chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 82.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Feeling abnormal, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: We were on a cruise ship and 50 or more cabins were positive for COVID-19. I had a fever and felt terrible. I had a positive antigen COVID-19 test. We were quarantined for 5 days in our cabin. After the ship left, they placed us in a hotel, and I was prescribed PAXLOVID on January 22, 2023. My symptoms improved dramatically after 2 days. I had a low fever the 2nd day and then a lingering cough that lasted for several weeks. All other symptoms resolved by the 4 days of taking the PAXLOVID.
Age: 42.0
Sex: M
Vaccine: HPV9
Symptoms: Expired product administered, No adverse event
Clinical narrative: Expired vaccination administered to the patient,no adverse event occured following the injection
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Product preparation issue
Clinical narrative: Menveo is a two-part vaccine. It has a powder in one vile that is to be reconstituted with a specific liquid from another vile. It was discovered by our vaccine coordinator that there was half of a dose left unused on three separate occasions. This was discovered in the late fall/early winter 2022. This means that there are three patients of our practice who received incomplete Menveo vaccines and we have not yet identified them. Presumably, the powder was reconstituted in a separate diluent.  We had IT run a report of all patients in a certain window of time who received Menveo at our practice. We compared it with our handwritten logs that clinical staff use to track all vaccines.  Unfortunately, the best we could do was to rule down the list to 8 potential patients. I did submit a separate report about one of these patients a few months ago as that was the first patient potentially identified   We have done lots of reeducation with clinical staff since this time. We have also implemented a protocol that all pediatric vaccines must be double checked by a second clinical staff person before being administered. Our vaccine coordinator is also taking a manual inventory weekly to ensure that should a mistake be made, we are aware of it closer to the date or error. We have also discussed with the medical director that for state supplied vaccines we are going to phase out the use of Menveo (two vial dose) and go back to using a (single vial dose.)  The course of action is to place a call to each of the 7 patients who got Menveo in the suspected time frame and explain that while we are not sure they are under vaccinated, it cannot hurt anything to repeat the Menveo vaccine. That would ensure they are fully vaccinated.      Our medical director has advised that a repeat dose is appropriate and should be offered to anyone affected. PCPs have been alerted and agree with the plan for office manager to reach out to patients/guardians
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pt was given Pfizer primary dose vs Primary Booster. Pt waiting 15 mins post vaccination. No symptoms or concerns detected.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Hypoxia, Pneumonia, Pulmonary embolism
Clinical narrative: ACUTE PULMONARY EMBOLISM 4/1/2022 PNEUMONIA ACUTE HYPOXEMIC RESPIRATORY FAILURE 4/1/2022 PNEUMONIA HYPOXIA 4/1/2022 PNEUMONIA
Age: 61.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site induration, Swelling
Clinical narrative: Localized swelling, induration, erythema at left deltoid / sight of injection.
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Decreased appetite, Fatigue, SARS-CoV-2 test positive
Clinical narrative: I did not have a reaction to the vaccine. I tested positive for COVID-19 on 03/17/2023. I went to a clinic and got a prescription for PAXLOVID and something for the cough. I had no trouble with the medication and tolerated it well. As of today, I feel that I get tired easily. I had a terrible cough the first day and I lost my appetite while having COVID-19.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Cardiac failure congestive, Renal cyst
Clinical narrative: Moderna vaccine was administered outside - reported by patient  J96.00 ACUTE RESPIRATORY FAILURE 3/3/2022 ACQUIRED MULTIPLE RENAL CYSTS J96.00 ACUTE RESPIRATORY FAILURE 3/3/2022 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cough, Productive cough
Clinical narrative: I started my symptoms on October 26, 2022 I experienced cough, phlegm; I wasn't prescribed any medications at the time of my Dr. visit.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test abnormal, Computerised tomogram thorax abnormal, Deep vein thrombosis, Fibrin D dimer, Laboratory test normal
Clinical narrative: I developed DVT and PE blood clot issues. No family history. Non smoker, non drinker. Physically active daily.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism, Thrombosis, Ultrasound scan
Clinical narrative: I developed DVT and PE blood clot issues. No family history. Non smoker, non drinker. Physically active daily.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Amnesia, Brain fog, COVID-19, Oropharyngeal pain, Pyrexia
Clinical narrative: I had my vaccination on 10/12/2022. I started to have a sore throat on 02/20/2023. I tested COVID-19 negative from 02/20/2023 to 02/23/2023. The morning of 02/24/2023 I tested COVID-19 negative. I started to run a fever and have a very runny nose on that same day. I tested COVID-19 positive on the evening of 02/24/2023. I contacted my physician on 02/24/2023 and I requested PAXLOVID. I presently feel ok but I do still feel like I have brain fog and memory loss.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had my vaccination on 10/12/2022. I started to have a sore throat on 02/20/2023. I tested COVID-19 negative from 02/20/2023 to 02/23/2023. The morning of 02/24/2023 I tested COVID-19 negative. I started to run a fever and have a very runny nose on that same day. I tested COVID-19 positive on the evening of 02/24/2023. I contacted my physician on 02/24/2023 and I requested PAXLOVID. I presently feel ok but I do still feel like I have brain fog and memory loss.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Cardiac monitoring, Dizziness, Dyspnoea, Electrocardiogram abnormal
Clinical narrative: Started having shortness of breath, lightheadedness; weakened and dizzy. Symptoms came in waves and was intermittent. After 2 hours went to an urgent care locally while on vacation. Had 2 EKG's done and the readings were inconclusive. When I got home from vacation I saw my primary care doctor and was given another EKG, that showed I had a couple of skipped heartbeats. Was given a 30 day heart monitor to wear that I'm still wearing.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extrasystoles
Clinical narrative: Started having shortness of breath, lightheadedness; weakened and dizzy. Symptoms came in waves and was intermittent. After 2 hours went to an urgent care locally while on vacation. Had 2 EKG's done and the readings were inconclusive. When I got home from vacation I saw my primary care doctor and was given another EKG, that showed I had a couple of skipped heartbeats. Was given a 30 day heart monitor to wear that I'm still wearing.
Age: 59.0
Sex: M
Vaccine: COVID19-2
Symptoms: Abdominal discomfort, Computerised tomogram normal, Endoscopy normal, Malaise, Ultrasound scan normal
Clinical narrative: I get an upset stomach after I eat. I will get sick for hours and must lay down for a while. I went the doctor, and they did several tests. The tests came back normal. I am still having this problem.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Body temperature increased, COVID-19, Fatigue, Influenza
Clinical narrative: It started with a very runny nose and sinus congestion. I tested and I was positive. I called the doctor's office and they prescribed PAXLOVID. The next day I felt very severe flu symptoms. Body aches and temperature of 101.5 degrees. As soon as I started taking the PAXLOVID the symptoms were not as severe. I took it for five days. The very bad symptoms had lessened but I was still very tired and weak. After about 10 days I wore a mask for two weeks. I had to build my strength back up. I was very weak. Now I do not have any symptoms.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Rhinorrhoea, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: It started with a very runny nose and sinus congestion. I tested and I was positive. I called the doctor's office and they prescribed PAXLOVID. The next day I felt very severe flu symptoms. Body aches and temperature of 101.5 degrees. As soon as I started taking the PAXLOVID the symptoms were not as severe. I took it for five days. The very bad symptoms had lessened but I was still very tired and weak. After about 10 days I wore a mask for two weeks. I had to build my strength back up. I was very weak. Now I do not have any symptoms.
Age: 98.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Asthenia, COVID-19, Cough, Malaise, Rhinorrhoea
Clinical narrative: She began feeling symptoms early morning of April 7th and vomited twice.  She managed to get back to sleep.  She coughed all through the night.  We were traveling and was coughing so hard and often we stopped at an urgent care.  They listened to her lungs and stated she didn't have pneumonia or bronchitis.  We got her cough syrup.  She was very weak when exiting the car.  She did not run a fever and did not have any other symptoms except a runny nose.  She tested positive for COVID-19 on April 19, 2023.
Age: 98.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: SARS-CoV-2 test positive, Sleep disorder, Vomiting
Clinical narrative: She began feeling symptoms early morning of April 7th and vomited twice.  She managed to get back to sleep.  She coughed all through the night.  We were traveling and was coughing so hard and often we stopped at an urgent care.  They listened to her lungs and stated she didn't have pneumonia or bronchitis.  We got her cough syrup.  She was very weak when exiting the car.  She did not run a fever and did not have any other symptoms except a runny nose.  She tested positive for COVID-19 on April 19, 2023.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dysphonia, Fatigue, Headache
Clinical narrative: The first couple of days I felt like I had a bad cold. I was talking to a friend who said I sounded bad and should take a COVID-19 test, I did use a home COVID-19 test, it came back positive. I went to an urgent care to get some medication to help me get over this quicker. I was prescribed, LAGEVRIO. On the second day I had a fever that lasted for three days then went away, I coughing that has lingered, my fatigue has lingered. Any other symptoms that come up such as a runny nose, sore throat, headache only lasted for a day.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, Oropharyngeal pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: The first couple of days I felt like I had a bad cold. I was talking to a friend who said I sounded bad and should take a COVID-19 test, I did use a home COVID-19 test, it came back positive. I went to an urgent care to get some medication to help me get over this quicker. I was prescribed, LAGEVRIO. On the second day I had a fever that lasted for three days then went away, I coughing that has lingered, my fatigue has lingered. Any other symptoms that come up such as a runny nose, sore throat, headache only lasted for a day.
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Chest discomfort, Cough, Productive cough, Respiratory tract congestion
Clinical narrative: No negative effects on me. I had COVID-19 since then, no fever, deep cough, congestion, tightness upper part of my chest, a lot of flame collecting on bronchial tub. I had a COVID-19 test and it was positive. I contacted the doctor and he prescribed PAXLOVID, after 5 days I tested it was negative, but I had symptoms. so, I tested again, and it was positive.
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: No negative effects on me. I had COVID-19 since then, no fever, deep cough, congestion, tightness upper part of my chest, a lot of flame collecting on bronchial tub. I had a COVID-19 test and it was positive. I contacted the doctor and he prescribed PAXLOVID, after 5 days I tested it was negative, but I had symptoms. so, I tested again, and it was positive.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Dementia, Hypotension
Clinical narrative: Pfizer vaccine was administered outside of the clinic - reported by patient   HYPOTENSION 4/5/2021 ANEMIA  HYPOTENSION 4/5/2021 UNSPECIFIED DEMENTIA, UNSPECIFIED SEVERITY, WO BEHAVIORAL DISTURBANCE
Age: 14.0
Sex: M
Vaccine: UNK
Symptoms: Syncope
Clinical narrative: Pt. experienced vasovagal syncope upon leaving the Center. A security guard on duty assisted.  Pt. recovered from the episode after 15 minutes of sitting. The doctor was consulted and recommended pt. rest the remainder of the day.
Age: 92.0
Sex: M
Vaccine: HEPAB, PNC20, VARZOS
Symptoms: Asthenia, Fall, Pain in extremity, Pyrexia
Clinical narrative: patient said that the next day he developed a fever, weakness, leg pain, and fell.  Went to the the urgent care.  He was fine the day after that.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site urticaria
Clinical narrative: Right thigh welted large area around injection site three days after, mom denies any other symptoms.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Pyrexia, SARS-CoV-2 test positive, Vertigo, Vomiting
Clinical narrative: 11/23/2022 I started vomiting and had a low grade fever. I tested positive for COVID-19 and reached out to urgent care they gave me a prescription of PAXLOVID. And was feeling better within 48 hours. About 20 days later I started having vomiting and vertigo and I couldn't hold anything down. I went to urgent care and they prescribed ZOFRAN. Vertigo and vomiting ended about 24 hours later and was feeling much better. It may have been a rebound COVID-19 case, I heard that it may have been a rebound case of COVID-19 that happens after taking PAXLOVID.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Blood loss anaemia, Hypotension, Pelvic venous thrombosis
Clinical narrative: ACUTE DVT OF LEFT ILIAC VEIN 7/29/2022 ANEMIA DUE TO BLOOD LOSS HYPOTENSION 7/29/2022 ANEMIA DUE TO BLOOD LOSS
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Coronary artery disease, Hyperparathyroidism secondary, Hypotension, Hypoxia
Clinical narrative: HYPOTENSION 5/10/2022 SECONDARY HYPERPARATHYROIDISM. HYPOXIA 2/9/2021 SECONDARY HYPERPARATHYROIDISM. HYPOTENSION 5/10/2022 CAD (CORONARY ARTERY DISEASE) WO ANGINA HYPOXIA 2/9/2021 CAD (CORONARY ARTERY DISEASE) WO ANGINA
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Type 1 diabetes mellitus
Clinical narrative: diabetes type 1
Age: 73.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Cough, Nasopharyngitis, Oropharyngeal pain, Pyrexia
Clinical narrative: In the middle of the night, I felt like had been hit with a cold, my nose was running, I had a fever. I used a home COVID-19 test that came back positive, I called my doctor to let him know that I was positive and to discuss my symptoms. I was advised to go into an urgent care to have a PCR rapid test. I waited to talk to my doctor on Monday, I was prescribed PAXLOVID, I am noticing that my fever is going away but my cough is lingering, my sore throat is going away.
Age: 73.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: In the middle of the night, I felt like had been hit with a cold, my nose was running, I had a fever. I used a home COVID-19 test that came back positive, I called my doctor to let him know that I was positive and to discuss my symptoms. I was advised to go into an urgent care to have a PCR rapid test. I waited to talk to my doctor on Monday, I was prescribed PAXLOVID, I am noticing that my fever is going away but my cough is lingering, my sore throat is going away.
Age: 5.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: None: Expired Vaccine 10/25/2022; given on 02/01/2023
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Diabetic diet, Type 2 diabetes mellitus
Clinical narrative: ACUTE NON ST ELEVATION MI 10/30/2021 DM 2 CONTROLLED BY DIET
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age, Vaccination error
Clinical narrative: Given 5-11 Pfizer Covid 2nd dose of monovalent. Patient is 4 years and 6 months, should have received 6mo-4years Pfizer Covid monovalent. Monitored after vaccination, no reactions
Age: 36.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Rash, Rash erythematous, Rash pruritic, Skin swelling
Clinical narrative: The day after my vaccine a rash the size of a baseball developed on my left arm. It was red swollen and itchy. I called the doctor. It was virtual and they mentioned to put ice and heat on it for a week or two. It resolved after four days or so. I feel fine now it's completely gone.
Age: 69.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Cough, Headache, Oropharyngeal pain, Pulmonary congestion
Clinical narrative: I tested positive for COVID-19 on March 4, 2023. I had congestion, slight temperature and a sore throat, also had a slight headache as well as a cough. I was prescribed PAXLOVID, it took about 5 days to fully recover. I still have slight lung congestion but better.
Age: 69.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I tested positive for COVID-19 on March 4, 2023. I had congestion, slight temperature and a sore throat, also had a slight headache as well as a cough. I was prescribed PAXLOVID, it took about 5 days to fully recover. I still have slight lung congestion but better.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Nasal congestion, Oropharyngeal pain
Clinical narrative: I was positive for COVID-19 on 26DEC2022, I had a cough sore throat and nasal congestion like I was having a cold. Plus I was very tired all the time, I spoke to the nurse practitioner she gave me PAXLOVID. But I never took it I started feeling better 24 hours later.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I was positive for COVID-19 on 26DEC2022, I had a cough sore throat and nasal congestion like I was having a cold. Plus I was very tired all the time, I spoke to the nurse practitioner she gave me PAXLOVID. But I never took it I started feeling better 24 hours later.
Age: 37.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chest discomfort, Chest pain, Cough, Dyspnoea
Clinical narrative: On 1/19/2023, my husband and daughter tested positive for COVID-19. We then isolated from each other and wore masks. On 1/20/2023, I developed a sore throat, head congestion, and runny nose. That evening, I underwent a PCR test; on 1/21/2023, I learned that the result was positive. I continued symptomatic care on 1/21/2023 and 1/22/2023; I took fluids and MUCINEX FAST MAX all-in-one cold & flu (daytime version during the day, nighttime version at night). On 1/23/2023, my symptoms worsened. I developed chest pain, difficulty breathing, a chest cough, and lethargy. On 1/24/2023, I had a telehealth visit with my asthma specialist, who prescribed me albuterol nebulizer treatment, budesonide nebulizer treatments, and ipratropium bromide nasal spray. I also continued the aforementioned MUCINEX medicines. I took all of these medications until 1/27/2023. On the night of 1/26/2023, I had difficulty breathing, and my cough was so severe and disruptive that I called my doctor on the morning of 1/27/2023. They prescribed me a five-day course of prednisone. I continued to use the previously mentioned prescription and OTC medicines and added the prednisone to the regimen. My symptoms began improving on 1/28/2023 and continued to decrease in severity during the remaining four days I was on the prednisone. My chest tightness, pain, and cough improved during this period. I began to decrease the frequency at which I took the albuterol and budesonide nebulizer treatments on 2/1/2023. On 2/3/2023, I had stopped taking all of the medications and I went in for an in-person follow-up with my asthma specialist. The follow-up went very well, and my specialist had me take FLOVENT for the next month. If I felt well at the end of the month, I could taper the frequency of FLOVENT treatments during March 2023. My symptoms did improve during this period, and I stopped taking FLOVENT during the middle of March 2023. After that, my only lingering symptom, which I still have today, a very short burst of nonproductive coughing whenever it's cold outside or when I do mild exercise (e.g. climbing the stairs, running from room to the next). However, it's not disruptive.
Age: 37.0
Sex: F
Vaccine: COVID19-2
Symptoms: Exposure to SARS-CoV-2, Lethargy, Malaise, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: On 1/19/2023, my husband and daughter tested positive for COVID-19. We then isolated from each other and wore masks. On 1/20/2023, I developed a sore throat, head congestion, and runny nose. That evening, I underwent a PCR test; on 1/21/2023, I learned that the result was positive. I continued symptomatic care on 1/21/2023 and 1/22/2023; I took fluids and MUCINEX FAST MAX all-in-one cold & flu (daytime version during the day, nighttime version at night). On 1/23/2023, my symptoms worsened. I developed chest pain, difficulty breathing, a chest cough, and lethargy. On 1/24/2023, I had a telehealth visit with my asthma specialist, who prescribed me albuterol nebulizer treatment, budesonide nebulizer treatments, and ipratropium bromide nasal spray. I also continued the aforementioned MUCINEX medicines. I took all of these medications until 1/27/2023. On the night of 1/26/2023, I had difficulty breathing, and my cough was so severe and disruptive that I called my doctor on the morning of 1/27/2023. They prescribed me a five-day course of prednisone. I continued to use the previously mentioned prescription and OTC medicines and added the prednisone to the regimen. My symptoms began improving on 1/28/2023 and continued to decrease in severity during the remaining four days I was on the prednisone. My chest tightness, pain, and cough improved during this period. I began to decrease the frequency at which I took the albuterol and budesonide nebulizer treatments on 2/1/2023. On 2/3/2023, I had stopped taking all of the medications and I went in for an in-person follow-up with my asthma specialist. The follow-up went very well, and my specialist had me take FLOVENT for the next month. If I felt well at the end of the month, I could taper the frequency of FLOVENT treatments during March 2023. My symptoms did improve during this period, and I stopped taking FLOVENT during the middle of March 2023. After that, my only lingering symptom, which I still have today, a very short burst of nonproductive coughing whenever it's cold outside or when I do mild exercise (e.g. climbing the stairs, running from room to the next). However, it's not disruptive.
Age: 37.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: On 1/19/2023, my husband and daughter tested positive for COVID-19. We then isolated from each other and wore masks. On 1/20/2023, I developed a sore throat, head congestion, and runny nose. That evening, I underwent a PCR test; on 1/21/2023, I learned that the result was positive. I continued symptomatic care on 1/21/2023 and 1/22/2023; I took fluids and MUCINEX FAST MAX all-in-one cold & flu (daytime version during the day, nighttime version at night). On 1/23/2023, my symptoms worsened. I developed chest pain, difficulty breathing, a chest cough, and lethargy. On 1/24/2023, I had a telehealth visit with my asthma specialist, who prescribed me albuterol nebulizer treatment, budesonide nebulizer treatments, and ipratropium bromide nasal spray. I also continued the aforementioned MUCINEX medicines. I took all of these medications until 1/27/2023. On the night of 1/26/2023, I had difficulty breathing, and my cough was so severe and disruptive that I called my doctor on the morning of 1/27/2023. They prescribed me a five-day course of prednisone. I continued to use the previously mentioned prescription and OTC medicines and added the prednisone to the regimen. My symptoms began improving on 1/28/2023 and continued to decrease in severity during the remaining four days I was on the prednisone. My chest tightness, pain, and cough improved during this period. I began to decrease the frequency at which I took the albuterol and budesonide nebulizer treatments on 2/1/2023. On 2/3/2023, I had stopped taking all of the medications and I went in for an in-person follow-up with my asthma specialist. The follow-up went very well, and my specialist had me take FLOVENT for the next month. If I felt well at the end of the month, I could taper the frequency of FLOVENT treatments during March 2023. My symptoms did improve during this period, and I stopped taking FLOVENT during the middle of March 2023. After that, my only lingering symptom, which I still have today, a very short burst of nonproductive coughing whenever it's cold outside or when I do mild exercise (e.g. climbing the stairs, running from room to the next). However, it's not disruptive.
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, Back pain, Brain fog, COVID-19, Chills
Clinical narrative: Saturday April 1st in the evening I felt congested with some hoarseness when I spoke.  I also felt a bit lightheaded and weak.  I tested positive on the same day.  About 12 hours later I tested positive again.  I felt much weaker and more congested.  I had a sore throat and uncomfortable sensation in my ears.  Later that day I got chilled and running a fever.  By the end of that day, I had a strong headache similar to a migraine, but it was unresponsive to migraine medication or ibuprofen.  This headache lasted for 3 days.  Also, I became less lucid and extremely tired.  I was having difficulty getting out of bed, mentally and physically.  Any physical activity left me out of breath.  I had body aches in my back, hands, legs, arms.  I had difficulty concentrating, "brain fogged", throughout.  I felt like I was in a waking nightmare and unable to focus on anything.  My fever peaked at 100.9.  My ears were clogged, and my throat was sore, and it was painful to swallow that ensued a stabbing pain in my ears.  Monday night I was prescribed Paxlovid but had to wait 24 hours for the first dose.  12 hours after that for the next 24 hours my symptoms lessened, (Tuesday-Wednesday).  Over the next several days the pain in my ears and my throat became less.  During the worst, Sunday, Monday and Tuesday, the pain in my ears was constant and the stabbing pain only happened when I swallowed.   My body aches were gone by Wednesday and pain in ears as well.  As of today, day 12, I feel essentially 100% with a bit brain fog and a tickle in my throat when I talk and need to cough.
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Disturbance in attention, Dizziness, Dysphonia, Dyspnoea exertional, Ear discomfort
Clinical narrative: Saturday April 1st in the evening I felt congested with some hoarseness when I spoke.  I also felt a bit lightheaded and weak.  I tested positive on the same day.  About 12 hours later I tested positive again.  I felt much weaker and more congested.  I had a sore throat and uncomfortable sensation in my ears.  Later that day I got chilled and running a fever.  By the end of that day, I had a strong headache similar to a migraine, but it was unresponsive to migraine medication or ibuprofen.  This headache lasted for 3 days.  Also, I became less lucid and extremely tired.  I was having difficulty getting out of bed, mentally and physically.  Any physical activity left me out of breath.  I had body aches in my back, hands, legs, arms.  I had difficulty concentrating, "brain fogged", throughout.  I felt like I was in a waking nightmare and unable to focus on anything.  My fever peaked at 100.9.  My ears were clogged, and my throat was sore, and it was painful to swallow that ensued a stabbing pain in my ears.  Monday night I was prescribed Paxlovid but had to wait 24 hours for the first dose.  12 hours after that for the next 24 hours my symptoms lessened, (Tuesday-Wednesday).  Over the next several days the pain in my ears and my throat became less.  During the worst, Sunday, Monday and Tuesday, the pain in my ears was constant and the stabbing pain only happened when I swallowed.   My body aches were gone by Wednesday and pain in ears as well.  As of today, day 12, I feel essentially 100% with a bit brain fog and a tickle in my throat when I talk and need to cough.
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Ear pain, Fatigue, Headache, Mental disorder, Mobility decreased
Clinical narrative: Saturday April 1st in the evening I felt congested with some hoarseness when I spoke.  I also felt a bit lightheaded and weak.  I tested positive on the same day.  About 12 hours later I tested positive again.  I felt much weaker and more congested.  I had a sore throat and uncomfortable sensation in my ears.  Later that day I got chilled and running a fever.  By the end of that day, I had a strong headache similar to a migraine, but it was unresponsive to migraine medication or ibuprofen.  This headache lasted for 3 days.  Also, I became less lucid and extremely tired.  I was having difficulty getting out of bed, mentally and physically.  Any physical activity left me out of breath.  I had body aches in my back, hands, legs, arms.  I had difficulty concentrating, "brain fogged", throughout.  I felt like I was in a waking nightmare and unable to focus on anything.  My fever peaked at 100.9.  My ears were clogged, and my throat was sore, and it was painful to swallow that ensued a stabbing pain in my ears.  Monday night I was prescribed Paxlovid but had to wait 24 hours for the first dose.  12 hours after that for the next 24 hours my symptoms lessened, (Tuesday-Wednesday).  Over the next several days the pain in my ears and my throat became less.  During the worst, Sunday, Monday and Tuesday, the pain in my ears was constant and the stabbing pain only happened when I swallowed.   My body aches were gone by Wednesday and pain in ears as well.  As of today, day 12, I feel essentially 100% with a bit brain fog and a tickle in my throat when I talk and need to cough.
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Odynophagia, Oropharyngeal pain, Pain, Pain in extremity, Pyrexia
Clinical narrative: Saturday April 1st in the evening I felt congested with some hoarseness when I spoke.  I also felt a bit lightheaded and weak.  I tested positive on the same day.  About 12 hours later I tested positive again.  I felt much weaker and more congested.  I had a sore throat and uncomfortable sensation in my ears.  Later that day I got chilled and running a fever.  By the end of that day, I had a strong headache similar to a migraine, but it was unresponsive to migraine medication or ibuprofen.  This headache lasted for 3 days.  Also, I became less lucid and extremely tired.  I was having difficulty getting out of bed, mentally and physically.  Any physical activity left me out of breath.  I had body aches in my back, hands, legs, arms.  I had difficulty concentrating, "brain fogged", throughout.  I felt like I was in a waking nightmare and unable to focus on anything.  My fever peaked at 100.9.  My ears were clogged, and my throat was sore, and it was painful to swallow that ensued a stabbing pain in my ears.  Monday night I was prescribed Paxlovid but had to wait 24 hours for the first dose.  12 hours after that for the next 24 hours my symptoms lessened, (Tuesday-Wednesday).  Over the next several days the pain in my ears and my throat became less.  During the worst, Sunday, Monday and Tuesday, the pain in my ears was constant and the stabbing pain only happened when I swallowed.   My body aches were gone by Wednesday and pain in ears as well.  As of today, day 12, I feel essentially 100% with a bit brain fog and a tickle in my throat when I talk and need to cough.
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: Saturday April 1st in the evening I felt congested with some hoarseness when I spoke.  I also felt a bit lightheaded and weak.  I tested positive on the same day.  About 12 hours later I tested positive again.  I felt much weaker and more congested.  I had a sore throat and uncomfortable sensation in my ears.  Later that day I got chilled and running a fever.  By the end of that day, I had a strong headache similar to a migraine, but it was unresponsive to migraine medication or ibuprofen.  This headache lasted for 3 days.  Also, I became less lucid and extremely tired.  I was having difficulty getting out of bed, mentally and physically.  Any physical activity left me out of breath.  I had body aches in my back, hands, legs, arms.  I had difficulty concentrating, "brain fogged", throughout.  I felt like I was in a waking nightmare and unable to focus on anything.  My fever peaked at 100.9.  My ears were clogged, and my throat was sore, and it was painful to swallow that ensued a stabbing pain in my ears.  Monday night I was prescribed Paxlovid but had to wait 24 hours for the first dose.  12 hours after that for the next 24 hours my symptoms lessened, (Tuesday-Wednesday).  Over the next several days the pain in my ears and my throat became less.  During the worst, Sunday, Monday and Tuesday, the pain in my ears was constant and the stabbing pain only happened when I swallowed.   My body aches were gone by Wednesday and pain in ears as well.  As of today, day 12, I feel essentially 100% with a bit brain fog and a tickle in my throat when I talk and need to cough.
Age: 59.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cardiac stress test, Chest X-ray, Chest discomfort, Echocardiogram, Electrocardiogram
Clinical narrative: tightness in chest, possible side-effect from minoxidil.  Discontinued minoxidil and symptoms are improving.
Age: 59.0
Sex: M
Vaccine: COVID19-2
Symptoms: Exercise electrocardiogram
Clinical narrative: tightness in chest, possible side-effect from minoxidil.  Discontinued minoxidil and symptoms are improving.
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: None: expired covid-19 vaccine on 10-25-2022
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombosis
Clinical narrative: Blood clot after receiving vaccine
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Decubitus ulcer, Hypoxia, Metabolic encephalopathy, Partial seizures
Clinical narrative: G40.109 PARTIAL EPILEPSY 4/17/2022 PRESSURE ULCER OF LEFT LOWER LEG, UNSPECIFIED STAGE R09.02 HYPOXIA 4/17/2022 PRESSURE ULCER OF LEFT LOWER LEG, UNSPECIFIED STAGE G40.109 PARTIAL EPILEPSY 4/17/2022 PARTIAL EPILEPSY R09.02 HYPOXIA 4/17/2022 PARTIAL EPILEPSY G40.109 PARTIAL EPILEPSY 4/17/2022 METABOLIC ENCEPHALOPATHY R09.02 HYPOXIA 4/17/2022 METABOLIC ENCEPHALOPATHY
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood cholesterol increased, Blood triglycerides increased, Bone pain, Brain fog, COVID-19
Clinical narrative: The night before I felt like my allergies were acting up but by the morning. I had mostly chest congestion, upper respiratory and lots of body aches and my bones ached. I tested on in December and it was positive. I called my doctor and he prescribed Paxlovid. I took Mucinex for the other symptoms. Within 48 hours I felt better. I have since seen the doctor for long COVID symptoms like exhaustion and a foggy mind periodically. I was advised that there is not any additional treatment that can be provided. Diabetes has come up since I had the vaccine also. Round the 1st part of January 2023, I went in for my annual routine bloodwork and my A1C showed up as 7.2 on January 04, 2023. I was diagnosed with Diabetes and prescribed Glimepiride and a glucose monitoring system was provided.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Glycosylated haemoglobin increased, Pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: The night before I felt like my allergies were acting up but by the morning. I had mostly chest congestion, upper respiratory and lots of body aches and my bones ached. I tested on in December and it was positive. I called my doctor and he prescribed Paxlovid. I took Mucinex for the other symptoms. Within 48 hours I felt better. I have since seen the doctor for long COVID symptoms like exhaustion and a foggy mind periodically. I was advised that there is not any additional treatment that can be provided. Diabetes has come up since I had the vaccine also. Round the 1st part of January 2023, I went in for my annual routine bloodwork and my A1C showed up as 7.2 on January 04, 2023. I was diagnosed with Diabetes and prescribed Glimepiride and a glucose monitoring system was provided.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin abnormal, Blood test, Chest X-ray abnormal, Dehydration, Dizziness
Clinical narrative: Initially no reaction, as with all previous 4. No sore arm etc.  10/22/2022 Seen at retail clinic for itchy rash on neck and abdomen, diagnosis was allergic inflammation, Prescription filled for Triamcinolone 11/13/2022 Emergency Room visit, Hospital. Shortness of breath, close to passing out at work. Full blood tests, chest x-rays,treated for dehydration and UTI, Cephalexin (which I didn't even feel). Was told to see dermatologist.  Went back to same clinic 11/19/2022 no change, as follow up. I let them know I was going to dermatologist 11/28/2022, office of Dr.  Received various creams and recommendations from Dermatologist 12/13/22 saw Dr., Basic check up, showed him my now leathery skin, and mentioned I had another appointment with dermatologist.  Results of tests showed vitamin d deficiency and was prescribed 8 week dose. Was also referred for chest x-rays and bone density tests.  12/19/2022 At dermatologist was prescribed Clobetasol and 2 biopsies were taken for skin which was not as itchy, but had had worsened. Was diagnosed with Morphea and Lichen Sclerosus.  12/22/2022 Saw Dr. and received full blood test panel. 01/03/2023 Lab appointment for dermatology to make sure Sclerosus was not "systemic", but rather localized., Received word results negative for systemic. 01/19/2023 Chest x-rays and Bone density test  The xray showed adhesion of pleura on one side, but not affecting lungs etc.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypersensitivity, Inflammation, Laboratory test abnormal, Lichen sclerosus
Clinical narrative: Initially no reaction, as with all previous 4. No sore arm etc.  10/22/2022 Seen at retail clinic for itchy rash on neck and abdomen, diagnosis was allergic inflammation, Prescription filled for Triamcinolone 11/13/2022 Emergency Room visit, Hospital. Shortness of breath, close to passing out at work. Full blood tests, chest x-rays,treated for dehydration and UTI, Cephalexin (which I didn't even feel). Was told to see dermatologist.  Went back to same clinic 11/19/2022 no change, as follow up. I let them know I was going to dermatologist 11/28/2022, office of Dr.  Received various creams and recommendations from Dermatologist 12/13/22 saw Dr., Basic check up, showed him my now leathery skin, and mentioned I had another appointment with dermatologist.  Results of tests showed vitamin d deficiency and was prescribed 8 week dose. Was also referred for chest x-rays and bone density tests.  12/19/2022 At dermatologist was prescribed Clobetasol and 2 biopsies were taken for skin which was not as itchy, but had had worsened. Was diagnosed with Morphea and Lichen Sclerosus.  12/22/2022 Saw Dr. and received full blood test panel. 01/03/2023 Lab appointment for dermatology to make sure Sclerosus was not "systemic", but rather localized., Received word results negative for systemic. 01/19/2023 Chest x-rays and Bone density test  The xray showed adhesion of pleura on one side, but not affecting lungs etc.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Morphoea, Pleural adhesion, Rash, Rash pruritic, Skin disorder
Clinical narrative: Initially no reaction, as with all previous 4. No sore arm etc.  10/22/2022 Seen at retail clinic for itchy rash on neck and abdomen, diagnosis was allergic inflammation, Prescription filled for Triamcinolone 11/13/2022 Emergency Room visit, Hospital. Shortness of breath, close to passing out at work. Full blood tests, chest x-rays,treated for dehydration and UTI, Cephalexin (which I didn't even feel). Was told to see dermatologist.  Went back to same clinic 11/19/2022 no change, as follow up. I let them know I was going to dermatologist 11/28/2022, office of Dr.  Received various creams and recommendations from Dermatologist 12/13/22 saw Dr., Basic check up, showed him my now leathery skin, and mentioned I had another appointment with dermatologist.  Results of tests showed vitamin d deficiency and was prescribed 8 week dose. Was also referred for chest x-rays and bone density tests.  12/19/2022 At dermatologist was prescribed Clobetasol and 2 biopsies were taken for skin which was not as itchy, but had had worsened. Was diagnosed with Morphea and Lichen Sclerosus.  12/22/2022 Saw Dr. and received full blood test panel. 01/03/2023 Lab appointment for dermatology to make sure Sclerosus was not "systemic", but rather localized., Received word results negative for systemic. 01/19/2023 Chest x-rays and Bone density test  The xray showed adhesion of pleura on one side, but not affecting lungs etc.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Vitamin D decreased, Vitamin D deficiency
Clinical narrative: Initially no reaction, as with all previous 4. No sore arm etc.  10/22/2022 Seen at retail clinic for itchy rash on neck and abdomen, diagnosis was allergic inflammation, Prescription filled for Triamcinolone 11/13/2022 Emergency Room visit, Hospital. Shortness of breath, close to passing out at work. Full blood tests, chest x-rays,treated for dehydration and UTI, Cephalexin (which I didn't even feel). Was told to see dermatologist.  Went back to same clinic 11/19/2022 no change, as follow up. I let them know I was going to dermatologist 11/28/2022, office of Dr.  Received various creams and recommendations from Dermatologist 12/13/22 saw Dr., Basic check up, showed him my now leathery skin, and mentioned I had another appointment with dermatologist.  Results of tests showed vitamin d deficiency and was prescribed 8 week dose. Was also referred for chest x-rays and bone density tests.  12/19/2022 At dermatologist was prescribed Clobetasol and 2 biopsies were taken for skin which was not as itchy, but had had worsened. Was diagnosed with Morphea and Lichen Sclerosus.  12/22/2022 Saw Dr. and received full blood test panel. 01/03/2023 Lab appointment for dermatology to make sure Sclerosus was not "systemic", but rather localized., Received word results negative for systemic. 01/19/2023 Chest x-rays and Bone density test  The xray showed adhesion of pleura on one side, but not affecting lungs etc.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Aspiration pleural cavity, Asthenia, Dyspnoea, Gait inability, Hypertension
Clinical narrative: My adverse event started on 12/2022, on December I've noticed that my blood pressure was extremely high. I took my normal medication . On 01/28/2023 I went to the ER because my blood pressure was extremely high. I was having difficulty breathing. I couldn't walk and I was  feeling weak. They told me that my lungs were filled with fluids. They immediately took all the fluids out of my lungs.   They also  prescribe me  Furosemide  and Lasix.  I was in the hospital for 8 days and was  released on 02/04/2023.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pulmonary oedema, SARS-CoV-2 test negative
Clinical narrative: My adverse event started on 12/2022, on December I've noticed that my blood pressure was extremely high. I took my normal medication . On 01/28/2023 I went to the ER because my blood pressure was extremely high. I was having difficulty breathing. I couldn't walk and I was  feeling weak. They told me that my lungs were filled with fluids. They immediately took all the fluids out of my lungs.   They also  prescribe me  Furosemide  and Lasix.  I was in the hospital for 8 days and was  released on 02/04/2023.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Hyperlipidaemia, Muscular weakness, Pulmonary embolism, Type 2 diabetes mellitus
Clinical narrative: ACUTE PULMONARY EMBOLISM 10/28/2021 WEAKNESS OF BILAT LEGS ACUTE PULMONARY EMBOLISM 10/28/2021 DM 2 W HYPERLIPIDEMIA ACUTE PULMONARY EMBOLISM 10/28/2021 ACUTE PULMONARY EMBOLISM ACUTE PULMONARY EMBOLISM 10/28/2021 ABDOMINAL PAIN
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Fatigue, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: Started feeling really tired with a slight sore throat after being around people who had COVID-19. Took a home COVID-19 test and was positive. My doctor prescribed me Paxlovid.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Contusion, Fall, Pain, Skin laceration, Syncope
Clinical narrative: Patient was vaccinated and waiting. Patient was still  waiting and went outside pharmacy where he had a syncope episode and fell. Patient was brought back inside the pharmacy where we laid him in a supine position with legs elevated. His blood pressure was checked. Patient was observed to have minor bruises on his left knee, hand, forehead, and minor cut on hand and under chin. After continued observation patient did not report any signs of dizziness or lightheadedness. Patient reported signs of pain from fall. Patient was given first aid - applying gauze and band aid. The cut on patient's chin was of concerned. Told patient to seek further medical care. Patient was released in the care of spouse.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Wound
Clinical narrative: Patient was vaccinated and waiting. Patient was still  waiting and went outside pharmacy where he had a syncope episode and fell. Patient was brought back inside the pharmacy where we laid him in a supine position with legs elevated. His blood pressure was checked. Patient was observed to have minor bruises on his left knee, hand, forehead, and minor cut on hand and under chin. After continued observation patient did not report any signs of dizziness or lightheadedness. Patient reported signs of pain from fall. Patient was given first aid - applying gauze and band aid. The cut on patient's chin was of concerned. Told patient to seek further medical care. Patient was released in the care of spouse.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Headache, Malaise, Pain
Clinical narrative: I had a fever, fatigue, headache, body ache, malaise, and lots of drainage of my nose. I tested positive for COVID-19. I called my doctor and asked my her for Paxlovid. I started to feel better.  I still have mild fatigue.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had a fever, fatigue, headache, body ache, malaise, and lots of drainage of my nose. I tested positive for COVID-19. I called my doctor and asked my her for Paxlovid. I started to feel better.  I still have mild fatigue.
Age: 5.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: None: Expired  covid 19 vaccine  ON 10/25/2022: Given on 01/27/2023
Age: 0.75
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient given monovalent instead of bivalent by accident
Age: 32.0
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Was told was getting the first vaccine of the series and was mistakenly given the booster.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine beyond use date has been given to pt, unable to contact pt to f/u on this case