chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: F
Vaccine: FLUR4
Symptoms: Pain, Sleep disorder
Clinical narrative: Left shoulder pain, varying in intensity. Loss of rage of motion, discomfort while sitting/sleeping. Shooting pain when arm is lifted. Pain and discomfort runs to elbow and left shoulder blade.  After 3 days I lost range of motion in my neck for approximately 48 hours
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Feeling cold, Gastrooesophageal reflux disease, Oropharyngeal pain, Pharyngitis, Streptococcus test negative
Clinical narrative: Mild sore throat lasting approx 3 weeks. Swollen pocket on left tonsil. Probable reflux.  Rapid strep test negative. Famotidine 40 mg tablet prescribed.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Tonsillar hypertrophy, Upper respiratory tract infection
Clinical narrative: Mild sore throat lasting approx 3 weeks. Swollen pocket on left tonsil. Probable reflux.  Rapid strep test negative. Famotidine 40 mg tablet prescribed.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was exposed to storage temperatures outside the recommended ranges. Patient did not need any treatment and did not have any symptom.
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood test, Computerised tomogram, Disorientation, Dysarthria, Facial paralysis
Clinical narrative: Starting 10/19/2022, I felt hazy and off. As the week went on, I became more disoriented. I couldn't follow the normal instructions in aerobics class. On Saturday, I was about to start celebrating my birthday and my daughter noticed that the right side of my face began to droop a little. My speech became slurred and I was taken by ambulance to the hospital. They did 2 CAT scans, an MRI and did lots of blood work. I was discharged with a diagnosis of TIA and told to see my cardiologist, GP, a neurologist and a vascular surgeon. On 10/26/2022, Plavix was discontinued and on 10/27/2022 Brilinta was added. I just started Baclofen 11/6/2022. I am feeling fine today but I am still scheduled to see the vascular surgeon on 11/9/2022 and wear a 30 day heart monitor. They want to watch me because I am at a higher risk for a full stroke.
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Feeling abnormal, Magnetic resonance imaging, Transient ischaemic attack
Clinical narrative: Starting 10/19/2022, I felt hazy and off. As the week went on, I became more disoriented. I couldn't follow the normal instructions in aerobics class. On Saturday, I was about to start celebrating my birthday and my daughter noticed that the right side of my face began to droop a little. My speech became slurred and I was taken by ambulance to the hospital. They did 2 CAT scans, an MRI and did lots of blood work. I was discharged with a diagnosis of TIA and told to see my cardiologist, GP, a neurologist and a vascular surgeon. On 10/26/2022, Plavix was discontinued and on 10/27/2022 Brilinta was added. I just started Baclofen 11/6/2022. I am feeling fine today but I am still scheduled to see the vascular surgeon on 11/9/2022 and wear a 30 day heart monitor. They want to watch me because I am at a higher risk for a full stroke.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case  dose 1 Moderna 2/2/21  012L20A dose 2 Pfizer 7/28/21  EW0173
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Culture urine, Cystitis, Cystitis interstitial, Dehydration, Feeding disorder
Clinical narrative: Starting in April she wasn't feeling well and had a bladder infection. She couldn't eat got nauseous, dehydrated and we had to take her into the emergency room. She was treated for the bladder infection and given fluids intravenously. They sent her home with antibiotics. By the end of June, we had to take her back to the emergency room as she was still not eating well, the bladder infection was not clearing up and she was still nauseous. Her PCP sent her to a urologist who has sent off cultures to help get the bladder infection cleared but the pain is persistent. They have checked her for interstitial cystitis but it was very mild and not enough to be causing all of this pain. The gynecologist is checking her for possible endometriosis.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nausea, Pain
Clinical narrative: Starting in April she wasn't feeling well and had a bladder infection. She couldn't eat got nauseous, dehydrated and we had to take her into the emergency room. She was treated for the bladder infection and given fluids intravenously. They sent her home with antibiotics. By the end of June, we had to take her back to the emergency room as she was still not eating well, the bladder infection was not clearing up and she was still nauseous. Her PCP sent her to a urologist who has sent off cultures to help get the bladder infection cleared but the pain is persistent. They have checked her for interstitial cystitis but it was very mild and not enough to be causing all of this pain. The gynecologist is checking her for possible endometriosis.
Age: 68.0
Sex: M
Vaccine: PPV, TDAP
Symptoms: Inappropriate schedule of product administration, No adverse event, Product administration error
Clinical narrative: NO ADVERSE REACTION TO THE VACCINES.  Vaccine error: System said to give Pneumo-Poly: PPSV23/ PCV. His last pneumo dose was PPSV23 on 7/7/2020. I ensured he was over 1 year from last dose. I administered Pneumo-Poly PPSV23/PCV.   I collaborated with immunization program.  The second dose of PPSV23 is not valid because this person should have received PCV as their second pneumo vaccine. The website, which is linked CDC gives more specifics.  It is confusing, but, in short, when a person has 1 dose of PPSV23 first: For guidance for patients who have already received a previous dose of PCV13 and/or PPSV23, Adults with previous PPSV23 only. Adults who have only received PPSV23 may receive a PCV (either PCV20 or PCV15) ?1 year after their last PPSV23 dose. When PCV15 is used in those with history of PPSV23 receipt, it need not be followed by another dose of PPSV23. I will call patient and explain. Per the immunization program 1 year from this dose, he can receive a PCV15 or PCV20. There should be no side effects that go along.
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: C-reactive protein, Computerised tomogram, Magnetic resonance imaging, Myalgia, X-ray
Clinical narrative: Muscle Pain
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive for COVID-19
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired Vaccine. Per Pfizer this is ok to administer before 10/19/22. Patient is fine. Does not need to be re vaccinated.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Feeling abnormal, Immunosuppressant drug therapy, SARS-CoV-2 test positive
Clinical narrative: Contracted COVID-19 and starred showing symptoms on 07/28/2022. Due to being on immunosuppressive medications, I scheduled an appointment at the Clinic. The doctor prescribed Lageviro and I followed up with my PCP,  Dr..
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was 11 years and 9 months old when she received the Covid Pfizer Bivalent , gray cap, for ages 12 and up.  No immediate adverse outcomes noted. Team Supervisor left voicemail notifying parent and requesting follow up phone call.  No return call by parent.  Attempted to reach out again via phone but no return call by parent. Parent did not leave any email address on consent form.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Cough, Fatigue, Headache, Pain
Clinical narrative: I have had a fever with chills. Body aches and sinus drainage with a cough. I also had a little bit of a headache but not much. and I am also tired.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Paranasal sinus hypersecretion, Pyrexia, SARS-CoV-2 test
Clinical narrative: I have had a fever with chills. Body aches and sinus drainage with a cough. I also had a little bit of a headache but not much. and I am also tired.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired Vaccine. Per Pfizer this is ok to administer before 10/19/22. Patient is fine. Does not need to be re vaccinated.
Age: 23.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus
Clinical narrative: patient was waiting in lobby for 15 min after getting fluarix. after about 10min she started itching bilateral forearms and feet.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cough, Fatigue, Oropharyngeal pain, Pyrexia, Respiratory tract congestion
Clinical narrative: Starting on 11/01/2022, I had a sore throat, cough, fatigue, slight fever, and congestion with a runny nose that lasted two to three days. I treated my symptoms with some ZYRTEC before calling the advice nurse. She advised that I speak with a physician. The physician advised that I take MUCINEX DM. I have been taking that for around three days and it seems to have helped. I no longer have a sore throat but do still have a bit of fatigue and congestion. However, it is not keeping me from my everyday activities.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: Starting on 11/01/2022, I had a sore throat, cough, fatigue, slight fever, and congestion with a runny nose that lasted two to three days. I treated my symptoms with some ZYRTEC before calling the advice nurse. She advised that I speak with a physician. The physician advised that I take MUCINEX DM. I have been taking that for around three days and it seems to have helped. I no longer have a sore throat but do still have a bit of fatigue and congestion. However, it is not keeping me from my everyday activities.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Condition aggravated, Heart rate increased, Palpitations
Clinical narrative: 7-10 days after shot had a A-Fib attack that lasted over 5 hours causing heart to race from normal to 150 beats per minute and blood pressure of 97/68, 89/60 can?t remember rest of readings taken. BP never registered over 100 for either value for the whole period. Pulse raced constantly. This happened after the 4th Covid shot from Moderna, but not as long or drastic.. In the same time period after the shot but thought it was a coincidence. Did report it and talked to a woman on the phone. Was never told to file a report, and also did not see a doctor that time. Again the first time was not as drastic as the this last episode was.
Age: 63.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Product storage error
Clinical narrative: Vaccine was exposed to storage temperatures outside the recommended ranges. Patient did not need any treatment and did not have any symptom.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired Vaccine. Per Pfizer this is ok if administered before 10/19/22. Patient is fine, does not need to be re vaccinated.
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Abdominal pain upper, Blood glucose normal, Dizziness, Hyperhidrosis, Hypertension
Clinical narrative: Three phfizer covid vaccine shots, this is my first with Moderna, on the morning about 1130 am after shot - feeling suddenly queasy intestinally, stomach hurting, feeling very ill - as if more and more to faint (as if circularly going down a drain).  I made it to the clinic, asked to be let down, after sitting, to lay on the floor with my knees up.  Was very very close to fainting.  BP was low 101/69, and so on as per nurse, sugar at 115.  I was sent to the hospital via ambulance.  Was tested, saline solution in arm.  Was sweating as per nurse and looked grayish.  The night of 04NOV22 was urinating almost every ten minutes all night long.  On day 07NOV22 (return to work), BP was found somewhat high.  150 over 79?.  This is not normal BP for me.
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypotension, Malaise, Nausea, Pallor, Pollakiuria
Clinical narrative: Three phfizer covid vaccine shots, this is my first with Moderna, on the morning about 1130 am after shot - feeling suddenly queasy intestinally, stomach hurting, feeling very ill - as if more and more to faint (as if circularly going down a drain).  I made it to the clinic, asked to be let down, after sitting, to lay on the floor with my knees up.  Was very very close to fainting.  BP was low 101/69, and so on as per nurse, sugar at 115.  I was sent to the hospital via ambulance.  Was tested, saline solution in arm.  Was sweating as per nurse and looked grayish.  The night of 04NOV22 was urinating almost every ten minutes all night long.  On day 07NOV22 (return to work), BP was found somewhat high.  150 over 79?.  This is not normal BP for me.
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Three phfizer covid vaccine shots, this is my first with Moderna, on the morning about 1130 am after shot - feeling suddenly queasy intestinally, stomach hurting, feeling very ill - as if more and more to faint (as if circularly going down a drain).  I made it to the clinic, asked to be let down, after sitting, to lay on the floor with my knees up.  Was very very close to fainting.  BP was low 101/69, and so on as per nurse, sugar at 115.  I was sent to the hospital via ambulance.  Was tested, saline solution in arm.  Was sweating as per nurse and looked grayish.  The night of 04NOV22 was urinating almost every ten minutes all night long.  On day 07NOV22 (return to work), BP was found somewhat high.  150 over 79?.  This is not normal BP for me.
Age: 36.0
Sex: F
Vaccine: UNK
Symptoms: Abdominal pain upper, Back pain, Dysstasia, Fatigue, Induration
Clinical narrative: I started to feel lower back pain and took Ibuprofen 200mg. I have never experienced a reaction to Ibuprofen. About 30 minutes later I started to feel excruciating pain in my stomach that would vary in intensity in waves and lasted for about 4 hours. I couldn't stand and had to sit down and put pressure on my stomach. It was felt mostly center and top left areas. My stomach felt hard and reminded me of pregnancy contractions (I am not pregnant). I was not nauseous and I had not consumed any alcohol. I tried eating something but it didn't help. I called the after-hours nurse since it was a Saturday night. She recommended watching it and getting checked in 4 hours or going to ER if no better. It improved around midnight and I went to sleep. I woke up feeling extremely exhausted but with no stomach pain.
Age: 36.0
Sex: F
Vaccine: UNK
Symptoms: Sitting disability
Clinical narrative: I started to feel lower back pain and took Ibuprofen 200mg. I have never experienced a reaction to Ibuprofen. About 30 minutes later I started to feel excruciating pain in my stomach that would vary in intensity in waves and lasted for about 4 hours. I couldn't stand and had to sit down and put pressure on my stomach. It was felt mostly center and top left areas. My stomach felt hard and reminded me of pregnancy contractions (I am not pregnant). I was not nauseous and I had not consumed any alcohol. I tried eating something but it didn't help. I called the after-hours nurse since it was a Saturday night. She recommended watching it and getting checked in 4 hours or going to ER if no better. It improved around midnight and I went to sleep. I woke up feeling extremely exhausted but with no stomach pain.
Age: 28.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient had not had previous COVID Vaccine immunizations, but was administered a bivalent booster instead of a monovalent dose. Patient was informed of the error, scheduled for dose 2 monovalent 3 weeks post vaccination.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vertigo positional
Clinical narrative: Vertigo especially with position changes.  Took Meclizine 25 mg twice.  Seems to be resolved after 24 hrs.
Age: 64.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: PATIENT RECEIVED HIGH DOSE INFLUENZA PRIOR TO AGE 65.  NO ADVERSE HEALTH EFFECTS.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, Oropharyngeal pain, Pain
Clinical narrative: I experienced a sore throat and extreme fatigue and body aches and headaches. I was given PAXLOVID for my symptoms. I took at home COVID-19 test on 09/20/2022. I have recovered from my symptoms.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I experienced a sore throat and extreme fatigue and body aches and headaches. I was given PAXLOVID for my symptoms. I took at home COVID-19 test on 09/20/2022. I have recovered from my symptoms.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Blood test, Bone densitometry, Dry mouth, Feeling cold
Clinical narrative: I had hot flashes/cold flashes, numb toes, mouth dryness. I also had some hair loss and very dry hair. I also lost a lot of hair on my temple. I also have an itchy ear.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Hair texture abnormal, Hot flush, Hypoaesthesia, Pruritus, Spinal X-ray
Clinical narrative: I had hot flashes/cold flashes, numb toes, mouth dryness. I also had some hair loss and very dry hair. I also lost a lot of hair on my temple. I also have an itchy ear.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: I had hot flashes/cold flashes, numb toes, mouth dryness. I also had some hair loss and very dry hair. I also lost a lot of hair on my temple. I also have an itchy ear.
Age: 33.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site discharge, No adverse event
Clinical narrative: Vaccine leaked from the injection site. No adverse event occured. The dose was repeated and was successful.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray normal, Dysstasia, Electrocardiogram normal
Clinical narrative: 74-year-old female presents emergency department by EMS from home.  She will history of CVA couple years ago.  She lives at home with her husband and has a caregiver come in to help out as well.  She was awake tonight and had a controlled fall.  She states she has been increasingly weak over the past year.  She does not want nursing home treatment and the husband states he will take her home.  EMS initially was going to go to refusal however she could not stand and pivot to get to the bathroom and she was brought in for evaluation.  No chest pain or difficulty breathing.  No injuries. Associated Symptoms: fall, fatigue, weakness
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Fatigue, Fluid intake reduced, Hypophagia, Laboratory test normal
Clinical narrative: 74-year-old female presents emergency department by EMS from home.  She will history of CVA couple years ago.  She lives at home with her husband and has a caregiver come in to help out as well.  She was awake tonight and had a controlled fall.  She states she has been increasingly weak over the past year.  She does not want nursing home treatment and the husband states he will take her home.  EMS initially was going to go to refusal however she could not stand and pivot to get to the bathroom and she was brought in for evaluation.  No chest pain or difficulty breathing.  No injuries. Associated Symptoms: fall, fatigue, weakness
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, SARS-CoV-2 test positive, Urine analysis normal
Clinical narrative: 74-year-old female presents emergency department by EMS from home.  She will history of CVA couple years ago.  She lives at home with her husband and has a caregiver come in to help out as well.  She was awake tonight and had a controlled fall.  She states she has been increasingly weak over the past year.  She does not want nursing home treatment and the husband states he will take her home.  EMS initially was going to go to refusal however she could not stand and pivot to get to the bathroom and she was brought in for evaluation.  No chest pain or difficulty breathing.  No injuries. Associated Symptoms: fall, fatigue, weakness
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Cyst, Eyelid ptosis, Laboratory test
Clinical narrative: Ptosis bilateral and fluid sac on left cheek ( size of a quarter)
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Gait inability, Pain in extremity, Peripheral swelling, Walking aid user
Clinical narrative: Day 2 my knee started to bother me, day 3, I couldn't walk.  My leg was swollen and very painful.  I still cannot walk without a  cane today
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, C-reactive protein increased, COVID-19, Chills, Cough
Clinical narrative: Discharge Provider: MD Primary Care Provider: PA Admission Date: 10/25/2022 Discharge Date: 10/30/2022  Patient is a 59 y.o. female with past and current medical history of biventricular heart failure due to NICM EF 18% with lifevest in place, DM II, obesity and OSA on CPAP; she presented to the hospital 10/26 after seeing Dr. in clinic with fatigue, weakness, and overall feeling poorly. Patient states she has also had chills, congestion and a cough for the past couple days. She tested positive for COVID-19 on 10/25, her symptoms and presentation were thought to be attributable to COVID infection. She was treated with 5 doses of Remdesivir. CRP declined back to normal.  Repeat echo on 10/26 looked largely unchanged. She will continue CHF GDMT unchanged along with as needed lasix. LifeVest was put back in place upon hospital discharge. She was discharged in stable condition and will follow up in the AHF office next week for ongoing care.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Fatigue, Feeling abnormal, Malaise, Respiratory tract congestion
Clinical narrative: Discharge Provider: MD Primary Care Provider: PA Admission Date: 10/25/2022 Discharge Date: 10/30/2022  Patient is a 59 y.o. female with past and current medical history of biventricular heart failure due to NICM EF 18% with lifevest in place, DM II, obesity and OSA on CPAP; she presented to the hospital 10/26 after seeing Dr. in clinic with fatigue, weakness, and overall feeling poorly. Patient states she has also had chills, congestion and a cough for the past couple days. She tested positive for COVID-19 on 10/25, her symptoms and presentation were thought to be attributable to COVID infection. She was treated with 5 doses of Remdesivir. CRP declined back to normal.  Repeat echo on 10/26 looked largely unchanged. She will continue CHF GDMT unchanged along with as needed lasix. LifeVest was put back in place upon hospital discharge. She was discharged in stable condition and will follow up in the AHF office next week for ongoing care.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider: PA Admission Date: 10/25/2022 Discharge Date: 10/30/2022  Patient is a 59 y.o. female with past and current medical history of biventricular heart failure due to NICM EF 18% with lifevest in place, DM II, obesity and OSA on CPAP; she presented to the hospital 10/26 after seeing Dr. in clinic with fatigue, weakness, and overall feeling poorly. Patient states she has also had chills, congestion and a cough for the past couple days. She tested positive for COVID-19 on 10/25, her symptoms and presentation were thought to be attributable to COVID infection. She was treated with 5 doses of Remdesivir. CRP declined back to normal.  Repeat echo on 10/26 looked largely unchanged. She will continue CHF GDMT unchanged along with as needed lasix. LifeVest was put back in place upon hospital discharge. She was discharged in stable condition and will follow up in the AHF office next week for ongoing care.
Age: 59.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Extra dose administered, Injection site discharge, No adverse event
Clinical narrative: Vaccine leaked from the injection site. No adverse event occured. The dose was reattempted intradermally and was succssful.
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site discharge, Underdose
Clinical narrative: When administering the booster for moderna some of the vaccine dripped out so the full dose was not recieved
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: Erythema, Nodule, Pain, Pruritus, Skin induration
Clinical narrative: Patient experienced itching, redness, warmth to the touch, raised knot and hardness and body aches. No treatment. Monitoring only.
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: Skin warm, Swelling
Clinical narrative: Patient experienced itching, redness, warmth to the touch, raised knot and hardness and body aches. No treatment. Monitoring only.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Influenza like illness, Wrong product administered
Clinical narrative: Patient received the COVID Bi-valent vaccine when her intentions were to get a seasonal flu vaccine.  She developed flu-like symptoms for 2 days after receiving the COVID Vaccine.  There was miscommunication at the pharmacy between the administrator and the patient on what vaccine she was receiving.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse event. Notified parents and primary PCP.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Choking, Cough, Dyspnoea, Pain, Secretion discharge
Clinical narrative: Severe increase in breathing difficulty, I had to resort to O2 use constantly.Without the O2 my  Pulseox was reading an average of 87 with no energy spent and would drop into the low 80s from just walking.  Normal range in the 90s. I also was unable to sleep more than two hours at night. I could not lay down without a buildup of mucous which would choke me, I had to use my rescue inhaler and I was coughing excessively .  Also had body aches. This lasted just over two weeks.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Sleep disorder
Clinical narrative: Severe increase in breathing difficulty, I had to resort to O2 use constantly.Without the O2 my  Pulseox was reading an average of 87 with no energy spent and would drop into the low 80s from just walking.  Normal range in the 90s. I also was unable to sleep more than two hours at night. I could not lay down without a buildup of mucous which would choke me, I had to use my rescue inhaler and I was coughing excessively .  Also had body aches. This lasted just over two weeks.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site rash
Clinical narrative: rash at injection site for 4 days
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Feeling hot, Inflammation, Oropharyngeal pain, Rash, Rash pruritic
Clinical narrative: The rash was excruciating itching, rash was on face, neck, arm, trunk, legs and scalp, were itching. My cheeks were inflamed. Pin point it was a rash everywhere. The following morning, after the booster, I was itching, and I said to my granddaughter that I was getting a sore throat, and now I realized it was a symptom. So I felt like I had a bad sore throat. My face was hot and inflammed on the bridge of my nose and my cheeks. My face felt hot. The doctor suspected that it was a medication reaction to the booster and he prescribed a Medrol Dose Packets- Steroids. Went to a walk in clinic
Age: 33.0
Sex: M
Vaccine: FLU4
Symptoms: Headache, Nausea, Pain, Pyrexia
Clinical narrative: Full body m aches began around 30 hours after injection. Around 45 hours after injection the body aches began to subside and a fever began (max 101 degrees) accompanied by a bad headache. Temperature remained elevated, but no longer over 100 after 72 hours. Headache subsided around 72 hours. Nausea was also experienced from about 30-72 hours.
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Death, Life support, Resuscitation, Unresponsive to stimuli
Clinical narrative: Patient had dialysis on the morning of 11/4, received the covid vaccine and then went to a dermatologic office for a skin check. While he was getting checked he became unresponsive. CPR was started, patient came to the ER and ACLS care was given. Patient expired, Time of death was 13:17.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Breast swelling, Fatigue, Neuralgia, Paraesthesia
Clinical narrative: Left hand pins and needles, left leg nerve pain. Left breast pain and bump. Fatigue for 3 months.  Left hand pins and needles has not resolved.
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lip swelling
Clinical narrative: The patient was in pharmacy for her 4th Pfizer covid vaccination. Prior to vaccinating I asked her if she tolerated first covid vaccinations ok and she said yes but she did get lip swelling. Her first shot she had lip swelling on her drive home (lasted 4-5 hours, didn't take anything for it, went away on own, and never progressed). Second shot she had mild lip swelling. Third shot none that she can remember. Huddled with the RPh and doctor; and all agreed ok to vaccinate and monitor for 30 minutes. Within about 10 minutes she did say her lips started to feel like they were swelling. The patient declined Benadryl b/c of the drowsiness (she had to work).  Spoke with a PA and if the patient declined Benadryl offer Zyrtec. The patient took Zyrtec and left about 5 minutes later (advised to stay so we could monitor that lip swelling goes down). She was heading to work and would be around other people if she needed care. Counseled that if reaction progressed or did not get better to seek medical attention.  **Lip swelling was not visible to me - but patient could tell they were swelling a bit.   One hour after shot I followed up with the patient and her lips did not feel as swollen and she was feeling better.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Patient developed on 08/25/2021 w/ left deltoid pain after receiving the 1st dose of the COVID-19 immunization. Pain resolved about 8-9 weeks later. Patient developed right arm pain after the application of the 2nd dose of the COVID-19 immunization on 9/15/2021 on his right arm, which lasted about 8-9 weeks. After he received his 3rd shot of the COVID-19 "vaccine" on 05/05/2022 on his left arm, he developed again with stabbing pain. The pain on his left arm has been slowly increasing. At this moment the pain is of 2/10 intensity, but increases when he lays on it or when pressure is applied to 8/10 intensity. Pain decreases a few minutes after pressure is removed.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, Aortic valve incompetence, Atrial fibrillation, Atrial flutter
Clinical narrative: Discharge Provider: MD Admission Date: 10/24/2022 Discharge Date: Nov 4, 2022  PRESENTING PROBLEM: Febrile illness [R50.9] Cough, unspecified type [R05.9] COVID-19 [U07.1] COVID [U07.1]   HOSPITAL COURSE: Patient is an 81 year-old male with PMH T2DM on insulin, CKD3b, COPD on 2L, Diastolic Heart Failure (EF 61%), Alzheimer's, Squamous cell carcinoma of RLL of lung s/p resection, chemotherapy, and radiation, and recent ICU admission for bacterial pneumonia who presented with fever and cough.   On arrival to ED, he was found to be febrile, tachycardic, hypotensive. Pressures did not improve with fluids and vasopressors were started. COVID testing returned positive. Thoracic imaging showed bilateral infiltrates as well as subsegmental PE (no RH strain on echo). He was started on heparin, IV vancomycin and Zosyn, decadron, and remdesivir and admitted to the ICU. MRSA nares was negative so vancomycin was discontinued. He was quickly weaned off pressors and oxygenation improved, transferred to gen med floor 10/25.    Able to wean oxygen to room air however patient refuses pulse oximetry as well and is noncompliant with his nasal cannula so unclear if maintaining oxygen saturation.   Developed Afib/flutter 10/30 with rates up to 150-160. Improved with IV metoprolol 5 x2 however BP dropped to 80s/60s. Improved with 1L LR.  Cardiology recommended Toprol, patient currently on 12.5 2 times a day   Septic Shock Present on admission now resolved Suspected superimposed bacterial pneumonia: Multifocal pneumonia greatest involving in right lower lobe noted on CT: CXR concerning for pneumonia with initial shock req pressors Completed 5 day course of Zosyn   COVID Pneumonia Acute on chronic respiratory failure COVID+ on 10/24. Recent ICU admission for bacterial pneumonia. CXR shows small bilateral effusions and multifocal infiltrates.  - Continue Decadron 6mg once daily for total of 10 days - Completed remdesivir course - CURRENTLY ON ROOM AIR
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure decreased, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Computerised tomogram thorax abnormal
Clinical narrative: Discharge Provider: MD Admission Date: 10/24/2022 Discharge Date: Nov 4, 2022  PRESENTING PROBLEM: Febrile illness [R50.9] Cough, unspecified type [R05.9] COVID-19 [U07.1] COVID [U07.1]   HOSPITAL COURSE: Patient is an 81 year-old male with PMH T2DM on insulin, CKD3b, COPD on 2L, Diastolic Heart Failure (EF 61%), Alzheimer's, Squamous cell carcinoma of RLL of lung s/p resection, chemotherapy, and radiation, and recent ICU admission for bacterial pneumonia who presented with fever and cough.   On arrival to ED, he was found to be febrile, tachycardic, hypotensive. Pressures did not improve with fluids and vasopressors were started. COVID testing returned positive. Thoracic imaging showed bilateral infiltrates as well as subsegmental PE (no RH strain on echo). He was started on heparin, IV vancomycin and Zosyn, decadron, and remdesivir and admitted to the ICU. MRSA nares was negative so vancomycin was discontinued. He was quickly weaned off pressors and oxygenation improved, transferred to gen med floor 10/25.    Able to wean oxygen to room air however patient refuses pulse oximetry as well and is noncompliant with his nasal cannula so unclear if maintaining oxygen saturation.   Developed Afib/flutter 10/30 with rates up to 150-160. Improved with IV metoprolol 5 x2 however BP dropped to 80s/60s. Improved with 1L LR.  Cardiology recommended Toprol, patient currently on 12.5 2 times a day   Septic Shock Present on admission now resolved Suspected superimposed bacterial pneumonia: Multifocal pneumonia greatest involving in right lower lobe noted on CT: CXR concerning for pneumonia with initial shock req pressors Completed 5 day course of Zosyn   COVID Pneumonia Acute on chronic respiratory failure COVID+ on 10/24. Recent ICU admission for bacterial pneumonia. CXR shows small bilateral effusions and multifocal infiltrates.  - Continue Decadron 6mg once daily for total of 10 days - Completed remdesivir course - CURRENTLY ON ROOM AIR
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Echocardiogram normal, Ejection fraction normal, Hypotension, Imaging procedure abnormal
Clinical narrative: Discharge Provider: MD Admission Date: 10/24/2022 Discharge Date: Nov 4, 2022  PRESENTING PROBLEM: Febrile illness [R50.9] Cough, unspecified type [R05.9] COVID-19 [U07.1] COVID [U07.1]   HOSPITAL COURSE: Patient is an 81 year-old male with PMH T2DM on insulin, CKD3b, COPD on 2L, Diastolic Heart Failure (EF 61%), Alzheimer's, Squamous cell carcinoma of RLL of lung s/p resection, chemotherapy, and radiation, and recent ICU admission for bacterial pneumonia who presented with fever and cough.   On arrival to ED, he was found to be febrile, tachycardic, hypotensive. Pressures did not improve with fluids and vasopressors were started. COVID testing returned positive. Thoracic imaging showed bilateral infiltrates as well as subsegmental PE (no RH strain on echo). He was started on heparin, IV vancomycin and Zosyn, decadron, and remdesivir and admitted to the ICU. MRSA nares was negative so vancomycin was discontinued. He was quickly weaned off pressors and oxygenation improved, transferred to gen med floor 10/25.    Able to wean oxygen to room air however patient refuses pulse oximetry as well and is noncompliant with his nasal cannula so unclear if maintaining oxygen saturation.   Developed Afib/flutter 10/30 with rates up to 150-160. Improved with IV metoprolol 5 x2 however BP dropped to 80s/60s. Improved with 1L LR.  Cardiology recommended Toprol, patient currently on 12.5 2 times a day   Septic Shock Present on admission now resolved Suspected superimposed bacterial pneumonia: Multifocal pneumonia greatest involving in right lower lobe noted on CT: CXR concerning for pneumonia with initial shock req pressors Completed 5 day course of Zosyn   COVID Pneumonia Acute on chronic respiratory failure COVID+ on 10/24. Recent ICU admission for bacterial pneumonia. CXR shows small bilateral effusions and multifocal infiltrates.  - Continue Decadron 6mg once daily for total of 10 days - Completed remdesivir course - CURRENTLY ON ROOM AIR
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Left atrial volume increased, Left ventricular hypertrophy, Lung consolidation, Lung infiltration
Clinical narrative: Discharge Provider: MD Admission Date: 10/24/2022 Discharge Date: Nov 4, 2022  PRESENTING PROBLEM: Febrile illness [R50.9] Cough, unspecified type [R05.9] COVID-19 [U07.1] COVID [U07.1]   HOSPITAL COURSE: Patient is an 81 year-old male with PMH T2DM on insulin, CKD3b, COPD on 2L, Diastolic Heart Failure (EF 61%), Alzheimer's, Squamous cell carcinoma of RLL of lung s/p resection, chemotherapy, and radiation, and recent ICU admission for bacterial pneumonia who presented with fever and cough.   On arrival to ED, he was found to be febrile, tachycardic, hypotensive. Pressures did not improve with fluids and vasopressors were started. COVID testing returned positive. Thoracic imaging showed bilateral infiltrates as well as subsegmental PE (no RH strain on echo). He was started on heparin, IV vancomycin and Zosyn, decadron, and remdesivir and admitted to the ICU. MRSA nares was negative so vancomycin was discontinued. He was quickly weaned off pressors and oxygenation improved, transferred to gen med floor 10/25.    Able to wean oxygen to room air however patient refuses pulse oximetry as well and is noncompliant with his nasal cannula so unclear if maintaining oxygen saturation.   Developed Afib/flutter 10/30 with rates up to 150-160. Improved with IV metoprolol 5 x2 however BP dropped to 80s/60s. Improved with 1L LR.  Cardiology recommended Toprol, patient currently on 12.5 2 times a day   Septic Shock Present on admission now resolved Suspected superimposed bacterial pneumonia: Multifocal pneumonia greatest involving in right lower lobe noted on CT: CXR concerning for pneumonia with initial shock req pressors Completed 5 day course of Zosyn   COVID Pneumonia Acute on chronic respiratory failure COVID+ on 10/24. Recent ICU admission for bacterial pneumonia. CXR shows small bilateral effusions and multifocal infiltrates.  - Continue Decadron 6mg once daily for total of 10 days - Completed remdesivir course - CURRENTLY ON ROOM AIR
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Mental status changes, Pleural effusion, Pneumonia, Pneumonia bacterial, Pulmonary embolism
Clinical narrative: Discharge Provider: MD Admission Date: 10/24/2022 Discharge Date: Nov 4, 2022  PRESENTING PROBLEM: Febrile illness [R50.9] Cough, unspecified type [R05.9] COVID-19 [U07.1] COVID [U07.1]   HOSPITAL COURSE: Patient is an 81 year-old male with PMH T2DM on insulin, CKD3b, COPD on 2L, Diastolic Heart Failure (EF 61%), Alzheimer's, Squamous cell carcinoma of RLL of lung s/p resection, chemotherapy, and radiation, and recent ICU admission for bacterial pneumonia who presented with fever and cough.   On arrival to ED, he was found to be febrile, tachycardic, hypotensive. Pressures did not improve with fluids and vasopressors were started. COVID testing returned positive. Thoracic imaging showed bilateral infiltrates as well as subsegmental PE (no RH strain on echo). He was started on heparin, IV vancomycin and Zosyn, decadron, and remdesivir and admitted to the ICU. MRSA nares was negative so vancomycin was discontinued. He was quickly weaned off pressors and oxygenation improved, transferred to gen med floor 10/25.    Able to wean oxygen to room air however patient refuses pulse oximetry as well and is noncompliant with his nasal cannula so unclear if maintaining oxygen saturation.   Developed Afib/flutter 10/30 with rates up to 150-160. Improved with IV metoprolol 5 x2 however BP dropped to 80s/60s. Improved with 1L LR.  Cardiology recommended Toprol, patient currently on 12.5 2 times a day   Septic Shock Present on admission now resolved Suspected superimposed bacterial pneumonia: Multifocal pneumonia greatest involving in right lower lobe noted on CT: CXR concerning for pneumonia with initial shock req pressors Completed 5 day course of Zosyn   COVID Pneumonia Acute on chronic respiratory failure COVID+ on 10/24. Recent ICU admission for bacterial pneumonia. CXR shows small bilateral effusions and multifocal infiltrates.  - Continue Decadron 6mg once daily for total of 10 days - Completed remdesivir course - CURRENTLY ON ROOM AIR
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Sepsis, Septic shock, Speech disorder
Clinical narrative: Discharge Provider: MD Admission Date: 10/24/2022 Discharge Date: Nov 4, 2022  PRESENTING PROBLEM: Febrile illness [R50.9] Cough, unspecified type [R05.9] COVID-19 [U07.1] COVID [U07.1]   HOSPITAL COURSE: Patient is an 81 year-old male with PMH T2DM on insulin, CKD3b, COPD on 2L, Diastolic Heart Failure (EF 61%), Alzheimer's, Squamous cell carcinoma of RLL of lung s/p resection, chemotherapy, and radiation, and recent ICU admission for bacterial pneumonia who presented with fever and cough.   On arrival to ED, he was found to be febrile, tachycardic, hypotensive. Pressures did not improve with fluids and vasopressors were started. COVID testing returned positive. Thoracic imaging showed bilateral infiltrates as well as subsegmental PE (no RH strain on echo). He was started on heparin, IV vancomycin and Zosyn, decadron, and remdesivir and admitted to the ICU. MRSA nares was negative so vancomycin was discontinued. He was quickly weaned off pressors and oxygenation improved, transferred to gen med floor 10/25.    Able to wean oxygen to room air however patient refuses pulse oximetry as well and is noncompliant with his nasal cannula so unclear if maintaining oxygen saturation.   Developed Afib/flutter 10/30 with rates up to 150-160. Improved with IV metoprolol 5 x2 however BP dropped to 80s/60s. Improved with 1L LR.  Cardiology recommended Toprol, patient currently on 12.5 2 times a day   Septic Shock Present on admission now resolved Suspected superimposed bacterial pneumonia: Multifocal pneumonia greatest involving in right lower lobe noted on CT: CXR concerning for pneumonia with initial shock req pressors Completed 5 day course of Zosyn   COVID Pneumonia Acute on chronic respiratory failure COVID+ on 10/24. Recent ICU admission for bacterial pneumonia. CXR shows small bilateral effusions and multifocal infiltrates.  - Continue Decadron 6mg once daily for total of 10 days - Completed remdesivir course - CURRENTLY ON ROOM AIR
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Staphylococcus test negative, Superinfection, Supraventricular tachycardia, Systemic inflammatory response syndrome, Tachycardia
Clinical narrative: Discharge Provider: MD Admission Date: 10/24/2022 Discharge Date: Nov 4, 2022  PRESENTING PROBLEM: Febrile illness [R50.9] Cough, unspecified type [R05.9] COVID-19 [U07.1] COVID [U07.1]   HOSPITAL COURSE: Patient is an 81 year-old male with PMH T2DM on insulin, CKD3b, COPD on 2L, Diastolic Heart Failure (EF 61%), Alzheimer's, Squamous cell carcinoma of RLL of lung s/p resection, chemotherapy, and radiation, and recent ICU admission for bacterial pneumonia who presented with fever and cough.   On arrival to ED, he was found to be febrile, tachycardic, hypotensive. Pressures did not improve with fluids and vasopressors were started. COVID testing returned positive. Thoracic imaging showed bilateral infiltrates as well as subsegmental PE (no RH strain on echo). He was started on heparin, IV vancomycin and Zosyn, decadron, and remdesivir and admitted to the ICU. MRSA nares was negative so vancomycin was discontinued. He was quickly weaned off pressors and oxygenation improved, transferred to gen med floor 10/25.    Able to wean oxygen to room air however patient refuses pulse oximetry as well and is noncompliant with his nasal cannula so unclear if maintaining oxygen saturation.   Developed Afib/flutter 10/30 with rates up to 150-160. Improved with IV metoprolol 5 x2 however BP dropped to 80s/60s. Improved with 1L LR.  Cardiology recommended Toprol, patient currently on 12.5 2 times a day   Septic Shock Present on admission now resolved Suspected superimposed bacterial pneumonia: Multifocal pneumonia greatest involving in right lower lobe noted on CT: CXR concerning for pneumonia with initial shock req pressors Completed 5 day course of Zosyn   COVID Pneumonia Acute on chronic respiratory failure COVID+ on 10/24. Recent ICU admission for bacterial pneumonia. CXR shows small bilateral effusions and multifocal infiltrates.  - Continue Decadron 6mg once daily for total of 10 days - Completed remdesivir course - CURRENTLY ON ROOM AIR
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Tachypnoea, Treatment noncompliance
Clinical narrative: Discharge Provider: MD Admission Date: 10/24/2022 Discharge Date: Nov 4, 2022  PRESENTING PROBLEM: Febrile illness [R50.9] Cough, unspecified type [R05.9] COVID-19 [U07.1] COVID [U07.1]   HOSPITAL COURSE: Patient is an 81 year-old male with PMH T2DM on insulin, CKD3b, COPD on 2L, Diastolic Heart Failure (EF 61%), Alzheimer's, Squamous cell carcinoma of RLL of lung s/p resection, chemotherapy, and radiation, and recent ICU admission for bacterial pneumonia who presented with fever and cough.   On arrival to ED, he was found to be febrile, tachycardic, hypotensive. Pressures did not improve with fluids and vasopressors were started. COVID testing returned positive. Thoracic imaging showed bilateral infiltrates as well as subsegmental PE (no RH strain on echo). He was started on heparin, IV vancomycin and Zosyn, decadron, and remdesivir and admitted to the ICU. MRSA nares was negative so vancomycin was discontinued. He was quickly weaned off pressors and oxygenation improved, transferred to gen med floor 10/25.    Able to wean oxygen to room air however patient refuses pulse oximetry as well and is noncompliant with his nasal cannula so unclear if maintaining oxygen saturation.   Developed Afib/flutter 10/30 with rates up to 150-160. Improved with IV metoprolol 5 x2 however BP dropped to 80s/60s. Improved with 1L LR.  Cardiology recommended Toprol, patient currently on 12.5 2 times a day   Septic Shock Present on admission now resolved Suspected superimposed bacterial pneumonia: Multifocal pneumonia greatest involving in right lower lobe noted on CT: CXR concerning for pneumonia with initial shock req pressors Completed 5 day course of Zosyn   COVID Pneumonia Acute on chronic respiratory failure COVID+ on 10/24. Recent ICU admission for bacterial pneumonia. CXR shows small bilateral effusions and multifocal infiltrates.  - Continue Decadron 6mg once daily for total of 10 days - Completed remdesivir course - CURRENTLY ON ROOM AIR
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Back pain, Chest pain, Chills, Headache
Clinical narrative: Chills, body aches, joint pain, head ache, soreness in chest and back, congestion/runny nose, productive cough.  This is going on day 3
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Productive cough, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Chills, body aches, joint pain, head ache, soreness in chest and back, congestion/runny nose, productive cough.  This is going on day 3