chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Arthralgia, COVID-19, Device malfunction, Osteoarthritis
Clinical narrative: Discharge Provider: DO Primary Care Provider: DO Admission Date: 10/3/2022 Discharge Date: Oct 5, 2022  PRESENTING PROBLEM: AICD lead malfunction  COVID-19    HOSPITAL COURSE: Patient is a 69-year-old female with past medical history of chronic combined systolic and diastolic congestive heart failure with reduced EF of 22%, nonischemic cardiomyopathy, primary prevention single-chamber AICD placement in 2014 presented to the ER with a chief complaint of right hip pain.  Patient has had pain resolved with some IV Tylenol in the ER but was noted to have COVID-19.  No overt hip pathology were noted on workup, x-ray was suggestive of mild degenerative osteoarthritic changes of the right hip.  In the ER she was also found to have RV lead fracture.  EP was consulted for input.  In the ER patient also required 2 L of supplemental oxygen and given impending further medical workup, admission was recommended.  Patient was transferred from ER to hospital for EP evaluation.   On arrival to our facility, patient was treated for acute hypoxic respiratory failure secondary likely COVID-19 and electrophysiology was consulted for RV lead fracture evaluation. In regards to COVID-19, patient received 2 doses of Decadron.  The patient was noted to not require any supplemental oxygen during the morning but does need supplemental oxygen at night which is suggestive of likely underlying obstructive sleep apnea.  Patient was supposed to be using CPAP at night but does not have her device during the hospital stay.  Electrophysiology evaluated the patient and fitted her for a life vest.  Plan is to follow-up with her outpatient to address the limb lead fracture. Given significant underlying heart failure, a structural heart evaluation was recommended and outpatient consult ordered.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray of pelvis and hip abnormal
Clinical narrative: Discharge Provider: DO Primary Care Provider: DO Admission Date: 10/3/2022 Discharge Date: Oct 5, 2022  PRESENTING PROBLEM: AICD lead malfunction  COVID-19    HOSPITAL COURSE: Patient is a 69-year-old female with past medical history of chronic combined systolic and diastolic congestive heart failure with reduced EF of 22%, nonischemic cardiomyopathy, primary prevention single-chamber AICD placement in 2014 presented to the ER with a chief complaint of right hip pain.  Patient has had pain resolved with some IV Tylenol in the ER but was noted to have COVID-19.  No overt hip pathology were noted on workup, x-ray was suggestive of mild degenerative osteoarthritic changes of the right hip.  In the ER she was also found to have RV lead fracture.  EP was consulted for input.  In the ER patient also required 2 L of supplemental oxygen and given impending further medical workup, admission was recommended.  Patient was transferred from ER to hospital for EP evaluation.   On arrival to our facility, patient was treated for acute hypoxic respiratory failure secondary likely COVID-19 and electrophysiology was consulted for RV lead fracture evaluation. In regards to COVID-19, patient received 2 doses of Decadron.  The patient was noted to not require any supplemental oxygen during the morning but does need supplemental oxygen at night which is suggestive of likely underlying obstructive sleep apnea.  Patient was supposed to be using CPAP at night but does not have her device during the hospital stay.  Electrophysiology evaluated the patient and fitted her for a life vest.  Plan is to follow-up with her outpatient to address the limb lead fracture. Given significant underlying heart failure, a structural heart evaluation was recommended and outpatient consult ordered.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: patient was given monovalent instead of bivalent vaccine
Age: 37.0
Sex: U
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the  Department of Health it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 33.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Wrong technique in product usage process
Clinical narrative: 2ND dose administered but due wheal not forming on 1st attempt
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Appendicectomy, Appendicitis, Computerised tomogram, Pyrexia
Clinical narrative: Pt received bivalent booster around 1130am on 10/7/22-Pt at baseline at this time and most of day. Around 2200 hrs this evening resident developed fever first of 102, then 104 after taking Tylenol. Pt sent to ED for evaluation, diverted to one Hospital to another hospital where diagnosis with acute appendicitis. Appendix removed via surgical intervention on 10/8/22
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dysphonia, Flushing, Throat tightness
Clinical narrative: PATIENT EXPERIENCED THROAT CLOSING 1 HOUR AFTER RECEIVING VACCINATION AND CHEEKS WERE FLUSHED. PATIENT WENT TO ED TO BE SEEN. THE DAY AFTER PATIENT REPORTS HAVING A RASPY VOICE.
Age: 1.92
Sex: M
Vaccine: COVID19, FLU4
Symptoms: No adverse event, Product preparation issue
Clinical narrative: On 10/07/2022, I accidentally used 1.3 mL of normal saline diluent for the Pfizer-BioNTech COVID vaccine for ages 6 months-<5 years of age. Instructions for this vaccine are very clear that one is supposed to use 2.2 mL of normal saline to dilute the 6 month-<5 years vaccine, but I mistakenly used the The 1.3 mL of diluent used for the ages 5-11 vaccine vials. This under-diluted form of the vaccine was administered to this patient. This means that this patient received a 4.7 mcg/0.2 mL dose of the vaccine instead of the advised 3 mcg/0.2 mL. I have already notified both my office manager and the MD in the office at the time I realized my mistake, and I have reported this incident to both Pfizer and the CDC.  NO ADVERSE REACTION(S) THAT WRITER IS AWARE OF AT THIS TIME (10/10/2022).
Age: 40.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the  Department of Health it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received original Pfizer vaccine when came in for the bivalent.
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Swelling, redness, itching and rash at the injection site.  Fever and chills.
Age: 70.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia
Clinical narrative: Swelling, redness, itching and rash at the injection site.  Fever and chills.
Age: 65.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Extra dose administered, Wrong technique in product usage process
Clinical narrative: 2nd dose given due to no wheal formation on 1st attempt
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Left shoulder pain
Age: 41.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Extra dose administered, Wrong technique in product usage process
Clinical narrative: 2nd dose given due to wheal not forming on 1st attempt
Age: 30.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the Department of Health it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 6.0
Sex: M
Vaccine: UNK
Symptoms: Expired product administered
Clinical narrative: Expired vaccine given was documented by pharmacy wrong called the family  Vaccine had been mislabeled with expiration date at time of dispense from pharmacy .in advertently administer one day after date.  Only advised effect would be needed to re-immunize patient. Family elected to do so but had to reschedule appt once already, may decide to re immunize pt through outside pharmacy
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 40.0
Sex: M
Vaccine: COVID19, SMALLMNK
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was supposed to be administered a dose of Pfizer 0.3 mL bivalent and pharmacist drew up Pfizer 0.3 mL monovalent vaccine. No symptoms or adverse reactions known.
Age: 36.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the Department of Health it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 37.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Wrong technique in product usage process
Clinical narrative: 2nd dose administered due to no wheal formation on 1st attempt
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Injection site erythema, Injection site irritation, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Fever began night of vaccine with irritation at site seen by redness, warmth, and 2.6cm area of swelling.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Rash pruritic, Seizure
Clinical narrative: Right shoulder pain and tenderness followed by widespread pruritic rash a few days after vaccination. Patient also feels that developing seizures 9 months later may also be due to vaccine; as well as fatigue that is present now.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: mild scratchy throat, one or two days
Age: 57.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Wrong technique in product usage process
Clinical narrative: 2ND Dose administered due to no wheal formation on 1st attempt
Age: 48.0
Sex: M
Vaccine: COVID19-2, UNK
Symptoms: Dizziness, Gait inability, Hypoacusis, Impaired work ability, Laboratory test abnormal
Clinical narrative: On September 29th, I had a stuffy head, and I couldn't hear as well as usual. On October 1st, the dizziness and tinnitus started. The next day, I still had the tinnitus and developed nausea. The dizziness turned into vertigo. I was unable to walk. I went to the emergency room. They gave me anti-nausea medication, an IV, and Meclizine. The spinning slowed down, and I was able to walk out of the emergency room. Later that evening, the spinning came back. On October 3rd, the same symptoms returned just as bad as when I went to the ER. On Monday, I went to see the doctor, did further tests, and verified vertigo and tinnitus. These symptoms continued through Wednesday, October 5th. I was unable to walk without assistance for those four days. I missed work for the entire week. As of today, I'm still experiencing tinnitus and light dizziness.
Age: 48.0
Sex: M
Vaccine: COVID19-2, UNK
Symptoms: Nasal congestion, Nausea, Tinnitus, Vertigo
Clinical narrative: On September 29th, I had a stuffy head, and I couldn't hear as well as usual. On October 1st, the dizziness and tinnitus started. The next day, I still had the tinnitus and developed nausea. The dizziness turned into vertigo. I was unable to walk. I went to the emergency room. They gave me anti-nausea medication, an IV, and Meclizine. The spinning slowed down, and I was able to walk out of the emergency room. Later that evening, the spinning came back. On October 3rd, the same symptoms returned just as bad as when I went to the ER. On Monday, I went to see the doctor, did further tests, and verified vertigo and tinnitus. These symptoms continued through Wednesday, October 5th. I was unable to walk without assistance for those four days. I missed work for the entire week. As of today, I'm still experiencing tinnitus and light dizziness.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 53.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Wrong technique in product usage process
Clinical narrative: 2nd dose administered due to no wheal formation on 1st attempt
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received original Pfizer vaccine when came in for the new bivalent Pfizer
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 50.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the Department of Health it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Hypersensitivity, Injection site erythema, Injection site reaction, Peripheral swelling
Clinical narrative: Twenty fours hours after receiving the vaccine your arm was red, hot swollen, itchy. During the night I scratched my arm leaving lesion and about four inches from the injection site there was red circles. I was seeing my dermatologist for another issue and he took a look my arm and advised me to use hydrocortisone cream as it looked like I was having an allergic reaction to the preservatives in the vaccine. I have mostly recovered just some peeling of my skin.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pruritus, Skin exfoliation, Skin lesion, Skin warm
Clinical narrative: Twenty fours hours after receiving the vaccine your arm was red, hot swollen, itchy. During the night I scratched my arm leaving lesion and about four inches from the injection site there was red circles. I was seeing my dermatologist for another issue and he took a look my arm and advised me to use hydrocortisone cream as it looked like I was having an allergic reaction to the preservatives in the vaccine. I have mostly recovered just some peeling of my skin.
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Feeling cold, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Freezing cold Extreme body ache Slept 36 hours straight Soreness at injection site Large red, hot, swelling  around injection
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Pain, Somnolence
Clinical narrative: Freezing cold Extreme body ache Slept 36 hours straight Soreness at injection site Large red, hot, swelling  around injection
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 48.0
Sex: M
Vaccine: COVID19, SMALLMNK
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was administered a dose of Pfizer 0.3 mL monovalent instead of the Pfizer 0.3 mL bivalent vaccine. Pharmacist drew up the wrong vaccine type. No adverse reaction from patient was observed.
Age: 63.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Erythema, Nodule, Pain in extremity, Pruritus, Swelling
Clinical narrative: arm became sore with knot-raised, red and itchy ( x 2 weeks) from dose #1
Age: 37.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the Department of Health it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 51.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the Department of Health it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received original Pfizer vaccine when came in for the new bivalent Pfizer
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Constipation, Hypoaesthesia, Knee operation, Laboratory test, Magnetic resonance imaging spinal abnormal
Clinical narrative: When I went to my ortho for knee surgery, and my vitamin D was 17 and should of been 30. So I went to my pcp, they gave me some meds to run it back up. Jan 12,2022 is when you have numbness from waist down to my toes. I thought my feet was sleep, they never wake up though. So they started running test. I thought it was my hip cause of my hip surgery, but it wasnt my hip, the ortho said it was my back. So I was ordered an MRI on feb 7th, 2022, on my complete spine. I went to the neurologist, he stated that there was damadge to the top portion of my spine, there is a spot on my spine. I didnt have any urges for bowel movements. I had several MRI's. I was diagnose with Acute transverse myelitis. Numbness for several months and constipation.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Myelitis transverse, Spinal disorder, Vitamin D decreased
Clinical narrative: When I went to my ortho for knee surgery, and my vitamin D was 17 and should of been 30. So I went to my pcp, they gave me some meds to run it back up. Jan 12,2022 is when you have numbness from waist down to my toes. I thought my feet was sleep, they never wake up though. So they started running test. I thought it was my hip cause of my hip surgery, but it wasnt my hip, the ortho said it was my back. So I was ordered an MRI on feb 7th, 2022, on my complete spine. I went to the neurologist, he stated that there was damadge to the top portion of my spine, there is a spot on my spine. I didnt have any urges for bowel movements. I had several MRI's. I was diagnose with Acute transverse myelitis. Numbness for several months and constipation.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal behaviour, Aggression, Delirium, Screaming
Clinical narrative: Delirium for 6 months. Described as slamming doors, screaming, sitting in shower for >6 hours. Started on day vaccine was administered.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Diarrhoea, Discomfort, Feeling abnormal, Feeling hot
Clinical narrative: The next day injection site swelled and I felt awful, hot, and severe chills. I had diarrhea and slept a lot. Two days post vaccination I broke out in a rash that continued to get worse. I was told by my allergist to double up on ZYRTEC. A week after I was then prescribed prednisone which did not work. I could not sleep and I would wake up continuously scratching my skin. I then went to my primary care and was given a stronger dose of prednisone and hydroxyzine. As of now, my symptoms of the rash flares up when I make contact with the site and clothes. The rash seems to be reducing in color, however, it varies throughout the day how intense the symptoms feel. It is extremely uncomfortable. The higher dose of prednisone and hydroxyzine seem to help however it still will come back. I am no longer experiencing the diarrhea or arm swelling. The rash is pretty much everywhere on my body except my head.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site swelling, Peripheral swelling, Pruritus, Rash, Skin discolouration
Clinical narrative: The next day injection site swelled and I felt awful, hot, and severe chills. I had diarrhea and slept a lot. Two days post vaccination I broke out in a rash that continued to get worse. I was told by my allergist to double up on ZYRTEC. A week after I was then prescribed prednisone which did not work. I could not sleep and I would wake up continuously scratching my skin. I then went to my primary care and was given a stronger dose of prednisone and hydroxyzine. As of now, my symptoms of the rash flares up when I make contact with the site and clothes. The rash seems to be reducing in color, however, it varies throughout the day how intense the symptoms feel. It is extremely uncomfortable. The higher dose of prednisone and hydroxyzine seem to help however it still will come back. I am no longer experiencing the diarrhea or arm swelling. The rash is pretty much everywhere on my body except my head.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Sleep disorder, Somnolence
Clinical narrative: The next day injection site swelled and I felt awful, hot, and severe chills. I had diarrhea and slept a lot. Two days post vaccination I broke out in a rash that continued to get worse. I was told by my allergist to double up on ZYRTEC. A week after I was then prescribed prednisone which did not work. I could not sleep and I would wake up continuously scratching my skin. I then went to my primary care and was given a stronger dose of prednisone and hydroxyzine. As of now, my symptoms of the rash flares up when I make contact with the site and clothes. The rash seems to be reducing in color, however, it varies throughout the day how intense the symptoms feel. It is extremely uncomfortable. The higher dose of prednisone and hydroxyzine seem to help however it still will come back. I am no longer experiencing the diarrhea or arm swelling. The rash is pretty much everywhere on my body except my head.
Age: 52.0
Sex: M
Vaccine: COVID19, SMALLMNK
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Pharmacist drew up 0.3 mL of Pfizer monovalent vaccine and vaccinator administered instead of the intended 0.3 mL Pfizer bivalent vaccine. No adverse reactions or symptoms were observed.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cardiac murmur, Chest pain, Cough
Clinical narrative: June 28, 2022 Tuesday - Stuffy nose. Some congestion. Negative Covid home test. Expected it was normal allergies. June 29. Same stuffiness. June 30 Thursday - Coughing lots. Got cough syrup prescription. July 1 Friday - Kenalog shot for allergies. Dr says heart murmur. Bad cough. Friday night. Very bad dry hacking cough & severe sore throat that night. July 2 Saturday. Cough & throat better. Tired. Tested positive on home test. Went to urgent care. Saw provider who suggested referral for monoclonal antibody treatment. July 3 Sunday. Slept til after 12 p.m. Cough & throat like yesterday. Still tired and have stuffy head. Coughing up phlegm. Legs ache below knees. Chest ache. Headache. Feel weak. In bed most of Sat. & Sun. No fever 97.7. July 4. Less cough and throat not as sore. Coughs produce phlegm. Stuffy nose &  head. Slight headache. Muscles at backs of legs ache when I get up. In bedroom. Now joined by lady who tested positive 6/3. July 5. Had lots of coughing @ 5 a.m. Regular cough syrup worked. Cough gone after that. Lots of phlegm and head & chest congestion goop coming loose throughout the day. Hacking and snorting up goop. Headache returned in afternoon. No fever 97.7 again. Periodic pain in left side at mid rib cage level. June 6. Had Covid monoclonal antibody infusion this morning of bebtelovimab at Facility. I have been at a plateau. Not getting better. No side effects that I could Identify. Seemed to tolerate ok. Feeling tired. July 7. I seemed to have a bit more energy today and lady says I'm not coughing as much. Still have a mild headache as the day goes on. A little less congestion today. July 8 - 13 Low energy, loss of appetite, mild headache continue. July 14. Finally started feeling much better. Not all gone but much better.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Headache, Mobility decreased, Musculoskeletal chest pain
Clinical narrative: June 28, 2022 Tuesday - Stuffy nose. Some congestion. Negative Covid home test. Expected it was normal allergies. June 29. Same stuffiness. June 30 Thursday - Coughing lots. Got cough syrup prescription. July 1 Friday - Kenalog shot for allergies. Dr says heart murmur. Bad cough. Friday night. Very bad dry hacking cough & severe sore throat that night. July 2 Saturday. Cough & throat better. Tired. Tested positive on home test. Went to urgent care. Saw provider who suggested referral for monoclonal antibody treatment. July 3 Sunday. Slept til after 12 p.m. Cough & throat like yesterday. Still tired and have stuffy head. Coughing up phlegm. Legs ache below knees. Chest ache. Headache. Feel weak. In bed most of Sat. & Sun. No fever 97.7. July 4. Less cough and throat not as sore. Coughs produce phlegm. Stuffy nose &  head. Slight headache. Muscles at backs of legs ache when I get up. In bedroom. Now joined by lady who tested positive 6/3. July 5. Had lots of coughing @ 5 a.m. Regular cough syrup worked. Cough gone after that. Lots of phlegm and head & chest congestion goop coming loose throughout the day. Hacking and snorting up goop. Headache returned in afternoon. No fever 97.7 again. Periodic pain in left side at mid rib cage level. June 6. Had Covid monoclonal antibody infusion this morning of bebtelovimab at Facility. I have been at a plateau. Not getting better. No side effects that I could Identify. Seemed to tolerate ok. Feeling tired. July 7. I seemed to have a bit more energy today and lady says I'm not coughing as much. Still have a mild headache as the day goes on. A little less congestion today. July 8 - 13 Low energy, loss of appetite, mild headache continue. July 14. Finally started feeling much better. Not all gone but much better.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nasal congestion, Oropharyngeal pain, Pain in extremity, Productive cough
Clinical narrative: June 28, 2022 Tuesday - Stuffy nose. Some congestion. Negative Covid home test. Expected it was normal allergies. June 29. Same stuffiness. June 30 Thursday - Coughing lots. Got cough syrup prescription. July 1 Friday - Kenalog shot for allergies. Dr says heart murmur. Bad cough. Friday night. Very bad dry hacking cough & severe sore throat that night. July 2 Saturday. Cough & throat better. Tired. Tested positive on home test. Went to urgent care. Saw provider who suggested referral for monoclonal antibody treatment. July 3 Sunday. Slept til after 12 p.m. Cough & throat like yesterday. Still tired and have stuffy head. Coughing up phlegm. Legs ache below knees. Chest ache. Headache. Feel weak. In bed most of Sat. & Sun. No fever 97.7. July 4. Less cough and throat not as sore. Coughs produce phlegm. Stuffy nose &  head. Slight headache. Muscles at backs of legs ache when I get up. In bedroom. Now joined by lady who tested positive 6/3. July 5. Had lots of coughing @ 5 a.m. Regular cough syrup worked. Cough gone after that. Lots of phlegm and head & chest congestion goop coming loose throughout the day. Hacking and snorting up goop. Headache returned in afternoon. No fever 97.7 again. Periodic pain in left side at mid rib cage level. June 6. Had Covid monoclonal antibody infusion this morning of bebtelovimab at Facility. I have been at a plateau. Not getting better. No side effects that I could Identify. Seemed to tolerate ok. Feeling tired. July 7. I seemed to have a bit more energy today and lady says I'm not coughing as much. Still have a mild headache as the day goes on. A little less congestion today. July 8 - 13 Low energy, loss of appetite, mild headache continue. July 14. Finally started feeling much better. Not all gone but much better.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: June 28, 2022 Tuesday - Stuffy nose. Some congestion. Negative Covid home test. Expected it was normal allergies. June 29. Same stuffiness. June 30 Thursday - Coughing lots. Got cough syrup prescription. July 1 Friday - Kenalog shot for allergies. Dr says heart murmur. Bad cough. Friday night. Very bad dry hacking cough & severe sore throat that night. July 2 Saturday. Cough & throat better. Tired. Tested positive on home test. Went to urgent care. Saw provider who suggested referral for monoclonal antibody treatment. July 3 Sunday. Slept til after 12 p.m. Cough & throat like yesterday. Still tired and have stuffy head. Coughing up phlegm. Legs ache below knees. Chest ache. Headache. Feel weak. In bed most of Sat. & Sun. No fever 97.7. July 4. Less cough and throat not as sore. Coughs produce phlegm. Stuffy nose &  head. Slight headache. Muscles at backs of legs ache when I get up. In bedroom. Now joined by lady who tested positive 6/3. July 5. Had lots of coughing @ 5 a.m. Regular cough syrup worked. Cough gone after that. Lots of phlegm and head & chest congestion goop coming loose throughout the day. Hacking and snorting up goop. Headache returned in afternoon. No fever 97.7 again. Periodic pain in left side at mid rib cage level. June 6. Had Covid monoclonal antibody infusion this morning of bebtelovimab at Facility. I have been at a plateau. Not getting better. No side effects that I could Identify. Seemed to tolerate ok. Feeling tired. July 7. I seemed to have a bit more energy today and lady says I'm not coughing as much. Still have a mild headache as the day goes on. A little less congestion today. July 8 - 13 Low energy, loss of appetite, mild headache continue. July 14. Finally started feeling much better. Not all gone but much better.
Age: 2.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Product administered to patient of inappropriate age, Product preparation issue
Clinical narrative: On 10/07/2022, I accidentally used 1.3 mL of normal saline diluent for the Pfizer-BioNTech COVID vaccine for ages 6 months-<5 years of age. Instructions for this vaccine are very clear that one is supposed to use 2.2 mL of normal saline to dilute the 6 month-<5 years vaccine, but I mistakenly used the The 1.3 mL of diluent used for the ages 5-11 vaccine vials. This under-diluted form of the vaccine was administered to this patient. This means that this patient received a 4.7 mcg/0.2 mL dose of the vaccine instead of the advised 3 mcg/0.2 mL. I have already notified both my office manager and the MD in the office at the time I realized my mistake, and I have reported this incident to both Pfizer and the CDC.  NO ADVERSE REACTION(S) THAT WRITER IS AWARE OF AT THIS TIME (10/10/2022).
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: 0.25mL administered instead of 0.50mL.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: 0.25mL administered instead of 0.50mL.
Age: 46.0
Sex: F
Vaccine: TD
Symptoms: Dizziness postural, Gait disturbance
Clinical narrative: I received the IM inj and walked out of the room to talk to billing and I was waiting a minute and started feeling dizzy while i was standing. So I decided to get my labs drawn in the other room while i was waiting so that i could sit down. I sat down, dizzy stopped, my blood was drawn and then I stood back up and dizzy returned. Then went back to billing and sat. Once I stood up after talking to billing the dizzy was worse. I was walking sideways to my car. I drank a latte for blood sugar, no difference. Dizzy got worse and it subsided after 6 hours.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: 0.25mL administered instead of 0.50mL.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Ear discomfort, Fatigue, Feeling abnormal
Clinical narrative: I originally thought it was allergies because I was having watery eyes, itchy throat, and sneezing. On 10/5/2022 I went to the doctor to be tested for COVID and the results came back the following morning showing that, I was positive.  Since having COVID I have experienced some brain fog, fatigue, head congestion, and pressure in my ears. The doctor prescribed me some medication which has helped with my cough.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza virus test negative, Lacrimation increased, Pyrexia, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: I originally thought it was allergies because I was having watery eyes, itchy throat, and sneezing. On 10/5/2022 I went to the doctor to be tested for COVID and the results came back the following morning showing that, I was positive.  Since having COVID I have experienced some brain fog, fatigue, head congestion, and pressure in my ears. The doctor prescribed me some medication which has helped with my cough.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing, Throat irritation
Clinical narrative: I originally thought it was allergies because I was having watery eyes, itchy throat, and sneezing. On 10/5/2022 I went to the doctor to be tested for COVID and the results came back the following morning showing that, I was positive.  Since having COVID I have experienced some brain fog, fatigue, head congestion, and pressure in my ears. The doctor prescribed me some medication which has helped with my cough.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received original Pfizer vaccine when came in for the new bivalent Pfizer
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was included in a Group Home Bivalent Booster Clinic, but she has not received the primary series yet.
Age: 60.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: 0.25mL administered instead of 0.50mL.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Administered Moderna 6-11 years vaccine instead of Moderna Bivalent booster. Client notified to watch for adverse effects. Consulted local Department of Health for dose schedule. May return in 2 months for bivalent vaccine per CDC guidelines.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired and given BUD.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Cough, Fatigue, Pyrexia
Clinical narrative: I experienced COVID after my vaccine. I experienced fever, cough, tightness in my chest. They ended up giving me steroids and a nebulizer treatment. This all lasted about four days and felt tired for a bit longer.  I am not experiencing any symptoms today.  I felt completely fine after two weeks.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I experienced COVID after my vaccine. I experienced fever, cough, tightness in my chest. They ended up giving me steroids and a nebulizer treatment. This all lasted about four days and felt tired for a bit longer.  I am not experiencing any symptoms today.  I felt completely fine after two weeks.
Age: 67.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: Vaccine given after storage below recommended temperature
Age: 43.0
Sex: F
Vaccine: COVID19-2
Symptoms: Epistaxis, Thrombosis
Clinical narrative: I had a really bad nose bleed the morning after (about 19 hours) my bivalent booster shot. It was lots of bright red blood, then a large clot, then more bright red blood. I got it to stop after about 5-10 minutes. I never had this with any of the other doses. I do not have a history of nose bleeds.
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: 0.25mL administered instead of 0.50mL.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 29.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the clinic it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Asthma, Blood pressure increased, COVID-19, Cough, Disturbance in attention
Clinical narrative: On 9/25/2022 at 5PM I had sniffles and it felt like an asthma attack. On 9/26/2022 morning, I started to feel really bad. I had full blown aches, mucous, cough, shortness of breath, tearing of eyes, massive headache, and brain fog. I tried to call my doctor and did not get in touch. That came back 9/28/ positive COVID-19 test. On Thursday I got in touch with my doctor. They prescribed PAXLOVID, doxycycline and prednisone. I am basically taking 2 a day of each, and that seem to have done the trick because I had 2 COVID-19, negative tests. I still have a lot of mucous, a lot of brain fog, not able to concentrate, I am starting to get some of my taste buds back. It is really triggering my asthma. I have to use my nebulizer with albuterol twice a day. It is even doing something to my eyes, I am seeing blurry, raised blood pressure.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling abnormal, Headache, Lacrimation increased, Pain
Clinical narrative: On 9/25/2022 at 5PM I had sniffles and it felt like an asthma attack. On 9/26/2022 morning, I started to feel really bad. I had full blown aches, mucous, cough, shortness of breath, tearing of eyes, massive headache, and brain fog. I tried to call my doctor and did not get in touch. That came back 9/28/ positive COVID-19 test. On Thursday I got in touch with my doctor. They prescribed PAXLOVID, doxycycline and prednisone. I am basically taking 2 a day of each, and that seem to have done the trick because I had 2 COVID-19, negative tests. I still have a lot of mucous, a lot of brain fog, not able to concentrate, I am starting to get some of my taste buds back. It is really triggering my asthma. I have to use my nebulizer with albuterol twice a day. It is even doing something to my eyes, I am seeing blurry, raised blood pressure.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Secretion discharge, Taste disorder, Vision blurred
Clinical narrative: On 9/25/2022 at 5PM I had sniffles and it felt like an asthma attack. On 9/26/2022 morning, I started to feel really bad. I had full blown aches, mucous, cough, shortness of breath, tearing of eyes, massive headache, and brain fog. I tried to call my doctor and did not get in touch. That came back 9/28/ positive COVID-19 test. On Thursday I got in touch with my doctor. They prescribed PAXLOVID, doxycycline and prednisone. I am basically taking 2 a day of each, and that seem to have done the trick because I had 2 COVID-19, negative tests. I still have a lot of mucous, a lot of brain fog, not able to concentrate, I am starting to get some of my taste buds back. It is really triggering my asthma. I have to use my nebulizer with albuterol twice a day. It is even doing something to my eyes, I am seeing blurry, raised blood pressure.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, COVID-19, Cough, Nasal congestion, SARS-CoV-2 test positive
Clinical narrative: I started with an achy feeling in the joints, nasal congestion, and a cough. I took a COVID-19 test at home that came back negative. 4 days later I took a COVID-19 test at a drive thru facility that came back positive. I spoke with my doctor, and he gave me a monoclonal antibody treatment the next day. About 5 days after the treatment my symptoms completely went away.
Age: 58.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: While working with the Department of Health it was determined that our vaccines were out of the temperature recommendations for a brief period of time before vaccination.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received original Pfizer vaccine when came in for the new bivalent Pfizer
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Wrong vaccine given.  No adverse reactions noted.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Client presented to clinic for Moderna Bivalent COVID booster. This nurse administered Moderna 6-11 years pediatric COVID vaccine. Once aware of the error, this nurse notified client and contacted local Department of Health for guidance. CDC recommends waiting 2 months and getting bivalent vaccine at that time. Client notified.
Age: 5.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Unevaluable event
Clinical narrative: None noted
Age: 46.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site cellulitis, Injection site discomfort, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Cellulitis of right arm shoulder to elbow, redness; swelling; warm to touch, arm discomfort .  Treated with antihistamine; prednisone 20 mg  and Sulfamethoxazole-Trimethoprim 800-160mg
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired and given BUD
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Blood glucose normal, Diarrhoea, Fatigue, Illness
Clinical narrative: The evening I received my vaccine I experienced fatigue and side effects that you expect from COVID-19 vaccine. The next morning began experiencing diarrhea. Stools where very loose and I went to the restroom multiple times per day. Went in to see PCP because I was still having diarrhea and weakness. Dr. thought it could be a stomach bug that is going around and also advised me to increase my protein intake.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Insomnia, Nausea, Pyrexia
Clinical narrative: Headache, 99.5 fever, nausea, sleeplessness, injection site pain. Tylenol was given.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Albumin urine, Angiogram pulmonary abnormal, Anticoagulant therapy, Blood albumin decreased, Bradycardia
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 9/27/2022 Discharge Date: 10/7/2022  PRESENTING PROBLEM: Altered mental status [R41.82] Altered mental status, unspecified altered mental status type [R41.82]   HOSPITAL COURSE: Pt is a 79 year old male with PMH of DDM, diabetic neuropathy, CAD, HLD, HTN, prior CVA, vascular dementia. Pt. presented to the ED after an unwitnessed fall and AMS. He was admitted with concerns for stroke. CT head and neck studies showed only chronic changes, no acute findings. MRI brain was done and found to have an acute to subacute left pon infarct. Neuro has been consulted. ECHO with EF 61%. EEG with no evidence of epilepsy. Neuro recommended medical manage with home ASA and adding plavix for 90 days along with discharge with zio patch. Therapy evaluated the patient and recommended acute rehab at DC.    The patient was awaiting placement when he became febrile. He did not endorse infectious symptoms. As part of the work up a COVID test was checked and was positive. He completed 5 days of remdesivir inpatient and continued on dexamethasone at discharge to complete 10 days. Was consulted and assisted with management of steroid induced hyperglycemia. CTA thorax negative for PE but showed some mild fluid overload, so he was gently diuresed. Pt weaned from 6L NC to 2L on day of discharge. Zio patch was placed and pt discharged in stable condition.   While hospitalized, pt was noted to have mild asymptomatic bradycardia. His home metoprolol XL was decreased and pt encouraged to follow up with PCP as outpatient.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cerebral infarction, Computerised tomogram head abnormal, Creatinine urine, Dystonia
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 9/27/2022 Discharge Date: 10/7/2022  PRESENTING PROBLEM: Altered mental status [R41.82] Altered mental status, unspecified altered mental status type [R41.82]   HOSPITAL COURSE: Pt is a 79 year old male with PMH of DDM, diabetic neuropathy, CAD, HLD, HTN, prior CVA, vascular dementia. Pt. presented to the ED after an unwitnessed fall and AMS. He was admitted with concerns for stroke. CT head and neck studies showed only chronic changes, no acute findings. MRI brain was done and found to have an acute to subacute left pon infarct. Neuro has been consulted. ECHO with EF 61%. EEG with no evidence of epilepsy. Neuro recommended medical manage with home ASA and adding plavix for 90 days along with discharge with zio patch. Therapy evaluated the patient and recommended acute rehab at DC.    The patient was awaiting placement when he became febrile. He did not endorse infectious symptoms. As part of the work up a COVID test was checked and was positive. He completed 5 days of remdesivir inpatient and continued on dexamethasone at discharge to complete 10 days. Was consulted and assisted with management of steroid induced hyperglycemia. CTA thorax negative for PE but showed some mild fluid overload, so he was gently diuresed. Pt weaned from 6L NC to 2L on day of discharge. Zio patch was placed and pt discharged in stable condition.   While hospitalized, pt was noted to have mild asymptomatic bradycardia. His home metoprolol XL was decreased and pt encouraged to follow up with PCP as outpatient.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram normal, Ejection fraction, Electroencephalogram normal, Fall, Glycosylated haemoglobin
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 9/27/2022 Discharge Date: 10/7/2022  PRESENTING PROBLEM: Altered mental status [R41.82] Altered mental status, unspecified altered mental status type [R41.82]   HOSPITAL COURSE: Pt is a 79 year old male with PMH of DDM, diabetic neuropathy, CAD, HLD, HTN, prior CVA, vascular dementia. Pt. presented to the ED after an unwitnessed fall and AMS. He was admitted with concerns for stroke. CT head and neck studies showed only chronic changes, no acute findings. MRI brain was done and found to have an acute to subacute left pon infarct. Neuro has been consulted. ECHO with EF 61%. EEG with no evidence of epilepsy. Neuro recommended medical manage with home ASA and adding plavix for 90 days along with discharge with zio patch. Therapy evaluated the patient and recommended acute rehab at DC.    The patient was awaiting placement when he became febrile. He did not endorse infectious symptoms. As part of the work up a COVID test was checked and was positive. He completed 5 days of remdesivir inpatient and continued on dexamethasone at discharge to complete 10 days. Was consulted and assisted with management of steroid induced hyperglycemia. CTA thorax negative for PE but showed some mild fluid overload, so he was gently diuresed. Pt weaned from 6L NC to 2L on day of discharge. Zio patch was placed and pt discharged in stable condition.   While hospitalized, pt was noted to have mild asymptomatic bradycardia. His home metoprolol XL was decreased and pt encouraged to follow up with PCP as outpatient.