chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia, Respiratory tract congestion, Rhinorrhoea, Thyroid function test normal
Clinical narrative: I developed covid in July of 2022. the CDC rep who called after my last V-Safe check in said that since I had 3 covid vaccines and then got covid that I needed to fill this form out as an adverse reaction.  My sx were fever up to 101.7, chills, headache, muscle aches, fatigue, cough, chest congestion, runny nose and lasted for 4 days.  The headache and fatigue lasted weeks longer and it took a good 2 months before I felt back to normal.  I was on a low dose of BP med prior to covid but since covid my BP has been out of control and I am not maxed out on my first med (Lisinopril ) and Amlodipine  has been added.
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Fatigue, Nausea, Oropharyngeal pain
Clinical narrative: I experienced a breakthrough case of COVID-19 with sore throat, fatigue, vertigo, nausea and chills.
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test, Vaccine breakthrough infection, Vertigo
Clinical narrative: I experienced a breakthrough case of COVID-19 with sore throat, fatigue, vertigo, nausea and chills.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Chest pain, Pregnancy, SARS-CoV-2 test positive
Clinical narrative: 11/23/22 presents to ed for "chest pain" "COVID" "34 weeks pregnancy". PMHx of "graves' disease, anxiety disorder"
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, Cardiac resynchronisation therapy, Chest X-ray normal, Culture negative
Clinical narrative: Discharge Provider: MD Primary Care Provider:  PA Admission Date: 12/26/2022 Discharge Date: 1/4/2023  Clinical Narrative: Patient was recently discharged from this hospital on 12/12/2022 after a knee surgery, however while at the rehabilitation facility she was said to have contracted COVID and she was readmitted on 12/26/2022, managed for COVID-19 and also had antibiotics for possible superimposed bacterial pneumonia.  She has remained afebrile she is presently on room air saturating 94%, no leukocytosis today and cultures negative to date.  She was waiting for placement, I discussed with a case manager today and arrangements have been made for patient to be discharged back to facility.  I understand that the ultimate goal for this patient is to end up in facility afterwards.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Device function test, Diabetes mellitus management, Diuretic therapy, Echocardiogram normal, Ejection fraction normal
Clinical narrative: Discharge Provider: MD Primary Care Provider:  PA Admission Date: 12/26/2022 Discharge Date: 1/4/2023  Clinical Narrative: Patient was recently discharged from this hospital on 12/12/2022 after a knee surgery, however while at the rehabilitation facility she was said to have contracted COVID and she was readmitted on 12/26/2022, managed for COVID-19 and also had antibiotics for possible superimposed bacterial pneumonia.  She has remained afebrile she is presently on room air saturating 94%, no leukocytosis today and cultures negative to date.  She was waiting for placement, I discussed with a case manager today and arrangements have been made for patient to be discharged back to facility.  I understand that the ultimate goal for this patient is to end up in facility afterwards.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fluid retention, Hyponatraemia, Knee operation, Pain, Periprosthetic fracture
Clinical narrative: Discharge Provider: MD Primary Care Provider:  PA Admission Date: 12/26/2022 Discharge Date: 1/4/2023  Clinical Narrative: Patient was recently discharged from this hospital on 12/12/2022 after a knee surgery, however while at the rehabilitation facility she was said to have contracted COVID and she was readmitted on 12/26/2022, managed for COVID-19 and also had antibiotics for possible superimposed bacterial pneumonia.  She has remained afebrile she is presently on room air saturating 94%, no leukocytosis today and cultures negative to date.  She was waiting for placement, I discussed with a case manager today and arrangements have been made for patient to be discharged back to facility.  I understand that the ultimate goal for this patient is to end up in facility afterwards.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Renal function test normal, Stasis dermatitis, Surgery
Clinical narrative: Discharge Provider: MD Primary Care Provider:  PA Admission Date: 12/26/2022 Discharge Date: 1/4/2023  Clinical Narrative: Patient was recently discharged from this hospital on 12/12/2022 after a knee surgery, however while at the rehabilitation facility she was said to have contracted COVID and she was readmitted on 12/26/2022, managed for COVID-19 and also had antibiotics for possible superimposed bacterial pneumonia.  She has remained afebrile she is presently on room air saturating 94%, no leukocytosis today and cultures negative to date.  She was waiting for placement, I discussed with a case manager today and arrangements have been made for patient to be discharged back to facility.  I understand that the ultimate goal for this patient is to end up in facility afterwards.
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: Patient received a bivalent dose twice, inadvertently. He received a bivalent booster on 10/1/2022 and then came to this facility and received another bivalent dose on 1/7/2023, as he and the staff were unaware that his last booster was in fact a bivalent booster until after he had been vaccinated.
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given Adult Dose Pfizer Bivalent instead of the Pedia Dose Pfizer Bivalent.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough
Clinical narrative: Mild COVID infection with cough. Treated with paxlovid. Improvement in 24 hours. Symptom free in 48 hours.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Macule, Pallor, Rash
Clinical narrative: Patient with blanching erythematous macules about 1 cm in size across face, forehead, occiput, and on one heal. No work of breathing. Monitored for 30 minutes and rash resolved.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Burning sensation, COVID-19, Cough
Clinical narrative: I first noticed mental and memory fogginess, significant joint and hip pain. I had a burning in my legs that was significant, sinus problems, fatigue and lethargy. Runny nose, cough. sore throat, minor shortness of breath, I also had right upper abdominal pain. I now become winded easily.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Feeling abnormal, Lethargy, Oropharyngeal pain
Clinical narrative: I first noticed mental and memory fogginess, significant joint and hip pain. I had a burning in my legs that was significant, sinus problems, fatigue and lethargy. Runny nose, cough. sore throat, minor shortness of breath, I also had right upper abdominal pain. I now become winded easily.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Sinus disorder
Clinical narrative: I first noticed mental and memory fogginess, significant joint and hip pain. I had a burning in my legs that was significant, sinus problems, fatigue and lethargy. Runny nose, cough. sore throat, minor shortness of breath, I also had right upper abdominal pain. I now become winded easily.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Nasal congestion, Pain, SARS-CoV-2 test positive
Clinical narrative: I've been generally asymptomatic. Having spent time in an airport, I took a COVID-19 test to be on the safe side. The result was positive. Other than some slight nasal congestion, I've had no symptoms. I had brief and very mild body aches. I took ibuprofen. They cleared up in two hours.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood lactic acid, Blood sodium decreased, COVID-19, Chest X-ray normal
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 12/26/2022 Discharge Date:  1/7/2023 COVID positive date: 12/26/2022 PRESENTING PROBLEM: Confusion [R41.0] COVID-19 [U07.1]   HOSPITAL COURSE: DETAILS OF HOSPITAL STAY:   HOSPITAL COURSE: Patient is a 75-year-old male with history of type 2 diabetes mellitus, hypertension, bipolar disorder, BPH, hyperlipidemia, chronic back pain and GERD who presented with cough, shortness of breath and generalized weakness.  In the emergency department, he was febrile and tachycardic.  Labs showed sodium 133, mildly elevated LFTs and lactic acid of 2.6.  COVID PCR was positive.  Chest x-ray showed no acute cardiopulmonary process.  CT abdomen/pelvis was obtained, showing incidental finding of right renal mass and mild hepatic steatosis.  He was hypoxemic in the emergency department, and placed on 2 L of oxygen.  He was given Tylenol and 1 L of saline.  He was admitted to the hospitalist service for further care.   Upon admission, the patient was continued on supplemental oxygen and started on Decadron. He also received a three day course of Remdesivir.   He required up to 5 L oxygen, but was then able to gradually be weaned.  He was able to be weaned to room air by time of hospital discharge.   He was seen by Physical and Occupational therapy, who recommended subacute rehab at discharge.   Admission CT abdomen/pelvis revealed incidental finding of right renal mass.  This was further evaluated with MRI abdomen with without contrast, which confirmed 3.3 cm right renal mass, concerning for renal cell carcinoma.  Urology was consulted, and recommended outpatient follow-up in 1 month.   Pt was discharge when medically stable to SAR.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen abnormal, Confusional state, Cough, Dyspnoea, Hepatic steatosis
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 12/26/2022 Discharge Date:  1/7/2023 COVID positive date: 12/26/2022 PRESENTING PROBLEM: Confusion [R41.0] COVID-19 [U07.1]   HOSPITAL COURSE: DETAILS OF HOSPITAL STAY:   HOSPITAL COURSE: Patient is a 75-year-old male with history of type 2 diabetes mellitus, hypertension, bipolar disorder, BPH, hyperlipidemia, chronic back pain and GERD who presented with cough, shortness of breath and generalized weakness.  In the emergency department, he was febrile and tachycardic.  Labs showed sodium 133, mildly elevated LFTs and lactic acid of 2.6.  COVID PCR was positive.  Chest x-ray showed no acute cardiopulmonary process.  CT abdomen/pelvis was obtained, showing incidental finding of right renal mass and mild hepatic steatosis.  He was hypoxemic in the emergency department, and placed on 2 L of oxygen.  He was given Tylenol and 1 L of saline.  He was admitted to the hospitalist service for further care.   Upon admission, the patient was continued on supplemental oxygen and started on Decadron. He also received a three day course of Remdesivir.   He required up to 5 L oxygen, but was then able to gradually be weaned.  He was able to be weaned to room air by time of hospital discharge.   He was seen by Physical and Occupational therapy, who recommended subacute rehab at discharge.   Admission CT abdomen/pelvis revealed incidental finding of right renal mass.  This was further evaluated with MRI abdomen with without contrast, which confirmed 3.3 cm right renal mass, concerning for renal cell carcinoma.  Urology was consulted, and recommended outpatient follow-up in 1 month.   Pt was discharge when medically stable to SAR.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Liver function test increased, Magnetic resonance imaging abdominal abnormal, Pyrexia, Renal mass
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 12/26/2022 Discharge Date:  1/7/2023 COVID positive date: 12/26/2022 PRESENTING PROBLEM: Confusion [R41.0] COVID-19 [U07.1]   HOSPITAL COURSE: DETAILS OF HOSPITAL STAY:   HOSPITAL COURSE: Patient is a 75-year-old male with history of type 2 diabetes mellitus, hypertension, bipolar disorder, BPH, hyperlipidemia, chronic back pain and GERD who presented with cough, shortness of breath and generalized weakness.  In the emergency department, he was febrile and tachycardic.  Labs showed sodium 133, mildly elevated LFTs and lactic acid of 2.6.  COVID PCR was positive.  Chest x-ray showed no acute cardiopulmonary process.  CT abdomen/pelvis was obtained, showing incidental finding of right renal mass and mild hepatic steatosis.  He was hypoxemic in the emergency department, and placed on 2 L of oxygen.  He was given Tylenol and 1 L of saline.  He was admitted to the hospitalist service for further care.   Upon admission, the patient was continued on supplemental oxygen and started on Decadron. He also received a three day course of Remdesivir.   He required up to 5 L oxygen, but was then able to gradually be weaned.  He was able to be weaned to room air by time of hospital discharge.   He was seen by Physical and Occupational therapy, who recommended subacute rehab at discharge.   Admission CT abdomen/pelvis revealed incidental finding of right renal mass.  This was further evaluated with MRI abdomen with without contrast, which confirmed 3.3 cm right renal mass, concerning for renal cell carcinoma.  Urology was consulted, and recommended outpatient follow-up in 1 month.   Pt was discharge when medically stable to SAR.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Tachycardia
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 12/26/2022 Discharge Date:  1/7/2023 COVID positive date: 12/26/2022 PRESENTING PROBLEM: Confusion [R41.0] COVID-19 [U07.1]   HOSPITAL COURSE: DETAILS OF HOSPITAL STAY:   HOSPITAL COURSE: Patient is a 75-year-old male with history of type 2 diabetes mellitus, hypertension, bipolar disorder, BPH, hyperlipidemia, chronic back pain and GERD who presented with cough, shortness of breath and generalized weakness.  In the emergency department, he was febrile and tachycardic.  Labs showed sodium 133, mildly elevated LFTs and lactic acid of 2.6.  COVID PCR was positive.  Chest x-ray showed no acute cardiopulmonary process.  CT abdomen/pelvis was obtained, showing incidental finding of right renal mass and mild hepatic steatosis.  He was hypoxemic in the emergency department, and placed on 2 L of oxygen.  He was given Tylenol and 1 L of saline.  He was admitted to the hospitalist service for further care.   Upon admission, the patient was continued on supplemental oxygen and started on Decadron. He also received a three day course of Remdesivir.   He required up to 5 L oxygen, but was then able to gradually be weaned.  He was able to be weaned to room air by time of hospital discharge.   He was seen by Physical and Occupational therapy, who recommended subacute rehab at discharge.   Admission CT abdomen/pelvis revealed incidental finding of right renal mass.  This was further evaluated with MRI abdomen with without contrast, which confirmed 3.3 cm right renal mass, concerning for renal cell carcinoma.  Urology was consulted, and recommended outpatient follow-up in 1 month.   Pt was discharge when medically stable to SAR.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Fatigue, Headache, Oropharyngeal pain
Clinical narrative: I had the symptoms on 12/27/2022 which were headache, fatigue, tiredness and a little bit of chills and sore throat. I slept all night at took an at home test on 12/28/2022. I had a televisit with a physician's assistant 12/28/2022. I still have a little bit of fatigue.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I had the symptoms on 12/27/2022 which were headache, fatigue, tiredness and a little bit of chills and sore throat. I slept all night at took an at home test on 12/28/2022. I had a televisit with a physician's assistant 12/28/2022. I still have a little bit of fatigue.
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Feeling abnormal, Nasal congestion, Pyrexia, Rhinorrhoea
Clinical narrative: One of my family practices medicine, and had come into contact with several patients with the symptoms I got and will describe next. But they all tested negative for Flu and COVID. And then I had the exact same symptoms which were: Slow (2-3 days) onset of generically not feeling great, which turned to draining stuffy nose the next day, as it continued I developed a fairly bad cough. (we didn't have a working thermometer, but I know my body and I definitely had a fever of at least 2.5 degrees above normal). This continued for about 5 days, I was feeling better, then it came back again same symptoms. This getting better and it coming back happened a total of 4 times. I finally fully got better around Dec 20, so roughly a month.
Age: 39.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Hypersomnia, Impaired work ability
Clinical narrative: I received the Pfizer Bivalent booster on 10/08/2022. On 11/12/2022, I began to feel extremely achy and tired as the day progressed, which is really unusual for me. I also developed a fever of 101 and began coughing and having a runny nose. I took a home antigen test and got a positive result. On 11/13/2022, I went to an urgent care clinic and underwent testing that confirmed the positive result I had received the day before. I was prescribed PAXLOVID. For the first couple of weeks that I was ill, I had a fever, body aches, fatigue, and coughing. My nose alternated between being stuffy and being runny. I also slept a lot during this period. I found the PAXLOVID helpful, because after I had taken it for 5 days, my symptoms started to improve. I took OTC TUSSIN to treat my cough, and it also helped. On 12/12/2022, I took a home test and got a negative result. My case of COVID-19 was quite long, and I was out of work for about a month. At the time of this writing, I feel fine and have no residual symptoms.
Age: 39.0
Sex: F
Vaccine: COVID19-2
Symptoms: Malaise, Nasal congestion, Pain, Pyrexia, Rhinorrhoea
Clinical narrative: I received the Pfizer Bivalent booster on 10/08/2022. On 11/12/2022, I began to feel extremely achy and tired as the day progressed, which is really unusual for me. I also developed a fever of 101 and began coughing and having a runny nose. I took a home antigen test and got a positive result. On 11/13/2022, I went to an urgent care clinic and underwent testing that confirmed the positive result I had received the day before. I was prescribed PAXLOVID. For the first couple of weeks that I was ill, I had a fever, body aches, fatigue, and coughing. My nose alternated between being stuffy and being runny. I also slept a lot during this period. I found the PAXLOVID helpful, because after I had taken it for 5 days, my symptoms started to improve. I took OTC TUSSIN to treat my cough, and it also helped. On 12/12/2022, I took a home test and got a negative result. My case of COVID-19 was quite long, and I was out of work for about a month. At the time of this writing, I feel fine and have no residual symptoms.
Age: 39.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I received the Pfizer Bivalent booster on 10/08/2022. On 11/12/2022, I began to feel extremely achy and tired as the day progressed, which is really unusual for me. I also developed a fever of 101 and began coughing and having a runny nose. I took a home antigen test and got a positive result. On 11/13/2022, I went to an urgent care clinic and underwent testing that confirmed the positive result I had received the day before. I was prescribed PAXLOVID. For the first couple of weeks that I was ill, I had a fever, body aches, fatigue, and coughing. My nose alternated between being stuffy and being runny. I also slept a lot during this period. I found the PAXLOVID helpful, because after I had taken it for 5 days, my symptoms started to improve. I took OTC TUSSIN to treat my cough, and it also helped. On 12/12/2022, I took a home test and got a negative result. My case of COVID-19 was quite long, and I was out of work for about a month. At the time of this writing, I feel fine and have no residual symptoms.
Age: 6.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient arrived on 1/3/2023 with his grandmother (legal guardian) and godfather to receive the pediatric Pfizer bivalent vaccine. Everything was managed correctly. Today, 1/9/2023, one of the pharmacy technicians realized that the "beyond use day" for pediatric vaccines was 12/26/2022, therefore they could not be used. Pharmacy manager, called the manufacturer Pfizer to obtain information on the stability of the vaccines in question and they asked her for information on the vaccines and temperatures, which she sent by email. We are waiting for responses from them via email in order to establish a protocol, if any.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Balance disorder, Canalith repositioning procedure, Condition aggravated, Laboratory test, Mobility decreased
Clinical narrative: I already suffered from vertigo, but it got worse than before. In previous episodes I would be able to clear it up in a day or 2 using the Epley procedure. As a result, the spinning of the room made me more cautious and I would lean against the wall for stability, It was difficult to turn my ear to the lefty or right. The first level of treatment was Epley which I did at home myself. I did that for about a month and it had not gotten better. The symptoms actually got worse. The new recommendation was to do the procedure every day, twice a day. It kept coming back. My follow up checkup identified that the positioning in my ear of the balance center was embedded itself in my ear in the wrong place and becoming more persistently wrong. Additional exercises for turning my head from left to right but no additional medication was prescribed. After about 2 weeks, it seems to be getting better but is not gone.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vertigo
Clinical narrative: I already suffered from vertigo, but it got worse than before. In previous episodes I would be able to clear it up in a day or 2 using the Epley procedure. As a result, the spinning of the room made me more cautious and I would lean against the wall for stability, It was difficult to turn my ear to the lefty or right. The first level of treatment was Epley which I did at home myself. I did that for about a month and it had not gotten better. The symptoms actually got worse. The new recommendation was to do the procedure every day, twice a day. It kept coming back. My follow up checkup identified that the positioning in my ear of the balance center was embedded itself in my ear in the wrong place and becoming more persistently wrong. Additional exercises for turning my head from left to right but no additional medication was prescribed. After about 2 weeks, it seems to be getting better but is not gone.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna Vaccine was expired by 3 days. The physical vial expiration was 11/27/2022 and a dose was administered 11/30/2022.
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient arrived on 1/7/2023 with his father to receive the pediatric Pfizer bivalent vaccine. Everything was managed correctly. Today, 1/9/2023, one of the pharmacy technicians realized that the "beyond use day" for pediatric vaccines was 12/26/2022, therefore they could not be used. Pharmacy manager, called the manufacturer Pfizer to obtain information on the stability of the vaccines in question and they asked her for information on the vaccines and temperatures, which she sent by email. We are waiting for responses from them via email in order to establish a protocol, if any.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram cerebral normal, Blood cholesterol increased, COVID-19, Computerised tomogram head normal
Clinical narrative: Admission Date: 12/25/2022 COVID positive Date: 12/25/2022 Admitting Diagnoses:  COVID-19 Discharge Date: 1/5/2023  PRESENTING PROBLEM: Acute on chronic respiratory failure with hypoxia (HCC)   HOSPITAL COURSE: With patient is a 88 year old female presented with complaints of hypoxia and hypercapnia. She was found positive for covid. She was placed on bipap. She was started on decadron and remdesevir. Her oxygenation improved and she returned to her baseline oxygenation.  She completed her 10 day course of Decadron.     She developed right leg pain with numbness. Stroke code was called. She was evaluated by neurology. She had CT spine , CT head, CT angio and MRI brain. IT did not show stroke. Her pain got better next day.  An incidental cavernoma was identified and the patient should follow up with with Neurosurgery in the outpatient setting.  Otherwise her symptoms are likely explained by sciatica exacerbated by position the in bed.   In the midst of the stroke workup it was identified that the patient had high cholesterol in the OB started on Lipitor at time of discharge.  The patient should follow-up with her PCP for post hospitalization evaluation.   PT and OT evaluated the patient and recommended home with assist.  The patient will return to her home.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Computerised tomogram spine, Condition aggravated, Haemangioma, Hypercapnia
Clinical narrative: Admission Date: 12/25/2022 COVID positive Date: 12/25/2022 Admitting Diagnoses:  COVID-19 Discharge Date: 1/5/2023  PRESENTING PROBLEM: Acute on chronic respiratory failure with hypoxia (HCC)   HOSPITAL COURSE: With patient is a 88 year old female presented with complaints of hypoxia and hypercapnia. She was found positive for covid. She was placed on bipap. She was started on decadron and remdesevir. Her oxygenation improved and she returned to her baseline oxygenation.  She completed her 10 day course of Decadron.     She developed right leg pain with numbness. Stroke code was called. She was evaluated by neurology. She had CT spine , CT head, CT angio and MRI brain. IT did not show stroke. Her pain got better next day.  An incidental cavernoma was identified and the patient should follow up with with Neurosurgery in the outpatient setting.  Otherwise her symptoms are likely explained by sciatica exacerbated by position the in bed.   In the midst of the stroke workup it was identified that the patient had high cholesterol in the OB started on Lipitor at time of discharge.  The patient should follow-up with her PCP for post hospitalization evaluation.   PT and OT evaluated the patient and recommended home with assist.  The patient will return to her home.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoxia, Magnetic resonance imaging head normal, Pain in extremity, Positive airway pressure therapy
Clinical narrative: Admission Date: 12/25/2022 COVID positive Date: 12/25/2022 Admitting Diagnoses:  COVID-19 Discharge Date: 1/5/2023  PRESENTING PROBLEM: Acute on chronic respiratory failure with hypoxia (HCC)   HOSPITAL COURSE: With patient is a 88 year old female presented with complaints of hypoxia and hypercapnia. She was found positive for covid. She was placed on bipap. She was started on decadron and remdesevir. Her oxygenation improved and she returned to her baseline oxygenation.  She completed her 10 day course of Decadron.     She developed right leg pain with numbness. Stroke code was called. She was evaluated by neurology. She had CT spine , CT head, CT angio and MRI brain. IT did not show stroke. Her pain got better next day.  An incidental cavernoma was identified and the patient should follow up with with Neurosurgery in the outpatient setting.  Otherwise her symptoms are likely explained by sciatica exacerbated by position the in bed.   In the midst of the stroke workup it was identified that the patient had high cholesterol in the OB started on Lipitor at time of discharge.  The patient should follow-up with her PCP for post hospitalization evaluation.   PT and OT evaluated the patient and recommended home with assist.  The patient will return to her home.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive, Sciatica
Clinical narrative: Admission Date: 12/25/2022 COVID positive Date: 12/25/2022 Admitting Diagnoses:  COVID-19 Discharge Date: 1/5/2023  PRESENTING PROBLEM: Acute on chronic respiratory failure with hypoxia (HCC)   HOSPITAL COURSE: With patient is a 88 year old female presented with complaints of hypoxia and hypercapnia. She was found positive for covid. She was placed on bipap. She was started on decadron and remdesevir. Her oxygenation improved and she returned to her baseline oxygenation.  She completed her 10 day course of Decadron.     She developed right leg pain with numbness. Stroke code was called. She was evaluated by neurology. She had CT spine , CT head, CT angio and MRI brain. IT did not show stroke. Her pain got better next day.  An incidental cavernoma was identified and the patient should follow up with with Neurosurgery in the outpatient setting.  Otherwise her symptoms are likely explained by sciatica exacerbated by position the in bed.   In the midst of the stroke workup it was identified that the patient had high cholesterol in the OB started on Lipitor at time of discharge.  The patient should follow-up with her PCP for post hospitalization evaluation.   PT and OT evaluated the patient and recommended home with assist.  The patient will return to her home.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Inflammation, Pain in extremity, Pruritus
Clinical narrative: My left arm became itchy and inflamed two days after the shot. This happened to me with the original vaccines, Moderna, but not with the two boosters, also Moderna. This was the Moderna bivalent booster. My last booster was the end of May, about 7 months ago.  I believe this is referred to as the Moderna arm? It's red and itchy, also hurts, similar to what happened with the initial vaccines. I expect it to go away in a week or two, but thought I should report it so that you'll be aware this is still happening to some people who get the Moderna booster.
Age: 3.0
Sex: F
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: Developed generalized urticaria three hours after vaccine administration.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Peripheral swelling, Pruritus
Clinical narrative: Swollen  upper left arm, very red and hard.  Very itchy.      Better after 6 days.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Atrial fibrillation, Chills, Hyperhidrosis, Pain, Pain in extremity
Clinical narrative: Chills body aches AFIB event sweats very sore arm
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Oropharyngeal pain, Osteoarthritis, SARS-CoV-2 test positive
Clinical narrative: On 12/26/2022, I started to experience symptoms of a cough, sore throat and fatigue. My sore throat became prominent on 12/27/2022. I did a home COVID-19 test and the result was positive. I contacted my doctor and was prescribed medication. I feel that the medication didn't really help with my symptoms. The most pain I felt was with my sore throat. I first tested negative on 01/02/2023 and I checked again on 01/03/2023 and I was still negative. As of today, 01/09/2023, I still have a mild, lingering cough, but I feel well.
Age: 76.0
Sex: M
Vaccine: FLU4
Symptoms: Expired product administered, No adverse event
Clinical narrative: An expired dose of Fluzone HD was administered to a 76 year old male 1/8/23. Expiration date was 06/30/2022. Patient reported no adverse effects following administration.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Discharge, Fatigue, Respiratory tract congestion
Clinical narrative: I tested positive for COVID-19 on 12/27/22. I had a cough, congestion, scratchy throat, and fatigue. I contacted my doctor and was not prescribed medication. I took over-the-counter medication, MUCINEX. I am still dealing with my cough, drainage, and fatigue.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I tested positive for COVID-19 on 12/27/22. I had a cough, congestion, scratchy throat, and fatigue. I contacted my doctor and was not prescribed medication. I took over-the-counter medication, MUCINEX. I am still dealing with my cough, drainage, and fatigue.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Condition aggravated, Epistaxis, Fibromyalgia, Myalgia
Clinical narrative: Highly elevated muscle pain levels of fibromyalgia Two severe, lengthy nose bleeds with multiple large blood clots Never had a bloody nose before these two incidents
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, COVID-19, Chills, Cough, Diarrhoea
Clinical narrative: Fatigue, headache & scratchy throat started on afternoon of 1/3/23. Extremely fatigued on 1/4/23, headache & chills. Slept 12 hours on 1/4/23. Woke up with congestion, headache, dry cough, sinus pressure fatigue on 1/5/23. Tested positive for Covid on 1/5/23. PCP prescribed Paxlovid. Headache & dry cough lasted a few days. Fatigue, stomach discomfort & diarrhea continue. Now on day 7.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hypersomnia, Paranasal sinus discomfort, Respiratory tract congestion
Clinical narrative: Fatigue, headache & scratchy throat started on afternoon of 1/3/23. Extremely fatigued on 1/4/23, headache & chills. Slept 12 hours on 1/4/23. Woke up with congestion, headache, dry cough, sinus pressure fatigue on 1/5/23. Tested positive for Covid on 1/5/23. PCP prescribed Paxlovid. Headache & dry cough lasted a few days. Fatigue, stomach discomfort & diarrhea continue. Now on day 7.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Throat irritation
Clinical narrative: Fatigue, headache & scratchy throat started on afternoon of 1/3/23. Extremely fatigued on 1/4/23, headache & chills. Slept 12 hours on 1/4/23. Woke up with congestion, headache, dry cough, sinus pressure fatigue on 1/5/23. Tested positive for Covid on 1/5/23. PCP prescribed Paxlovid. Headache & dry cough lasted a few days. Fatigue, stomach discomfort & diarrhea continue. Now on day 7.
Age: 11.0
Sex: F
Vaccine: COVID19, FLU4, MNQ
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was given bivalent 12 + years instead of bivalent 5-11 years. No side effects noted at time of dose given.
Age: 61.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: COVID-19, Cough, Illness, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I received the Pfizer Bivalent COVID-19 booster and a flu vaccine on 10/5/2022. On 12/24/2022, I woke up with a sore throat at about 3 AM. As the day progressed, my sinuses became more congested, and I developed a cough. I normally get an upper respiratory infection once a year, and it basically felt like that. On 12/25/2022, I got a store brand version of THERAFLU and took that. It helped clear up the sinuses somewhat, but not completely. On 12/28/2022, I went to the doctor's office, where I underwent a rapid test and got a positive result. The PA prescribed me benzonatate, PAXLOVID, and erythromycin, all of which I began taking that day. As the days progressed, I slowly got better. I began to really feel better on 12/31/2022. By 1/1/2023, I was pretty much over the illness. At the time of this writing, everything seems to be okay, and I don't think I have any residual symptoms.
Age: 61.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: Sinus congestion, Sleep disorder
Clinical narrative: I received the Pfizer Bivalent COVID-19 booster and a flu vaccine on 10/5/2022. On 12/24/2022, I woke up with a sore throat at about 3 AM. As the day progressed, my sinuses became more congested, and I developed a cough. I normally get an upper respiratory infection once a year, and it basically felt like that. On 12/25/2022, I got a store brand version of THERAFLU and took that. It helped clear up the sinuses somewhat, but not completely. On 12/28/2022, I went to the doctor's office, where I underwent a rapid test and got a positive result. The PA prescribed me benzonatate, PAXLOVID, and erythromycin, all of which I began taking that day. As the days progressed, I slowly got better. I began to really feel better on 12/31/2022. By 1/1/2023, I was pretty much over the illness. At the time of this writing, everything seems to be okay, and I don't think I have any residual symptoms.
Age: 85.0
Sex: M
Vaccine: COVID19-2
Symptoms: Body temperature increased, COVID-19, Dehydration, Fall, Oropharyngeal pain
Clinical narrative: I didn't think I had COVID-19, I thought I had a cold. I went to the hospital because a had a fall and got stuck between a bed and a nightstand and couldn't lift myself up. My wife called an ambulance, and I was taken to the hospital. The doctor administered the COVID-19 test and told me the results. I remained in the emergency room until I was admitted, the administered remdesivir thru and IV and gave me more fluids because I was dehydrated. I remained in the hospital 2 additional days. I had diarrhea which was caused by the antibiotics. I had a 104-degree temperature upon arrival and was shocked about how high it was. I was discharged on the 3rd day and told to isolate for 10 days. After about 4 days, it got better. The sore throat was the worse symptom.
Age: 85.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I didn't think I had COVID-19, I thought I had a cold. I went to the hospital because a had a fall and got stuck between a bed and a nightstand and couldn't lift myself up. My wife called an ambulance, and I was taken to the hospital. The doctor administered the COVID-19 test and told me the results. I remained in the emergency room until I was admitted, the administered remdesivir thru and IV and gave me more fluids because I was dehydrated. I remained in the hospital 2 additional days. I had diarrhea which was caused by the antibiotics. I had a 104-degree temperature upon arrival and was shocked about how high it was. I was discharged on the 3rd day and told to isolate for 10 days. After about 4 days, it got better. The sore throat was the worse symptom.
Age: 36.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Cough, Dyspnoea, Fatigue
Clinical narrative: caught covid 2 months after booster, symptoms: fever, chills, cough, shortness of breath, fatigue, body aches, headache, sore throat, congestion, runny nose, hydrophobia. Only fatigue was severe enough to be troublesome for more than 2 days.
Age: 36.0
Sex: M
Vaccine: COVID19-2
Symptoms: Headache, Hydrophobia, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: caught covid 2 months after booster, symptoms: fever, chills, cough, shortness of breath, fatigue, body aches, headache, sore throat, congestion, runny nose, hydrophobia. Only fatigue was severe enough to be troublesome for more than 2 days.
Age: 36.0
Sex: M
Vaccine: COVID19-2
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: caught covid 2 months after booster, symptoms: fever, chills, cough, shortness of breath, fatigue, body aches, headache, sore throat, congestion, runny nose, hydrophobia. Only fatigue was severe enough to be troublesome for more than 2 days.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Lymphadenopathy, Magnetic resonance imaging abnormal, Mass
Clinical narrative: I was just in the shower and washing my face and neck. My fingers went down to lower left jaw, I felt a lump. That was in August. It wasn't painful and I had no other symptoms. I went to see my primary care doctor on October 3rd, 2022 before I was leaving to go on a trip. He referred me to head and neck physician. I went on vacation and when I returned I saw Dr. October 27th, 2022. I had an MRI on November 9th and they noted that I had a total of 3 enlarge lymph nodes. On November 29th, 2022 I went for a biopsy at a health care facility. The concern was my Lymphoma may be coming back so they were supposed to do a test for Lymphoma which they didn't do. I had to do a second biopsy on December 13th, 2022. That came back inconclusive because doctor did not get into the right area of the lymph node. I will be having an ultrasound on the lymph nodes on January 21st, 2023.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Headache, Paranasal sinus hypersecretion
Clinical narrative: I had fatigue, headache, upper respiratory problems, and fever for one day. I tested positive for COVID-19 and was prescribed PAXLOVID. I started to feel better after taking PAXLOVID. I rebounded several days later. I had upper respiratory problems, coughing, nasal drainage.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Respiratory disorder, SARS-CoV-2 test positive
Clinical narrative: I had fatigue, headache, upper respiratory problems, and fever for one day. I tested positive for COVID-19 and was prescribed PAXLOVID. I started to feel better after taking PAXLOVID. I rebounded several days later. I had upper respiratory problems, coughing, nasal drainage.
Age: 67.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Peripheral swelling, Pruritus
Clinical narrative: Side effects: itching all over and was taken to hospital , swelling in arm, and redness on skin.
Age: 75.0
Sex: M
Vaccine: PNC20
Symptoms: Malaise, Pain, Pyrexia
Clinical narrative: HIGH FEVER, EXTREME PAIN, VERY SICK FOR 7 DAYS
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Pain in extremity, Pruritus
Clinical narrative: My arm was sore for a few days. Then, it was itchy for a few days. I had diarrhea the day after the vaccination. I also had chills, but I did not have a fever.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Back pain, Loss of personal independence in daily activities
Clinical narrative: Severe back pain resulting in incapacitation for 5 days, requiring prescription pain meds & muscle relaxants
Age: 68.0
Sex: U
Vaccine: ADEN_4_7, COVID19, COVID19, COVID19
Symptoms: Eczema, Pruritus, Skin lesion
Clinical narrative: WIDELY SPREAD/DIVERSE SEVERE ECZEMA....UPPER&LOWER LEFT LEG, TOP&MIDDLE OF CHEST, LEFT FLANK,SHOULDERS FRONT&BACK, BACK--TOP, MIDDLE, LOWER, LEFT SIDE FACE...NUMEROUS SKIN LESIONS WITH EXTREME ITCHING.  TREATMENT....  TOPICAL STEROIDS WITHOUT RELIEF, ORAL STEROIDS WITHOUT SIGNIFICANT RELIEF....POSSIBLE DUXINENT AND OTHER TREATMENTS BEING NEEDED.  RESULTS YET UNKNOWN.  LIKELY PERMENANT DAMAGE AND LIFE LONG ISSUE.
Age: 73.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Feeling abnormal, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID-19 with a home test two months after 5th vaccine; Called Primary Doctor and was prescribed Paxlovid; Eight days later took another COVID-19 test and was negative; A few days later started feeling bad again, tested Positive for COVID-19 again; Rested and isolated.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion induced, COVID-19, Cough, Foetal chromosome abnormality, Maternal exposure before pregnancy
Clinical narrative: In March, I found out I was pregnant. We found d out the baby had chromosomal abnormalities. Not long after finding out, I had surgery to terminate the pregnancy. In October 2022, I tested positive for COVID-19. I had a sore throat, congestion, cough, and fever. I took TYLENOL for the fever and after two weeks of coughing, I contacted my doctor and was prescribed albuterol.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pregnancy, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: In March, I found out I was pregnant. We found d out the baby had chromosomal abnormalities. Not long after finding out, I had surgery to terminate the pregnancy. In October 2022, I tested positive for COVID-19. I had a sore throat, congestion, cough, and fever. I took TYLENOL for the fever and after two weeks of coughing, I contacted my doctor and was prescribed albuterol.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Surgery
Clinical narrative: In March, I found out I was pregnant. We found d out the baby had chromosomal abnormalities. Not long after finding out, I had surgery to terminate the pregnancy. In October 2022, I tested positive for COVID-19. I had a sore throat, congestion, cough, and fever. I took TYLENOL for the fever and after two weeks of coughing, I contacted my doctor and was prescribed albuterol.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: numbness.tingling right side
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Headache, Productive cough, Pyrexia, Respiratory tract congestion
Clinical narrative: I got up in the morning and I felt like was getting a chest cold. I had mucous and coughing. I felt stuffy in my chest but not in my head. I was coughing up mucous. I didn't know if I had COVID-19 yet but my wife was positive prior. I test negative on December 30th, 2022 but then tested positive on December 31st, 2022. I had a headache and a fever so I took some ADVIL. I was given a prescription for PAXLOVID tablets that I filled at a pharmacy.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I got up in the morning and I felt like was getting a chest cold. I had mucous and coughing. I felt stuffy in my chest but not in my head. I was coughing up mucous. I didn't know if I had COVID-19 yet but my wife was positive prior. I test negative on December 30th, 2022 but then tested positive on December 31st, 2022. I had a headache and a fever so I took some ADVIL. I was given a prescription for PAXLOVID tablets that I filled at a pharmacy.
Age: 1.0
Sex: M
Vaccine: PNC13, VARCEL
Symptoms: Erythema, Local reaction, Pruritus
Clinical narrative: Localized reaction starting on Day 1 after shots, persisting through day 10. Redness, itching
Age: 39.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Arthralgia, COVID-19, Chest discomfort, Cough, Fatigue
Clinical narrative: I had scratchy throat, nasal drip, congestion, mild dry cough, headaches, chest tightness, low grade fever of 99, joint pain, and fatigue. I tested positive for COVID-19. I was prescribed PAXLOVID and started to feel better after 2-3 days.
Age: 39.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Headache, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I had scratchy throat, nasal drip, congestion, mild dry cough, headaches, chest tightness, low grade fever of 99, joint pain, and fatigue. I tested positive for COVID-19. I was prescribed PAXLOVID and started to feel better after 2-3 days.
Age: 39.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Upper-airway cough syndrome
Clinical narrative: I had scratchy throat, nasal drip, congestion, mild dry cough, headaches, chest tightness, low grade fever of 99, joint pain, and fatigue. I tested positive for COVID-19. I was prescribed PAXLOVID and started to feel better after 2-3 days.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Dyspepsia, Headache, Vertigo
Clinical narrative: Approximately 6 minutes after receiving the above vaccines, the patient was very apprehensive, and began to complain of vertigo, heartburn & temporal-area headache.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Myalgia, Nasal congestion
Clinical narrative: Tested positive for COVID 2 1/2 mos after vaccination.  Symptoms - fatigue, muscle aches, low grade fever <100, night sweats, cough, nasal congestion.  Tested negative after 2 weeks.  Saw doc for persistent cough after 2 weeks (on 1/6),  prescribed benzonatate.  said he'd give me inhaler if cough doesn't improve.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Night sweats, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID 2 1/2 mos after vaccination.  Symptoms - fatigue, muscle aches, low grade fever <100, night sweats, cough, nasal congestion.  Tested negative after 2 weeks.  Saw doc for persistent cough after 2 weeks (on 1/6),  prescribed benzonatate.  said he'd give me inhaler if cough doesn't improve.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: patient was adminstered pfizer bivalent booster instead of monovalent first dose