chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Eye swelling, Injection site erythema, Injection site swelling, Mouth swelling
Clinical narrative: Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Additional Details: patients husband came in a couple days later. notated of what had occurred. patient started having swelling in mouth and cheeks. went to emergency room. was not an anaphalactic reaction. stated the doctors were not concerned and did not provide patient with antihistamines or steroids just to monitor. has gone back to almost normal now. symptoms first started two hours after vaccine was given. no reaction with previous 3 doses
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: No reaction on previous exposure to drug, Swelling face, Swollen tongue
Clinical narrative: Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Additional Details: patients husband came in a couple days later. notated of what had occurred. patient started having swelling in mouth and cheeks. went to emergency room. was not an anaphalactic reaction. stated the doctors were not concerned and did not provide patient with antihistamines or steroids just to monitor. has gone back to almost normal now. symptoms first started two hours after vaccine was given. no reaction with previous 3 doses
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Extra dose administered, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Confirmed Breakthrough Case  COVID-19 (Moderna) 1 03/12/2021 Pharmacy  Moderna 040A21A   COVID-19 (Moderna) 2 04/09/2021 Pharmacy  Moderna 016B21A   COVID-19 (Moderna) 3 11/05/2021 Pharmacy  Moderna 017F21A   COVID-19 (Moderna) 4 06/10/2022  Hospital Moderna 037A22B
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Confirmed Breakthrough  COVID-19 (Moderna) 1 95 Years 02/06/2021 Hospital Moderna 007M20A   COVID-19 (Moderna) 2 95 Years 1 Month 03/09/2021 Hospital Moderna 023M20A
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, Interchange of vaccine products, SARS-CoV-2 test positive
Clinical narrative: Moderna 1/21/21, 2/24/21. Pfizer 10/28/21. Positive on 6/11/22
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Pfizer 11/5/21, 11/26/21, 3/26/22. Positive on 6/11/22
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Interchange of vaccine products, SARS-CoV-2 test positive
Clinical narrative: Janssen 3/11/21. Pfizer 10/28/21. Positive on 6/12/22
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna 1/29/21, 2/26/21, 9/7/21. Positive on 6/11/22
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna 2/13/21, 3/13/21, 10/12/21. Positive on 6/12/22
Age: 65.0
Sex: F
Vaccine: FLU4, PNC13
Symptoms: Bursa disorder, Inflammation, Joint range of motion decreased, Magnetic resonance imaging abnormal, Pain
Clinical narrative: Extreme soreness In arm and shoulder Loss of range of motion In arm, trouble sleeping, pain on waking up severe  Went to regular Dr who did xray which didnt show any broken bones Referred to Specialist. Dr who had MRI done which showed signs of Sirva. Then assigned 4 weeks of physical therapy there at 3x week. Then went back to Dr who assigned 3 more weeks of physican therapy 2 x week. I go back to Dr on June 13/2022. I feel like I have my range of motion back but strength I will need to work on at home.
Age: 65.0
Sex: F
Vaccine: FLU4, PNC13
Symptoms: Pain in extremity, Rotator cuff syndrome, Shoulder injury related to vaccine administration, Sleep disorder, X-ray normal
Clinical narrative: Extreme soreness In arm and shoulder Loss of range of motion In arm, trouble sleeping, pain on waking up severe  Went to regular Dr who did xray which didnt show any broken bones Referred to Specialist. Dr who had MRI done which showed signs of Sirva. Then assigned 4 weeks of physical therapy there at 3x week. Then went back to Dr who assigned 3 more weeks of physican therapy 2 x week. I go back to Dr on June 13/2022. I feel like I have my range of motion back but strength I will need to work on at home.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer 3/15/21, 4/12/21. Positive on 6/12/22
Age: 12.0
Sex: F
Vaccine: MNQ
Symptoms: Headache
Clinical narrative: Mother reports patient had a headache shortly after vaccination. Lasted for 5 days. Never had headaches before. Treated with OTC regimen. Has not needed additional medical care. Involved entire head. No nausea/vomiting/fever. No illness. Did receive Tdap at the same time.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered after expiration date.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered after expiration date.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered after expiration date.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Computerised tomogram, Fibrin D dimer increased, Positive airway pressure therapy
Clinical narrative: Acute respiratory failure requiring 6 L by mask.   Only into this 2 to 3 days positive COVID.  History of prior COVID immunization.     Patient was shifted over to BiPAP   He was last on 19/10 70% FIO2 and then shifted back to high flow to go to CT PE for d-dimer elevated.  Admitted.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Acute respiratory failure requiring 6 L by mask.   Only into this 2 to 3 days positive COVID.  History of prior COVID immunization.     Patient was shifted over to BiPAP   He was last on 19/10 70% FIO2 and then shifted back to high flow to go to CT PE for d-dimer elevated.  Admitted.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Hypoxia, Positive airway pressure therapy
Clinical narrative: Acute respiratory failure requiring 6 L by mask.   Only into this 2 to 3 days positive COVID.  History of prior COVID immunization.     Patient was shifted over to BiPAP   He was last on 19/10 70% FIO2 and then shifted back to high flow to go to CT PE for d-dimer elevated.  Admitted.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Acute respiratory failure requiring 6 L by mask.   Only into this 2 to 3 days positive COVID.  History of prior COVID immunization.     Patient was shifted over to BiPAP   He was last on 19/10 70% FIO2 and then shifted back to high flow to go to CT PE for d-dimer elevated.  Admitted.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered after expiration date.
Age: 52.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Cold urticaria
Clinical narrative: Have since been diagnosed with cold urticaria. Break out in hives from exposure to cold. It is ongoining. Instructed to take antihistimines and avoid cold exposure (weather, surfaces, food, etc.)
Age: 57.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Arthralgia, Diarrhoea, Fatigue, Myalgia, Nausea
Clinical narrative: Severe muscle soreness in right arm, muscle aches, fatigue, arthritis pain, fever, diarrhea and nausea for three (3)  days. This has been self reported on the third day after the vaccines, therefore it is unknown when side effects will resolve.
Age: 57.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Pyrexia
Clinical narrative: Severe muscle soreness in right arm, muscle aches, fatigue, arthritis pain, fever, diarrhea and nausea for three (3)  days. This has been self reported on the third day after the vaccines, therefore it is unknown when side effects will resolve.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered after expiration date.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered after expiration date.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Chills, Cold sweat, Decreased activity, Feeling abnormal
Clinical narrative: She got her vaccine, felt a pinch when she gave it to her.  Her arm does not hurt, she came home and felt funny.  Feverish, chills, cold, backache, headache.  Now she still feels like her entire insides are coming out of her, she feels so horrible.  She called her doctor after a week and was told to wait and that some people react to it differently.  She called them this morning and waiting on them to call her back.  She called the pharmacy and did take Tylenol for the fever and chills, and then woke up with the chills again.  The chills have stopped, but sometimes she feels cold sweats but she still feels bad in general.  She feels like her stomach is coming out of her.  She is a very active person and she has not been able to do anything.  She has never felt like this before, feels like she is dying.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Nasopharyngitis, Pyrexia
Clinical narrative: She got her vaccine, felt a pinch when she gave it to her.  Her arm does not hurt, she came home and felt funny.  Feverish, chills, cold, backache, headache.  Now she still feels like her entire insides are coming out of her, she feels so horrible.  She called her doctor after a week and was told to wait and that some people react to it differently.  She called them this morning and waiting on them to call her back.  She called the pharmacy and did take Tylenol for the fever and chills, and then woke up with the chills again.  The chills have stopped, but sometimes she feels cold sweats but she still feels bad in general.  She feels like her stomach is coming out of her.  She is a very active person and she has not been able to do anything.  She has never felt like this before, feels like she is dying.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus, sudden onset in both ears.  no gradual onset, I woke up 2 weeks later and I had severe ringing in both ears.   Condition is still present and is chronic.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pruritus, Urticaria
Clinical narrative: Patient reported hives, itching, and shortness of breath.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Inpatient hospitalization/Breakthrough Covid
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated with Moderna x 3.  Tested positive for Covid 19 on 05/11/2022. Admitted to Medical Center 05/14/2022-05/24/2022. Expired on 06/11/2022.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, COVID-19, Chest X-ray normal, Computerised tomogram abdomen normal, Condition aggravated
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO Admission Date: 6/1/2022 Discharge Date: 6/2/2022   HOSPITAL PROBLEMS 1. Intractable Lower Back Pain 2. Sepsis  3. UTI 4. Covid-19 infection 5. Elevated LFT's 6. Coronary Artery Disease 7. Hypertension 8. Hyperlipidemia 9. Morbid Obesity (BMI 43.9)  HOSPITAL COURSE: Patient is a 67 y.o. female who presented to the hospital for severe back pain and febrile UTI. Patient has history of recurrent UTI and developed dysuria and fever 2 days prior. She was seen at an urgent care and diagnosed with UTI and given 5 day course of Macrobid BID. She took 2 doses and had worsening back pain and fevers that prompted her to go to her PCP's office. There she was febrile and had left CVA tenderness and a UA that showed mild hematuria, so she was sent to the ED. Her back pain is chronic and intermittent over the last 6-12 months. She notes that she will change positions or shift her center of gravity forward and her low back will sudden spike with sharp pain that can sometimes immobilize her for days. She has had no PT for her back, and denies loss of lower extremity sensation or bowel/urine continence. She also had an MRI on 5/12/22 for her back pain that raised some concern for possible discitis vs osteomyelitis.   In the ED, patient was febrile and tachycardic with (+) Covid-19 PCR, however she had no respiratory symptoms. CMP and CBC were normal, UA showed 1 WBC. CT of the abdomen/pelvis was unremarkable, and CXR was normal. Her pain was difficult to control and required IV morphine and a lidocaine patch. She was started on empiric Rocephin, give 1L NS IVF bolus, and admitted for intractable back pain and sepsis.     On the general floor, patient's pain improved with rest and IV morphine. Her fever resolved with tylenol and IV fluids. She was tender left lumbar region lateral to spine in the musculature and soft tissue, without bony tenderness. PT evaluated the patient and recommended outpatient PT for her back pain. An MRI was performed and showed no change from previous MRI with no definitive evidence of discitis or osteomyelitis. Patient was advised to continue her remaining macrobid BID course, prescribed flexeril for a likely chronic left lumbosacral strain. She was considered medically and vitally stable for discharge home.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Coronary artery disease, Costovertebral angle tenderness, Dysuria, Febrile infection, Full blood count normal
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO Admission Date: 6/1/2022 Discharge Date: 6/2/2022   HOSPITAL PROBLEMS 1. Intractable Lower Back Pain 2. Sepsis  3. UTI 4. Covid-19 infection 5. Elevated LFT's 6. Coronary Artery Disease 7. Hypertension 8. Hyperlipidemia 9. Morbid Obesity (BMI 43.9)  HOSPITAL COURSE: Patient is a 67 y.o. female who presented to the hospital for severe back pain and febrile UTI. Patient has history of recurrent UTI and developed dysuria and fever 2 days prior. She was seen at an urgent care and diagnosed with UTI and given 5 day course of Macrobid BID. She took 2 doses and had worsening back pain and fevers that prompted her to go to her PCP's office. There she was febrile and had left CVA tenderness and a UA that showed mild hematuria, so she was sent to the ED. Her back pain is chronic and intermittent over the last 6-12 months. She notes that she will change positions or shift her center of gravity forward and her low back will sudden spike with sharp pain that can sometimes immobilize her for days. She has had no PT for her back, and denies loss of lower extremity sensation or bowel/urine continence. She also had an MRI on 5/12/22 for her back pain that raised some concern for possible discitis vs osteomyelitis.   In the ED, patient was febrile and tachycardic with (+) Covid-19 PCR, however she had no respiratory symptoms. CMP and CBC were normal, UA showed 1 WBC. CT of the abdomen/pelvis was unremarkable, and CXR was normal. Her pain was difficult to control and required IV morphine and a lidocaine patch. She was started on empiric Rocephin, give 1L NS IVF bolus, and admitted for intractable back pain and sepsis.     On the general floor, patient's pain improved with rest and IV morphine. Her fever resolved with tylenol and IV fluids. She was tender left lumbar region lateral to spine in the musculature and soft tissue, without bony tenderness. PT evaluated the patient and recommended outpatient PT for her back pain. An MRI was performed and showed no change from previous MRI with no definitive evidence of discitis or osteomyelitis. Patient was advised to continue her remaining macrobid BID course, prescribed flexeril for a likely chronic left lumbosacral strain. She was considered medically and vitally stable for discharge home.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Haematuria, Hyperlipidaemia, Hypertension, Immobile, Intervertebral discitis
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO Admission Date: 6/1/2022 Discharge Date: 6/2/2022   HOSPITAL PROBLEMS 1. Intractable Lower Back Pain 2. Sepsis  3. UTI 4. Covid-19 infection 5. Elevated LFT's 6. Coronary Artery Disease 7. Hypertension 8. Hyperlipidemia 9. Morbid Obesity (BMI 43.9)  HOSPITAL COURSE: Patient is a 67 y.o. female who presented to the hospital for severe back pain and febrile UTI. Patient has history of recurrent UTI and developed dysuria and fever 2 days prior. She was seen at an urgent care and diagnosed with UTI and given 5 day course of Macrobid BID. She took 2 doses and had worsening back pain and fevers that prompted her to go to her PCP's office. There she was febrile and had left CVA tenderness and a UA that showed mild hematuria, so she was sent to the ED. Her back pain is chronic and intermittent over the last 6-12 months. She notes that she will change positions or shift her center of gravity forward and her low back will sudden spike with sharp pain that can sometimes immobilize her for days. She has had no PT for her back, and denies loss of lower extremity sensation or bowel/urine continence. She also had an MRI on 5/12/22 for her back pain that raised some concern for possible discitis vs osteomyelitis.   In the ED, patient was febrile and tachycardic with (+) Covid-19 PCR, however she had no respiratory symptoms. CMP and CBC were normal, UA showed 1 WBC. CT of the abdomen/pelvis was unremarkable, and CXR was normal. Her pain was difficult to control and required IV morphine and a lidocaine patch. She was started on empiric Rocephin, give 1L NS IVF bolus, and admitted for intractable back pain and sepsis.     On the general floor, patient's pain improved with rest and IV morphine. Her fever resolved with tylenol and IV fluids. She was tender left lumbar region lateral to spine in the musculature and soft tissue, without bony tenderness. PT evaluated the patient and recommended outpatient PT for her back pain. An MRI was performed and showed no change from previous MRI with no definitive evidence of discitis or osteomyelitis. Patient was advised to continue her remaining macrobid BID course, prescribed flexeril for a likely chronic left lumbosacral strain. She was considered medically and vitally stable for discharge home.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Liver function test increased, Magnetic resonance imaging spinal abnormal, Metabolic function test normal, Muscle strain, Myalgia
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO Admission Date: 6/1/2022 Discharge Date: 6/2/2022   HOSPITAL PROBLEMS 1. Intractable Lower Back Pain 2. Sepsis  3. UTI 4. Covid-19 infection 5. Elevated LFT's 6. Coronary Artery Disease 7. Hypertension 8. Hyperlipidemia 9. Morbid Obesity (BMI 43.9)  HOSPITAL COURSE: Patient is a 67 y.o. female who presented to the hospital for severe back pain and febrile UTI. Patient has history of recurrent UTI and developed dysuria and fever 2 days prior. She was seen at an urgent care and diagnosed with UTI and given 5 day course of Macrobid BID. She took 2 doses and had worsening back pain and fevers that prompted her to go to her PCP's office. There she was febrile and had left CVA tenderness and a UA that showed mild hematuria, so she was sent to the ED. Her back pain is chronic and intermittent over the last 6-12 months. She notes that she will change positions or shift her center of gravity forward and her low back will sudden spike with sharp pain that can sometimes immobilize her for days. She has had no PT for her back, and denies loss of lower extremity sensation or bowel/urine continence. She also had an MRI on 5/12/22 for her back pain that raised some concern for possible discitis vs osteomyelitis.   In the ED, patient was febrile and tachycardic with (+) Covid-19 PCR, however she had no respiratory symptoms. CMP and CBC were normal, UA showed 1 WBC. CT of the abdomen/pelvis was unremarkable, and CXR was normal. Her pain was difficult to control and required IV morphine and a lidocaine patch. She was started on empiric Rocephin, give 1L NS IVF bolus, and admitted for intractable back pain and sepsis.     On the general floor, patient's pain improved with rest and IV morphine. Her fever resolved with tylenol and IV fluids. She was tender left lumbar region lateral to spine in the musculature and soft tissue, without bony tenderness. PT evaluated the patient and recommended outpatient PT for her back pain. An MRI was performed and showed no change from previous MRI with no definitive evidence of discitis or osteomyelitis. Patient was advised to continue her remaining macrobid BID course, prescribed flexeril for a likely chronic left lumbosacral strain. She was considered medically and vitally stable for discharge home.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Obesity, Osteomyelitis, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO Admission Date: 6/1/2022 Discharge Date: 6/2/2022   HOSPITAL PROBLEMS 1. Intractable Lower Back Pain 2. Sepsis  3. UTI 4. Covid-19 infection 5. Elevated LFT's 6. Coronary Artery Disease 7. Hypertension 8. Hyperlipidemia 9. Morbid Obesity (BMI 43.9)  HOSPITAL COURSE: Patient is a 67 y.o. female who presented to the hospital for severe back pain and febrile UTI. Patient has history of recurrent UTI and developed dysuria and fever 2 days prior. She was seen at an urgent care and diagnosed with UTI and given 5 day course of Macrobid BID. She took 2 doses and had worsening back pain and fevers that prompted her to go to her PCP's office. There she was febrile and had left CVA tenderness and a UA that showed mild hematuria, so she was sent to the ED. Her back pain is chronic and intermittent over the last 6-12 months. She notes that she will change positions or shift her center of gravity forward and her low back will sudden spike with sharp pain that can sometimes immobilize her for days. She has had no PT for her back, and denies loss of lower extremity sensation or bowel/urine continence. She also had an MRI on 5/12/22 for her back pain that raised some concern for possible discitis vs osteomyelitis.   In the ED, patient was febrile and tachycardic with (+) Covid-19 PCR, however she had no respiratory symptoms. CMP and CBC were normal, UA showed 1 WBC. CT of the abdomen/pelvis was unremarkable, and CXR was normal. Her pain was difficult to control and required IV morphine and a lidocaine patch. She was started on empiric Rocephin, give 1L NS IVF bolus, and admitted for intractable back pain and sepsis.     On the general floor, patient's pain improved with rest and IV morphine. Her fever resolved with tylenol and IV fluids. She was tender left lumbar region lateral to spine in the musculature and soft tissue, without bony tenderness. PT evaluated the patient and recommended outpatient PT for her back pain. An MRI was performed and showed no change from previous MRI with no definitive evidence of discitis or osteomyelitis. Patient was advised to continue her remaining macrobid BID course, prescribed flexeril for a likely chronic left lumbosacral strain. She was considered medically and vitally stable for discharge home.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis, Tachycardia, Urinary tract infection, Urine analysis abnormal, White blood cells urine positive
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO Admission Date: 6/1/2022 Discharge Date: 6/2/2022   HOSPITAL PROBLEMS 1. Intractable Lower Back Pain 2. Sepsis  3. UTI 4. Covid-19 infection 5. Elevated LFT's 6. Coronary Artery Disease 7. Hypertension 8. Hyperlipidemia 9. Morbid Obesity (BMI 43.9)  HOSPITAL COURSE: Patient is a 67 y.o. female who presented to the hospital for severe back pain and febrile UTI. Patient has history of recurrent UTI and developed dysuria and fever 2 days prior. She was seen at an urgent care and diagnosed with UTI and given 5 day course of Macrobid BID. She took 2 doses and had worsening back pain and fevers that prompted her to go to her PCP's office. There she was febrile and had left CVA tenderness and a UA that showed mild hematuria, so she was sent to the ED. Her back pain is chronic and intermittent over the last 6-12 months. She notes that she will change positions or shift her center of gravity forward and her low back will sudden spike with sharp pain that can sometimes immobilize her for days. She has had no PT for her back, and denies loss of lower extremity sensation or bowel/urine continence. She also had an MRI on 5/12/22 for her back pain that raised some concern for possible discitis vs osteomyelitis.   In the ED, patient was febrile and tachycardic with (+) Covid-19 PCR, however she had no respiratory symptoms. CMP and CBC were normal, UA showed 1 WBC. CT of the abdomen/pelvis was unremarkable, and CXR was normal. Her pain was difficult to control and required IV morphine and a lidocaine patch. She was started on empiric Rocephin, give 1L NS IVF bolus, and admitted for intractable back pain and sepsis.     On the general floor, patient's pain improved with rest and IV morphine. Her fever resolved with tylenol and IV fluids. She was tender left lumbar region lateral to spine in the musculature and soft tissue, without bony tenderness. PT evaluated the patient and recommended outpatient PT for her back pain. An MRI was performed and showed no change from previous MRI with no definitive evidence of discitis or osteomyelitis. Patient was advised to continue her remaining macrobid BID course, prescribed flexeril for a likely chronic left lumbosacral strain. She was considered medically and vitally stable for discharge home.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: The patient did not have his card.  The dose from May 11, 2022 was not in the computer.  Only 1 dose was entered, so this was thought to be the 2nd.  The patient actually already had 2 doses and this was the 3rd, so given too soon.  He is in the jail and has been monitored.  He did not have any reaction .
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Computerised tomogram thorax abnormal, Lung opacity, Malaise, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID infection. Ground glass opacities noted on chest CT. Onset of symptoms not clear
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID infection. Ground glass opacities noted on chest CT. Onset of symptoms not clear
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Room spinning, vertigo,  on rising most mornings, now close to 1 month post vaccine, worst episode last Thursday.  Hoping it will get better soon.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Artificial rupture of membranes, COVID-19, Complication of pregnancy, Delivery, Exposure during pregnancy
Clinical narrative: DETAILS OF HOSPITAL STAY: ADMISSION DIAGNOSES: 1. Intrauterine pregnancy at 37+5 weeks gestation 2. Induction of labor 3. gHTN 4. COVID in pregnancy   The patient is a 23 y.o. female who presented to L&D at 37+5 weeks gestation as a G1P0 for induction of labor for gHTN. Her pregnancy was complicated by diagnoses listed above. Labor course included cytotec, FB, pitocin, and AROM for induction and intrathecal for pain management. Delivery was uncomplicated.   FINDINGS: NEWBORN STATUS: Living  NEWBORN SEX:  boy    WEIGHT: 3.28 kg
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Gestational hypertension, Labour induction, Labour pain, Ultrasound antenatal screen
Clinical narrative: DETAILS OF HOSPITAL STAY: ADMISSION DIAGNOSES: 1. Intrauterine pregnancy at 37+5 weeks gestation 2. Induction of labor 3. gHTN 4. COVID in pregnancy   The patient is a 23 y.o. female who presented to L&D at 37+5 weeks gestation as a G1P0 for induction of labor for gHTN. Her pregnancy was complicated by diagnoses listed above. Labor course included cytotec, FB, pitocin, and AROM for induction and intrathecal for pain management. Delivery was uncomplicated.   FINDINGS: NEWBORN STATUS: Living  NEWBORN SEX:  boy    WEIGHT: 3.28 kg
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: PARENT PROVIDED WRONG BIRTH YEAR SO THAT CHILD COULD RECEIVE COVID SHOT. NO ADVERSE EVENTS REPORTED.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: CLIENT RECEIVED PEDIATRIC PFIZER FORMULATION (PEDS) OF 0.2ML  AT 12YO. CLIENT SHOULD'VE RECEIVED GRAY CAP FORMULATION OF 0.3ML DUE TO AGE.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pain in extremity, Throat irritation
Clinical narrative: BODYACHES, SORE ARM, HEADACHE, SCRATCHY THROAT, FATIGUE
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Endotracheal intubation, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID infection 6/7/2022. Intubated 6/7/2022
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Fatigue, Feeling cold
Clinical narrative: That week of 04/23/2022. I had very close contact with my elderly aunt and father. We all received our boosters on the same day. My aunt went to church the Sunday before my symptoms began and did not wear a mask. I saw her several times after she went. On the following Thursday, she reported unusual diarrhea. The following Friday, my father, who I also live with, began having upper respiratory symptoms. That Saturday evening, I began to feel cold and flu like symptoms. That Sunday, 04/24, I tested myself for Covid with an at home test and it was positive. I then tested my father that Monday who was also positive. I contacted my aunt and her son to inform them of our positive results. She was tested on 04/25 and was also positive. After I tested positive, I had a virtual doctor's visit on 04/25. He felt that I was low risk for acute hospitalization so he did not prescribe an antiviral. He advised that I continue to manage symptoms with ibuprofen and TYLENOL and antihistamines if needed. My symptoms gradually improved over the next two weeks. After that two week period, I was well but still feeling fatigued and had a continued post nasal drip that caused a dry cough. At this point that has all cleared up with the exception of a bit of mucus in my throat which my doctor advised is common among post Covid patients and it seems to be improving.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Increased upper airway secretion, Influenza like illness, SARS-CoV-2 test positive, Upper-airway cough syndrome
Clinical narrative: That week of 04/23/2022. I had very close contact with my elderly aunt and father. We all received our boosters on the same day. My aunt went to church the Sunday before my symptoms began and did not wear a mask. I saw her several times after she went. On the following Thursday, she reported unusual diarrhea. The following Friday, my father, who I also live with, began having upper respiratory symptoms. That Saturday evening, I began to feel cold and flu like symptoms. That Sunday, 04/24, I tested myself for Covid with an at home test and it was positive. I then tested my father that Monday who was also positive. I contacted my aunt and her son to inform them of our positive results. She was tested on 04/25 and was also positive. After I tested positive, I had a virtual doctor's visit on 04/25. He felt that I was low risk for acute hospitalization so he did not prescribe an antiviral. He advised that I continue to manage symptoms with ibuprofen and TYLENOL and antihistamines if needed. My symptoms gradually improved over the next two weeks. After that two week period, I was well but still feeling fatigued and had a continued post nasal drip that caused a dry cough. At this point that has all cleared up with the exception of a bit of mucus in my throat which my doctor advised is common among post Covid patients and it seems to be improving.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blister, Dysarthria, Feeling hot, Mouth swelling, Oral mucosal blistering
Clinical narrative: felt hot in my body, swelling to mouth, slurred speech, blisters to face and mouth
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Aphthous ulcer, Dizziness, Fall, Haemorrhage, Oral mucosal blistering
Clinical narrative: felt hot in my body, swelling to mouth, slurred speech, blisters to face and mouth
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Scab, Wrist fracture, X-ray limb abnormal
Clinical narrative: felt hot in my body, swelling to mouth, slurred speech, blisters to face and mouth
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Chest X-ray, Electrocardiogram, Hypertension, Thrombosis
Clinical narrative: Diagnosed with high blood pressure and prescribed Lisinopril 10mg on 04/22/2022. Diagnosed with blood clots and prescribed Eliquis 5mg (2X daily) on 05/16/2022.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ultrasound scan
Clinical narrative: Diagnosed with high blood pressure and prescribed Lisinopril 10mg on 04/22/2022. Diagnosed with blood clots and prescribed Eliquis 5mg (2X daily) on 05/16/2022.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Gait disturbance, Headache, Immobile
Clinical narrative: Within 15 minutes, headache, shivering, muscle and joint pain.  Within an hour, hives outbreak, severe immobilizing joint pain and vertigo with vomiting.   Feet and ankles and right knee, plus hands, were visibly swollen.  Unable to get out of bed for 48 hours until found by neighbor and was able to get Benadryl and a cane.   Hives and vertigo improved after 300mg of Benadryl.   Joint pain slowly subsided but right ankle is still 6 out of 10 for pain today, 20 days later.  Still having difficulty walking.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Joint swelling, Mobility decreased, Myalgia, Peripheral swelling, Urticaria
Clinical narrative: Within 15 minutes, headache, shivering, muscle and joint pain.  Within an hour, hives outbreak, severe immobilizing joint pain and vertigo with vomiting.   Feet and ankles and right knee, plus hands, were visibly swollen.  Unable to get out of bed for 48 hours until found by neighbor and was able to get Benadryl and a cane.   Hives and vertigo improved after 300mg of Benadryl.   Joint pain slowly subsided but right ankle is still 6 out of 10 for pain today, 20 days later.  Still having difficulty walking.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Vertigo, Vomiting
Clinical narrative: Within 15 minutes, headache, shivering, muscle and joint pain.  Within an hour, hives outbreak, severe immobilizing joint pain and vertigo with vomiting.   Feet and ankles and right knee, plus hands, were visibly swollen.  Unable to get out of bed for 48 hours until found by neighbor and was able to get Benadryl and a cane.   Hives and vertigo improved after 300mg of Benadryl.   Joint pain slowly subsided but right ankle is still 6 out of 10 for pain today, 20 days later.  Still having difficulty walking.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Product preparation issue
Clinical narrative: Patient was given the menveo diluent and sterile diluent together instead of the actual menveo vaccine and menveo diluent
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site muscle weakness
Clinical narrative: Muscle weakness in the arm of injection.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site pain, Injection site swelling, Pruritus, Rash macular, Throat tightness
Clinical narrative: Child was taken to ER on 06/12/2022 in the early morning hours for persistent itching of the entire body including inside the mouth, injection arm burning with swelling noted to the top of the arm, tightness of the throat, red blotchy areas noted to the face per mom. Mother began giving Benadryl on the day injections were given because child verbalized itching.  Mom reports the reaction just continued with time. She took the child to the ear when the child reported that her throat was tight.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Asymptomatic breakthrough COVID infection 6/11/2022
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Fatigue, Headache, Oropharyngeal pain
Clinical narrative: Symptoms started on the 30th with sore throat, headache, tiredness and aches and pains. My husband already tested positive that's why I was suspicious it was Covid. The first test I did was negative but then I tested again on June 1st and it was positive. On May 29th in the morning our neighbor told use he had tested positive and we had been with him days before. The doctor gave me PAXLOVID 5 day treatment.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test positive
Clinical narrative: Symptoms started on the 30th with sore throat, headache, tiredness and aches and pains. My husband already tested positive that's why I was suspicious it was Covid. The first test I did was negative but then I tested again on June 1st and it was positive. On May 29th in the morning our neighbor told use he had tested positive and we had been with him days before. The doctor gave me PAXLOVID 5 day treatment.
Age: 72.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Fatigue, Immediate post-injection reaction, Injection site pain, Myalgia, Palpitations
Clinical narrative: Patient had immediate sore painful arm at injection sites and complained of fatigue/muscle aches next day.  2 days after she complained of racing heart rate with watch telling her HR was 120-130 range resting.  On day 3 after vaccine still experiencing racing heart
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure abnormal, COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID infection. Hospital admission for blood pressure, and patient poor historian.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Product preparation error
Clinical narrative: Patient received Menveo vaccine but was given with the wrong dilulent.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Headache, Myalgia, Rash
Clinical narrative: Rash around neck (skin is slightly swollen, red and sensitive) began about 22 hours after injection, still visible today 42 hours after injection  Muscle pain in neck, shoulders and arm. General tiredness, fatigue, headache, began 12 hours after injection, better after 40 hours.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Sensitive skin, Skin swelling
Clinical narrative: Rash around neck (skin is slightly swollen, red and sensitive) began about 22 hours after injection, still visible today 42 hours after injection  Muscle pain in neck, shoulders and arm. General tiredness, fatigue, headache, began 12 hours after injection, better after 40 hours.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Nasal congestion, Nasopharyngitis, Oropharyngeal pain
Clinical narrative: Breakthrough case of Covid sx began - 05/23/2022 Home test ? 05/28/2022 Urgent Care Test ? 05/28/2022 ? 05/30/2022 Positive test Sx began as what felt like typical sx of sinus infections that I always have. Sore throat, stuffiness, nasal drip, slight cough, body aches, fever at it?s highest 99.9. The stuffy coughing situation got worse. I had a bit of taste and smell off for a few days. No chest or breathing issues. Home test on 06/01/2022 came back negative.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Parosmia, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case of Covid sx began - 05/23/2022 Home test ? 05/28/2022 Urgent Care Test ? 05/28/2022 ? 05/30/2022 Positive test Sx began as what felt like typical sx of sinus infections that I always have. Sore throat, stuffiness, nasal drip, slight cough, body aches, fever at it?s highest 99.9. The stuffy coughing situation got worse. I had a bit of taste and smell off for a few days. No chest or breathing issues. Home test on 06/01/2022 came back negative.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Taste disorder, Vaccine breakthrough infection
Clinical narrative: Breakthrough case of Covid sx began - 05/23/2022 Home test ? 05/28/2022 Urgent Care Test ? 05/28/2022 ? 05/30/2022 Positive test Sx began as what felt like typical sx of sinus infections that I always have. Sore throat, stuffiness, nasal drip, slight cough, body aches, fever at it?s highest 99.9. The stuffy coughing situation got worse. I had a bit of taste and smell off for a few days. No chest or breathing issues. Home test on 06/01/2022 came back negative.
Age: 75.0
Sex: F
Vaccine: UNK
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine expiration date was extended to 4/3/22 and had been kept frozen up until date of administration which was 4/7/22. Moderna contacted and Moderna advised that vaccine was still viable and no revaccination was necessary.  No adverse side effects were reported from patient.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, COVID-19, COVID-19 pneumonia, Chest X-ray, Cough
Clinical narrative: I had covid in oct. 2021.  I loss sense of smell. I had covid pneumonia. I had a constant cough. I had abnormal oxygen levels. I was tired and super fatigue. I had headaches.  I did have a running nose.  Then I was diagnosed with hep B  in Nov 2021. I've never had that before.  After that, I had RSV a month later on Dec 2021. I had shortness of breath. it kept getting worse and worse. I was also hospitalized for 5 days.  I've recently been dealing with bronchitis. My 1st diagnosis was May 20th. I developed it twice in a month.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Headache, Hepatitis B, Laboratory test
Clinical narrative: I had covid in oct. 2021.  I loss sense of smell. I had covid pneumonia. I had a constant cough. I had abnormal oxygen levels. I was tired and super fatigue. I had headaches.  I did have a running nose.  Then I was diagnosed with hep B  in Nov 2021. I've never had that before.  After that, I had RSV a month later on Dec 2021. I had shortness of breath. it kept getting worse and worse. I was also hospitalized for 5 days.  I've recently been dealing with bronchitis. My 1st diagnosis was May 20th. I developed it twice in a month.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen saturation abnormal, Respiratory syncytial virus infection, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: I had covid in oct. 2021.  I loss sense of smell. I had covid pneumonia. I had a constant cough. I had abnormal oxygen levels. I was tired and super fatigue. I had headaches.  I did have a running nose.  Then I was diagnosed with hep B  in Nov 2021. I've never had that before.  After that, I had RSV a month later on Dec 2021. I had shortness of breath. it kept getting worse and worse. I was also hospitalized for 5 days.  I've recently been dealing with bronchitis. My 1st diagnosis was May 20th. I developed it twice in a month.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Influenza virus test, Respiratory syncytial virus test, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID infection on 6/10/2022. Tested due to known exposure. Patient denies respiratory symptoms
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID infection on 6/10/2022. Tested due to known exposure. Patient denies respiratory symptoms
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Amenorrhoea, Blood test normal, Menstruation delayed, Pregnancy test negative
Clinical narrative: My first period proceeding the vaccine was 15 days late. I had another period of a seemingly normal cycle (28 days) and then I stopped having my period. My cycle is currently on 131 days, which is very unusual. My last period started Feb. 3rd, lasted through the 7th, according to my (menses) tracker, and I have not had a period since then. I am not on birth control, I have not taken any new medications nor am I on any form of birth control. All pregnancy tests at home as well as at the doctors office have returned negative.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Lot # had been extended and kept frozen until date of administration but was given 2 days post expiration date.  Moderna contacted and deemed that the vaccine was viable so no revaccination was necessary.  No adverse side effects were reported by patient.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Oropharyngeal pain, Pyrexia
Clinical narrative: Headache, low grade temperature, chill, sore throat
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Vaccine administered to patient not within approved age range. Vaccine administered in error. No adverse reaction occured.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Chest discomfort, Chronic obstructive pulmonary disease, Cough
Clinical narrative: Pt to ED 2/17 c/o cough, chest congestion, chest tightness for the past 2 days. COVID positive upon admission, rx remdesivir for 3 d only on 2/17, not on oxygen. 2/18 reported no acute issues overnight. CXR showed COPD, right basilar scarring. Denied chest pain, c/o shortness of breath, no abd pain, no fever or chills. 2/19 pt has aches and pain, but not on O2, and tolerating activy. Pt is A&Ox4, cooperative and pleasant. Pt discharged 2/21.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, Pulmonary congestion, Pulmonary fibrosis, SARS-CoV-2 test positive
Clinical narrative: Pt to ED 2/17 c/o cough, chest congestion, chest tightness for the past 2 days. COVID positive upon admission, rx remdesivir for 3 d only on 2/17, not on oxygen. 2/18 reported no acute issues overnight. CXR showed COPD, right basilar scarring. Denied chest pain, c/o shortness of breath, no abd pain, no fever or chills. 2/19 pt has aches and pain, but not on O2, and tolerating activy. Pt is A&Ox4, cooperative and pleasant. Pt discharged 2/21.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure fluctuation, Blood test normal, COVID-19, Cardiac stress test normal
Clinical narrative: A few months after the injection, I noticed general weakness, lightheadedness, shortness of breath. In January, we tested positive for Covid. Late January, I started seeing the cardiologist thinking my pacemaker was not working right or that something was going on with my heart issues. Stress tests, blood tests, all the testing they did said I was not in afib and the pacemaker was working but the symptoms were still occurring. At that time, the doctor felt that maybe Covid was an issue. At that point, my blood pressure started jumping all around...way high and way low. At this point, we're going to a second cardiologist that deals with the veins and arteries. In my mind, if all the arteries and veins are working properly, I feel like it might have something to do with Covid or the shots.