chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Atrial fibrillation, COVID-19, Chest X-ray abnormal, Chest pain
Clinical narrative: COVID+ 1/18/2023.  Vaccination Status - Moderna x4 Discharge Provider:  MD Primary Care Provider:  MD Admission Date: 1/18/2023 Discharge Date: Jan 29, 2023   Active Hospital Problems   Diagnosis Date Noted POA ? COVID-19 01/18/2023 Yes ? Fall 02/10/2021 Yes ? Atrial fibrillation, persistent (HCC   PRESENTING PROBLEM: Weakness [R53.1] Acute cystitis without hematuria [N30.00] COVID [U07.1] COVID-19 [U07.1]   HOSPITAL COURSE: A 94 y.o. female w/ PMH significant for atrial fib, chronic pain, depression, chronic leg edema and HTN who presented to the ED per EMS on 1/18 after a fall at her apartment.  Patient lives alone in own apartment assisted living facility. Son states patient fell twice on 1/17 at home. He states she was seen by EMS after first fall during day and refused transport to hospital at that time. Patient states she also fell getting up during the night to use bathroom. She recalls feeling mild dizziness after standing up from using bathroom. She denies LOC, thinks she hit posterior head in bathroom. She denies any syncope. She felt she could not stand up on her own from the floor. She hit her med alert button to call EMS. She states she did not experience dizziness during daytime fall on 1/17. She also complains of cough, nasal congestion, rhinorrhea over 4-5 days. She complains of fatigue and generalized weakness over 4 days. She was started on Lasix on 1/3 per PCP, due to leg edema. Patient recently tested positive for COVID as outpatient on home test on 1/17, she took 2 doses of Paxlovid as outpatient on 1/17. She was seen via telephone audio visit with primary care NP due to COVID diagnosis on 1/17.   She was admitted for further medical management.  CT head was without acute abnormalities.  CT cervical spine was negative for acute process.  While in the emergency department, she was given a dose of fosfomycin due to urinalysis showing pyuria.  Patient denied symptoms of dysuria.  She was started on IV remdesivir for treatment of COVID-19.  She was not hypoxic and did not require Decadron.  She received electrolyte replacement as needed.  She was evaluated by PT/OT and subacute rehab was recommended.  Care manager assisted with placement at subacute rehab. First day eligible for transition to facility post-covid was 01/25/2023. CXR done on 1/28 for persistent cough showed right lower/mid-lob PNA however subsequently without intervention cough improved so no further intervention was taken.patient cleared for discharge 1/29, her cough persisted and was causing right-sided chest pain with it, aside from this and her debility she had no complaints. at the time of discharge patient was in good spirits and eager to leave. all questions and concerns addressed, all meds and follow-ups reviewed. she was sent to (facility).
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Computerised tomogram spine, Condition aggravated, Cough, Cystitis
Clinical narrative: COVID+ 1/18/2023.  Vaccination Status - Moderna x4 Discharge Provider:  MD Primary Care Provider:  MD Admission Date: 1/18/2023 Discharge Date: Jan 29, 2023   Active Hospital Problems   Diagnosis Date Noted POA ? COVID-19 01/18/2023 Yes ? Fall 02/10/2021 Yes ? Atrial fibrillation, persistent (HCC   PRESENTING PROBLEM: Weakness [R53.1] Acute cystitis without hematuria [N30.00] COVID [U07.1] COVID-19 [U07.1]   HOSPITAL COURSE: A 94 y.o. female w/ PMH significant for atrial fib, chronic pain, depression, chronic leg edema and HTN who presented to the ED per EMS on 1/18 after a fall at her apartment.  Patient lives alone in own apartment assisted living facility. Son states patient fell twice on 1/17 at home. He states she was seen by EMS after first fall during day and refused transport to hospital at that time. Patient states she also fell getting up during the night to use bathroom. She recalls feeling mild dizziness after standing up from using bathroom. She denies LOC, thinks she hit posterior head in bathroom. She denies any syncope. She felt she could not stand up on her own from the floor. She hit her med alert button to call EMS. She states she did not experience dizziness during daytime fall on 1/17. She also complains of cough, nasal congestion, rhinorrhea over 4-5 days. She complains of fatigue and generalized weakness over 4 days. She was started on Lasix on 1/3 per PCP, due to leg edema. Patient recently tested positive for COVID as outpatient on home test on 1/17, she took 2 doses of Paxlovid as outpatient on 1/17. She was seen via telephone audio visit with primary care NP due to COVID diagnosis on 1/17.   She was admitted for further medical management.  CT head was without acute abnormalities.  CT cervical spine was negative for acute process.  While in the emergency department, she was given a dose of fosfomycin due to urinalysis showing pyuria.  Patient denied symptoms of dysuria.  She was started on IV remdesivir for treatment of COVID-19.  She was not hypoxic and did not require Decadron.  She received electrolyte replacement as needed.  She was evaluated by PT/OT and subacute rehab was recommended.  Care manager assisted with placement at subacute rehab. First day eligible for transition to facility post-covid was 01/25/2023. CXR done on 1/28 for persistent cough showed right lower/mid-lob PNA however subsequently without intervention cough improved so no further intervention was taken.patient cleared for discharge 1/29, her cough persisted and was causing right-sided chest pain with it, aside from this and her debility she had no complaints. at the time of discharge patient was in good spirits and eager to leave. all questions and concerns addressed, all meds and follow-ups reviewed. she was sent to (facility).
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness postural, Electrolyte substitution therapy, Fall, Fatigue, Head injury
Clinical narrative: COVID+ 1/18/2023.  Vaccination Status - Moderna x4 Discharge Provider:  MD Primary Care Provider:  MD Admission Date: 1/18/2023 Discharge Date: Jan 29, 2023   Active Hospital Problems   Diagnosis Date Noted POA ? COVID-19 01/18/2023 Yes ? Fall 02/10/2021 Yes ? Atrial fibrillation, persistent (HCC   PRESENTING PROBLEM: Weakness [R53.1] Acute cystitis without hematuria [N30.00] COVID [U07.1] COVID-19 [U07.1]   HOSPITAL COURSE: A 94 y.o. female w/ PMH significant for atrial fib, chronic pain, depression, chronic leg edema and HTN who presented to the ED per EMS on 1/18 after a fall at her apartment.  Patient lives alone in own apartment assisted living facility. Son states patient fell twice on 1/17 at home. He states she was seen by EMS after first fall during day and refused transport to hospital at that time. Patient states she also fell getting up during the night to use bathroom. She recalls feeling mild dizziness after standing up from using bathroom. She denies LOC, thinks she hit posterior head in bathroom. She denies any syncope. She felt she could not stand up on her own from the floor. She hit her med alert button to call EMS. She states she did not experience dizziness during daytime fall on 1/17. She also complains of cough, nasal congestion, rhinorrhea over 4-5 days. She complains of fatigue and generalized weakness over 4 days. She was started on Lasix on 1/3 per PCP, due to leg edema. Patient recently tested positive for COVID as outpatient on home test on 1/17, she took 2 doses of Paxlovid as outpatient on 1/17. She was seen via telephone audio visit with primary care NP due to COVID diagnosis on 1/17.   She was admitted for further medical management.  CT head was without acute abnormalities.  CT cervical spine was negative for acute process.  While in the emergency department, she was given a dose of fosfomycin due to urinalysis showing pyuria.  Patient denied symptoms of dysuria.  She was started on IV remdesivir for treatment of COVID-19.  She was not hypoxic and did not require Decadron.  She received electrolyte replacement as needed.  She was evaluated by PT/OT and subacute rehab was recommended.  Care manager assisted with placement at subacute rehab. First day eligible for transition to facility post-covid was 01/25/2023. CXR done on 1/28 for persistent cough showed right lower/mid-lob PNA however subsequently without intervention cough improved so no further intervention was taken.patient cleared for discharge 1/29, her cough persisted and was causing right-sided chest pain with it, aside from this and her debility she had no complaints. at the time of discharge patient was in good spirits and eager to leave. all questions and concerns addressed, all meds and follow-ups reviewed. she was sent to (facility).
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Nasal congestion, Oedema peripheral, Pneumonia, Pyuria
Clinical narrative: COVID+ 1/18/2023.  Vaccination Status - Moderna x4 Discharge Provider:  MD Primary Care Provider:  MD Admission Date: 1/18/2023 Discharge Date: Jan 29, 2023   Active Hospital Problems   Diagnosis Date Noted POA ? COVID-19 01/18/2023 Yes ? Fall 02/10/2021 Yes ? Atrial fibrillation, persistent (HCC   PRESENTING PROBLEM: Weakness [R53.1] Acute cystitis without hematuria [N30.00] COVID [U07.1] COVID-19 [U07.1]   HOSPITAL COURSE: A 94 y.o. female w/ PMH significant for atrial fib, chronic pain, depression, chronic leg edema and HTN who presented to the ED per EMS on 1/18 after a fall at her apartment.  Patient lives alone in own apartment assisted living facility. Son states patient fell twice on 1/17 at home. He states she was seen by EMS after first fall during day and refused transport to hospital at that time. Patient states she also fell getting up during the night to use bathroom. She recalls feeling mild dizziness after standing up from using bathroom. She denies LOC, thinks she hit posterior head in bathroom. She denies any syncope. She felt she could not stand up on her own from the floor. She hit her med alert button to call EMS. She states she did not experience dizziness during daytime fall on 1/17. She also complains of cough, nasal congestion, rhinorrhea over 4-5 days. She complains of fatigue and generalized weakness over 4 days. She was started on Lasix on 1/3 per PCP, due to leg edema. Patient recently tested positive for COVID as outpatient on home test on 1/17, she took 2 doses of Paxlovid as outpatient on 1/17. She was seen via telephone audio visit with primary care NP due to COVID diagnosis on 1/17.   She was admitted for further medical management.  CT head was without acute abnormalities.  CT cervical spine was negative for acute process.  While in the emergency department, she was given a dose of fosfomycin due to urinalysis showing pyuria.  Patient denied symptoms of dysuria.  She was started on IV remdesivir for treatment of COVID-19.  She was not hypoxic and did not require Decadron.  She received electrolyte replacement as needed.  She was evaluated by PT/OT and subacute rehab was recommended.  Care manager assisted with placement at subacute rehab. First day eligible for transition to facility post-covid was 01/25/2023. CXR done on 1/28 for persistent cough showed right lower/mid-lob PNA however subsequently without intervention cough improved so no further intervention was taken.patient cleared for discharge 1/29, her cough persisted and was causing right-sided chest pain with it, aside from this and her debility she had no complaints. at the time of discharge patient was in good spirits and eager to leave. all questions and concerns addressed, all meds and follow-ups reviewed. she was sent to (facility).
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Urine analysis abnormal
Clinical narrative: COVID+ 1/18/2023.  Vaccination Status - Moderna x4 Discharge Provider:  MD Primary Care Provider:  MD Admission Date: 1/18/2023 Discharge Date: Jan 29, 2023   Active Hospital Problems   Diagnosis Date Noted POA ? COVID-19 01/18/2023 Yes ? Fall 02/10/2021 Yes ? Atrial fibrillation, persistent (HCC   PRESENTING PROBLEM: Weakness [R53.1] Acute cystitis without hematuria [N30.00] COVID [U07.1] COVID-19 [U07.1]   HOSPITAL COURSE: A 94 y.o. female w/ PMH significant for atrial fib, chronic pain, depression, chronic leg edema and HTN who presented to the ED per EMS on 1/18 after a fall at her apartment.  Patient lives alone in own apartment assisted living facility. Son states patient fell twice on 1/17 at home. He states she was seen by EMS after first fall during day and refused transport to hospital at that time. Patient states she also fell getting up during the night to use bathroom. She recalls feeling mild dizziness after standing up from using bathroom. She denies LOC, thinks she hit posterior head in bathroom. She denies any syncope. She felt she could not stand up on her own from the floor. She hit her med alert button to call EMS. She states she did not experience dizziness during daytime fall on 1/17. She also complains of cough, nasal congestion, rhinorrhea over 4-5 days. She complains of fatigue and generalized weakness over 4 days. She was started on Lasix on 1/3 per PCP, due to leg edema. Patient recently tested positive for COVID as outpatient on home test on 1/17, she took 2 doses of Paxlovid as outpatient on 1/17. She was seen via telephone audio visit with primary care NP due to COVID diagnosis on 1/17.   She was admitted for further medical management.  CT head was without acute abnormalities.  CT cervical spine was negative for acute process.  While in the emergency department, she was given a dose of fosfomycin due to urinalysis showing pyuria.  Patient denied symptoms of dysuria.  She was started on IV remdesivir for treatment of COVID-19.  She was not hypoxic and did not require Decadron.  She received electrolyte replacement as needed.  She was evaluated by PT/OT and subacute rehab was recommended.  Care manager assisted with placement at subacute rehab. First day eligible for transition to facility post-covid was 01/25/2023. CXR done on 1/28 for persistent cough showed right lower/mid-lob PNA however subsequently without intervention cough improved so no further intervention was taken.patient cleared for discharge 1/29, her cough persisted and was causing right-sided chest pain with it, aside from this and her debility she had no complaints. at the time of discharge patient was in good spirits and eager to leave. all questions and concerns addressed, all meds and follow-ups reviewed. she was sent to (facility).
Age: 11.0
Sex: M
Vaccine: FLUA4, HIBV, MNQ, TDAP
Symptoms: Wrong product administered
Clinical narrative: Patient due for HPV immunization. HIB vaccine accidently given instead of HPV. Vaccine checked by 2 people prior to administration of vaccine but mistake was not caught prior to administration. Parent told of incident at time. Nurse Practitioner denied possible adverse reactions from wrong vaccine. Patient and parent denied adverse reactions at time of administration.
Age: 38.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse reaction/ used after the best used date
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received Pfizer Covid-19 vaccine dose # 2 after BUD-expiration date.  Doctor recommended for dose to be repeated. patient's parents were informed of the adverse event, they reported no symptoms or signs related to this adverse event. Patient was offered to be revaccinated.
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse reaction/ used after the best used date
Age: 30.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Mobility decreased, Sleep disorder
Clinical narrative: Pain in shoulder joint at night. Can't sleep on the affected side,  trouble lifting blankets with affected arm. Pain intensity has increased as time passes. During day, if arm is stationary for period of time, pain comes back. Have issues lifting arm out parallel from body due to pain in shoulder.
Age: 18.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse reaction/ used after the best used date
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Fatigue, Incorrect dose administered, Pain in extremity, Pyrexia, Sleep disorder
Clinical narrative: PHARAMCIST ON DUTY 1/28/23 AT LOCAL PHARMACY IS SUSPECTED TO HAVE ERRORED IN MEASURING THE CORRECT DOSE OF PFIZER COVID VACCINE. PHARMACIST RECOGNIZED HIS ERROR AFTER PATIENT LEFT PHARMACY.  PHARMACIST IMMEDIATELY CONTACTED Local authority WHO ADVISED HIM HOW TO PROCEED.  Local authority ALSO CONTACTED THE PATIENT AND REMAINED IN CONTACT OVER THE WEEKEND (PHARMACY WAS CLOSED.)  PATIENT EXPERIENCED FEVER BEGINNING THE NIGHT OF 1/28 AND THE FEVER CONTINUED THROUGH THE NIGHT UNTIL MORNING OF 1/29.  PATIENT HAS A VERY SORE ARM AND WAS VERY TIRED THE DAY AFTER RECEIVING VACCINE.  ON 1/30 PATIENT CAME TO THE PHARMACY AND SPOKE TO PHARMACY MANAGER.  PATIENT FEELING  FINE AND BACK TO NORMAL EXCEPT FOR A SORE ARM AND DISRUPTED SLEEP SCHEDULE.
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse reaction/ used after the best used date
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Nasal congestion, Nasopharyngitis, Pyrexia
Clinical narrative: I started having a head cold nasial compression and a postnasal drip. I had a slight fever 100.1. I called the doctor because I was awakened by my wife, and she thought it would be best to test because she had just tested positive for COVID-19 as well as my grandchild. I was 100 % positive for COVID-19, and I have other health issues that pushed me to reach out to my primary doctor. The doctor called in a prescription for Paxlovid, and it helped because I didn't get any worse.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Upper-airway cough syndrome
Clinical narrative: I started having a head cold nasial compression and a postnasal drip. I had a slight fever 100.1. I called the doctor because I was awakened by my wife, and she thought it would be best to test because she had just tested positive for COVID-19 as well as my grandchild. I was 100 % positive for COVID-19, and I have other health issues that pushed me to reach out to my primary doctor. The doctor called in a prescription for Paxlovid, and it helped because I didn't get any worse.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, COVID-19, Fatigue, Headache, Nasal congestion
Clinical narrative: Sneezing a lot, runny nose, nasal congestion, headache, no cough, fatigued, body aches.  I felt like someone hit me with a shovel on my back.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
Clinical narrative: Sneezing a lot, runny nose, nasal congestion, headache, no cough, fatigued, body aches.  I felt like someone hit me with a shovel on my back.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood immunoglobulin G, Electromyogram normal, Feeling abnormal, Hypogammaglobulinaemia, Laboratory test normal
Clinical narrative: Approx 3 months after 2nd covid vaccine, developed muscle twitching, muscle burning, peripheral neuropathy, brain fog, decreased peripheral vision
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Magnetic resonance imaging spinal, Muscle twitching, Myalgia, Neurological examination
Clinical narrative: Approx 3 months after 2nd covid vaccine, developed muscle twitching, muscle burning, peripheral neuropathy, brain fog, decreased peripheral vision
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Visual field defect
Clinical narrative: Approx 3 months after 2nd covid vaccine, developed muscle twitching, muscle burning, peripheral neuropathy, brain fog, decreased peripheral vision
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Condition aggravated, Dizziness, Injection site pain, Palpitations
Clinical narrative: I had general soreness at the injection site for a day or two. In 2013, I was diagnosed has having heart palpitations. On 11/12/2022, I noticed the heart palpitations had changed in frequency and symptoms with each one. I would get a little lightheaded and dizzy after an episode. I regularly see my cardiologist. Per my doctor's directions, I increased my medication as needed to help me with my symptoms.
Age: 32.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse reaction/ used after the best used date.
Age: 0.08
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Apnoea, Base excess increased, Blood creatine phosphokinase increased, Blood glucose increased, Blood pH decreased
Clinical narrative: 58 day old baby given 2 month routine vaccines in office in the morning.  Mild nasal congestion on exam.  That evening, apnea and possible seizure. In ER, respiratory failure, cardiac arrest. Resuscitation successful. Transferred to higher level of care
Age: 0.08
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Cardiac arrest, Chest X-ray abnormal, Computerised tomogram head normal, Full blood count normal, Human rhinovirus test positive
Clinical narrative: 58 day old baby given 2 month routine vaccines in office in the morning.  Mild nasal congestion on exam.  That evening, apnea and possible seizure. In ER, respiratory failure, cardiac arrest. Resuscitation successful. Transferred to higher level of care
Age: 0.08
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV1
Symptoms: Lung infiltration, Nasal congestion, Procalcitonin increased, Respiratory failure, Resuscitation
Clinical narrative: 58 day old baby given 2 month routine vaccines in office in the morning.  Mild nasal congestion on exam.  That evening, apnea and possible seizure. In ER, respiratory failure, cardiac arrest. Resuscitation successful. Transferred to higher level of care
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Dizziness, Headache, Nausea, Pyrexia
Clinical narrative: Fever, headache, dizzy and nausea approximately 3 hours after vaccine.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Aphonia, Chills, Headache, Nausea, Oropharyngeal pain
Clinical narrative: I lost my voice and had a sore throat. I had a fever with some chills and a slight headache, some nausea.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, SARS-CoV-2 test
Clinical narrative: I lost my voice and had a sore throat. I had a fever with some chills and a slight headache, some nausea.
Age: 90.0
Sex: M
Vaccine: COVID19-2
Symptoms: Angiogram normal, Cardiac arrest, Cardio-respiratory arrest, Computerised tomogram normal, Hypoxia
Clinical narrative: 90 y/o with h/o dementia presented after a fall with head CT at that time (11/26) demonstrating trace IVH b/l with chronic SDH, which improved on repeat scans. Since then patient continued to be hospitalized as waiting SNF placement. On 12/2, around 11:25 AM, after receiving COVID vaccine, patient was found slumped in his chair and unresponsive, lost pulse with ROSC achieved after 20-30 seconds w/ chest compressions. After ROSC, patient profoundly altered, for which code Stroke was called at 11:43 AM. NCHCT without acute hemorrhage, CTA without LVO. So acute change in mental status, likely in the setting of brief asystole/hypoxia during code blue event. Neurology/stroke consult team, recommending work-up for other causes including toxic-metabolic, however most likely etiology of alteration of mental status due to asystole/hypoxia event which triggered the Code Blue. Given acute change in clinical condition, needing closer monitoring, further evaluation and potential for clinical decline, appropriate to update bedded outpatient to inpatient level of care ED to Hosp-Admission (Current) on 11/26/2022
Age: 90.0
Sex: M
Vaccine: COVID19-2
Symptoms: Mental status changes, Posture abnormal, Pulse absent, Resuscitation, Unresponsive to stimuli
Clinical narrative: 90 y/o with h/o dementia presented after a fall with head CT at that time (11/26) demonstrating trace IVH b/l with chronic SDH, which improved on repeat scans. Since then patient continued to be hospitalized as waiting SNF placement. On 12/2, around 11:25 AM, after receiving COVID vaccine, patient was found slumped in his chair and unresponsive, lost pulse with ROSC achieved after 20-30 seconds w/ chest compressions. After ROSC, patient profoundly altered, for which code Stroke was called at 11:43 AM. NCHCT without acute hemorrhage, CTA without LVO. So acute change in mental status, likely in the setting of brief asystole/hypoxia during code blue event. Neurology/stroke consult team, recommending work-up for other causes including toxic-metabolic, however most likely etiology of alteration of mental status due to asystole/hypoxia event which triggered the Code Blue. Given acute change in clinical condition, needing closer monitoring, further evaluation and potential for clinical decline, appropriate to update bedded outpatient to inpatient level of care ED to Hosp-Admission (Current) on 11/26/2022
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was 17 years and 11 months old when she received her first dose.
Sex: M
Vaccine: PPV
Symptoms: Expired product administered, No adverse event
Clinical narrative: Expired vaccine given. Exp 1/28/23, given 1/30/23.  No reaction
Age: 15.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Palpitations, Tachycardia
Clinical narrative: 01/06/2023 participated in 800 meter race and 3 hours later was still experiencing tachycardia and heart palpitations. At times we could feel her heart beating seemingly forcefully. 01/13/2023 went in to see PCP and was referred to cardiologist. Go to cardiologist on 02/02/2023. Still experiences intermittent palpitations and tachycardia after exercising lasting for 10-12 hours.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Electrocardiogram
Clinical narrative: Pt described feeling SHOB and chest tightness/pain five minutes after receiving the COVID-19 Moderna #1 injection, pt was given 02 nasal cannula at 2 Liters, vital signs obtained, and ECG performed, pt was then transported by ambulance to nearest hospital after explaining to provider that she has recent history of seeing provider in for "holes in her heart and fainting spells". Pt denied history of myocarditis and pericarditis when questioned prior to vaccine administration.
Age: 5.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: no adverse reaction, patient received Bivalent vaccine as a primary series (second dose)
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ageusia, COVID-19, Influenza virus test positive, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I was having a scratchy throat, so I took a COVID-19 Home Test, and it was negative. The next day I woke up with slight fever of 100.8 took Tylenol and called my PCP but they wanted to do a virtual appointment, so I went to an urgent care. The urgent care did not test for COVID-19 but did for influenza and strep and both were negative, so they sent me home with amoxicillin and an antibiotic shot. I took a nap and woke up and by that night I had a fever of 104. I had my husband bring me some soup and I could not taste it, so I had him bring me a test and I took a home test again and it was positive, I called my doctor's office back and the clinic back where I was seen and then i went to the ER. They tested again for flu, strep, and COVID and it was positive. They gave me a breathing treatment, ibuprofen and an inhaler to take home and then sent me home. On the 22nd I called to my PCP they put me on Paxlovid. My husband and son ended up positive for COVID-19 as well. I finally tested negative on December 26th.
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Streptococcus test positive, Throat irritation
Clinical narrative: I was having a scratchy throat, so I took a COVID-19 Home Test, and it was negative. The next day I woke up with slight fever of 100.8 took Tylenol and called my PCP but they wanted to do a virtual appointment, so I went to an urgent care. The urgent care did not test for COVID-19 but did for influenza and strep and both were negative, so they sent me home with amoxicillin and an antibiotic shot. I took a nap and woke up and by that night I had a fever of 104. I had my husband bring me some soup and I could not taste it, so I had him bring me a test and I took a home test again and it was positive, I called my doctor's office back and the clinic back where I was seen and then i went to the ER. They tested again for flu, strep, and COVID and it was positive. They gave me a breathing treatment, ibuprofen and an inhaler to take home and then sent me home. On the 22nd I called to my PCP they put me on Paxlovid. My husband and son ended up positive for COVID-19 as well. I finally tested negative on December 26th.
Age: 56.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse reaction/ used after the best used date
Age: 8.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: A Pfizer-Biontech Covid-19 bivalent booster  for use in individuals 12 years of age and older was administered by error  to an 8 year old patient. The patient did not develop any adverse side effects.
Age: 12.0
Sex: M
Vaccine: MENB
Symptoms: Wrong product administered
Clinical narrative: Bexsero meningococcal B, OMV  was given as an initial dose instead of initial dose of Menveo A-C-Y-W-135-Dip
Age: 14.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient received two Flu vaccines- 9/13/2022 and 1/19/2023.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Bell's palsy, Blood test abnormal, Computerised tomogram abnormal, Corneal reflex decreased, Electrocardiogram abnormal
Clinical narrative: My eye starting watering 14JAN2023 I put a cold wet rag on my eye after a little bit I looked in the mirror and my right eye was not blinking and my lower lip was drooping or askew the next morning I went to Urgent care 15JAN2023 and they took me to the ER,  a CAT scan and an EKG and blood draw was performed as well ads an IV started. I was diagnosed with Bells Palsy and told to follow with my Doctor. I met wit DR on 18JAN2023 and I was sent to rehab for exercises and electric stimulation on my face prescribed for two times a week through mid February 2023. I was also prescribed Acyclovir ten days and Predezone for five days.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Facial paralysis, Lacrimation increased
Clinical narrative: My eye starting watering 14JAN2023 I put a cold wet rag on my eye after a little bit I looked in the mirror and my right eye was not blinking and my lower lip was drooping or askew the next morning I went to Urgent care 15JAN2023 and they took me to the ER,  a CAT scan and an EKG and blood draw was performed as well ads an IV started. I was diagnosed with Bells Palsy and told to follow with my Doctor. I met wit DR on 18JAN2023 and I was sent to rehab for exercises and electric stimulation on my face prescribed for two times a week through mid February 2023. I was also prescribed Acyclovir ten days and Predezone for five days.
Age: 1.0
Sex: F
Vaccine: DTPPVHBHPB, MMR, PNC13
Symptoms: Wrong product administered
Clinical narrative: Patient received Vaxelis instead of getting varicella. Patients mother was notified, manufacture , and safety report from office was completed.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Dizziness, Immediate post-injection reaction, Injection site pain, Nausea, Vomiting
Clinical narrative: After the vaccine was administered, the patient immediately experienced dizziness and nausea. The patient was sent home after symptoms improved, but started vomiting later at home that day. The patient complained of pain gradually getting worse at the site of injection, which had lasted about two weeks when reported to the facility. The provider instructed giving ibuprofen as needed for the pain, and afterward the parent reported the ibuprofen has helped with the pain and the patient is feeling better. Second follow up with parent reports the patient is doing well.
Age: 86.0
Sex: F
Vaccine: COVID19-2
Symptoms: Angiogram cerebral abnormal, Cerebral atrophy, Cerebral infarction, Cerebrovascular accident
Clinical narrative: May be completely unrelated but wanted to note that patient did have CVA on 12/20/2023 then readmitted 1/29/2023 again for CVA
Age: 43.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Feeling abnormal, Headache
Clinical narrative: On December 8, I started having a slight headache I felt rundown and just not good. Friday morning, I started having body aches. I went to the walk in clinic and was negative and then Saturday I tested again and was positive, I was prescribed prednisone and didn't get worse just body aches and coughing but I didn't get worse.
Age: 43.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pain, SARS-CoV-2 test positive
Clinical narrative: On December 8, I started having a slight headache I felt rundown and just not good. Friday morning, I started having body aches. I went to the walk in clinic and was negative and then Saturday I tested again and was positive, I was prescribed prednisone and didn't get worse just body aches and coughing but I didn't get worse.
Age: 97.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Pfizer 2/11/21 Lot# EM9810;  Pfizer 3/48/21 Lot# EN6201;  Pfizer 10/9/21 Lot# FF2590;  Pfizer 1/7/23 Lot# GJ3274
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Biopsy, Blood chloride abnormal, Blood culture, Blood gases abnormal
Clinical narrative: After my previous vaccines, I began to feel progressively worse and started to experience a slow decline.  I had bouts of dizziness, unsteadiness on my feet at times and at times I would have to lay down.  I would get heart palpitations and it would take a minute to catch my breath after a heart palpitation.  The more pervasive symptom was I had a tremendous amount of fatigue throughout my day.  I had an event of vasovagal syncope during a biopsy procedure on May 3rd, 2022.  The same thing happened to me when I was in the emergency room in which my heart paused and this is when I went into cardiac arrest on September 10th, 2022.  Received pacemaker on 9/11/2022
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactic acid, Blood potassium abnormal, Cardiac arrest, Cardiac pacemaker insertion, Chest X-ray normal
Clinical narrative: After my previous vaccines, I began to feel progressively worse and started to experience a slow decline.  I had bouts of dizziness, unsteadiness on my feet at times and at times I would have to lay down.  I would get heart palpitations and it would take a minute to catch my breath after a heart palpitation.  The more pervasive symptom was I had a tremendous amount of fatigue throughout my day.  I had an event of vasovagal syncope during a biopsy procedure on May 3rd, 2022.  The same thing happened to me when I was in the emergency room in which my heart paused and this is when I went into cardiac arrest on September 10th, 2022.  Received pacemaker on 9/11/2022
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Electrocardiogram abnormal, Fatigue, Full blood count
Clinical narrative: After my previous vaccines, I began to feel progressively worse and started to experience a slow decline.  I had bouts of dizziness, unsteadiness on my feet at times and at times I would have to lay down.  I would get heart palpitations and it would take a minute to catch my breath after a heart palpitation.  The more pervasive symptom was I had a tremendous amount of fatigue throughout my day.  I had an event of vasovagal syncope during a biopsy procedure on May 3rd, 2022.  The same thing happened to me when I was in the emergency room in which my heart paused and this is when I went into cardiac arrest on September 10th, 2022.  Received pacemaker on 9/11/2022
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: General physical health deterioration, Mobility decreased, PCO2, PO2, Palpitations
Clinical narrative: After my previous vaccines, I began to feel progressively worse and started to experience a slow decline.  I had bouts of dizziness, unsteadiness on my feet at times and at times I would have to lay down.  I would get heart palpitations and it would take a minute to catch my breath after a heart palpitation.  The more pervasive symptom was I had a tremendous amount of fatigue throughout my day.  I had an event of vasovagal syncope during a biopsy procedure on May 3rd, 2022.  The same thing happened to me when I was in the emergency room in which my heart paused and this is when I went into cardiac arrest on September 10th, 2022.  Received pacemaker on 9/11/2022
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Prohormone brain natriuretic peptide, Sinus arrest, Sinus bradycardia, Syncope, Thyroid function test normal
Clinical narrative: After my previous vaccines, I began to feel progressively worse and started to experience a slow decline.  I had bouts of dizziness, unsteadiness on my feet at times and at times I would have to lay down.  I would get heart palpitations and it would take a minute to catch my breath after a heart palpitation.  The more pervasive symptom was I had a tremendous amount of fatigue throughout my day.  I had an event of vasovagal syncope during a biopsy procedure on May 3rd, 2022.  The same thing happened to me when I was in the emergency room in which my heart paused and this is when I went into cardiac arrest on September 10th, 2022.  Received pacemaker on 9/11/2022
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin, Urine analysis abnormal, pH body fluid
Clinical narrative: After my previous vaccines, I began to feel progressively worse and started to experience a slow decline.  I had bouts of dizziness, unsteadiness on my feet at times and at times I would have to lay down.  I would get heart palpitations and it would take a minute to catch my breath after a heart palpitation.  The more pervasive symptom was I had a tremendous amount of fatigue throughout my day.  I had an event of vasovagal syncope during a biopsy procedure on May 3rd, 2022.  The same thing happened to me when I was in the emergency room in which my heart paused and this is when I went into cardiac arrest on September 10th, 2022.  Received pacemaker on 9/11/2022
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 5 vaccines 3/17/21 ModernaLot# 038A21A;  Moderna 4/14/21 Lot# 037B21A;  Pfizer 10/1/21 Lot# EW0186'  Modern 12/22/21 Lot# 066H21A;  Moderna 10/28/22 Lot# 051D22A
Age: 1.58
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient given pfizer bivalent booster for correct age group but should have received moderna bivalent booster. No adverse side effects noted at this time.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case after 2 vaccines Pfizer 8/17/21 Lot# FC3181;  PFizer 4/5/22 Lot# FK9894
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines MOderna 1/28/21 Lot# 007M20A;  Moderna 4/20/21 Lot# 007B21A;  Moderna 1/25/22 Lot# 033H21A;  Moderna 9/27/22 Lot# 083B22A
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-cyclic citrullinated peptide antibody, Arthralgia, Arthroscopy, Bacterial test, Borrelia test
Clinical narrative: Severe chronic joint pain in right knee, left ankle, and left hip. Also, severe chronic swelling in right knee and left ankle. Has lasted for over five months. Still no official diagnosis or cause.  Have had breast implants (silicon) for three years. Just had them removed a couple of weeks ago. Believe it's from the implants, not the vaccine, but am unsure at this time.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Joint swelling, Laboratory test, X-ray
Clinical narrative: Severe chronic joint pain in right knee, left ankle, and left hip. Also, severe chronic swelling in right knee and left ankle. Has lasted for over five months. Still no official diagnosis or cause.  Have had breast implants (silicon) for three years. Just had them removed a couple of weeks ago. Believe it's from the implants, not the vaccine, but am unsure at this time.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Constipation, Delirium, Delusion, Diarrhoea, Fatigue
Clinical narrative: Headache started 4 hours after injection; intense muscle cramping for 6 hours; full body cramping; prescribe steroid booster; nausea and vomiting. Diarrhea and constipation; Prolonged migraine; delusions and delirium. Extreme fatigue. Over a period of weeks could not function in normal manner.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Mental impairment, Migraine, Muscle spasms, Nausea
Clinical narrative: Headache started 4 hours after injection; intense muscle cramping for 6 hours; full body cramping; prescribe steroid booster; nausea and vomiting. Diarrhea and constipation; Prolonged migraine; delusions and delirium. Extreme fatigue. Over a period of weeks could not function in normal manner.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Headache started 4 hours after injection; intense muscle cramping for 6 hours; full body cramping; prescribe steroid booster; nausea and vomiting. Diarrhea and constipation; Prolonged migraine; delusions and delirium. Extreme fatigue. Over a period of weeks could not function in normal manner.
Age: 48.0
Sex: F
Vaccine: PPV
Symptoms: Expired product administered
Clinical narrative: Medication 2 days expired.
Age: 5.0
Sex: M
Vaccine: MMRV
Symptoms: Expired product administered
Clinical narrative: Expired MMRV vaccine (expiration 1/16/2023) was given to patient on 1/17/2023
Age: 2.0
Sex: M
Vaccine: DTAPIPV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Upon review, discovered that Dtap - IPV was administered to a child 2 years of age. This vaccine is approved for ages 4-6 years. No adverse event reported by mother. Telephone call to Mother.. This telephone number is not in service. Checked for updated contact information without success.  Dtap is a valid dose, IPV was not due at the time of immunization.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Head discomfort, Pain, SARS-CoV-2 test positive
Clinical narrative: I had a mild case of COVID-19; I had a fever, body aches, and head congestion. The next morning, the symptoms slightly faded, but I developed a minor cough with no phlegm or anything. I took an at-home COVID-19 on 12/11/2022 which came back positive. I scheduled a virtual appointment with my doctor on 12/13/2022. She said since my symptoms were so mild, she didn't recommend any anti-viral prescriptions but said to take DayQuil or ibuprofen or any congestion medications to help speed my recovery.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines  Modern a1/27/21 Lot# 039K20A;  Modern 2/23/21 Lot# 004M20A
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Diarrhoea, Dyspnoea, Nausea
Clinical narrative: Severe Nausea, diarrhea, back pain and shortness of breath.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ageusia, Anosmia, Blood test normal, COVID-19, Dyspnoea
Clinical narrative: I had vaccination on 10/26/2022. I did have bumps around injections site and was warm to the touch for 48 hours. I tested COVID-19 positive on 12/20/2022. I was experiencing a headache; my nose was congested. I started to run a fever on 12/22/2022 which lasted for 3 days. I lost my taste buds and sense of smell. I went to the emergency room on 01/05/2023 because I was having a hard time breathing. Presently I feel ok on 01/30/2023. I do have a follow up with my physician on 01/31/2023.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Electrocardiogram normal, Headache, Injection site rash, Injection site warmth, Nasal congestion
Clinical narrative: I had vaccination on 10/26/2022. I did have bumps around injections site and was warm to the touch for 48 hours. I tested COVID-19 positive on 12/20/2022. I was experiencing a headache; my nose was congested. I started to run a fever on 12/22/2022 which lasted for 3 days. I lost my taste buds and sense of smell. I went to the emergency room on 01/05/2023 because I was having a hard time breathing. Presently I feel ok on 01/30/2023. I do have a follow up with my physician on 01/31/2023.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I had vaccination on 10/26/2022. I did have bumps around injections site and was warm to the touch for 48 hours. I tested COVID-19 positive on 12/20/2022. I was experiencing a headache; my nose was congested. I started to run a fever on 12/22/2022 which lasted for 3 days. I lost my taste buds and sense of smell. I went to the emergency room on 01/05/2023 because I was having a hard time breathing. Presently I feel ok on 01/30/2023. I do have a follow up with my physician on 01/31/2023.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines Pfizer x2; Pfizer 2/15/21 Lot# EL9267;  Pfizer 3/8/21 Lot# En6199
Age: 79.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Injection site bruising, Injection site pain
Clinical narrative: Patient called to clinic on clinic to report bruise and "small bump"  and soreness at injection site. Jynneos given on 1/20/23, 1st shot. No report of symptoms of anaphylaxis. Encouraged to rotate ice and heat for comfort and to continue to monitor site. Encouraged if further symptoms occur or current symptoms worsen, seek medical attention.
Age: 23.0
Sex: M
Vaccine: COVID19-2
Symptoms: Aortic dilatation, Chest pain, Echocardiogram abnormal, Mitral valve incompetence, Palpitations
Clinical narrative: Pt developed chest pain and heart palpitations 10 days after vaccination. Upon workup with cardiologist, pt was found to have mitral regurgitation, dilated aortic root, and dilated ascending aorta. Pt had no symptoms prior to vaccination. Pt was previously a healthy, active 23 year old.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Monoplegia
Clinical narrative: Legs paralyzed
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received Pfizer Covid-19 vaccine dose # 2 after BUD-expiration date.  Doctor recommended for dose to be repeated. patient's parents were informed of the adverse event, they reported no symptoms or signs related to this adverse event. Patient was offered to be revaccinated.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 5 vaccines Pfizer 1/27/21 Lot# EL9264;  Pfizer 2/17/21 Lot# EN6201;  Pfizer 11/19/21 Lot# 320308D;  Pfizer 4/11/22 Lot# F9943;  10/20/22 Pfizer Lot# GJ3277
Age: 2.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Upon review, it has been determined that Dtap-IPV was given to a 2 year old when indicated for children ages 4-6. This was patient's first dose of IPV and second dose of Dtap. Both doses are being counted as valid doses. Patient has been into our Health Department since this occurrence. Mother did not mention any adverse events from the vaccine administered on 11/3/22. Telephone call to mother to discuss findings. Telephone forwarding directly to voicemail and mailbox is full. Records used to look up additional contact information.