chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Electroencephalogram abnormal, Gait disturbance, Headache, Oropharyngeal pain
Clinical narrative: On the 24th I noticed a headache and a sore throat. I made an appointment and had the COVID-19 PCR at the pharmacy and it was positive. I developed a cough and the headache. From there it got worse. I was prescribed Paxlovid by my doctor which he sent to the pharmacy.  I developed A-fib as a result of COVID-19 and had to get on Eliquis. I don't know if it because of COVID-19 or Paxlovid. With the medication, the A-fib stopped. I still have very little energy. I can barely walk a short period of time before getting  winded. I am seeing a pulmonologist for these lingering symptoms.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: On the 24th I noticed a headache and a sore throat. I made an appointment and had the COVID-19 PCR at the pharmacy and it was positive. I developed a cough and the headache. From there it got worse. I was prescribed Paxlovid by my doctor which he sent to the pharmacy.  I developed A-fib as a result of COVID-19 and had to get on Eliquis. I don't know if it because of COVID-19 or Paxlovid. With the medication, the A-fib stopped. I still have very little energy. I can barely walk a short period of time before getting  winded. I am seeing a pulmonologist for these lingering symptoms.
Age: 39.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient that was here for a 1st dose of primary series received the bivalent booster
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Blood albumin decreased, Blood glucose decreased, Blood lactic acid normal, Blood potassium decreased
Clinical narrative: Pt presented to ED on 11/09/2021 as a referral for altered mental status and fall from bed. Patient was vaccinated for COVID-19. When the patient had EMS called the patient blood sugar level of 29 and the patient was given 250 cc of D10 which improved the patient's blood sugars over 100. When the patient was brought to ED she was hemodynamically stable.  She was noted to have a right hip wound with significant drainage. Her COVID-19 test found to be positive but the patient was not hypoxic. Labs showed HB 7.1 with MCV 83 with hypoalbuminemia 1.7 with hypokalemia 3.1 within normal troponin/lactate/procalcitonin. Chest x-ray showed bilateral opacity consistent with the patient's known coronavirus. Patient was admitted for further evaluation and management of altered mental status with severe anemia with hypoglycemia with hypokalemia with right hip wound with COVID-19 positive status.  During the hospital course patient was noted to be hypoxic requiring 2-3 L NC O2. Patient was started with IV Decadron. The rest of her hospital stay was not related to COVID 19.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Condition aggravated, Fall, Haemoglobin decreased
Clinical narrative: Pt presented to ED on 11/09/2021 as a referral for altered mental status and fall from bed. Patient was vaccinated for COVID-19. When the patient had EMS called the patient blood sugar level of 29 and the patient was given 250 cc of D10 which improved the patient's blood sugars over 100. When the patient was brought to ED she was hemodynamically stable.  She was noted to have a right hip wound with significant drainage. Her COVID-19 test found to be positive but the patient was not hypoxic. Labs showed HB 7.1 with MCV 83 with hypoalbuminemia 1.7 with hypokalemia 3.1 within normal troponin/lactate/procalcitonin. Chest x-ray showed bilateral opacity consistent with the patient's known coronavirus. Patient was admitted for further evaluation and management of altered mental status with severe anemia with hypoglycemia with hypokalemia with right hip wound with COVID-19 positive status.  During the hospital course patient was noted to be hypoxic requiring 2-3 L NC O2. Patient was started with IV Decadron. The rest of her hospital stay was not related to COVID 19.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoalbuminaemia, Hypoglycaemia, Hypokalaemia, Hypoxia, Lung opacity
Clinical narrative: Pt presented to ED on 11/09/2021 as a referral for altered mental status and fall from bed. Patient was vaccinated for COVID-19. When the patient had EMS called the patient blood sugar level of 29 and the patient was given 250 cc of D10 which improved the patient's blood sugars over 100. When the patient was brought to ED she was hemodynamically stable.  She was noted to have a right hip wound with significant drainage. Her COVID-19 test found to be positive but the patient was not hypoxic. Labs showed HB 7.1 with MCV 83 with hypoalbuminemia 1.7 with hypokalemia 3.1 within normal troponin/lactate/procalcitonin. Chest x-ray showed bilateral opacity consistent with the patient's known coronavirus. Patient was admitted for further evaluation and management of altered mental status with severe anemia with hypoglycemia with hypokalemia with right hip wound with COVID-19 positive status.  During the hospital course patient was noted to be hypoxic requiring 2-3 L NC O2. Patient was started with IV Decadron. The rest of her hospital stay was not related to COVID 19.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell volume normal, Mental status changes, Procalcitonin normal, SARS-CoV-2 test positive, Troponin normal
Clinical narrative: Pt presented to ED on 11/09/2021 as a referral for altered mental status and fall from bed. Patient was vaccinated for COVID-19. When the patient had EMS called the patient blood sugar level of 29 and the patient was given 250 cc of D10 which improved the patient's blood sugars over 100. When the patient was brought to ED she was hemodynamically stable.  She was noted to have a right hip wound with significant drainage. Her COVID-19 test found to be positive but the patient was not hypoxic. Labs showed HB 7.1 with MCV 83 with hypoalbuminemia 1.7 with hypokalemia 3.1 within normal troponin/lactate/procalcitonin. Chest x-ray showed bilateral opacity consistent with the patient's known coronavirus. Patient was admitted for further evaluation and management of altered mental status with severe anemia with hypoglycemia with hypokalemia with right hip wound with COVID-19 positive status.  During the hospital course patient was noted to be hypoxic requiring 2-3 L NC O2. Patient was started with IV Decadron. The rest of her hospital stay was not related to COVID 19.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Wound, Wound secretion
Clinical narrative: Pt presented to ED on 11/09/2021 as a referral for altered mental status and fall from bed. Patient was vaccinated for COVID-19. When the patient had EMS called the patient blood sugar level of 29 and the patient was given 250 cc of D10 which improved the patient's blood sugars over 100. When the patient was brought to ED she was hemodynamically stable.  She was noted to have a right hip wound with significant drainage. Her COVID-19 test found to be positive but the patient was not hypoxic. Labs showed HB 7.1 with MCV 83 with hypoalbuminemia 1.7 with hypokalemia 3.1 within normal troponin/lactate/procalcitonin. Chest x-ray showed bilateral opacity consistent with the patient's known coronavirus. Patient was admitted for further evaluation and management of altered mental status with severe anemia with hypoglycemia with hypokalemia with right hip wound with COVID-19 positive status.  During the hospital course patient was noted to be hypoxic requiring 2-3 L NC O2. Patient was started with IV Decadron. The rest of her hospital stay was not related to COVID 19.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Blood pressure decreased, COVID-19, COVID-19 pneumonia, Echocardiogram normal
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 9/17/2022 Discharge Date: 09/19/2022  PRESENTING PROBLEM: COVID Pneumonia due to COVID-19 virus  Interim hospital course:  Patient hospitalized for COVID-19 pneumonia as well as acute hypoxic respiratory failure.  Patient's hypoxia resolved very quickly following admission, was treated with remdesivir and Decadron.  Patient will be discharged with an additional 7 days of Decadron, will discontinue Remdesivir on discharge.  Echocardiogram done during the patient's stay showing preserved EF of 65% without regional change.  PT recommending home with outpatient therapy which he had already been receiving.  Will be discharged with a walker.  Patient will continue his home medications including inhalers however recommend he hold his home irbesartan given soft blood pressures during his admission and repeat blood pressure check and follow-up with primary care physician 1-2 weeks to assess whether he should resume this medication.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Ejection fraction normal, Hypoxia, Walking aid user
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 9/17/2022 Discharge Date: 09/19/2022  PRESENTING PROBLEM: COVID Pneumonia due to COVID-19 virus  Interim hospital course:  Patient hospitalized for COVID-19 pneumonia as well as acute hypoxic respiratory failure.  Patient's hypoxia resolved very quickly following admission, was treated with remdesivir and Decadron.  Patient will be discharged with an additional 7 days of Decadron, will discontinue Remdesivir on discharge.  Echocardiogram done during the patient's stay showing preserved EF of 65% without regional change.  PT recommending home with outpatient therapy which he had already been receiving.  Will be discharged with a walker.  Patient will continue his home medications including inhalers however recommend he hold his home irbesartan given soft blood pressures during his admission and repeat blood pressure check and follow-up with primary care physician 1-2 weeks to assess whether he should resume this medication.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypoaesthesia, Injection site erythema, Muscle tightness
Clinical narrative: Redness at the site of injection 2 days post vaccine about size of a baseball, tightness in jaw, and feeling of arm falling asleep
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Chronic obstructive pulmonary disease, Condition aggravated, Cough
Clinical narrative: Discharge Provider:  Primary Care Provider:  Admission Date: 9/17/2022 Discharge Date: Sep 21, 2022  PRESENTING PROBLEM: Acute hypoxemic respiratory failure due to COVID-19 (HCC)  COVID-19 virus infection Chronic obstructive pulmonary disease in acute exacerbation (present on admission)   HOSPITAL COURSE: Patient is a 71-year-old man admitted to the hospital with increased shortness of breath and cough.  He has a past medical history of tobacco abuse, peripheral vascular disease, coronary artery disease and diabetes mellitus type 2. He was started on prednisone, Symbicort, Spiriva and albuterol.  He had acute hypoxic respiratory failure upon presentation and was weaned off of oxygen the day of discharge.  Patient has significant peripheral vascular disease which makes it difficult to have a good pulse oximetry reading.  After using a probe on his ear, he was satting at 94% on room air.  He was no longer short of breath and was able to ambulate without difficulty.  He is also no longer requiring isolation for his COVID-19 infection.  Tobacco cessation was recommended and he thinks that he can continue to avoid smoking cigarettes.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Peripheral vascular disorder
Clinical narrative: Discharge Provider:  Primary Care Provider:  Admission Date: 9/17/2022 Discharge Date: Sep 21, 2022  PRESENTING PROBLEM: Acute hypoxemic respiratory failure due to COVID-19 (HCC)  COVID-19 virus infection Chronic obstructive pulmonary disease in acute exacerbation (present on admission)   HOSPITAL COURSE: Patient is a 71-year-old man admitted to the hospital with increased shortness of breath and cough.  He has a past medical history of tobacco abuse, peripheral vascular disease, coronary artery disease and diabetes mellitus type 2. He was started on prednisone, Symbicort, Spiriva and albuterol.  He had acute hypoxic respiratory failure upon presentation and was weaned off of oxygen the day of discharge.  Patient has significant peripheral vascular disease which makes it difficult to have a good pulse oximetry reading.  After using a probe on his ear, he was satting at 94% on room air.  He was no longer short of breath and was able to ambulate without difficulty.  He is also no longer requiring isolation for his COVID-19 infection.  Tobacco cessation was recommended and he thinks that he can continue to avoid smoking cigarettes.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: Patient presented to pharmacy to receive "2nd dose of Shingrix". After asking the patient of prior vaccination, she stated she, "had 1 previous Shingrix more than a couple months ago".  After vaccinating and logging in system, it was discovered that this was in fact her third vaccination of Shingrix. Dose logged in system appropriately and contacted physician.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain, Acute kidney injury, Arthralgia, Back pain
Clinical narrative: This patient presented to the Emergency Department accompanied by her significant other, from urgent care, via private vehicle with a complaint of abdominal pain and bloating, nausea and vomiting. The patient stated symptom for past 3 days.  She denied shortness of breath per se, but stated that when she took a deep breath, it felt limited due to the abdominal distention. She denied dysuria, hematuria, black or bloody stool. She stated last night, she began having some left low back pain and left posterior shoulder pain. Denied fevers. Patient stated a s light sore throat. Patient was positive for COVID-19 FULLY VACCINATED AND BOOSTERED last Pfizer booster was 7/30/2022.The patient was admitted to the hospital for further evaluation and management of Type 1 Diabetes, Diabetic Keto Acidosis and suspected Acute Kidney Injury and COVID-19 infection. FOR ANY FURHTER INFORMATION, CONTACT PROVIDER. PUBLIC HEALTH DEPARTMENT DOES HAVE ANY ADDITIONAL INFORMATION ON PATIENT OUTCOME.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Diabetic ketoacidosis, Dyspnoea, Electrocardiogram
Clinical narrative: This patient presented to the Emergency Department accompanied by her significant other, from urgent care, via private vehicle with a complaint of abdominal pain and bloating, nausea and vomiting. The patient stated symptom for past 3 days.  She denied shortness of breath per se, but stated that when she took a deep breath, it felt limited due to the abdominal distention. She denied dysuria, hematuria, black or bloody stool. She stated last night, she began having some left low back pain and left posterior shoulder pain. Denied fevers. Patient stated a s light sore throat. Patient was positive for COVID-19 FULLY VACCINATED AND BOOSTERED last Pfizer booster was 7/30/2022.The patient was admitted to the hospital for further evaluation and management of Type 1 Diabetes, Diabetic Keto Acidosis and suspected Acute Kidney Injury and COVID-19 infection. FOR ANY FURHTER INFORMATION, CONTACT PROVIDER. PUBLIC HEALTH DEPARTMENT DOES HAVE ANY ADDITIONAL INFORMATION ON PATIENT OUTCOME.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Nausea, Oropharyngeal pain, SARS-CoV-2 test positive, Type 1 diabetes mellitus
Clinical narrative: This patient presented to the Emergency Department accompanied by her significant other, from urgent care, via private vehicle with a complaint of abdominal pain and bloating, nausea and vomiting. The patient stated symptom for past 3 days.  She denied shortness of breath per se, but stated that when she took a deep breath, it felt limited due to the abdominal distention. She denied dysuria, hematuria, black or bloody stool. She stated last night, she began having some left low back pain and left posterior shoulder pain. Denied fevers. Patient stated a s light sore throat. Patient was positive for COVID-19 FULLY VACCINATED AND BOOSTERED last Pfizer booster was 7/30/2022.The patient was admitted to the hospital for further evaluation and management of Type 1 Diabetes, Diabetic Keto Acidosis and suspected Acute Kidney Injury and COVID-19 infection. FOR ANY FURHTER INFORMATION, CONTACT PROVIDER. PUBLIC HEALTH DEPARTMENT DOES HAVE ANY ADDITIONAL INFORMATION ON PATIENT OUTCOME.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: This patient presented to the Emergency Department accompanied by her significant other, from urgent care, via private vehicle with a complaint of abdominal pain and bloating, nausea and vomiting. The patient stated symptom for past 3 days.  She denied shortness of breath per se, but stated that when she took a deep breath, it felt limited due to the abdominal distention. She denied dysuria, hematuria, black or bloody stool. She stated last night, she began having some left low back pain and left posterior shoulder pain. Denied fevers. Patient stated a s light sore throat. Patient was positive for COVID-19 FULLY VACCINATED AND BOOSTERED last Pfizer booster was 7/30/2022.The patient was admitted to the hospital for further evaluation and management of Type 1 Diabetes, Diabetic Keto Acidosis and suspected Acute Kidney Injury and COVID-19 infection. FOR ANY FURHTER INFORMATION, CONTACT PROVIDER. PUBLIC HEALTH DEPARTMENT DOES HAVE ANY ADDITIONAL INFORMATION ON PATIENT OUTCOME.
Age: 43.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Abdominal pain lower, Anion gap, Blood bicarbonate decreased, Blood pH decreased, COVID-19
Clinical narrative: Discharge Provider: MD Primary Care Provider: FNP Admission Date: 9/17/2022 Discharge Date: Sep 18, 2022  PRESENTING PROBLEM: DKA, type 2, not at goal (HCC) [E11.10] Diabetic ketoacidosis without coma associated with type 2 diabetes mellitus (HCC) [E11.10] Type 2 diabetes mellitus with hyperglycemia, with long-term current use of insulin (HCC) [E11.65, Z79.4] Left lower quadrant abdominal pain [R10.32] COVID-19 [U07.1]   HOSPITAL COURSE: 44 year old male with history of insulin dependant DMII who presented to ER on 9/17/22 with complaints of vomiting. On 9/16/22, patient started with sore throat, cough and SOB. Shortly after, he started with vomiting. Initially, blood sugars were controlled but then started to trend upward despite insulin use. He continued with vomiting overnight and ultimately presented to the ER on 9/17/22. He was found to be in DKA with pH 7.3, anion gap of 25 and bicarb of 12. He was admitted to the ICU, given IV fluids and started on insulin drip. By morning of 9/18/22, anion gap closed and patient was tolerating diet. Blood sugars remained stable on basal bolus insulin and patient is discharged home.   Patient did test positive for COVID on 9/18/22. He did have brief time when oxygen saturations decreased to 88% on room air. He was placed on 2L oxygen but was able to quickly wean back to room air. With drop in oxygen saturations, he was started on oral decardon and IV Remdesivir. By discharge, symptoms are mild and he remains on room air. He was instructed to follow CDC guidelines and remain in isolation for 5 days at home. No medications prescribed at discharge. He can treat symptoms with OTC meds prn.
Age: 43.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Condition aggravated, Cough, Diabetic ketoacidosis, Dyspnoea, Hyperglycaemia
Clinical narrative: Discharge Provider: MD Primary Care Provider: FNP Admission Date: 9/17/2022 Discharge Date: Sep 18, 2022  PRESENTING PROBLEM: DKA, type 2, not at goal (HCC) [E11.10] Diabetic ketoacidosis without coma associated with type 2 diabetes mellitus (HCC) [E11.10] Type 2 diabetes mellitus with hyperglycemia, with long-term current use of insulin (HCC) [E11.65, Z79.4] Left lower quadrant abdominal pain [R10.32] COVID-19 [U07.1]   HOSPITAL COURSE: 44 year old male with history of insulin dependant DMII who presented to ER on 9/17/22 with complaints of vomiting. On 9/16/22, patient started with sore throat, cough and SOB. Shortly after, he started with vomiting. Initially, blood sugars were controlled but then started to trend upward despite insulin use. He continued with vomiting overnight and ultimately presented to the ER on 9/17/22. He was found to be in DKA with pH 7.3, anion gap of 25 and bicarb of 12. He was admitted to the ICU, given IV fluids and started on insulin drip. By morning of 9/18/22, anion gap closed and patient was tolerating diet. Blood sugars remained stable on basal bolus insulin and patient is discharged home.   Patient did test positive for COVID on 9/18/22. He did have brief time when oxygen saturations decreased to 88% on room air. He was placed on 2L oxygen but was able to quickly wean back to room air. With drop in oxygen saturations, he was started on oral decardon and IV Remdesivir. By discharge, symptoms are mild and he remains on room air. He was instructed to follow CDC guidelines and remain in isolation for 5 days at home. No medications prescribed at discharge. He can treat symptoms with OTC meds prn.
Age: 43.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Intensive care, Oropharyngeal pain, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Discharge Provider: MD Primary Care Provider: FNP Admission Date: 9/17/2022 Discharge Date: Sep 18, 2022  PRESENTING PROBLEM: DKA, type 2, not at goal (HCC) [E11.10] Diabetic ketoacidosis without coma associated with type 2 diabetes mellitus (HCC) [E11.10] Type 2 diabetes mellitus with hyperglycemia, with long-term current use of insulin (HCC) [E11.65, Z79.4] Left lower quadrant abdominal pain [R10.32] COVID-19 [U07.1]   HOSPITAL COURSE: 44 year old male with history of insulin dependant DMII who presented to ER on 9/17/22 with complaints of vomiting. On 9/16/22, patient started with sore throat, cough and SOB. Shortly after, he started with vomiting. Initially, blood sugars were controlled but then started to trend upward despite insulin use. He continued with vomiting overnight and ultimately presented to the ER on 9/17/22. He was found to be in DKA with pH 7.3, anion gap of 25 and bicarb of 12. He was admitted to the ICU, given IV fluids and started on insulin drip. By morning of 9/18/22, anion gap closed and patient was tolerating diet. Blood sugars remained stable on basal bolus insulin and patient is discharged home.   Patient did test positive for COVID on 9/18/22. He did have brief time when oxygen saturations decreased to 88% on room air. He was placed on 2L oxygen but was able to quickly wean back to room air. With drop in oxygen saturations, he was started on oral decardon and IV Remdesivir. By discharge, symptoms are mild and he remains on room air. He was instructed to follow CDC guidelines and remain in isolation for 5 days at home. No medications prescribed at discharge. He can treat symptoms with OTC meds prn.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Dyspnoea, Hypoxia
Clinical narrative: Patient presented with cough and shortness of breath on 01/06, his COVID-19 PCR was positive on 01/04, his symptoms started around 1/2.  Chest x-ray showed bilateral infiltrates.  He was hypoxic and was briefly on high-flow oxygen.  He was treated with on Remdesivir x5, Barictinibx  14 days, and Decadron till 1/23.  He also received intermittent diuretics in hospital. He improved with above treatment, was weaned to nasal cannula.  He will be discharged on 2-3 L nasal oxygen.  Continue CPAP at bedtime.  He remained afebrile for several days prior to discharge
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Lung infiltration, Lung opacity, Polyuria, SARS-CoV-2 test positive
Clinical narrative: Patient presented with cough and shortness of breath on 01/06, his COVID-19 PCR was positive on 01/04, his symptoms started around 1/2.  Chest x-ray showed bilateral infiltrates.  He was hypoxic and was briefly on high-flow oxygen.  He was treated with on Remdesivir x5, Barictinibx  14 days, and Decadron till 1/23.  He also received intermittent diuretics in hospital. He improved with above treatment, was weaned to nasal cannula.  He will be discharged on 2-3 L nasal oxygen.  Continue CPAP at bedtime.  He remained afebrile for several days prior to discharge
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Discomfort, Erythema, Pruritus, Skin induration, Swelling
Clinical narrative: swelling, redness, firmness, itching, discomfort over last 2 days, redness has increased in size to area that is 11 cm x 13 cm.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient given booster dose of Pfizer monovalent after policy changed on 9-3-22 when bivalent was not yet available.  No adverse reaction or complaints reported by patient.  Will update when bivalent is in stock.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Malaise, Pain, SARS-CoV-2 test
Clinical narrative: Body aches starting within hours, general feeling of malaise, possible gastrointestinal distress. Symptoms are still being experienced 13 days later.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, COVID-19, Cardiomegaly, Chest X-ray abnormal, Chest pain
Clinical narrative: Pt was brought to the hospital by his wife with complaints of chest pain.    The time of his presentation he was hypertensive with a blood pressure 170/74 and bradycardic with heart rate approximately 50.  Troponin was unremarkable.  EKG noted sinus bradycardia.  CBC was unremarkable and chemistry was also unremarkable.  High sensitivity troponins have been normal at 6.0 and 5.5 and 6.7.  He is COVID-19 positive which was an incidental finding.  Chest x-ray noted cardiomegaly and no acute findings. He was admitted for monitoring and further evaluation.     December 20, he was seen by Cardiology and at this point in time the have indicated no inpatient workup and suggested an outpatient stress test after his COVID-19 has resolved.  He currently requires no supplemental oxygen.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Full blood count normal, Hypertension, Laboratory test normal, SARS-CoV-2 test positive
Clinical narrative: Pt was brought to the hospital by his wife with complaints of chest pain.    The time of his presentation he was hypertensive with a blood pressure 170/74 and bradycardic with heart rate approximately 50.  Troponin was unremarkable.  EKG noted sinus bradycardia.  CBC was unremarkable and chemistry was also unremarkable.  High sensitivity troponins have been normal at 6.0 and 5.5 and 6.7.  He is COVID-19 positive which was an incidental finding.  Chest x-ray noted cardiomegaly and no acute findings. He was admitted for monitoring and further evaluation.     December 20, he was seen by Cardiology and at this point in time the have indicated no inpatient workup and suggested an outpatient stress test after his COVID-19 has resolved.  He currently requires no supplemental oxygen.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus bradycardia, Troponin normal
Clinical narrative: Pt was brought to the hospital by his wife with complaints of chest pain.    The time of his presentation he was hypertensive with a blood pressure 170/74 and bradycardic with heart rate approximately 50.  Troponin was unremarkable.  EKG noted sinus bradycardia.  CBC was unremarkable and chemistry was also unremarkable.  High sensitivity troponins have been normal at 6.0 and 5.5 and 6.7.  He is COVID-19 positive which was an incidental finding.  Chest x-ray noted cardiomegaly and no acute findings. He was admitted for monitoring and further evaluation.     December 20, he was seen by Cardiology and at this point in time the have indicated no inpatient workup and suggested an outpatient stress test after his COVID-19 has resolved.  He currently requires no supplemental oxygen.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient given booster dose of Pfizer monovalent after policy changed on 9-3-22 when bivalent was not yet available.  No adverse reaction or complaints reported by patient.  Will update when bivalent is in stock.
Age: 8.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Incorrect product formulation administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Wrong  formulation of Vaccine was used for child in this age group. No adverse side effect noted in Child.
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthma, Headache, Lip swelling, Rash, Swelling face
Clinical narrative: ON 09/19/2022 AT 10 PM, PT HAD AN ASTHMA ATTACK. SHE TOOK VENTOLIN INHALER AND ON 09/20/2022, SHE HAD A HEADACHE IN THE EVENING AND TOOK IBUPROFEN. AT 2 AM ON 09/21/2022, SHE FELT HER FACE AND LIPS SWELLING AND AT 4AM SHE LOOKED IN THE MIRROR AND NOTICED SWELLING OF HER FACE, LIPS, AND A RASH ON HER BODY. SHE TOOK 50 MG BENADRYL AND WENT TO HER DENTAL OFFICE AS SHE HAD A ROOT CANAL DONE ONE MONTH BACK. THE DENTIST TOOK X-RAYS AND SAID EVERYTHING WAS OKAY FROM HIS POV. THEN, SHE CAME TO OUR OFFICE AROUND 11 AM ON 09/21/2022, VITAL SIGNS WERE STABLE, STILL HAS SWELLING OF FACE AND LIPS, NO DIFFICULTY BREATHING. I SPOKE TO ALLERGY DOCTOR AND SENT HER OVER TO BE SEEN RIGHT AWAY.
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: X-ray normal
Clinical narrative: ON 09/19/2022 AT 10 PM, PT HAD AN ASTHMA ATTACK. SHE TOOK VENTOLIN INHALER AND ON 09/20/2022, SHE HAD A HEADACHE IN THE EVENING AND TOOK IBUPROFEN. AT 2 AM ON 09/21/2022, SHE FELT HER FACE AND LIPS SWELLING AND AT 4AM SHE LOOKED IN THE MIRROR AND NOTICED SWELLING OF HER FACE, LIPS, AND A RASH ON HER BODY. SHE TOOK 50 MG BENADRYL AND WENT TO HER DENTAL OFFICE AS SHE HAD A ROOT CANAL DONE ONE MONTH BACK. THE DENTIST TOOK X-RAYS AND SAID EVERYTHING WAS OKAY FROM HIS POV. THEN, SHE CAME TO OUR OFFICE AROUND 11 AM ON 09/21/2022, VITAL SIGNS WERE STABLE, STILL HAS SWELLING OF FACE AND LIPS, NO DIFFICULTY BREATHING. I SPOKE TO ALLERGY DOCTOR AND SENT HER OVER TO BE SEEN RIGHT AWAY.
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Fatigue, Pain in extremity, Pyrexia
Clinical narrative: Fever (99), shoulder pain, soreness ( both arms), fatigue.  Tx:  Tylenol PO 500mg Q 5 hrs
Age: 28.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Peripheral swelling, Rash macular, Skin warm
Clinical narrative: ARM TURNED RED, WAS HOT, AND SWOLLEN.  URGENT CARE DR PRESCRIBED PREDNISONE. ARM STILL LOOKS SPLOTCHY. NOT AS SWOLLEN OR RED AS YESTERDAY.
Age: 0.33
Sex: F
Vaccine: DTPPVHBHPB, PNC13, RV5
Symptoms: Computerised tomogram head normal, Full blood count normal, Metabolic function test, Muscular weakness, Tremor
Clinical narrative: Mom report baby shaking left hand , weakness left leg and hand on 9/20/22  in am. Went to Er all test negative. Ct negative, labs negative. Sent home for monitoring
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient given booster dose of Pfizer monovalent after policy changed on 9-3-22 when bivalent was not yet available.  No adverse reaction or complaints reported by patient.  Will update when bivalent is in stock.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient given booster dose of Pfizer monovalent after policy changed on 9-3-22 when bivalent was not yet available.  No adverse reaction or complaints reported by patient.  Will update when bivalent is in stock.
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received the incorrect booster. Patient should have received the Pfizer 5-11 yr (orange top) for her booster
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cough, Pyrexia
Clinical narrative: Client states evening after receiving shot, she developed a new cough that is still ongoing.  She states also developed a fever that last approximately 3 days, but has become weak and "can't hardly get out of the house" since receiving the shot.  States her PCP has been notified.
Age: 3.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Circumstance or information capable of leading to medication error, Product administered to patient of inappropriate age
Clinical narrative: Patient is 3 years old and was given a Kinrix, I didn't recheck his age and wrote down and he needed a Kinrix and another MA gave it.
Age: 49.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Joint range of motion decreased, Pain
Clinical narrative: Severe, intense, deep shoulder joint pain. Onset of pain was 48 hours after vaccine shot. Pain is severe with forward movement of the arm, severely limiting range of motion.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: medication was out-dated 9/8 and was administered on 9/16 - no adverse events reported 9/20, patient was offered to be re-vaccinated
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given the Pfizer monovalient covid vaccine as a booster instead of the bivalent. The monovalient vial was pulled from the bivalent multidose box, that was stored in the fridge, and the nurses administering thought it was the bivalient.
Age: 18.0
Sex: F
Vaccine: COVID19-2, FLU4, MNQ
Symptoms: Accidental overdose, Cough, Headache, Incorrect dose administered, Oropharyngeal pain
Clinical narrative: Patient received unintended overdose (1.8mL) of Pfizer Bivalent Booster dose, as well as correct doses of Menveo, Tdap and influenza vaccines.  Sore arm reported a few hours later.  Overnight, the patient reported fever, body aches, severe headache, cough, and sore throat. Patient was self-treating with tylenol and ice packs on arm.  Symptoms became progressively better over the weekend.  By 9/19/22 patient reported arm was still sore, but other symptoms had improved.  Patient was monitored by staff primarily via phone calls and emails.  RN made one visit on 9/17/22 to deliver thermometer and visually check on patient.  Patient denied need to go to ER at that time.
Age: 18.0
Sex: F
Vaccine: COVID19-2, FLU4, MNQ
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: Patient received unintended overdose (1.8mL) of Pfizer Bivalent Booster dose, as well as correct doses of Menveo, Tdap and influenza vaccines.  Sore arm reported a few hours later.  Overnight, the patient reported fever, body aches, severe headache, cough, and sore throat. Patient was self-treating with tylenol and ice packs on arm.  Symptoms became progressively better over the weekend.  By 9/19/22 patient reported arm was still sore, but other symptoms had improved.  Patient was monitored by staff primarily via phone calls and emails.  RN made one visit on 9/17/22 to deliver thermometer and visually check on patient.  Patient denied need to go to ER at that time.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given the Pfizer monovalient covid vaccine as a booster instead of the bivalent. The monovalient vial was pulled from the bivalent multidose box, that was stored in the fridge, and the nurses administering thought it was the bivalient.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Headache, Malaise, Oropharyngeal pain
Clinical narrative: My daughter received the first Pfizer booster for COVID-19 on 3/22/2022. On 9/14/2022, she started to feel sick. She had a headache and sinus congestion. She thought she was coming down with a cold, I gave her 2 Tylenol, which didn't really help. Then on the morning of 9/15/2022, she woke up unable to move, because she felt even worse. She had a sore throat, headache, and overall weakness. She took a home test for COVID-19 twice that same day, and both times she got a positive result. I informed her doctor of the situation, and he prescribed her Paxlovid, which she began taking that day. At the time of this writing, she has recovered from her symptoms and is expected to return to school on 9/22/2022.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: My daughter received the first Pfizer booster for COVID-19 on 3/22/2022. On 9/14/2022, she started to feel sick. She had a headache and sinus congestion. She thought she was coming down with a cold, I gave her 2 Tylenol, which didn't really help. Then on the morning of 9/15/2022, she woke up unable to move, because she felt even worse. She had a sore throat, headache, and overall weakness. She took a home test for COVID-19 twice that same day, and both times she got a positive result. I informed her doctor of the situation, and he prescribed her Paxlovid, which she began taking that day. At the time of this writing, she has recovered from her symptoms and is expected to return to school on 9/22/2022.
Age: 22.0
Sex: M
Vaccine: UNK
Symptoms: Vaccination error
Clinical narrative: Monkey pox vaccine give intradermally; wheal formed 10%; I was told by charge nurse to do and incident report. Patient was not in any distress or discomfort for duration of time at facility. He waited an additional 15 mins post vaccination for monitoring. Patient left facility without any distress or discomfort. Notified patient to proceed to ER for any pain or discomfort. Patient verbalized understanding and teaching.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient given booster dose of Pfizer monovalent after policy changed on 9-3-22 when bivalent was not yet available.  No adverse reaction or complaints reported by patient.  Will update when bivalent is in stock.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: medication was out-dated 9/8 and was administered on 9/16 - no adverse events reported 9/20, patient was offered to be re-vaccinated
Age: 0.08
Sex: F
Vaccine: COVID19
Symptoms: Vaccination error
Clinical narrative: Patient was given vaccine by error.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given the Pfizer monovalient covid vaccine as a booster instead of the bivalent. The monovalient vial was pulled from the bivalent multidose box, that was stored in the fridge, and the nurses administering thought it was the bivalient.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Pt's first dose of COVID vaccine was Pfizer on 8/9/22 and the second dose should have also been Pfizer. Instead was given Moderna on 9/20/22. No reaction or treatment required. No adverse side effects.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, SARS-CoV-2 test negative
Clinical narrative: On 09/17/2022 in the morning around 09:00AM I had a fatigue. Today 09/21/2022 around 1:00PM I had a headache but, it went away.  On 09/20/2022  I  emailed doctors office. They emailed me back and told me to drink plenty of liquids  and to take rest. My fatigue has reduced from before but, I still have it.  I am still recovering as of today.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Injection site swelling, Lymphadenopathy, Pain
Clinical narrative: Fever up 103°, chills, shaking, aches, injection site pain and swelling, swele).ling of lymph nodes under arms - more so on left (injection side)
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tremor
Clinical narrative: Fever up 103°, chills, shaking, aches, injection site pain and swelling, swele).ling of lymph nodes under arms - more so on left (injection side)
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Gave adult dose to pediatric patient. Patient waited 15 minutes after injection  and no adverse reaction at injection site. Immediately following injection immunization team was informed. They informed me no other actions needed to be taken other than reporting incident.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Skin disorder, Skin irritation, Skin weeping, X-ray limb
Clinical narrative: After vaccine 2 weeks, she developed weeping from her hands.  felt like something was growing under her skin.  Very irritating to her hands.
Age: 58.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Angioedema, Paraesthesia, Urticaria
Clinical narrative: Several hours after vaccination patient came to the pharmacy and presented with angioedema of her upper lip, hives on thighs and inner arms.  No complaints of any breathing difficulty or swelling of the throat.  Her face felt tingly "like I just went to the dentist."  I advised patient to either go to the emergency room to be evaluated or immediately follow up with her current provider and have them advise her next actions. Patient did not feel bad enough to go to the emergency room and preferred to stay at work, which is at our facility. Patient took 50 mg diphenhydramine and called her provider, who scheduled the soonest televisit to follow up with her.  She was prescribed prednisone 40 mg x 5 days as well as cetirizine 10mg daily for urticaria.  She has a scheduled follow up in person with her provider.
Age: 26.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Erythema, Induration, Pain, Skin warm, Swelling
Clinical narrative: significant swelling, redness, pain. there was a hard, hot, red spot about 8 inches long and 3 inches wide for about 3 days
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient given Pfizer monovalent (12+) vaccine instead of Pfizer Bivalent (12+) vaccine.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: Patient received 21/22 fluzone HD exp 6/30/2022
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Aphasia, Asthenia, Cardiovascular symptom, Dizziness, Dyspnoea
Clinical narrative: Within a week of receiving the second dose of the covid vaccination, I started having neurological  and some cardiovascular symptoms and still have many of those symptoms. They consist of profound fatigue, headaches, memory issues, dizziness, expressive aphasia, weakness, unsteady gait, shortness of breath/palpitations.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Epstein-Barr virus infection, Fatigue, Gait disturbance, Headache, Laboratory test
Clinical narrative: Within a week of receiving the second dose of the covid vaccination, I started having neurological  and some cardiovascular symptoms and still have many of those symptoms. They consist of profound fatigue, headaches, memory issues, dizziness, expressive aphasia, weakness, unsteady gait, shortness of breath/palpitations.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lumbar puncture, Magnetic resonance imaging, Memory impairment, Meningitis viral, Neurological symptom
Clinical narrative: Within a week of receiving the second dose of the covid vaccination, I started having neurological  and some cardiovascular symptoms and still have many of those symptoms. They consist of profound fatigue, headaches, memory issues, dizziness, expressive aphasia, weakness, unsteady gait, shortness of breath/palpitations.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Palpitations
Clinical narrative: Within a week of receiving the second dose of the covid vaccination, I started having neurological  and some cardiovascular symptoms and still have many of those symptoms. They consist of profound fatigue, headaches, memory issues, dizziness, expressive aphasia, weakness, unsteady gait, shortness of breath/palpitations.
Age: 65.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient recieved 21/22 Fluzon eHD exp 6/30/2022- no reaction reported
Age: 66.0
Sex: M
Vaccine: FLU4
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received 21/22 vaccine exp 6/30/2022- no adverse event occured
Age: 77.0
Sex: F
Vaccine: FLU4
Symptoms: Adverse drug reaction, Asthenia, Chest pain, Hypoaesthesia, Injection site erythema
Clinical narrative: Patient reports that after she got her influenza vaccine she developed side effects that included extreme lethargy, chest pains, numbness /tingling in her fingers/face  loss of appetite ,severe redness at injection site,and weakness. Patient states that these all have since resolved but she wants this noted in her record. Patient denies any reactions to last years influenza vaccine.
Age: 77.0
Sex: F
Vaccine: FLU4
Symptoms: Lethargy, Paraesthesia
Clinical narrative: Patient reports that after she got her influenza vaccine she developed side effects that included extreme lethargy, chest pains, numbness /tingling in her fingers/face  loss of appetite ,severe redness at injection site,and weakness. Patient states that these all have since resolved but she wants this noted in her record. Patient denies any reactions to last years influenza vaccine.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Headache, Hyperhidrosis, Nausea
Clinical narrative: I test positive for COVID-19. I had nausea, headache, sweats, chills, congestion, fever of 101.6. I talked to doctor and she prescribed medication and I only took it for one day. My symptoms lasted for 1-2 weeks.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I test positive for COVID-19. I had nausea, headache, sweats, chills, congestion, fever of 101.6. I talked to doctor and she prescribed medication and I only took it for one day. My symptoms lasted for 1-2 weeks.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient given booster dose of Pfizer monovalent after policy changed on 9-3-22 when bivalent was not yet available.  No adverse reaction or complaints reported by patient.  Will update when bivalent is in stock.
Age: 88.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient got 21/22 vaccine exp 6/30/22- no adverse event occured
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient given booster dose of Moderna monovalent after policy changed on 9-3-22 when bivalent was not yet available.  No adverse reaction or complaints reported by patient.  Will update when bivalent is in stock.
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: administer 0.5 ML vs 0.3 ML
Age: 1.83
Sex: F
Vaccine: DTAPIPVHIB, HEPA
Symptoms: Extra dose administered
Clinical narrative: Pt was given extra dose of Pentacel when not needed.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: Pt. filled out questionnaire and stated had not received any covid vaccines.  Pt. told RN she did not have a card and as it was her first vaccine.  When charting she was vaccinated on 3/2/21 with Moderna.  She was vaccinated today 9/21/22 with Pfizer.  No reaction at the time of todays vaccination.  She is pregnant and an inmate at the jail.  Was seen 9/14/22 by Midwife at Medical Clinic and vaccinated with TDAP and Influenza at that visit.
Age: 31.0
Sex: F
Vaccine: COVID19-2
Symptoms: Tinnitus
Clinical narrative: Developed tinnitus in right ear within 24 hours of vaccination; developed tinnitus in left ear roughly 3 days later. The tinnitus has been constant since the beginning of symptoms, and persists over a week later.