chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough, Pulmonary oedema, Respiratory failure, SARS-CoV-2 test positive, Sputum discoloured
Clinical narrative: Age: 57 y.o. Birthday:  Admit Date: 7/14/2022  8:58 AM Discharge Date: 7/18/2022     Discharge Diagnosis: Principal Problem:   COVID-19 Active Problems:   Acute on chronic diastolic congestive heart failure   Hypoxia   Anasarca   HTN (hypertension)   Diabetes mellitus       HPI AND HOSPITAL COURSE   History of Present Illness:  As per admission H&P, "The patient is a 57 y.o. female, presented on 7/14/2022 with the above. . The symptoms/labs were thought to be marked in severity and unstable. Onset several days ago. Associated symptoms include shortness of breath . Alleviated by none. The has a history of chronic hypoxic respirtory failure on 4 liters oxygen at home. She states that she has had increased leg swelling and shortness of breaht over the last 3 days. She has been coughing up white phlegm. She has not had any fevers or chills. In the ER she was noted to have pulmonary edema on CXR. She was also noted to be covid 19 positive. She is on 4 liters as I am seeing her. "       Patient is a 57 y.o. female who presented with shortness of breath.  She was managed for the following:   * COVID-19 Acute on chronic hypoxic respirtory failiure- due to COVID-19 pneumonia and CHF exacerbation.  She improved with treatment of the issues below, returned to her baseline 3L NC home requirement and remained stable.     COVID 19 Pneumonia - She completed 5 day course of remdesivir.  Will complete decadron taper on discharge.  Improved to baseline O2.     Acute on chroinc diasotlic CHF-  Patient had increased BNP and pulmonary edema on CXR.  She was diuresed with IV lasix and improved.  Had increased creatinine so asked patient to hold lasix on discharge and follow-up with PCP.    Acute on chronic stage 3a CKD- creatinine peaked at 2.0, likely from IV diuresis.  Was starting to trend down but not yet to baseline.  Patient wished to go home. Advised her to have labs repeated in one week, and hold lasix and metformin in the interim, follow-up with PCP.    DM2-  HgbA1c 5.1%, to hold metformin on dc.  Elevated during admission from steroids    E.coli UTI-  Treated with rocephin, resolved   Iron deficency anemia- continue iron         Physical Exam on the Date of Discharge: Blood pressure 145/71, pulse 59, temperature 97 °F (36.1 °C), resp. rate 16, height 5' 8" (172.7 cm), weight (!) 136.7 kg (301 lb 6.4 oz), last menstrual period 07/31/2015, SpO2 100 %. General - NAD, appears stated age, obese, HEENT - EOMI, PER, MMM, oropharynx clear, nasal cannula in place Chest - lungs clear bilaterally Heart - RRR, NS1S2, Abdomen - Soft, non-tender, non-distended, +BS,  Extremities - no edema Psych - AAOx3, affect appropriate Skin -, dry   Discharge Condition: improved   Disposition: home
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection
Clinical narrative: Age: 57 y.o. Birthday:  Admit Date: 7/14/2022  8:58 AM Discharge Date: 7/18/2022     Discharge Diagnosis: Principal Problem:   COVID-19 Active Problems:   Acute on chronic diastolic congestive heart failure   Hypoxia   Anasarca   HTN (hypertension)   Diabetes mellitus       HPI AND HOSPITAL COURSE   History of Present Illness:  As per admission H&P, "The patient is a 57 y.o. female, presented on 7/14/2022 with the above. . The symptoms/labs were thought to be marked in severity and unstable. Onset several days ago. Associated symptoms include shortness of breath . Alleviated by none. The has a history of chronic hypoxic respirtory failure on 4 liters oxygen at home. She states that she has had increased leg swelling and shortness of breaht over the last 3 days. She has been coughing up white phlegm. She has not had any fevers or chills. In the ER she was noted to have pulmonary edema on CXR. She was also noted to be covid 19 positive. She is on 4 liters as I am seeing her. "       Patient is a 57 y.o. female who presented with shortness of breath.  She was managed for the following:   * COVID-19 Acute on chronic hypoxic respirtory failiure- due to COVID-19 pneumonia and CHF exacerbation.  She improved with treatment of the issues below, returned to her baseline 3L NC home requirement and remained stable.     COVID 19 Pneumonia - She completed 5 day course of remdesivir.  Will complete decadron taper on discharge.  Improved to baseline O2.     Acute on chroinc diasotlic CHF-  Patient had increased BNP and pulmonary edema on CXR.  She was diuresed with IV lasix and improved.  Had increased creatinine so asked patient to hold lasix on discharge and follow-up with PCP.    Acute on chronic stage 3a CKD- creatinine peaked at 2.0, likely from IV diuresis.  Was starting to trend down but not yet to baseline.  Patient wished to go home. Advised her to have labs repeated in one week, and hold lasix and metformin in the interim, follow-up with PCP.    DM2-  HgbA1c 5.1%, to hold metformin on dc.  Elevated during admission from steroids    E.coli UTI-  Treated with rocephin, resolved   Iron deficency anemia- continue iron         Physical Exam on the Date of Discharge: Blood pressure 145/71, pulse 59, temperature 97 °F (36.1 °C), resp. rate 16, height 5' 8" (172.7 cm), weight (!) 136.7 kg (301 lb 6.4 oz), last menstrual period 07/31/2015, SpO2 100 %. General - NAD, appears stated age, obese, HEENT - EOMI, PER, MMM, oropharynx clear, nasal cannula in place Chest - lungs clear bilaterally Heart - RRR, NS1S2, Abdomen - Soft, non-tender, non-distended, +BS,  Extremities - no edema Psych - AAOx3, affect appropriate Skin -, dry   Discharge Condition: improved   Disposition: home
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Nausea, Pyrexia, SARS-CoV-2 test positive, Shock
Clinical narrative: Pt with Celiac disease and Addison's disease came to the ED for nausea, vomiting, and fever. Pt was found to be COVID positive. Pt admitted for undifferentiated shock.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Pt with Celiac disease and Addison's disease came to the ED for nausea, vomiting, and fever. Pt was found to be COVID positive. Pt admitted for undifferentiated shock.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, Blood creatinine, COVID-19, Cardiac failure congestive
Clinical narrative: DISCHARGE SUMMARY:   MRN: private Name: private Age: 60 y.o. Birthday:  private Admit Date: 7/14/2022  1:30 PM Discharge Date:  7/19/2022 Unit: 3A115/3A115A Admitting Physician: Dr. Discharge Physician: MD   Discharge Diagnosis: Principal Problem:   COVID-19 Active Problems:   Type 2 diabetes mellitus with hyperglycemia, with long-term current use of insulin   Benign essential HTN   AICD (automatic cardioverter/defibrillator) present   DM2 (diabetes mellitus, type 2)   Dilated cardiomyopathy   Chronic systolic CHF (congestive heart failure)       HPI AND HOSPITAL COURSE   History of Present Illness:  As per admission H&P, "The patient is a 60 y.o. male, presented on 7/14/2022 with the above. . The symptoms/labs were thought to be marked in severity and unstable. Onset several days ago. Associated symptoms include fatigue and fever . Alleviated by none. The patient has a history of chronic diastolic and systolic CHF with an EF of 40-45% in January of this year. He has an ICD in place as well. The patient states that he has had a chronic nagging cough starting around in his lower throat. This has been going on for 3 months. Nothing seems to make it better or worse. Cough suppressant does not seem to improve it. The cough is non productive. Over the last 3 days he has been having fevers and felt weak and tired. He came in today due to this and was found to be COVID 19 positive. He has never had COVID before. He is on room air as I am seeing him. He has no chest pain. He has been admitted for further management. "   Hospital Course: Patient, is a 60 y.o. male who presented with cough, shortness of breath.  He was managed for the following:   * COVID-19 COVID-19 infection - patient presented with cough, SOA.  He completed 5 days of remdesivir during admission.  He was stable on room air.  He felt improved, discharged home in stable condition.     Acute on Chronic Systolic Heart failure - Patient improved with IV lasix.  Resume po lasix and entresto on discharge.  AICD in place.    Chronic cough - CT thorax was unremarkable. Refer to ENT.   AKI on CKD IIIb - Cr improved, stable at baseline.             Physical Exam on the Date of Discharge: Blood pressure 118/74, pulse 62, temperature 97.6 °F (36.4 °C), temperature source Oral, resp. rate 18, height 5' 9" (175.3 cm), weight 101.7 kg (224 lb 3.2 oz), SpO2 98 %. General - NAD, appears stated age, obese HEENT - EOMI, PER, MMM,  Chest - lungs clear bilaterally,  Heart - RRR, NS1S2,  Abdomen - Soft, non-tender, Extremities - warm, no edema Psych - AAOx3,  Skin - no rash, dry   Discharge Condition: improved   Disposition: home
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic kidney disease, Chronic left ventricular failure, Computerised tomogram thorax normal, Cough, Dyspnoea
Clinical narrative: DISCHARGE SUMMARY:   MRN: private Name: private Age: 60 y.o. Birthday:  private Admit Date: 7/14/2022  1:30 PM Discharge Date:  7/19/2022 Unit: 3A115/3A115A Admitting Physician: Dr. Discharge Physician: MD   Discharge Diagnosis: Principal Problem:   COVID-19 Active Problems:   Type 2 diabetes mellitus with hyperglycemia, with long-term current use of insulin   Benign essential HTN   AICD (automatic cardioverter/defibrillator) present   DM2 (diabetes mellitus, type 2)   Dilated cardiomyopathy   Chronic systolic CHF (congestive heart failure)       HPI AND HOSPITAL COURSE   History of Present Illness:  As per admission H&P, "The patient is a 60 y.o. male, presented on 7/14/2022 with the above. . The symptoms/labs were thought to be marked in severity and unstable. Onset several days ago. Associated symptoms include fatigue and fever . Alleviated by none. The patient has a history of chronic diastolic and systolic CHF with an EF of 40-45% in January of this year. He has an ICD in place as well. The patient states that he has had a chronic nagging cough starting around in his lower throat. This has been going on for 3 months. Nothing seems to make it better or worse. Cough suppressant does not seem to improve it. The cough is non productive. Over the last 3 days he has been having fevers and felt weak and tired. He came in today due to this and was found to be COVID 19 positive. He has never had COVID before. He is on room air as I am seeing him. He has no chest pain. He has been admitted for further management. "   Hospital Course: Patient, is a 60 y.o. male who presented with cough, shortness of breath.  He was managed for the following:   * COVID-19 COVID-19 infection - patient presented with cough, SOA.  He completed 5 days of remdesivir during admission.  He was stable on room air.  He felt improved, discharged home in stable condition.     Acute on Chronic Systolic Heart failure - Patient improved with IV lasix.  Resume po lasix and entresto on discharge.  AICD in place.    Chronic cough - CT thorax was unremarkable. Refer to ENT.   AKI on CKD IIIb - Cr improved, stable at baseline.             Physical Exam on the Date of Discharge: Blood pressure 118/74, pulse 62, temperature 97.6 °F (36.4 °C), temperature source Oral, resp. rate 18, height 5' 9" (175.3 cm), weight 101.7 kg (224 lb 3.2 oz), SpO2 98 %. General - NAD, appears stated age, obese HEENT - EOMI, PER, MMM,  Chest - lungs clear bilaterally,  Heart - RRR, NS1S2,  Abdomen - Soft, non-tender, Extremities - warm, no edema Psych - AAOx3,  Skin - no rash, dry   Discharge Condition: improved   Disposition: home
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Obesity, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: DISCHARGE SUMMARY:   MRN: private Name: private Age: 60 y.o. Birthday:  private Admit Date: 7/14/2022  1:30 PM Discharge Date:  7/19/2022 Unit: 3A115/3A115A Admitting Physician: Dr. Discharge Physician: MD   Discharge Diagnosis: Principal Problem:   COVID-19 Active Problems:   Type 2 diabetes mellitus with hyperglycemia, with long-term current use of insulin   Benign essential HTN   AICD (automatic cardioverter/defibrillator) present   DM2 (diabetes mellitus, type 2)   Dilated cardiomyopathy   Chronic systolic CHF (congestive heart failure)       HPI AND HOSPITAL COURSE   History of Present Illness:  As per admission H&P, "The patient is a 60 y.o. male, presented on 7/14/2022 with the above. . The symptoms/labs were thought to be marked in severity and unstable. Onset several days ago. Associated symptoms include fatigue and fever . Alleviated by none. The patient has a history of chronic diastolic and systolic CHF with an EF of 40-45% in January of this year. He has an ICD in place as well. The patient states that he has had a chronic nagging cough starting around in his lower throat. This has been going on for 3 months. Nothing seems to make it better or worse. Cough suppressant does not seem to improve it. The cough is non productive. Over the last 3 days he has been having fevers and felt weak and tired. He came in today due to this and was found to be COVID 19 positive. He has never had COVID before. He is on room air as I am seeing him. He has no chest pain. He has been admitted for further management. "   Hospital Course: Patient, is a 60 y.o. male who presented with cough, shortness of breath.  He was managed for the following:   * COVID-19 COVID-19 infection - patient presented with cough, SOA.  He completed 5 days of remdesivir during admission.  He was stable on room air.  He felt improved, discharged home in stable condition.     Acute on Chronic Systolic Heart failure - Patient improved with IV lasix.  Resume po lasix and entresto on discharge.  AICD in place.    Chronic cough - CT thorax was unremarkable. Refer to ENT.   AKI on CKD IIIb - Cr improved, stable at baseline.             Physical Exam on the Date of Discharge: Blood pressure 118/74, pulse 62, temperature 97.6 °F (36.4 °C), temperature source Oral, resp. rate 18, height 5' 9" (175.3 cm), weight 101.7 kg (224 lb 3.2 oz), SpO2 98 %. General - NAD, appears stated age, obese HEENT - EOMI, PER, MMM,  Chest - lungs clear bilaterally,  Heart - RRR, NS1S2,  Abdomen - Soft, non-tender, Extremities - warm, no edema Psych - AAOx3,  Skin - no rash, dry   Discharge Condition: improved   Disposition: home
Age: 67.0
Sex: F
Vaccine: UNK
Symptoms: Neuralgia, Pain, Toothache, X-ray dental normal
Clinical narrative: I don't know the lot #.  I have the receipt for the 2nd Shingrex injection I got on 7/8/2011.  The next day, July 9, 2022, at 9pm at night I got 3 shooting pains in one of my lower right molars in my mouth.  On July 13, 2022 at 1pm I got shooting pain in three of my molars on right top side.  I've been having soreness in various nerves of the majority of my teeth since then.  I saw my dentist for a routine check up, cleaning and X-rays and I asked her about it and she stated it maybe due to the Shingrex shot.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Exposure to SARS-CoV-2, Fatigue, Malaise
Clinical narrative: Pt arrives with fatigue and malaise. Pt reports that his wife lives in a nursing home and he has had a COVID exposure there. Pt was admitted with acute hypoxic respiratory failure and COVID-19.
Age: 0.17
Sex: M
Vaccine: HIBV
Symptoms: Injection site erythema, Injection site warmth, Pyrexia
Clinical narrative: Pt mom was notified of the multiple vaccines given and stated there was redness around the injection site. And pt had fever and warm to the touch.
Age: 40.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Injection site pain, Loss of personal independence in daily activities, Pain in extremity, Peripheral swelling
Clinical narrative: Pt called triage line on 08/28/22 at 1956, c/o left arm swelling, redness and pain x 2 days.  She did not seek care at urgent care or ER. She states the erythema is about 8 inches in length and does seem to be  progressing to a larger skin area. There are also some red areas below the arm that are not even near the injection  per her report.  Had her take her temperature while on the phone and it was 98.4 F.  She states there is continued pain to the site as well to the point she is not  able to lay on that side. States skin is hot to touch per her report also. Advised she seek care at urgent care or ED.
Age: 40.0
Sex: F
Vaccine: PNC20
Symptoms: Skin warm
Clinical narrative: Pt called triage line on 08/28/22 at 1956, c/o left arm swelling, redness and pain x 2 days.  She did not seek care at urgent care or ER. She states the erythema is about 8 inches in length and does seem to be  progressing to a larger skin area. There are also some red areas below the arm that are not even near the injection  per her report.  Had her take her temperature while on the phone and it was 98.4 F.  She states there is continued pain to the site as well to the point she is not  able to lay on that side. States skin is hot to touch per her report also. Advised she seek care at urgent care or ED.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. Consulted with the Dept of Public Health and Environment and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. Healthcare is working on a compliance improvement plan and has been reinstated vaccination privileges.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Fatigue, Headache
Clinical narrative: I had Headache;  High sore throat; Fatigue;  Low grade Fever 100.8.  Runny nose; Nausea; Coughing;  and Diarrhea.  I did a tele health 06/01/2022 they prescribed me Paxlovid  for 5 days and basic instruction for COVID-19. I  was also told  ibuprofen  or Tylenol if needed.  I had a rebound  after I finished taking Paxlovid. After 3 days Low grade; runny nose and I was very tired.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had Headache;  High sore throat; Fatigue;  Low grade Fever 100.8.  Runny nose; Nausea; Coughing;  and Diarrhea.  I did a tele health 06/01/2022 they prescribed me Paxlovid  for 5 days and basic instruction for COVID-19. I  was also told  ibuprofen  or Tylenol if needed.  I had a rebound  after I finished taking Paxlovid. After 3 days Low grade; runny nose and I was very tired.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. Health facility consulted with the regulatory authority and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. Healthcare facility is working with the regulatory authority on a compliance improvement plan and has been reinstated vaccination privileges.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, COVID-19, Chills, Death, Nausea
Clinical narrative: Hospitalization: 6/2/2022 admitted; 8/14/2022 discharged.  Presentation to the ED: initially admitted for severe necrotizing fasciitis of her right groin, presenting with complaints of fever chills nausea and vomiting. COVID-19 + date: 07/05/2022. Treatment: treated with IV steroids. Was not given Remdesivir d/t acute renal failure.  Discharge to: patient was discharged to hospice on 8/12/2022 and later became deceased (8/14/2022).
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Necrotising fasciitis, Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Hospitalization: 6/2/2022 admitted; 8/14/2022 discharged.  Presentation to the ED: initially admitted for severe necrotizing fasciitis of her right groin, presenting with complaints of fever chills nausea and vomiting. COVID-19 + date: 07/05/2022. Treatment: treated with IV steroids. Was not given Remdesivir d/t acute renal failure.  Discharge to: patient was discharged to hospice on 8/12/2022 and later became deceased (8/14/2022).
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient 14 years old at time of vaccine, moderna booster not approved for minor's
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Autopsy, Cardiac disorder, Condition aggravated, Death, Histology
Clinical narrative: Death due to cardiac disease exacerbated by the vaccine
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation reaction, Toxicologic test
Clinical narrative: Death due to cardiac disease exacerbated by the vaccine
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. Consulted with the Dept of Public Health and Environment and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. Healthcare is working with on a compliance improvement plan and has been reinstated vaccination privileges.
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Pt diagnosed with Covid.  Pt received Covid Vaccine
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pt COVID 19 Vaccination Card has incorrect date of 4th COVID booster, verified in Immunization Registry. Vaccination card date 07/13/2021, in registry 07/13/2022.   Pt has history of immunocompromising medical diagnosis. 5th Booster administered as recommended by CDC guidance. 5th booster administered too early according to date in Immunization Registry.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. Healthcare facility consulted with the regulatory authority and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. Healthcare facility is working with the regulatory authority on a compliance improvement plan and has been reinstated vaccination privileges.
Age: 72.0
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Pt had Covid Vaccine.  Pt diagnosed with Covid
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. Consulted with the Dept of Public Health and Environment and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. Healthcare is working with on a compliance improvement plan and has been reinstated vaccination privileges.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arterial occlusive disease, Arterial stent insertion, Blood test, Catheterisation cardiac abnormal, Dizziness
Clinical narrative: I thought it was diabetes, I felt light headed, shaky, sweaty. I contacted my cardiologist and went and was told I was having a hear attack. I'm now on 3 additional medications.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Hyperhidrosis, Myocardial infarction, SARS-CoV-2 test negative, Tremor
Clinical narrative: I thought it was diabetes, I felt light headed, shaky, sweaty. I contacted my cardiologist and went and was told I was having a hear attack. I'm now on 3 additional medications.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Wrong dose was administered to patient. Patient is 4 years old and received COVID vaccine for ages 5-11 years. No adverse reaction.  Nurse immediately notified parent of error. Mother had no conserns.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dysphonia, Fatigue, Headache
Clinical narrative: I had a little fatigue and soreness in my arm at injection site. I tested positive for COVID-19 on 07/05/2022 with a home test and positive on 07/06/2022 with a PCR test. I had a fever, headache, mild sore throat, cough for a week, fatigue and a raspy voice. I took multivitamin, aspirin, rested and hydrated to relieve my symptoms. I tested negative after two weeks.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I had a little fatigue and soreness in my arm at injection site. I tested positive for COVID-19 on 07/05/2022 with a home test and positive on 07/06/2022 with a PCR test. I had a fever, headache, mild sore throat, cough for a week, fatigue and a raspy voice. I took multivitamin, aspirin, rested and hydrated to relieve my symptoms. I tested negative after two weeks.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Affect lability, Arthralgia, Chest X-ray normal, Chest pain, Disturbance in attention
Clinical narrative: I began having headaches again and difficulty concentrating as well as fatigue. I had issues with joint pain that wasn't at first significant or terrible. I would have emotional fluctuations. I thought it was situational for a while but then we ultimately decided to give me my infusion of Rituximab early and they reduced 60% full time effort for 4 months. After my first and second dose of my Moderna vaccine, I had severe joint pain, fatigue, inability to concentrate, emotional liability, chest pain, and difficulty breathing, joint swelling and stiffness, and severe headaches. At the time I attributed these things to Lupus, but ultimately my doctor decided that he believes that these flare ups were associated with my COVID-19 vaccines as I had never had nerve or CNF involvement before and he has seen similar things in other patients.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram normal, Fatigue, Headache, Joint stiffness
Clinical narrative: I began having headaches again and difficulty concentrating as well as fatigue. I had issues with joint pain that wasn't at first significant or terrible. I would have emotional fluctuations. I thought it was situational for a while but then we ultimately decided to give me my infusion of Rituximab early and they reduced 60% full time effort for 4 months. After my first and second dose of my Moderna vaccine, I had severe joint pain, fatigue, inability to concentrate, emotional liability, chest pain, and difficulty breathing, joint swelling and stiffness, and severe headaches. At the time I attributed these things to Lupus, but ultimately my doctor decided that he believes that these flare ups were associated with my COVID-19 vaccines as I had never had nerve or CNF involvement before and he has seen similar things in other patients.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Magnetic resonance imaging head abnormal, Noninfective encephalitis
Clinical narrative: I began having headaches again and difficulty concentrating as well as fatigue. I had issues with joint pain that wasn't at first significant or terrible. I would have emotional fluctuations. I thought it was situational for a while but then we ultimately decided to give me my infusion of Rituximab early and they reduced 60% full time effort for 4 months. After my first and second dose of my Moderna vaccine, I had severe joint pain, fatigue, inability to concentrate, emotional liability, chest pain, and difficulty breathing, joint swelling and stiffness, and severe headaches. At the time I attributed these things to Lupus, but ultimately my doctor decided that he believes that these flare ups were associated with my COVID-19 vaccines as I had never had nerve or CNF involvement before and he has seen similar things in other patients.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, Cough, Ear infection, Feeling abnormal, Respiratory tract congestion
Clinical narrative: Starting the evening of receiving the vaccine, I was really congested (but I hadn't been outside) so I didn't think it was an allergy issue. I started with a slight cough but over the next few days it got progressively worse. I normally cough from my asthma/allergies but by the 4th day the cough got so bad that I realized something more was going on. About 1 week after receiving the vaccine, I went and saw my doctor,  He said I had Bronchitis and prescribed me Zithromax and Prednisone. I went home and started taking it. I started feeling better within a few days then I started feeling crummy again. I went back and saw him at the end of june (06/28/2022) and he prescribed me Pulmicort (nebulizer treatment), Promethazine and another round of Prednisone. He also told me to take the Albuterol 3 times daily. About 1 week after 06/28, I saw my allergist for a normal yearly exam and decided to bring up my issue there. The allergist said I had 2 ear infections and she put me on a different antibiotic. Then, on 07/14/2022, I went back to my doctor for a follow up, and he put me back on Prednisone, refilled my nebulizer prescription and gave me another antibiotic: Azithromycin. Once I finished this round of medicine, I felt better than I had in the past 6 weeks prior to this. The cough lingered for about a week or so then resolved.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: No adverse event, Product preparation error
Clinical narrative: On August 26th at 0949 a RN went to obtain a Menveo vaccination. She noted one bottle of diluent without a powder to go with the diluent.  Staff interviewed involving the 5 previous patient administrations.  They all confirm they did not drop or break an orange vial of powder.  Unable to determine which patient received the incorrect diluent for the Menveo powder.  No adverse events.  All 5 patients are being contacted for re-vaccination of Menveo vaccine.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Wrong dose of COVID  vaccine administered to patient.  Patient is 3 years old and received a COVID vaccine dose for 5-11 years. No adverse reaction. Nurse immediately informed mother of error. Mother had no concerns.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Amaurosis fugax, COVID-19, COVID-19 pneumonia, Cerebellar stroke, Condition aggravated
Clinical narrative: Patient with 3 Moderna COVID vaccines who admitted with COVID PNA who subsequently died.  Receiving dialysis but had worsening neurological status including seizures and was unable to tolerate hemodialysis.  Family changes status to DNR and patient admitted to hospice status and died on 08/31/22.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Death, Depression, Device intolerance, Haemodialysis, Neurological decompensation
Clinical narrative: Patient with 3 Moderna COVID vaccines who admitted with COVID PNA who subsequently died.  Receiving dialysis but had worsening neurological status including seizures and was unable to tolerate hemodialysis.  Family changes status to DNR and patient admitted to hospice status and died on 08/31/22.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pleural effusion, Retinal artery embolism, SARS-CoV-2 test positive, Seizure, Systemic lupus erythematosus
Clinical narrative: Patient with 3 Moderna COVID vaccines who admitted with COVID PNA who subsequently died.  Receiving dialysis but had worsening neurological status including seizures and was unable to tolerate hemodialysis.  Family changes status to DNR and patient admitted to hospice status and died on 08/31/22.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea
Clinical narrative: Trouble breathing, light headed and dizziness.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Body temperature increased, Chest discomfort, Cough, Dyspnoea, Headache
Clinical narrative: Feeling ill, headache, severe pain in hands, coughing, runny nose, tightness in chest, slight difficulty in breathing, at home temperature = 100.9. Lasted several days. Contacted the Covid 19 Hotline and was instructed to go to the Care Clinic for verification and further treatment if required. Told to isolate for 5 days. Received an infusion ,Covid 19 Monoclonal antibody treatment. Directed to wear mask when out, and monitor symptoms.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Malaise, Pain in extremity, Rhinorrhoea
Clinical narrative: Feeling ill, headache, severe pain in hands, coughing, runny nose, tightness in chest, slight difficulty in breathing, at home temperature = 100.9. Lasted several days. Contacted the Covid 19 Hotline and was instructed to go to the Care Clinic for verification and further treatment if required. Told to isolate for 5 days. Received an infusion ,Covid 19 Monoclonal antibody treatment. Directed to wear mask when out, and monitor symptoms.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, Asthenia, COVID-19, Confusional state, Fall
Clinical narrative: Hospitalization: 8/15/2022 admitted; 8/25/2022 discharged.  Presentation to the ED: left knee pain s/p fall 3 days ago. Patient was confused and weak and required increased O2.  COVID-19 + date: 8/15/2022 Treatment: IV antibiotics given. No COVID prophalyxis.  Discharge to: Extended Care
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 8/15/2022 admitted; 8/25/2022 discharged.  Presentation to the ED: left knee pain s/p fall 3 days ago. Patient was confused and weak and required increased O2.  COVID-19 + date: 8/15/2022 Treatment: IV antibiotics given. No COVID prophalyxis.  Discharge to: Extended Care
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal pain, Vomiting
Clinical narrative: sore throat, nausea, vomiting
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Decreased appetite, Headache, Oropharyngeal pain
Clinical narrative: Sore throat,  achy, cough, chills, slight headache, not much of an appetite
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Sore throat,  achy, cough, chills, slight headache, not much of an appetite
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19 pneumonia, Cough, Dyspnoea, Haemodialysis
Clinical narrative: Pt arrives with shortness of breath, cough, and generalized weakness for 3 days. Pt is on hemodialysis. Pt has COVID-19 pneumonia with hypoxia.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypoxia
Clinical narrative: Pt arrives with shortness of breath, cough, and generalized weakness for 3 days. Pt is on hemodialysis. Pt has COVID-19 pneumonia with hypoxia.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. Consulted with the Dept of Public Health and Environment and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. Healthcare is working on a compliance improvement plan and has been reinstated vaccination privileges.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Impaired work ability, Loss of personal independence in daily activities
Clinical narrative: Received the vaccine the 18th. Woke up on the 19th at 3am  with 102 temp, chills, fatigue. I slept the entire day. The next day I woke up and the fever was gone. I had severe pain in my entire body. My joints hurt so bad I can't even function. The pain is debilitating. I have 5 children and a job and i can't function. My taste and smell has changed and everything smells and tastes so bad I can't even eat most foods.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Parosmia, Pyrexia, Somnolence, Taste disorder
Clinical narrative: Received the vaccine the 18th. Woke up on the 19th at 3am  with 102 temp, chills, fatigue. I slept the entire day. The next day I woke up and the fever was gone. I had severe pain in my entire body. My joints hurt so bad I can't even function. The pain is debilitating. I have 5 children and a job and i can't function. My taste and smell has changed and everything smells and tastes so bad I can't even eat most foods.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient given Kinrix vaccine which expired on 8/26/22.  No adverse events observed at time of administrations.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Malaise, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: Patient with 2 Moderna COVID vaccinations on therapy unit post surgery for cervical disc issues who became mildly symptomatic for COVID (sore throat and weakness) and tested detected for COVID.  Provider note: "He was diagnosed with covid, and was generally asymptomatic although he had 1-2 bad days last week of worsening function that resolved after we dc baclofen.  He was on a low dose of baclofen (5mg and had only 3 total doses in 24 hours), so unsure whether the change was from covid or baclofen.  Regardless, he returned to baseline and has had no symptoms for over a week and has completed his quarantine"
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Back pain, COVID-19, Chest pain, Cough, Dyspnoea
Clinical narrative: Hospitalization: 8/18/2022 admitted; 8/24/2022 discharged. Presentation to the ED: shortness of breath, chronic back pain, cough, worsening shortness of breath, productive cough, chest pain.  COVID-19 + date: 8/18/2022 Treatment: IV antibiotics. No COVID prophalyxis. Supplemental O2 as needed.  Discharge to: Home Health Care
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Productive cough, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 8/18/2022 admitted; 8/24/2022 discharged. Presentation to the ED: shortness of breath, chronic back pain, cough, worsening shortness of breath, productive cough, chest pain.  COVID-19 + date: 8/18/2022 Treatment: IV antibiotics. No COVID prophalyxis. Supplemental O2 as needed.  Discharge to: Home Health Care
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. Consulted with the local Dept. of Public Health and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. Local Healthcare is working on a compliance improvement plan and has been reinstated vaccination privileges.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Dyspnoea
Clinical narrative: Patient's chart notes state that several days after administration of 2nd booster, the patient developed more shortness of breath and atrial fibrillation with rapid ventricular response.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Ear discomfort, Head discomfort, Magnetic resonance imaging
Clinical narrative: Dizziness, head pressure, anxiety, ear fullness and pressure.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Hypoxia, Interchange of vaccine products
Clinical narrative: Pt arrives severely hypoxic from a residential facility and is not normally on oxygen. Pt admitted with acute respiratory failure with hypoxia and COVID-19.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Comminuted fracture, Cough, Fall
Clinical narrative: Provider d/c summary note:  "Case of a 64 y/o female with PMHx of ETOH use disorder, Anxiety, Depression, COPD who is presenting to the ED for evaluation of GLF. Patient presented to WV ED after having a mechanical fall and twisted her left ankle. Patient was sent for orthopedic surgery management. X-ray showed comminuted fracture of the proximal fibular diaphysis and Spiral fracture through the distal tibial diaphysis. Orthopedic surgery was consulted. An intramedullary nailing of left tibia-fibula shaft fracture using synthesis tibial nail was performed. Pain was managed with norco and tylenol. PT and OT were consulted. Patient remained non-weight bearing in the left leg. Patient complained of persistent pain in the left leg. Ortho change pain medication to percocet and fentanyl. Patient had persistent persistent pain in the left leg difficult to control. However, the leg was frequently monitored by ortho showing no signs of any post surgical complications. Leg pain began slowly improving and fentanyl was weaned off. Patient was going to be discharged to SNF when covid test came back positive.  Patient with coughm decreased oxygen saturation and wheezing. Was diagnosed with acute respiratory failure due to covid. Patient needed supplemental oxygen. Patient was given remdesivir and decadron. Was given albuterol PRN, Symbicort and duonebs. Patient remained in hospital for 10 days as per covid (+) protocol. Pain of the leg was controlled, cough and wheezing improved. Patient was weaned off of oxygen. Patient discharged to Caretel SNF with Ortho follow up on 08/30/2022."
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fibula fracture, Intramedullary rod insertion, Joint injury, Oxygen saturation decreased, Pain in extremity
Clinical narrative: Provider d/c summary note:  "Case of a 64 y/o female with PMHx of ETOH use disorder, Anxiety, Depression, COPD who is presenting to the ED for evaluation of GLF. Patient presented to WV ED after having a mechanical fall and twisted her left ankle. Patient was sent for orthopedic surgery management. X-ray showed comminuted fracture of the proximal fibular diaphysis and Spiral fracture through the distal tibial diaphysis. Orthopedic surgery was consulted. An intramedullary nailing of left tibia-fibula shaft fracture using synthesis tibial nail was performed. Pain was managed with norco and tylenol. PT and OT were consulted. Patient remained non-weight bearing in the left leg. Patient complained of persistent pain in the left leg. Ortho change pain medication to percocet and fentanyl. Patient had persistent persistent pain in the left leg difficult to control. However, the leg was frequently monitored by ortho showing no signs of any post surgical complications. Leg pain began slowly improving and fentanyl was weaned off. Patient was going to be discharged to SNF when covid test came back positive.  Patient with coughm decreased oxygen saturation and wheezing. Was diagnosed with acute respiratory failure due to covid. Patient needed supplemental oxygen. Patient was given remdesivir and decadron. Was given albuterol PRN, Symbicort and duonebs. Patient remained in hospital for 10 days as per covid (+) protocol. Pain of the leg was controlled, cough and wheezing improved. Patient was weaned off of oxygen. Patient discharged to Caretel SNF with Ortho follow up on 08/30/2022."
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Tibia fracture, Weight bearing difficulty, Wheezing, X-ray limb abnormal
Clinical narrative: Provider d/c summary note:  "Case of a 64 y/o female with PMHx of ETOH use disorder, Anxiety, Depression, COPD who is presenting to the ED for evaluation of GLF. Patient presented to WV ED after having a mechanical fall and twisted her left ankle. Patient was sent for orthopedic surgery management. X-ray showed comminuted fracture of the proximal fibular diaphysis and Spiral fracture through the distal tibial diaphysis. Orthopedic surgery was consulted. An intramedullary nailing of left tibia-fibula shaft fracture using synthesis tibial nail was performed. Pain was managed with norco and tylenol. PT and OT were consulted. Patient remained non-weight bearing in the left leg. Patient complained of persistent pain in the left leg. Ortho change pain medication to percocet and fentanyl. Patient had persistent persistent pain in the left leg difficult to control. However, the leg was frequently monitored by ortho showing no signs of any post surgical complications. Leg pain began slowly improving and fentanyl was weaned off. Patient was going to be discharged to SNF when covid test came back positive.  Patient with coughm decreased oxygen saturation and wheezing. Was diagnosed with acute respiratory failure due to covid. Patient needed supplemental oxygen. Patient was given remdesivir and decadron. Was given albuterol PRN, Symbicort and duonebs. Patient remained in hospital for 10 days as per covid (+) protocol. Pain of the leg was controlled, cough and wheezing improved. Patient was weaned off of oxygen. Patient discharged to Caretel SNF with Ortho follow up on 08/30/2022."
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a vaccine stored beyond 30 days recommended in the refrigerated state. Event reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. It was recommended repeating this dose. Patient sent a letter to inform them of the need to repeat the dose. We are working on a compliance improvement plan. Reinstated vaccination privileges.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt tested positive for COVID on 08/23/2022
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient received Pfizer BioNTech dose 1 on 11/24/2021 and Pfizer BioNTech dose 2 on 12/15/2021. Received Moderna booster dose (0.25mL) on 08/02/2022.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. Consulted with public health and environment and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. Agency is working with public health on a compliance improvement plan and has been reinstated vaccination privileges.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt tested positive for COVID on 08/18/2022