chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 76.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Sleep disorder
Clinical narrative: She got her vaccine, after she went to sleep that night around 11:00 PM her arm started hurting ,she could not lay on the arm and when she felt of it it was warm and swollen.  The next morning when it looked at it in the mirror it was red and swollen from her shoulder to her elbow almost completely around the arm.  Later in the day it developed a hard knot larger than her fist from top to bottom.  You could tell by looking at the arm that it was swollen and warm, which lasted about a week.  She did not call her doctor, but did call the pharmacy to see if there was anything recommended to do for it, and she was advised to put cool compresses on it, which she did not do.  She then called us and left a VM.  She did take some Tylenol a couple of times, and gradually started going down about Wednesday and by Friday it was gone.  it also had a sort of rashy look to it, but nothing really raised, but felt like rough, dry skin.
Age: 93.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Death on 12/01/2022
Age: 65.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine expired 10/31/2022.  No symptoms
Age: 65.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Expired product administered
Clinical narrative: Vaccine expired 10/31/2022.  No symptoms
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chest pain, Decreased appetite, Fall, Nausea
Clinical narrative: At around 4am, I began experiencing pain inside my chest and abdomen areas. I felt like I wanted to throw up,  I was shaking to the point that I couldn't see anything clear in front of me despite my fever being only 100.4.  I was not able to hold a cup in my hands because I was shaking so much and the water was spilling all over. When I got up to go to use the bathroom, I fell once, and after I got up I had to hold onto the walls to walk there.  I was not able to eat for a day. I was sick for 5 days after that. Same symptoms after I received my 2nd and 3rd shots, also sick for 4-5 days.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tremor, Visual impairment
Clinical narrative: At around 4am, I began experiencing pain inside my chest and abdomen areas. I felt like I wanted to throw up,  I was shaking to the point that I couldn't see anything clear in front of me despite my fever being only 100.4.  I was not able to hold a cup in my hands because I was shaking so much and the water was spilling all over. When I got up to go to use the bathroom, I fell once, and after I got up I had to hold onto the walls to walk there.  I was not able to eat for a day. I was sick for 5 days after that. Same symptoms after I received my 2nd and 3rd shots, also sick for 4-5 days.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Influenza virus test negative, Nasal congestion
Clinical narrative: My adverse event started on 12/03/2022 around noon time. I had stuffy head, minor sore throat, fatigue,  non productive cough, and runny nose. I went to the Urgent Care  on 12/05/2022. They did FLU which was negative and I was positive for COVId-19 Infection.   I took over the counter medications such as Severe Cold & Flu, Tylenol as per needed, and Robitussin DM for cough. I took all the medication yesterday but I feel good today so I didn't take any.  As of today  12/08/2022 I am recovering from my COVID-19 Infection.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: My adverse event started on 12/03/2022 around noon time. I had stuffy head, minor sore throat, fatigue,  non productive cough, and runny nose. I went to the Urgent Care  on 12/05/2022. They did FLU which was negative and I was positive for COVId-19 Infection.   I took over the counter medications such as Severe Cold & Flu, Tylenol as per needed, and Robitussin DM for cough. I took all the medication yesterday but I feel good today so I didn't take any.  As of today  12/08/2022 I am recovering from my COVID-19 Infection.
Age: 29.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Ageusia, Anosmia, Aphonia, COVID-19, Chills
Clinical narrative: I tested positive for COVID-19 on 11/14/22. I had a fever, chills, body aches, loss of taste, headaches, and congestion. I was very sick for 5 days with these symptoms. Then on day 5, I lost my smell and taste, but was feeling a little better. I was still congested though. I went to the doctor on day 12 because I was still testing positive, and I still had postnasal drip. They did a rapid test, and I was negative at that time. They prescribed benzonatate, and FLONASE. They told me I could take any over-the-counter medications for allergies. On 12/6/22 I started to feel bad again. I had the same symptoms, but less severe and I lost my voice. I am still dealing with these symptoms.
Age: 29.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Feeling abnormal, Headache, Malaise, Pain, Pyrexia
Clinical narrative: I tested positive for COVID-19 on 11/14/22. I had a fever, chills, body aches, loss of taste, headaches, and congestion. I was very sick for 5 days with these symptoms. Then on day 5, I lost my smell and taste, but was feeling a little better. I was still congested though. I went to the doctor on day 12 because I was still testing positive, and I still had postnasal drip. They did a rapid test, and I was negative at that time. They prescribed benzonatate, and FLONASE. They told me I could take any over-the-counter medications for allergies. On 12/6/22 I started to feel bad again. I had the same symptoms, but less severe and I lost my voice. I am still dealing with these symptoms.
Age: 29.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Upper-airway cough syndrome
Clinical narrative: I tested positive for COVID-19 on 11/14/22. I had a fever, chills, body aches, loss of taste, headaches, and congestion. I was very sick for 5 days with these symptoms. Then on day 5, I lost my smell and taste, but was feeling a little better. I was still congested though. I went to the doctor on day 12 because I was still testing positive, and I still had postnasal drip. They did a rapid test, and I was negative at that time. They prescribed benzonatate, and FLONASE. They told me I could take any over-the-counter medications for allergies. On 12/6/22 I started to feel bad again. I had the same symptoms, but less severe and I lost my voice. I am still dealing with these symptoms.
Age: 23.0
Sex: F
Vaccine: JEV1
Symptoms: Pruritus, Rash
Clinical narrative: Client reported itching of hands and arms at 845 pm, the same day as the vaccine. Which in turn turned into a rash, mostly on her arms and legs and near her eyes. She took Benadryl that night and the next day with some relief. States no other symptoms and by the next was getting better
Age: 13.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, Product administration error
Clinical narrative: Bivalent Booster given as first dose of series: vaccine administration error
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Neurological symptom, SARS-CoV-2 test positive
Clinical narrative: Pt has a PMH of obesity, prediabetes, and presented to the ED with strokelike symptoms. She had a COVID test done on 12/1 due to requirement for inpatient rehab and was found to be positive however asymptomtic.
Age: 40.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, Blister, Chills, Feeling abnormal, Intervertebral disc protrusion
Clinical narrative: He got his vaccine, had some weakness and not feeling good, then had fever and chills at night.  This was for about 2-3 days fever and chills.  He got blisters all over his body, not itchy, particularly on his foot.  He went to UR, and they gave him some antibiotics and the blisters recovered.  He was having fever and chills for 4-5 days, then after about a week he started having very heavy itching on the same foot.  He had to check with his doctor and they said that maybe was going on with his back that possibly the COVID vaccine exposed or popped up and it caused more of a disc herniation.  This was pretty painful initially from the itching, and it took about a month for him to recover from it.  He is still recovering from it, he is still having itching, but his doctor told him he would recover form it with stretching and exercises.    Due to his reaction he does not want to have anymore vaccines in his life.
Age: 40.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pain, Pruritus, Pyrexia, X-ray
Clinical narrative: He got his vaccine, had some weakness and not feeling good, then had fever and chills at night.  This was for about 2-3 days fever and chills.  He got blisters all over his body, not itchy, particularly on his foot.  He went to UR, and they gave him some antibiotics and the blisters recovered.  He was having fever and chills for 4-5 days, then after about a week he started having very heavy itching on the same foot.  He had to check with his doctor and they said that maybe was going on with his back that possibly the COVID vaccine exposed or popped up and it caused more of a disc herniation.  This was pretty painful initially from the itching, and it took about a month for him to recover from it.  He is still recovering from it, he is still having itching, but his doctor told him he would recover form it with stretching and exercises.    Due to his reaction he does not want to have anymore vaccines in his life.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Resident was inadvertently given a bivalent booster vaccine when she had not yet been vaccinated with their primary series. No adverse reaction was noted, and she tolerated the injection.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Contusion, Dry skin, Pain in extremity, Skin fissures
Clinical narrative: Monday night 12/05/2022, I had a sharp pain in my third toe in my right foot I treated it with ointment as I assumed it was dry skin and a deep crack. I woke Tuesday or the next day and my toe was black and blue on the skin near the nail. On Wednesday I saw a nurse practitioner to rule out an infection and she attributed the bruise to a trauma but I had no trauma.
Age: 74.0
Sex: M
Vaccine: FLUA4, VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Pain, Rash
Clinical narrative: Patient appeared on 12/8/22 around 10:30am presenting with a large red rash on spreading over left shoulder.  The rash started on front of left chest and wrapped over shoulder to top of left back.  Patient states the rash appears a few days after vaccinations on left arm administered on 11/55/22.  Patient also complained of pain only when he rotates his left shoulder.  There was no redness or rash at the site of injection (left deltoid).
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Chronic obstructive pulmonary disease, Condition aggravated, Cough, Dyspnoea
Clinical narrative: Pt arrives with increasing shortness of breath and cough. She is non-insulin dependent diabetic and oxygen dependent COPD patient. She has had known COVID exposures and does test positive. She is admitted with COPD exacerbation related to COVID infection.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Pt arrives with increasing shortness of breath and cough. She is non-insulin dependent diabetic and oxygen dependent COPD patient. She has had known COVID exposures and does test positive. She is admitted with COPD exacerbation related to COVID infection.
Age: 40.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: vaccine administered after temperature excursion not determined to be within stability range.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None. Vaccine expired by 2 days.  No symptoms
Age: 46.0
Sex: M
Vaccine: COVID19-2
Symptoms: Influenza virus test negative, Pharyngitis streptococcal, SARS-CoV-2 test negative, Streptococcus test positive
Clinical narrative: strep throat; being treated with Penicillin V, symptoms are abating.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Computerised tomogram normal, Disturbance in attention, Dyspnoea
Clinical narrative: I started experiencing symptoms on 08/14/2022 and tested positive for COVID-19 on 8/16 and 8/17. I had a really high fever at 102.5 and just total lethargy. I didn't move out of the chair much unless I needed to go to the bathroom or drink some fluid. It hit me a lot harder than the first time as far as fevers. I had headaches, congestion, and some shortness of breath. From the first round of COVID-19, that's when I started with my heart and lung symptoms. So for this infection, I already knew what was going on with my symptoms. I was just unable to function at all. I talked to my doctor via telehealth and told her I wasn't feeling well. She said she would send a prescription of Paxlovid just in case. I didn't take it because I didn't want to add to some of the problems I already have. I just stuck to fluids. I felt really bad for a full week. Out of commission and it was really tough. Most of it was fever, body aches, and chills. The headache did not go away, and I thought it would with the infection. I tried Tylenol and other medications, but nothing would knock it down. I didn't go to the hospital or anything, but it was not a nice experience. All other symptoms subsided but the headache persisted 24/7. I talked to my doctor and mentioned that my headache would not go away and nothing helped. I was having trouble focusing and I couldn't keep track of the things I was doing because it was distracting. My doctor said to get a CT because of the aneurysm. She also wanted to check to see if there was anything else causing this headache. I walked in to get my first CT done and compared to my old CTs and they saw no changes with the aneurysm. There was no sinus infection, so it was bizarre. Many health care providers noted that sometimes people with an autoimmune factor, after getting the COVID-19 infection, may get horrible headaches because the body cannot handle the spike protein. My PCP put me on  Neurontin, which was 100mg one week, 200mg the next week, and 300mg the third week. It didn't help too much. I'm currently taking 900mg of  Neurontin a day and the pain is now actually under control. I take that 3 times a day. I've been on that for a while now. I don't know what could happen if I get off of the medication because I'm not sure if the headache will come back or not. I started taking the medication on October 5, 2022. My biggest fear is I don't want to be on this medication for the rest of my life. We don't know what's going on. All of my doctors have said the same thing with the protein. I'm going back to the doctor in January and they may attempt to lower my dosage and get me off it and see the results. The sense of smell from the infection is getting better. I had smelled some perfume and it smelled different. With cooking, there was some things that I didn't smell well either. I think the smelling symptoms are getting better.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Lethargy, Malaise, Mobility decreased
Clinical narrative: I started experiencing symptoms on 08/14/2022 and tested positive for COVID-19 on 8/16 and 8/17. I had a really high fever at 102.5 and just total lethargy. I didn't move out of the chair much unless I needed to go to the bathroom or drink some fluid. It hit me a lot harder than the first time as far as fevers. I had headaches, congestion, and some shortness of breath. From the first round of COVID-19, that's when I started with my heart and lung symptoms. So for this infection, I already knew what was going on with my symptoms. I was just unable to function at all. I talked to my doctor via telehealth and told her I wasn't feeling well. She said she would send a prescription of Paxlovid just in case. I didn't take it because I didn't want to add to some of the problems I already have. I just stuck to fluids. I felt really bad for a full week. Out of commission and it was really tough. Most of it was fever, body aches, and chills. The headache did not go away, and I thought it would with the infection. I tried Tylenol and other medications, but nothing would knock it down. I didn't go to the hospital or anything, but it was not a nice experience. All other symptoms subsided but the headache persisted 24/7. I talked to my doctor and mentioned that my headache would not go away and nothing helped. I was having trouble focusing and I couldn't keep track of the things I was doing because it was distracting. My doctor said to get a CT because of the aneurysm. She also wanted to check to see if there was anything else causing this headache. I walked in to get my first CT done and compared to my old CTs and they saw no changes with the aneurysm. There was no sinus infection, so it was bizarre. Many health care providers noted that sometimes people with an autoimmune factor, after getting the COVID-19 infection, may get horrible headaches because the body cannot handle the spike protein. My PCP put me on  Neurontin, which was 100mg one week, 200mg the next week, and 300mg the third week. It didn't help too much. I'm currently taking 900mg of  Neurontin a day and the pain is now actually under control. I take that 3 times a day. I've been on that for a while now. I don't know what could happen if I get off of the medication because I'm not sure if the headache will come back or not. I started taking the medication on October 5, 2022. My biggest fear is I don't want to be on this medication for the rest of my life. We don't know what's going on. All of my doctors have said the same thing with the protein. I'm going back to the doctor in January and they may attempt to lower my dosage and get me off it and see the results. The sense of smell from the infection is getting better. I had smelled some perfume and it smelled different. With cooking, there was some things that I didn't smell well either. I think the smelling symptoms are getting better.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Parosmia, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I started experiencing symptoms on 08/14/2022 and tested positive for COVID-19 on 8/16 and 8/17. I had a really high fever at 102.5 and just total lethargy. I didn't move out of the chair much unless I needed to go to the bathroom or drink some fluid. It hit me a lot harder than the first time as far as fevers. I had headaches, congestion, and some shortness of breath. From the first round of COVID-19, that's when I started with my heart and lung symptoms. So for this infection, I already knew what was going on with my symptoms. I was just unable to function at all. I talked to my doctor via telehealth and told her I wasn't feeling well. She said she would send a prescription of Paxlovid just in case. I didn't take it because I didn't want to add to some of the problems I already have. I just stuck to fluids. I felt really bad for a full week. Out of commission and it was really tough. Most of it was fever, body aches, and chills. The headache did not go away, and I thought it would with the infection. I tried Tylenol and other medications, but nothing would knock it down. I didn't go to the hospital or anything, but it was not a nice experience. All other symptoms subsided but the headache persisted 24/7. I talked to my doctor and mentioned that my headache would not go away and nothing helped. I was having trouble focusing and I couldn't keep track of the things I was doing because it was distracting. My doctor said to get a CT because of the aneurysm. She also wanted to check to see if there was anything else causing this headache. I walked in to get my first CT done and compared to my old CTs and they saw no changes with the aneurysm. There was no sinus infection, so it was bizarre. Many health care providers noted that sometimes people with an autoimmune factor, after getting the COVID-19 infection, may get horrible headaches because the body cannot handle the spike protein. My PCP put me on  Neurontin, which was 100mg one week, 200mg the next week, and 300mg the third week. It didn't help too much. I'm currently taking 900mg of  Neurontin a day and the pain is now actually under control. I take that 3 times a day. I've been on that for a while now. I don't know what could happen if I get off of the medication because I'm not sure if the headache will come back or not. I started taking the medication on October 5, 2022. My biggest fear is I don't want to be on this medication for the rest of my life. We don't know what's going on. All of my doctors have said the same thing with the protein. I'm going back to the doctor in January and they may attempt to lower my dosage and get me off it and see the results. The sense of smell from the infection is getting better. I had smelled some perfume and it smelled different. With cooking, there was some things that I didn't smell well either. I think the smelling symptoms are getting better.
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Arthralgia, Chest pain, Pain, Paraesthesia, Peripheral swelling
Clinical narrative: Staff member came into work morning after vaccination stated she had pain in right shoulder and chest that awakened her the night before. Also has swelling, tingling and throbbing in right hand that started the night of vaccine.
Age: 36.0
Sex: F
Vaccine: HEP
Symptoms: Sleep disorder
Clinical narrative: Staff member came into work morning after vaccination stated she had pain in right shoulder and chest that awakened her the night before. Also has swelling, tingling and throbbing in right hand that started the night of vaccine.
Age: 23.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthma, Condition aggravated, Cough, Dyspnoea
Clinical narrative: Asthma flare-up three days post vaccination, causing shortness of breath and a persistent cough, required treatment with Medrol dose pack
Age: 45.0
Sex: M
Vaccine: UNK
Symptoms: Cough, Diarrhoea, Feeling hot, Hyperhidrosis, Illness
Clinical narrative: I was on a vacation for a week ending on 12/3/22 and my roommate had a cough and runny nose, I didn't feel anything but was likely primed for whatever he had. The illness I have had from 12/5-12/8 has been the worst experience of my life. At one point a solid 10, currently a 5. Liquid from both ends. Couldn't keep food in. 101.7 fever for 2 days, hot sweats, terrible productive coughing to the point of pain. Several vomiting sessions mid sleep. The roommate has recovered and had none of the symptoms I did. 2 other people I have infected (my spouse and another guy) also did not have the extreme symptoms I did. I received my flu vaccine in September.
Age: 45.0
Sex: M
Vaccine: UNK
Symptoms: Productive cough, Pyrexia, Vomiting
Clinical narrative: I was on a vacation for a week ending on 12/3/22 and my roommate had a cough and runny nose, I didn't feel anything but was likely primed for whatever he had. The illness I have had from 12/5-12/8 has been the worst experience of my life. At one point a solid 10, currently a 5. Liquid from both ends. Couldn't keep food in. 101.7 fever for 2 days, hot sweats, terrible productive coughing to the point of pain. Several vomiting sessions mid sleep. The roommate has recovered and had none of the symptoms I did. 2 other people I have infected (my spouse and another guy) also did not have the extreme symptoms I did. I received my flu vaccine in September.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Asthma, Blood magnesium normal, Blood sodium decreased, Brain natriuretic peptide normal
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: PA-C   Admission Date: 12/1/2022 Discharge Date: 12/3/2022 COVID positive Date 11/30/2022  PRESENTING PROBLEM: Hyponatremia [E87.1] Influenza A [J10.1] COVID-19 [U07.1]   HOSPITAL COURSE:    Patient is a 97 y.o. female  past medical history of asthma, GERD, hypertension, hypothyroidism, osteoarthritis and known pancreatic mass.  The patient presented to Hospital on 12/01/2022.   She first came in to the ER yesterday for shortness of breath and weakness that had been ongoing since Saturday  and was sent back home. She then called her physician who told her to come back to the ER as she was not feeling any better. Denies having any fevers or chills. + nausea. States that she is able to ambulate but just feels very tired. Normally she lives on her own but her neighbors help her out.  No diarrhea or vomiting. No chest pain.    While in the emergency department the patient was found to have COVID-19 as well as influenza A and a mild asthma exacerbation.  The patient was started on IV Solu-Medrol and had rapid improvement in symptoms.  She was then transitioned to prednisone on 12/03/2022 and will be discharged home with a short prednisone taper.  Currently on room air but does desaturate significantly with sleep. Suspect underlying undiagnosed sleep apnea is contributing to this  An overnight pulse oximetry study was performed on 12/2/2022 and confirmed that the patient needs supplemental oxygen 2L NC at night. Currently on room air while awake    She was also found to have hyponatremia with an initial sodium of 123 upon admission.  Her sodium has improved to 128 upon discharge. She was started on NaCl tabs 1gm BID which will be continued upon discharge.   She was evaluated by Physical therapy during the hospital stay recommended subacute rehab however the patient declined this as she is unwilling to go to a COVID SAR (as there are no local started take COVID positive patients).  She plans to go home with family support then transition to 24 hour private duty caregiver.  She will also be set up with home nursing and PT visits.    Recommend continued outpatient follow-up for chronic disease management.  Would recommend outpatient follow-up with PCP in 1 week and follow-up BNP in 1 week.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Condition aggravated, Dyspnoea, Electrocardiogram normal
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: PA-C   Admission Date: 12/1/2022 Discharge Date: 12/3/2022 COVID positive Date 11/30/2022  PRESENTING PROBLEM: Hyponatremia [E87.1] Influenza A [J10.1] COVID-19 [U07.1]   HOSPITAL COURSE:    Patient is a 97 y.o. female  past medical history of asthma, GERD, hypertension, hypothyroidism, osteoarthritis and known pancreatic mass.  The patient presented to Hospital on 12/01/2022.   She first came in to the ER yesterday for shortness of breath and weakness that had been ongoing since Saturday  and was sent back home. She then called her physician who told her to come back to the ER as she was not feeling any better. Denies having any fevers or chills. + nausea. States that she is able to ambulate but just feels very tired. Normally she lives on her own but her neighbors help her out.  No diarrhea or vomiting. No chest pain.    While in the emergency department the patient was found to have COVID-19 as well as influenza A and a mild asthma exacerbation.  The patient was started on IV Solu-Medrol and had rapid improvement in symptoms.  She was then transitioned to prednisone on 12/03/2022 and will be discharged home with a short prednisone taper.  Currently on room air but does desaturate significantly with sleep. Suspect underlying undiagnosed sleep apnea is contributing to this  An overnight pulse oximetry study was performed on 12/2/2022 and confirmed that the patient needs supplemental oxygen 2L NC at night. Currently on room air while awake    She was also found to have hyponatremia with an initial sodium of 123 upon admission.  Her sodium has improved to 128 upon discharge. She was started on NaCl tabs 1gm BID which will be continued upon discharge.   She was evaluated by Physical therapy during the hospital stay recommended subacute rehab however the patient declined this as she is unwilling to go to a COVID SAR (as there are no local started take COVID positive patients).  She plans to go home with family support then transition to 24 hour private duty caregiver.  She will also be set up with home nursing and PT visits.    Recommend continued outpatient follow-up for chronic disease management.  Would recommend outpatient follow-up with PCP in 1 week and follow-up BNP in 1 week.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hyponatraemia, Influenza, Influenza A virus test positive, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: PA-C   Admission Date: 12/1/2022 Discharge Date: 12/3/2022 COVID positive Date 11/30/2022  PRESENTING PROBLEM: Hyponatremia [E87.1] Influenza A [J10.1] COVID-19 [U07.1]   HOSPITAL COURSE:    Patient is a 97 y.o. female  past medical history of asthma, GERD, hypertension, hypothyroidism, osteoarthritis and known pancreatic mass.  The patient presented to Hospital on 12/01/2022.   She first came in to the ER yesterday for shortness of breath and weakness that had been ongoing since Saturday  and was sent back home. She then called her physician who told her to come back to the ER as she was not feeling any better. Denies having any fevers or chills. + nausea. States that she is able to ambulate but just feels very tired. Normally she lives on her own but her neighbors help her out.  No diarrhea or vomiting. No chest pain.    While in the emergency department the patient was found to have COVID-19 as well as influenza A and a mild asthma exacerbation.  The patient was started on IV Solu-Medrol and had rapid improvement in symptoms.  She was then transitioned to prednisone on 12/03/2022 and will be discharged home with a short prednisone taper.  Currently on room air but does desaturate significantly with sleep. Suspect underlying undiagnosed sleep apnea is contributing to this  An overnight pulse oximetry study was performed on 12/2/2022 and confirmed that the patient needs supplemental oxygen 2L NC at night. Currently on room air while awake    She was also found to have hyponatremia with an initial sodium of 123 upon admission.  Her sodium has improved to 128 upon discharge. She was started on NaCl tabs 1gm BID which will be continued upon discharge.   She was evaluated by Physical therapy during the hospital stay recommended subacute rehab however the patient declined this as she is unwilling to go to a COVID SAR (as there are no local started take COVID positive patients).  She plans to go home with family support then transition to 24 hour private duty caregiver.  She will also be set up with home nursing and PT visits.    Recommend continued outpatient follow-up for chronic disease management.  Would recommend outpatient follow-up with PCP in 1 week and follow-up BNP in 1 week.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep apnoea syndrome, Sleep study abnormal, Wheezing
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: PA-C   Admission Date: 12/1/2022 Discharge Date: 12/3/2022 COVID positive Date 11/30/2022  PRESENTING PROBLEM: Hyponatremia [E87.1] Influenza A [J10.1] COVID-19 [U07.1]   HOSPITAL COURSE:    Patient is a 97 y.o. female  past medical history of asthma, GERD, hypertension, hypothyroidism, osteoarthritis and known pancreatic mass.  The patient presented to Hospital on 12/01/2022.   She first came in to the ER yesterday for shortness of breath and weakness that had been ongoing since Saturday  and was sent back home. She then called her physician who told her to come back to the ER as she was not feeling any better. Denies having any fevers or chills. + nausea. States that she is able to ambulate but just feels very tired. Normally she lives on her own but her neighbors help her out.  No diarrhea or vomiting. No chest pain.    While in the emergency department the patient was found to have COVID-19 as well as influenza A and a mild asthma exacerbation.  The patient was started on IV Solu-Medrol and had rapid improvement in symptoms.  She was then transitioned to prednisone on 12/03/2022 and will be discharged home with a short prednisone taper.  Currently on room air but does desaturate significantly with sleep. Suspect underlying undiagnosed sleep apnea is contributing to this  An overnight pulse oximetry study was performed on 12/2/2022 and confirmed that the patient needs supplemental oxygen 2L NC at night. Currently on room air while awake    She was also found to have hyponatremia with an initial sodium of 123 upon admission.  Her sodium has improved to 128 upon discharge. She was started on NaCl tabs 1gm BID which will be continued upon discharge.   She was evaluated by Physical therapy during the hospital stay recommended subacute rehab however the patient declined this as she is unwilling to go to a COVID SAR (as there are no local started take COVID positive patients).  She plans to go home with family support then transition to 24 hour private duty caregiver.  She will also be set up with home nursing and PT visits.    Recommend continued outpatient follow-up for chronic disease management.  Would recommend outpatient follow-up with PCP in 1 week and follow-up BNP in 1 week.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Dyspnoea, Fatigue, Oropharyngeal pain
Clinical narrative: My adverse event started on 11/28/2022 around 06:00PM. I had a sore throat. The next day I had fever, cough, runny nose and fatigue.  On the 4th day I had shortness of breath.  On 11/30/2022 I did a home COVID-19 test which was positive. I called my doctor on the same day she prescribed with me Paxlovid for 5 days.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: My adverse event started on 11/28/2022 around 06:00PM. I had a sore throat. The next day I had fever, cough, runny nose and fatigue.  On the 4th day I had shortness of breath.  On 11/30/2022 I did a home COVID-19 test which was positive. I called my doctor on the same day she prescribed with me Paxlovid for 5 days.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: patient was given primary series of pfizer instead of pfizer bivalent
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain, Amylase, Chills, Full blood count, Lipase
Clinical narrative: Patient reports that she began to feel tremor, chills, tingling all over body, abdominal cramp and nausea.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Liver function test, Metabolic function test, Nausea, Paraesthesia, Tremor
Clinical narrative: Patient reports that she began to feel tremor, chills, tingling all over body, abdominal cramp and nausea.
Age: 38.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: vaccine administered after temperature excursion not determined to be within stability range.
Age: 43.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: vaccine administered after temperature excursion not determined to be within stability range.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Erythema, Oedema, Skin warm
Clinical narrative: Pt had small red area appear day after vaccine. The next day most of his upper arm was red, slightly edematous, and warm to touch.
Age: 24.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: vaccine administered after temperature excursion not determined to be within stability range.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chapped lips, Diarrhoea, Feeling cold, Lip dry, Lip pain
Clinical narrative: Fri Dec 2: Chills; body aches; oral pain in molars left side of mouth; dry, cracked, itchy, swollen lips Sun, Dec 4:  vomiting, diarrhea  Lip pain and swelling is persisting and medical treatment will be sought today
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lip pruritus, Lip swelling, Oral pain, Pain, Toothache
Clinical narrative: Fri Dec 2: Chills; body aches; oral pain in molars left side of mouth; dry, cracked, itchy, swollen lips Sun, Dec 4:  vomiting, diarrhea  Lip pain and swelling is persisting and medical treatment will be sought today
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vomiting
Clinical narrative: Fri Dec 2: Chills; body aches; oral pain in molars left side of mouth; dry, cracked, itchy, swollen lips Sun, Dec 4:  vomiting, diarrhea  Lip pain and swelling is persisting and medical treatment will be sought today
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient  is fully vaccinated and received a pfizer monovalent instead  of bivalent booster.   No adverse events/reaction. Patient advised to receive a bivalent booster after 2 months.
Age: 90.0
Sex: F
Vaccine: FLU4
Symptoms: Malaise, Nausea, Vomiting
Clinical narrative: She got her vaccine, had no reaction at first was fine all day.  They walked around in a store and had dinner and everything was fine up until 10:00 PM.  She had no reaction or any topical reaction.  During the night she started throwing up, she said that she was very sick.  Then in the morning her daughter noticed that she started throwing up about 6:30 - 7:00 and her temp was 99.2.  Her daughter states that she threw up again later within 45-an hour and gave her some Mylanta and she threw up that too.  She called the pharmacy around 9-10 and the aide tried to give her a sip of water which she threw up again.  She was given something for nausea about an hour (emetrol).  She gave her 15 cc's and seems to be holding that down now and will give her another 15 cc's in about an hour, which the pharmacy suggested.  She is not giving her anything for a while and is not going to take her to the ER unless she gets worse.  Daughter is a nurse.    She was fine with her flu shot last year, and was surprised that she had a reaction with this and she has never had a one like this before.
Age: 33.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Product storage error
Clinical narrative: vaccine administered after temperature excursion not determined to be within stability range.
Age: 64.0
Sex: M
Vaccine: COVID19-2, UNK
Symptoms: Pyrexia, Rash, Stomatitis
Clinical narrative: I had mouth sores that spread around my entire mouth, followed by a body rash. I had a fever as well. I am still dealing with this at this time, but it is much better. I was prescribed Valacyclovir, Triamcinolone, and Prednisone.
Age: 14.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer monovalent Covid 19 vaccine given inadvertantly as booster dose instead of Bivalent.  Patient tolerated well.
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Lip pain, Lip swelling
Clinical narrative: patient bottom lip started swelling morning after receiving covid shot, and painful. today symptoms have decreased but still a little swolleln
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Client given the  Covid BV vaccine in lieu of the 2 nd dose of the primary series.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received Pfizer COVID vaccine primary series vaccine that was expired. Patient is rescheduled to receive another valid dose.
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Cough, Fatigue, Headache, Hyperaesthesia
Clinical narrative: I had a sore throat and congestion caused by post nasal drip. The congestion was wicked, sick, gross, no body aches or headache but a wet cough maybe. Aa headache for one day and fatigue for a day that progressively went further into my lungs. I had wet cough which has left me with a residual cough and my energy is back but a cough persist. I have developed a sinus infection now or on Friday December second. My right sinus area below my eye is sensitive to the touch  with an ammonia type smell.
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain, Parosmia, Respiratory tract congestion, SARS-CoV-2 test negative, Sinusitis
Clinical narrative: I had a sore throat and congestion caused by post nasal drip. The congestion was wicked, sick, gross, no body aches or headache but a wet cough maybe. Aa headache for one day and fatigue for a day that progressively went further into my lungs. I had wet cough which has left me with a residual cough and my energy is back but a cough persist. I have developed a sinus infection now or on Friday December second. My right sinus area below my eye is sensitive to the touch  with an ammonia type smell.
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Upper-airway cough syndrome
Clinical narrative: I had a sore throat and congestion caused by post nasal drip. The congestion was wicked, sick, gross, no body aches or headache but a wet cough maybe. Aa headache for one day and fatigue for a day that progressively went further into my lungs. I had wet cough which has left me with a residual cough and my energy is back but a cough persist. I have developed a sinus infection now or on Friday December second. My right sinus area below my eye is sensitive to the touch  with an ammonia type smell.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Malaise, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: I did not have a reaction to the vaccine. On 12/06/2022, I began not feeling well with a cough, congestion and nasal drainage. As the day progressed my symptoms got worse, so I tested for COVID-19 with a home test, and it was positive.   I contacted my doctor by telehealth visit and was give the prescription Paxlovid.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I did not have a reaction to the vaccine. On 12/06/2022, I began not feeling well with a cough, congestion and nasal drainage. As the day progressed my symptoms got worse, so I tested for COVID-19 with a home test, and it was positive.   I contacted my doctor by telehealth visit and was give the prescription Paxlovid.
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Lumbar puncture abnormal, Magnetic resonance imaging head, Magnetic resonance imaging spinal abnormal, Mobility decreased
Clinical narrative: New acute leg numbness developed on 11/4 (7 days after receiving 1st dose of Shingrix vaccine) gradually worsening and leading to leg weakness requiring hospitalization, diagnosed with transverse myelitis via MRI and lumbar puncture, treated with IV steroids with gradual improvement of symptoms. Now discharged from hospital, but still requiring additional treatments with IV steroids for ongoing symptoms (leg numbness and weakness limiting mobility).
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Muscular weakness, Myelitis transverse
Clinical narrative: New acute leg numbness developed on 11/4 (7 days after receiving 1st dose of Shingrix vaccine) gradually worsening and leading to leg weakness requiring hospitalization, diagnosed with transverse myelitis via MRI and lumbar puncture, treated with IV steroids with gradual improvement of symptoms. Now discharged from hospital, but still requiring additional treatments with IV steroids for ongoing symptoms (leg numbness and weakness limiting mobility).
Age: 72.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: COVID-19, Cough, Feeling abnormal, Respiratory syncytial virus test positive, Rhinorrhoea
Clinical narrative: It started with a runny nose that wouldn't go away.  I just didn't feel right.  I didn't run a fever and I tested negative at home.  I went to urgent care.  I tested positive for RSV and COVID-19.  I started on Paxlovid that night.  After I finished the prescription, I developed a dry cough.  I could not stop coughing and would cough all night.  My doctor gave me Albuterol and Benzonatate.  Now I think I have developed a secondary sinus infection and will see my doctor this afternoon.
Age: 72.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: SARS-CoV-2 test positive
Clinical narrative: It started with a runny nose that wouldn't go away.  I just didn't feel right.  I didn't run a fever and I tested negative at home.  I went to urgent care.  I tested positive for RSV and COVID-19.  I started on Paxlovid that night.  After I finished the prescription, I developed a dry cough.  I could not stop coughing and would cough all night.  My doctor gave me Albuterol and Benzonatate.  Now I think I have developed a secondary sinus infection and will see my doctor this afternoon.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Incorrect product formulation administered
Clinical narrative: Patient was due for 3rd dose of COVID-19 vaccine. On 12/1/2022 Pfizer COVID 19 Monovalent vaccine was ordered and administered instead of Pfizer COVID 19 Bivalent vaccine. Also, vial had expired on 11/30/2022.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Incorrect product formulation administered
Clinical narrative: Patient was due for 3rd dose of COVID 19 vaccine. Pfizer COVID 19 Bivalent booster was ordered but Pfizer COVID 19 monovalent was administered on 12/01/2022. Also, vial had expired on 11/30/22.
Age: 26.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, Cold sweat, Loss of consciousness, Malaise, Tremor
Clinical narrative: Patient received that vaccination around 11:30am. He went to lunch after and started to feel unwell around 12:15. Patient was experiencing the symptoms of cold sweats, shaking and weakness related to the sensation of passing out.  Patient experienced these symptoms for roughly two hours only to be relieved by sleeping
Age: 1.17
Sex: M
Vaccine: HIBV
Symptoms: Expired product administered
Clinical narrative: DOSE EXP ON 11/30/2022 PRIOR TO ADMINISTRATION
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given a potential expired dose. The label per pharmacy was listed as 12/31/22. After investigation it was determined it was incorrectly labeled and the box should have stated 11/30/22 per pharmacy. The patient did not have a reaction or experience an adverse event.
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine given 13 days after use beyond date
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Myalgia
Clinical narrative: Muscular pain, worsen by time, almost a year and I feel worst every day.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Dysphagia, Increased upper airway secretion, Oropharyngeal pain
Clinical narrative: I received the Moderna Bivalent booster for COVID-19 on 10/21/2022. On the evening of 11/28/2022, I had a little bit of a cough, which is unusual for me. My throat was also somewhat scratchy. When I woke up on 11/29/2022, I still had a mild cough. The scratchy throat from the previous evening was gone that morning, but it returned later in the evening. On 11/29/2022, I took a home antigen test and got a strongly positive result. I immediately contacted my doctor, who prescribed me PAXLOVID. He instructed me to wait a little before taking it, because at that point, my symptoms were just a mild cough and a mildly scratchy throat. He thought it would be better to wait until the symptoms worsened before beginning the medication. When I went to bed on 11/29/2022, I had a fever of 99 degrees and was still coughing. When I woke up the morning of 11/30/2022, I had a fever of 100, an aching throat, and a very strong, productive cough. I emailed my doctor and informed him of the situation, and he instructed me to begin the PAXLOVID right away. I then slept for a while and continued coughing. I kept an eye on my oxygen saturation level, and it was 93% at one point that morning. Fortunately, my oxygen saturation level gradually improved throughout the day. When I checked it again on 12/1/2022, it was at 96-97%, and it has stayed at that level ever since. Not only that, but my temperature was normal again. However, my throat still hurt, but the pain was less intense. I took acetaminophen to treat the pain, so I could swallow more easily. Ever since then, my condition has been stable. By 12/2/2022, I felt completely normal again. I took home antigen tests on 12/2/2022 and 12/8/2022 and still got positive results both times. However, the line on the 12/8/2022 test is a bit fainter than the line on the 12/2/2022 test.