chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Anticoagulant therapy, Arterial haemorrhage, Atrial fibrillation, COVID-19
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 2/12/21 (en6201) Pfizer Dose 2 3/9/21 (EN6203) COVID Positive 12/10/21  12/9/21: Patient is a 93-year-old female with past medical history of AAA, chronic low back pain, history of CVA, chronic anemia, B12 deficiency, hypertension, cystocele, hyperlipidemia, irritable bowel syndrome, lumbosacral spondylosis, peptic ulcer disease, restless legs, uterine prolapse, tremor.  She presented to the emergency department on 12/09/2021 after suffering a mechanical fall at home and hit her head.  She states that her walker malfunctioned.  CT head and CT C-spine were unremarkable for acute changes with the exception of a left parietal scalp hematoma noted.  Patient had an x-ray of her lumbar spine that was notable for a T12 compression fracture new from previous scan performed approximately 1 month ago. The patient was also noted to have arterial bleeding from her scalp.  ED provider stated that it took some time to repair this due to high ED volumes.  Patient is believed to have lost a significant amount of blood.  The patient did become mildly tachycardic and hypotensive in the ED.  her hemoglobin on arrival was 11.4.  The remainder of her labs were otherwise unremarkable.  Patient was administered 1 L of fluid in the ED as well as 2 mg of morphine, Zofran, and tetanus shot.  She was admitted for further monitoring of her anemia and fluid resuscitation.  The patient confirms the story above.  She denies any current pain.  She also denies fever, chills, sweats, numbness, tingling, confusion, or changes otherwise.  She does admit to drinking beer occasionally.  She does not use tobacco or illicit drugs.  Family history is noncontributory.  12/14/21: 93-year-old female with past medical history of AAA, chronic low back pain, history of CVA, chronic anemia, B12 deficiency, hypertension, cystocele, hyperlipidemia, irritable bowel syndrome, lumbosacral spondylosis, peptic ulcer disease, restless legs, uterine prolapse, tremor. She presented to the emergency department on 12/09/2021 after suffering a mechanical fall at home and hit her head suffering left occipital laceration complicated by significant bleed requiring fluid resuscitation.  Patient did not require blood transfusion.  Was mildly hypoxic and found to have COVID-19 infection/pneumonia.  Was put on low-dose oxygen, received Decadron, received short course of remdesivir, he mental status got worse Decadron was discontinued.  Pt had elevated troponin and a complaint of chest pain that was transient at that time she had AFib with RVR, patient was started on heparin drip and amiodarone drip.  Transferred to CIU, cardiology were consulted and they recommended stress test however patient was refusing.  Upon my evaluation patient was chest pain-free, troponin were down trending.  She was normal sinus rhythm.  Discussed with Cardiology who recommended to discontinue amiodarone drip and heparin drip and treat the patient medically until seen in the office.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest pain, Computerised tomogram head abnormal, Computerised tomogram spine, Condition aggravated
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 2/12/21 (en6201) Pfizer Dose 2 3/9/21 (EN6203) COVID Positive 12/10/21  12/9/21: Patient is a 93-year-old female with past medical history of AAA, chronic low back pain, history of CVA, chronic anemia, B12 deficiency, hypertension, cystocele, hyperlipidemia, irritable bowel syndrome, lumbosacral spondylosis, peptic ulcer disease, restless legs, uterine prolapse, tremor.  She presented to the emergency department on 12/09/2021 after suffering a mechanical fall at home and hit her head.  She states that her walker malfunctioned.  CT head and CT C-spine were unremarkable for acute changes with the exception of a left parietal scalp hematoma noted.  Patient had an x-ray of her lumbar spine that was notable for a T12 compression fracture new from previous scan performed approximately 1 month ago. The patient was also noted to have arterial bleeding from her scalp.  ED provider stated that it took some time to repair this due to high ED volumes.  Patient is believed to have lost a significant amount of blood.  The patient did become mildly tachycardic and hypotensive in the ED.  her hemoglobin on arrival was 11.4.  The remainder of her labs were otherwise unremarkable.  Patient was administered 1 L of fluid in the ED as well as 2 mg of morphine, Zofran, and tetanus shot.  She was admitted for further monitoring of her anemia and fluid resuscitation.  The patient confirms the story above.  She denies any current pain.  She also denies fever, chills, sweats, numbness, tingling, confusion, or changes otherwise.  She does admit to drinking beer occasionally.  She does not use tobacco or illicit drugs.  Family history is noncontributory.  12/14/21: 93-year-old female with past medical history of AAA, chronic low back pain, history of CVA, chronic anemia, B12 deficiency, hypertension, cystocele, hyperlipidemia, irritable bowel syndrome, lumbosacral spondylosis, peptic ulcer disease, restless legs, uterine prolapse, tremor. She presented to the emergency department on 12/09/2021 after suffering a mechanical fall at home and hit her head suffering left occipital laceration complicated by significant bleed requiring fluid resuscitation.  Patient did not require blood transfusion.  Was mildly hypoxic and found to have COVID-19 infection/pneumonia.  Was put on low-dose oxygen, received Decadron, received short course of remdesivir, he mental status got worse Decadron was discontinued.  Pt had elevated troponin and a complaint of chest pain that was transient at that time she had AFib with RVR, patient was started on heparin drip and amiodarone drip.  Transferred to CIU, cardiology were consulted and they recommended stress test however patient was refusing.  Upon my evaluation patient was chest pain-free, troponin were down trending.  She was normal sinus rhythm.  Discussed with Cardiology who recommended to discontinue amiodarone drip and heparin drip and treat the patient medically until seen in the office.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Device malfunction, Fall, Haemoglobin decreased, Head injury, Hypotension
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 2/12/21 (en6201) Pfizer Dose 2 3/9/21 (EN6203) COVID Positive 12/10/21  12/9/21: Patient is a 93-year-old female with past medical history of AAA, chronic low back pain, history of CVA, chronic anemia, B12 deficiency, hypertension, cystocele, hyperlipidemia, irritable bowel syndrome, lumbosacral spondylosis, peptic ulcer disease, restless legs, uterine prolapse, tremor.  She presented to the emergency department on 12/09/2021 after suffering a mechanical fall at home and hit her head.  She states that her walker malfunctioned.  CT head and CT C-spine were unremarkable for acute changes with the exception of a left parietal scalp hematoma noted.  Patient had an x-ray of her lumbar spine that was notable for a T12 compression fracture new from previous scan performed approximately 1 month ago. The patient was also noted to have arterial bleeding from her scalp.  ED provider stated that it took some time to repair this due to high ED volumes.  Patient is believed to have lost a significant amount of blood.  The patient did become mildly tachycardic and hypotensive in the ED.  her hemoglobin on arrival was 11.4.  The remainder of her labs were otherwise unremarkable.  Patient was administered 1 L of fluid in the ED as well as 2 mg of morphine, Zofran, and tetanus shot.  She was admitted for further monitoring of her anemia and fluid resuscitation.  The patient confirms the story above.  She denies any current pain.  She also denies fever, chills, sweats, numbness, tingling, confusion, or changes otherwise.  She does admit to drinking beer occasionally.  She does not use tobacco or illicit drugs.  Family history is noncontributory.  12/14/21: 93-year-old female with past medical history of AAA, chronic low back pain, history of CVA, chronic anemia, B12 deficiency, hypertension, cystocele, hyperlipidemia, irritable bowel syndrome, lumbosacral spondylosis, peptic ulcer disease, restless legs, uterine prolapse, tremor. She presented to the emergency department on 12/09/2021 after suffering a mechanical fall at home and hit her head suffering left occipital laceration complicated by significant bleed requiring fluid resuscitation.  Patient did not require blood transfusion.  Was mildly hypoxic and found to have COVID-19 infection/pneumonia.  Was put on low-dose oxygen, received Decadron, received short course of remdesivir, he mental status got worse Decadron was discontinued.  Pt had elevated troponin and a complaint of chest pain that was transient at that time she had AFib with RVR, patient was started on heparin drip and amiodarone drip.  Transferred to CIU, cardiology were consulted and they recommended stress test however patient was refusing.  Upon my evaluation patient was chest pain-free, troponin were down trending.  She was normal sinus rhythm.  Discussed with Cardiology who recommended to discontinue amiodarone drip and heparin drip and treat the patient medically until seen in the office.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Inappropriate schedule of product administration, Intensive care, Laboratory test normal, Mental status changes
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 2/12/21 (en6201) Pfizer Dose 2 3/9/21 (EN6203) COVID Positive 12/10/21  12/9/21: Patient is a 93-year-old female with past medical history of AAA, chronic low back pain, history of CVA, chronic anemia, B12 deficiency, hypertension, cystocele, hyperlipidemia, irritable bowel syndrome, lumbosacral spondylosis, peptic ulcer disease, restless legs, uterine prolapse, tremor.  She presented to the emergency department on 12/09/2021 after suffering a mechanical fall at home and hit her head.  She states that her walker malfunctioned.  CT head and CT C-spine were unremarkable for acute changes with the exception of a left parietal scalp hematoma noted.  Patient had an x-ray of her lumbar spine that was notable for a T12 compression fracture new from previous scan performed approximately 1 month ago. The patient was also noted to have arterial bleeding from her scalp.  ED provider stated that it took some time to repair this due to high ED volumes.  Patient is believed to have lost a significant amount of blood.  The patient did become mildly tachycardic and hypotensive in the ED.  her hemoglobin on arrival was 11.4.  The remainder of her labs were otherwise unremarkable.  Patient was administered 1 L of fluid in the ED as well as 2 mg of morphine, Zofran, and tetanus shot.  She was admitted for further monitoring of her anemia and fluid resuscitation.  The patient confirms the story above.  She denies any current pain.  She also denies fever, chills, sweats, numbness, tingling, confusion, or changes otherwise.  She does admit to drinking beer occasionally.  She does not use tobacco or illicit drugs.  Family history is noncontributory.  12/14/21: 93-year-old female with past medical history of AAA, chronic low back pain, history of CVA, chronic anemia, B12 deficiency, hypertension, cystocele, hyperlipidemia, irritable bowel syndrome, lumbosacral spondylosis, peptic ulcer disease, restless legs, uterine prolapse, tremor. She presented to the emergency department on 12/09/2021 after suffering a mechanical fall at home and hit her head suffering left occipital laceration complicated by significant bleed requiring fluid resuscitation.  Patient did not require blood transfusion.  Was mildly hypoxic and found to have COVID-19 infection/pneumonia.  Was put on low-dose oxygen, received Decadron, received short course of remdesivir, he mental status got worse Decadron was discontinued.  Pt had elevated troponin and a complaint of chest pain that was transient at that time she had AFib with RVR, patient was started on heparin drip and amiodarone drip.  Transferred to CIU, cardiology were consulted and they recommended stress test however patient was refusing.  Upon my evaluation patient was chest pain-free, troponin were down trending.  She was normal sinus rhythm.  Discussed with Cardiology who recommended to discontinue amiodarone drip and heparin drip and treat the patient medically until seen in the office.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Skin laceration, Spinal X-ray abnormal, Spinal compression fracture, Subdural haematoma
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 2/12/21 (en6201) Pfizer Dose 2 3/9/21 (EN6203) COVID Positive 12/10/21  12/9/21: Patient is a 93-year-old female with past medical history of AAA, chronic low back pain, history of CVA, chronic anemia, B12 deficiency, hypertension, cystocele, hyperlipidemia, irritable bowel syndrome, lumbosacral spondylosis, peptic ulcer disease, restless legs, uterine prolapse, tremor.  She presented to the emergency department on 12/09/2021 after suffering a mechanical fall at home and hit her head.  She states that her walker malfunctioned.  CT head and CT C-spine were unremarkable for acute changes with the exception of a left parietal scalp hematoma noted.  Patient had an x-ray of her lumbar spine that was notable for a T12 compression fracture new from previous scan performed approximately 1 month ago. The patient was also noted to have arterial bleeding from her scalp.  ED provider stated that it took some time to repair this due to high ED volumes.  Patient is believed to have lost a significant amount of blood.  The patient did become mildly tachycardic and hypotensive in the ED.  her hemoglobin on arrival was 11.4.  The remainder of her labs were otherwise unremarkable.  Patient was administered 1 L of fluid in the ED as well as 2 mg of morphine, Zofran, and tetanus shot.  She was admitted for further monitoring of her anemia and fluid resuscitation.  The patient confirms the story above.  She denies any current pain.  She also denies fever, chills, sweats, numbness, tingling, confusion, or changes otherwise.  She does admit to drinking beer occasionally.  She does not use tobacco or illicit drugs.  Family history is noncontributory.  12/14/21: 93-year-old female with past medical history of AAA, chronic low back pain, history of CVA, chronic anemia, B12 deficiency, hypertension, cystocele, hyperlipidemia, irritable bowel syndrome, lumbosacral spondylosis, peptic ulcer disease, restless legs, uterine prolapse, tremor. She presented to the emergency department on 12/09/2021 after suffering a mechanical fall at home and hit her head suffering left occipital laceration complicated by significant bleed requiring fluid resuscitation.  Patient did not require blood transfusion.  Was mildly hypoxic and found to have COVID-19 infection/pneumonia.  Was put on low-dose oxygen, received Decadron, received short course of remdesivir, he mental status got worse Decadron was discontinued.  Pt had elevated troponin and a complaint of chest pain that was transient at that time she had AFib with RVR, patient was started on heparin drip and amiodarone drip.  Transferred to CIU, cardiology were consulted and they recommended stress test however patient was refusing.  Upon my evaluation patient was chest pain-free, troponin were down trending.  She was normal sinus rhythm.  Discussed with Cardiology who recommended to discontinue amiodarone drip and heparin drip and treat the patient medically until seen in the office.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Troponin increased, Vaccine breakthrough infection, Walking aid user
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 2/12/21 (en6201) Pfizer Dose 2 3/9/21 (EN6203) COVID Positive 12/10/21  12/9/21: Patient is a 93-year-old female with past medical history of AAA, chronic low back pain, history of CVA, chronic anemia, B12 deficiency, hypertension, cystocele, hyperlipidemia, irritable bowel syndrome, lumbosacral spondylosis, peptic ulcer disease, restless legs, uterine prolapse, tremor.  She presented to the emergency department on 12/09/2021 after suffering a mechanical fall at home and hit her head.  She states that her walker malfunctioned.  CT head and CT C-spine were unremarkable for acute changes with the exception of a left parietal scalp hematoma noted.  Patient had an x-ray of her lumbar spine that was notable for a T12 compression fracture new from previous scan performed approximately 1 month ago. The patient was also noted to have arterial bleeding from her scalp.  ED provider stated that it took some time to repair this due to high ED volumes.  Patient is believed to have lost a significant amount of blood.  The patient did become mildly tachycardic and hypotensive in the ED.  her hemoglobin on arrival was 11.4.  The remainder of her labs were otherwise unremarkable.  Patient was administered 1 L of fluid in the ED as well as 2 mg of morphine, Zofran, and tetanus shot.  She was admitted for further monitoring of her anemia and fluid resuscitation.  The patient confirms the story above.  She denies any current pain.  She also denies fever, chills, sweats, numbness, tingling, confusion, or changes otherwise.  She does admit to drinking beer occasionally.  She does not use tobacco or illicit drugs.  Family history is noncontributory.  12/14/21: 93-year-old female with past medical history of AAA, chronic low back pain, history of CVA, chronic anemia, B12 deficiency, hypertension, cystocele, hyperlipidemia, irritable bowel syndrome, lumbosacral spondylosis, peptic ulcer disease, restless legs, uterine prolapse, tremor. She presented to the emergency department on 12/09/2021 after suffering a mechanical fall at home and hit her head suffering left occipital laceration complicated by significant bleed requiring fluid resuscitation.  Patient did not require blood transfusion.  Was mildly hypoxic and found to have COVID-19 infection/pneumonia.  Was put on low-dose oxygen, received Decadron, received short course of remdesivir, he mental status got worse Decadron was discontinued.  Pt had elevated troponin and a complaint of chest pain that was transient at that time she had AFib with RVR, patient was started on heparin drip and amiodarone drip.  Transferred to CIU, cardiology were consulted and they recommended stress test however patient was refusing.  Upon my evaluation patient was chest pain-free, troponin were down trending.  She was normal sinus rhythm.  Discussed with Cardiology who recommended to discontinue amiodarone drip and heparin drip and treat the patient medically until seen in the office.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: No reactions occurred. Vaccine administered on 5/19/2022, however due to it being kept in the fridge, it should have expired on 4/8/22, therefore patient received expired vaccine.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: On the clinic day, the vaccine was transported out from the pharmacy to the facility without a digital data logger. The packing used for transport was a refrigerated packaging tote to maintain a temperature of 36 F - 46 F.  However, that is not approved by State for COVID-19 vaccine transportation. The total time (from when vaccine left the pharmacy to the clinic completion) was less than 6 hours. There were no adverse events.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Adrenal insufficiency, Asymptomatic COVID-19, Blood creatinine increased, Blood culture negative, Catheter culture
Clinical narrative: COVID Vaccine Breakthrough Case   J&J Dose 1 9/8/21 (1808609) COVID Positive 12/6/21  12/6/21: Patient is 23-year-old male with past medical history of congenital hypoplastic kidney status post kidney transplant with rejection, ESRD on hemodialysis at home, secondary hyperparathyroidism, chronic anemia of CKD, pancytopenia, seizure disorder, MRSA bacteremia, endocarditis, chronic hypotension, GERD, PRES, anxiety/depression and ADHD.  Patient was sent to the emergency room from IR room for further evaluation of possible infected hemodialysis access catheter.  Patient was at radiology unit earlier today for IR guided left IJ hemodialysis catheter exchange where he was noted to have purulent discharge around hemodialysis access catheter extends sites.  He was then referred to the emergency room for further evaluation.  Patient has a daily hemodialysis at home with assistance of his family members.  He was at the emergency room 2 days ago for evaluation of failed hemodialysis catheter after he noted failure to draw blood from dialysis access catheter.  Other was patient denied any fever chills or rigors.  No nausea vomiting or abdominal pain.  His last hemodialysis was last Friday 12/03/2021.  Patient has right thigh fistula which is nonfunctional.  Upon evaluation at the emergency room, patient was noted to be hypotensive with systolic blood pressure in the 80s which is close to his baseline.  Patient has chronic hypotension likely due to adrenal insufficiency.  Was tachycardic but maintaining saturation on room air.  He is not febrile.  Lab work is significant for creatinine of 17.5.  At the emergency room, patient received empiric antibiotic vancomycin and Zosyn after culture from peripheral and dialysis access port was obtained.  12/16/21: Blood cultures collected 12/11/2021 reveals no growth to date.  Patient to be discharged on IV daptomycin q.48h, for VNA services at discharge.  For outpatient TEE for evaluation of MRSA bacteremia.  Outpatient follow-up with Infectious Disease specialist  Continue home hemodialysis.  Follow-up with nephrologist. Patient is on room air, no symptoms of COVID-19 infection, continue contact and droplet isolation.  Continue vitamin-C and zinc.  Continue home medications.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Catheter site discharge, Central venous catheterisation, Hypotension, Purulent discharge, SARS-CoV-2 test positive
Clinical narrative: COVID Vaccine Breakthrough Case   J&J Dose 1 9/8/21 (1808609) COVID Positive 12/6/21  12/6/21: Patient is 23-year-old male with past medical history of congenital hypoplastic kidney status post kidney transplant with rejection, ESRD on hemodialysis at home, secondary hyperparathyroidism, chronic anemia of CKD, pancytopenia, seizure disorder, MRSA bacteremia, endocarditis, chronic hypotension, GERD, PRES, anxiety/depression and ADHD.  Patient was sent to the emergency room from IR room for further evaluation of possible infected hemodialysis access catheter.  Patient was at radiology unit earlier today for IR guided left IJ hemodialysis catheter exchange where he was noted to have purulent discharge around hemodialysis access catheter extends sites.  He was then referred to the emergency room for further evaluation.  Patient has a daily hemodialysis at home with assistance of his family members.  He was at the emergency room 2 days ago for evaluation of failed hemodialysis catheter after he noted failure to draw blood from dialysis access catheter.  Other was patient denied any fever chills or rigors.  No nausea vomiting or abdominal pain.  His last hemodialysis was last Friday 12/03/2021.  Patient has right thigh fistula which is nonfunctional.  Upon evaluation at the emergency room, patient was noted to be hypotensive with systolic blood pressure in the 80s which is close to his baseline.  Patient has chronic hypotension likely due to adrenal insufficiency.  Was tachycardic but maintaining saturation on room air.  He is not febrile.  Lab work is significant for creatinine of 17.5.  At the emergency room, patient received empiric antibiotic vancomycin and Zosyn after culture from peripheral and dialysis access port was obtained.  12/16/21: Blood cultures collected 12/11/2021 reveals no growth to date.  Patient to be discharged on IV daptomycin q.48h, for VNA services at discharge.  For outpatient TEE for evaluation of MRSA bacteremia.  Outpatient follow-up with Infectious Disease specialist  Continue home hemodialysis.  Follow-up with nephrologist. Patient is on room air, no symptoms of COVID-19 infection, continue contact and droplet isolation.  Continue vitamin-C and zinc.  Continue home medications.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia, Vaccine breakthrough infection
Clinical narrative: COVID Vaccine Breakthrough Case   J&J Dose 1 9/8/21 (1808609) COVID Positive 12/6/21  12/6/21: Patient is 23-year-old male with past medical history of congenital hypoplastic kidney status post kidney transplant with rejection, ESRD on hemodialysis at home, secondary hyperparathyroidism, chronic anemia of CKD, pancytopenia, seizure disorder, MRSA bacteremia, endocarditis, chronic hypotension, GERD, PRES, anxiety/depression and ADHD.  Patient was sent to the emergency room from IR room for further evaluation of possible infected hemodialysis access catheter.  Patient was at radiology unit earlier today for IR guided left IJ hemodialysis catheter exchange where he was noted to have purulent discharge around hemodialysis access catheter extends sites.  He was then referred to the emergency room for further evaluation.  Patient has a daily hemodialysis at home with assistance of his family members.  He was at the emergency room 2 days ago for evaluation of failed hemodialysis catheter after he noted failure to draw blood from dialysis access catheter.  Other was patient denied any fever chills or rigors.  No nausea vomiting or abdominal pain.  His last hemodialysis was last Friday 12/03/2021.  Patient has right thigh fistula which is nonfunctional.  Upon evaluation at the emergency room, patient was noted to be hypotensive with systolic blood pressure in the 80s which is close to his baseline.  Patient has chronic hypotension likely due to adrenal insufficiency.  Was tachycardic but maintaining saturation on room air.  He is not febrile.  Lab work is significant for creatinine of 17.5.  At the emergency room, patient received empiric antibiotic vancomycin and Zosyn after culture from peripheral and dialysis access port was obtained.  12/16/21: Blood cultures collected 12/11/2021 reveals no growth to date.  Patient to be discharged on IV daptomycin q.48h, for VNA services at discharge.  For outpatient TEE for evaluation of MRSA bacteremia.  Outpatient follow-up with Infectious Disease specialist  Continue home hemodialysis.  Follow-up with nephrologist. Patient is on room air, no symptoms of COVID-19 infection, continue contact and droplet isolation.  Continue vitamin-C and zinc.  Continue home medications.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Bone pain, Chills, Dizziness, Fatigue
Clinical narrative: Vertigo developed after my 2nd shot of Pfizer vaccine: Within three hours of shot: fatigue and arm pain at site; 12 hours after shot: chills and bone pain all over lasting about 12 hours, and started feeling dizzy. By 48 hours after: Lingering dizziness turned into ongoing vertigo. Vertigo made worse by visual stimulation (reading printed material or anything on a screen; bright lights). It interfered with my ability to work (could not read on a computer). Caused fatigued and I had to lay down in dark room and wait for it to subside, but it was ongoing. Previous to this, I have never experienced dizziness like this. I went to my ENT doctor (I was an established patient). They ruled out benign positional vertigo, t
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Impaired work ability, Injection site pain, Interchange of vaccine products, Mobility decreased
Clinical narrative: Vertigo developed after my 2nd shot of Pfizer vaccine: Within three hours of shot: fatigue and arm pain at site; 12 hours after shot: chills and bone pain all over lasting about 12 hours, and started feeling dizzy. By 48 hours after: Lingering dizziness turned into ongoing vertigo. Vertigo made worse by visual stimulation (reading printed material or anything on a screen; bright lights). It interfered with my ability to work (could not read on a computer). Caused fatigued and I had to lay down in dark room and wait for it to subside, but it was ongoing. Previous to this, I have never experienced dizziness like this. I went to my ENT doctor (I was an established patient). They ruled out benign positional vertigo, t
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Photophobia, Vertigo, Vestibular function test, Vestibular neuronitis
Clinical narrative: Vertigo developed after my 2nd shot of Pfizer vaccine: Within three hours of shot: fatigue and arm pain at site; 12 hours after shot: chills and bone pain all over lasting about 12 hours, and started feeling dizzy. By 48 hours after: Lingering dizziness turned into ongoing vertigo. Vertigo made worse by visual stimulation (reading printed material or anything on a screen; bright lights). It interfered with my ability to work (could not read on a computer). Caused fatigued and I had to lay down in dark room and wait for it to subside, but it was ongoing. Previous to this, I have never experienced dizziness like this. I went to my ENT doctor (I was an established patient). They ruled out benign positional vertigo, t
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On the clinic day, the vaccine was transported out from the pharmacy to the facility without a digital data logger. The packing used for transport was refrigerated packaging tote to maintain a temperature of 36 F - 46 F.  However, that is not approved by for COVID-19 vaccine transportation. The total time (from when vaccine left the pharmacy to the clinic completion) was less than 6 hours. There were no adverse events.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: No reactions occurred. Vaccine administered on 4-13-22, however due to it being kept in fridge it should have expired on 4-8-22, therefore pt received expired vaccine.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID 19 that resulted in hospitalization
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: On the clinic day, the vaccine was transported out from the pharmacy to the facility without a digital data logger. The packing used for transport was refrigerated packaging tote to maintain a temperature of 36 F - 46 F.  However, that is not approved for COVID-19 vaccine transportation. The total time (from when vaccine left the pharmacy to the clinic completion) was less than 6 hours. There were no adverse events.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: No reactions occurred. Vaccine administered on 4-13-22, however due to it being kept in fridge it should have expired on 4-8-22, therefore pt received expired vaccine.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Dyspnoea, Fatigue
Clinical narrative: Breakthrough Case of COVID, I was coughing very bad, I coughed on and on and on, I had some congestions as well, a few days later, I had the chills, and a headache, and I had some pains in my body but I didn't really pay attention to that, then I got just really sick on my stomach, I almost fainted, I thought I was gonna die, I could not breathe at all, my oxygen levels were down, I was very fatigue, and still am. I can function pretty much during the day but around 4-5pm I am done for the day. The fatigue and the coughing are the hardest things to get rid of.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Oxygen saturation decreased, Pain, Presyncope
Clinical narrative: Breakthrough Case of COVID, I was coughing very bad, I coughed on and on and on, I had some congestions as well, a few days later, I had the chills, and a headache, and I had some pains in my body but I didn't really pay attention to that, then I got just really sick on my stomach, I almost fainted, I thought I was gonna die, I could not breathe at all, my oxygen levels were down, I was very fatigue, and still am. I can function pretty much during the day but around 4-5pm I am done for the day. The fatigue and the coughing are the hardest things to get rid of.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough Case of COVID, I was coughing very bad, I coughed on and on and on, I had some congestions as well, a few days later, I had the chills, and a headache, and I had some pains in my body but I didn't really pay attention to that, then I got just really sick on my stomach, I almost fainted, I thought I was gonna die, I could not breathe at all, my oxygen levels were down, I was very fatigue, and still am. I can function pretty much during the day but around 4-5pm I am done for the day. The fatigue and the coughing are the hardest things to get rid of.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Antiacetylcholine receptor antibody, Axillary pain, Breast mass, Condition aggravated, Dysphonia
Clinical narrative: I have lumps over my body that have been growing, but they are not abscesses. I have several in my forearm and several in my upper forearm. The ones in my armpits are very painful. In November 2021, I had noticed a lump in my breast. The doctor said that the lump was just an enlarged lymph node and nothing to worry about. The doctor also said that the vaccine is what caused the lumps to go crazy. I have a few on my thigh as well. It feels like someone is beating me with a bag of rocks constantly. This  has been overwhelming. It is a myasthenic thing. I'm not sure if they are ever going to go away. The exacerbation of my myasthenia gravis exacerbated in a myasthenia crisis. The first week I was running a low grade fever, and I felt like I was dying. My myasthenia gravis flared up that same day after the vaccine, but this one was the worst. I had a flare up after each covid vaccine. I'm better but not completely better. I'm not falling or having trouble breathing anymore, and my voice is getting better.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fall, Lymphadenopathy, Mammogram abnormal, Myasthenia gravis
Clinical narrative: I have lumps over my body that have been growing, but they are not abscesses. I have several in my forearm and several in my upper forearm. The ones in my armpits are very painful. In November 2021, I had noticed a lump in my breast. The doctor said that the lump was just an enlarged lymph node and nothing to worry about. The doctor also said that the vaccine is what caused the lumps to go crazy. I have a few on my thigh as well. It feels like someone is beating me with a bag of rocks constantly. This  has been overwhelming. It is a myasthenic thing. I'm not sure if they are ever going to go away. The exacerbation of my myasthenia gravis exacerbated in a myasthenia crisis. The first week I was running a low grade fever, and I felt like I was dying. My myasthenia gravis flared up that same day after the vaccine, but this one was the worst. I had a flare up after each covid vaccine. I'm better but not completely better. I'm not falling or having trouble breathing anymore, and my voice is getting better.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Myasthenia gravis crisis, Pyrexia, Rash papular
Clinical narrative: I have lumps over my body that have been growing, but they are not abscesses. I have several in my forearm and several in my upper forearm. The ones in my armpits are very painful. In November 2021, I had noticed a lump in my breast. The doctor said that the lump was just an enlarged lymph node and nothing to worry about. The doctor also said that the vaccine is what caused the lumps to go crazy. I have a few on my thigh as well. It feels like someone is beating me with a bag of rocks constantly. This  has been overwhelming. It is a myasthenic thing. I'm not sure if they are ever going to go away. The exacerbation of my myasthenia gravis exacerbated in a myasthenia crisis. The first week I was running a low grade fever, and I felt like I was dying. My myasthenia gravis flared up that same day after the vaccine, but this one was the worst. I had a flare up after each covid vaccine. I'm better but not completely better. I'm not falling or having trouble breathing anymore, and my voice is getting better.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: No reactions occurred. Vaccine administered on 4-13-22, however due to it being kept in fridge it should have expired on 4-8-22, therefore pt received expired vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Computerised tomogram, Echocardiogram, Electrocardiogram ambulatory, Electroencephalogram
Clinical narrative: Seizure and was taken by ambulance to the ER at 5 am on March 19, 2022.  I was totally unaware of anything and my husband called 911.  I was in the ER for 4-5 hours .  They have done every test possible and have found no reason for what happened.  I had no signs before the event.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Seizure, Ultrasound Doppler
Clinical narrative: Seizure and was taken by ambulance to the ER at 5 am on March 19, 2022.  I was totally unaware of anything and my husband called 911.  I was in the ER for 4-5 hours .  They have done every test possible and have found no reason for what happened.  I had no signs before the event.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: pt had a positive COVID test on 9/14/2021; requested med records; the wrong pt's records were sent; refaxed for records and they were not received by this time; per death certificate, a positive COVID test was listed as a contributing factor; death certificate sent per VAERS request
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest discomfort, Chest pain, Disorientation, Electrocardiogram
Clinical narrative: Had trouble sleeping the evening of 5/15.  Vomited the morning 5/16 but ate and drank normally afterwards.  Became feverish and disoriented that evening and went to ER.  Complained about right chest pain/pressure on the ride.   ER treated for nausea.  Awoke the morning of 5/17 and said he felt better but subsequently complained about chest pain (but identified location as outer lung area on both sides), especially when breathing.  Awoke shortly after midnight on 5/18 again complaining of chest pain.  Took 15mL of tylenol and slept the rest of the night.  Awoke and said he felt great, but had severe chest pain 30-45 minutes later.  Went back to ER who tested troponin levels and found them to be 7.2 ng/mL.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Insomnia, Magnetic resonance imaging heart, Nausea, Pyrexia, Troponin increased
Clinical narrative: Had trouble sleeping the evening of 5/15.  Vomited the morning 5/16 but ate and drank normally afterwards.  Became feverish and disoriented that evening and went to ER.  Complained about right chest pain/pressure on the ride.   ER treated for nausea.  Awoke the morning of 5/17 and said he felt better but subsequently complained about chest pain (but identified location as outer lung area on both sides), especially when breathing.  Awoke shortly after midnight on 5/18 again complaining of chest pain.  Took 15mL of tylenol and slept the rest of the night.  Awoke and said he felt great, but had severe chest pain 30-45 minutes later.  Went back to ER who tested troponin levels and found them to be 7.2 ng/mL.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Had trouble sleeping the evening of 5/15.  Vomited the morning 5/16 but ate and drank normally afterwards.  Became feverish and disoriented that evening and went to ER.  Complained about right chest pain/pressure on the ride.   ER treated for nausea.  Awoke the morning of 5/17 and said he felt better but subsequently complained about chest pain (but identified location as outer lung area on both sides), especially when breathing.  Awoke shortly after midnight on 5/18 again complaining of chest pain.  Took 15mL of tylenol and slept the rest of the night.  Awoke and said he felt great, but had severe chest pain 30-45 minutes later.  Went back to ER who tested troponin levels and found them to be 7.2 ng/mL.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: No reactions occurred. Vaccine administered on 5-4-22 (2ND DOSE) and 4-15-22 (1st dose), however due to it being kept in fridge it should have expired on 4-8-22, therefore pt received expired vaccine.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: No reactions occurred. Vaccine administered on 5/17/2022, however due to it being kept in the fridge, it should have expired on 4/8/22, therefore patient received expired vaccine.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: No reactions occurred. Vaccine administered on 4-25-22, however due to it being kept in fridge it should have expired on 4-8-22, therefore pt received expired vaccine.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Endotracheal intubation, Pneumonia bacterial
Clinical narrative: the patient has been an inpatient at the facility for the past 2 months following intubation and tracheostomy placement 7 months ago due to acute respiratory failure secondary to Covid pneumonia with superimposed bacterial pneumonia
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Superinfection, Tracheostomy
Clinical narrative: the patient has been an inpatient at the facility for the past 2 months following intubation and tracheostomy placement 7 months ago due to acute respiratory failure secondary to Covid pneumonia with superimposed bacterial pneumonia
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion
Clinical narrative: congestion
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Bladder catheterisation, COVID-19, Computerised tomogram abdomen abnormal, Gastrointestinal tube insertion
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 4/13/21 (Er8732) Pfizer Dose 2 5/5/21 (ER8736) COVID Positive 12/6/21  12/6/21: Patient is a 73-year-old female with a 3 day history of abdominal pain.  She did not seek treatment initially because she felt it may be related to a previous history of diverticulitis.  She subsequently was seen by her PCP as an outpatient and CT scan and labs were ordered. What appears to be perforated small intestine with contrast extravasation was seen on CT and she was brought by her husband to a HCF for surgical evaluation.  she complains mostly of diffuse abdominal pain at this point. She has also had retching.  She last had approximately 1 cup of Sherbert p.o. at 11:00  12/14/21: Patient presented to the emergency department with a 3 day history of abdominal pain. She underwent an outpatient CT scan abd/pelvis which was concerning for perforation of the small intestine with contrast extravasation. She underwent the above the procedure, recovered in the CU and was admitted to the Surgical specialty unit for postoperative recovery.  Patient was tested for COVID-19 and the emergency department which was positive.  She was put on COVID precautions.  Hospitalist team was consulted.  A Foley catheter was left in place for accurate I&O.  An NG tube was left in place for gastric decompression.  She was given oxygen per nasal cannula to keep oxygen levels above 92%.  She was kept NPO with ice chips.  As her bowel function returned her NG tube was removed.  She was started on clear liquids and advance as tolerated.  She worked with PT and OT for strengthening conditioning.  She worked with her incentive spirometer for pulmonary toilet.   Her oxygen was weaned to room air as tolerated.   she met discharge criteria.  Her incision remained clean dry well approximated no surrounding erythema or induration.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Retching, SARS-CoV-2 test positive, Scan with contrast abnormal, Small intestinal perforation, Surgery
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 4/13/21 (Er8732) Pfizer Dose 2 5/5/21 (ER8736) COVID Positive 12/6/21  12/6/21: Patient is a 73-year-old female with a 3 day history of abdominal pain.  She did not seek treatment initially because she felt it may be related to a previous history of diverticulitis.  She subsequently was seen by her PCP as an outpatient and CT scan and labs were ordered. What appears to be perforated small intestine with contrast extravasation was seen on CT and she was brought by her husband to a HCF for surgical evaluation.  she complains mostly of diffuse abdominal pain at this point. She has also had retching.  She last had approximately 1 cup of Sherbert p.o. at 11:00  12/14/21: Patient presented to the emergency department with a 3 day history of abdominal pain. She underwent an outpatient CT scan abd/pelvis which was concerning for perforation of the small intestine with contrast extravasation. She underwent the above the procedure, recovered in the CU and was admitted to the Surgical specialty unit for postoperative recovery.  Patient was tested for COVID-19 and the emergency department which was positive.  She was put on COVID precautions.  Hospitalist team was consulted.  A Foley catheter was left in place for accurate I&O.  An NG tube was left in place for gastric decompression.  She was given oxygen per nasal cannula to keep oxygen levels above 92%.  She was kept NPO with ice chips.  As her bowel function returned her NG tube was removed.  She was started on clear liquids and advance as tolerated.  She worked with PT and OT for strengthening conditioning.  She worked with her incentive spirometer for pulmonary toilet.   Her oxygen was weaned to room air as tolerated.   she met discharge criteria.  Her incision remained clean dry well approximated no surrounding erythema or induration.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 4/13/21 (Er8732) Pfizer Dose 2 5/5/21 (ER8736) COVID Positive 12/6/21  12/6/21: Patient is a 73-year-old female with a 3 day history of abdominal pain.  She did not seek treatment initially because she felt it may be related to a previous history of diverticulitis.  She subsequently was seen by her PCP as an outpatient and CT scan and labs were ordered. What appears to be perforated small intestine with contrast extravasation was seen on CT and she was brought by her husband to a HCF for surgical evaluation.  she complains mostly of diffuse abdominal pain at this point. She has also had retching.  She last had approximately 1 cup of Sherbert p.o. at 11:00  12/14/21: Patient presented to the emergency department with a 3 day history of abdominal pain. She underwent an outpatient CT scan abd/pelvis which was concerning for perforation of the small intestine with contrast extravasation. She underwent the above the procedure, recovered in the CU and was admitted to the Surgical specialty unit for postoperative recovery.  Patient was tested for COVID-19 and the emergency department which was positive.  She was put on COVID precautions.  Hospitalist team was consulted.  A Foley catheter was left in place for accurate I&O.  An NG tube was left in place for gastric decompression.  She was given oxygen per nasal cannula to keep oxygen levels above 92%.  She was kept NPO with ice chips.  As her bowel function returned her NG tube was removed.  She was started on clear liquids and advance as tolerated.  She worked with PT and OT for strengthening conditioning.  She worked with her incentive spirometer for pulmonary toilet.   Her oxygen was weaned to room air as tolerated.   she met discharge criteria.  Her incision remained clean dry well approximated no surrounding erythema or induration.