chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hypogeusia, Joint noise, Magnetic resonance imaging, Mobility decreased, Myalgia
Clinical narrative: 1. My mind has been affected. I'd say 50% or more of my brain power is gone. There is damage to my brain. I know there is brain fog but mind is worse than just that.   2. Debilitating headaches every single day and all day.  Headache pressure all over my head in the front, side and back. It feels like my head is going to burst.    3. Stomach pain and constant belching throughout the day. Stomach feels and looks bloated and it's painful. There is roaring and rumbling in my stomach that is loud all day. I now have to take medication that doesn't help a lot.   4. Constant pain in my neck and it pops like it will break off. I can literally hear the bones popping.   5. Pain down the back of my neck and in the top portion of my upper back. It hurts so bad at times that a hot shower is excruciatingly painful.   6. Muscle aches and joint aches throughout the day.   7. Weakness and extreme fatigue. I have to sleep 10  -12 ours to function two hours per day. If I don't sleep well I can barely move some days and the pain is off the charts.    8.  I've been diagnosed with tachycardia and I take medication for it that causes more problems.   9.  My taste has been drastically reduced. I can only taste about 10-25% of the foodT I eat.   10. Vision is worse.   11. Hearing is more difficult b/c it's made the tinnitus worse and my head is popp9ing and crackling all the time. I had arthritis before and it's worsened it 10 times.   12. Communication is very hard for me. I rarely talk like I did before.   13. About 50% of my hair is gone.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Tachycardia, Tinnitus, Visual impairment
Clinical narrative: 1. My mind has been affected. I'd say 50% or more of my brain power is gone. There is damage to my brain. I know there is brain fog but mind is worse than just that.   2. Debilitating headaches every single day and all day.  Headache pressure all over my head in the front, side and back. It feels like my head is going to burst.    3. Stomach pain and constant belching throughout the day. Stomach feels and looks bloated and it's painful. There is roaring and rumbling in my stomach that is loud all day. I now have to take medication that doesn't help a lot.   4. Constant pain in my neck and it pops like it will break off. I can literally hear the bones popping.   5. Pain down the back of my neck and in the top portion of my upper back. It hurts so bad at times that a hot shower is excruciatingly painful.   6. Muscle aches and joint aches throughout the day.   7. Weakness and extreme fatigue. I have to sleep 10  -12 ours to function two hours per day. If I don't sleep well I can barely move some days and the pain is off the charts.    8.  I've been diagnosed with tachycardia and I take medication for it that causes more problems.   9.  My taste has been drastically reduced. I can only taste about 10-25% of the foodT I eat.   10. Vision is worse.   11. Hearing is more difficult b/c it's made the tinnitus worse and my head is popp9ing and crackling all the time. I had arthritis before and it's worsened it 10 times.   12. Communication is very hard for me. I rarely talk like I did before.   13. About 50% of my hair is gone.
Age: 83.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Pain, Peripheral swelling, Rash erythematous, Rash pruritic
Clinical narrative: The next day, patient had red itchy rash all over the body, itchiness, pain, swelling of feet and hands. Finally, by 9/21/22 she felt almost back to normal.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Abdominal X-ray, Abdominal distension, Acute kidney injury, Blood gases abnormal, COVID-19
Clinical narrative: Patient with 4 COVID vaccines who admitted with positive COVID test and C diff who subsequently died.  Cause of death attributed to C diff.  Patient severely immunocompromised.  Provider d/c note:  "80 yo female who was recently admitted to facility for dehydration and AKI following COVID diagnosis. She returned to the ED on 9/13 with returned dehydration and diarrhea since discharge. She admitted to poor po intake, but denied abdominal pain.  In the ED, she was noted to be hypoxic without dyspnea. She was started on IVF and found to be Cdiff positive. She was started on PO vanco. Following admission, she developed chest pain and D-dimer and troponins were ordered. She was found to have a Ddimer of 10K and became tachypnic. ABG revealed a respiratory alkalosis and was started on a bicarb gtt. BLE doppler was ordered to rule out DVT as she was too unstable for CTA, which did not reveal a DVT in the RLE, though questionable one of L femoral. On 9/15 morning, pt became hypotensive and did not respond to IVF. She was brought to the ICU for further care.    On exam, she was altered and unable to answer questions. She was noted to be hypotensive with SBP in the 50s. Her abdomen was distended and AXR revealed dilated colon. ID was consulted for concerns of fulminant Cdiff colitis. General surgery was consulted, though prior to arrival, family elected that they would not want to proceed with surgical intervention. They elected for no further escalation of care. Medical management was given, but pt had further decline with increased lactic acidosis and became less responsive. Family elected to transition to comfort measures on 9/16. She expired at 1417 on 9/16/2022."
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Chest pain, Clostridium difficile infection, Clostridium test positive, Condition aggravated, Death
Clinical narrative: Patient with 4 COVID vaccines who admitted with positive COVID test and C diff who subsequently died.  Cause of death attributed to C diff.  Patient severely immunocompromised.  Provider d/c note:  "80 yo female who was recently admitted to facility for dehydration and AKI following COVID diagnosis. She returned to the ED on 9/13 with returned dehydration and diarrhea since discharge. She admitted to poor po intake, but denied abdominal pain.  In the ED, she was noted to be hypoxic without dyspnea. She was started on IVF and found to be Cdiff positive. She was started on PO vanco. Following admission, she developed chest pain and D-dimer and troponins were ordered. She was found to have a Ddimer of 10K and became tachypnic. ABG revealed a respiratory alkalosis and was started on a bicarb gtt. BLE doppler was ordered to rule out DVT as she was too unstable for CTA, which did not reveal a DVT in the RLE, though questionable one of L femoral. On 9/15 morning, pt became hypotensive and did not respond to IVF. She was brought to the ICU for further care.    On exam, she was altered and unable to answer questions. She was noted to be hypotensive with SBP in the 50s. Her abdomen was distended and AXR revealed dilated colon. ID was consulted for concerns of fulminant Cdiff colitis. General surgery was consulted, though prior to arrival, family elected that they would not want to proceed with surgical intervention. They elected for no further escalation of care. Medical management was given, but pt had further decline with increased lactic acidosis and became less responsive. Family elected to transition to comfort measures on 9/16. She expired at 1417 on 9/16/2022."
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Dehydration, Diarrhoea, Fibrin D dimer, General physical health deterioration, Hypophagia
Clinical narrative: Patient with 4 COVID vaccines who admitted with positive COVID test and C diff who subsequently died.  Cause of death attributed to C diff.  Patient severely immunocompromised.  Provider d/c note:  "80 yo female who was recently admitted to facility for dehydration and AKI following COVID diagnosis. She returned to the ED on 9/13 with returned dehydration and diarrhea since discharge. She admitted to poor po intake, but denied abdominal pain.  In the ED, she was noted to be hypoxic without dyspnea. She was started on IVF and found to be Cdiff positive. She was started on PO vanco. Following admission, she developed chest pain and D-dimer and troponins were ordered. She was found to have a Ddimer of 10K and became tachypnic. ABG revealed a respiratory alkalosis and was started on a bicarb gtt. BLE doppler was ordered to rule out DVT as she was too unstable for CTA, which did not reveal a DVT in the RLE, though questionable one of L femoral. On 9/15 morning, pt became hypotensive and did not respond to IVF. She was brought to the ICU for further care.    On exam, she was altered and unable to answer questions. She was noted to be hypotensive with SBP in the 50s. Her abdomen was distended and AXR revealed dilated colon. ID was consulted for concerns of fulminant Cdiff colitis. General surgery was consulted, though prior to arrival, family elected that they would not want to proceed with surgical intervention. They elected for no further escalation of care. Medical management was given, but pt had further decline with increased lactic acidosis and became less responsive. Family elected to transition to comfort measures on 9/16. She expired at 1417 on 9/16/2022."
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Hyporesponsive to stimuli, Hypotension, Hypoxia, Immunodeficiency, Intensive care
Clinical narrative: Patient with 4 COVID vaccines who admitted with positive COVID test and C diff who subsequently died.  Cause of death attributed to C diff.  Patient severely immunocompromised.  Provider d/c note:  "80 yo female who was recently admitted to facility for dehydration and AKI following COVID diagnosis. She returned to the ED on 9/13 with returned dehydration and diarrhea since discharge. She admitted to poor po intake, but denied abdominal pain.  In the ED, she was noted to be hypoxic without dyspnea. She was started on IVF and found to be Cdiff positive. She was started on PO vanco. Following admission, she developed chest pain and D-dimer and troponins were ordered. She was found to have a Ddimer of 10K and became tachypnic. ABG revealed a respiratory alkalosis and was started on a bicarb gtt. BLE doppler was ordered to rule out DVT as she was too unstable for CTA, which did not reveal a DVT in the RLE, though questionable one of L femoral. On 9/15 morning, pt became hypotensive and did not respond to IVF. She was brought to the ICU for further care.    On exam, she was altered and unable to answer questions. She was noted to be hypotensive with SBP in the 50s. Her abdomen was distended and AXR revealed dilated colon. ID was consulted for concerns of fulminant Cdiff colitis. General surgery was consulted, though prior to arrival, family elected that they would not want to proceed with surgical intervention. They elected for no further escalation of care. Medical management was given, but pt had further decline with increased lactic acidosis and became less responsive. Family elected to transition to comfort measures on 9/16. She expired at 1417 on 9/16/2022."
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Intestinal dilatation, Lactic acidosis, Mental status changes, Respiratory alkalosis, SARS-CoV-2 test positive
Clinical narrative: Patient with 4 COVID vaccines who admitted with positive COVID test and C diff who subsequently died.  Cause of death attributed to C diff.  Patient severely immunocompromised.  Provider d/c note:  "80 yo female who was recently admitted to facility for dehydration and AKI following COVID diagnosis. She returned to the ED on 9/13 with returned dehydration and diarrhea since discharge. She admitted to poor po intake, but denied abdominal pain.  In the ED, she was noted to be hypoxic without dyspnea. She was started on IVF and found to be Cdiff positive. She was started on PO vanco. Following admission, she developed chest pain and D-dimer and troponins were ordered. She was found to have a Ddimer of 10K and became tachypnic. ABG revealed a respiratory alkalosis and was started on a bicarb gtt. BLE doppler was ordered to rule out DVT as she was too unstable for CTA, which did not reveal a DVT in the RLE, though questionable one of L femoral. On 9/15 morning, pt became hypotensive and did not respond to IVF. She was brought to the ICU for further care.    On exam, she was altered and unable to answer questions. She was noted to be hypotensive with SBP in the 50s. Her abdomen was distended and AXR revealed dilated colon. ID was consulted for concerns of fulminant Cdiff colitis. General surgery was consulted, though prior to arrival, family elected that they would not want to proceed with surgical intervention. They elected for no further escalation of care. Medical management was given, but pt had further decline with increased lactic acidosis and became less responsive. Family elected to transition to comfort measures on 9/16. She expired at 1417 on 9/16/2022."
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Tachypnoea, Troponin, Ultrasound Doppler abnormal
Clinical narrative: Patient with 4 COVID vaccines who admitted with positive COVID test and C diff who subsequently died.  Cause of death attributed to C diff.  Patient severely immunocompromised.  Provider d/c note:  "80 yo female who was recently admitted to facility for dehydration and AKI following COVID diagnosis. She returned to the ED on 9/13 with returned dehydration and diarrhea since discharge. She admitted to poor po intake, but denied abdominal pain.  In the ED, she was noted to be hypoxic without dyspnea. She was started on IVF and found to be Cdiff positive. She was started on PO vanco. Following admission, she developed chest pain and D-dimer and troponins were ordered. She was found to have a Ddimer of 10K and became tachypnic. ABG revealed a respiratory alkalosis and was started on a bicarb gtt. BLE doppler was ordered to rule out DVT as she was too unstable for CTA, which did not reveal a DVT in the RLE, though questionable one of L femoral. On 9/15 morning, pt became hypotensive and did not respond to IVF. She was brought to the ICU for further care.    On exam, she was altered and unable to answer questions. She was noted to be hypotensive with SBP in the 50s. Her abdomen was distended and AXR revealed dilated colon. ID was consulted for concerns of fulminant Cdiff colitis. General surgery was consulted, though prior to arrival, family elected that they would not want to proceed with surgical intervention. They elected for no further escalation of care. Medical management was given, but pt had further decline with increased lactic acidosis and became less responsive. Family elected to transition to comfort measures on 9/16. She expired at 1417 on 9/16/2022."
Age: 3.0
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered to patient on 7/13/2022 was expired on 7/9/2022. This error was noted when patient returned on 9/6/2022 for catch up vaccines. Patient was administered DTAP/IPV vaccine at this visit to correct the error. ( Parent declined the HIB) Parent did not report any adverse reactions to the expired vaccine.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pruritus
Clinical narrative: Tingling in arm within 15 minutes  Extreme itching - arms - a couple of hours later  Pins and needles in both arms and both legs alternating with itching
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product administration error, Wrong product administered
Clinical narrative: Not adverse reaction report: Administration error. Patient had requested Hi-dose Flu vaccine but instead received Moderna Bivalent dose.  Later discovered she had COVID 1 month prior to date of vaccination --(so we were told she should have waited 3 months per CDC/FDA.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Diarrhoea, Fatigue, Nausea, Pain
Clinical narrative: Pt to ED 9/11 C/C of N&V with diarrhea and fatigue with body aches x 2 days. Pt COVID+ 9/11. 9/12 Patient complains of no pain or discomfort at this time, IV remdesivir started. 9/13 Pt A&OX4, denies pain, or any discomfort. 9/14 pt A&OX4, denies pain,sob, or discomfort. 9/15 pt sepsis BPA firing,WBC 20.6 today and trending down, pt otherwise stable. 9/16 pt discharged.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis, Vomiting, White blood cell count increased
Clinical narrative: Pt to ED 9/11 C/C of N&V with diarrhea and fatigue with body aches x 2 days. Pt COVID+ 9/11. 9/12 Patient complains of no pain or discomfort at this time, IV remdesivir started. 9/13 Pt A&OX4, denies pain, or any discomfort. 9/14 pt A&OX4, denies pain,sob, or discomfort. 9/15 pt sepsis BPA firing,WBC 20.6 today and trending down, pt otherwise stable. 9/16 pt discharged.
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Activated partial thromboplastin time, Blister, Chest discomfort, Differential white blood cell count, Dyspnoea
Clinical narrative: Received COVID-19 booster vaccine (bivalent PFIZER-BIONTECH) on 9/19/2022 at noon. Patient reports the night of vaccine administration developed blood blisters to bilateral feet Unable to walk much at that time due to bilateral foot pain.  Woke up feeling tired at 1:00 AM, developed muscle aches, soreness, chest tightness, and shortness of breath at 3:30 AM Yesterday morning felt better, but still not back to baseline.  Today, still better, but not back to baseline.
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Fatigue, Fibrin D dimer, Full blood count, Gait disturbance, Metabolic function test
Clinical narrative: Received COVID-19 booster vaccine (bivalent PFIZER-BIONTECH) on 9/19/2022 at noon. Patient reports the night of vaccine administration developed blood blisters to bilateral feet Unable to walk much at that time due to bilateral foot pain.  Woke up feeling tired at 1:00 AM, developed muscle aches, soreness, chest tightness, and shortness of breath at 3:30 AM Yesterday morning felt better, but still not back to baseline.  Today, still better, but not back to baseline.
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Myalgia, Pain, Pain in extremity
Clinical narrative: Received COVID-19 booster vaccine (bivalent PFIZER-BIONTECH) on 9/19/2022 at noon. Patient reports the night of vaccine administration developed blood blisters to bilateral feet Unable to walk much at that time due to bilateral foot pain.  Woke up feeling tired at 1:00 AM, developed muscle aches, soreness, chest tightness, and shortness of breath at 3:30 AM Yesterday morning felt better, but still not back to baseline.  Today, still better, but not back to baseline.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Respiratory failure
Clinical narrative: Pt arrived from outlying facility with shortness of breath. She has a history of CHF, cardiomyopathy, DM, and was admitted due to COVID-19 and hypoxic respiratory failure.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: On Monday pt received Quadracel and Flu in L leg, Proquad in R. Mom called today stating she believes it patient's L leg. It is swollen and the  diameter of an orange, is very warm, hard and a little firm at the site. Tuesday morning it was size of a nickle, by bedtime the diameter was the size of a golf ball and woke up with a diameter the size of an orange today, 9/21/22. Only other red marks are on a foot and on the back. Mom thinks those are mosquito bites. Pt is not having any difficulty breathing. No swallowing issues. Originally scheduled for an in office at 2  pm with , FNP . Because of transportation issues, switched to telemedicine. Mom has been using cold compresses on site and will continue to do so. Per the visit: localized superficial swelling of skin (Left) Child developed localized reaction s/p Dtap, IPV, and flu vaccine in L thigh 24 hours after vaccines given as evidenced by mild to moderate erythema currently 4 inches in diameter without tenderness or decreased ROM of extremity. Child did not have respiratory distress, swelling of face, wheezing or hives, so localized and minor. Discussed with mother over video visit that reaction is likely related to Dtap vaccine but flu vaccine is also possible culprit and is not indicative of allergy to vaccine components. Since erythema and warmth at the injection site is improving, advised to continue to use cool compresses at the area and monitor for danger signs as discussed. Mom to call hospital if noted.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: There was no adverse event except for patient was given the wrong dose/strength of COVID vaccine. Patient was  given the 3mcg strength instead of the 10 mcg strength of COVID Vaccine for his second dose.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given an adult dose of Moderna when she should have received a dose of Pfizer. Moderna adult dose not approved for under 18 years of age
Age: 88.0
Sex: M
Vaccine: SMALLMNK
Symptoms: No adverse event
Clinical narrative: During first attempt of intradermal injection, a wheal was not visible. Per standing order guidelines, the nurse attempted the administration a second time in the opposite forearm. She was successful on the second attempt. The patient has not reported signs or symptoms of an adverse reaction following vaccination.
Age: 1.08
Sex: M
Vaccine: VARCEL
Symptoms: Device temperature issue, No adverse event
Clinical narrative: No adverse reactions to the vaccine. Vaccine that was given was in a unit that temperatures could not be verified by backup temperature monitoring. Out of an abundance of caution these doses are being considered non-viable.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: No adverse event. The patient was given .3 mL of purple cap Pfizer on 11/29/22 and 0.2mL of the purple cap Pfizer lot # FJ8757
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Eyelids pruritus, Lacrimation increased, Swelling of eyelid
Clinical narrative: Swollen itchy eyelids with slight watering eyes Benedryl tablets helped ease symptoms
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse reactions to the vaccine. Vaccine that was given was in a unit that temperatures could not be verified by backup temperature monitoring. Out of an abundance of caution these doses are being considered non-viable.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Fatigue, Headache, Pain, Vaccination site pain
Clinical narrative: Fatigue, constant all over body aches, intermittent left earache and headache for 24hrs. Used Tylenol for relief every 6 hrs. beginning at 4:15am 9/22 until bedtime at 10pm. Arm still sore at vaccine site, when touched, until 2pm 9/23
Age: 12.0
Sex: M
Vaccine: COVID19, FLU4, HPV9
Symptoms: Incorrect product formulation administered, No adverse event, Product administration error
Clinical narrative: Nurse gave patient PFizer covid shot, NOT the BILVALENT that was ordered by provider.  So patient received a 3rd dose of the original covid vaccine and was not able to get his bivalent booster today because of the error.  Patient had no adverse effects in the office.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Dizziness, Headache, Nausea
Clinical narrative: Patient denies any issues with the 1st covid vaccine. Hx of asthma, well managed with medications.  He did state he was very anxious about receiving the 2nd dose as people had told him that the 2nd dose was worse and made them sick.  He was instructed that he may have some side effects and was given the handout on steps to take after receiving the vaccine.  He stated he was fine after receiving the vaccine, and was escorted to the main desk to be observed for 15 minutes.  About 5-10 minutes after receiving the vaccine and sitting by the front desk, being observed, he reported feeling nauseous.  He was given a bottle of water and a package of crackers.  He indicates he was feeling lightheaded, so he laid down on the floor, with his feet elevated on a chair.  He was also given an ice pack to place behind his neck, to see if that helped with the nausea.  While laying down, he states he was feeling fine before the vaccine, but he did have the start of a headache.  He then started to sit up a bit and was kinda leaning up against the wall, as laying down wasn't helping.  He was given a vomit bag, as he felt like he could vomit.  He started coughing hard, but no vomit.  He then said that the lightheadness/dizziness had progressed to what felt like a frontal headache.  Around 12:10pm, about 30 minutes after receiving the vaccine, he was asked if he would like to go to Urgent Care.  He declined and continued to be monitored.  He then got chilled, so he was given a warm blanket.  He was able to drink some more water at 12:22pm and then was able to eat a cracker.  He stated he was still a bit dizzy, but nausea was going away.  The lights were turned down a bit to help with any headache.  He then stated his left arm was cold, so he covered it back up with a blanket.  He was then asked how he was feeling and he indicated he was feeling the same.   He was again offered to be taken across the hall to Urgent Care around 12:40pm.  He did agree this time and was taken over to Urgent Care via wheelchair.  No Reaction at injection site noted.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral coldness
Clinical narrative: Patient denies any issues with the 1st covid vaccine. Hx of asthma, well managed with medications.  He did state he was very anxious about receiving the 2nd dose as people had told him that the 2nd dose was worse and made them sick.  He was instructed that he may have some side effects and was given the handout on steps to take after receiving the vaccine.  He stated he was fine after receiving the vaccine, and was escorted to the main desk to be observed for 15 minutes.  About 5-10 minutes after receiving the vaccine and sitting by the front desk, being observed, he reported feeling nauseous.  He was given a bottle of water and a package of crackers.  He indicates he was feeling lightheaded, so he laid down on the floor, with his feet elevated on a chair.  He was also given an ice pack to place behind his neck, to see if that helped with the nausea.  While laying down, he states he was feeling fine before the vaccine, but he did have the start of a headache.  He then started to sit up a bit and was kinda leaning up against the wall, as laying down wasn't helping.  He was given a vomit bag, as he felt like he could vomit.  He started coughing hard, but no vomit.  He then said that the lightheadness/dizziness had progressed to what felt like a frontal headache.  Around 12:10pm, about 30 minutes after receiving the vaccine, he was asked if he would like to go to Urgent Care.  He declined and continued to be monitored.  He then got chilled, so he was given a warm blanket.  He was able to drink some more water at 12:22pm and then was able to eat a cracker.  He stated he was still a bit dizzy, but nausea was going away.  The lights were turned down a bit to help with any headache.  He then stated his left arm was cold, so he covered it back up with a blanket.  He was then asked how he was feeling and he indicated he was feeling the same.   He was again offered to be taken across the hall to Urgent Care around 12:40pm.  He did agree this time and was taken over to Urgent Care via wheelchair.  No Reaction at injection site noted.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given vaccine past beyond use date but did not experience any side effects.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Epistaxis, Nausea, Pain, Pyrexia
Clinical narrative: 09/16/2022 01:45 I received Dose 5 of Moderna, approximately 6 hours later I had fever, body aches, joints hurt, and had nausea and nose bleed with blood clots.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Thrombosis
Clinical narrative: 09/16/2022 01:45 I received Dose 5 of Moderna, approximately 6 hours later I had fever, body aches, joints hurt, and had nausea and nose bleed with blood clots.
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse reactions to the vaccine. Vaccine that was given was in a unit that temperatures could not be verified by backup temperature monitoring. Out of an abundance of caution these doses are being considered non-viable.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Decreased appetite, Headache, Lacrimation increased
Clinical narrative: About a week of receiving my vaccine, I had a fever of 101F, cough, sore throat, runny nose, sneezing, watery eyes, headache, and loss of appetite for a couple of days. I was concerned of my symptoms especially after just receiving my recent booster so I took an at-home COVID-19 test which came back positive on 09/20/2022. I sent a picture of my results to my doctor who later contacted me. We discussed the Paxlovid prescription, but my doctor was concerned about the potential rebound COVID-19 that many people were catching after recovering. So she prescribed Mucinex, Flonase, Neti Pot, and heavy fluids and Tylenol for the headaches and sore throat. Each day since contracting it, the fever and headache have began to subside, but I'm still having the runny nose and cough.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
Clinical narrative: About a week of receiving my vaccine, I had a fever of 101F, cough, sore throat, runny nose, sneezing, watery eyes, headache, and loss of appetite for a couple of days. I was concerned of my symptoms especially after just receiving my recent booster so I took an at-home COVID-19 test which came back positive on 09/20/2022. I sent a picture of my results to my doctor who later contacted me. We discussed the Paxlovid prescription, but my doctor was concerned about the potential rebound COVID-19 that many people were catching after recovering. So she prescribed Mucinex, Flonase, Neti Pot, and heavy fluids and Tylenol for the headaches and sore throat. Each day since contracting it, the fever and headache have began to subside, but I'm still having the runny nose and cough.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Axillary pain, Blood glucose normal, Dizziness, Erythema, Feeling abnormal
Clinical narrative: 23 hours after getting the first Shingles vaccine I got extremely lightheaded and just about passed out.  I checked my blood sugar and I was 80; which is normal!  I went to bed and napped for 3 hours. I have felt off-kilter ever since (5 days later) The injection site is horrible. I have an intramuscular hematoma and will be seeing my doctor tomorrow again. The site is HOT and swollen - the redness is spreading and I have pain in my armpit.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site haematoma, Injection site swelling, Injection site warmth
Clinical narrative: 23 hours after getting the first Shingles vaccine I got extremely lightheaded and just about passed out.  I checked my blood sugar and I was 80; which is normal!  I went to bed and napped for 3 hours. I have felt off-kilter ever since (5 days later) The injection site is horrible. I have an intramuscular hematoma and will be seeing my doctor tomorrow again. The site is HOT and swollen - the redness is spreading and I have pain in my armpit.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Anal incontinence, Biopsy, Blood test, Colonoscopy
Clinical narrative: After having the COVID-19 shot I started having severe diarrhea with bad cramping and pain. I had been to the ER with these issues and they progressively got worse. I even had some instances where I had an accident and went without realizing it. I went to see my gastroenterologist and they tried me on a restrictive diet to see if I was having allergies to something. The better my diet was the worse my symptoms were. I was eventually sent to an allergist and we did a ton of testing to see what was going on and then also tested different foods to see what my reaction was. I had seen a radiologist and they did a CT scan, I had a colonoscopy and we biopsied things to test as well. The allergist stated that I was having Pollen Cross Reactivity which is also known as Oral Allergy Syndrome. None of this was an issue before I had the vaccine but it has been a huge impact on my life and health.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Cross sensitivity reaction, Diarrhoea, Muscle spasms, Oral allergy syndrome
Clinical narrative: After having the COVID-19 shot I started having severe diarrhea with bad cramping and pain. I had been to the ER with these issues and they progressively got worse. I even had some instances where I had an accident and went without realizing it. I went to see my gastroenterologist and they tried me on a restrictive diet to see if I was having allergies to something. The better my diet was the worse my symptoms were. I was eventually sent to an allergist and we did a ton of testing to see what was going on and then also tested different foods to see what my reaction was. I had seen a radiologist and they did a CT scan, I had a colonoscopy and we biopsied things to test as well. The allergist stated that I was having Pollen Cross Reactivity which is also known as Oral Allergy Syndrome. None of this was an issue before I had the vaccine but it has been a huge impact on my life and health.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: After having the COVID-19 shot I started having severe diarrhea with bad cramping and pain. I had been to the ER with these issues and they progressively got worse. I even had some instances where I had an accident and went without realizing it. I went to see my gastroenterologist and they tried me on a restrictive diet to see if I was having allergies to something. The better my diet was the worse my symptoms were. I was eventually sent to an allergist and we did a ton of testing to see what was going on and then also tested different foods to see what my reaction was. I had seen a radiologist and they did a CT scan, I had a colonoscopy and we biopsied things to test as well. The allergist stated that I was having Pollen Cross Reactivity which is also known as Oral Allergy Syndrome. None of this was an issue before I had the vaccine but it has been a huge impact on my life and health.
Age: 28.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Wrong technique in product usage process
Clinical narrative: Intradermal vaccine injection given to left forearm and no wheal formed. Repeat injection of vaccine given to back of left arm subcutaneous successfully.
Age: 3.0
Sex: M
Vaccine: FLU4
Symptoms: Vaccination site erythema
Clinical narrative: erythema of vaccination site
Age: 12.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain in extremity
Clinical narrative: Spoke with mother, she did not report any adverse events of concern outside of expected post-vaccination arm soreness.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoacusis, Tinnitus
Clinical narrative: Muffled hearing in Left ear with occasional tinnitus Loud sounds heard in Right ear
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: No adverse event
Clinical narrative: No adverse reactions to the vaccine. Vaccine that was given was in a unit that temperatures could not be verified by backup temperature monitoring. Out of an abundance of caution these doses are being considered non-viable.
Age: 36.0
Sex: F
Vaccine: COVID19-2, FLUC4, HEPA
Symptoms: Dizziness, Fall, Head injury, Syncope
Clinical narrative: patient received her vaccines and started to feel lightheaded. After a few seconds she fainted and fell out of the chair she was vaccinated in and hit her head.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Blood test, Borrelia test
Clinical narrative: Bell's Palsy
Age: 5.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given the third dose of COVID vaccine 16 days earlier than indicated
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient came in for her Pfizer booster #1 (already had previous Pfizer Dose 1 & 2) and I administered the Pfizer-BioNTech COVID-19 Monovalent vaccine, instead of the Bivalent Pfizer-BioNTech COVID-19 Vaccine.  The Monovalent is outdated now and I should have given the Bivalent vaccine.  NO adverse reaction occurred to patient during or after vaccination. Patient was monitored for 15min after administration of Pfizer-BioNTech COVID-19 vaccine and felt fine, asymptomatic, with no adverse reacitons/symptoms during, 15minutes, and 20 minutes after administration.
Age: 83.0
Sex: M
Vaccine: COVID19-2
Symptoms: Decreased appetite
Clinical narrative: Lack of appetite on 9/20,
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Diarrhoea, Nausea, SARS-CoV-2 test negative, Vomiting
Clinical narrative: Nausea, vomiting, diarrhea. 10 hours duration
Age: 78.0
Sex: M
Vaccine: FLU4
Symptoms: Headache, Nausea
Clinical narrative: Patient was vaccinated per standing orders. Patient called the office approximately 4 hours later reporting "worst pounding headache i've ever had" and nausea. Denied any other symptoms at that time. Denied fever, site swelling drainage warmth. Denied shortness of breath and chest pain. Instructed to go to the ED immediately.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray normal, Chills, Cough
Clinical narrative: Admission Date: 9/19/2022 Discharge Date: 9/21/2022  PRESENTING PROBLEM: Asthenia COVID-19   HOSPITAL COURSE: The patient presented to the emergency department on 9/19/22 with complaint of generalized weakness and fevers for the prior 3 days. Also complained of chills, nonproductive cough and sore throat. Chronic diarrhea continued.    During ED course, vital signs and diagnostics were reassuring. CXR was showed no acute findings. COVID-19 was positive. Was on room air. Unfortunately, it was not felt discharging home was appropriate due to lethargy. Family was also not able to care for him due to weakness.   During hospitalization, home medications were continued as appropriate. PT evaluation completed. It was felt that home with home health, RN and PT would be appropriate. He is agreeable.   Today, his normal caregiver is able to care for him and due to improvement in weakness, they are comfortable with his being discharged. He states that he is feeling vastly improved. No shortness of breath, chest pain, dizziness or nausea. We discussed discharge today which he is looking forward to.   The patient is stable for discharge home with home care at this time. He is agreeable with the above plan of care. All questions were answered. Please see discharge instructions for further information.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Lethargy, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Admission Date: 9/19/2022 Discharge Date: 9/21/2022  PRESENTING PROBLEM: Asthenia COVID-19   HOSPITAL COURSE: The patient presented to the emergency department on 9/19/22 with complaint of generalized weakness and fevers for the prior 3 days. Also complained of chills, nonproductive cough and sore throat. Chronic diarrhea continued.    During ED course, vital signs and diagnostics were reassuring. CXR was showed no acute findings. COVID-19 was positive. Was on room air. Unfortunately, it was not felt discharging home was appropriate due to lethargy. Family was also not able to care for him due to weakness.   During hospitalization, home medications were continued as appropriate. PT evaluation completed. It was felt that home with home health, RN and PT would be appropriate. He is agreeable.   Today, his normal caregiver is able to care for him and due to improvement in weakness, they are comfortable with his being discharged. He states that he is feeling vastly improved. No shortness of breath, chest pain, dizziness or nausea. We discussed discharge today which he is looking forward to.   The patient is stable for discharge home with home care at this time. He is agreeable with the above plan of care. All questions were answered. Please see discharge instructions for further information.
Age: 91.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest pain
Clinical narrative: patient received two vaccines, pfizer and flu and was doing great about an hour later patient notified staff that she was experiencing chest pain. EMS was called and patient was taken to the hospital
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium decreased, COVID-19, Chest X-ray normal, Cough, Diarrhoea
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 9/19/2022 Discharge Date:  9/21/2022  PRESENTING PROBLEM: Acute hyponatremia [E87.1] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 85-year-old female with a history paroxysmal atrial fibrillation, CKD stage 3, depression, who was admitted on 9/19 with significant fatigue, nausea, vomiting and diarrhea.  Patient began to have symptoms of sore throat and cough beginning on Thursday 9/15.  Patient was noted to be fully vaccinated, but over due for booster.  In addition to sore throat and coughing, the patient began to have significant diarrhea, with decreased oral intake.  At the time of presentation she was noted to be positive for COVID, but stable on room air.  Chest x-ray was negative for acute cardiopulmonary process.  Laboratory studies showed acute hyponatremia with sodium of 122. Patient was also noted to have orthostatic hypotension.   Patient was admitted for further treatment of her acute hyponatremia, as well as COVID infection.  The patient was stable on room air, and was not a candidate for remdesivir or dexamethasone.  Patient was treated with supportive care.  With regards to the patient's hyponatremia, she did receive 2 L saline in the emergency department, and was subsequently treated with fluid restriction, with her sodium rising to 131.  The patient's orthostatic hypotension did resolve with hydration.  Initially Cardizem was held, however this was restarted, with stable vital signs.  With supportive care, and improvement in her hyponatremia the patient had significant improvement in her symptoms.  As patient was clinically stable she was discharged to home on 09/21/2022.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Fluid intake restriction, Hyponatraemia, Hypophagia, Laboratory test abnormal
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 9/19/2022 Discharge Date:  9/21/2022  PRESENTING PROBLEM: Acute hyponatremia [E87.1] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 85-year-old female with a history paroxysmal atrial fibrillation, CKD stage 3, depression, who was admitted on 9/19 with significant fatigue, nausea, vomiting and diarrhea.  Patient began to have symptoms of sore throat and cough beginning on Thursday 9/15.  Patient was noted to be fully vaccinated, but over due for booster.  In addition to sore throat and coughing, the patient began to have significant diarrhea, with decreased oral intake.  At the time of presentation she was noted to be positive for COVID, but stable on room air.  Chest x-ray was negative for acute cardiopulmonary process.  Laboratory studies showed acute hyponatremia with sodium of 122. Patient was also noted to have orthostatic hypotension.   Patient was admitted for further treatment of her acute hyponatremia, as well as COVID infection.  The patient was stable on room air, and was not a candidate for remdesivir or dexamethasone.  Patient was treated with supportive care.  With regards to the patient's hyponatremia, she did receive 2 L saline in the emergency department, and was subsequently treated with fluid restriction, with her sodium rising to 131.  The patient's orthostatic hypotension did resolve with hydration.  Initially Cardizem was held, however this was restarted, with stable vital signs.  With supportive care, and improvement in her hyponatremia the patient had significant improvement in her symptoms.  As patient was clinically stable she was discharged to home on 09/21/2022.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal pain, Orthostatic hypotension, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 9/19/2022 Discharge Date:  9/21/2022  PRESENTING PROBLEM: Acute hyponatremia [E87.1] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 85-year-old female with a history paroxysmal atrial fibrillation, CKD stage 3, depression, who was admitted on 9/19 with significant fatigue, nausea, vomiting and diarrhea.  Patient began to have symptoms of sore throat and cough beginning on Thursday 9/15.  Patient was noted to be fully vaccinated, but over due for booster.  In addition to sore throat and coughing, the patient began to have significant diarrhea, with decreased oral intake.  At the time of presentation she was noted to be positive for COVID, but stable on room air.  Chest x-ray was negative for acute cardiopulmonary process.  Laboratory studies showed acute hyponatremia with sodium of 122. Patient was also noted to have orthostatic hypotension.   Patient was admitted for further treatment of her acute hyponatremia, as well as COVID infection.  The patient was stable on room air, and was not a candidate for remdesivir or dexamethasone.  Patient was treated with supportive care.  With regards to the patient's hyponatremia, she did receive 2 L saline in the emergency department, and was subsequently treated with fluid restriction, with her sodium rising to 131.  The patient's orthostatic hypotension did resolve with hydration.  Initially Cardizem was held, however this was restarted, with stable vital signs.  With supportive care, and improvement in her hyponatremia the patient had significant improvement in her symptoms.  As patient was clinically stable she was discharged to home on 09/21/2022.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Heart rate increased, Pain, Pyrexia
Clinical narrative: ACHES, LOW GRADE FEVER, INCREASED HEART RATE
Age: 18.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Fatigue, Headache, Loss of consciousness, Pyrexia
Clinical narrative: Client reports "seizure like" activity; states that she went to bed feeling fine, but woke up out of no where at 5:00 with a horrible headache and shaking. States that she passed out and woke up approximately 5 minutes later with a fever of 102.7 degrees F. States that she was really weak, and fatigued. Denies any issues/side effects with previous covid-19 vaccinations.
Age: 18.0
Sex: F
Vaccine: COVID19-2
Symptoms: Seizure like phenomena, Sleep disorder, Tremor
Clinical narrative: Client reports "seizure like" activity; states that she went to bed feeling fine, but woke up out of no where at 5:00 with a horrible headache and shaking. States that she passed out and woke up approximately 5 minutes later with a fever of 102.7 degrees F. States that she was really weak, and fatigued. Denies any issues/side effects with previous covid-19 vaccinations.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Asthenia, Atrial fibrillation, COVID-19, Cough
Clinical narrative: On the 24th I noticed a headache and a sore throat. I made an appointment and had the COVID-19 PCR at the pharmacy and it was positive. I developed a cough and the headache. From there it got worse. I was prescribed Paxlovid by my doctor which he sent to the pharmacy.  I developed A-fib as a result of COVID-19 and had to get on Eliquis. I don't know if it because of COVID-19 or Paxlovid. With the medication, the A-fib stopped. I still have very little energy. I can barely walk a short period of time before getting  winded. I am seeing a pulmonologist for these lingering symptoms.