chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: F
Vaccine: COVID19-2, COVID19-2, FLU4, VARZOS
Symptoms: Oxygen saturation decreased, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/24/2023 Discharge Date: Feb 26, 2023  PRESENTING PROBLEM: Hypoxia [R09.02] COVID-19 [U07.1]   HOSPITAL COURSE: Pt is a 69 yr old F with PMHx of  chronic diastolic CHF (LVEF 62% on TTE in 2022), prior pulmonary embolism on Xarelto, pulmonary hypertension, status post left lower lobe lobectomy, OSA with obesity hypoventilation syndrome on nightly BiPAP, hypertension, restless leg syndrome, insomnia, morbid obesity presented to ED with shortness of breath that started on 2/23.    Her shortness of breath is associated with nasal congestion and dry cough. She was found to be COVID positive on a in home test. In ER, noted to be tachycardic, T-max 102.7° F. Briefly desaturated to 88% on room air.  EKG unremarkable.  Labs unremarkable.  Found to be COVID-19 positive.  UA with few bacteria, 19 WBC, small leukocytes.  CXR unremarkable.     Admitted for close monitoring, symptomatic control and Decadron. Her symptoms improved though she still continued to have non-productive cough. CBC and procalcitonin were stable.   I offered to monitor her 1 more tonight given her symptoms of cough, congestion but patient felt ready to discharge. I recommended she follow up with PCP within 1 week and monitor oxygen levels at home with pulse oximeter (pt has this at home).   She is discharged home in stable condition
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Clostridium test, Colonoscopy normal, Constipation, Culture stool negative, Diarrhoea
Clinical narrative: Starting 6/21/2021 started experiencing intermittent diarrhea.  After several days of diarrhea, doctor was contacted and Imodium was ordered.  Several lab tests were ordered.  Colonoscopy was ordered (performed 10/13/2021)  Diarrhea continued intermittently, and still occurs.  Between 6/21/2021 and 3/3/2023 there were 70 days that diarrhea was experienced, plus many days of loose stool or no bowel movement at all.  On 1/24/2023 there was blood in the diarrhea.  Doctor visited again.  Lab tests ordered again, and an appointment with gastroenterologist is pending.  All lab tests were negative.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea haemorrhagic, Full blood count normal, Glycosylated haemoglobin normal, Laboratory test normal, Lipids normal
Clinical narrative: Starting 6/21/2021 started experiencing intermittent diarrhea.  After several days of diarrhea, doctor was contacted and Imodium was ordered.  Several lab tests were ordered.  Colonoscopy was ordered (performed 10/13/2021)  Diarrhea continued intermittently, and still occurs.  Between 6/21/2021 and 3/3/2023 there were 70 days that diarrhea was experienced, plus many days of loose stool or no bowel movement at all.  On 1/24/2023 there was blood in the diarrhea.  Doctor visited again.  Lab tests ordered again, and an appointment with gastroenterologist is pending.  All lab tests were negative.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Smear site unspecified normal, Stool analysis normal, Tri-iodothyronine free normal, Vitamin D
Clinical narrative: Starting 6/21/2021 started experiencing intermittent diarrhea.  After several days of diarrhea, doctor was contacted and Imodium was ordered.  Several lab tests were ordered.  Colonoscopy was ordered (performed 10/13/2021)  Diarrhea continued intermittently, and still occurs.  Between 6/21/2021 and 3/3/2023 there were 70 days that diarrhea was experienced, plus many days of loose stool or no bowel movement at all.  On 1/24/2023 there was blood in the diarrhea.  Doctor visited again.  Lab tests ordered again, and an appointment with gastroenterologist is pending.  All lab tests were negative.
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Pyrexia, Seizure, Vomiting
Clinical narrative: Patient became febrile on the morning of 03/03/23 around 2:00 am. Patient did have an episode of emesis. Mom gave fever reducing meds. Threw up 6 times per mom between 2:00 AM AND 9 AM. Patient began to seize @ 9:50 am. Mom took a video for 1.5 min. Mom took to the ED @ 10:42. ED physician feels in talking with mom that may have lasted 5-7 min from the time mom recorded and eyes open and him responding to parents.
Age: 89.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Acute myocardial infarction, Akinesia, Angiogram abnormal, Anticoagulant therapy, COVID-19 pneumonia
Clinical narrative: Discharge Provider: MD Primary Care Provider:  Admission Date: 2/25/2023 Discharge Date: Mar 2, 2023  PRESENTING PROBLEM: NSTEMI (non-ST elevated myocardial infarction) (HCC) [I21.4]   HOSPITAL COURSE: 89 y.o. female with h/o COPD on 2L at baseline, OSA, and HFpEF who presented 2/25/2023 to ED for malaise, fatigue, shortness of breath, and cough, no chest pain. Found to have elevated troponin and sepsis likely 2/2 to COVID Pneumonia.  Cardiology consulted, TTE obtained with WMA concerning for atypical stress CMP with akinesis of the mid to distal anteroseptal and inferoseptal segments with preserved Apex wall motion. EF 26% previously 60-65%. Patient completed 48hrs of heparin drip. Upon discussion with cardiology she elected for a more conservative approach and was started on GDMT including metoprolol, spironolactone and Entresto.  Plan was to proceed with a CMR and initiate dual anti-platelet therapy for year if there was  any evidence of subendocardial infarct on the CMR.  However repeat echocardiogram on the day of the planned CMR revealed left ventricular ejection fraction preserved at 59% with minor regional variation in the wall motion.  Cardiology then deferred CMR as recovery of patient's cardiac function further confirms diagnosis of mid cavity variant stress-induced cardiomyopathy.  Recommendations were made discontinue spironolactone and Entresto and continue your patient's beta blocker metoprolol. From a cardiology standpoint patient was safe for discharge and is to follow-up in the outpatient setting with Cardiology.  Furthermore the pertains to patient's COVID pneumonia she completed a course of remdesivir, azithromycin, is to finish complete course of Decadron in the outpatient setting for 4 more days.  Patient also received IV iron in the setting of iron deficiency anemia and ongoing cardiomyopathy.  An incidental finding of thyroid nodule was noted on patient's CTA and she is to follow-up in the outpatient setting with primary care provider.  Patient discharged in stable condition
Age: 89.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Cough, Dyspnoea, Echocardiogram, Echocardiogram abnormal, Ejection fraction decreased
Clinical narrative: Discharge Provider: MD Primary Care Provider:  Admission Date: 2/25/2023 Discharge Date: Mar 2, 2023  PRESENTING PROBLEM: NSTEMI (non-ST elevated myocardial infarction) (HCC) [I21.4]   HOSPITAL COURSE: 89 y.o. female with h/o COPD on 2L at baseline, OSA, and HFpEF who presented 2/25/2023 to ED for malaise, fatigue, shortness of breath, and cough, no chest pain. Found to have elevated troponin and sepsis likely 2/2 to COVID Pneumonia.  Cardiology consulted, TTE obtained with WMA concerning for atypical stress CMP with akinesis of the mid to distal anteroseptal and inferoseptal segments with preserved Apex wall motion. EF 26% previously 60-65%. Patient completed 48hrs of heparin drip. Upon discussion with cardiology she elected for a more conservative approach and was started on GDMT including metoprolol, spironolactone and Entresto.  Plan was to proceed with a CMR and initiate dual anti-platelet therapy for year if there was  any evidence of subendocardial infarct on the CMR.  However repeat echocardiogram on the day of the planned CMR revealed left ventricular ejection fraction preserved at 59% with minor regional variation in the wall motion.  Cardiology then deferred CMR as recovery of patient's cardiac function further confirms diagnosis of mid cavity variant stress-induced cardiomyopathy.  Recommendations were made discontinue spironolactone and Entresto and continue your patient's beta blocker metoprolol. From a cardiology standpoint patient was safe for discharge and is to follow-up in the outpatient setting with Cardiology.  Furthermore the pertains to patient's COVID pneumonia she completed a course of remdesivir, azithromycin, is to finish complete course of Decadron in the outpatient setting for 4 more days.  Patient also received IV iron in the setting of iron deficiency anemia and ongoing cardiomyopathy.  An incidental finding of thyroid nodule was noted on patient's CTA and she is to follow-up in the outpatient setting with primary care provider.  Patient discharged in stable condition
Age: 89.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Fatigue, Malaise, Sepsis, Stress cardiomyopathy, Troponin increased
Clinical narrative: Discharge Provider: MD Primary Care Provider:  Admission Date: 2/25/2023 Discharge Date: Mar 2, 2023  PRESENTING PROBLEM: NSTEMI (non-ST elevated myocardial infarction) (HCC) [I21.4]   HOSPITAL COURSE: 89 y.o. female with h/o COPD on 2L at baseline, OSA, and HFpEF who presented 2/25/2023 to ED for malaise, fatigue, shortness of breath, and cough, no chest pain. Found to have elevated troponin and sepsis likely 2/2 to COVID Pneumonia.  Cardiology consulted, TTE obtained with WMA concerning for atypical stress CMP with akinesis of the mid to distal anteroseptal and inferoseptal segments with preserved Apex wall motion. EF 26% previously 60-65%. Patient completed 48hrs of heparin drip. Upon discussion with cardiology she elected for a more conservative approach and was started on GDMT including metoprolol, spironolactone and Entresto.  Plan was to proceed with a CMR and initiate dual anti-platelet therapy for year if there was  any evidence of subendocardial infarct on the CMR.  However repeat echocardiogram on the day of the planned CMR revealed left ventricular ejection fraction preserved at 59% with minor regional variation in the wall motion.  Cardiology then deferred CMR as recovery of patient's cardiac function further confirms diagnosis of mid cavity variant stress-induced cardiomyopathy.  Recommendations were made discontinue spironolactone and Entresto and continue your patient's beta blocker metoprolol. From a cardiology standpoint patient was safe for discharge and is to follow-up in the outpatient setting with Cardiology.  Furthermore the pertains to patient's COVID pneumonia she completed a course of remdesivir, azithromycin, is to finish complete course of Decadron in the outpatient setting for 4 more days.  Patient also received IV iron in the setting of iron deficiency anemia and ongoing cardiomyopathy.  An incidental finding of thyroid nodule was noted on patient's CTA and she is to follow-up in the outpatient setting with primary care provider.  Patient discharged in stable condition
Age: 89.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Wall motion score index abnormal
Clinical narrative: Discharge Provider: MD Primary Care Provider:  Admission Date: 2/25/2023 Discharge Date: Mar 2, 2023  PRESENTING PROBLEM: NSTEMI (non-ST elevated myocardial infarction) (HCC) [I21.4]   HOSPITAL COURSE: 89 y.o. female with h/o COPD on 2L at baseline, OSA, and HFpEF who presented 2/25/2023 to ED for malaise, fatigue, shortness of breath, and cough, no chest pain. Found to have elevated troponin and sepsis likely 2/2 to COVID Pneumonia.  Cardiology consulted, TTE obtained with WMA concerning for atypical stress CMP with akinesis of the mid to distal anteroseptal and inferoseptal segments with preserved Apex wall motion. EF 26% previously 60-65%. Patient completed 48hrs of heparin drip. Upon discussion with cardiology she elected for a more conservative approach and was started on GDMT including metoprolol, spironolactone and Entresto.  Plan was to proceed with a CMR and initiate dual anti-platelet therapy for year if there was  any evidence of subendocardial infarct on the CMR.  However repeat echocardiogram on the day of the planned CMR revealed left ventricular ejection fraction preserved at 59% with minor regional variation in the wall motion.  Cardiology then deferred CMR as recovery of patient's cardiac function further confirms diagnosis of mid cavity variant stress-induced cardiomyopathy.  Recommendations were made discontinue spironolactone and Entresto and continue your patient's beta blocker metoprolol. From a cardiology standpoint patient was safe for discharge and is to follow-up in the outpatient setting with Cardiology.  Furthermore the pertains to patient's COVID pneumonia she completed a course of remdesivir, azithromycin, is to finish complete course of Decadron in the outpatient setting for 4 more days.  Patient also received IV iron in the setting of iron deficiency anemia and ongoing cardiomyopathy.  An incidental finding of thyroid nodule was noted on patient's CTA and she is to follow-up in the outpatient setting with primary care provider.  Patient discharged in stable condition
Age: 79.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Death, Dyspnoea, Laboratory test, Life support, Unresponsive to stimuli
Clinical narrative: Patient had trouble breathing. Ambulance was called immediately & she became unresponsive just as they arrived. She was taken to Hospital & we were told right away that her condition was probably fatal.  She was put on life support & died on 11/21/21 a few hours after she was taken off of it.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood lactic acid normal, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Discharge Physician: MD Primary Care Physician: MD  Date of Admission: 2/24/2023 Discharge Date: 2/28/2023 Room Number:  PRESENTING PROBLEM: Pneumonia of right lower lobe due to infectious organism Pneumonia due to COVID-19 virus COVID-19   Patient is a 61 y.o. male past medical history down syndrome, achalasia and dysphagia with feeding tube in place, anemia, elevated LFTs and GERD who presents with cough and weakness. Hospitalized from 1/31-2/2 with abdominal wall cellulitis and pneumonia and completed 5 days of  Azithromycin and rocephin.   In the Emergency Department, he was noted to have hypoxia down into the 80s at times and required 2L NC. He tested positive for COVID in the ER. Per report other residents at his AFC and care givers also positive. His procal was elevated at 0.62 and CXR showed concern for worsening of right lung with multifocal pneumonia. He had normal lactic acid and WBC and did not meet sepsis criteria. He did have some softer blood pressures in the ER but improved with IVF. He was noted to have hyperkalemia and elevated LFTs but LFTs were similar to recent admit. He was given IVF and started on azithromycin and rocephin in the ER but switched to cefepime on admit. He was admitted to the hospitalist team for COVID, respiratory failure and pneumonia.    Patient was able to wean oxygen. He was continued on antibiotics (and discharged to complete 5 day coarse of antibiotics) and decadron during admit. His labs improved, vitals and lung sounds improved. Patient was able to ambulate out of bed the day of discharge. Patient is clinically improved and hemodynamically stable for discharge.  Discussed plan of care for discharge with AFC and guardian including outpatient follow-up with PCP within 7 days.  They voiced understanding and were agreeable with plan of care for discharge.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Exposure to SARS-CoV-2, Hyperkalaemia, Hypotension, Hypoxia
Clinical narrative: Discharge Physician: MD Primary Care Physician: MD  Date of Admission: 2/24/2023 Discharge Date: 2/28/2023 Room Number:  PRESENTING PROBLEM: Pneumonia of right lower lobe due to infectious organism Pneumonia due to COVID-19 virus COVID-19   Patient is a 61 y.o. male past medical history down syndrome, achalasia and dysphagia with feeding tube in place, anemia, elevated LFTs and GERD who presents with cough and weakness. Hospitalized from 1/31-2/2 with abdominal wall cellulitis and pneumonia and completed 5 days of  Azithromycin and rocephin.   In the Emergency Department, he was noted to have hypoxia down into the 80s at times and required 2L NC. He tested positive for COVID in the ER. Per report other residents at his AFC and care givers also positive. His procal was elevated at 0.62 and CXR showed concern for worsening of right lung with multifocal pneumonia. He had normal lactic acid and WBC and did not meet sepsis criteria. He did have some softer blood pressures in the ER but improved with IVF. He was noted to have hyperkalemia and elevated LFTs but LFTs were similar to recent admit. He was given IVF and started on azithromycin and rocephin in the ER but switched to cefepime on admit. He was admitted to the hospitalist team for COVID, respiratory failure and pneumonia.    Patient was able to wean oxygen. He was continued on antibiotics (and discharged to complete 5 day coarse of antibiotics) and decadron during admit. His labs improved, vitals and lung sounds improved. Patient was able to ambulate out of bed the day of discharge. Patient is clinically improved and hemodynamically stable for discharge.  Discussed plan of care for discharge with AFC and guardian including outpatient follow-up with PCP within 7 days.  They voiced understanding and were agreeable with plan of care for discharge.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Liver function test increased, Pneumonia, Procalcitonin increased, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Discharge Physician: MD Primary Care Physician: MD  Date of Admission: 2/24/2023 Discharge Date: 2/28/2023 Room Number:  PRESENTING PROBLEM: Pneumonia of right lower lobe due to infectious organism Pneumonia due to COVID-19 virus COVID-19   Patient is a 61 y.o. male past medical history down syndrome, achalasia and dysphagia with feeding tube in place, anemia, elevated LFTs and GERD who presents with cough and weakness. Hospitalized from 1/31-2/2 with abdominal wall cellulitis and pneumonia and completed 5 days of  Azithromycin and rocephin.   In the Emergency Department, he was noted to have hypoxia down into the 80s at times and required 2L NC. He tested positive for COVID in the ER. Per report other residents at his AFC and care givers also positive. His procal was elevated at 0.62 and CXR showed concern for worsening of right lung with multifocal pneumonia. He had normal lactic acid and WBC and did not meet sepsis criteria. He did have some softer blood pressures in the ER but improved with IVF. He was noted to have hyperkalemia and elevated LFTs but LFTs were similar to recent admit. He was given IVF and started on azithromycin and rocephin in the ER but switched to cefepime on admit. He was admitted to the hospitalist team for COVID, respiratory failure and pneumonia.    Patient was able to wean oxygen. He was continued on antibiotics (and discharged to complete 5 day coarse of antibiotics) and decadron during admit. His labs improved, vitals and lung sounds improved. Patient was able to ambulate out of bed the day of discharge. Patient is clinically improved and hemodynamically stable for discharge.  Discussed plan of care for discharge with AFC and guardian including outpatient follow-up with PCP within 7 days.  They voiced understanding and were agreeable with plan of care for discharge.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: Discharge Physician: MD Primary Care Physician: MD  Date of Admission: 2/24/2023 Discharge Date: 2/28/2023 Room Number:  PRESENTING PROBLEM: Pneumonia of right lower lobe due to infectious organism Pneumonia due to COVID-19 virus COVID-19   Patient is a 61 y.o. male past medical history down syndrome, achalasia and dysphagia with feeding tube in place, anemia, elevated LFTs and GERD who presents with cough and weakness. Hospitalized from 1/31-2/2 with abdominal wall cellulitis and pneumonia and completed 5 days of  Azithromycin and rocephin.   In the Emergency Department, he was noted to have hypoxia down into the 80s at times and required 2L NC. He tested positive for COVID in the ER. Per report other residents at his AFC and care givers also positive. His procal was elevated at 0.62 and CXR showed concern for worsening of right lung with multifocal pneumonia. He had normal lactic acid and WBC and did not meet sepsis criteria. He did have some softer blood pressures in the ER but improved with IVF. He was noted to have hyperkalemia and elevated LFTs but LFTs were similar to recent admit. He was given IVF and started on azithromycin and rocephin in the ER but switched to cefepime on admit. He was admitted to the hospitalist team for COVID, respiratory failure and pneumonia.    Patient was able to wean oxygen. He was continued on antibiotics (and discharged to complete 5 day coarse of antibiotics) and decadron during admit. His labs improved, vitals and lung sounds improved. Patient was able to ambulate out of bed the day of discharge. Patient is clinically improved and hemodynamically stable for discharge.  Discussed plan of care for discharge with AFC and guardian including outpatient follow-up with PCP within 7 days.  They voiced understanding and were agreeable with plan of care for discharge.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: No adverse event
Clinical narrative: There were no  adverse reactions.
Age: 35.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Anxiety, Condition aggravated, Confusional state, Dyspnoea, Epistaxis
Clinical narrative: Over a couple of weeks, I developed progressively worse nasal congestion which resulted in some difficulty breathing exacerbated by lying down. I also had loss of sleep, blood clots in the tissue after blowing your nose. I had intermittent nose pain and tiredness. On the last day prior to going to the doctor I had mild confusion. I went to the doctor believed that my anxiety was exacerbated back lack of sleep and not being able to breath through the nose. I was diagnosed with allergic rhinitis and prescribed. I was prescribed Zyrtec and Fluticasone Propionate Flonase. I was able to sleep that night and it was better by the next morning.  I am still continuing to have some congestion and I am still continuing to take the medication.
Age: 35.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Fatigue, Insomnia, Nasal congestion, Respiratory tract congestion, Rhinalgia
Clinical narrative: Over a couple of weeks, I developed progressively worse nasal congestion which resulted in some difficulty breathing exacerbated by lying down. I also had loss of sleep, blood clots in the tissue after blowing your nose. I had intermittent nose pain and tiredness. On the last day prior to going to the doctor I had mild confusion. I went to the doctor believed that my anxiety was exacerbated back lack of sleep and not being able to breath through the nose. I was diagnosed with allergic rhinitis and prescribed. I was prescribed Zyrtec and Fluticasone Propionate Flonase. I was able to sleep that night and it was better by the next morning.  I am still continuing to have some congestion and I am still continuing to take the medication.
Age: 35.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Rhinitis allergic
Clinical narrative: Over a couple of weeks, I developed progressively worse nasal congestion which resulted in some difficulty breathing exacerbated by lying down. I also had loss of sleep, blood clots in the tissue after blowing your nose. I had intermittent nose pain and tiredness. On the last day prior to going to the doctor I had mild confusion. I went to the doctor believed that my anxiety was exacerbated back lack of sleep and not being able to breath through the nose. I was diagnosed with allergic rhinitis and prescribed. I was prescribed Zyrtec and Fluticasone Propionate Flonase. I was able to sleep that night and it was better by the next morning.  I am still continuing to have some congestion and I am still continuing to take the medication.
Age: 47.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient reported redness, slightly warm to the touch, and a small bump on the injection site
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: While completing COVID tracking sheet for doses given, I noticed an older lot number (015B22A), verified expiration date with Moderna Vial Expiration Checker. Per Moderna Vial Expiration Checker, lot 015B22A has an expiration date of 02/12/23.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Chills, Exercise tolerance decreased, Fatigue, Headache
Clinical narrative: Started with headache and mild fever (99.6F), malaise, fatigue, myalgia, general weakness. I have been taking ibuprofen when the symptoms become too disturbing. I spent most of the day in bed on March 2nd and today (March 3rd) the symptoms were milder until about 3pm, when I had temperature again, as well chills and headache.  I will update as things progress. My left arm has been sore and I wasn't able to do my yoga or exercise yesterday.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Malaise, Myalgia, Pain in extremity
Clinical narrative: Started with headache and mild fever (99.6F), malaise, fatigue, myalgia, general weakness. I have been taking ibuprofen when the symptoms become too disturbing. I spent most of the day in bed on March 2nd and today (March 3rd) the symptoms were milder until about 3pm, when I had temperature again, as well chills and headache.  I will update as things progress. My left arm has been sore and I wasn't able to do my yoga or exercise yesterday.
Age: 16.0
Sex: M
Vaccine: MMR, MNQ, TD
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Pt received 3 rd dose of MMR and should have received 1st dose of varicella
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Headache, Influenza A virus test negative
Clinical narrative: I started having a severe headache that Sunday night. The next morning when I woke up, I had a scratchy throat with some coughing. Tuesday, I started having a fever and fatigue with all the other symptom still present. Wednesday I still had all symptoms, so I decided to go to the urgent care. When the urgent care too my temperature, it was normal.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Influenza B virus test, Pyrexia, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I started having a severe headache that Sunday night. The next morning when I woke up, I had a scratchy throat with some coughing. Tuesday, I started having a fever and fatigue with all the other symptom still present. Wednesday I still had all symptoms, so I decided to go to the urgent care. When the urgent care too my temperature, it was normal.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular, Ultrasound scan
Clinical narrative: I had my cycle end of September a week pass and came again I received an ultrasound 10/07/2022. Mess with cycle.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Blood sodium decreased, COVID-19, Chest X-ray normal, Chills
Clinical narrative: 12/4/2022:  Presented to the ED with generalized weakness and chills in the setting of COVID-positive yesterday.  Started to develop some fatigue, weakness, nausea, cough, and nasal congestion. Not eating or taking meds due to nausea. Presented to the ED and was initially discharged home. Returned to the ED the next day due to increased weakness. Admitted for weakness and severe hyponatremia. Noted to have returned to the ED also 12/18/2023 with Covid symptom complaints. No evidence of re-admission at that time.  Submitter does not have access to further medical information on this case. If more information is needed, please contact the admitting hospital.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cough, Fatigue, Hyponatraemia, Malaise, Nasal congestion
Clinical narrative: 12/4/2022:  Presented to the ED with generalized weakness and chills in the setting of COVID-positive yesterday.  Started to develop some fatigue, weakness, nausea, cough, and nasal congestion. Not eating or taking meds due to nausea. Presented to the ED and was initially discharged home. Returned to the ED the next day due to increased weakness. Admitted for weakness and severe hyponatremia. Noted to have returned to the ED also 12/18/2023 with Covid symptom complaints. No evidence of re-admission at that time.  Submitter does not have access to further medical information on this case. If more information is needed, please contact the admitting hospital.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nausea, SARS-CoV-2 test positive
Clinical narrative: 12/4/2022:  Presented to the ED with generalized weakness and chills in the setting of COVID-positive yesterday.  Started to develop some fatigue, weakness, nausea, cough, and nasal congestion. Not eating or taking meds due to nausea. Presented to the ED and was initially discharged home. Returned to the ED the next day due to increased weakness. Admitted for weakness and severe hyponatremia. Noted to have returned to the ED also 12/18/2023 with Covid symptom complaints. No evidence of re-admission at that time.  Submitter does not have access to further medical information on this case. If more information is needed, please contact the admitting hospital.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Antibody test, Asthma, Condition aggravated, Immediate post-injection reaction, Immune system disorder
Clinical narrative: Immediately after each dose: Severe Uncontrolled Asthma  About two or three weeks after the second vaccine  Hyperimmune reaction - Exacerbation of Myasthenia Gravis  - Developed Stiff Person Syndrome
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Lumbar puncture, Magnetic resonance imaging, Myasthenia gravis, Stiff person syndrome
Clinical narrative: Immediately after each dose: Severe Uncontrolled Asthma  About two or three weeks after the second vaccine  Hyperimmune reaction - Exacerbation of Myasthenia Gravis  - Developed Stiff Person Syndrome
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest pain, Dizziness, Electrocardiogram
Clinical narrative: Patient started complaining of chest pain and dizziness shortly after getting the vaccine. EKG was obtained. Blood pressures were taken 87/58 P:103. Attending provider was notified. Patient was discharged from clinic 1 hour post injection.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Expired product administered
Clinical narrative: Dtap administered expired 3/1/23, 2 days ago. This child has not had any physical reaction at this point. Mother has been contacted.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient returned to pharmacy presenting with redness, swelling, and itchiness at the injection site. Stated that this began approximately ~12 hours  after the vaccine was given. Stated that she took some tylenol to reduce the swelling.
Age: 16.0
Sex: M
Vaccine: HEP, HEPA, HPV9, IPV, MNQ, TD
Symptoms: Dizziness, Hyperhidrosis, Immediate post-injection reaction, Nausea, Pallor
Clinical narrative: IMMEDIATELY POST VACCINES PATIENT COMPLAINED OF LIGHT HEADINESS, NAUSEA, BECAME SWEATY, PALE, AND BEGAN VOMITING. 1ST AID TREATMENT PROVIDED. PATIENT REMAINED IN CLINIC FOR FURTHER OBSERVATION AND STABILIZATION. AT APPROX 2:20 GUARDIAN REPORTS APPEARANCE OF  RASH TO BOTH ARMS.  AT 2:20 PM RASH WITH HIVE LIKE APPEARANCE NOTED OVER BOTH ARMS AND CHEST/TRUNK OF PATIENT'S BODY. AT 2:21 Public Health Nurse administered 50mg/1ml of DiphenhydrAMINE administered into the right leg via IM injection.   EMS ACTIVATED AT 2:23 PM PATIENT TRANSPORTED TO HOSPITAL AT 2:37PM.
Age: 16.0
Sex: M
Vaccine: HEP, HEPA, HPV9, IPV, MNQ, TD
Symptoms: Rash, Urticaria, Vomiting
Clinical narrative: IMMEDIATELY POST VACCINES PATIENT COMPLAINED OF LIGHT HEADINESS, NAUSEA, BECAME SWEATY, PALE, AND BEGAN VOMITING. 1ST AID TREATMENT PROVIDED. PATIENT REMAINED IN CLINIC FOR FURTHER OBSERVATION AND STABILIZATION. AT APPROX 2:20 GUARDIAN REPORTS APPEARANCE OF  RASH TO BOTH ARMS.  AT 2:20 PM RASH WITH HIVE LIKE APPEARANCE NOTED OVER BOTH ARMS AND CHEST/TRUNK OF PATIENT'S BODY. AT 2:21 Public Health Nurse administered 50mg/1ml of DiphenhydrAMINE administered into the right leg via IM injection.   EMS ACTIVATED AT 2:23 PM PATIENT TRANSPORTED TO HOSPITAL AT 2:37PM.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Blood sodium decreased, Blood urea decreased, Chills, Diarrhoea
Clinical narrative: Chills, Nausea, Dizzy, Gastro Issues, Weakness, Gas   Diarrheas bouts 6 to 7 times a day and 2 to 3 times at night. Dran a lot of water but could not keep food in. Followed bland foods per list.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Differential white blood cell count abnormal, Dizziness, Flatulence, Full blood count abnormal, Gastrointestinal disorder
Clinical narrative: Chills, Nausea, Dizzy, Gastro Issues, Weakness, Gas   Diarrheas bouts 6 to 7 times a day and 2 to 3 times at night. Dran a lot of water but could not keep food in. Followed bland foods per list.
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Monocyte count increased, Nausea
Clinical narrative: Chills, Nausea, Dizzy, Gastro Issues, Weakness, Gas   Diarrheas bouts 6 to 7 times a day and 2 to 3 times at night. Dran a lot of water but could not keep food in. Followed bland foods per list.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Adrenal disorder, Affective disorder, Amnesia, Anxiety, Cognitive disorder
Clinical narrative: Fatigue, aches, pains, shortness of breath, sensitivity to sound, anxiety, severe depression, suicdal, diarrehae, head aches, sinus issues, phantom smells, short term memory loss, lack of concentration, wake up not knowing where I am, personality changes, mood disorders, unable to spell, unable to do simple math, unable to do physical work without crashing afterwards. unable to remember other symptons because of dementia and cognitive impairment. This has been a migrating illness. I seem to do better in some ways only to relapse in other ways. Has been going on for over 2 years. I want my life back. please help
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dementia, Depression, Diarrhoea, Disturbance in attention, Dyspnoea
Clinical narrative: Fatigue, aches, pains, shortness of breath, sensitivity to sound, anxiety, severe depression, suicdal, diarrehae, head aches, sinus issues, phantom smells, short term memory loss, lack of concentration, wake up not knowing where I am, personality changes, mood disorders, unable to spell, unable to do simple math, unable to do physical work without crashing afterwards. unable to remember other symptons because of dementia and cognitive impairment. This has been a migrating illness. I seem to do better in some ways only to relapse in other ways. Has been going on for over 2 years. I want my life back. please help
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hyperacusis, Illness, Language disorder
Clinical narrative: Fatigue, aches, pains, shortness of breath, sensitivity to sound, anxiety, severe depression, suicdal, diarrehae, head aches, sinus issues, phantom smells, short term memory loss, lack of concentration, wake up not knowing where I am, personality changes, mood disorders, unable to spell, unable to do simple math, unable to do physical work without crashing afterwards. unable to remember other symptons because of dementia and cognitive impairment. This has been a migrating illness. I seem to do better in some ways only to relapse in other ways. Has been going on for over 2 years. I want my life back. please help
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain, Parosmia, Personality change, Sinus disorder
Clinical narrative: Fatigue, aches, pains, shortness of breath, sensitivity to sound, anxiety, severe depression, suicdal, diarrehae, head aches, sinus issues, phantom smells, short term memory loss, lack of concentration, wake up not knowing where I am, personality changes, mood disorders, unable to spell, unable to do simple math, unable to do physical work without crashing afterwards. unable to remember other symptons because of dementia and cognitive impairment. This has been a migrating illness. I seem to do better in some ways only to relapse in other ways. Has been going on for over 2 years. I want my life back. please help
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Suicidal ideation
Clinical narrative: Fatigue, aches, pains, shortness of breath, sensitivity to sound, anxiety, severe depression, suicdal, diarrehae, head aches, sinus issues, phantom smells, short term memory loss, lack of concentration, wake up not knowing where I am, personality changes, mood disorders, unable to spell, unable to do simple math, unable to do physical work without crashing afterwards. unable to remember other symptons because of dementia and cognitive impairment. This has been a migrating illness. I seem to do better in some ways only to relapse in other ways. Has been going on for over 2 years. I want my life back. please help
Age: 54.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Blood glucose normal, Fatigue, Vision blurred
Clinical narrative: Patient received Moderna Bival Covid 19 Vaccine on 02/28/23 and reported side effects of fatigue, joints pains and blurry vision on 03/03/23. Patient will continue monitor these symptoms and will seek medial help if symptoms will not resolve or getting worse.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Breast mass, Headache, Mammogram normal
Clinical narrative: After I got my second dose, I experienced light headaches. As time went on, I developed a lump on my right breast in the area of my lymph nodes, also. When I took my third dose of Pfizer in 12/2021, the light headaches became severe. I was given prescription ibuprofen to take as needed, and it helps. The frequency of the headaches varies. Sometimes I might get one during a week and then two during another. They just come on. I'm having the lump in my breast monitored. I undergo mammograms every six months. It hasn't grown. The doctor says that it's not cancerous, but they are keeping an eye on it. The doctor says that she has seen other women come in with similar lumps, and she thinks it could be linked to the COVID-19 vaccine. The lump is tender to the touch, and the doctor thinks it could be a fatty lump.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arrhythmia, Cardiac stress test abnormal, Catheterisation cardiac normal, Chest pain, Dyspnoea
Clinical narrative: About two months after the COVID-19 vaccine, I started to have chest pain and shortness of breath with exercise. It was intermitted with exercise. I went to see my primary physician who referred me to have an exercise stress test, which indicated I had arrythmias, V tachycardia. When I received the cardiac catheterization, it showed normal coronary arteries and normal heart function. My doctors think my arrythmias is due to myocarditis. I'm currently having a Holter monitor done.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dyspnoea exertional, Echocardiogram normal, Electrocardiogram ambulatory, Exercise test abnormal, Myocarditis
Clinical narrative: About two months after the COVID-19 vaccine, I started to have chest pain and shortness of breath with exercise. It was intermitted with exercise. I went to see my primary physician who referred me to have an exercise stress test, which indicated I had arrythmias, V tachycardia. When I received the cardiac catheterization, it showed normal coronary arteries and normal heart function. My doctors think my arrythmias is due to myocarditis. I'm currently having a Holter monitor done.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ventricular tachycardia
Clinical narrative: About two months after the COVID-19 vaccine, I started to have chest pain and shortness of breath with exercise. It was intermitted with exercise. I went to see my primary physician who referred me to have an exercise stress test, which indicated I had arrythmias, V tachycardia. When I received the cardiac catheterization, it showed normal coronary arteries and normal heart function. My doctors think my arrythmias is due to myocarditis. I'm currently having a Holter monitor done.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: patients was given the monvalent moderna instead of the bivalent.. no reaction
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: PATIENT WAS GIVEN THE MONOVALENT MODERNA NDC 80777-0273-99  INSTEAD OF THE MODERNA BIVALENT.. NO REACTION PATIENT NOTIFIED
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Feeling hot, Skin lesion, Swelling
Clinical narrative: Redness, swelling, warmth , and raise lesions
Age: 70.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Expired product administered, No adverse event
Clinical narrative: Expired vaccines was administered to patient just today.  Patient has not yet reported any adverse events.   We will contact manufacturer this week to verify what our next course of action should be.
Age: 70.0
Sex: M
Vaccine: PPV, PPV
Symptoms: Expired product administered
Clinical narrative: Expired vaccines was administered to patient just today.  Patient has not yet reported any adverse events.   We will contact manufacturer this week to verify what our next course of action should be.
Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was just administered an expired vaccine and we noticed it a few minutes ago when entering the information into  our system.  Patient has not yet reported any adverse events and we will follow up with the manufacturer this week to verify the proper course of action moving forward.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site nodule, Injection site swelling, Sensory disturbance
Clinical narrative: patient states after she received the vaccination (minutes after) her arm felt like a bee sting. She has a hard knot with redness and swelling at the injection site and on day 2 she states the redness is spreading on her arm
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Burning sensation, Headache, Herpes zoster, Pain in extremity
Clinical narrative: Patient called today to let us know she began yesterday with a shingles like rash on her chest area described as red, burning sensation with blisters (as if she was burned) and in her back area as well (although not as severe) along with the other typical reactions of fever, headache and arm pain. The typical side effects she said she felt the same day of administration, however the shingles type rash began yesterday 3-2-23. She has been taking tylenol for fever and placing cold towels over the rash for relief. I told her to see her physician and she stated she has an appointment on 3-9-23 and will discuss with her then. Also advised her to continue the cold towels for relief and tylenol if needed.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Rash
Clinical narrative: Patient called today to let us know she began yesterday with a shingles like rash on her chest area described as red, burning sensation with blisters (as if she was burned) and in her back area as well (although not as severe) along with the other typical reactions of fever, headache and arm pain. The typical side effects she said she felt the same day of administration, however the shingles type rash began yesterday 3-2-23. She has been taking tylenol for fever and placing cold towels over the rash for relief. I told her to see her physician and she stated she has an appointment on 3-9-23 and will discuss with her then. Also advised her to continue the cold towels for relief and tylenol if needed.
Age: 45.0
Sex: F
Vaccine: PNC20
Symptoms: Chills, Headache, Pain
Clinical narrative: Chills, body aches, headache
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Agitation, Condition aggravated, Disturbance in attention, Emotional disorder, Insomnia
Clinical narrative: Body felt like all my bones were broken when I woke up the next day I couldn't move I was in so much pain I could barely get out of bed for two weeks and the pain took 4 weeks to go away my mental health declined my meds didn't seem to be working I became very agitated for longer periods of time more manic than ever before as time went on I began to notice that now over a year later I have yet to be depressed once when before the booster shot I was depressed more than I was manic I would only have a manic episode maybe once every 6 months or so and it lasted only a day or two now it changes I'm never depressed but my manic episodes last anywhere from 3 days to the longest one lasting a week and a half and like right now I'm going on I guess you can call it a third manic cycle in a 3 week time span I finally come out of one just to go into another one a day or so later I'm starting to lose focus again I can't sleep the last time they happened like this I wasn't sleeping if I did it was only an hour or two and it lasted 3 months like this it's a total nightmare and instead of getting depressed it's like I'm a yoyo on a carnival ride doing jumping jacks that's how often my mood swings as and feelings and emotions change and there is nothing that can be done about it because it changes so often you can't learn anything from it to try and do anything about it and I think because of my mental health and lack of sleep it's caused short term memory loss issues I can't say it's for 100% sure the reason but idk what the cause is but it makes sense that it could be the booster shot completely changed my mental health and now I don't know how to deal with myself I can't function right I can't fix this I can't change this I'm am stuck and there's nothing that can help me so what am I suppose to do now
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Mania, Memory impairment, Mental impairment, Mobility decreased
Clinical narrative: Body felt like all my bones were broken when I woke up the next day I couldn't move I was in so much pain I could barely get out of bed for two weeks and the pain took 4 weeks to go away my mental health declined my meds didn't seem to be working I became very agitated for longer periods of time more manic than ever before as time went on I began to notice that now over a year later I have yet to be depressed once when before the booster shot I was depressed more than I was manic I would only have a manic episode maybe once every 6 months or so and it lasted only a day or two now it changes I'm never depressed but my manic episodes last anywhere from 3 days to the longest one lasting a week and a half and like right now I'm going on I guess you can call it a third manic cycle in a 3 week time span I finally come out of one just to go into another one a day or so later I'm starting to lose focus again I can't sleep the last time they happened like this I wasn't sleeping if I did it was only an hour or two and it lasted 3 months like this it's a total nightmare and instead of getting depressed it's like I'm a yoyo on a carnival ride doing jumping jacks that's how often my mood swings as and feelings and emotions change and there is nothing that can be done about it because it changes so often you can't learn anything from it to try and do anything about it and I think because of my mental health and lack of sleep it's caused short term memory loss issues I can't say it's for 100% sure the reason but idk what the cause is but it makes sense that it could be the booster shot completely changed my mental health and now I don't know how to deal with myself I can't function right I can't fix this I can't change this I'm am stuck and there's nothing that can help me so what am I suppose to do now