chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging head abnormal, Stenosis
Clinical narrative: Hospitalized May '22 for acute stroke syndrome. Presented with new onset left sided weakness and dizziness. MRI showed acute ischemia in the right pons. CTA showing posterior circulation multifocal stenosis. Was on aspirin and statin at time of event. Treated with the addition of Plavix for 21 days then to remain on monotherapy Plavix. Appears is back on her prior aspirin dose
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given the Pfizer booster vaccine for ages 5 years to 11 years; patient is 14 years old. Patient did not receive the correct amount of vaccine for his age.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursions occurred and Moderna determined the vial "maintained the activity necessary to protect against SARS CoV-2 virus at the time of administration".  Patient reported no adverse reactions.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Starting on 07/15/2022, he had vomiting, fever and fatigue. The vomiting lasted for about half a day. He tested positive with an At-Home COVID-19 test on 07/16/2022. The fever persisted for 2-3 days. Fatigue persisted for 5-6 days.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursion occurred and Moderna determined the vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration". Patient reported no adverse reactions.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: Covid-19- cold symptoms, fatigue, resolved in a week
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursion occurred and Moderna determined the vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration".  Patient reported no adverse reactions.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test, Vaccine breakthrough infection
Clinical narrative: Approximately 2 months after receiving my vaccine I developed breakthrough case of COVID-19. Was prescribed MAB therapy. Symptoms were very mild.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursion occurred and Moderna determined the vial "maintained the activity to protect against the SARS CoV-2 virus at the time of administration".  Patient reported no adverse reactions.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiogram cerebral, Anticoagulant therapy, Aphasia, Arteriogram carotid, Atrial fibrillation
Clinical narrative: pfizer injection 1  given 2/11/21 and 2 given 3/9/21 were given.  Hospital f/u last month for an acute episode of expressive aphasia and dysarthria. He has chronic AFib and is anticoagulated. Symptoms resolved after 15-25 minutes. Work up non-acute to include CTA h/n and brain MRI. Routine vascular labs normal. Compliant on Eliquis. No further events since discharge. During the hospitalization we did speak about his exertional dyspnea, of which I suspected was due to his AFib. Saw his cardiologist and is referred to EP for ablation consideration
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Barium swallow, Computerised tomogram head, Dysarthria, Dyspnoea exertional, Inappropriate schedule of product administration
Clinical narrative: pfizer injection 1  given 2/11/21 and 2 given 3/9/21 were given.  Hospital f/u last month for an acute episode of expressive aphasia and dysarthria. He has chronic AFib and is anticoagulated. Symptoms resolved after 15-25 minutes. Work up non-acute to include CTA h/n and brain MRI. Routine vascular labs normal. Compliant on Eliquis. No further events since discharge. During the hospitalization we did speak about his exertional dyspnea, of which I suspected was due to his AFib. Saw his cardiologist and is referred to EP for ablation consideration
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Laboratory test, Laboratory test normal, Magnetic resonance imaging head
Clinical narrative: pfizer injection 1  given 2/11/21 and 2 given 3/9/21 were given.  Hospital f/u last month for an acute episode of expressive aphasia and dysarthria. He has chronic AFib and is anticoagulated. Symptoms resolved after 15-25 minutes. Work up non-acute to include CTA h/n and brain MRI. Routine vascular labs normal. Compliant on Eliquis. No further events since discharge. During the hospitalization we did speak about his exertional dyspnea, of which I suspected was due to his AFib. Saw his cardiologist and is referred to EP for ablation consideration
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursions occurred and Moderna determined the vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration".  Patient reported no adverse reactions.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Given  adult dose. reported to parent. no adverse reactions reported at this time.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursions occurred and Moderna determined the vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration".  Patient reported no adverse reactions.
Age: 17.0
Sex: F
Vaccine: HPV9, MNQ
Symptoms: Unevaluable event
Clinical narrative: patient was present in clinic for shots today with mother, this would be 2nd MCV4 shot and 3rd HPV shot. pt received IM HPV and IM Meningococcal vaccine to left deltoid.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Atrophy of globe, C-reactive protein, Ear disorder, Ear pain, Facial pain
Clinical narrative: injection dates: 3/30/21, 5/4/21, 11/6/21, 3/31/22 10 days ago new onset right hemifacial pain. Seen by PCP and found to not have an inner ear infection per scope but the ear canal was sensitive and placed on a course of Augmentin. No improvement noted. The right temporal head regions is sensitive to the touch. He has some moderate to severe shooting pain deep within the ear that can shoot into the V1 distribution. Duration is about 5 seconds and frequency is several times per day. No change in severity/frequency since onset. Swallowing can be a trigger but nothing else has been noted. No vision changes. No dental pain. MRI showed advanced global atrophy but no nothing to explain the face pain
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Hyperaesthesia, Inappropriate schedule of product administration, Magnetic resonance imaging head abnormal, Pain, Red blood cell sedimentation rate
Clinical narrative: injection dates: 3/30/21, 5/4/21, 11/6/21, 3/31/22 10 days ago new onset right hemifacial pain. Seen by PCP and found to not have an inner ear infection per scope but the ear canal was sensitive and placed on a course of Augmentin. No improvement noted. The right temporal head regions is sensitive to the touch. He has some moderate to severe shooting pain deep within the ear that can shoot into the V1 distribution. Duration is about 5 seconds and frequency is several times per day. No change in severity/frequency since onset. Swallowing can be a trigger but nothing else has been noted. No vision changes. No dental pain. MRI showed advanced global atrophy but no nothing to explain the face pain
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID case.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Patient was given the wrong immunization. Patient was given a 3rd  COVID vaccine.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Headache, Myalgia
Clinical narrative: chills, fatigue, fever, rhinorrhea, sore throat, myalgias, weakness, headaches
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia, Rhinorrhoea
Clinical narrative: chills, fatigue, fever, rhinorrhea, sore throat, myalgias, weakness, headaches
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cellulitis, SARS-CoV-2 test positive
Clinical narrative: Patient admitted as observation on 7/15/22 then upgraded to inpatient status on 7/16/22 due to Left leg cellulitis.   Tested positive for COVID upon admission to Hospital.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Death, Device related infection, Hypernatraemia, Inappropriate schedule of product administration
Clinical narrative: pt first had a positive COVID test 12/2021; was admitted to hospital on 3/12/22 for septic shock due to HCAP and CAUTI; IV fluids and ABX given; no COVID symptoms and no treatment needed; hypernatremia; poor prognosis; transitioned to comfort measures; pt passed away in the hospital
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, SARS-CoV-2 test positive, Septic shock, Urinary tract infection
Clinical narrative: pt first had a positive COVID test 12/2021; was admitted to hospital on 3/12/22 for septic shock due to HCAP and CAUTI; IV fluids and ABX given; no COVID symptoms and no treatment needed; hypernatremia; poor prognosis; transitioned to comfort measures; pt passed away in the hospital
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: Positive and symptomatic for Covid.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiogram cerebral abnormal, Anticoagulant therapy, Aphasia, Cerebellar infarction, Cerebral artery thrombosis
Clinical narrative: injection dates: 12/30/2020,  1/21/2021, 11/3/21   Seen in hospital consultation last month for acute stroke syndrome. Presented with confusion and expressive aphasia at work. Imaging found large wedge shaped infarct in the left frontal lob. CTA with clot in the M2/M3 branch. Known h/o MTHFR coagulopathy. Numerous pulmonary embolism despite anticoagulation and antithrombotic therapy. She evidently was not medication complaint at the time of this event. Imaging also appreciated an old infarct in the right cerebellum. Other risk factors of obesity w/ metabolic syndrome. Discharged to home with outpatient therapy services and is off work during a period of recovery and f/u appointments. Still having trouble with expressive aphasia
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cerebral infarction, Cerebrovascular accident, Confusional state, Echocardiogram, Imaging procedure
Clinical narrative: injection dates: 12/30/2020,  1/21/2021, 11/3/21   Seen in hospital consultation last month for acute stroke syndrome. Presented with confusion and expressive aphasia at work. Imaging found large wedge shaped infarct in the left frontal lob. CTA with clot in the M2/M3 branch. Known h/o MTHFR coagulopathy. Numerous pulmonary embolism despite anticoagulation and antithrombotic therapy. She evidently was not medication complaint at the time of this event. Imaging also appreciated an old infarct in the right cerebellum. Other risk factors of obesity w/ metabolic syndrome. Discharged to home with outpatient therapy services and is off work during a period of recovery and f/u appointments. Still having trouble with expressive aphasia
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Inappropriate schedule of product administration, Laboratory test, Metabolic syndrome, Obesity, Pulmonary embolism
Clinical narrative: injection dates: 12/30/2020,  1/21/2021, 11/3/21   Seen in hospital consultation last month for acute stroke syndrome. Presented with confusion and expressive aphasia at work. Imaging found large wedge shaped infarct in the left frontal lob. CTA with clot in the M2/M3 branch. Known h/o MTHFR coagulopathy. Numerous pulmonary embolism despite anticoagulation and antithrombotic therapy. She evidently was not medication complaint at the time of this event. Imaging also appreciated an old infarct in the right cerebellum. Other risk factors of obesity w/ metabolic syndrome. Discharged to home with outpatient therapy services and is off work during a period of recovery and f/u appointments. Still having trouble with expressive aphasia
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Treatment noncompliance
Clinical narrative: injection dates: 12/30/2020,  1/21/2021, 11/3/21   Seen in hospital consultation last month for acute stroke syndrome. Presented with confusion and expressive aphasia at work. Imaging found large wedge shaped infarct in the left frontal lob. CTA with clot in the M2/M3 branch. Known h/o MTHFR coagulopathy. Numerous pulmonary embolism despite anticoagulation and antithrombotic therapy. She evidently was not medication complaint at the time of this event. Imaging also appreciated an old infarct in the right cerebellum. Other risk factors of obesity w/ metabolic syndrome. Discharged to home with outpatient therapy services and is off work during a period of recovery and f/u appointments. Still having trouble with expressive aphasia
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Pt recieved a booster dose of COVID -19 and dad had indicated after vaccine was given that pt may have rceived elsewhere.
Age: 12.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Tdap and Menactra were given too early. Tdap not due for 9 years, and Menactra not due for 3 years.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given to patient.  Patient received Moderna 6mo-5yr for first dose on 6/21/22 and was given Pfizer 6mo-4yr when they came for their second dose on 7/20/2022.    No adverse reactions observed after vaccination and parents deny any adverse reactions at home
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Oropharyngeal discomfort, Pharyngeal swelling, Throat tightness
Clinical narrative: Initially a mild wave of dizziness, followed by progressive throat over the course of 10 minutes closing.  Throat did not close completely, felt swollen and as though there was mucus to be cleared but there was not mucus present.  Was treated with 2 Benadryl tablets by the pharmacist.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary congestion
Clinical narrative: Developed lung congestion so I contacted my doctor who gave me prednisone and an antiviral. Still congested and taking antiviral as of today.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Paranasal sinus hypersecretion, Respiratory tract congestion
Clinical narrative: I had gone on vacation and had been on a long flight. My husband ended up in the hospital and I was there with him. A day or two later I had a runny nose, sinus drainage, congestion, and cough. I was tired but thought that may be because of the trip. My daughter had a COVID-19 Home Test and I took that I was positive. I took a baby Aspirin and about four days in I was doing better. The symptoms were really only like a mild cold.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had gone on vacation and had been on a long flight. My husband ended up in the hospital and I was there with him. A day or two later I had a runny nose, sinus drainage, congestion, and cough. I was tired but thought that may be because of the trip. My daughter had a COVID-19 Home Test and I took that I was positive. I took a baby Aspirin and about four days in I was doing better. The symptoms were really only like a mild cold.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Vaccine breakthrough infection
Clinical narrative: COVID-related death, breakthrough case
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pharyngeal swelling, Sensation of foreign body, Ultrasound scan
Clinical narrative: I got a lump in my throat, the scans came back and theres little lumps scattered around my lymph nodes, my throat area looks permanently swollen like there is a lump there
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Dysgeusia, Fatigue
Clinical narrative: The first day I had head and chest congestion. I felt like I had a cold. I kept having to blow my nose. I was having mild chills. I was feeling the symptoms of fatigue and more head cold like after four days.  I called the doctor on the third day from testing positive. I was given Paxlovid to take for my symptoms. I felt better about days after, I did get that bitter metallic taste in mouth.  Now every so often once a day I have a coughing fit. I have a tickle in the throat that makes me cough more at night. When I'm laying down it is more bothersome.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Nasopharyngitis, Pulmonary congestion, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: The first day I had head and chest congestion. I felt like I had a cold. I kept having to blow my nose. I was having mild chills. I was feeling the symptoms of fatigue and more head cold like after four days.  I called the doctor on the third day from testing positive. I was given Paxlovid to take for my symptoms. I felt better about days after, I did get that bitter metallic taste in mouth.  Now every so often once a day I have a coughing fit. I have a tickle in the throat that makes me cough more at night. When I'm laying down it is more bothersome.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Pyrexia
Clinical narrative: fever, cough, SOB
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event, Wrong product administered
Clinical narrative: Wrong vaccine given to patient.  Patient received Moderna 6mo-5yr for first dose on 6/21/22 and was given Pfizer 6mo-4yr when they came for their second dose on 7/20/2022.    No adverse reactions observed after vaccination and parents deny any adverse reactions at home
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Death, Hypophagia
Clinical narrative: pt admitted to hospital with a positive COVID test on 9/7/21; COVID pneumonia; AHRF; BiPAP dependent; pulls off BiPAP and O2 saturations dip to the 30s%; restraints used to keep from pulling O2 off; sedated; unable to take po; transitioned to comfort care with inpatient hospice; pt expired in the hospital
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Positive airway pressure therapy, SARS-CoV-2 test positive, Treatment noncompliance
Clinical narrative: pt admitted to hospital with a positive COVID test on 9/7/21; COVID pneumonia; AHRF; BiPAP dependent; pulls off BiPAP and O2 saturations dip to the 30s%; restraints used to keep from pulling O2 off; sedated; unable to take po; transitioned to comfort care with inpatient hospice; pt expired in the hospital
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, COVID-19, Cough, Exposure to SARS-CoV-2, Fatigue
Clinical narrative: I was exposed to COVID-19 from my husband who is a mail man. He tested positive on 07/21/2022. He began to isolate on a different level of the home after testing positive. However, on 07/23/2022 I had to take a pretty long nap and may have had a bit of a cough. Sunday morning, I woke up with a cough and a serious sore throat, so I decided to take and at home COVID-19 test and it was positive. As that day progressed, I started developing a headache. I called my doctor's office the next day and left a message to see if I qualified for antiviral medication. I picked up the PAXLOVID prescription that after noon 07/25/22 and began taking it that evening at around 5:30. That Tuesday, I had lost my sense of taste, had a major headache, fatigue, and was coughing a lot. I'm approaching the 10-day mark and I am still very tired and coughing a lot. I took an at home test this morning 08/02/2022 and it was negative, but I am still suffering from some of the symptoms just not as severely.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I was exposed to COVID-19 from my husband who is a mail man. He tested positive on 07/21/2022. He began to isolate on a different level of the home after testing positive. However, on 07/23/2022 I had to take a pretty long nap and may have had a bit of a cough. Sunday morning, I woke up with a cough and a serious sore throat, so I decided to take and at home COVID-19 test and it was positive. As that day progressed, I started developing a headache. I called my doctor's office the next day and left a message to see if I qualified for antiviral medication. I picked up the PAXLOVID prescription that after noon 07/25/22 and began taking it that evening at around 5:30. That Tuesday, I had lost my sense of taste, had a major headache, fatigue, and was coughing a lot. I'm approaching the 10-day mark and I am still very tired and coughing a lot. I took an at home test this morning 08/02/2022 and it was negative, but I am still suffering from some of the symptoms just not as severely.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Gangrene, Osteomyelitis, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test
Clinical narrative: Pt was admitted to the hospital on 7/27 for gangrene of the toe of the right foot (with osteomyelitis). He was tested for COVID on 8/1 after having a fever and congestion the day prior.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy, Laboratory test, Neoplasm malignant, Peripheral swelling
Clinical narrative: arm near elbow got swollen size of a golfball, did biopsy, it is cancer, now receiving care at cancer center since the immunization
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fall, Hypokalaemia, Sinus arrhythmia
Clinical narrative: Hospitalized for weakness, fall, hypokalemia and sinus arrhythmia.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient/parent disclosed 2 previous vaccines, but not a 3rd. Our system said she was due for booster. Queried database, and no immediate response, so administered booster. After administration, database responded with information indicating that she had already gotten her booster in 12/2021. Is not eligible for 2nd booster, but received it at this visit.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive, Sudden cardiac death
Clinical narrative: 2/14/22 pt had a positive COVID test; 2/17/22 pt found at home by wife deceased in recliner; EMS contacted; sudden cardiac death; acute COVID 19; brought to ED
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Bradykinesia, Confusional state, Dizziness, Fatigue
Clinical narrative: Heart palpitations, brain fog, confusion, difficulty with speech, headache, weakness, dizziness, extreme fatigue, moving slow,  .palpitations are worse with activity.
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling abnormal, Headache, Palpitations, Speech disorder
Clinical narrative: Heart palpitations, brain fog, confusion, difficulty with speech, headache, weakness, dizziness, extreme fatigue, moving slow,  .palpitations are worse with activity.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after two Janssen vaccines Janssen 4/8/21 Lot# 042a21A;  Janssen 12/2/21 Lot# 213D21A;
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Acarodermatitis, Allergy test, Full blood count, Metabolic function test, Pallor
Clinical narrative: Pt had a rash start yesterday evening after she had gotten HepA vaccine and also eating. No new foods were tried. She has had the rash since last night. No meds given. Is pruritic, mom sees her itching it at times. No associated sx. No recent travel, no URI sx.  Rash and other nonspecific skin eruption noted.  The rash has not occurred previously.  The rash is widespread and diffuse in its location.  She describes the rash as red.  The rash is itching.  She denies any associated symptoms. Rash and other nonspecific skin eruptionpt with blanching macular rash, discussed use of Benadryl  monitor and if progresses RTC tomorrow ddx includes viral exanthem, allergic to component of Hep A vaccine or other source/restaurant food, or lower on ddx given interdiginous distribution and pruritius scabies
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Rash, Rash erythematous, Rash macular, Rash pruritic
Clinical narrative: Pt had a rash start yesterday evening after she had gotten HepA vaccine and also eating. No new foods were tried. She has had the rash since last night. No meds given. Is pruritic, mom sees her itching it at times. No associated sx. No recent travel, no URI sx.  Rash and other nonspecific skin eruption noted.  The rash has not occurred previously.  The rash is widespread and diffuse in its location.  She describes the rash as red.  The rash is itching.  She denies any associated symptoms. Rash and other nonspecific skin eruptionpt with blanching macular rash, discussed use of Benadryl  monitor and if progresses RTC tomorrow ddx includes viral exanthem, allergic to component of Hep A vaccine or other source/restaurant food, or lower on ddx given interdiginous distribution and pruritius scabies
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Pt.'s mom stated he was due for his booster, according to database at the time, he had two previous doses on 5/18/21 and 6/8/21 (not given within our clinic). After he left, mom called to let us know she was mistaken and he already received a booster dose on 3/8/22 (not given within our clinic). When going in to database to check this, there was a reconcilable vaccine and it was the 3/8/22 booster dose. He received a second booster or 4th dose.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three vaccines;  Pfizer 2/26/21 Lot# EN6200;  Pfizer 3/17/21 Lot# EN6207;  Pfizer 11/19/21 Lot# 30145BA ;
Age: 9.0
Sex: F
Vaccine: HEP, MMR, VARCEL
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Given to soon after 1st dose on 7/22/22 - no adverse reactions  noted.  Parent notified
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Brain natriuretic peptide, C-reactive protein increased, Cardiac telemetry abnormal
Clinical narrative: He received his second dose of Pfizer vaccine on 7/30, around noon and soon after developed a headache (more on left side) and an elevated temperature of 100F. Family was more attentive to symptoms following 2nd vaccine, given that after is first dose roughly 2 weeks ago, he developed a widespread rash on his face requiring IM Benadryl and steroids to control. Yesterday, he was very weak unable to assist with normal household chores and later he woke early this AM with 9/10 chest pain over parasternal region, radiating to his neck and left shoulder. Pain was stabbing, wax/waning, and lasted 20 minutes with associated SOB and palpitations. HR ranged from 60-120bpm per wrist monitor. Episode resolved when  flat. A second identical episode reoccurred roughly 4 hours later but was self resolved. He subsequently took one tablet of Chlortab antihistamine and Alka-Seltzer with minor relief in symptoms. Out of concern, family presented to ED for further workup. Family history pertinent for father with history of A. fib and myocarditis with COVID infection in October 2020.    Presented to the ED, 3 days s/p second Pfizer dose with sudden onset parasternal chest pain, palpitations, and shortness of breath with laboratory evaluation consistent with myocarditis.  Patient has a history of prior skin reaction following first dose of vaccine which subsequently required IM antihistamine oral steroids to alleviate.  Current symptoms developed within hours of second dose, beginning with headache and elevated temperatures, later transitioning to weakness, chest pain, and shortness of breath last night.  Pain described as parasternally radiating at times to neck and left shoulder and is not reproducible on exam.    Further cardiac history of MI related death in paternal grandfather in his 40s and additional multiple MIs in maternal grandfather in 50s.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest pain, Dyspnoea, Echocardiogram normal, Electrocardiogram ST segment elevation
Clinical narrative: He received his second dose of Pfizer vaccine on 7/30, around noon and soon after developed a headache (more on left side) and an elevated temperature of 100F. Family was more attentive to symptoms following 2nd vaccine, given that after is first dose roughly 2 weeks ago, he developed a widespread rash on his face requiring IM Benadryl and steroids to control. Yesterday, he was very weak unable to assist with normal household chores and later he woke early this AM with 9/10 chest pain over parasternal region, radiating to his neck and left shoulder. Pain was stabbing, wax/waning, and lasted 20 minutes with associated SOB and palpitations. HR ranged from 60-120bpm per wrist monitor. Episode resolved when  flat. A second identical episode reoccurred roughly 4 hours later but was self resolved. He subsequently took one tablet of Chlortab antihistamine and Alka-Seltzer with minor relief in symptoms. Out of concern, family presented to ED for further workup. Family history pertinent for father with history of A. fib and myocarditis with COVID infection in October 2020.    Presented to the ED, 3 days s/p second Pfizer dose with sudden onset parasternal chest pain, palpitations, and shortness of breath with laboratory evaluation consistent with myocarditis.  Patient has a history of prior skin reaction following first dose of vaccine which subsequently required IM antihistamine oral steroids to alleviate.  Current symptoms developed within hours of second dose, beginning with headache and elevated temperatures, later transitioning to weakness, chest pain, and shortness of breath last night.  Pain described as parasternally radiating at times to neck and left shoulder and is not reproducible on exam.    Further cardiac history of MI related death in paternal grandfather in his 40s and additional multiple MIs in maternal grandfather in 50s.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Full blood count, Headache, Laboratory test abnormal, Loss of personal independence in daily activities
Clinical narrative: He received his second dose of Pfizer vaccine on 7/30, around noon and soon after developed a headache (more on left side) and an elevated temperature of 100F. Family was more attentive to symptoms following 2nd vaccine, given that after is first dose roughly 2 weeks ago, he developed a widespread rash on his face requiring IM Benadryl and steroids to control. Yesterday, he was very weak unable to assist with normal household chores and later he woke early this AM with 9/10 chest pain over parasternal region, radiating to his neck and left shoulder. Pain was stabbing, wax/waning, and lasted 20 minutes with associated SOB and palpitations. HR ranged from 60-120bpm per wrist monitor. Episode resolved when  flat. A second identical episode reoccurred roughly 4 hours later but was self resolved. He subsequently took one tablet of Chlortab antihistamine and Alka-Seltzer with minor relief in symptoms. Out of concern, family presented to ED for further workup. Family history pertinent for father with history of A. fib and myocarditis with COVID infection in October 2020.    Presented to the ED, 3 days s/p second Pfizer dose with sudden onset parasternal chest pain, palpitations, and shortness of breath with laboratory evaluation consistent with myocarditis.  Patient has a history of prior skin reaction following first dose of vaccine which subsequently required IM antihistamine oral steroids to alleviate.  Current symptoms developed within hours of second dose, beginning with headache and elevated temperatures, later transitioning to weakness, chest pain, and shortness of breath last night.  Pain described as parasternally radiating at times to neck and left shoulder and is not reproducible on exam.    Further cardiac history of MI related death in paternal grandfather in his 40s and additional multiple MIs in maternal grandfather in 50s.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Myocarditis, Neck pain, Pain, Palpitations
Clinical narrative: He received his second dose of Pfizer vaccine on 7/30, around noon and soon after developed a headache (more on left side) and an elevated temperature of 100F. Family was more attentive to symptoms following 2nd vaccine, given that after is first dose roughly 2 weeks ago, he developed a widespread rash on his face requiring IM Benadryl and steroids to control. Yesterday, he was very weak unable to assist with normal household chores and later he woke early this AM with 9/10 chest pain over parasternal region, radiating to his neck and left shoulder. Pain was stabbing, wax/waning, and lasted 20 minutes with associated SOB and palpitations. HR ranged from 60-120bpm per wrist monitor. Episode resolved when  flat. A second identical episode reoccurred roughly 4 hours later but was self resolved. He subsequently took one tablet of Chlortab antihistamine and Alka-Seltzer with minor relief in symptoms. Out of concern, family presented to ED for further workup. Family history pertinent for father with history of A. fib and myocarditis with COVID infection in October 2020.    Presented to the ED, 3 days s/p second Pfizer dose with sudden onset parasternal chest pain, palpitations, and shortness of breath with laboratory evaluation consistent with myocarditis.  Patient has a history of prior skin reaction following first dose of vaccine which subsequently required IM antihistamine oral steroids to alleviate.  Current symptoms developed within hours of second dose, beginning with headache and elevated temperatures, later transitioning to weakness, chest pain, and shortness of breath last night.  Pain described as parasternally radiating at times to neck and left shoulder and is not reproducible on exam.    Further cardiac history of MI related death in paternal grandfather in his 40s and additional multiple MIs in maternal grandfather in 50s.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Red blood cell sedimentation rate increased, Sinus bradycardia, Troponin increased, Ventricular extrasystoles
Clinical narrative: He received his second dose of Pfizer vaccine on 7/30, around noon and soon after developed a headache (more on left side) and an elevated temperature of 100F. Family was more attentive to symptoms following 2nd vaccine, given that after is first dose roughly 2 weeks ago, he developed a widespread rash on his face requiring IM Benadryl and steroids to control. Yesterday, he was very weak unable to assist with normal household chores and later he woke early this AM with 9/10 chest pain over parasternal region, radiating to his neck and left shoulder. Pain was stabbing, wax/waning, and lasted 20 minutes with associated SOB and palpitations. HR ranged from 60-120bpm per wrist monitor. Episode resolved when  flat. A second identical episode reoccurred roughly 4 hours later but was self resolved. He subsequently took one tablet of Chlortab antihistamine and Alka-Seltzer with minor relief in symptoms. Out of concern, family presented to ED for further workup. Family history pertinent for father with history of A. fib and myocarditis with COVID infection in October 2020.    Presented to the ED, 3 days s/p second Pfizer dose with sudden onset parasternal chest pain, palpitations, and shortness of breath with laboratory evaluation consistent with myocarditis.  Patient has a history of prior skin reaction following first dose of vaccine which subsequently required IM antihistamine oral steroids to alleviate.  Current symptoms developed within hours of second dose, beginning with headache and elevated temperatures, later transitioning to weakness, chest pain, and shortness of breath last night.  Pain described as parasternally radiating at times to neck and left shoulder and is not reproducible on exam.    Further cardiac history of MI related death in paternal grandfather in his 40s and additional multiple MIs in maternal grandfather in 50s.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: He received his second dose of Pfizer vaccine on 7/30, around noon and soon after developed a headache (more on left side) and an elevated temperature of 100F. Family was more attentive to symptoms following 2nd vaccine, given that after is first dose roughly 2 weeks ago, he developed a widespread rash on his face requiring IM Benadryl and steroids to control. Yesterday, he was very weak unable to assist with normal household chores and later he woke early this AM with 9/10 chest pain over parasternal region, radiating to his neck and left shoulder. Pain was stabbing, wax/waning, and lasted 20 minutes with associated SOB and palpitations. HR ranged from 60-120bpm per wrist monitor. Episode resolved when  flat. A second identical episode reoccurred roughly 4 hours later but was self resolved. He subsequently took one tablet of Chlortab antihistamine and Alka-Seltzer with minor relief in symptoms. Out of concern, family presented to ED for further workup. Family history pertinent for father with history of A. fib and myocarditis with COVID infection in October 2020.    Presented to the ED, 3 days s/p second Pfizer dose with sudden onset parasternal chest pain, palpitations, and shortness of breath with laboratory evaluation consistent with myocarditis.  Patient has a history of prior skin reaction following first dose of vaccine which subsequently required IM antihistamine oral steroids to alleviate.  Current symptoms developed within hours of second dose, beginning with headache and elevated temperatures, later transitioning to weakness, chest pain, and shortness of breath last night.  Pain described as parasternally radiating at times to neck and left shoulder and is not reproducible on exam.    Further cardiac history of MI related death in paternal grandfather in his 40s and additional multiple MIs in maternal grandfather in 50s.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Ear pain, Fatigue, Feeling abnormal, Headache
Clinical narrative: I contracted COVID-19 on 06/09/2022 with symptoms of congestion, ear ache, headache, body aches, low grade fever, brain fog, and fatigue. I was prescribed a Z-Pack on 06/16/2022. I was also taking Sinex plus Mucus and Flonase for me symptoms. I was ill for 7 days before my symptoms began to resolve. I am still experiencing lingering brain fog and fatigue, but my other symptoms resolved.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 on 06/09/2022 with symptoms of congestion, ear ache, headache, body aches, low grade fever, brain fog, and fatigue. I was prescribed a Z-Pack on 06/16/2022. I was also taking Sinex plus Mucus and Flonase for me symptoms. I was ill for 7 days before my symptoms began to resolve. I am still experiencing lingering brain fog and fatigue, but my other symptoms resolved.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac arrest, Death, Endotracheal intubation, Infected skin ulcer
Clinical narrative: MODERNA COVID VACCINE #3 GIVEN 3/9/22, LOT #003J21-2A; 3/15/22 pt to ED in cardiac arrest, PEA; ROSC achieved after arrival to ED; intubated and sedated; septic shock, UTI, chronic sacral ulcer infection, positive for COVID; started on ABX and dexamethasone; concern for anoxic brain injury; poor neurological prognosis; family chose to withdraw care and pt expired in the hospital
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Pulseless electrical activity, SARS-CoV-2 test positive, Septic shock, Urinary tract infection
Clinical narrative: MODERNA COVID VACCINE #3 GIVEN 3/9/22, LOT #003J21-2A; 3/15/22 pt to ED in cardiac arrest, PEA; ROSC achieved after arrival to ED; intubated and sedated; septic shock, UTI, chronic sacral ulcer infection, positive for COVID; started on ABX and dexamethasone; concern for anoxic brain injury; poor neurological prognosis; family chose to withdraw care and pt expired in the hospital
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Ear pain, Fatigue, Headache, Oropharyngeal pain
Clinical narrative: I started getting symptoms on 7/6/2022. I woke up with a slight headache with a runny nose and sore throat. I was also fatigued. I thought it was my allergies. Then a few days later my symptoms were still there. I took an at home COVID-19 test that was positive. My ears were hurting and aching. I contacted my doctor and was prescribed Paxlovid. My symptoms lasted until 7/10/2022.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I started getting symptoms on 7/6/2022. I woke up with a slight headache with a runny nose and sore throat. I was also fatigued. I thought it was my allergies. Then a few days later my symptoms were still there. I took an at home COVID-19 test that was positive. My ears were hurting and aching. I contacted my doctor and was prescribed Paxlovid. My symptoms lasted until 7/10/2022.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Nasal congestion, Respiratory tract congestion
Clinical narrative: I received the vaccine on 04/27/2022. On 07/13/2022 I woke up with stuffy nose, congestion, cough and tired. On the 07/15/2022 I took a home test for Covid-19 and was positive. After I went to my local clinic and was prescribed cough medicine and NOHIST DM liq. Was told to take 5mil. 3x a day as needed. Symptoms lasted 3-4 days.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I received the vaccine on 04/27/2022. On 07/13/2022 I woke up with stuffy nose, congestion, cough and tired. On the 07/15/2022 I took a home test for Covid-19 and was positive. After I went to my local clinic and was prescribed cough medicine and NOHIST DM liq. Was told to take 5mil. 3x a day as needed. Symptoms lasted 3-4 days.
Age: 7.0
Sex: F
Vaccine: HEP, MMR, VARCEL
Symptoms: Inappropriate schedule of product administration
Clinical narrative: vaccines given to soon, 1st dose given 7/22/22
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, Dyspnoea, Pulmonary embolism
Clinical narrative: injection dates 11/22/21, 2/23/21, 3/19/21 pulmonary embolism, became short of breath on the morning of admission, presented to the ER and found to have a right sided PE. He was treated appropriately and admitted to hospital for further treatment and evaluation. taking Eliquis
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Swelling face
Clinical narrative: Patient reported to this professional that she began to experience generalized swelling of her hands and face approximately 45 minutes after she recieved her second COVID booster dose (4th dose). The patient denied trouble breathing, throat tightness, dizziness, nausea, tachycardia, hives, itching, stridors or cough. The patient refused the offer to receive an oral dose of benadryl from this professional upon presentation and instead agreed to be monitored periodically for the next few hours while at work. The patient later commented upon follow up that she took a dose of Benadryl once she returned home from work. Per the patient's report, the swelling in her face and hands gradually subsided over the next few days.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three vaccines: Pfizer 3/9/2021 batch/lot# EN6199; Pfizer 3/30/2021 batch/lot# EW8733; Pfizer 12/24/2021 batch/lot# 33025BD.
Age: 11.0
Sex: F
Vaccine: HEP, MMR, VARCEL
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 3 vaccines given to soon. 1st Dose given 7/22/22
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Oral herpes, Urticaria
Clinical narrative: developed hives.  Unknown if it was something I came into contact with i.e. chemicals in hot tub (but had used often since booster) or plant in yard.  They appeared beneath collarbone, on arms, legs, face.  Had a cold sore develop during the week after hives began.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after two Janssen vaccines Janssen 3/12/21 Lot# 1805020;  Janssen 11/18/21 Lot# 1855191
Age: 12.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID-19  02/02/2022  1 of 2  Comirnaty-PFR 30mcg   COVID-19  02/24/2022  2 of 2  Comirnaty-PFR t-s 30mcg     Patient admitted with COVID infection 8/1/22.
Age: 7.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Patient received DTaP+IPV after age 7 when she should have received Tdap
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal distension, Diarrhoea, Dizziness, Headache, Injection site pain
Clinical narrative: lethargic, nausea, diarrhea, muscle aches, pain all over (like nerve endings), headache, lightheadedness, swollen glands, swollen abdomen, arm pain (at vax site), peeling skin
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Lethargy, Lymphadenopathy, Myalgia, Nausea, Pain
Clinical narrative: lethargic, nausea, diarrhea, muscle aches, pain all over (like nerve endings), headache, lightheadedness, swollen glands, swollen abdomen, arm pain (at vax site), peeling skin
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Skin exfoliation
Clinical narrative: lethargic, nausea, diarrhea, muscle aches, pain all over (like nerve endings), headache, lightheadedness, swollen glands, swollen abdomen, arm pain (at vax site), peeling skin
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cardiomegaly, Chest X-ray abnormal, Death, Dyspnoea
Clinical narrative: 8/28/21 pt brought to ED with increasing SOB over past 4 days; pt states 4 dy ago she had a positive COVID test at a local pharmacy; sx have worsened since; O2 saturation 76% on RA; O2 supplementation - BiPAP; had a positive COVID test; CXR showed cardiomegaly, multifocal pneumonia, bilateral pleural effusion; given remdesivir, steroids, ABX, bronchodilators; dc'd ABX and given Baricitinib; pt had HTN and panic attacks; pt's condition worsened; desaturation into 70s% on BiPAP; continued to worsened; hospice called in and pt passed away in the hospital
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: General physical health deterioration, Hypertension, Malaise, Oxygen saturation decreased, Panic attack
Clinical narrative: 8/28/21 pt brought to ED with increasing SOB over past 4 days; pt states 4 dy ago she had a positive COVID test at a local pharmacy; sx have worsened since; O2 saturation 76% on RA; O2 supplementation - BiPAP; had a positive COVID test; CXR showed cardiomegaly, multifocal pneumonia, bilateral pleural effusion; given remdesivir, steroids, ABX, bronchodilators; dc'd ABX and given Baricitinib; pt had HTN and panic attacks; pt's condition worsened; desaturation into 70s% on BiPAP; continued to worsened; hospice called in and pt passed away in the hospital