chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood sodium decreased, COVID-19, Cough, Fatigue, Hyponatraemia
Clinical narrative: Patient with 3 Pfizer COVID vaccinations who admitted to hospital with COVID detected test.  Provider D/C note below:  "71-year-old male with a past medical history of ulcerative colitis and BPH.  He presented to the emergency department on 07/18/2022 with a chief complaint of fatigue.  He was diagnosed with COVID but did not require any oxygen supplementation and had minimal symptoms except for dry cough.  He was admitted to the hospital due to notable hyponatremia at 118. The patient does have a history of chronic hyponatremia of unclear etiology.  He was originally given fluids due to some poor oral intake at home but sodium actually decreased so further workup was performed.  Workup revealed SIADH so patient was placed on a fluid restriction and sodium tablets.  Nephrology was also consulted for further recommendations.  Labs were not revealing of an etiology of the SIADH, but COVID could have been a contributing factor.  Patient was also on Wellbutrin at home which was held due to the possibility that this could be contributing, states he has been on this for years but does not think it is helping him anymore so we discussed stopping and discussing with his PCP alternative treatment.  His sodium was very slow to improve, on day of discharge was 132 which is close to his baseline.  He was discharged home with instructions per Nephrology for continued fluid restriction given his chronic hyponatremia.  Labs are ordered for later this week to recheck.  He will follow-up with his PCP.  All questions were answered at time of discharge and patient was given strict return precautions to which he verbalized understanding."
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypophagia, Inappropriate antidiuretic hormone secretion, Laboratory test, SARS-CoV-2 test positive
Clinical narrative: Patient with 3 Pfizer COVID vaccinations who admitted to hospital with COVID detected test.  Provider D/C note below:  "71-year-old male with a past medical history of ulcerative colitis and BPH.  He presented to the emergency department on 07/18/2022 with a chief complaint of fatigue.  He was diagnosed with COVID but did not require any oxygen supplementation and had minimal symptoms except for dry cough.  He was admitted to the hospital due to notable hyponatremia at 118. The patient does have a history of chronic hyponatremia of unclear etiology.  He was originally given fluids due to some poor oral intake at home but sodium actually decreased so further workup was performed.  Workup revealed SIADH so patient was placed on a fluid restriction and sodium tablets.  Nephrology was also consulted for further recommendations.  Labs were not revealing of an etiology of the SIADH, but COVID could have been a contributing factor.  Patient was also on Wellbutrin at home which was held due to the possibility that this could be contributing, states he has been on this for years but does not think it is helping him anymore so we discussed stopping and discussing with his PCP alternative treatment.  His sodium was very slow to improve, on day of discharge was 132 which is close to his baseline.  He was discharged home with instructions per Nephrology for continued fluid restriction given his chronic hyponatremia.  Labs are ordered for later this week to recheck.  He will follow-up with his PCP.  All questions were answered at time of discharge and patient was given strict return precautions to which he verbalized understanding."
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cough, Decreased appetite, Dyspnoea
Clinical narrative: Patient received COVID-19 vaccine on 5/5/2021 and 5/27/2021, unknown lot number. Seen in ED on 7/2/2022 for weakness, cough, shortness of breath, and decreased appetite. Tested COVID-19 PCR positive in the ED. He was admitted from 7/2-7/13; during admission had new diagnosis of invasive squamous cell carcinoma of the lung. This meets criteria for vaccine breakthrough case review.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration, SARS-CoV-2 test positive, Squamous cell carcinoma of lung, Vaccine breakthrough infection
Clinical narrative: Patient received COVID-19 vaccine on 5/5/2021 and 5/27/2021, unknown lot number. Seen in ED on 7/2/2022 for weakness, cough, shortness of breath, and decreased appetite. Tested COVID-19 PCR positive in the ED. He was admitted from 7/2-7/13; during admission had new diagnosis of invasive squamous cell carcinoma of the lung. This meets criteria for vaccine breakthrough case review.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling
Clinical narrative: I received the vaccine 01/16/2021. Two week later I gotten a red slightly swollen arm and contacted my GP. Was told this was normal. Lasted about two weeks.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: HOSPITALIZED WITH COVID
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, COVID-19, Chills, Headache, Nausea
Clinical narrative: I had a headache and sore arm the day after the vaccine. On 06/12/22 I started feeling symptoms. I had chills and as the day progressed I felt congested and by the afternoon I had a fever with a bad headache and hurt all over. I also had severe stomach pain and nausea. I took a home test for COVID-19 and it was positive. I alternated ibuprofen and TYLENOL for the fever and headache. I had a telehealth visit with the emergency room. I was advised to contact my primary care doctor and with my rheumatologist for the prescription PAXLOVID. I did start feeling better after taking it. Two weeks later I developed pleurisy and in the emergency room. I was not admitted to hospital and was sent home with medication.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pleurisy, Pyrexia, Respiratory tract congestion
Clinical narrative: I had a headache and sore arm the day after the vaccine. On 06/12/22 I started feeling symptoms. I had chills and as the day progressed I felt congested and by the afternoon I had a fever with a bad headache and hurt all over. I also had severe stomach pain and nausea. I took a home test for COVID-19 and it was positive. I alternated ibuprofen and TYLENOL for the fever and headache. I had a telehealth visit with the emergency room. I was advised to contact my primary care doctor and with my rheumatologist for the prescription PAXLOVID. I did start feeling better after taking it. Two weeks later I developed pleurisy and in the emergency room. I was not admitted to hospital and was sent home with medication.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I had a headache and sore arm the day after the vaccine. On 06/12/22 I started feeling symptoms. I had chills and as the day progressed I felt congested and by the afternoon I had a fever with a bad headache and hurt all over. I also had severe stomach pain and nausea. I took a home test for COVID-19 and it was positive. I alternated ibuprofen and TYLENOL for the fever and headache. I had a telehealth visit with the emergency room. I was advised to contact my primary care doctor and with my rheumatologist for the prescription PAXLOVID. I did start feeling better after taking it. Two weeks later I developed pleurisy and in the emergency room. I was not admitted to hospital and was sent home with medication.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise, Paranasal sinus discomfort, SARS-CoV-2 test positive, Sinusitis
Clinical narrative: I suspected I was getting a sinus infection and we were coming home from a trip and I thought oh shoot I was coming back from my mother's memorial service and on Tuesday on the 19th I was not waiting any longer my face felt like it wanted to explode from the pressure from my sinuses and I was coughing. I didn't have fever or chills just what felt like a sinus infection. On the morning of the 20th I got up and was going to make an appointment and took a home test and before I could get on the phone with the physician's office it came up positive. They asked me how long I had tested positive and it was 2 minutes and they set up a telehealth appointment and on that appointment she prescribed PAXLOVID. I feel fine now and was only sick for 5 days. I had zero pressure in my face the next day after starting PAXLOVID.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Gastrointestinal haemorrhage
Clinical narrative: Patient admitted for GIB. Also found to have COVID infection with no symptoms.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Anti-Muellerian hormone level decreased, Anti-thyroid antibody positive, Blood follicle stimulating hormone increased, Blood testosterone normal
Clinical narrative: Abrupt onset of amenorrhea (LMP right before second dose) -
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: DNA test for fragile X, Dehydroepiandrosterone test, Karyotype analysis normal
Clinical narrative: Abrupt onset of amenorrhea (LMP right before second dose) -
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: She developed an itchy rash on her hands and feet that goes up her legs and arms. They are red flat small bumps. The rash extends to her palms and the balls of her feet.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Fatigue, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID infection. Tested positive 07/26/2022. Symptoms of shortness of breath and fatigue . Unsure onset of symptoms.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was immunized with vaccine that has beyond-use-date (BUD) of 7/15/22; MFG 11/20/21;EXP 10/31/22. No temperature excursion during this time period. We have reached out to Pfizer for additional information regarding vaccine viability past the BUD, currently waiting on response.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, COVID-19, Cough, Decreased appetite, Fatigue
Clinical narrative: About 2 months after receiving vaccine I was diagnosed with a breakthrough case of COVID-19. My symptoms include fatigue, body aches, hacking cough, loss of appetite and very elevated blood sugars.  Called doctor and was instructed to take 5 day course of Paxlovid. Symptoms began resolving with-in 48 hours.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test, Vaccine breakthrough infection
Clinical narrative: About 2 months after receiving vaccine I was diagnosed with a breakthrough case of COVID-19. My symptoms include fatigue, body aches, hacking cough, loss of appetite and very elevated blood sugars.  Called doctor and was instructed to take 5 day course of Paxlovid. Symptoms began resolving with-in 48 hours.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Feeling abnormal, Joint range of motion decreased, Malaise, Mobility decreased
Clinical narrative: Patient called clinic the day after receiving booster dose of Moderna Covid Vaccine.  The following is the transcript from call with nurse: Patient calls in to let you know that he had his COVID shot yesterday and made him very sick.  States he can't move his body again gravity.  Having trouble lifting his arms and everything hurts.  States in the middle of the night he developed a 104 degree temperature, body aches, and is just miserable.  He is only getting out of bed to go to the bathroom.  He is trying to push fluids.  He just wanted to let you know of his side effects.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Patient called clinic the day after receiving booster dose of Moderna Covid Vaccine.  The following is the transcript from call with nurse: Patient calls in to let you know that he had his COVID shot yesterday and made him very sick.  States he can't move his body again gravity.  Having trouble lifting his arms and everything hurts.  States in the middle of the night he developed a 104 degree temperature, body aches, and is just miserable.  He is only getting out of bed to go to the bathroom.  He is trying to push fluids.  He just wanted to let you know of his side effects.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient developed COVID after being vaccinated.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, VARCEL
Symptoms: Cellulitis, Diarrhoea, Pyrexia, Vomiting
Clinical narrative: 7-25-22 Pt. was seen as a new patient to establish care, patient received 3 vaccines DTP, POLIO AND VARICELLA   7-27-2022 Pt. was seen for fever, vomiting and diarrhea  Diagnosis: Left leg cellulites meds: Clindamycin 75mg/5ml ( 15ml po TID x 10 days   Pt. has a follow up appointment on 7-29-2022 via video visit
Age: 93.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Patient with 3 Pfizer COVID vaccinations who admitted to hospital with COVID detected test.  Provider D/C note:  "94 YO year old male with past medical history of  HTN presenting to Hospital with complaint of generalized weakness. Patient is a poor historian.  He likes to joke around without giving any straight forward answer. He is complaining generalized weakness, more so on his legs. He was admitted for COVID infection.  During his hospital stay, his breathing status worsen and we offered remdesivir and steroid per COVID protocol, we discussed risk and benefit with daughter, she declined the plan. Family decided to switch him to comfort care and they signed with hospice. "
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: Hospitalization for COVID pneumonia on dates  6/27/22- 6/28/22.  Treated with supportive treatment.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was immunized with vaccine that has beyond-use-date of 7/15/22;  11/20/21;EXP 10/31/22. No temperature excursion during this time period. We have reached out to Pfizer for additional information regarding vaccine viability past, currently waiting on response.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Abscess limb, COVID-19, Cellulitis, Cough, Erythema
Clinical narrative: Patient with 3 COVID vaccines who admitted with COVID detected test.  Provider d/c note: "87 yo male seen with Wife with PMHx parkinsons with PEG feeding tube, indwelling chronic foley, dementia, diabetes -2, CADs-CABG, remote stroke, HTN, CKDs, COPD with 3 prior hospital admissions in 2022 who states he bumped his left leg on a cement block last week Thursday. He was seen in the clinic the wound and placed on keflex however he states the leg has become redder and more swollen. He denies sig pain,chills or fever. He is admitted with a erythematous L distal cellulitis with hematoma with likely abscess formation with GS consult. He is fully covid vacc + booster (HPI per Dr)   Hospital Course: No notes on file LLE contusion   Hematoma formation s/p I and D 7/21.  daily dressings, pain control, no antibiotics indicated per Dr.     Incidental Covid 19 + mild cough, fully vaccinated monitor clinically. No hypoxia. Increasing oral secretions."
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Haematoma, Incisional drainage, Limb injury, Peripheral swelling, SARS-CoV-2 test positive
Clinical narrative: Patient with 3 COVID vaccines who admitted with COVID detected test.  Provider d/c note: "87 yo male seen with Wife with PMHx parkinsons with PEG feeding tube, indwelling chronic foley, dementia, diabetes -2, CADs-CABG, remote stroke, HTN, CKDs, COPD with 3 prior hospital admissions in 2022 who states he bumped his left leg on a cement block last week Thursday. He was seen in the clinic the wound and placed on keflex however he states the leg has become redder and more swollen. He denies sig pain,chills or fever. He is admitted with a erythematous L distal cellulitis with hematoma with likely abscess formation with GS consult. He is fully covid vacc + booster (HPI per Dr)   Hospital Course: No notes on file LLE contusion   Hematoma formation s/p I and D 7/21.  daily dressings, pain control, no antibiotics indicated per Dr.     Incidental Covid 19 + mild cough, fully vaccinated monitor clinically. No hypoxia. Increasing oral secretions."
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Secretion discharge
Clinical narrative: Patient with 3 COVID vaccines who admitted with COVID detected test.  Provider d/c note: "87 yo male seen with Wife with PMHx parkinsons with PEG feeding tube, indwelling chronic foley, dementia, diabetes -2, CADs-CABG, remote stroke, HTN, CKDs, COPD with 3 prior hospital admissions in 2022 who states he bumped his left leg on a cement block last week Thursday. He was seen in the clinic the wound and placed on keflex however he states the leg has become redder and more swollen. He denies sig pain,chills or fever. He is admitted with a erythematous L distal cellulitis with hematoma with likely abscess formation with GS consult. He is fully covid vacc + booster (HPI per Dr)   Hospital Course: No notes on file LLE contusion   Hematoma formation s/p I and D 7/21.  daily dressings, pain control, no antibiotics indicated per Dr.     Incidental Covid 19 + mild cough, fully vaccinated monitor clinically. No hypoxia. Increasing oral secretions."
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Cataract operation, Ophthalmological examination, Visual impairment
Clinical narrative: I had the vaccine in April but on 6/23/2022 I had a cataract surgery on my right eye, it went fine until Monday 6/27 evening that I had little tiny points vision, I called the doctor, and I went for an appointment, he dilated the eye, check to see if there any blood; doctor gave me eye drops to take for 1 month and almost done with the drops. Next appointment is August 8th, 2022. Doctor does not know why I had the tiny points in my vision. I also had a cataract surgery on my left eye on 6/30 with no problem.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Oropharyngeal pain, Pain
Clinical narrative: I developed a mild headache on 7/27 as well as a runny nose and body aches. I tested positive that night. I developed a high fever and sore throat and intermittent coughing. I called my PCP the night of 7/27 and was prescribed PAXLOVID which I'm currently taking.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I developed a mild headache on 7/27 as well as a runny nose and body aches. I tested positive that night. I developed a high fever and sore throat and intermittent coughing. I called my PCP the night of 7/27 and was prescribed PAXLOVID which I'm currently taking.
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Bacterial infection, COVID-19, Chest pain, Cough
Clinical narrative: Patient seen in the ED on 7/3 for weakness, chest pain, shortness of breath, dry cough, and dizziness. COVID-19 PCR test was done in the ED which was positive. Patient was admitted to the hospital from 7/3-7/5. Ultimately diagnosed with community-acquired pneumonia, bacterial infection suspected. This meets criteria for vaccine breakthrough case review.
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Pneumonia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient seen in the ED on 7/3 for weakness, chest pain, shortness of breath, dry cough, and dizziness. COVID-19 PCR test was done in the ED which was positive. Patient was admitted to the hospital from 7/3-7/5. Ultimately diagnosed with community-acquired pneumonia, bacterial infection suspected. This meets criteria for vaccine breakthrough case review.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Bladder catheterisation, COVID-19, Condition aggravated, Confusional state
Clinical narrative: Patient with 3 COVID Moderna vaccinations admitted COVID detected test.  Provider d/c note below:  "78 YO male history of chronic obstructive pulmonary disease, hypertension, sleep apnea, Parkinson's disease, recent COVID infection presented with weakness and confusion.  Patient subsequently admitted for evaluation and management of acute toxic, metabolic encephalopathy.   During his hospitalization stay, who suspected that his encephalopathy is stemming from recent COVID infection, worsening dementia in association with his Parkinson's disease and also medication induced from recent ropinirole increased.  Psychiatry was consulted who started patient on Zyprexa and decrease his dose of ropinirole.  He was also reported to have urinary retention with bilateral moderate hydronephrosis that resolved post Foley placement.  His encephalopathy has resolved after Zyprexa, decreased ropinirole dose and resolution of his urinary retention.  He will be transferred to Rehab. "
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dementia, Hydronephrosis, Parkinson's disease, SARS-CoV-2 test positive, Toxic encephalopathy
Clinical narrative: Patient with 3 COVID Moderna vaccinations admitted COVID detected test.  Provider d/c note below:  "78 YO male history of chronic obstructive pulmonary disease, hypertension, sleep apnea, Parkinson's disease, recent COVID infection presented with weakness and confusion.  Patient subsequently admitted for evaluation and management of acute toxic, metabolic encephalopathy.   During his hospitalization stay, who suspected that his encephalopathy is stemming from recent COVID infection, worsening dementia in association with his Parkinson's disease and also medication induced from recent ropinirole increased.  Psychiatry was consulted who started patient on Zyprexa and decrease his dose of ropinirole.  He was also reported to have urinary retention with bilateral moderate hydronephrosis that resolved post Foley placement.  His encephalopathy has resolved after Zyprexa, decreased ropinirole dose and resolution of his urinary retention.  He will be transferred to Rehab. "
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Urinary retention
Clinical narrative: Patient with 3 COVID Moderna vaccinations admitted COVID detected test.  Provider d/c note below:  "78 YO male history of chronic obstructive pulmonary disease, hypertension, sleep apnea, Parkinson's disease, recent COVID infection presented with weakness and confusion.  Patient subsequently admitted for evaluation and management of acute toxic, metabolic encephalopathy.   During his hospitalization stay, who suspected that his encephalopathy is stemming from recent COVID infection, worsening dementia in association with his Parkinson's disease and also medication induced from recent ropinirole increased.  Psychiatry was consulted who started patient on Zyprexa and decrease his dose of ropinirole.  He was also reported to have urinary retention with bilateral moderate hydronephrosis that resolved post Foley placement.  His encephalopathy has resolved after Zyprexa, decreased ropinirole dose and resolution of his urinary retention.  He will be transferred to Rehab. "
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Pain, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID infection.  Tested positive 07/27/2022. Symptoms of chills, body aches, cough. Unsure of onset of symptoms.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID infection.  Tested positive 07/27/2022. Symptoms of chills, body aches, cough. Unsure of onset of symptoms.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Nausea, Oropharyngeal pain, Pain
Clinical narrative: He tested positive for COVID-19 on 7/25/22. He had a cough, fever of 105 that day, and went down to 103 the next day, vomiting, sore throat, and body aches. We took him to the hospital because he was vomiting and had such a high fever. He continues to have a cough. He took 1 dose of TYLENOL at the hospital and ondansetron for nausea.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: He tested positive for COVID-19 on 7/25/22. He had a cough, fever of 105 that day, and went down to 103 the next day, vomiting, sore throat, and body aches. We took him to the hospital because he was vomiting and had such a high fever. He continues to have a cough. He took 1 dose of TYLENOL at the hospital and ondansetron for nausea.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: First dose Moderna under 5yr old dose second dose given Pfizer under 5 yrold dose mother advised will discuss with Pediatrician to get third dose as pfizer or moderna  Other children with mother all older than 5 got pfizer today other memers of family had without any side affects
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalization for Covid exacerbation on dates 6/27/22- 7/6/22. Treated with dexamethasone, ascorbic acid 1000mg daily, zinc sulfate 50mg daily
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was immunized with vaccine that has beyond-use-date (BUD) of 7/15/22; MFG 11/20/21;EXP 10/31/22. No temperature excursion during this time period. We have reached out to Pfizer for additional information regarding vaccine viability past the BUD, currently waiting on response.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia areata
Clinical narrative: Development of alopecia areata May 2022 (one month post receipt of 2nd COVID-19 booster).
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, Cough, Escherichia bacteraemia
Clinical narrative: Patient with history of COPD. She was brought into the ED on 7/3 by EMS for weakness and a fall. She additionally reported a cough. She was hypoxic per the paramedics and was placed on supplemental O2.  COVID-19 PCR test was done in the ED which was positive. Patient admitted from 7/3-7/12, discharge diagnoses included septic shock secondary to E. coli bacteremia and acute hypoxic respiratory failure secondary to COVID infection, among others. This meets criteria for vaccine breakthrough case review.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fall, SARS-CoV-2 test positive, Septic shock, Vaccine breakthrough infection
Clinical narrative: Patient with history of COPD. She was brought into the ED on 7/3 by EMS for weakness and a fall. She additionally reported a cough. She was hypoxic per the paramedics and was placed on supplemental O2.  COVID-19 PCR test was done in the ED which was positive. Patient admitted from 7/3-7/12, discharge diagnoses included septic shock secondary to E. coli bacteremia and acute hypoxic respiratory failure secondary to COVID infection, among others. This meets criteria for vaccine breakthrough case review.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Chills, Exposure to SARS-CoV-2
Clinical narrative: On June 30 I started with flu symptoms, chills, sore throat.  I had been on a Trip and knew that others on the trip had tested positive, so I took an at home Covid test.  The results were negative.  I tested again on July 2 and got negative result.  Since I had worsening symptoms I took another test on July 6 and the results were positive.  I called the Health Clinic.  Since my positive test was 6 days after my symptoms started I could not get a prescription for Paxlovid.  So I just had to live with Covid until it ran it's course.  I lost my senses of taste and smell had body aches for several days.  I still have not gotten my senses of taste and smell back.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza, Oropharyngeal pain, Pain, SARS-CoV-2 test positive
Clinical narrative: On June 30 I started with flu symptoms, chills, sore throat.  I had been on a Trip and knew that others on the trip had tested positive, so I took an at home Covid test.  The results were negative.  I tested again on July 2 and got negative result.  Since I had worsening symptoms I took another test on July 6 and the results were positive.  I called the Health Clinic.  Since my positive test was 6 days after my symptoms started I could not get a prescription for Paxlovid.  So I just had to live with Covid until it ran it's course.  I lost my senses of taste and smell had body aches for several days.  I still have not gotten my senses of taste and smell back.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Asthma, Blood test, Dyspnoea, Dyspnoea exertional, Electrocardiogram
Clinical narrative: Starting about a month after the second dose, I developed shortness of breath during hard exercise (ie  running at more than a jog).  After some time, I went to my doctor for review, close to Sept 2021.  I received a full set of tests (bloodwork, ECG, etc.).  I was then diagnosed with Asthma and prescribed an inhaler (Albuterol Sulfate) which has worked to reduce the problems since then.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Pain, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID infection. Tested positive 07/27/2022. Symptoms of fatigue and body aches. Unsure of onset of symptoms.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Eye swelling, Urticaria, Vomiting
Clinical narrative: Minutes After receiving Vaccine had hives vomiting and eye swelling
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Malaise
Clinical narrative: Hospitalization for covid symptoms on dates 6/27/22- 6/30/22.  Treated with ascorbic acid 1000mg daily, Vitamin D3  25 mcg daily, zinc sulfate 50mg daily.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy breast, Breast mass, Cytology, Monoclonal B-cell lymphocytosis
Clinical narrative: Developed monoclonal B lymphocytosis.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Patient received their second dose of Moderna at 4:14PM. 15 minutes post vaccination, mom stated the patient was complaining of chest pain. Patient described it as someone sitting on her chest. Denied difficulty breathing.  Patient was taken to triage area, vital signs taken, and called 911.  Two minutes later, mom stated to nurse that patient was experiencing slight difficulty breathing. Vital Signs were: BP 82/50  HR: 104  O2 97% on room air, RR : 22 normal with no retractions or wheezing.  Patient was speaking normally. No SOB noted. Patient was A& O x 4.  Mom stated patient had no reaction to first Moderna dose. No allergies to medications or foods. No rashes at injection site or on body.   RN handed off to paramedics who took patient to Hospital at 4:58PM.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Herpes zoster, Pain, Pruritus, Rash
Clinical narrative: The first indication was I had a lot of itching in the middle of my back. A couple days later I noticed a rash under my left breast and then I noticed on my left breast. And I thought maybe it was heat rash but it never got any better. And I tried over the counter medication and it was not getting better. I then went to the doctor 06/01/2022 and she looked at it and told me it was Shingles. And I think it was a normal produce with Shingles they turned into to blisters and I did not get a lot of scabbing but it took 5 weeks for the rash to go away. It was painful but not a constant pain but a shooting pain. There were times it was extremely painful.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Feeling abnormal, Headache, Nasal congestion, Oropharyngeal pain
Clinical narrative: I started with a sore throat and nasal congestion, I suffer from chronic sinus issue so I thought it was that. On the 6th I started feeling bad. I was achy with sore throat, nasal congestion and a crushing headache. I completed a at home COVID-19 test and it was positive. I went to the pharmacy and had a PCR test done and it was also positive. My doctor prescribed PAXLOVID and I started the same day. By Saturday the 9th, I had a sever headache with a metallic taste in my mouth. I was throwing up and the headache was so severe I almost went to the the ER. I continued the PAXLOVID and then my symptoms resolved and by Monday the 11th, I was back to normal. I still have a little fatigue but I feel I have made a complete recovery.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test positive
Clinical narrative: I started with a sore throat and nasal congestion, I suffer from chronic sinus issue so I thought it was that. On the 6th I started feeling bad. I was achy with sore throat, nasal congestion and a crushing headache. I completed a at home COVID-19 test and it was positive. I went to the pharmacy and had a PCR test done and it was also positive. My doctor prescribed PAXLOVID and I started the same day. By Saturday the 9th, I had a sever headache with a metallic taste in my mouth. I was throwing up and the headache was so severe I almost went to the the ER. I continued the PAXLOVID and then my symptoms resolved and by Monday the 11th, I was back to normal. I still have a little fatigue but I feel I have made a complete recovery.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Confusional state, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Pt to ED 7/21 for SOB, COVID+ two days prior 7/19. Pt is A&Ox2, Respirations even and unlabored. 7/22 pt maintained on Rocephin and Zithromax, add Decadron and remdesivir. 7/23 Pt A&OX3 w/ confusion. 7/24 Sepsis bpa score 9, pt alert with confusion, no distress noted. 7/25 Pt received AxO4 c no c/o pain, pt requested cough suppressant medication for coughing attacks. 7/26 No respiratory distress, pt A&OX4, with some confusion, denies pain or discomfort.  7/27 Pt with no, SOB denies respiratory distress. 7/28 Pt is aox4, on RA, not in distress, denies pain or sob. 7/29 pt discharged.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Feeling of body temperature change, Headache
Clinical narrative: I still have COVID-19 right now. It started with a lot of sneezing, coughing, sweating, hot and cold chills. I took a COVID-19 test at home, which was positive. I had an awful headache. Today is the 3rd or 4th day, and I am still sweating and coughing. Stuffy nose and congestion, mild fever today. I stopped sneezing, though. I am taking TYLENOL.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nasal congestion, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I still have COVID-19 right now. It started with a lot of sneezing, coughing, sweating, hot and cold chills. I took a COVID-19 test at home, which was positive. I had an awful headache. Today is the 3rd or 4th day, and I am still sweating and coughing. Stuffy nose and congestion, mild fever today. I stopped sneezing, though. I am taking TYLENOL.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: I still have COVID-19 right now. It started with a lot of sneezing, coughing, sweating, hot and cold chills. I took a COVID-19 test at home, which was positive. I had an awful headache. Today is the 3rd or 4th day, and I am still sweating and coughing. Stuffy nose and congestion, mild fever today. I stopped sneezing, though. I am taking TYLENOL.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Patient called and stated her arm had swelling the day after getting her booster. No other symptoms.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dizziness, Dyspnoea, Fatigue, Headache
Clinical narrative: I contracted COVID-19 around 06/20/2022 with symptoms of runny nose, sore throat, headache, fatigue, lightheaded, and shortness of breath. I was given monoclonal antibodies on 06/24/2022. I was ill for 7 to 8 days before my symptoms began to improve. I was later prescribed a steroidal inhaler for lingering shortness of breathe and fatigue that I used for 10 days. I am fully recovered with no lingering symptoms.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 around 06/20/2022 with symptoms of runny nose, sore throat, headache, fatigue, lightheaded, and shortness of breath. I was given monoclonal antibodies on 06/24/2022. I was ill for 7 to 8 days before my symptoms began to improve. I was later prescribed a steroidal inhaler for lingering shortness of breathe and fatigue that I used for 10 days. I am fully recovered with no lingering symptoms.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, SARS-CoV-2 test positive, Sneezing
Clinical narrative: I had fits of uncontrollable sneezing on July 20th. I just happened to take a test on the 21st and it was positive. I called my doctor and she gave me PAXLOVID due to my asthma. I finished the PAXLOVID on July 25th. During the whole time I only had sneezing and fatigue. I continued to work from home. I tested negative on 26th so returned to work.
Age: 17.0
Sex: F
Vaccine: MENB, TDAP
Symptoms: Cough, Dysgeusia, Wheezing
Clinical narrative: While in office, approximately 1-5minutes after administering the vaccine, patient reported having a metallic taste in her mouth.  Administered Two Benadryl Chewables by mouth  in office for possible Shot reaction. Later  that evening , mom contacted Dr. and reported patient was now  wheezing and developed a cough . Mom reported having administered rescue inhalers but had not seen any improvement.  Mom stated  all the symptoms started within hours of receiving  the vaccine. Mom was advised to start patient on her first dose of oral steroid as soon as possible and to continue for the following 3 days.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: Patient received undiluted pediatric dose .2ml Patient did not report any adverse reactions. Patients were notified and scheduled in 8 weeks for full adult booster, per CDC guidelines.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Vaccine breakthrough infection
Clinical narrative: COVID RELATED DEATH; BREAKTHROUGH CASE
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Diarrhoea, Feeling cold, Myalgia
Clinical narrative: About 60 hours later around 11PM I started having shakes and chills, diarrhea, precative fever, muscle/joint pain all over (pre-hip replacement) and vomiting. I didn?t take any medication I just laid down under a number of blankets to keep warm. The next day it was all over with.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tremor, Vomiting
Clinical narrative: About 60 hours later around 11PM I started having shakes and chills, diarrhea, precative fever, muscle/joint pain all over (pre-hip replacement) and vomiting. I didn?t take any medication I just laid down under a number of blankets to keep warm. The next day it was all over with.
Age: 7.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Ear pain, Headache, Oropharyngeal discomfort, Pain
Clinical narrative: Booster shot - within 15 minutes, bad headache on forehead reported. Pain that radiated to inner left ear. Reported throat also feeling weird. Gave water, didn't help. Ear pain reported following morning.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Hypoxia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient seen in the ED on 7/3 after a possible fall. She was found down at home by her daughter. Overall patient was weak in the ED and had  some increased wheezing. She was given a nebulizer treatment in the ED and afterwards felt improved. A COVID-19 PCR test was done in the ED and found to be positive. Ultimately patient was admitted from 7/3 - 7/6 for COVID-19 infection with mild acute hypoxia. This meets criteria for vaccine breakthrough case review.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: Patient seen in the ED on 7/3 after a possible fall. She was found down at home by her daughter. Overall patient was weak in the ED and had  some increased wheezing. She was given a nebulizer treatment in the ED and afterwards felt improved. A COVID-19 PCR test was done in the ED and found to be positive. Ultimately patient was admitted from 7/3 - 7/6 for COVID-19 infection with mild acute hypoxia. This meets criteria for vaccine breakthrough case review.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Rash erythematous
Clinical narrative: June 30th, 9pm, itch, itching, arms, scalp, buttocks, torso, thighs, front and back of torso. Wave in rash, pink in color like hive. Took Allegra, it did relieved itching. Continue with Allegra for 3 days, rash goes away, rash comes back. This continued from June 30th through July 21st.  It would come and go. If I had to be more specific, it would come every two days.  Have not been able to see a dermatologist. But it has now stopped.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Mobility decreased, Pain
Clinical narrative: 03/17/2022 I spent 6 out of 7 days in bed and then I was up and then back in bed for 5 days. The issues with this shot were so different. I may have been in pain but not nearly as bad as the first time. I was just too tired to do anything outside of feeding my pts and then eating myself and then back to bed. I remember being in the bed for 5 days and then everything was fine.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age, Product preparation issue
Clinical narrative: Patient was given undiluted pediatric dose .2ml dose given No reactions noted.  Patient notified and rescheduled for 8 weeks for full booster, per CDC guidelines
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Magnetic resonance imaging abnormal, Muscle injury, Oedema, Paraesthesia
Clinical narrative: Patient received vaccine on 11/8/2021. Patient reports injection site soreness worsening 2 days after receiving injection. Patient describes soreness as "a million needles" in entire right arm, into hand, and fingers. Patient followed up with Primary Care Physician. PCP referred patient to orthopedic specialist. Patient had MRI done. MRI showed "fluid" per patient. Patient got a second opinion from patient's employee's health center via phone visit with Dr.. On 7/29/2022, patient followed  up with Dr., sports medicine specialist. Per patient Dr. stated he could not rule out that the vaccine injection has caused "muscle damage." Plan is to refer patient for physical therapy.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Fall, Hip fracture, Hip surgery, SARS-CoV-2 test positive
Clinical narrative: Pt presented to hospital post fall with right hip fracture.  Pt also tested positive for covid. Required surgery for hip.  When stable pt discharged to SNF.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy, Pain, Pain in extremity, Skin warm
Clinical narrative: Very sore arm, more so than previous immunizations--hurts to lift to shoulder height, sore under arm, hot to touch, small lump forming in neck area by collar bone. Gave 400mg Ibuprofen on 7/29/2022 at 0945am
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age, Product preparation issue
Clinical narrative: Patient received undiluted pediatric dose .2ml Patient notified.  No reactions or side effects. Patient scheduled for full booster in 8 weeks per CDC guidelines.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Decreased appetite
Clinical narrative: I came down with covid on June 5...congestion, extreme fatigue, sick in bed for a week, dry cough, no appetite, loss of taste and smell...then another week but could get out of bed for periods of time
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Malaise, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I came down with covid on June 5...congestion, extreme fatigue, sick in bed for a week, dry cough, no appetite, loss of taste and smell...then another week but could get out of bed for periods of time
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Erythema, Feeling abnormal, Swelling face
Clinical narrative: 35 Y.O. female patient recieved Moderna booster on 7/28/22 @ 1605. Prior recieving the vaccine the patient told the vaccinator that she had a panic attack with her 1st dose vaccine and she was transferred to the ER. Patient didn't mention anything about recieving EPI PEN with her 1st dose. Patient recieved the vaccine on the gurney and was recommended to wait at least 15 min to check her vital signs prior leaving the clinic. At 1607 patient stated she's not feeling good and she's not able to breathe, Paient's face was swollen and red. At 1607 EPI PEN 0.3 mg and Benadryl IM 50mg/1ml was given to the patient. O2 at 6l/min via NC applied. Pt's respiration were even and unlabored. Skin color warm and dry. Her capillary refill was less than 2 sec. Patient's vital signs were as the following: At 1609 BP 173/90, HR 114, O2 (unable to get a readfing, patient had long acrelyic nails acrylic nails on toes as well we have tried her earlobes with no success). At 1611 BP 149/88 HR 117 O2 (no reading), At 1615  BP 174/84 HR 128 O2 (no reading). At 1607 emergency number was called.
Age: 97.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Osteomyelitis, SARS-CoV-2 test positive, Wound
Clinical narrative: Pt presented with wounds positive for osteomyelitis which rocephin was given. Pt also tested for covid asymptomatic,
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age, Product preparation issue
Clinical narrative: Patient was given undiluted pediatric dose .2ml Patient was contacted.  Left voicemail to return call to schedule full booster in 8 weeks, per CDC guidelines
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Nasal congestion, Productive cough
Clinical narrative: COVID-19 I tested positive for Covid on July 22, 2022, I experienced nasal congestion, mild headache, frequent cough with phlegm, no fever, those are the only symptoms that I've experienced. I sought a medical professional for my symptoms and was prescribed cough suppressant, the cough suppressant did not help so I went back to the Dr. and was prescribed hydrocodone cough suppressant.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: COVID-19 I tested positive for Covid on July 22, 2022, I experienced nasal congestion, mild headache, frequent cough with phlegm, no fever, those are the only symptoms that I've experienced. I sought a medical professional for my symptoms and was prescribed cough suppressant, the cough suppressant did not help so I went back to the Dr. and was prescribed hydrocodone cough suppressant.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was immunized with vaccine that has beyond-use-date (BUD) of 7/15/22; MFG 11/20/21;EXP 10/31/22. No temperature excursion during this time period. We have reached out to Pfizer for additional information regarding vaccine viability past the BUD, currently waiting on response.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dysphonia, Oropharyngeal pain, SARS-CoV-2 test positive, Vocal cord disorder
Clinical narrative: Home tested  6/28/2022 -  negative. Then home tested the next day 06/29/2022  and tested positive. Went to ER as I have Monoclonal Antibodies, compromised Immune System. Decided not to do a Chest X-ray. Part of my ailments was that I had been having a severe sore throat, and it's healed now but my vocal cords aren't the same. My voice is very raspy.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Nausea, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: I had a headache, nausea, sore throat, mild diarrhea. I took a test and it came back negative. I still have a runny nose but it's nothing serious. It is just really unusual because I never get nauseous.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: I had a headache, nausea, sore throat, mild diarrhea. I took a test and it came back negative. I still have a runny nose but it's nothing serious. It is just really unusual because I never get nauseous.