chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 88.0
Sex: M
Vaccine: COVID19-2
Symptoms: Fall, Hypernatraemia, Hypophagia, Lactic acidosis, Pyrexia
Clinical narrative: Clinical Summary Patient is a 88 y.o. male with a history of HFpEF, HTN  who presented to RMH 11/20/2022 after fall and fever. Labs on admission  BNP 5181, COVID +. Imaging on admission including CXR with mild cardiomegaly. CT head and C spine non acute. ECG atrial fib with RVR.  Family requested to discharge back to assisted living with hospice.  Patient was evaluated by nursing supervisor from AL and recommended rehab prior to going back to AL.      1. Sepsis: Secondary to COVID infection. Treated with Zosyn, end date 11/24/22.  Bcx on 11/21/2022-No growth, UC-negative, and MRSA-negative.  Resolved 2. Atrial Fibrillation with RVR: noted on admission,  possibly incited in the setting of above.  Treated with Cardizem gtt. stopped due to lack of IV access, continued po Cardizem.   Discussed with family, who refused cardioversion.  Started on amiodarone, increased to twice daily on 11/26/22.  Taper to 200 mg daily starting from 12/3/22.  3. Hypernatremia: Most likely from poor oral intake secondary to confusion. Improved with supportive care. 4. COVID Infection: incidently noted on admission with hypoxia as below. Treated with decadron in the ED continued on admission for 3 days, end date 11/24/22. Continued scheduled and PRN SABA. Special isolation through 11/30/22 per Health protocol.   5. Acute Hypoxic Respiratory Failure: suspect multifactorial in the setting of above requiring 15L non rebreather in ED but weaned to 2L NC on admission.  Improved to room air on 11/22/22. 6. Abnormal UA: UA with many bacteria, trace esterase, 10 WBC. Empiric antibiotics as above. UC not significant.  7. Lactic Acidosis: LA 4.4 on admission suspect in the setting of above. Resolved with supportive care   8. Concern for Dysphagia: noted on admission per ED staff. S/P MBS on 11/21/22 reported risk for aspiration. Started on puréed diet after repeat MBS on 11/23/22 9. Fall: Unclear story, patient reportedly found on ground. Suspect related to above as well as dementia. Imaging on admission including CXR with mild cardiomegaly. CT head and C spine non acute. PT/OT followed 10. HFpEF: per history. Has had dual lead ICD placed. TTE 9/19/22 with EF 55-60% with mild diastolic dysfunction noted. Labs on admission with BNP 5181 with prior noted to be around 6.5k. Patient euvolemic during admission. Held home Lasix while receiving gentile IVF with sepsis/COVID as above.  Resumed home diuretic on 11/22/22 11. CAD: per history s/p stent placement to LAD in 2017. Does not appear to be on AP per AL documentation. Continued home statin.  12. Dementia/Anxiety/Depression: per history. Continued home namenda, Aricept, and SSRI.  13. Code status/GOC: DNRCC
Age: 88.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Sepsis, Staphylococcus test negative, Urine analysis abnormal, Urine leukocyte esterase positive
Clinical narrative: Clinical Summary Patient is a 88 y.o. male with a history of HFpEF, HTN  who presented to RMH 11/20/2022 after fall and fever. Labs on admission  BNP 5181, COVID +. Imaging on admission including CXR with mild cardiomegaly. CT head and C spine non acute. ECG atrial fib with RVR.  Family requested to discharge back to assisted living with hospice.  Patient was evaluated by nursing supervisor from AL and recommended rehab prior to going back to AL.      1. Sepsis: Secondary to COVID infection. Treated with Zosyn, end date 11/24/22.  Bcx on 11/21/2022-No growth, UC-negative, and MRSA-negative.  Resolved 2. Atrial Fibrillation with RVR: noted on admission,  possibly incited in the setting of above.  Treated with Cardizem gtt. stopped due to lack of IV access, continued po Cardizem.   Discussed with family, who refused cardioversion.  Started on amiodarone, increased to twice daily on 11/26/22.  Taper to 200 mg daily starting from 12/3/22.  3. Hypernatremia: Most likely from poor oral intake secondary to confusion. Improved with supportive care. 4. COVID Infection: incidently noted on admission with hypoxia as below. Treated with decadron in the ED continued on admission for 3 days, end date 11/24/22. Continued scheduled and PRN SABA. Special isolation through 11/30/22 per Health protocol.   5. Acute Hypoxic Respiratory Failure: suspect multifactorial in the setting of above requiring 15L non rebreather in ED but weaned to 2L NC on admission.  Improved to room air on 11/22/22. 6. Abnormal UA: UA with many bacteria, trace esterase, 10 WBC. Empiric antibiotics as above. UC not significant.  7. Lactic Acidosis: LA 4.4 on admission suspect in the setting of above. Resolved with supportive care   8. Concern for Dysphagia: noted on admission per ED staff. S/P MBS on 11/21/22 reported risk for aspiration. Started on puréed diet after repeat MBS on 11/23/22 9. Fall: Unclear story, patient reportedly found on ground. Suspect related to above as well as dementia. Imaging on admission including CXR with mild cardiomegaly. CT head and C spine non acute. PT/OT followed 10. HFpEF: per history. Has had dual lead ICD placed. TTE 9/19/22 with EF 55-60% with mild diastolic dysfunction noted. Labs on admission with BNP 5181 with prior noted to be around 6.5k. Patient euvolemic during admission. Held home Lasix while receiving gentile IVF with sepsis/COVID as above.  Resumed home diuretic on 11/22/22 11. CAD: per history s/p stent placement to LAD in 2017. Does not appear to be on AP per AL documentation. Continued home statin.  12. Dementia/Anxiety/Depression: per history. Continued home namenda, Aricept, and SSRI.  13. Code status/GOC: DNRCC
Age: 88.0
Sex: M
Vaccine: COVID19-2
Symptoms: White blood cell count normal
Clinical narrative: Clinical Summary Patient is a 88 y.o. male with a history of HFpEF, HTN  who presented to RMH 11/20/2022 after fall and fever. Labs on admission  BNP 5181, COVID +. Imaging on admission including CXR with mild cardiomegaly. CT head and C spine non acute. ECG atrial fib with RVR.  Family requested to discharge back to assisted living with hospice.  Patient was evaluated by nursing supervisor from AL and recommended rehab prior to going back to AL.      1. Sepsis: Secondary to COVID infection. Treated with Zosyn, end date 11/24/22.  Bcx on 11/21/2022-No growth, UC-negative, and MRSA-negative.  Resolved 2. Atrial Fibrillation with RVR: noted on admission,  possibly incited in the setting of above.  Treated with Cardizem gtt. stopped due to lack of IV access, continued po Cardizem.   Discussed with family, who refused cardioversion.  Started on amiodarone, increased to twice daily on 11/26/22.  Taper to 200 mg daily starting from 12/3/22.  3. Hypernatremia: Most likely from poor oral intake secondary to confusion. Improved with supportive care. 4. COVID Infection: incidently noted on admission with hypoxia as below. Treated with decadron in the ED continued on admission for 3 days, end date 11/24/22. Continued scheduled and PRN SABA. Special isolation through 11/30/22 per Health protocol.   5. Acute Hypoxic Respiratory Failure: suspect multifactorial in the setting of above requiring 15L non rebreather in ED but weaned to 2L NC on admission.  Improved to room air on 11/22/22. 6. Abnormal UA: UA with many bacteria, trace esterase, 10 WBC. Empiric antibiotics as above. UC not significant.  7. Lactic Acidosis: LA 4.4 on admission suspect in the setting of above. Resolved with supportive care   8. Concern for Dysphagia: noted on admission per ED staff. S/P MBS on 11/21/22 reported risk for aspiration. Started on puréed diet after repeat MBS on 11/23/22 9. Fall: Unclear story, patient reportedly found on ground. Suspect related to above as well as dementia. Imaging on admission including CXR with mild cardiomegaly. CT head and C spine non acute. PT/OT followed 10. HFpEF: per history. Has had dual lead ICD placed. TTE 9/19/22 with EF 55-60% with mild diastolic dysfunction noted. Labs on admission with BNP 5181 with prior noted to be around 6.5k. Patient euvolemic during admission. Held home Lasix while receiving gentile IVF with sepsis/COVID as above.  Resumed home diuretic on 11/22/22 11. CAD: per history s/p stent placement to LAD in 2017. Does not appear to be on AP per AL documentation. Continued home statin.  12. Dementia/Anxiety/Depression: per history. Continued home namenda, Aricept, and SSRI.  13. Code status/GOC: DNRCC
Age: 17.0
Sex: M
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration, Incorrect product formulation administered, Interchange of vaccine products, No adverse event
Clinical narrative: The patient received  first dose of monovalent Pfizer on 7/1/22,  then received a Moderna Bivalent booster on 11/2/22. Thus, the primary series was not completed before the bivalent booster was administered and different manufacturers were administered.  There were no known adverse reactions as a result of this administration. The person submitting this form was not the person who administered the bivalent vaccine.
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: Vertigo positional
Clinical narrative: Benign Positional Vertigo started during sleep at night and diminishes but still present through the day.  It has lasted 9 days so far. Last time I had BPV was after my first 2 Moderna Covid shots 2/9/21 & 3/19/21 that started 5/20/21 and lasted for a month.  Before that I had BPV about every 2 or 3 years for 3 or 4 days. The duration of condition and being about 2 months after Moderna vaccine is what makes it stand out. I have not reported the 2021 reaction to CDC except here.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Herpes zoster
Clinical narrative: Shingles
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test, Vaccine breakthrough infection
Clinical narrative: Breakthrough infection
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Blood triglycerides increased, Low carbohydrate diet, Medical diet
Clinical narrative: After the 3rd dose of the vaccine my Triglycerides increased from 58 on 12/07/2020 to 473 on 11/22/2021 and further increased to 2,089 on 12/02/2022.  I am currently on a no sugar no carbohydrate diet.  Blood work will be repeated
Age: 33.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The patient was given a dose of the undiluted (Gray cap) Pfizer COVID-19 Bivalent booster that was not stored in an ultra-cold temperature freezer and was instead stored in the regular freezer (between -30 to -20 F). It was moved out of the regular freezer to the refrigerator after more than 3 weeks in the regular freezer. The doses were then used after more than 24 hours in the refrigerator. We have contacted Pfizer about this and according to their off-label studies they provided via PDF file, they are not able to support the temperature excursions that occurred. As per CDC guidance, the recommendation is to re-vaccinate the individual with the full authorized dose of any Bivalent vaccine (either Pfizer or Moderna) and we have communicated with the patient for re-vaccination.
Age: 52.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Blood test normal, Fatigue, Headache, Thyroid function test normal
Clinical narrative: I had vaccination on 09/23/2022. On 09/24/2022 I woke up with extreme fatigue. I have had the fatigue since the bivalent vaccination and still experiencing on 12/27/2022. I went to urgent care in 11/2022 and ran blood panel and thyroid tests. All tests came back normal. I have appointment on 02/22/2023 with a neurologist for the continuous headaches and test for autoimmune diseases.
Age: 72.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Fatigue, Headache, Nasopharyngitis, Oropharyngeal pain
Clinical narrative: 12/11/22 I was real tired, had a sore throat and headache. I thought it was a cold. The next day I had the same symptoms. On 12/13/22 I tested at the pharmacy for COVID. Both home tests and the PCR test from the pharmacy were positive. I called my doctor on 12/14/22 and he prescribed PAXLOVID, azithromycin, benzoinated, montelukast and ADVAIR for after I finished PAXLOVID, but only took it for a day. I had a telehealth after I finished my PAXLOVID and was feeling pretty good and the doctor told me just to call if I got worse. On 12/25/22 I tested negative with a home COVID test. I walked today, not my normal walk, but I feel pretty good.
Age: 72.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 12/11/22 I was real tired, had a sore throat and headache. I thought it was a cold. The next day I had the same symptoms. On 12/13/22 I tested at the pharmacy for COVID. Both home tests and the PCR test from the pharmacy were positive. I called my doctor on 12/14/22 and he prescribed PAXLOVID, azithromycin, benzoinated, montelukast and ADVAIR for after I finished PAXLOVID, but only took it for a day. I had a telehealth after I finished my PAXLOVID and was feeling pretty good and the doctor told me just to call if I got worse. On 12/25/22 I tested negative with a home COVID test. I walked today, not my normal walk, but I feel pretty good.
Age: 56.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Dry throat, Feeling abnormal, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: On December 23, 2022 I  tested positive for Covid-19.  I experienced a breakthrough cases and a VAERS employee telephoned me on December 27, 2022 and told me to report it on this website.   A nurse in my doctor's office prescribed Paxlovid and a prescription nasal spray which I used.  I am experiencing mild symptoms which largely ended after 48 hours.  Main symptom was a dry throat, particularly upon waking in morning.  On December 24, I experienced some brain fog.  My energy level improved after 48 hours.
Age: 51.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test normal, Dysgeusia, Endoscopy normal, SARS-CoV-2 test negative
Clinical narrative: A couple of days after receiving the vaccine, I started having a metallic taste in my mouth. I have been to my primary care doctor, I have been to a gastroenterologist for an endoscopy, and I have had bloodwork done all results within normal range. I have tried numerous things to get rid of the taste and nothing helps. At this time, I am eliminating things to see if that will determine what is causing it. Also, I have never tested positive for COVID-19.
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dysphagia, Fatigue, Throat tightness, Urticaria
Clinical narrative: Hospital Occupational Health Provider Telephone f/u note: 35-year-old with history of asthma, eczema, and severe vaccine reaction to Gardasil called to state she has been having an urticarial rash and some fatigue since receiving Pfizer booster (bivalent) on 12/9. A day or two after receiving she began experienceing intermittent hives which have responded to benadryl 25 mg at hs. She has a hx of vague "inflammatory reactions" but a severe anaphyllactic reaction gardasill requiring hospitalization. She has not called her doctor as she states her symptoms were controlled with dose benadryl at bedtime. Also, last week had an episode of throat tightness and difficulty swallowing which resolved without rx and has not recurred. Has been working through all of this. Advised to contact PCP
Age: 46.0
Sex: M
Vaccine: UNK
Symptoms: Expired product administered, No adverse event
Clinical narrative: Inadvertent administration past the 30-day Use by Date of the Moderna vaccine. No Symptoms to report as no adverse event was reported.
Age: 29.0
Sex: M
Vaccine: UNK
Symptoms: Expired product administered, No adverse event
Clinical narrative: Inadvertent administration past the 30-day Use by Date of the Moderna vaccine. No Symptoms to report as no adverse event was reported.
Age: 33.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation error, Product storage error
Clinical narrative: The patient was given a dose of the undiluted (Gray cap) Pfizer COVID-19 Bivalent booster that was not stored in an ultra-cold temperature freezer and was instead stored in the regular freezer (between -30 to -20 F). It was moved out of the regular freezer to the refrigerator after more than 3 weeks in the regular freezer. The doses were then used after more than 24 hours in the refrigerator. We have contacted Pfizer about this and according to their off-label studies they provided via PDF file, they are not able to support the temperature excursions that occurred. As per CDC guidance, the recommendation is to re-vaccinate the individual with the full authorized dose of any Bivalent vaccine (either Pfizer or Moderna) and we have communicated with the patient for re-vaccination.
Age: 74.0
Sex: F
Vaccine: FLUA4, TDAP
Symptoms: Arthralgia, Back pain, Discomfort, Injection site pain, Pain
Clinical narrative: Pain radiating from injection site up AND down arm - down arm to fingers, up arm to shoulder/back. Down arm is resolving after steroid dose pack (now finished, started 12/15/22), but she is still "just as uncomfortable as before."
Age: 74.0
Sex: F
Vaccine: FLUA4, TDAP
Symptoms: Pain in extremity
Clinical narrative: Pain radiating from injection site up AND down arm - down arm to fingers, up arm to shoulder/back. Down arm is resolving after steroid dose pack (now finished, started 12/15/22), but she is still "just as uncomfortable as before."
Age: 43.0
Sex: M
Vaccine: UNK
Symptoms: Expired product administered, No adverse event
Clinical narrative: Inadvertent administration past the 30-day Use by Date of the Moderna vaccine. No Symptoms to report as no adverse event was reported.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Mass, Pain, Thrombosis
Clinical narrative: I formed a very large mass just outside my buttocks hole. The doctor told me it formed because of a blood clot. It was very painful. I had no problem before. I was provided topical medication.
Age: 40.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Usual process was not followed for verifying previously administered vaccines due to distraction; patient did not remember he had received flu vaccine in September, and an additional dose was given today by mistake
Age: 31.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The patient was given a dose of the undiluted (Gray cap) Pfizer COVID-19 Bivalent booster that was not stored in an ultra-cold temperature freezer and was instead stored in the regular freezer (between -30 to -20 F). It was moved out of the regular freezer to the refrigerator after more than 3 weeks in the regular freezer. The doses were then used after more than 24 hours in the refrigerator. We have contacted Pfizer about this and according to their off-label studies they provided via PDF file, they are not able to support the temperature excursions that occurred. As per CDC guidance, the recommendation is to re-vaccinate the individual with the full authorized dose of any Bivalent vaccine (either Pfizer or Moderna) and we have communicated with the patient for re-vaccination.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, Dysphonia, Pharyngeal paraesthesia
Clinical narrative: Within 30 mins of taking vaccine, patient felt fine but throat was "tingly". Voice is hoarse, almost as if she was screaming. No soreness or pain - just loss of voice.  Took tylenol and drank plenty fluids. Hasn't felt ill at all.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Inadvertent administration past the 30-day Use by Date of the Moderna vaccine. No Symptoms to report as no adverse event was reported.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: I got Covid after I received my vaccine 12/07/2022, I got vaccine on 09/23/2022.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rhinorrhoea
Clinical narrative: She got her vaccine, her arm hurt like crazy.  She already has a left shoulder impingement and did not need excess arm pain.  She is 1 hour from the office to her home, and by the time she got her home the pain was so great that she used a pain patch, and the injection site pain and the shoulder and put a Diclofenac patch on the injection site.  She had normal arm pain with the Moderna vaccines, but this was extremely painful.  She had a mild headache and feeling nauseous before she got home.  Within 6 hours after the vaccine she had what she calls a heart beat that was so loud and fast that she could feel and hear it, it was 121/91 with a pulse of 108 when she took her BP.  It went up as high as 130/88 with a pulse of 110 . She normally runs very low with her BP 94/67, pulse of 79 is normal for her.  So, her BP was 20-30 points higher than normal.   When she got home and inside she was dizzy, nauseous and felt like somebody ran over her with a truck.  She also had chest discomfort, felt like she had an animal sitting on her chest, and under her left arm felt like she had pulled a muscle.  She also had injection site pain, tiredness, headache (so bad she had to take a migraine pill - 2 extra strength Tylenol), muscle pain, chills, joint pain, fever up to 102.4 by the next morning.  She also had injection site swelling, feeling unwell, no appetite, and everything she tried to eat tasted like cardboard.  She also had diarrhea, and had Compazine that she took for the nausea and probably would had vomited if she hadn't taken it.  The dizziness got to the point that if she did not sit down she would have fallen down.  Was wondering if she would pass out or not, and spent that evening and the rest of the next day in bed.  This is the first day in 13 days that she did not have diarrhea.  She has also had severe cough, runny nose, like she had gotten a cold/flu on top of the COVID vaccine.  She took the shot that day as her immune system was in a good spot and agreed to do it, and probably felt as miserable for the past 12-13 days as she did when she had COVID, which was 8/17/22.  She had the worst headache she had ever had when she had COVID.  Due to her being high risk due to asthma, had an infusion on 8/23/22.   The infusion affected her with BP fluctuations for a week.    She is due for a physical in the beginning of the year.  Today, is the first day that she has not taken Tylenol.  She had coughed so bad that she has pulled a muscle under her right rib cage, under hear arm and right groin area/hip area, and took Coricidin HBP to alleviate the pain from that.  She had more symptoms and felt sicker with the vaccine than she did with COVID.  She states that she will never take another Pfizer vaccine, never had a problem with Moderna vaccine.   She basically did not get out of bed for about 12 days other than an hour or so here and there, but would be so exhausted in just a short period of time.  Her BP this morning was 120/83 pulse rate of 58, and will still be higher and pulse rate over 100 as of today.  The cough is pretty much under control.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Inadvertent administration past the 30-day Use by Date of the Moderna vaccine. No Symptoms to report as no adverse event was reported.
Age: 74.0
Sex: F
Vaccine: UNK
Symptoms: Acute respiratory failure, CSF test abnormal, Encephalopathy, Herpes simplex, Herpes simplex encephalitis
Clinical narrative: 2 hours after receiving the vaccine patient became lethargic, and non-responding, she was brought to hospital where she was found to have HSV-1 and VZV encephalitis. Course notable for persistent encephalopathy, acute hypoxic respiratory failure, ICU care, aspiration pneumonia.
Age: 74.0
Sex: F
Vaccine: UNK
Symptoms: Herpes simplex test positive, Herpes zoster meningoencephalitis, Intensive care, Lethargy, Pneumonia aspiration
Clinical narrative: 2 hours after receiving the vaccine patient became lethargic, and non-responding, she was brought to hospital where she was found to have HSV-1 and VZV encephalitis. Course notable for persistent encephalopathy, acute hypoxic respiratory failure, ICU care, aspiration pneumonia.
Age: 74.0
Sex: F
Vaccine: UNK
Symptoms: Unresponsive to stimuli, Varicella virus test positive
Clinical narrative: 2 hours after receiving the vaccine patient became lethargic, and non-responding, she was brought to hospital where she was found to have HSV-1 and VZV encephalitis. Course notable for persistent encephalopathy, acute hypoxic respiratory failure, ICU care, aspiration pneumonia.
Age: 34.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation error, Product storage error
Clinical narrative: The patient was given a dose of the undiluted (Gray cap) Pfizer COVID-19 Bivalent booster that was not stored in an ultra-cold temperature freezer and was instead stored in the regular freezer (between -30 to -20 F). It was moved out of the regular freezer to the refrigerator after more than 3 weeks in the regular freezer. The doses were then used after more than 24 hours in the refrigerator. We have contacted Pfizer about this and according to their studies they provided, they are not able to support the temperature excursions that occurred. As per CDC guidance, the recommendation is to re-vaccinate the individual with the full authorized dose of any Bivalent vaccine (either Pfizer or Moderna) and we have communicated with the patient for re-vaccination.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise, Pyrexia, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I had my vaccination on 06/22/2022. On 10/12/2022 I had COVID-19 symptoms to include scratchy throat and fever. I went to urgent care and tested COVID-19 Positive on 10/13/2022. I am on Eloquence so they didn't prescribe any other medication. I currently feel fine on 12/27/2022.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Inadvertent administration past the 30-day Use by Date of the Moderna vaccine. No Symptoms to report as no adverse event was reported.
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Chills, Fatigue, Musculoskeletal stiffness, Nausea
Clinical narrative: About 20-22 hrs after booster, neck and shoulder of the same side as shot became so stiff and sore I could not straighten my head without excruciating pain accompanied by severe nausea. This lasted until the following afternoon of 12/23.  Ran fever and had chills as well as very fatigued through 12/25.
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Neck pain, Pain, Pyrexia
Clinical narrative: About 20-22 hrs after booster, neck and shoulder of the same side as shot became so stiff and sore I could not straighten my head without excruciating pain accompanied by severe nausea. This lasted until the following afternoon of 12/23.  Ran fever and had chills as well as very fatigued through 12/25.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, COVID-19, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Nothing happened after the vaccine.  On April 28th my wife & I contracted COVID-19, Two days later after a trip, I had a COVID-19 home test and I tested Positive, I had little fever for 1 day. Mild symptoms, but after week symptoms were gone. I monitored my blood pressure all the time and it was normal but between the end of May and end of September I was examining my blood pressure again and I discovered my blood pressure has gone up dramatically, the numbers double from 65/minute to 125/minute constantly, several times a day. I was preparing to go to see my doctor, but at the end of September I got my 5th vaccine. I got the adverse condition after the 4th dose. I had two home tests, one after 8 days and it was positive and the one after 12 days and it was negative.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Inadvertent administration past the 30-day Use by Date of the Moderna vaccine. No Symptoms to report as no adverse event was reported.
Age: 41.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation error, Product storage error
Clinical narrative: The patient was given a dose of the undiluted (Gray cap) Pfizer COVID-19 Bivalent booster that was not stored in an ultra-cold temperature freezer and was instead stored in the regular freezer (between -30 to -20 F). It was moved out of the regular freezer to the refrigerator after more than 3 weeks in the regular freezer. The doses were then used after more than 24 hours in the refrigerator. We have contacted Pfizer about this and according to their off-label studies they provided via PDF file, they are not able to support the temperature excursions that occurred. As per CDC guidance, the recommendation is to re-vaccinate the individual with the full authorized dose of any Bivalent vaccine (either Pfizer or Moderna) and we have communicated with the patient for re-vaccination.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Benign neoplasm of thyroid gland, Blood test, Histamine abnormal, Laboratory test, Mast cell activation syndrome
Clinical narrative: Past 9 months I have been having histamine release issues. Allergy testing, etc.  has been done and there are no concrete reasons for the mast cells to release histamine when eating or around strong odors.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroid function test, Ultrasound thyroid abnormal
Clinical narrative: Past 9 months I have been having histamine release issues. Allergy testing, etc.  has been done and there are no concrete reasons for the mast cells to release histamine when eating or around strong odors.
Age: 37.0
Sex: F
Vaccine: COVID19-2
Symptoms: Alopecia
Clinical narrative: I have experienced an alarming amount of hair loss in October through early December. My scalp is visible in patches and in late December, the heavy shedding has slowed down.
Age: 58.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: COVID-19, Cough, Eyelid margin crusting, Feeling abnormal, Headache
Clinical narrative: On December 12, 2022 I began to be sniffly and the next day it got worse and had a fever for about an hour.  I was feeling pretty bad that night.  I took a rapid home test and was positive for COVID-19 on December 14, 2022.   I am still severely congested, and I feel like it has moved to my lungs.  I have a violent cough.  Last night my eyes began to become congested as well because in the night they would become crusted over.  I've been taking Ibuprofen, Tylenol, Excedrin to rotate for help with my headache and sinus pressure.    I also I started taking Molnupirazir (similar to Paxlovid) on December 19th and began to feel better.  But the following Monday I began to feel bad again.  I am still severely congested, and I feel like it has moved to my lungs.  I have a violent cough.  Last night my eyes began to become congested as well because in the night they would become crusted over.
Age: 58.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Paranasal sinus discomfort, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: On December 12, 2022 I began to be sniffly and the next day it got worse and had a fever for about an hour.  I was feeling pretty bad that night.  I took a rapid home test and was positive for COVID-19 on December 14, 2022.   I am still severely congested, and I feel like it has moved to my lungs.  I have a violent cough.  Last night my eyes began to become congested as well because in the night they would become crusted over.  I've been taking Ibuprofen, Tylenol, Excedrin to rotate for help with my headache and sinus pressure.    I also I started taking Molnupirazir (similar to Paxlovid) on December 19th and began to feel better.  But the following Monday I began to feel bad again.  I am still severely congested, and I feel like it has moved to my lungs.  I have a violent cough.  Last night my eyes began to become congested as well because in the night they would become crusted over.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Inadvertent administration past the 30-day Use by Date of the Moderna vaccine. No Symptoms to report as no adverse event was reported.
Age: 28.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation error, Product storage error
Clinical narrative: The patient was given a dose of the undiluted (Gray cap) Pfizer COVID-19 Bivalent booster that was not stored in an ultra-cold temperature freezer and was instead stored in the regular freezer (between -30 to -20 F). It was moved out of the regular freezer to the refrigerator after more than 3 weeks in the regular freezer. The doses were then used after more than 24 hours in the refrigerator. We have contacted Pfizer about this and according to their off-label studies they provided via file, they are not able to support the temperature excursions that occurred. As per guidance, the recommendation is to re-vaccinate the individual with the full authorized dose of any Bivalent vaccine (either Pfizer or Moderna) and we have communicated with the patient for re-vaccination.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Client given a pfizer bivalent booster dose as second dose of primary series.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Inadvertent administration past the 30-day Use by Date of the Moderna vaccine. No Symptoms to report as no adverse event was reported.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anxiety, Chills, Granuloma annulare, Pyrexia, Rash
Clinical narrative: I had the Moderna series to start, then a J&J booster because we thought I the J&J would be easier on me. I had strong reactions, including fever, and chills after the first three shots.I developed mild  granuloma annulare which became worse after each of the covid vaccines. I skipped the 4th dose but decided to get the bivalent booster to protect me from Omicron. My rash had been localized until then and was beginning to fade. A month after the bivalent, the rash progressed and despite efforts to control it with injections and salves, it has become generalized, The condition has caused anxiety and hopelessness. I am considering future treatments which may include immunosuppressant therapy,
Age: 39.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation error, Product storage error
Clinical narrative: The patient was given a dose of the undiluted (Gray cap) Pfizer COVID-19 Bivalent booster that was not stored in an ultra-cold temperature freezer and was instead stored in the regular freezer (between -30 to -20 F). It was moved out of the regular freezer to the refrigerator after more than 3 weeks in the regular freezer. The doses were then used after more than 24 hours in the refrigerator. We have contacted Pfizer about this and according to their off-label studies they provided via PDF file, they are not able to support the temperature excursions that occurred. As per CDC guidance, the recommendation is to re-vaccinate the individual with the full authorized dose of any Bivalent vaccine (either Pfizer or Moderna) and we have communicated with the patient for re-vaccination.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Inadvertent administration past the 30-day Use by Date of the Moderna vaccine. No Symptoms to report as no adverse event was reported.
Age: 0.83
Sex: F
Vaccine: PNC13
Symptoms: Extra dose administered
Clinical narrative: The patient was given an extra dose of Prevnar 13.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: HOPITALIZATION
Age: 39.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: 39-year-old received Fluzone HD which is intended for 65+ age group - no side effects
Age: 48.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation error, Product storage error
Clinical narrative: The patient was given a dose of the undiluted (Gray cap) Pfizer COVID-19 Bivalent booster that was not stored in an ultra-cold temperature freezer and was instead stored in the regular freezer (between -30 to -20 F). It was moved out of the regular freezer to the refrigerator after more than 3 weeks in the regular freezer. The doses were then used after more than 24 hours in the refrigerator. We have contacted Pfizer about this and according to their off-label studies they provided via file, they are not able to support the temperature excursions that occurred. As per guidance, the recommendation is to re-vaccinate the individual with the full authorized dose of any Bivalent vaccine (either Pfizer or Moderna) and we have communicated with the patient for re-vaccination.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Exposure to SARS-CoV-2, Fatigue
Clinical narrative: My daughter tested positive on December 7th, 2022.  The first part of week we were in close proximity.  I then started having symptoms on the December 17th, 2022.  I had a sore throat and minor body aches.  On December 19th, 2022 my throat was really scratchy and fatigued and I tested positive on December 19, 2022. I lost a little taste and smell.  My doctor prescribed Proxlovid on December 20th, 2022.  I had a runny nose that lasted a few days.  I had a slight fever the night of December 19th, 2022.  My temperature was 99.3 degrees.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Oropharyngeal pain, Pain, Pyrexia, Rhinorrhoea
Clinical narrative: My daughter tested positive on December 7th, 2022.  The first part of week we were in close proximity.  I then started having symptoms on the December 17th, 2022.  I had a sore throat and minor body aches.  On December 19th, 2022 my throat was really scratchy and fatigued and I tested positive on December 19, 2022. I lost a little taste and smell.  My doctor prescribed Proxlovid on December 20th, 2022.  I had a runny nose that lasted a few days.  I had a slight fever the night of December 19th, 2022.  My temperature was 99.3 degrees.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Throat irritation
Clinical narrative: My daughter tested positive on December 7th, 2022.  The first part of week we were in close proximity.  I then started having symptoms on the December 17th, 2022.  I had a sore throat and minor body aches.  On December 19th, 2022 my throat was really scratchy and fatigued and I tested positive on December 19, 2022. I lost a little taste and smell.  My doctor prescribed Proxlovid on December 20th, 2022.  I had a runny nose that lasted a few days.  I had a slight fever the night of December 19th, 2022.  My temperature was 99.3 degrees.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Inadvertent administration past the 30-day Use by Date of the Moderna vaccine. No Symptoms to report as no adverse event was reported.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: HSOPITALIZATION
Age: 34.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation error, Product storage error
Clinical narrative: The patient was given a dose of the undiluted (Gray cap) Pfizer COVID-19 Bivalent booster that was not stored in an ultra-cold temperature freezer and was instead stored in the regular freezer (between -30 to -20 F). It was moved out of the regular freezer to the refrigerator after more than 3 weeks in the regular freezer. The doses were then used after more than 24 hours in the refrigerator. We have contacted Pfizer about this and according to their off-label studies they provided via PDF file, they are not able to support the temperature excursions that occurred. As per CDC guidance, the recommendation is to re-vaccinate the individual with the full authorized dose of any Bivalent vaccine (either Pfizer or Moderna) and we have communicated with the patient for re-vaccination.
Age: 57.0
Sex: M
Vaccine: FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 57-year-old received Fluzone HD which is intended for 65+ age group - no side effects
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: I did not have a reaction to the vaccine. I tested positive for COVID-19 with a home test on 12/12/2022. I went to an urgent care to be tested and it was confirmed positive. I did not have any symptoms prior to 12/12/2022. I was given the prescription for Paxlovid.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Inadvertent administration past the 30-day Use by Date of the Moderna vaccine. No Symptoms to report as no adverse event was reported.
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The patient was given a dose of the undiluted (Gray cap) Pfizer COVID-19 Bivalent booster that was not stored in an ultra-cold temperature freezer and was instead stored in the regular freezer (between -30 to -20 F). It was moved out of the regular freezer to the refrigerator after more than 3 weeks in the regular freezer. The doses were then used after more than 24 hours in the refrigerator. We have contacted Pfizer about this and according to their off-label studies they provided via PDF file, they are not able to support the temperature excursions that occurred. As per CDC guidance, the recommendation is to re-vaccinate the individual with the full authorized dose of any Bivalent vaccine (either Pfizer or Moderna) and we have communicated with the patient for re-vaccination.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: HOSPITALIZATION
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Discharge, Ear pain, Fatigue
Clinical narrative: I did a home test on Monday morning. I couldn't tell if I had cold or flu or what. I had runny nose, sore ears, drainage, coughing a lot, I typically felt terrible. I called the internist after getting the positive test. He called in a script for PAXLOVID. My doctor had me to stop taking the immune suppressant until after I was over the illness. I started PAXLOVID on that Tuesday. I had immediate improvement. The PAXLOVID was wonderful. I am still dealing with fatigue, some cough and slightly tender ears. I ran a low-grade fever of around 101 which lasted until Thursday.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Feeling abnormal, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Tenderness
Clinical narrative: I did a home test on Monday morning. I couldn't tell if I had cold or flu or what. I had runny nose, sore ears, drainage, coughing a lot, I typically felt terrible. I called the internist after getting the positive test. He called in a script for PAXLOVID. My doctor had me to stop taking the immune suppressant until after I was over the illness. I started PAXLOVID on that Tuesday. I had immediate improvement. The PAXLOVID was wonderful. I am still dealing with fatigue, some cough and slightly tender ears. I ran a low-grade fever of around 101 which lasted until Thursday.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Inadvertent administration past the 30-day Use by Date of the Moderna vaccine. No Symptoms to report as no adverse event was reported.
Age: 80.0
Sex: F
Vaccine: FLUA4
Symptoms: Chest discomfort, Dyspnoea, Erythema, Muscle tightness
Clinical narrative: vaccine was administered around 2:35pm patient began to show signs around 2:38pm, patients face was turning red, difficulty breathing, tightness in her chest, and tightening of her muscles.   An epi pen was given at 2:40 pm in the right thigh. patient stated after epipen she felt calmer but was still feeling chest tightness. Paramedics arrived and patient was taken to hospital.
Age: 13.0
Sex: F
Vaccine: FLUR4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Given flublok instead of fluzone for a patient who is 13 years old. Pt has had no adverse reactions.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Hypersomnia, Oropharyngeal pain
Clinical narrative: Starting 12/19/2022, I developed a lot of fatigue, had a fever of 101 and coughing. I slept for a day and half. I took an at home COVID-19 test on 12/19/2022 and it was positive. I had a video chat with my doctor on 12/20/2022 and we went over the CDC protocols. I was prescribed PAXLOVID, which I started that night. After that, the coughing and fatigue eased a bit but the sore throat started and lasted for about a day and half with a mild cough and a fever of 101. By Thursday, 12/22/2022 the fever had dissipated and the sore throat started to decrease around that time. I was feeling pretty good by Friday. By Saturday, 12/24/2022, I felt pretty normal. I stopped taking the PAXLOVID that day due to losing my sense of taste. Since then I am feeling fine and I stopped isolation on 12/25/2022. Still testing positive this morning, but its a very faint positive. I am continuing masking at this time.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Starting 12/19/2022, I developed a lot of fatigue, had a fever of 101 and coughing. I slept for a day and half. I took an at home COVID-19 test on 12/19/2022 and it was positive. I had a video chat with my doctor on 12/20/2022 and we went over the CDC protocols. I was prescribed PAXLOVID, which I started that night. After that, the coughing and fatigue eased a bit but the sore throat started and lasted for about a day and half with a mild cough and a fever of 101. By Thursday, 12/22/2022 the fever had dissipated and the sore throat started to decrease around that time. I was feeling pretty good by Friday. By Saturday, 12/24/2022, I felt pretty normal. I stopped taking the PAXLOVID that day due to losing my sense of taste. Since then I am feeling fine and I stopped isolation on 12/25/2022. Still testing positive this morning, but its a very faint positive. I am continuing masking at this time.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory distress syndrome, Acute respiratory failure, Back pain, Blood culture, COVID-19
Clinical narrative: Chief Complaint: DIB Additional Medical History:  This 63-year-old male with a history of COPD, alpha-1 antitrypsin deficiency, schizophrenia, anxiety and depression who presents to the emergency department with complaint of cough and difficulty in breathing that has been ongoing problem for approximately 1 month.  As stated before he has a history of COPD and alpha-1 antitrypsin deficiency and continues to smoke occasionally.  He was seen in the emergency department on 12/12/2022 for similar complaint.  He describes cough wheezing and I assume the cough is productive because he says he feels that he has infection and that there is "a yucky taste" in his mouth when he coughs.  He is also complaining of some chest discomfort and says he hurts all over.  Patient specifically describes the chest pain as a diffuse allover ache in his chest like he has been working really hard, but says he has not been working.  Says its been going on for 2 days continuous nothing seems to provoke or palliate it and he currently rates it as a 5 out of 10 in severity.  He also has some back pain associated with it he does not describe any loss of sense of taste or smell.