chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Paranasal sinus discomfort, Productive cough, SARS-CoV-2 test positive, Sinus congestion, Sputum discoloured
Clinical narrative: Patient was admitted on 01/14/22 because of shortness of breath cough and fatigue  she was lightheaded while ambulating to the bathroom prompted her to come to the emergency department.  She does have a sinus congestion and pressure headache which is a chronic issue.  She denies any high-grade fever but feeling cold. She tested positive for COVID. She was placed on a dexamethasone, vitamin-C, vitamin-D and zinc supplements. Also started on Cipro for 5 days for UTI. She was placed on a 2 L of oxygen via nasal cannula was successfully weaned off and she did quite well.  She was ambulatory independently.  She was stable for discharge after 2 days at the hospital.  On 05/4/22 Patient was admitted because of sinus pressure and shortness of breath for last 1 week.   She went for evaluation and from that she was sent to the emergency department she was found hypoxic 88%.  Patient denies any anginal-type chest discomfort or palpitation.  She does have a cough with white phlegm. Respiratory protocol was started. IV dexamethasone 6 mg daily changed over to oral at the time of the discharge. vitamin C vitamin D and zinc.. Was started on IV Rocephin and Zithromax. Patient completed 5 days of the Zithromax and doing well off antibiotics. Patient is doing quite well have a no significant shortness of breath.  Her oxygen saturation was normal on room air.  Patient have a reactive airway disease component because of a viral bronchitis she may continue to use albuterol as needed for wheezing.  Her hospital stay was 4 days long.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Wheezing
Clinical narrative: Patient was admitted on 01/14/22 because of shortness of breath cough and fatigue  she was lightheaded while ambulating to the bathroom prompted her to come to the emergency department.  She does have a sinus congestion and pressure headache which is a chronic issue.  She denies any high-grade fever but feeling cold. She tested positive for COVID. She was placed on a dexamethasone, vitamin-C, vitamin-D and zinc supplements. Also started on Cipro for 5 days for UTI. She was placed on a 2 L of oxygen via nasal cannula was successfully weaned off and she did quite well.  She was ambulatory independently.  She was stable for discharge after 2 days at the hospital.  On 05/4/22 Patient was admitted because of sinus pressure and shortness of breath for last 1 week.   She went for evaluation and from that she was sent to the emergency department she was found hypoxic 88%.  Patient denies any anginal-type chest discomfort or palpitation.  She does have a cough with white phlegm. Respiratory protocol was started. IV dexamethasone 6 mg daily changed over to oral at the time of the discharge. vitamin C vitamin D and zinc.. Was started on IV Rocephin and Zithromax. Patient completed 5 days of the Zithromax and doing well off antibiotics. Patient is doing quite well have a no significant shortness of breath.  Her oxygen saturation was normal on room air.  Patient have a reactive airway disease component because of a viral bronchitis she may continue to use albuterol as needed for wheezing.  Her hospital stay was 4 days long.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Product storage error
Clinical narrative: Vaccine was  prefilled syringe and was activated, cap removed and needle placed, the day before (9/8/22). It was administered 9/9/22 instead of being disposed of on 9/8/22.   Pt endorsed HA for 2 days following vaccination. Unclear if this was r/t the incident or not.
Age: 10.0
Sex: F
Vaccine: COVID19, FLU4, HPV9
Symptoms: Incorrect product formulation administered
Clinical narrative: Gave Covid Moderna 6m to 5 year to a 10 year old
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Patient expired 9/13/2022.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: PFIZER MONOVALENT VACCINE GIVEN AS BOOSTER ON 09/01/2022.  RECEIVED EMAIL ORDERING THE DISCONTINUATION OF USING PFIZER MONOVALENT VACCINE ON 09/01/2022 2 3:42 pm.   NO PHYSICAL ADVERSE REACTION IN PATIENT.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Fatigue, Pain, Pyrexia
Clinical narrative: Patient presented to the emergency department on 8/24/22 with complaint of shortness of breath for 4 days. Patient claimed she tested positive for COVID on 8/23/22.  She also had generalized body aches and fatigue as well as low grade fever. Patient was admitted until 9/3/22.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient presented to the emergency department on 8/24/22 with complaint of shortness of breath for 4 days. Patient claimed she tested positive for COVID on 8/23/22.  She also had generalized body aches and fatigue as well as low grade fever. Patient was admitted until 9/3/22.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date.
Age: 47.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was given dose 0.6ml not the 0.3ml in the right deltoid, patient has not had any adverse effects.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Required hospitalization.  Tested COVID positive
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: PFIZER MONOVALENT VACCINE GIVEN AS BOOSTER ON 09/01/2022. RECEIVED EMAIL ORDERING THE DISCONTINUATION OF USING PFIZER MONOVALENT VACCINE ON 09/01/2022 2 3:42 pm. NO PHYSICAL ADVERSE REACTION IN PATIENT.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: ? Monovalent vaccine incorrectly administered for a booster dose (if bivalent booster indicated)
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash erythematous
Clinical narrative: Red diffuse rash
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Blood gases normal, COVID-19, COVID-19 pneumonia, Cough
Clinical narrative: ED Hospital on 12/02/2021 for cough with worsening SOB.   COVID-19 PCR was positive on 11/30.   Workup showed unremarkable CBC and CMP, inflammatory markers were elevated, high sensitivity troponin was elevated at 94 but remained stable, venous blood gases were unremarkable.     Patient was admitted for further management of acute hypoxic respiratory failure sec to COVID-19 pneumonia and he was started with Decadron/Remdesivir/ doxycycline/CPAP/4L NC O2- Patient was discharged 3 days later
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Full blood count normal, Inflammatory marker increased, Metabolic function test normal, Positive airway pressure therapy
Clinical narrative: ED Hospital on 12/02/2021 for cough with worsening SOB.   COVID-19 PCR was positive on 11/30.   Workup showed unremarkable CBC and CMP, inflammatory markers were elevated, high sensitivity troponin was elevated at 94 but remained stable, venous blood gases were unremarkable.     Patient was admitted for further management of acute hypoxic respiratory failure sec to COVID-19 pneumonia and he was started with Decadron/Remdesivir/ doxycycline/CPAP/4L NC O2- Patient was discharged 3 days later
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Troponin increased
Clinical narrative: ED Hospital on 12/02/2021 for cough with worsening SOB.   COVID-19 PCR was positive on 11/30.   Workup showed unremarkable CBC and CMP, inflammatory markers were elevated, high sensitivity troponin was elevated at 94 but remained stable, venous blood gases were unremarkable.     Patient was admitted for further management of acute hypoxic respiratory failure sec to COVID-19 pneumonia and he was started with Decadron/Remdesivir/ doxycycline/CPAP/4L NC O2- Patient was discharged 3 days later
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Headache, Memory impairment, Muscle spasms
Clinical narrative: I starting cramping in the ball of my feet immediately after the vaccine. The cramping moved up to my ankles and calves. I'm also having memory issues. Mainly coming up with words is the issue and is frustrating. I was able to take calcium daily until after the vaccine and it made me so sick on my stomach. I started taking the calcium again recently to help with the cramping in my feet and legs. I also had severe headaches for a week after the vaccine too. I did see my doctor but they where unable to help me. I took a generic version of MOTRIN on occasion to help with my headaches.
Age: 39.0
Sex: M
Vaccine: COVID19-2
Symptoms: Fatigue, Headache, Injection site pain, Pyrexia
Clinical narrative: Fatigue Fever >101.7 Headache Injection site soreness
Age: 57.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Pt reported swelling and redness in right arm. Pt to use tylenol/ibuporfen asneeded, use ice pack and see dr if worse.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: ? Monovalent vaccine incorrectly administered for a booster dose (if bivalent booster indicated)
Age: 52.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Chills, Erythema, Influenza virus test negative, Lethargy, Nausea
Clinical narrative: Flu and pneumococcal vaccines both given in right arm on 9/12/22 @ 2:00 pm at Pharmacy. At ~ 11:00 pm on 9/12/22, nausea with at least 10 episodes of vomiting . Right arm pain right after vaccinations were given. Right arm redness and swelling 9/13/22 in the afternoon. Chills without fever developed on 9/12/22 @ 1100 pm when vomiting. Symptoms at this time: nausea, pain, lethargic and chills.
Age: 52.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Pain, Pain in extremity, Peripheral swelling, SARS-CoV-2 test negative, Vomiting
Clinical narrative: Flu and pneumococcal vaccines both given in right arm on 9/12/22 @ 2:00 pm at Pharmacy. At ~ 11:00 pm on 9/12/22, nausea with at least 10 episodes of vomiting . Right arm pain right after vaccinations were given. Right arm redness and swelling 9/13/22 in the afternoon. Chills without fever developed on 9/12/22 @ 1100 pm when vomiting. Symptoms at this time: nausea, pain, lethargic and chills.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Facility was no longer authorize to administer monovalent as boosters as of 09/03/2022 for ages 12 years and older
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Confusional state, Cough, Failure to thrive
Clinical narrative: Pt arrived with failure to thrive. Pt was found to be COVID-19 positive with symptoms of fatigue, generalized weakness, nausea, increased confusion, and a non-productive cough without hypoxia for 2 weeks. Pt was admitted to the hospital.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Nausea, SARS-CoV-2 test positive
Clinical narrative: Pt arrived with failure to thrive. Pt was found to be COVID-19 positive with symptoms of fatigue, generalized weakness, nausea, increased confusion, and a non-productive cough without hypoxia for 2 weeks. Pt was admitted to the hospital.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Dose administered beyond-use date
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Primary Pfizer formulation given NOT Bivalent.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: ? Monovalent vaccine incorrectly administered for a booster dose (if bivalent booster indicated)
Age: 66.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Chills, Fatigue, Headache, Impaired work ability, Nausea
Clinical narrative: Headache, nausea, extreme chills, extreme fatigue.  Not able to work the following day mostly bed rest. Feeling better the 2 days later but still mild headache, some heart palpitations, nausea, some fatigue.
Age: 66.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Palpitations
Clinical narrative: Headache, nausea, extreme chills, extreme fatigue.  Not able to work the following day mostly bed rest. Feeling better the 2 days later but still mild headache, some heart palpitations, nausea, some fatigue.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dialysis, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Patient was admitted with some increasing shortness of breath for last 2 days and he was recently tested positive at the dialysis unit, apparently 2 days back was positive for COVID-19 virus.  In the ER, the patient was placed on some oxygen; however, he was not in any acute distress. He denied any chest pain, etc.  No fevers, chills, etc. .  He was initially on oxygen, but did ot require any supplemental oxygen. He has been dialyzed several times and is also getting dialysis today prior to discharge.   The patient empirically was started on initial dose was IV dexamethasone 6 mg and then was placed on oral dexamethasone 6 mg daily, also was started on ceftriaxone and also got a 1 g of azithromycin as well.  The patient is being switched now to Ceftin 125 mg b.i.d. for 5 days at time of discharge.  He has been pretty stable symptomatically and is stable for discharge.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Face injury, Head injury, Syncope
Clinical narrative: patient got anxious after getting the vaccine. she sat for 5 minutes in the waiting area before acknowledging a team member she is about to faints. she felt dizzy and hit her face/head against the wall.  patient chopped her front teeth. ambulance was called in and she was taken to the hospital to be seen
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Tooth fracture
Clinical narrative: patient got anxious after getting the vaccine. she sat for 5 minutes in the waiting area before acknowledging a team member she is about to faints. she felt dizzy and hit her face/head against the wall.  patient chopped her front teeth. ambulance was called in and she was taken to the hospital to be seen
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: primary dose given NOT bi valent
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: ? Monovalent vaccine incorrectly administered for a booster dose (if bivalent booster indicated)
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Back pain, Fatigue, Headache, Pain in extremity, Swelling of eyelid
Clinical narrative: Apart from common side effects like sore arme, fatigue, headache and back pain, my right eye Lis got swollen.  All my 3 prior doses have been Pfizer with mild or no side effects. This 4th shot / 2nd booster was with Moderna.
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Respiratory disorder, SARS-CoV-2 test positive
Clinical narrative: I have a case of clinical COVID, test positive on 9/12/2022.  I am making no association between my latest vaccination and this clinical case.  My 14 yr old son tested positive on 9/11/22 and presented with predictable signs of upper respiratory disease at that time.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain upper, Abnormal dreams, Chills, Depressed level of consciousness, Diarrhoea
Clinical narrative: Chills Muscle aches and pains  Semi-consciousness for 2 days Stomach pain Nausea Diarrhea Weird dreams Fatigue Worst symptoms for 2 days, with fatigue , lethargy, GI symptoms continuing additional 2 days
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Gastrointestinal disorder, Lethargy, Myalgia, Nausea
Clinical narrative: Chills Muscle aches and pains  Semi-consciousness for 2 days Stomach pain Nausea Diarrhea Weird dreams Fatigue Worst symptoms for 2 days, with fatigue , lethargy, GI symptoms continuing additional 2 days
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Oropharyngeal pain, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough. Patient was admitted to the hospital on 8/15/22 for unrelated reasons to COVID. He was tested for COVID on 8/26/22 for discharge to inpatient rehab and tested positive. He complained of a sore throat at that time but was otherwise asymptomatic. He was on room air until his discharge to inpatient rehab.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Biopsy skin, Burning sensation, Erythema, Laboratory test, Pruritus
Clinical narrative: On April 2, 2022, developed large red wheals associate with severe itching & burning which was significantly worse at night. Each wheal remained for 5-7 days and each day developed additional wheals. They occurred on both arms, hands, fingers, lower legs and dorsum of both feet including ankles. Despite multiple biopsies and laboratory tests as well as consults with Rheumatology, Hematology and PCP, a diagnosis has not been determined. Treated with several courses of steroids, steroid creams, multiple H1 and H2 blockers, the wheals persist unabated. The itching and burning continues and is severe during the late evening and nighttime hours interrupting sleep. Currently taking multiple medications for sleep but cannot sleep for more than 1.5 hours at a time. Also started on Hydroxychloroquine with no effect on the daily eruption of wheals.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sleep disorder, Urticaria
Clinical narrative: On April 2, 2022, developed large red wheals associate with severe itching & burning which was significantly worse at night. Each wheal remained for 5-7 days and each day developed additional wheals. They occurred on both arms, hands, fingers, lower legs and dorsum of both feet including ankles. Despite multiple biopsies and laboratory tests as well as consults with Rheumatology, Hematology and PCP, a diagnosis has not been determined. Treated with several courses of steroids, steroid creams, multiple H1 and H2 blockers, the wheals persist unabated. The itching and burning continues and is severe during the late evening and nighttime hours interrupting sleep. Currently taking multiple medications for sleep but cannot sleep for more than 1.5 hours at a time. Also started on Hydroxychloroquine with no effect on the daily eruption of wheals.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent vaccine incorrectly administered for a booster dose (if bivalent booster indicated).
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Feeling abnormal, Heavy menstrual bleeding, Thrombosis
Clinical narrative: Patient has reported feelings of "brain fog".  Additionally, she has reported a heavy menses with clot/s following the vaccination followed by amenorrhea.
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Haemorrhage, Injection site discolouration, Injection site nodule
Clinical narrative: Patient states that the vaccine bandage was full of blood to the point of overflowing.  She stated that there was also a bluish knot at the injection site.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Extra dose administered, SARS-CoV-2 test positive
Clinical narrative: Came down with Covid two months after receiving 4th moderna dose
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Dyspnoea
Clinical narrative: Patient admitted 9/13/2022 at medical center for complaints of shortness of breath and weakness.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: ? Monovalent vaccine incorrectly administered for a booster dose (if bivalent booster indicated)
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, COVID-19, Cough, Ear pain, Fatigue
Clinical narrative: So on Saturday 9/10/22 I felt worn down and had a headache and just thought I was having effects from the vaccines.  It felt just groggy and tired.  On Sunday I felt congestion with lower back pain and headache.  I had to use a heating pad for my back.  I was also sneezing a lot and the next day I felt like my back pain was getting better but I still congested and sneezing a lot with watery eyes.  So on Monday my ears were hurting and tired and then on Tuesday I was having a sore throat with a dry cough and congestion with either a stopped up nose or running with sneezing feeling similar to a chest cold with allergies. Today I am doing better but I have watery eyes. sore throat, headache.  I sought treatment on Monday 9/12/22 I took a home COVID-19 test and it was positive.  My employer requested a PCR test and I went and got tested and was positive and I was advised to drink more fluids because my heart rate was elevated from the nurse practitioner.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Lacrimation increased, Nasal congestion, Nasopharyngitis
Clinical narrative: So on Saturday 9/10/22 I felt worn down and had a headache and just thought I was having effects from the vaccines.  It felt just groggy and tired.  On Sunday I felt congestion with lower back pain and headache.  I had to use a heating pad for my back.  I was also sneezing a lot and the next day I felt like my back pain was getting better but I still congested and sneezing a lot with watery eyes.  So on Monday my ears were hurting and tired and then on Tuesday I was having a sore throat with a dry cough and congestion with either a stopped up nose or running with sneezing feeling similar to a chest cold with allergies. Today I am doing better but I have watery eyes. sore throat, headache.  I sought treatment on Monday 9/12/22 I took a home COVID-19 test and it was positive.  My employer requested a PCR test and I went and got tested and was positive and I was advised to drink more fluids because my heart rate was elevated from the nurse practitioner.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
Clinical narrative: So on Saturday 9/10/22 I felt worn down and had a headache and just thought I was having effects from the vaccines.  It felt just groggy and tired.  On Sunday I felt congestion with lower back pain and headache.  I had to use a heating pad for my back.  I was also sneezing a lot and the next day I felt like my back pain was getting better but I still congested and sneezing a lot with watery eyes.  So on Monday my ears were hurting and tired and then on Tuesday I was having a sore throat with a dry cough and congestion with either a stopped up nose or running with sneezing feeling similar to a chest cold with allergies. Today I am doing better but I have watery eyes. sore throat, headache.  I sought treatment on Monday 9/12/22 I took a home COVID-19 test and it was positive.  My employer requested a PCR test and I went and got tested and was positive and I was advised to drink more fluids because my heart rate was elevated from the nurse practitioner.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: So on Saturday 9/10/22 I felt worn down and had a headache and just thought I was having effects from the vaccines.  It felt just groggy and tired.  On Sunday I felt congestion with lower back pain and headache.  I had to use a heating pad for my back.  I was also sneezing a lot and the next day I felt like my back pain was getting better but I still congested and sneezing a lot with watery eyes.  So on Monday my ears were hurting and tired and then on Tuesday I was having a sore throat with a dry cough and congestion with either a stopped up nose or running with sneezing feeling similar to a chest cold with allergies. Today I am doing better but I have watery eyes. sore throat, headache.  I sought treatment on Monday 9/12/22 I took a home COVID-19 test and it was positive.  My employer requested a PCR test and I went and got tested and was positive and I was advised to drink more fluids because my heart rate was elevated from the nurse practitioner.
Age: 13.0
Sex: M
Vaccine: HPV9
Symptoms: Discomfort, Hypoaesthesia, Joint range of motion decreased, Ultrasound scan
Clinical narrative: Patient complains of continued discomfort, numbness, and difficulty with range of motion.  Heat and ice was recommended, along with Ibuprofen.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date.
Age: 67.0
Sex: F
Vaccine: FLUA4
Symptoms: Blood glucose normal, Blood pressure increased, Chest discomfort, Cough, Heart rate increased
Clinical narrative: about 3 1/2 hours after injection arm started hurting; started to notice slight wheeze and coughing upon deep breath; as evening progressed wheezing and resultant cough got significantly worse; by 11:30 chest began to tighten and body aches began.  Fever of 99.1.  Blood pressure rose to 158/ 78 and heart rate increased to 98; blood glucose levels rose to 190 and would not respond to bolused insulin. Sought medical advice but dr. office closed, no Urgent Cares open so called Nurse Hotline for advice at 12:30 am.  Described symptoms and advised not immediately life threatening but good idea to go to ER; checked local ER and wait time to be seen over 3 hours.  Decided to see if symptoms continued to get worse.  From 1:30 to 5:00 am temp rose to 99.9; body aches continued and chest tightness/wheezing/coughing continued.  Oxygenation was 99% with oxometer and no ketones inspite of elevated glucose.  around 5 am wheeziness began to reduce and fever began to come down.  By 6 am temp down to 99.4 and chest tightness easing.  By 8 am blood glucose responded appropriately and blood pressure returned to 122/63; heart rate 73.  Aches were less although still present and arm still sore.  Remaining symptoms resolved by early afternoon except for wheezing which continued until the following day (Sept 11) and temperature which remained high normal (98.4 - 8).  Temperature  back to 96.9 (usual am temp ) by Sept 12.
Age: 67.0
Sex: F
Vaccine: FLUA4
Symptoms: Pain, Pain in extremity, Wheezing
Clinical narrative: about 3 1/2 hours after injection arm started hurting; started to notice slight wheeze and coughing upon deep breath; as evening progressed wheezing and resultant cough got significantly worse; by 11:30 chest began to tighten and body aches began.  Fever of 99.1.  Blood pressure rose to 158/ 78 and heart rate increased to 98; blood glucose levels rose to 190 and would not respond to bolused insulin. Sought medical advice but dr. office closed, no Urgent Cares open so called Nurse Hotline for advice at 12:30 am.  Described symptoms and advised not immediately life threatening but good idea to go to ER; checked local ER and wait time to be seen over 3 hours.  Decided to see if symptoms continued to get worse.  From 1:30 to 5:00 am temp rose to 99.9; body aches continued and chest tightness/wheezing/coughing continued.  Oxygenation was 99% with oxometer and no ketones inspite of elevated glucose.  around 5 am wheeziness began to reduce and fever began to come down.  By 6 am temp down to 99.4 and chest tightness easing.  By 8 am blood glucose responded appropriately and blood pressure returned to 122/63; heart rate 73.  Aches were less although still present and arm still sore.  Remaining symptoms resolved by early afternoon except for wheezing which continued until the following day (Sept 11) and temperature which remained high normal (98.4 - 8).  Temperature  back to 96.9 (usual am temp ) by Sept 12.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Alcohol use, COVID-19, Chest X-ray normal, Drug screen positive, Procalcitonin normal
Clinical narrative: Pt has been admitted to Hospital on February 5, 2022.  After he was escorted by police, he was found at a site trying to kill himself.   The patient has been self medicating himself with marijuana and alcohol.  Uses alcohol on daily basis.  The patient was admitted to the hospital with a psych consult and sitter.  He received 4 mg of Ativan in the ER as well as ketamine. His urine drug screen was positive for cannabis and cocaine.  COVID came back positive, but he was on room air and according to him, he received COVID vaccine.  Procalcitonin negative  Chest x-ray negative.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Substance use, Suicide attempt
Clinical narrative: Pt has been admitted to Hospital on February 5, 2022.  After he was escorted by police, he was found at a site trying to kill himself.   The patient has been self medicating himself with marijuana and alcohol.  Uses alcohol on daily basis.  The patient was admitted to the hospital with a psych consult and sitter.  He received 4 mg of Ativan in the ER as well as ketamine. His urine drug screen was positive for cannabis and cocaine.  COVID came back positive, but he was on room air and according to him, he received COVID vaccine.  Procalcitonin negative  Chest x-ray negative.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond use date
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pityriasis rosea
Clinical narrative: Patient developed Pityriasis rosea two days after her booster immunization. She also had swollen lymph nodes in her armpit.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Expired product administered
Clinical narrative: Expired vaccine was given, parent was notified.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Diarrhoea, Fall, Nasal congestion, Oropharyngeal pain
Clinical narrative: COVID Breakthrough. Patient was admitted to the hospital on 8/16/22 for a fall, unrelated to COVID. She tested positive for COVID on 8/26/22 while in process of getting discharged to a rehab facility. The patient complained of sore throat, diarrhea, and nasal congestion starting on 8/25/22.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough. Patient was admitted to the hospital on 8/16/22 for a fall, unrelated to COVID. She tested positive for COVID on 8/26/22 while in process of getting discharged to a rehab facility. The patient complained of sore throat, diarrhea, and nasal congestion starting on 8/25/22.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Headache, Hypoaesthesia, Paraesthesia
Clinical narrative: Whole left side of body goes numb, loses strength, tingly.  Headache by left temple.
Age: 77.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient had requested a Moderna Bivalent Booster and was mistakenly given a Novavax vaccine instead. Patient was notified of the mistake and told to contact the pharmacy if any adverse reactions begin. At the time of notification, patient had no adverse events. Will be in contact with her to monitor any ongoing issues.
Age: 25.0
Sex: F
Vaccine: UNK
Symptoms: Expired product administered
Clinical narrative: 1 patient was vaccinated with Pfizer lot FC3183 beyond best use date
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, Chest X-ray abnormal, Clostridium test, Decreased appetite
Clinical narrative: Patient had tested positive for COVID 19 at LTCF 14 days ago and he had been isolated.  He was started having some diarrhea issues and he was also not eating much because of the nausea.  He also had weight loss and MMR was called.  He was found to be 88% on room air and placed on 2 L and he improved to 92%.   He already had two Pfizer vaccines this year and 2 weeks ago he also had a booster shot from Pfizer.  When the patient came in here, the patient's most of the workup was unremarkable, but he did have a D-dimer elevation, positive for COVID-19.  Chest x-ray showed bilateral pneumonia, infiltrates were consistent, but nondiagnostic for COVID-19 infection.  The patient was then admitted to a COVID floor.  We started him on some Flagyl, IV fluids. His stools were negative for C diff.  We did start him on remdesivir and dexamethasone. DVT prophylaxis was done on Heparin .  Also started him on doxycycline.  The patient has finished a course for remdesivir.  He was discharged in stable condition.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Fibrin D dimer increased, Lung infiltration, Nausea, Oxygen saturation decreased
Clinical narrative: Patient had tested positive for COVID 19 at LTCF 14 days ago and he had been isolated.  He was started having some diarrhea issues and he was also not eating much because of the nausea.  He also had weight loss and MMR was called.  He was found to be 88% on room air and placed on 2 L and he improved to 92%.   He already had two Pfizer vaccines this year and 2 weeks ago he also had a booster shot from Pfizer.  When the patient came in here, the patient's most of the workup was unremarkable, but he did have a D-dimer elevation, positive for COVID-19.  Chest x-ray showed bilateral pneumonia, infiltrates were consistent, but nondiagnostic for COVID-19 infection.  The patient was then admitted to a COVID floor.  We started him on some Flagyl, IV fluids. His stools were negative for C diff.  We did start him on remdesivir and dexamethasone. DVT prophylaxis was done on Heparin .  Also started him on doxycycline.  The patient has finished a course for remdesivir.  He was discharged in stable condition.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, SARS-CoV-2 test positive, Stool analysis normal, Weight decreased
Clinical narrative: Patient had tested positive for COVID 19 at LTCF 14 days ago and he had been isolated.  He was started having some diarrhea issues and he was also not eating much because of the nausea.  He also had weight loss and MMR was called.  He was found to be 88% on room air and placed on 2 L and he improved to 92%.   He already had two Pfizer vaccines this year and 2 weeks ago he also had a booster shot from Pfizer.  When the patient came in here, the patient's most of the workup was unremarkable, but he did have a D-dimer elevation, positive for COVID-19.  Chest x-ray showed bilateral pneumonia, infiltrates were consistent, but nondiagnostic for COVID-19 infection.  The patient was then admitted to a COVID floor.  We started him on some Flagyl, IV fluids. His stools were negative for C diff.  We did start him on remdesivir and dexamethasone. DVT prophylaxis was done on Heparin .  Also started him on doxycycline.  The patient has finished a course for remdesivir.  He was discharged in stable condition.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalization for COVID required in a patient fully vaccinated and with 2 boosters
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date.
Age: 81.0
Sex: U
Vaccine: UNK
Symptoms: Expired product administered
Clinical narrative: 12 patients vaccinated with Pfizer lot FC3183 beyond best use date
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dyspnoea
Clinical narrative: Requiring hospitalization for SOB, O2 requirements and weakness
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalization for COVID required in a patient vaccinated and with two boosters
Age: 23.0
Sex: M
Vaccine: FLUC4
Symptoms: Antinuclear antibody, Blood thyroid stimulating hormone, Full blood count, Glycosylated haemoglobin, HIV test
Clinical narrative: On 11/26/22, I noticed mild numbness and tingling in my left hand. Soon after I developed weakness in my left hand as well. I described this to my PCP on 12/6/22 but he disregarded it. My symtoms continued to progress and worsen over December and January. By February 2022, the numbness, tingling, and weakness had spread to my entire left hand and arm, both feet, and both legs. On 2/21/22 I noticed I had completely lost the ability to run and jump. I went to urgent care on 2/22/22 and was referred to a neurologist. On, 3/2/22 I saw a neurologist, who referred me to a neurologist specializing in neuromuscular diseases. (See continuation page)
Age: 23.0
Sex: M
Vaccine: FLUC4
Symptoms: Hypoaesthesia, Loss of personal independence in daily activities, Metabolic function test, Muscular weakness, Paraesthesia
Clinical narrative: On 11/26/22, I noticed mild numbness and tingling in my left hand. Soon after I developed weakness in my left hand as well. I described this to my PCP on 12/6/22 but he disregarded it. My symtoms continued to progress and worsen over December and January. By February 2022, the numbness, tingling, and weakness had spread to my entire left hand and arm, both feet, and both legs. On 2/21/22 I noticed I had completely lost the ability to run and jump. I went to urgent care on 2/22/22 and was referred to a neurologist. On, 3/2/22 I saw a neurologist, who referred me to a neurologist specializing in neuromuscular diseases. (See continuation page)
Age: 23.0
Sex: M
Vaccine: FLUC4
Symptoms: Vitamin B12
Clinical narrative: On 11/26/22, I noticed mild numbness and tingling in my left hand. Soon after I developed weakness in my left hand as well. I described this to my PCP on 12/6/22 but he disregarded it. My symtoms continued to progress and worsen over December and January. By February 2022, the numbness, tingling, and weakness had spread to my entire left hand and arm, both feet, and both legs. On 2/21/22 I noticed I had completely lost the ability to run and jump. I went to urgent care on 2/22/22 and was referred to a neurologist. On, 3/2/22 I saw a neurologist, who referred me to a neurologist specializing in neuromuscular diseases. (See continuation page)
Age: 81.0
Sex: U
Vaccine: UNK
Symptoms: Expired product administered
Clinical narrative: 36 patients vaccinated with Pfizer lot FC3183 beyond best use date
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: +covid test in fully vaccinated pt
Age: 88.0
Sex: M
Vaccine: COVID19-2
Symptoms: Lip swelling
Clinical narrative: Swelling around the lips
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chronic obstructive pulmonary disease, Condition aggravated, Cough, Dyspnoea
Clinical narrative: Patient with 3 COVID vaccinations who admitted with dyspnea and tested detected for COVID.  Provider d/c note:  "86 YO male with h/o COPD on 2L O2, HTN, AS s/p TAVR, CKD III, hypothyroidism presenting to the ED for evaluation of shortness of breath.  Patient states he has chronic shortness of breath/DOE/nonproductive cough however much worse, had to crank up his O2 up to 5L without significant improvement.  He was found to be COVID positive.  He was started on treatment for COPD exacerbation likely due to COVID infection.  Shortness of breath improved and he was brought back down to his home O2 requirements.  Pt was stable on discharge.  "
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea exertional, SARS-CoV-2 test positive
Clinical narrative: Patient with 3 COVID vaccinations who admitted with dyspnea and tested detected for COVID.  Provider d/c note:  "86 YO male with h/o COPD on 2L O2, HTN, AS s/p TAVR, CKD III, hypothyroidism presenting to the ED for evaluation of shortness of breath.  Patient states he has chronic shortness of breath/DOE/nonproductive cough however much worse, had to crank up his O2 up to 5L without significant improvement.  He was found to be COVID positive.  He was started on treatment for COPD exacerbation likely due to COVID infection.  Shortness of breath improved and he was brought back down to his home O2 requirements.  Pt was stable on discharge.  "
Age: 24.0
Sex: U
Vaccine: UNK
Symptoms: Expired product administered
Clinical narrative: 12 patients vaccinated with Pfizer lot FC3183 beyond best use date
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Haematoma, SARS-CoV-2 test positive
Clinical narrative: Patient with 2 COVID vaccines who admitted with hematoma to leg, incidentally found positive on routine facility admission testing.  No hypoxia during stay.
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: No adverse events: Patient was given 0.6ml instead of the recommended dose 0.3ml.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Feeling hot, SARS-CoV-2 test positive
Clinical narrative: 07/02/2022 in the morning I started feeling warm. On 07/05/2022 I tested positive for COVID-19. On the same day I did a tele heath with my doctor who then prescribed me with PAXLOVID for 5 days. After few days of the medication I started feeling better.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: On 09/03/2022, I accidently administered a Pfizer dose which expired 08/31/2022.  Patient was contacted and no reaction was found.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Adverse event, Asthenia, COVID-19, Confusional state, Death
Clinical narrative: This is an instance of breakthrough COVID-19 disease after which death occurred. The individual was vaccinated 3 times with the Moderna product, having received vaccine on 02/15/2021, 03/15/2021, and 10/29/2021. They also received an influenza vaccination on 10/29/2021: A FLU-Quad (Lot #312874). They tested positive for COVID-19 on 07/17/2022 via antigen test at the assisted living facility at which they were a resident. The test came through after their death on 07/16/2022. Death certificate has "Head Trauma" and "Fall" in Part I (Cause of Death). COVID-19 is in the Part II (Other Significant Conditions). The individual had significant underlying conditions and had just been re-certified for hospice care about a week prior to their death.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fall, General physical health deterioration, Head injury, SARS-CoV-2 antibody test positive, Vaccine breakthrough infection
Clinical narrative: This is an instance of breakthrough COVID-19 disease after which death occurred. The individual was vaccinated 3 times with the Moderna product, having received vaccine on 02/15/2021, 03/15/2021, and 10/29/2021. They also received an influenza vaccination on 10/29/2021: A FLU-Quad (Lot #312874). They tested positive for COVID-19 on 07/17/2022 via antigen test at the assisted living facility at which they were a resident. The test came through after their death on 07/16/2022. Death certificate has "Head Trauma" and "Fall" in Part I (Cause of Death). COVID-19 is in the Part II (Other Significant Conditions). The individual had significant underlying conditions and had just been re-certified for hospice care about a week prior to their death.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Weight decreased
Clinical narrative: This is an instance of breakthrough COVID-19 disease after which death occurred. The individual was vaccinated 3 times with the Moderna product, having received vaccine on 02/15/2021, 03/15/2021, and 10/29/2021. They also received an influenza vaccination on 10/29/2021: A FLU-Quad (Lot #312874). They tested positive for COVID-19 on 07/17/2022 via antigen test at the assisted living facility at which they were a resident. The test came through after their death on 07/16/2022. Death certificate has "Head Trauma" and "Fall" in Part I (Cause of Death). COVID-19 is in the Part II (Other Significant Conditions). The individual had significant underlying conditions and had just been re-certified for hospice care about a week prior to their death.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Bronchial wall thickening, COVID-19, Chest pain
Clinical narrative: Patient with 2 COVID vaccines who admitted with hypoxia and COVID detected test.  Provider d/c note:  ""87-year-old male patient with past medical history of chronic obstructive pulmonary disease, chronic kidney disease stage IIIB, hypertension, diastolic CHF, coronary artery disease, status post CABG status post stenting, presents with increasing shortness of breath, cough with yellowish expectoration and some chest pain.  He was found to be COVID positive, viral respiratory panel was negative for everything else.  CTA chest showed increased bronchial wall thickening and peribronchial nodularity and consolidation.  He was also found to have COPD exacerbation and started on appropriate therapy.  Respiratory status improved and he was weaned off of oxygen.  He did desaturate with ambulation so he was sent home with oxygen.  Pt was stable on discharge.     Acute hypoxic respiratory failure 2/2 COPD exacerbation, CAP and COVID  - hypoxia resolved - CTA chest showed increased bronchial wall thickening and peribronchial nodularity and consolidation  - treated with a 5 day course of ceftriaxone and prednisone  - continue Breztri and Trelegy"
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chronic obstructive pulmonary disease, Condition aggravated, Dyspnoea, Hypoxia, Lung consolidation
Clinical narrative: Patient with 2 COVID vaccines who admitted with hypoxia and COVID detected test.  Provider d/c note:  ""87-year-old male patient with past medical history of chronic obstructive pulmonary disease, chronic kidney disease stage IIIB, hypertension, diastolic CHF, coronary artery disease, status post CABG status post stenting, presents with increasing shortness of breath, cough with yellowish expectoration and some chest pain.  He was found to be COVID positive, viral respiratory panel was negative for everything else.  CTA chest showed increased bronchial wall thickening and peribronchial nodularity and consolidation.  He was also found to have COPD exacerbation and started on appropriate therapy.  Respiratory status improved and he was weaned off of oxygen.  He did desaturate with ambulation so he was sent home with oxygen.  Pt was stable on discharge.     Acute hypoxic respiratory failure 2/2 COPD exacerbation, CAP and COVID  - hypoxia resolved - CTA chest showed increased bronchial wall thickening and peribronchial nodularity and consolidation  - treated with a 5 day course of ceftriaxone and prednisone  - continue Breztri and Trelegy"
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Oxygen saturation decreased, Pneumonia, Productive cough, Pulmonary mass, Respiratory viral panel
Clinical narrative: Patient with 2 COVID vaccines who admitted with hypoxia and COVID detected test.  Provider d/c note:  ""87-year-old male patient with past medical history of chronic obstructive pulmonary disease, chronic kidney disease stage IIIB, hypertension, diastolic CHF, coronary artery disease, status post CABG status post stenting, presents with increasing shortness of breath, cough with yellowish expectoration and some chest pain.  He was found to be COVID positive, viral respiratory panel was negative for everything else.  CTA chest showed increased bronchial wall thickening and peribronchial nodularity and consolidation.  He was also found to have COPD exacerbation and started on appropriate therapy.  Respiratory status improved and he was weaned off of oxygen.  He did desaturate with ambulation so he was sent home with oxygen.  Pt was stable on discharge.     Acute hypoxic respiratory failure 2/2 COPD exacerbation, CAP and COVID  - hypoxia resolved - CTA chest showed increased bronchial wall thickening and peribronchial nodularity and consolidation  - treated with a 5 day course of ceftriaxone and prednisone  - continue Breztri and Trelegy"