable to try stairs in the hospital due to isolation precautions, so HHC PT will follow up outpatient to monitor and help with progress in the home.    He was discharged home in stable condition on prior medications with HHC PT and RN. He is recommended to follow up with PCP for suture removal from left scalp laceration, and has been referred to neurology for follow up appointment and EEG.   Active Issues Requiring Follow-up Issue: Sutures left scalp laceration Recommended follow-up provider/specialty: PCP What is needed: suture removal and evaluation of healing.
Age: 87.0
Sex: M
Vaccine: COVID19-2
Symptoms: Skin laceration, Suture insertion, Tachypnoea, Troponin
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 5/5/2023 Discharge Date: 5/7/2023  PRESENTING PROBLEM: Weakness [R53.1] Generalized weakness [R53.1] Laceration of scalp without foreign body, initial encounter [S01.01XA] Fall from standing, initial encounter [W19.XXXA] COVID-19 virus infection [U07.1]   HOSPITAL COURSE: Patient is a 87 y.o. male who presented to the emergency department with complaints of weakness.  Patient has a past medical history including hypertension, coronary artery disease, stage 3 chronic kidney disease, anemia of chronic disease, glaucoma, and OSA. Patient states that for the past week, he has had increasing weakness, cough, as sustained a fall.  He states that he is too weak to care for himself independently or navigate stairs at home without difficulty.  He presented to the emergency department for evaluation.  In the emergency department, patient was hypertensive and tachypneic, however, other vital signs were stable.  He did not require supplemental oxygen.  Complete blood count revealed anemia, which is chronic for this patient.  CMP was unremarkable.  Troponin was stable at 17. COVID-19 was positive.  EKG showed normal sinus rhythm with a right bundle-branch block.  CT of the head showed no acute intracranial abnormality.  Chest x-ray shows no acute cardiopulmonary disease.  Suspect generalized weakness secondary to COVID-19.  Patient has been admitted for further evaluation and management of generalized weakness secondary to COVID-19.   The patient improved overnight. He did have a 20 second episode around 6 am on 5/6 that was seizure like. MRI with and without contrast was negative for any acute findings. Neurology reviewed and felt low suspicion for seizure. He was referred to the neurology clinic for outpatient 2 hour EEG and review. PT and OT evaluated the patient and did not feel he needed home services, though there was continued concern because of the amount of stairs in the home. He was unable to try stairs in the hospital due to isolation precautions, so HHC PT will follow up outpatient to monitor and help with progress in the home.    He was discharged home in stable condition on prior medications with HHC PT and RN. He is recommended to follow up with PCP for suture removal from left scalp laceration, and has been referred to neurology for follow up appointment and EEG.   Active Issues Requiring Follow-up Issue: Sutures left scalp laceration Recommended follow-up provider/specialty: PCP What is needed: suture removal and evaluation of healing.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Syncope
Clinical narrative: Syncope
Age: 25.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus, Rash macular, Vaccination site induration, Vaccination site pain
Clinical narrative: Vaccination site hard, warm, tender, red, blotchy, and itchy. Denies SOB or difficulty breathing. Utilizing Benadryl and cold compress.
Age: 25.0
Sex: F
Vaccine: VARCEL
Symptoms: Vaccination site reaction, Vaccination site warmth
Clinical narrative: Vaccination site hard, warm, tender, red, blotchy, and itchy. Denies SOB or difficulty breathing. Utilizing Benadryl and cold compress.
Age: 4.0
Sex: F
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: Patient received Moderna Bivalent Pink cap/yellow label 0.2ml/10ug after CDC changes to discontinue monovalent.  Should have received Moderna Bivalent 0.25ml/25ug.
Age: 1.67
Sex: F
Vaccine: DTAP, HEPA, HIBV
Symptoms: Injection site erythema
Clinical narrative: child developed a 3 inch x 3 inch area of redness around injection site.  Motrin given last pm by parent, tylenol given in office today.
Age: 1.5
Sex: M
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: Patient received incorrect dose for #2 in series.  After CDC guidelines discontinued monovalent, was given Moderna Bivalent Pink cap/yellow label 0.2ml/10ug.  Should have received Moderna Bivalent blue cap/gray label 0.25ml/25ug.
Age: 32.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood loss assessment, Caesarean section, Exposure during pregnancy, Perinatal depression, Postpartum haemorrhage
Clinical narrative: Admission Date: 5/5/2023 Discharge Date: 5/7/2023  PRESENTING PROBLEM:  History of fourth degree perineal laceration History of maternal fourth degree perineal laceration, currently pregnant Status post cesarean delivery PROCEDURES PERFORMED: CESAREAN SECTION, PRIMARY, N/A - Abdomen   HOSPITAL COURSE: Patient is a 32 y.o. female G3P2012 underwent an uncomplicated cesarean delivery and was discharged home in stable condition.  Delivery complicated by PPH, EBL 2392 Postnatal Depression Scale Total: 2   DELIVERY TYPE: C-Section    ESTIMATED DUE DATE: Estimated Date of Delivery: 5/12/23 GESTATIONAL AGE AT DELIVERY: 39w0d  G3P2012 DELIVERY PROVIDER:   ASSISTING PROVIDER(S):     Delivery Blood Loss  05/05/23 0906 - 05/06/23 0934     QBL Calculator (mL) Hospital Encounter 2392 mL   Total   2392 ml       FINDINGS: NEWBORN STATUS: Living  NEWBORN SEX:  boy      Delivery Date/Time:  5/5/23  9:34 AM           WEIGHT: 3.07 kg  APGAR:  1 minutes 5 minutes 10 minutes  8  9        RESCUSITATION: None  PLACENTA REMOVAL: Spontaneous  CORD VESSELS: 3 Vessels  ANALGESIA METHOD: Spinal
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Very sore arm and fever of 100.  took advil and recovered in 5 hrs   Arm remained sore for about a day
Age: 58.0
Sex: M
Vaccine: TDAP
Symptoms: Computerised tomogram, Electrocardiogram, Lethargy, Vision blurred
Clinical narrative: lethargic and blurred vision
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Facial paresis, Hemiparesis
Clinical narrative: RIGHT FACIAL MUSCLE WEAKNESS
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Nasopharyngitis, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: It felt like I had a really bad cold with a fever, I took a home COVID-19 test that came back positive. I called my doctor to have a telehealth visit with my doctor to discuss my symptoms and positive test. I started taking the medication at 4:00pm on March 9, 2023, by 2:00pm March 10, 2023, I was feeling great. I did not get COVID-19 rebound; I am so happy. My husband who did not take an antiviral took a month to start feeling better.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Symptom recurrence
Clinical narrative: ACUTE NON ST ELEVATION MI 10/16/2021  --  RECURRENCE OF SAME SYMPTOMS
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Diarrhoea, Injection site erythema, Injection site swelling, Nausea, Peripheral swelling
Clinical narrative: Minutes after receiving my vaccine, I developed a very red swollen ball at the injection site and complete left arm swelling. My lungs began to become congested so I used my Albuterol inhaler to help pass air through my system. I had sinus congestion and later took a decongestant as suggested by my doctor. I had diarrhea that lasted only for that  day. I had nausea for a couple of days after. Once seen by my doctor, he assumed I was having an allergic reaction and urged me to take Benadryl and now have broad spectrum allergies. As of now, I'm mostly recovered and have light itching in my arm with no apparent swelling anymore.
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pruritus, Pulmonary congestion, Sinus congestion
Clinical narrative: Minutes after receiving my vaccine, I developed a very red swollen ball at the injection site and complete left arm swelling. My lungs began to become congested so I used my Albuterol inhaler to help pass air through my system. I had sinus congestion and later took a decongestant as suggested by my doctor. I had diarrhea that lasted only for that  day. I had nausea for a couple of days after. Once seen by my doctor, he assumed I was having an allergic reaction and urged me to take Benadryl and now have broad spectrum allergies. As of now, I'm mostly recovered and have light itching in my arm with no apparent swelling anymore.
Age: 54.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain upper, Abdominal tenderness, Alopecia, Areflexia, Bacterial infection
Clinical narrative: I previously tested positive for Influenza A and subsequently contracted the COVID-19 virus. 06JAN2023 Negative test I came off all the cold meds and was still having vertigo, sinuses, and a headache. 10JAN2023 doctors office visit I was diagnosed with a viral sinus infection now bacterial and Eustachian tube disfunction. Ten days of antibiotics ending 20JAN2023 09FEB2023 I was still having symptoms before and after this visit I had a long list of symptoms as previously mentioned, headache, stomach upset body aches, extreme fatigue, tender abdomen, bad gag reflex, mental fog,  dizziness, loosing clumps of hair all above normal or strong symptoms. It was March 2023 before I was feeling anywhere close normal again.
Age: 54.0
Sex: F
Vaccine: COVID19-2
Symptoms: Brain fog, COVID-19, Eustachian tube dysfunction, Fatigue, Feeling abnormal
Clinical narrative: I previously tested positive for Influenza A and subsequently contracted the COVID-19 virus. 06JAN2023 Negative test I came off all the cold meds and was still having vertigo, sinuses, and a headache. 10JAN2023 doctors office visit I was diagnosed with a viral sinus infection now bacterial and Eustachian tube disfunction. Ten days of antibiotics ending 20JAN2023 09FEB2023 I was still having symptoms before and after this visit I had a long list of symptoms as previously mentioned, headache, stomach upset body aches, extreme fatigue, tender abdomen, bad gag reflex, mental fog,  dizziness, loosing clumps of hair all above normal or strong symptoms. It was March 2023 before I was feeling anywhere close normal again.
Age: 54.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Pain, SARS-CoV-2 test positive, Sinus disorder, Sinusitis
Clinical narrative: I previously tested positive for Influenza A and subsequently contracted the COVID-19 virus. 06JAN2023 Negative test I came off all the cold meds and was still having vertigo, sinuses, and a headache. 10JAN2023 doctors office visit I was diagnosed with a viral sinus infection now bacterial and Eustachian tube disfunction. Ten days of antibiotics ending 20JAN2023 09FEB2023 I was still having symptoms before and after this visit I had a long list of symptoms as previously mentioned, headache, stomach upset body aches, extreme fatigue, tender abdomen, bad gag reflex, mental fog,  dizziness, loosing clumps of hair all above normal or strong symptoms. It was March 2023 before I was feeling anywhere close normal again.
Age: 54.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vertigo, Viral infection
Clinical narrative: I previously tested positive for Influenza A and subsequently contracted the COVID-19 virus. 06JAN2023 Negative test I came off all the cold meds and was still having vertigo, sinuses, and a headache. 10JAN2023 doctors office visit I was diagnosed with a viral sinus infection now bacterial and Eustachian tube disfunction. Ten days of antibiotics ending 20JAN2023 09FEB2023 I was still having symptoms before and after this visit I had a long list of symptoms as previously mentioned, headache, stomach upset body aches, extreme fatigue, tender abdomen, bad gag reflex, mental fog,  dizziness, loosing clumps of hair all above normal or strong symptoms. It was March 2023 before I was feeling anywhere close normal again.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site induration, Injection site swelling, Peripheral swelling
Clinical narrative: Patient reported that arm is still swollen at appointment 5/9/23. Noted raised firm area measuring  9.5 x6 cm on left deltoid  where Tdap injection given on 3/3/23.  Patient reports arm started swelling that evening of injection on 3/3/23. Denies ever having any breathing difficulty, pain or itching at site.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity
Clinical narrative: ALLERGIC REACTION, INIT.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Hepatic cirrhosis, Hypotension, Vena cava thrombosis
Clinical narrative: HYPOTENSION 7/31/2022 CHRONIC THROMBOSIS OF INFERIOR VENA CAVA  HYPOTENSION 7/31/2022 CHRONIC THROMBOSIS OF INFERIOR VENA CAVA  HYPOTENSION 7/31/2022 POSTHEPATITIC CIRRHOSIS  HYPOTENSION 7/31/2022 CHRONIC THROMBOSIS OF INFERIOR VENA CAVA
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic respiratory failure, Metabolic encephalopathy, Respiratory failure
Clinical narrative: J96.11 CHRONIC HYPOXEMIC RESPIRATORY FAILURE 2/7/2022 METABOLIC ENCEPHALOPATHY
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines  Pfizer 2/24/21 Lot# EN6200;  Pfizer 3/27/21 Lot# En6208; Pfizer 9/21/21 lot# FF8825;  Pfizer 4/21/22 lot# FJ9943
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Chronic left ventricular failure, Hypotension
Clinical narrative: I95.9 HYPOTENSION 2/3/2022 SYSTOLIC HEART FAILURE, CHRONIC J96.00 ACUTE RESPIRATORY FAILURE 2/3/2022 SYSTOLIC HEART FAILURE, CHRONIC I95.9 HYPOTENSION 2/3/2022 ACUTE RESPIRATORY FAILURE    HX OF ACUTE KIDNEY INJURY J96.00 ACUTE RESPIRATORY FAILURE 2/3/2022 ACUTE RESPIRATORY FAILURE    HX OF ACUTE KIDNEY INJURY
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: Acoustic stimulation tests abnormal, Deafness, Tinnitus
Clinical narrative: After last booster on 9/16/22, developed tinnitus in both ears. Tinnitus came on suddenly and loudly. Primary doctor in October said no year problem she could see. I had no injury or infection previous to tinnitus, no high blood pressure and no medication usage. Saw ENT on 5/8/23, diagnosed with hearing loss due to tinnitus and hearing aids suggested. Hearing had been EXCELLENT prior to that last injection.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 3/27/21 Lot# EP7534;  Pfizer 4/16/21 Lot# ER8734
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Diabetic nephropathy, Hypervolaemia, Pain in extremity
Clinical narrative: J96.00 ACUTE RESPIRATORY FAILURE 1/13/2022 RIGHT ARM PAIN J96.00 ACUTE RESPIRATORY FAILURE 1/13/2022 HYPERVOLEMIA J96.00 ACUTE RESPIRATORY FAILURE 1/13/2022 DM 2 W RENAL MANIFESTATION
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Condition aggravated, Pain in extremity
Clinical narrative: I had a sore arm for a few days after receiving the vaccine. I have a history of AFIB for about a year and had no symptoms for nine months. I started having symptoms again on 05/09/2023.  I had an appointment with my doctor and my medicine was increased to help my symptoms. I am scheduled for a cardioversion tomorrow 5/11/2023.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Pfizer 1/12/21 Lot# EL3248;  Pifzer 2/14/21 Lot# El9267;  Moderna 12/2/21 Lot# 034F21A
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Colonoscopy, Diarrhoea, Nausea, Pain, Pancreatitis
Clinical narrative: I experienced Pancreatitis with nausea, pain and diarrhea.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines moderna 2/28/21 Lot# 025A21A;  Moderna 3/24/21 Lot# 001B21A;  Moderna 11/4/21 Lot# 939906;  Moderna 5/5/22 Lot# 004M21A
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Acute left ventricular failure
Clinical narrative: SYSTOLIC HEART FAILURE, ACUTE
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Atrial fibrillation, Cardiac failure acute, Cardiac failure congestive, Cardiogenic shock
Clinical narrative: Pfizer vaccine was administered outside of our facility - reported by patient- ? NO LOT NUMBER WERE SUPPLIED ---------------------------------------------------------------------------------------------------------------- R57.0 CARDIOGENIC SHOCK 8/8/2021 ATRIAL FIBRILLATION, PAROXYSMAL R57.0 CARDIOGENIC SHOCK 8/8/2021 SYSTOLIC HEART FAILURE, STAGE D, UNSPECIFIED ACUITY R57.0 CARDIOGENIC SHOCK 8/8/2021 CHF EXACERBATION, UNSPECIFIED R57.0 CARDIOGENIC SHOCK 8/8/2021 SYSTOLIC HEART FAILURE, ACUTE ON CHRONIC R57.0 CARDIOGENIC SHOCK 8/8/2021 ASTHMA, UNSPECIFIED R57.0 CARDIOGENIC SHOCK 8/8/2021 SYSTOLIC HEART FAILURE, ACUTE ON CHRONIC R57.0 CARDIOGENIC SHOCK 8/8/2021 VENTRICULAR TACHYCARDIA, UNSPECIFIED TYPE R57.0 CARDIOGENIC SHOCK 8/8/2021 VENTRICULAR TACHYCARDIA, UNSPECIFIED TYPE R57.0 CARDIOGENIC SHOCK 8/8/2021 VENTRICULAR TACHYCARDIA, UNSPECIFIED TYPE R57.0 CARDIOGENIC SHOCK 8/8/2021 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED R57.0 CARDIOGENIC SHOCK 8/8/2021 ACUTE CHOLECYSTITIS    ATRIAL FIBRILLATION, PAROXYSMAL
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Cholecystitis acute, Condition aggravated, Left ventricular failure, Ventricular tachycardia
Clinical narrative: Pfizer vaccine was administered outside of our facility - reported by patient- ? NO LOT NUMBER WERE SUPPLIED ---------------------------------------------------------------------------------------------------------------- R57.0 CARDIOGENIC SHOCK 8/8/2021 ATRIAL FIBRILLATION, PAROXYSMAL R57.0 CARDIOGENIC SHOCK 8/8/2021 SYSTOLIC HEART FAILURE, STAGE D, UNSPECIFIED ACUITY R57.0 CARDIOGENIC SHOCK 8/8/2021 CHF EXACERBATION, UNSPECIFIED R57.0 CARDIOGENIC SHOCK 8/8/2021 SYSTOLIC HEART FAILURE, ACUTE ON CHRONIC R57.0 CARDIOGENIC SHOCK 8/8/2021 ASTHMA, UNSPECIFIED R57.0 CARDIOGENIC SHOCK 8/8/2021 SYSTOLIC HEART FAILURE, ACUTE ON CHRONIC R57.0 CARDIOGENIC SHOCK 8/8/2021 VENTRICULAR TACHYCARDIA, UNSPECIFIED TYPE R57.0 CARDIOGENIC SHOCK 8/8/2021 VENTRICULAR TACHYCARDIA, UNSPECIFIED TYPE R57.0 CARDIOGENIC SHOCK 8/8/2021 VENTRICULAR TACHYCARDIA, UNSPECIFIED TYPE R57.0 CARDIOGENIC SHOCK 8/8/2021 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED R57.0 CARDIOGENIC SHOCK 8/8/2021 ACUTE CHOLECYSTITIS    ATRIAL FIBRILLATION, PAROXYSMAL
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines  mOderna 1/20/21 Lot# 027L20A;  Moderna 2/17/21 Lot# 007M20A;  Moderna 11/2/21 Lot# 017F21A;  Moderna 4/3/22 Lot# 027L21A;
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Diabetes mellitus, Hypoxia, Post-thoracotomy pain syndrome, Respiratory failure
Clinical narrative: J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 1/2/2022 CHRONIC POSTTHORACOTOMY PAIN J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 1/2/2022 DRUG INDUCED DM J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 1/2/2022 CHRONIC POSTTHORACOTOMY PAIN J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 1/2/2022 HYPOXIA J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 1/2/2022 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Dizziness, Hypoaesthesia oral, Rash erythematous
Clinical narrative: On 05/08/23, 58 yo F presented to clinic for Nurse Only visit for vaccination with dose #2 of RZV(>=50YR -OR-19 YRS IF IMMCOMP) VACCINE (SHINGRIX). Pt reported experiencing chills after the first dose. At 1633, 0.5 mL was injected into right deltoid (Lot #9S252; Exp: 06/18/2024). During post-injection observation, pt reported dizziness and mouth numbness with a erythematous rash to forehead and bilateral arms. Provider notified, vitals assessed as BP: 117/71, P: 78 and pt ordered and administered diphenhydramine 50 mg IV. Pt then c/o chills and numbness progressing into right cheek. Pt administered methylprednisolone 125 mg IM. After intervention, pt reported symptom improvement. After final MD assessment, pt was discharged in stable condition.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after one Janssen vaccine
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest X-ray abnormal, Chest X-ray normal, Computerised tomogram thorax abnormal, Computerised tomogram thorax normal, Dyspnoea
Clinical narrative: I had a severe productive cough, lethargy, fatigue, shortness of breath. I consulted my doctor online, she ordered antibiotics, they did not work. I contacted her again. She ordered a chest x-ray and another round of antibiotics. The chest x-ray came back showing a consolidation in lower left lung consistent with pneumonia. Once I got into the pulmonologist, he ordered a CT scan of my chest that confirmed that I had pneumonia, he put me one a different round of antibiotics. In April I went back for a chest x-ray and CT scan both confirmed that the pneumonia is gone.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Lethargy, Lung consolidation, Pneumonia, Productive cough
Clinical narrative: I had a severe productive cough, lethargy, fatigue, shortness of breath. I consulted my doctor online, she ordered antibiotics, they did not work. I contacted her again. She ordered a chest x-ray and another round of antibiotics. The chest x-ray came back showing a consolidation in lower left lung consistent with pneumonia. Once I got into the pulmonologist, he ordered a CT scan of my chest that confirmed that I had pneumonia, he put me one a different round of antibiotics. In April I went back for a chest x-ray and CT scan both confirmed that the pneumonia is gone.
Age: 82.0
Sex: F
Vaccine: COVID19-2, VARZOS
Symptoms: Feeling hot, Rash erythematous
Clinical narrative: Patient was waiting for observation for 15 minutes, after that time she came to the pharmacy counter stating she was about to leave when she starting feeling hot and seeing a red rash appearing. Patient took 50mg diphenhydramine and was further observed for 30 minutes.  After that point she was looking and feeling better and decided to go home. She declined to be seen by paramedics or emergency services.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines  Moderna 1/5/21 Lot# 039K20A;  Moderna 2/2/21 lot# 028L20A
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: Back pain, Dyspnoea, Mobility decreased, Movement disorder, Sensory disturbance
Clinical narrative: A few hours after my Moderna vaccine, My arms felt "dead". It felt like I had no control over them and I could barely lift anything. I started to feel a little out of breath during that time as well. The feeling went away then about 30 mins later, it came back. about 2 days after the vaccine, I experienced severe back pain. I could not do anything for about 2 weeks. I visited the ER on 11/11/2022 due to the back pain and was prescribed pain medication. A few weeks later it felt fine, no lingering effects. I was also diagnosed with breast cancer recently.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Moderna 4/16/21 Lot# 038B21A;  Moderna 5/17/21 Lot# 033C21A
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Obstructive sleep apnoea syndrome
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE OBSTRUCTIVE SLEEP APNEA ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY
Age: 78.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site cellulitis, Injection site erythema, Injection site warmth
Clinical narrative: Patient had redness at injection site two days after.  Her arm was red and she used Hydrocortisone cream. The next day it became warm to the touch and redness became worse. Patient called MD and went to Urgent care, The Dr. said it was cellulitis and prescribed Hydrocortisone Cream and an antibiotic for 1 week and to follow up with a dermatologist, if needed.
Age: 90.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 5 vaccines Moderna 3/5/21 Lot# 010A21A;  Moderna 4/7/21 Lot# 017B21A;  Moderna 10/28/21 Lot# 939904;  Moderna 5/10/22 Lot# 056A22A;  Pfizer 9/18/22 Lot# GJ5342
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 9/16/21 Lot# 301308A;  Pfizer 10/07/21 Lot# FE3590
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, SARS-CoV-2 test negative, Streptococcus test positive
Clinical narrative: I had a sore arm for about a day after receiving the vaccine.  On 03/29/2023, I tested positive for strep throat at the doctor's office.  I tested negative at home for COVID-19 on 03/29/2023. I was put on an antibiotic for the infection.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Hypoxia
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE  ACUTE HYPOXEMIC RESPIRATORY FAILURE HYPOXIA
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines PFizer x2; Pfizer 4/7/21 Lot# Ew0150;  Pfizer 4/28/21 LOT# Ew0158
Age: 3.0
Sex: F
Vaccine: DTAP
Symptoms: Pyrexia
Clinical narrative: Client developed a fever of 103*F on 05/09/23 while at school between the hours of 9:00a.m. and 11:00a.m.. The mother reported that the child was able to recover from the fever and reports that her child has not had a fever since 05/09/2023. The client did not report to a doctor or emergency department. The mother stated that  the client is feeling much better today, 05/10/2023.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 11/27/21 Lot# 33030BD;  Pfizer 12/18/21 Lot# FE3594
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case after 3 vaccines Moderna 2/1/21 Lot# 011L20A;  Moderna 3/1/21 Lot# 029L20A;  Moderna 11/5/21 Lot# 076C21A;
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Burning sensation, Magnetic resonance imaging abnormal, Pain in extremity, Product administered at inappropriate site, Tendon injury
Clinical narrative: I have had all of my vaccinations with pharmacy. Almost immediately after receiving it, I could tell it was administered way too high up on the arm. Around an hour after receiving my vaccine, while at my next appointment, my arm became painful and was burning. I came home and iced my arm and just figured that it was administered too high up, but it just kept getting worse and worse. I've seen a joint surgeon and my primary care doctor. The joint surgeon stated that the vaccine went into the tendon. It has continued to get worse. He says that the tendons have shredded and I'm possibly looking at surgery for correction. He did and MRI, which is what led him to state that the tendons had become damaged. He has given me 2 Cortisone injections, but they have not really helped.  I am seeing him again at the end of this week.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Pfizer 3/27/21 Lot# ER8730;  Pfizer 4/17/21 Lot# ER8730;  PFizer 11/24/21 Lot# FJ1620
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: Unevaluable event
Clinical narrative: Unknown. We were unable to contact case due to his hospitalization.
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Hypoxia
Clinical narrative: Pfizer vaccine was administered outside of Facility- reported by patient- ? NO LOT NUMBER WERE SUPPLIED -------------------------------------------------------------------------------------------------------------------------------- J96.00 ACUTE RESPIRATORY FAILURE 12/18/2021 NONTRAUMATIC ACUTE KIDNEY INJURY R09.02 HYPOXIA 12/18/2021 NONTRAUMATIC ACUTE KIDNEY INJURY
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE  ADULT OBSTRUCTIVE SLEEP APNEA, MODERATE
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Acute respiratory failure, Arthritis
Clinical narrative: I21.4 ACUTE NON ST ELEVATION MI 10/12/2022 ARTHRITIS OF LEFT KNEE J96.00 ACUTE RESPIRATORY FAILURE 10/12/2022 ARTHRITIS OF LEFT KNEE I21.4 ACUTE NON ST ELEVATION MI 10/12/2022 ACUTE NON ST ELEVATION MI J96.00 ACUTE RESPIRATORY FAILURE 10/12/2022 ACUTE NON ST ELEVATION MI I21.4 ACUTE NON ST ELEVATION MI 10/12/2022 ACUTE NON ST ELEVATION MI J96.00 ACUTE RESPIRATORY FAILURE 10/12/2022 ACUTE NON ST ELEVATION MI I21.4 ACUTE NON ST ELEVATION MI 10/12/2022 HX OF CHF J96.00 ACUTE RESPIRATORY FAILURE 10/12/2022 HX OF CHF
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Aortic arteriosclerosis, Hypotension
Clinical narrative: I95.89 CHRONIC HYPOTENSION 11/12/2021 ATHEROSCLEROSIS OF AORTA
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer 1/21/21 lot# EL9261;  Pfizer 2/15/21 lot# El9267
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Moderna 10/0/21 Lot# 061E; Moderna 11/17/21 Lot# 033F21A
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Pfizer 1/11/21 Lot# EK9231;  Pfizer 2/1/21 Lot# EL9265;  Pfizer 8/19/21 lot# FC3181
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Anhedonia, Blood thyroid stimulating hormone normal, Erectile dysfunction, Full blood count normal, Libido decreased
Clinical narrative: Hx of COVID-19 twice, last time sx's started 8/28/22 and dx'd 9/1/22.  Received first dose Moderna 9/8/22.  Second dose 2/23/23.  AvaYa27 Was seen 3/8/23 reporting anhedonia and decreased sex drive starting 4 days prior.  Since then has reported tinnitus, palpitations, and erectile dysfunction which have not improved since the vaccination.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test normal, Palpitations, Tinnitus
Clinical narrative: Hx of COVID-19 twice, last time sx's started 8/28/22 and dx'd 9/1/22.  Received first dose Moderna 9/8/22.  Second dose 2/23/23.  AvaYa27 Was seen 3/8/23 reporting anhedonia and decreased sex drive starting 4 days prior.  Since then has reported tinnitus, palpitations, and erectile dysfunction which have not improved since the vaccination.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Photopsia, Pupillary disorder, Visual impairment
Clinical narrative: On February 23, 2023, at 01:05PM, I was at my desk at work and I started seeing a black web that looked like a string.  I tried to wipe it away.  I changed my contact and it was still there. When I would blink, I would see flashes of white light. I called my eye doctor and they told me to come right in. I drove there and he referred me to an Ophthalmologist. On March 1, I went to see the Ophthalmologist.  He found a leak into the pupil that he said would take 6 to 8 months to clear.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: 1/3/23  I was having a little bit of congestion, slight aching and a slight fever.  I took an at home COVID test and it was positive.  I went to the Urgent Care. I was prescribed Paxlovid. I started taking it the next day for five days. On 1/8/23, I had a rebound. I had fever, congestion and aching like before, but only worse. This lasted until 1/16/23. I was better, but continued to have slight congestion for another 2-3 weeks.
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Neuropathy peripheral
Clinical narrative: Peripheral neuropathy in toes and fingers.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 5 vaccines Moderna 2/10/21 Lot# 015M20A; Moderna3/10/21 Lot# 030A21A;  Moderna 8/25/21 lot# 062E21A;  Moderna 5/16/22 lot# 059M21A;  Pfizer 10/26/22 lot# GH9703