chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sputum discoloured
Clinical narrative: Discharge Provider:  DO Primary Care Provider:  MD Admission Date: 9/25/2022 Discharge Date: 9/29/2022   PRESENTING PROBLEM: Weakness [R53.1]   HOSPITAL COURSE:   Patient is 87-year-old male with history of combine systolic and diastolic heart failure with EF of 20%, CVA with left-sided residual, atrial flutter on warfarin, and seizure disorder, who presented to hospital with increasing weakness difficulty walking, low appetite cough and was found to be COVID positive.  He also was found to be in acute on chronic combine systolic and diastolic heart failure exacerbation.  He was not a candidate for antiviral medication.  He was treated with doxycycline, prednisone and antitussives medication. He was also treated with IV lasix for acute on chronic systolic and diastolic heart failure.  He was recommended for subacute rehab, but patient declined as he have extensive home health services arranged and also have a caregiver. His wife have dementia. Note that he was subtherapeutic on INR, warfarin increase to 4 mg daily.  He will need to follow up with warfarin Clinic for further management.  He also need to follow up with primary care doctor and cardiologist to assess indication for beta-blocker and spironolactone.  These medications were not started during this hospitalization due to somewhat low blood pressure and bradycardia.  COVID Assessment & Plan Oxygen at home baseline Not a candidate for anti-virals Treated with prednisone 40 mg daily; discharged with 2 more days His CXR did have basilar opacity (likely viral PNA, but could be superinfected with bacteria), sputum is dark brown  Treated with and discharged on robitussin as needed and doxycycline for 6 additional days
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, COVID-19, Computerised tomogram thorax abnormal, Cough, Dyspnoea
Clinical narrative: Primary Care Physician at Discharge:  Hematologist/Oncologist:  Admission Date:  Discharge Date:  Patient's Discharge Disposition:  Home in stable condition.  Admission diagnoses: Covid Dyspnea Mild Anemia Neutropenia Localized Esophageal Adenocarcinoma Treatment related Nausea Cerebral Aneurysm  This is a 66 y.o. year old patient who was admitted on 9/25/2022 with PMH of esophageal cancer who has had dyspnea for several weeks prior to arrival.  His initial symptoms of fatigue, cough, and dyspnea with activity started around 9/9/22 and he presented to ED with this on 9/13/22 but it does not appear he was screened for Covid at that visit and he was diagnosed with B/L lower lobe PNA, which was treated with Ceftin.  Patient had since completed all abx for Pneumonia, but symptoms of cough and dyspnea with activity persisted. He was in the office on 9/24 for chemo, which was held because of neutropenia, at that visit he was started on a prednisone taper for possible pneumonitis. He did go to the pharmacy and get a Covid test later that day which was positive.  His wife called the office requesting paxlovid, but patient was directed to the ED for IV treatment.  In the ED patient was found to be 97% on room air and was afebrile.  CT scan was repeated and showed slight increase in consolidation of B/L airspace disease. Upon admission interview with oncology, he did tell us he was actually feeling better and afrible and less SOB; however he was admitted for monitoring per Dr recommendations.  As symptoms have started > 2 weeks ago, not a candidate for Remdesivir.   Pulmonology was consulted and did not suspect checkpoint inhibitor pneumonitis but felt his history and findings were more significant for aspiration pneumonia and residual COVID19.  SLP was consulted and assessment showed swallowing function was normal and GERD education done.  Pulm recommended short steroid taper, antibiotics for 5 days (unasyn while IP and augmentin upon DC).  Pulm recommended outpatient f/u with them after CT in 4-6 weeks though if symptoms not improving, they recommended bronch.  Dr. recommended follow up CT in 2 weeks which will be arranged as well as follow up per below (patient educated on same day clinic if needed).  Chemo is on hold until after outpatient follow up.   Prior to discharge today, patient denies new, worsening or changes in ROS at this time, including no fevers/chills/sweats, no CP/SOB/DOE, no abd pain/N/V/D, and no neuro changes.  Patient eating/drinking/voiding well and ambulating as tolerated.  Patient will plan to follow up in our office as per below.  Patient's discharge medications were discussed and new prescriptions were sent to patient's requested pharmacy prior to discharge as per generated list below.  Patient is aware to call our office should further questions or concerns arise following this discharge.    I spent 65 minutes performing and arranging this hospital discharge.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Fatigue, Lung consolidation, Neutropenia, Pneumonia
Clinical narrative: Primary Care Physician at Discharge:  Hematologist/Oncologist:  Admission Date:  Discharge Date:  Patient's Discharge Disposition:  Home in stable condition.  Admission diagnoses: Covid Dyspnea Mild Anemia Neutropenia Localized Esophageal Adenocarcinoma Treatment related Nausea Cerebral Aneurysm  This is a 66 y.o. year old patient who was admitted on 9/25/2022 with PMH of esophageal cancer who has had dyspnea for several weeks prior to arrival.  His initial symptoms of fatigue, cough, and dyspnea with activity started around 9/9/22 and he presented to ED with this on 9/13/22 but it does not appear he was screened for Covid at that visit and he was diagnosed with B/L lower lobe PNA, which was treated with Ceftin.  Patient had since completed all abx for Pneumonia, but symptoms of cough and dyspnea with activity persisted. He was in the office on 9/24 for chemo, which was held because of neutropenia, at that visit he was started on a prednisone taper for possible pneumonitis. He did go to the pharmacy and get a Covid test later that day which was positive.  His wife called the office requesting paxlovid, but patient was directed to the ED for IV treatment.  In the ED patient was found to be 97% on room air and was afebrile.  CT scan was repeated and showed slight increase in consolidation of B/L airspace disease. Upon admission interview with oncology, he did tell us he was actually feeling better and afrible and less SOB; however he was admitted for monitoring per Dr recommendations.  As symptoms have started > 2 weeks ago, not a candidate for Remdesivir.   Pulmonology was consulted and did not suspect checkpoint inhibitor pneumonitis but felt his history and findings were more significant for aspiration pneumonia and residual COVID19.  SLP was consulted and assessment showed swallowing function was normal and GERD education done.  Pulm recommended short steroid taper, antibiotics for 5 days (unasyn while IP and augmentin upon DC).  Pulm recommended outpatient f/u with them after CT in 4-6 weeks though if symptoms not improving, they recommended bronch.  Dr. recommended follow up CT in 2 weeks which will be arranged as well as follow up per below (patient educated on same day clinic if needed).  Chemo is on hold until after outpatient follow up.   Prior to discharge today, patient denies new, worsening or changes in ROS at this time, including no fevers/chills/sweats, no CP/SOB/DOE, no abd pain/N/V/D, and no neuro changes.  Patient eating/drinking/voiding well and ambulating as tolerated.  Patient will plan to follow up in our office as per below.  Patient's discharge medications were discussed and new prescriptions were sent to patient's requested pharmacy prior to discharge as per generated list below.  Patient is aware to call our office should further questions or concerns arise following this discharge.    I spent 65 minutes performing and arranging this hospital discharge.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia aspiration, SARS-CoV-2 test positive, Swallow study
Clinical narrative: Primary Care Physician at Discharge:  Hematologist/Oncologist:  Admission Date:  Discharge Date:  Patient's Discharge Disposition:  Home in stable condition.  Admission diagnoses: Covid Dyspnea Mild Anemia Neutropenia Localized Esophageal Adenocarcinoma Treatment related Nausea Cerebral Aneurysm  This is a 66 y.o. year old patient who was admitted on 9/25/2022 with PMH of esophageal cancer who has had dyspnea for several weeks prior to arrival.  His initial symptoms of fatigue, cough, and dyspnea with activity started around 9/9/22 and he presented to ED with this on 9/13/22 but it does not appear he was screened for Covid at that visit and he was diagnosed with B/L lower lobe PNA, which was treated with Ceftin.  Patient had since completed all abx for Pneumonia, but symptoms of cough and dyspnea with activity persisted. He was in the office on 9/24 for chemo, which was held because of neutropenia, at that visit he was started on a prednisone taper for possible pneumonitis. He did go to the pharmacy and get a Covid test later that day which was positive.  His wife called the office requesting paxlovid, but patient was directed to the ED for IV treatment.  In the ED patient was found to be 97% on room air and was afebrile.  CT scan was repeated and showed slight increase in consolidation of B/L airspace disease. Upon admission interview with oncology, he did tell us he was actually feeling better and afrible and less SOB; however he was admitted for monitoring per Dr recommendations.  As symptoms have started > 2 weeks ago, not a candidate for Remdesivir.   Pulmonology was consulted and did not suspect checkpoint inhibitor pneumonitis but felt his history and findings were more significant for aspiration pneumonia and residual COVID19.  SLP was consulted and assessment showed swallowing function was normal and GERD education done.  Pulm recommended short steroid taper, antibiotics for 5 days (unasyn while IP and augmentin upon DC).  Pulm recommended outpatient f/u with them after CT in 4-6 weeks though if symptoms not improving, they recommended bronch.  Dr. recommended follow up CT in 2 weeks which will be arranged as well as follow up per below (patient educated on same day clinic if needed).  Chemo is on hold until after outpatient follow up.   Prior to discharge today, patient denies new, worsening or changes in ROS at this time, including no fevers/chills/sweats, no CP/SOB/DOE, no abd pain/N/V/D, and no neuro changes.  Patient eating/drinking/voiding well and ambulating as tolerated.  Patient will plan to follow up in our office as per below.  Patient's discharge medications were discussed and new prescriptions were sent to patient's requested pharmacy prior to discharge as per generated list below.  Patient is aware to call our office should further questions or concerns arise following this discharge.    I spent 65 minutes performing and arranging this hospital discharge.
Age: 55.0
Sex: F
Vaccine: FLUC4
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Injection site pain, Paraesthesia
Clinical narrative: Site: Pain at Injection Site-Severe, Systemic: numbness in right side of face and lips-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case   dose 1 1/29/21    026L20A   Moderna dose 2 2/26/21   010A21A   Moderna dose 3 11/1/21   032F   Moderna
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: Cellulitis, Eye swelling, Injection site erythema, Injection site swelling, Mouth swelling
Clinical narrative: Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: CELLULITIS OF THE LEFT ARM-Severe, Additional Details: NONE
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: Pruritus, Swelling face, Swollen tongue
Clinical narrative: Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: CELLULITIS OF THE LEFT ARM-Severe, Additional Details: NONE
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Error: Dose in Series Given Too Early-
Age: 67.0
Sex: M
Vaccine: PNC20
Symptoms: Chills, Injection site pain, Pain
Clinical narrative: Site: Pain at Injection Site-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Chills-Medium
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cardio-respiratory arrest, Resuscitation
Clinical narrative: resident coded and was not able to be resusitated.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Error: Wrong Vaccine/Product Administered-
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Error: Wrong Vaccine/Product Administered-
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Error: Wrong Vaccine/Product Administered-
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Error: Wrong Vaccine/Product Administered-
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Error: Wrong Vaccine/Product Administered-
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Haematoma, Injection site pain, Pain in extremity, Paraesthesia
Clinical narrative: Site: Pain at Injection Site-Medium, Additional Details: Pt. visited her doctor for pain after receiving shingrix. the doctor said she suffered a hematoma but that the injection site looked ok. There wasn't any overt bruising and it seemed the immunizer gave the shot in the appropriate area. he said for her to take advil or tylenol and use warm compresses. shes suffering for some pain radiating down her arm and tingling in her hand. she also has a history of shoulder issues. She's seeing an orthopedist also thinking it might be her shoulder
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Systemic: Tinnitus-Medium, Additional Details: continuous Tinnitus since 8/16/2022 (day after receiving imm)
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Covid vaccine administered beyond expiration date. No symptoms or adverse reactions noted at the time of administration. Reported to supervisor and patient.
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Burning sensation, Pain in extremity, Paraesthesia
Clinical narrative: Pain in my left arm with burning and tingling in left hand particularly the pinky and ring finger.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Arthralgia, Asthenia, Atrial fibrillation, Back pain
Clinical narrative: Discharge Provider: DO Primary Care Provider : MD (Inactive) None Admission Date: 9/23/2022 Discharge Date: 09/29/2022 Admitting Diagnoses: Principal Problem:   Generalized weakness Active Problems:   Hypertension, unspecified type   Persistent atrial fibrillation   Anticoagulated   Uses walker   At risk for falls   Acute low back pain   Chronic pain of left knee   Lab test positive for detection of COVID-19 virus  PRESENTING PROBLEM: Generalized weakness   HOSPITAL COURSE: The patient is a 90-year-old female with a history of atrial fibrillation on atenolol and Eliquis, as well as essential hypertension, who presented on 09/23 with increasing fatigue and COVID infection.  The patient's husband had recently been admitted for COVID infection.  He had been discharged to home, the patient reported that she had been doing well, but had been performing daily COVID tests in preparation for a scheduled echocardiogram and cardioversion.  The patient was noted to become positive on 09/21, and started on Paxil bid on 09/22.  Patient noted a slight cough, as well as overwhelming fatigue and weakness prompting her to come to the emergency department on 09/23.  At the time of admission, chest x-ray was negative for infiltrates.  Patient was noted to have stable vital signs, and good saturation on room air.  She was admitted for further observation for her COVID infection with severe weakness.  The patient did note a ground level fall several weeks prior to admission, with back pain.  Plain films showed anterolisthesis, but no acute fracture.  The patient was seen by PT/OT who initially recommended SAR. Patient was treated with supportive care for her COVID infection with significant improvement of weakness.  Patient re-evaluated by PT on 9/28 and changed recommendation to home with HHC PT/OT.  Patient discharge on 9/29 with HHC nurse/PT/OT.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Condition aggravated, Cough, Exposure to SARS-CoV-2
Clinical narrative: Discharge Provider: DO Primary Care Provider : MD (Inactive) None Admission Date: 9/23/2022 Discharge Date: 09/29/2022 Admitting Diagnoses: Principal Problem:   Generalized weakness Active Problems:   Hypertension, unspecified type   Persistent atrial fibrillation   Anticoagulated   Uses walker   At risk for falls   Acute low back pain   Chronic pain of left knee   Lab test positive for detection of COVID-19 virus  PRESENTING PROBLEM: Generalized weakness   HOSPITAL COURSE: The patient is a 90-year-old female with a history of atrial fibrillation on atenolol and Eliquis, as well as essential hypertension, who presented on 09/23 with increasing fatigue and COVID infection.  The patient's husband had recently been admitted for COVID infection.  He had been discharged to home, the patient reported that she had been doing well, but had been performing daily COVID tests in preparation for a scheduled echocardiogram and cardioversion.  The patient was noted to become positive on 09/21, and started on Paxil bid on 09/22.  Patient noted a slight cough, as well as overwhelming fatigue and weakness prompting her to come to the emergency department on 09/23.  At the time of admission, chest x-ray was negative for infiltrates.  Patient was noted to have stable vital signs, and good saturation on room air.  She was admitted for further observation for her COVID infection with severe weakness.  The patient did note a ground level fall several weeks prior to admission, with back pain.  Plain films showed anterolisthesis, but no acute fracture.  The patient was seen by PT/OT who initially recommended SAR. Patient was treated with supportive care for her COVID infection with significant improvement of weakness.  Patient re-evaluated by PT on 9/28 and changed recommendation to home with HHC PT/OT.  Patient discharge on 9/29 with HHC nurse/PT/OT.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Fatigue, Hypertension, SARS-CoV-2 test positive, Spinal X-ray abnormal
Clinical narrative: Discharge Provider: DO Primary Care Provider : MD (Inactive) None Admission Date: 9/23/2022 Discharge Date: 09/29/2022 Admitting Diagnoses: Principal Problem:   Generalized weakness Active Problems:   Hypertension, unspecified type   Persistent atrial fibrillation   Anticoagulated   Uses walker   At risk for falls   Acute low back pain   Chronic pain of left knee   Lab test positive for detection of COVID-19 virus  PRESENTING PROBLEM: Generalized weakness   HOSPITAL COURSE: The patient is a 90-year-old female with a history of atrial fibrillation on atenolol and Eliquis, as well as essential hypertension, who presented on 09/23 with increasing fatigue and COVID infection.  The patient's husband had recently been admitted for COVID infection.  He had been discharged to home, the patient reported that she had been doing well, but had been performing daily COVID tests in preparation for a scheduled echocardiogram and cardioversion.  The patient was noted to become positive on 09/21, and started on Paxil bid on 09/22.  Patient noted a slight cough, as well as overwhelming fatigue and weakness prompting her to come to the emergency department on 09/23.  At the time of admission, chest x-ray was negative for infiltrates.  Patient was noted to have stable vital signs, and good saturation on room air.  She was admitted for further observation for her COVID infection with severe weakness.  The patient did note a ground level fall several weeks prior to admission, with back pain.  Plain films showed anterolisthesis, but no acute fracture.  The patient was seen by PT/OT who initially recommended SAR. Patient was treated with supportive care for her COVID infection with significant improvement of weakness.  Patient re-evaluated by PT on 9/28 and changed recommendation to home with HHC PT/OT.  Patient discharge on 9/29 with HHC nurse/PT/OT.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Spondylolisthesis, Walking aid user
Clinical narrative: Discharge Provider: DO Primary Care Provider : MD (Inactive) None Admission Date: 9/23/2022 Discharge Date: 09/29/2022 Admitting Diagnoses: Principal Problem:   Generalized weakness Active Problems:   Hypertension, unspecified type   Persistent atrial fibrillation   Anticoagulated   Uses walker   At risk for falls   Acute low back pain   Chronic pain of left knee   Lab test positive for detection of COVID-19 virus  PRESENTING PROBLEM: Generalized weakness   HOSPITAL COURSE: The patient is a 90-year-old female with a history of atrial fibrillation on atenolol and Eliquis, as well as essential hypertension, who presented on 09/23 with increasing fatigue and COVID infection.  The patient's husband had recently been admitted for COVID infection.  He had been discharged to home, the patient reported that she had been doing well, but had been performing daily COVID tests in preparation for a scheduled echocardiogram and cardioversion.  The patient was noted to become positive on 09/21, and started on Paxil bid on 09/22.  Patient noted a slight cough, as well as overwhelming fatigue and weakness prompting her to come to the emergency department on 09/23.  At the time of admission, chest x-ray was negative for infiltrates.  Patient was noted to have stable vital signs, and good saturation on room air.  She was admitted for further observation for her COVID infection with severe weakness.  The patient did note a ground level fall several weeks prior to admission, with back pain.  Plain films showed anterolisthesis, but no acute fracture.  The patient was seen by PT/OT who initially recommended SAR. Patient was treated with supportive care for her COVID infection with significant improvement of weakness.  Patient re-evaluated by PT on 9/28 and changed recommendation to home with HHC PT/OT.  Patient discharge on 9/29 with HHC nurse/PT/OT.
Age: 52.0
Sex: M
Vaccine: COVID19-2
Symptoms: Diarrhoea, Ear pain, Oropharyngeal pain, Pain, Respiratory tract congestion
Clinical narrative: It started off two weeks after vaccination I woke up with an earache, sore throat and the next day body aches and start of congestion a day later diarrhea.
Age: 52.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test negative
Clinical narrative: It started off two weeks after vaccination I woke up with an earache, sore throat and the next day body aches and start of congestion a day later diarrhea.
Age: 20.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia
Clinical narrative: Pt was scheduled for office visit for a follow up regarding shoulder pain. Pt stated they received their first COVID vaccine in clinic prior. 1st dose was not documented in patient's chart. Coworker and reporter searched for lot number and vaccine administered in the clinic as patient stated to update correct 1st dose. Pt was given 12yr+ Pfizer booster at 5:00pm on 9/29/2022. Pt received only 1 dose of Pfizer and was due for their 2nd COVID vaccine.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Aphasia, Back pain, Catatonia, Chest pain
Clinical narrative: ASTRAZENECA08/02/21 NEXT ONE DUE  /04/21 My mother was complaing of stomach, back, chest pain from the onset of this vaccine. She had a UTI within a few days of having the vaccine as well as severe arm pain.  She continued the downward to spiral over 4 months unable to eat, speak, walk and then died within 4 months from t he first vaccine. She had been a strong lady who lived at home with her carer.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Feeding disorder, Gait inability, General physical health deterioration, Interchange of vaccine products
Clinical narrative: ASTRAZENECA08/02/21 NEXT ONE DUE  /04/21 My mother was complaing of stomach, back, chest pain from the onset of this vaccine. She had a UTI within a few days of having the vaccine as well as severe arm pain.  She continued the downward to spiral over 4 months unable to eat, speak, walk and then died within 4 months from t he first vaccine. She had been a strong lady who lived at home with her carer.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Pain, Pain in extremity, Troponin increased, Urinary tract infection
Clinical narrative: ASTRAZENECA08/02/21 NEXT ONE DUE  /04/21 My mother was complaing of stomach, back, chest pain from the onset of this vaccine. She had a UTI within a few days of having the vaccine as well as severe arm pain.  She continued the downward to spiral over 4 months unable to eat, speak, walk and then died within 4 months from t he first vaccine. She had been a strong lady who lived at home with her carer.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Injection site pain, Nodule
Clinical narrative: Small knot felt at first by employee.  Employee states about 0.5in circle.  Throughout the day it had increased in size.  Her pain from the injection site has not gotten worse.  The knot on 9/29/2022 measured approximately 2in. in circumference.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Back pain, Fatigue, Headache
Clinical narrative: I experienced two days after, my joints felt real aching and felt inflamed, all my joints were hurting in my elbows, feet and back. I also a little nauseated and felt like I was trying to walk through sand. I felt very lethargic and had a really bad headache. I did see a doctor at a hospital ER and lab work was done. They gave me some IV's and started to feel better after that and felt more alert, felt a little more rested. I did not feel so tired after the IV administration. After I went to the hospital, my symptoms went away in about one week.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Lethargy, Nausea, Pain in extremity
Clinical narrative: I experienced two days after, my joints felt real aching and felt inflamed, all my joints were hurting in my elbows, feet and back. I also a little nauseated and felt like I was trying to walk through sand. I felt very lethargic and had a really bad headache. I did see a doctor at a hospital ER and lab work was done. They gave me some IV's and started to feel better after that and felt more alert, felt a little more rested. I did not feel so tired after the IV administration. After I went to the hospital, my symptoms went away in about one week.
Age: 50.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Extra dose administered
Clinical narrative: Patient was mistakenly given two doses of shingrix at the same time.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Discomfort, Hypoaesthesia, Limb discomfort, Paraesthesia, Sensory disturbance
Clinical narrative: I chose my left arm for the vaccine because I heard it would leave the arm sore for a while and i use my right arm.  After getting the 1st vaccine a week later my right arm started tingling and feeling kind of weird.  I ignored it and went on to get the 2nd vaccine.  Around a week after that vaccine i noticed the same feeling in my right arm but it was more intense.  The feeling it gives off is like my arm is asleep but it is the most uncomfortable feeling ever.  It starts pretty much from the right side of my face all the way down to my finger tips.  The arm feels heavy at times, numb and tingly at times, and harm to rest on anything or hold up.  This is an everyday thing now.  It did go away for months and months but somehow has come back.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough event  unknown lot number for the second dose
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID19
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: This patient was given a monovalent pfizer covid vaccine that 9 days prior had been a standard or care.  At that time, I was unaware that I was not to administer anymore monovalent boosters as we were doing prior to 09/01/2022.  This was NOT associated with any adverse event in this patient.  At the time, we also had no supply of the new bivalent vaccine.
Age: 88.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: This patient had not previously received any COVID 19 vaccinations. Patient was mistakenly given the Pfizer Bivalent booster as his first dose.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody positive, C-reactive protein, Fatigue, Headache, Myalgia
Clinical narrative: I had sever headache, and muscle ache, as well as really bad fatigue.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate
Clinical narrative: I had sever headache, and muscle ache, as well as really bad fatigue.
Age: 49.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cough, Dyspnoea, Fatigue, Headache, Nasal congestion
Clinical narrative: Aches worsening each day through 4th day after, significant stuffy and runny nose, significant fatigue, coughing, headache, difficulty taken deep breath
Age: 49.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pain, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: Aches worsening each day through 4th day after, significant stuffy and runny nose, significant fatigue, coughing, headache, difficulty taken deep breath
Age: 29.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was inadvertently given the bivalent booster as her primary dose. Patient called asking to be schedule for the "Booster Clinic", our office was unaware this was her primary dose. No side effects or symptoms from this so far.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient received Pfizer booster instead of the Pfizer Bivalent booster.
Age: 58.0
Sex: F
Vaccine: FLUR4, UNK
Symptoms: Immediate post-injection reaction, Muscular weakness, Pain in extremity, Paraesthesia
Clinical narrative: Normal arm soreness immediately after vaccines. 34 hours later, my left arm became weak, pain worsened and spread to left hand and my fingertips started to tingle.
Age: 32.0
Sex: M
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: Patient was inadvertently given the bivalent booster as a primary dose. Patient called to be schedule for "booster clinic" and was unknown to our office that this was their first vaccine in the series. No symptoms or side effects so far.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Productive cough, SARS-CoV-2 test positive, Sputum discoloured
Clinical narrative: I did not have a reaction to the vaccine. I tested positive at my doctors office for COVID-19 on 08/29/2022. I thought I had the flu because I had a cough that had color. I was given the prescription PAXLOVID and I believe it helped. At this time, I continue to cough up mucus but overall I am feeling better.
Age: 52.0
Sex: F
Vaccine: FLUR4
Symptoms: Neck pain, Pain in extremity
Clinical narrative: Patient reports sore arm more than her annual flu vaccination side effects.  She reports that her sore arm extended up her shoulder to her neck.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: PATIENT RECEIVED THE 0.3ML MONOVALENT PFIZER BOOSTER WHEN SHE SHOULD HAVE RECEIVED THE 0.3ML BIVALENT PFIZER BOOSTER. PATIENT MOTHER DENIES ANY ADVERSE REACTIONS TO THE VACCINE.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Nasal congestion, Nasopharyngitis, Oropharyngeal pain
Clinical narrative: I went to a conference and heard a lot of people were coming up positive. I had a little of a sore throat and tested and was positive. My Dr. gave me PAXLOVID. After the first dose I had congestion and stuffed up head. After the 2nd dose I didn't have any symptoms. For 2 weeks I tested negative. I then flew on vacation for 2 weeks and the kids had a runny nose. When I returned I had a little bit of head cold symptoms, runny nose and congestion so I tested for COVID-19 and I was positive. By the time we came back I was testing negative.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I went to a conference and heard a lot of people were coming up positive. I had a little of a sore throat and tested and was positive. My Dr. gave me PAXLOVID. After the first dose I had congestion and stuffed up head. After the 2nd dose I didn't have any symptoms. For 2 weeks I tested negative. I then flew on vacation for 2 weeks and the kids had a runny nose. When I returned I had a little bit of head cold symptoms, runny nose and congestion so I tested for COVID-19 and I was positive. By the time we came back I was testing negative.
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: Diarrhoea, Fatigue, Headache, Malaise, Pain
Clinical narrative: head ache,body aches, diarrhea, malaise fatigue
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: PATIENT RECEIVED BOOSTER DOSE AFTER 8-31-22.
Age: 43.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Fatigue, Headache, Hot flush, Pain
Clinical narrative: Chills, fatigue, body aches, headaches for first 24 hrs (similar to previous doses of pfizer- stayed earlier but slightly less severe as previous doses).  After 24 hrs this symptoms resolved but now hot flashes sporadically throughout day and night. Possibly decreasing in frequency now.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Crying, Fatigue, Herpes zoster, Impaired work ability, Pain
Clinical narrative: I had the Zoster vaccine on August 31, 2022 two days later I have the shingles, a very painful rash and now a month later I continue taking medicine for the postherpetic neuralgia a severe pain. I missed a lot of work, I cried with the pain until I feel sleep, I feel exhausted. My question is why nobody tell me that I can have shingles after I have the Zoster vaccine? or something went wrong with the vaccine? Please I need an answer.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Post herpetic neuralgia, Rash
Clinical narrative: I had the Zoster vaccine on August 31, 2022 two days later I have the shingles, a very painful rash and now a month later I continue taking medicine for the postherpetic neuralgia a severe pain. I missed a lot of work, I cried with the pain until I feel sleep, I feel exhausted. My question is why nobody tell me that I can have shingles after I have the Zoster vaccine? or something went wrong with the vaccine? Please I need an answer.
Age: 89.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Dizziness, Feeling cold, Hypotension
Clinical narrative: patient with hypotension, dizziness, cold feeling, joint pain and light headed
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Dermatitis, Erythema, Fatigue, Herpes zoster, Injection site pain
Clinical narrative: 09/14/22, injection site arm was sore.  I was fatigued the next day and arm was more sore.  On Friday, I was less fatigued.  On Sunday, I had under my armpit across my ribs, an inflamed, red, itching patch. I went to the doctor on Monday and she diagnosed me with Shingles. She asked me to see an allergist on Tuesday, who agreed it was Shingles.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: 09/14/22, injection site arm was sore.  I was fatigued the next day and arm was more sore.  On Friday, I was less fatigued.  On Sunday, I had under my armpit across my ribs, an inflamed, red, itching patch. I went to the doctor on Monday and she diagnosed me with Shingles. She asked me to see an allergist on Tuesday, who agreed it was Shingles.
Age: 71.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Aphasia, Asthenia, Exercise tolerance decreased, Feeling abnormal, Gait disturbance
Clinical narrative: He got his vaccine, was fine for a couple of days, had a sore arm which he expected.   On the 21st he was sitting in his chair and his left hand was going numb and puffing up and moved up to his elbow.  He got up to walk across the room and was talking to somebody on the phone and then he could not talk.  It came back within a couple of minutes.  His wife took him to the hospital, they started doing a lot tests on him.  They did an MRI or anything concerning for a stroke, which he was not . He is now weak, loopy and eats normally but he just has no energy and wobbly when walking.  He had no symptoms prior to the vaccine.  He was walking in a walking pool every day for an hour prior to the vaccine, and now has no been there in weeks.   While he was in hospital on the day they released him that it was not a stroke, but he had not told them that he had the vaccines, and released him.  They did not give him any instructions or any medications.   He was told when he got to the hospital and saw him that they were going to keep him and run tests.    He went to hospital.    He has had all he COVID vaccines, and had no reactions to those or the flu vaccine that he gets every year.
Age: 71.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Hypoaesthesia, Laboratory test, Magnetic resonance imaging head normal, Pain in extremity, Skin swelling
Clinical narrative: He got his vaccine, was fine for a couple of days, had a sore arm which he expected.   On the 21st he was sitting in his chair and his left hand was going numb and puffing up and moved up to his elbow.  He got up to walk across the room and was talking to somebody on the phone and then he could not talk.  It came back within a couple of minutes.  His wife took him to the hospital, they started doing a lot tests on him.  They did an MRI or anything concerning for a stroke, which he was not . He is now weak, loopy and eats normally but he just has no energy and wobbly when walking.  He had no symptoms prior to the vaccine.  He was walking in a walking pool every day for an hour prior to the vaccine, and now has no been there in weeks.   While he was in hospital on the day they released him that it was not a stroke, but he had not told them that he had the vaccines, and released him.  They did not give him any instructions or any medications.   He was told when he got to the hospital and saw him that they were going to keep him and run tests.    He went to hospital.    He has had all he COVID vaccines, and had no reactions to those or the flu vaccine that he gets every year.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: DOSES #1 & #2 WERE GIVEN OUTSIDE OUR FACILITY UNKNOWN TO US. DOSE #3 BOOSTER WAS ADMINISTERED AS DOSE #1 AFTER 8-31-22.
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Headache, Oropharyngeal pain, Pain, Paranasal sinus discomfort
Clinical narrative: 9/26/22 That afternoon I had a drippy nose. Tested that evening negative for COVID. On 9/27/22 woke up with severe body aches, a bad headache, pain of 9/10, bad sinus pressure and a severe sore throat. I took another COVID test and it was positive. I contacted Clinic, where I work, they used a Clinic calculator for COVID. I had a score of 4. Any score of 3 or better is high risk. On 9/27/22 I had the Monoclonal Antibodies Therapy Infusion. The severe headache and body aches are now gone. I still have a severe sore throat and have not recovered.
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: 9/26/22 That afternoon I had a drippy nose. Tested that evening negative for COVID. On 9/27/22 woke up with severe body aches, a bad headache, pain of 9/10, bad sinus pressure and a severe sore throat. I took another COVID test and it was positive. I contacted Clinic, where I work, they used a Clinic calculator for COVID. I had a score of 4. Any score of 3 or better is high risk. On 9/27/22 I had the Monoclonal Antibodies Therapy Infusion. The severe headache and body aches are now gone. I still have a severe sore throat and have not recovered.
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Patient received a dose from a vial that had been used on a previous day. The vial used was actually pulled from the fridge and doses were withdrawn on 9/24/22. The vial was not appropriately  disposed of at that time. The technician then thought the vial was pulled for doses to be given on 9/26/22, but it was the vial from 9/24/22. Once this was discovered the patient received a dose from a new vial in his opposite arm's deltoid.
Age: 1.58
Sex: M
Vaccine: COVID19, HPV9
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient aged 1 year and 7 months received a HPV vaccine which is recommended for patients aged 11/12 years of age.  The patient has not displayed any symptoms or adverse reactions to receiving the vaccine.
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Computerised tomogram abdomen, Full blood count, Lipase, Pancreatitis acute
Clinical narrative: Acute pancreatitis Hospitalized for 2 days  Abdominal pain - worsened upon eating   Chronic Pancreatitis May 2022
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pancreatitis chronic, Ultrasound abdomen
Clinical narrative: Acute pancreatitis Hospitalized for 2 days  Abdominal pain - worsened upon eating   Chronic Pancreatitis May 2022
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Dizziness, Loss of personal independence in daily activities, Nausea, Oropharyngeal pain, Pain
Clinical narrative: On about August 1, 2022 I developed a sore throat, all over body aches, some congestion and a low grade fever which progressed over the day.  Most of the UR symptoms were similar to allergy symptoms.  The symptoms worsened over  the next few days with body aches that impaired ADLs, some dizziness and nausea.  It took approximately 7 days for the symptoms to abate, although the congestion and productive cough lingered for another 7-10 days.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Productive cough, Pyrexia, Respiratory tract congestion
Clinical narrative: On about August 1, 2022 I developed a sore throat, all over body aches, some congestion and a low grade fever which progressed over the day.  Most of the UR symptoms were similar to allergy symptoms.  The symptoms worsened over  the next few days with body aches that impaired ADLs, some dizziness and nausea.  It took approximately 7 days for the symptoms to abate, although the congestion and productive cough lingered for another 7-10 days.
Age: 52.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Chills, Fatigue, Hyperhidrosis, Myalgia
Clinical narrative: chills, rigors, muscles and joints aches, nausea, vomiting, fatigue, sweats lasting until morning of 09/30/2022
Age: 52.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea, Vomiting
Clinical narrative: chills, rigors, muscles and joints aches, nausea, vomiting, fatigue, sweats lasting until morning of 09/30/2022
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: PATIENT RECEIVED BOOSTER DOSE AFTER 8-31-22.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I started getting symptoms of a sore throat, tiredness, and congestion like a cold. I took a COVID-19 test that were negative and the third test was positive. I went to my doctor and received a positive rapid and PCR test. I was prescribed prednisone. The tiredness was my worse symptoms. My symptoms lasted for 3 weeks.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain lower, Adenocarcinoma metastatic, Asthenia, COVID-19, Cognitive disorder
Clinical narrative: Patient with 2 Moderna COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "83 y/o Female with a past medical history of HTN, nicotine dependence, HLD, CKD 3 and anxiety.  She developed LLQ abdominal pain and was found to have an apple core lesion by CT with uterine fundus infiltration in the ED.  Colonoscopy was completed 8/25/2022 by Dr. with pathology report showing adenoma with high-grade dysplasia with final diagnosis of metastatic mucinous adenocarcinoma.   Referral for sigmoid colectomy was made however the patient returned to the ED 8/27/2022 due to worsening abdominal pain, generalized weakness, poor PO intake and constipation.  The patient underwent exploratory laparotomy with small bowel resection and loop transverse colostomy.     When medically stable, the patient was discharged to Local Health facility for  acute inpatient rehabilitation of functional and cognitive deficits.  The patient was transferred with supplemental oxygen, which was continued to maintain the patient's saturations above 92%.  The patient did not report dyspnea but was noted to become hypoxic with exertion and when sleeping.     Symptoms related to these abovementioned conditions and events were well-controlled, and the patient was discharged medically stable and improved. There were no significant acute episodes that affected length of stay or tolerance to therapies. The patient was provided education regarding colostomy care.  At first she was reluctant however was able to follow instructions provided by nursing by the time of discharge."