chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: FLUX
Symptoms: Malaise
Clinical narrative: being sick; Initial information received on 13-Jan-2023 regarding an unsolicited valid social media non-serious case received from a consumer/ Non-Healthcare Professional (non-hcp).  This case involves an unknown age and unknown gender patient who was being sick after receiving vaccine INFLUENZA VACCINE.  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.   On an unknown date, the patient received suspect INFLUENZA VACCINE produced by unknown manufacturer (strength, formulation, route, dose: unknown) (lot number and expiry date: not reported) in unknown administration site for prophylactic vaccination (Immunisation).  On an unknown date, the patient developed a non-serious event of being sick (illness) (unknown latency) following the administration of INFLUENZA VACCINE.  It was reported, I had the flu shot. Still got "something" this week. Respiratory Syncytial Virus (RSV)? I've had Covid 3 times, and it wasn't that - yes I'm vaccinated and boosted. It is unknown if the patient experienced any additional symptoms/events. It is unknown if the patient had any medical history, concomitant disease or risk factor. It is unknown if there were lab data/results available.   Action taken with INFLUENZA VACCINE (INFLUENZA VACCINE) was not applicable.  It was not reported if the patient received a corrective treatment for the event (being sick).  At time of reporting, the outcome was Unknown for the event being sick.
Age: 5.0
Sex: F
Vaccine: FLU4
Symptoms: Eye swelling, Ocular hyperaemia, Oculorespiratory syndrome, Respiratory distress
Clinical narrative: oculorespiratory syndrome; little respiratory distress; red swollen eyes; red swollen eyes; Initial information received on 13-Jan-2023 regarding an unsolicited valid serious case from other health professional.  This case involves a 5-year-old female patient who experienced oculorespiratory syndrome after receiving vaccine influenza quadrival A-B vaccine [Fluzone QIV].  The patient's past medical history, medical treatment(s), vaccination(s), concomitant medication and family history were not provided.   On 06-Jan-2023, the patient received suspect influenza quadrival A-B vaccine at a dose of 0.5 ml total (lot UT7731MA, expiry date: 30-Jun-2023) via intramuscular route in the left deltoid for Immunization.  On an unknown date the patient developed a serious oculorespiratory syndrome (oculorespiratory syndrome), little respiratory distress (respiratory distress), red swollen eyes (eye swelling, ocular hyperaemia) (unknown latency) following the administration of INFLUENZA QUADRIVAL A-B VACCINE. Symptoms were resolving.  Action taken: Not applicable.  Corrective treatment: Not reported.  Outcome: Unknown for the event oculorespiratory syndrome.  Seriousness criteria: Medically significant; Sender's Comments: Sanofi company comment dated 17-Jan-2023: This case involves a 5-year-old female patient who experienced oculorespiratory syndrome after receiving vaccine influenza quadrival A-B vaccine [Fluzone QIV]. Additional information regarding condition at the time of vaccination, concomitant medication, medical history, lab tests would be needed for complete assessment of the case. Based upon the reported information, the role of vaccine cannot be assessed.
Age: 0.17
Sex: F
Vaccine: HIBV, UNK
Symptoms: Expired product administered, Medication error, No adverse event, Wrong product administered
Clinical narrative: ACTHIB that was administered to a patient after the expiration date, however the patient supposed to receive Pentacel, with no reported adverse event; ACTHIB that was administered to a patient after the expiration date, however the patient supposed to receive Pentacel, with no reported adverse event; Initial information received on 13-Jan-2023 regarding an unsolicited valid non-serious case received from a consumer/non-healthcare professional (hcp).  This case involves a 2-month-old female patient to whom HIB (PRP/T) VACCINE [ACT-HIB] that was administered after the expiration date, however the patient supposed to receive Pentacel, with no reported adverse event.  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.   On an unknown date, the patient was administered 0.5ml total dose of suspect HIB (PRP/T) VACCINE Strength: standard (formulation: unknown) (lot number: U7171AA expiry date: 26-Oct-2022) in unknown administration site for Immunization, after the expiration date (expired product administered), however the patient supposed to receive Pentacel (strength, formulation, route, dose, lot: unknown), with no reported adverse event (wrong product administered) (latency: unknown).  It was reported, wanting to know next steps to take.   Action taken with HAEMOPHILUS TYPE B (HIB) VACCINE (ACT-HIB) and DIPHTHERIA, TETANUS, AC PERTUSSIS, IPV AND HIB VACCINE (PENTACEL (VERO)) was not applicable.  At time of reporting, the outcome was Unknown for both events.  This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 0.33
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC13, RV5
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: First dose of Rotateq given past recommended age of 14 weeks, 6 days.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: Paraesthesia
Clinical narrative: Paresthesias
Sex: U
Vaccine: HEPA
Symptoms: Underdose
Clinical narrative: It was determined that the pharmacy buyer ordered the incorrect hep A vaccine for an ambulatory clinic. Therefore 7 patients received ped doses of hep A vs the intended adult vaccine. All patients have been contacted and will be revaccinated. Our sites do no used barcode scanning at this time. Vaccines are rarely ordered by provider - but usually placed as the v/o for documentation during vaccination.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Fatigue, Malaise, Viral infection
Clinical narrative: Received 2nd Pfizer covid vaccine and became extremely ill and then it continued into debilitating fatigue that I still struggle with. It reactivated viruses in my body.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood test, Chills, Condition aggravated, Epstein-Barr virus infection reactivation
Clinical narrative: Received 2nd Pfizer covid vaccine and became extremely ill and then it continued into debilitating fatigue that I still struggle with. It reactivated viruses in my body.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Epstein-Barr virus test positive, Fatigue, Headache, Immediate post-injection reaction, Pain
Clinical narrative: Received 2nd Pfizer covid vaccine and became extremely ill and then it continued into debilitating fatigue that I still struggle with. It reactivated viruses in my body.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Thyroid function test, Tremor
Clinical narrative: Received 2nd Pfizer covid vaccine and became extremely ill and then it continued into debilitating fatigue that I still struggle with. It reactivated viruses in my body.
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Nausea
Clinical narrative: Severe headache and nausea after COVID booster, continued and required ER visit 12/22/2022.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Nail disorder, Nail psoriasis, Skin disorder
Clinical narrative: After 2 doses of the pfizer vaccine, I noticed that my nails were deteriorating. I never had any thing likes this before. I went to the dermatologist and he said I had nail psoriasis. I also noticed, other skin issue flare ups that never occurred before. Overall, I received 3 pfizer vaccines from Dec 2020, to Dec 2021. The symptoms started after my second dose, and continued to worsen.
Age: 77.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Injection site pain, Pain, Syncope
Clinical narrative: 10 hours after my second ZOS (herpes Zoster recombinant) Shingrex vaccination, I experienced a syncope event (1 minute), low-grade fever (99.8F), chills, aches lasting 12 hours. By the next morning, only site soreness remained for 3 days.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Error: Dose in Series Given Too Early-
Age: 28.0
Sex: M
Vaccine: TDAP
Symptoms: Asthenia, Dizziness, Nausea, Pain
Clinical narrative: Systemic: Body Aches Generalized-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Nausea-Medium, Systemic: Weakness-Medium
Age: 68.0
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 15.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blindness, Dizziness, Unresponsive to stimuli
Clinical narrative: Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Visual Changes/Disturbances-Medium, Additional Details: Pt said she felt dizzy and lost vision when standing. When she sat down, she was temporarily unresponsive. 911 was called and pt was assessed. She left the the pharmacy on her own moments later feeling much better
Age: 16.0
Sex: F
Vaccine: FLUC4
Symptoms: Hypotension, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Medium
Age: 65.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site bruising
Clinical narrative: Site: Bruising at Injection Site-Mild
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Cough, Dyspnoea, Fatigue
Clinical narrative: -received 2nd booster on date above - reactions were swollen, painful lymph nodes in armpit of injection arm, yeast infection (no other explanation for getting one).I did contact my doctor to confirm lymph nodes was a side effect of shot and to get yeast infection prescription (OTC didnt work) - came down with covid a week later. was sick with symptoms for 2 weeks (out of work) (chest congestion, cough, some nasal congestion, exhausted) (no fever) and I am still experiencing shortness of breath/get winded very easily and large increase sleep apnea symptoms (very loud snoring, gasping for air while sleeping). the lingering symptoms from covid are what I have contacted my doctor for and seeking medical care for.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Fungal infection, Impaired work ability, Lymph node pain, Lymphadenopathy, Nasal congestion
Clinical narrative: -received 2nd booster on date above - reactions were swollen, painful lymph nodes in armpit of injection arm, yeast infection (no other explanation for getting one).I did contact my doctor to confirm lymph nodes was a side effect of shot and to get yeast infection prescription (OTC didnt work) - came down with covid a week later. was sick with symptoms for 2 weeks (out of work) (chest congestion, cough, some nasal congestion, exhausted) (no fever) and I am still experiencing shortness of breath/get winded very easily and large increase sleep apnea symptoms (very loud snoring, gasping for air while sleeping). the lingering symptoms from covid are what I have contacted my doctor for and seeking medical care for.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Sleep disorder, Snoring
Clinical narrative: -received 2nd booster on date above - reactions were swollen, painful lymph nodes in armpit of injection arm, yeast infection (no other explanation for getting one).I did contact my doctor to confirm lymph nodes was a side effect of shot and to get yeast infection prescription (OTC didnt work) - came down with covid a week later. was sick with symptoms for 2 weeks (out of work) (chest congestion, cough, some nasal congestion, exhausted) (no fever) and I am still experiencing shortness of breath/get winded very easily and large increase sleep apnea symptoms (very loud snoring, gasping for air while sleeping). the lingering symptoms from covid are what I have contacted my doctor for and seeking medical care for.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case  dose 1 4/26/21 017B21A  Moderna dose 2 5/24/21 043B21A  Moderna
Age: 1.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, No adverse event, Respiratory syncytial virus test positive, SARS-CoV-2 test positive
Clinical narrative: She had no reaction to the vaccine. She tested positive for COVID-19 on with a home test 01/14/2023. In 12/2022 she tested positive for RSV.
Age: 59.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: C-reactive protein increased, COVID-19, Condition aggravated, Hyperglycaemia, Influenza
Clinical narrative: COVID+ 1/15/2023.  Vaccination status - Pfizer x4 + Pfizer BIVALENT x1 PRIOR VAERS SUBMISSION -  VAERS 929214   BRIEF OVERVIEW: Discharge Provider: M* Primary Care Provider: DO Admission Date: 1/15/2023 Discharge Date: 01/18/2023 Presenting Problem: COVID Active Hospital Problems   Diagnosis Date Noted POA ? CRP elevated 01/17/2023 Unknown ? COVID 01/15/2023 Unknown ? Influenza 01/15/2023 Unknown ? Type 2 diabetes mellitus with hyperglycemia, with long-term current use of insulin 02/23/2022 Yes ? Status post heart transplant    DETAILS OF HOSPITAL STAY: HOSPITAL COURSE: This patient is a 59 yo M with PMH of heart transplant 5/9/19, DM2, HTN, dyslipidemia and paralyzed vocal cord who was admitted to the heart transplant team on 1/15/23 after testing positive for COVID and Influenza A. He was started on Tamiflu and Remdesivir (for total of 4 doses). ID was consulted. He did not require antibiotics. He was not hypoxemic. He was seen by medical services for management of his diabetes His immunosuppression goals were not changed, but his doses were adjusted to keep him toward the lower end of goal. He was medically ready for discharge on 1/18/23. Consults: Infectious disease Medical Services
Age: 59.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Influenza A virus test positive, Insulin-requiring type 2 diabetes mellitus, SARS-CoV-2 test positive
Clinical narrative: COVID+ 1/15/2023.  Vaccination status - Pfizer x4 + Pfizer BIVALENT x1 PRIOR VAERS SUBMISSION -  VAERS 929214   BRIEF OVERVIEW: Discharge Provider: M* Primary Care Provider: DO Admission Date: 1/15/2023 Discharge Date: 01/18/2023 Presenting Problem: COVID Active Hospital Problems   Diagnosis Date Noted POA ? CRP elevated 01/17/2023 Unknown ? COVID 01/15/2023 Unknown ? Influenza 01/15/2023 Unknown ? Type 2 diabetes mellitus with hyperglycemia, with long-term current use of insulin 02/23/2022 Yes ? Status post heart transplant    DETAILS OF HOSPITAL STAY: HOSPITAL COURSE: This patient is a 59 yo M with PMH of heart transplant 5/9/19, DM2, HTN, dyslipidemia and paralyzed vocal cord who was admitted to the heart transplant team on 1/15/23 after testing positive for COVID and Influenza A. He was started on Tamiflu and Remdesivir (for total of 4 doses). ID was consulted. He did not require antibiotics. He was not hypoxemic. He was seen by medical services for management of his diabetes His immunosuppression goals were not changed, but his doses were adjusted to keep him toward the lower end of goal. He was medically ready for discharge on 1/18/23. Consults: Infectious disease Medical Services
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Cerebral venous sinus thrombosis, Dizziness, Facial pain, Headache
Clinical narrative: January 2022 started to experience what I thought was tooth pain on the left side of my mouth. Around the spring of 2022 I visited by dentist, who didn't detect any tooth issues. I went back to her again for pain on the left side and she did not find anything that would indicate why I was having facial pain on the left side. I was then referred to an oral surgeon who completed an x-ray-Dr. in July 2022. He said that he saw something on the left side of my head, but was unable detect what it was. He gave me some nerve blockers to reduce the pain. The following week, I visited by primary care practictioner who suggested that I receive a MRI of the brain to rule out any potential factors. I was uanble to have the MRI and a few days later began to experience headaches, vomiting, and dizziness. I went to the emergency room at a local healthcare facility and it was discovered through numerous tests, that I had a CVST. I was a patient in the ER for about 3 days where I had a series of blood tests to determine if I had some type of clotting disorder or an  autoimmune disorder. None of that was detected. I did however have a low blood levels, but that was not a result of the stroke activity.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Nerve block, Vomiting, X-ray dental abnormal
Clinical narrative: January 2022 started to experience what I thought was tooth pain on the left side of my mouth. Around the spring of 2022 I visited by dentist, who didn't detect any tooth issues. I went back to her again for pain on the left side and she did not find anything that would indicate why I was having facial pain on the left side. I was then referred to an oral surgeon who completed an x-ray-Dr. in July 2022. He said that he saw something on the left side of my head, but was unable detect what it was. He gave me some nerve blockers to reduce the pain. The following week, I visited by primary care practictioner who suggested that I receive a MRI of the brain to rule out any potential factors. I was uanble to have the MRI and a few days later began to experience headaches, vomiting, and dizziness. I went to the emergency room at a local healthcare facility and it was discovered through numerous tests, that I had a CVST. I was a patient in the ER for about 3 days where I had a series of blood tests to determine if I had some type of clotting disorder or an  autoimmune disorder. None of that was detected. I did however have a low blood levels, but that was not a result of the stroke activity.
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received a dose of the 5-11 year old Pfizer booster after BUD, by one day. Our site notified the state, who called Pfizer to confirm any follow up actions, side effects to watch for, and any need for re-vaccination. The state notified us that re-vaccination was not required, and no negative side effects expected. Person who administered the vaccine notified the patient's mother who understood and stated that patient did not experience any ill side effects. Unusual occurrence form completed for clinic.   No adverse event occurred.
Age: 0.75
Sex: M
Vaccine: PNC13, UNK
Symptoms: Nodule
Clinical narrative: KNOT ON THIGH
Age: 62.0
Sex: M
Vaccine: COVID19, PPV
Symptoms: Abdominal pain upper, Acute kidney injury, Anion gap, Arterial insufficiency, Blood albumin decreased
Clinical narrative: COVID+ 1/15/2023.  Vaccination status - J&J x1, Pfizer x1 Discharge Date: Jan 18, 2023 Discharge Provider: MD Primary Care Provider : PA-C    Admission Date: 1/15/2023   Discharge Diagnoses: Active Hospital Problems   Diagnosis Date Noted POA ? Diabetic ulcer of toe of right foot associated with type 2 diabetes mellitus, with fat layer exposed 01/16/2023 Unknown ? COVID-19 virus infection    Details of Hospital Stay PRESENTING PROBLEM: Right upper quadrant abdominal pain   HOSPITAL COURSE: 62-year-old male with past medical history of chronic diastolic CHF, hypertension, diabetes mellitus type 2 with neuropathy, presented with cough, lightheadedness, nausea, vomiting, and right upper quadrant abdominal pain for 3 days.  He initially presented to emergency department were he tested positive for COVID -19. He had acute kidney injury, CT scan of the abdomen and pelvis revealed multiple gallstones with showed digestion of possible cholecystitis.  Patient was hydrated with IV fluids and was transferred to Hospital for general surgery evaluation.  He was empirically started on IV Zosyn.  A HIDA scan was done which was negative.  His nausea has improved and he is now tolerating a diet.  He continues to have right flank/lower rib pain that is worse with cough which was thought to be musculoskeletal strain.  His oxygen levels were monitored and he did not have any hypoxic episodes   Patient has also been following with Wound Clinic regarding nonhealing wounds on his right hallux, 2nd and 3rd toes.  ABI revealed moderate arterial insufficiency.  MRI of the right foot showed no evidence of osteomyelitis.  Chronic wounds does not look infected.  Zosyn was discontinued.  His renal function improved back to baseline.   Patient was discharged home on improved condition.  He was evaluated by PT and OT who recommended discharge home with assist.  He will continue to follow up with his wound clinic.
Age: 62.0
Sex: M
Vaccine: COVID19, PPV
Symptoms: Blood alkaline phosphatase normal, Blood bicarbonate normal, Blood bilirubin normal, Blood calcium decreased, Blood chloride increased
Clinical narrative: COVID+ 1/15/2023.  Vaccination status - J&J x1, Pfizer x1 Discharge Date: Jan 18, 2023 Discharge Provider: MD Primary Care Provider : PA-C    Admission Date: 1/15/2023   Discharge Diagnoses: Active Hospital Problems   Diagnosis Date Noted POA ? Diabetic ulcer of toe of right foot associated with type 2 diabetes mellitus, with fat layer exposed 01/16/2023 Unknown ? COVID-19 virus infection    Details of Hospital Stay PRESENTING PROBLEM: Right upper quadrant abdominal pain   HOSPITAL COURSE: 62-year-old male with past medical history of chronic diastolic CHF, hypertension, diabetes mellitus type 2 with neuropathy, presented with cough, lightheadedness, nausea, vomiting, and right upper quadrant abdominal pain for 3 days.  He initially presented to emergency department were he tested positive for COVID -19. He had acute kidney injury, CT scan of the abdomen and pelvis revealed multiple gallstones with showed digestion of possible cholecystitis.  Patient was hydrated with IV fluids and was transferred to Hospital for general surgery evaluation.  He was empirically started on IV Zosyn.  A HIDA scan was done which was negative.  His nausea has improved and he is now tolerating a diet.  He continues to have right flank/lower rib pain that is worse with cough which was thought to be musculoskeletal strain.  His oxygen levels were monitored and he did not have any hypoxic episodes   Patient has also been following with Wound Clinic regarding nonhealing wounds on his right hallux, 2nd and 3rd toes.  ABI revealed moderate arterial insufficiency.  MRI of the right foot showed no evidence of osteomyelitis.  Chronic wounds does not look infected.  Zosyn was discontinued.  His renal function improved back to baseline.   Patient was discharged home on improved condition.  He was evaluated by PT and OT who recommended discharge home with assist.  He will continue to follow up with his wound clinic.
Age: 62.0
Sex: M
Vaccine: COVID19, PPV
Symptoms: Blood creatinine increased, Blood glucose increased, Blood magnesium normal, Blood phosphorus normal, Blood potassium increased
Clinical narrative: COVID+ 1/15/2023.  Vaccination status - J&J x1, Pfizer x1 Discharge Date: Jan 18, 2023 Discharge Provider: MD Primary Care Provider : PA-C    Admission Date: 1/15/2023   Discharge Diagnoses: Active Hospital Problems   Diagnosis Date Noted POA ? Diabetic ulcer of toe of right foot associated with type 2 diabetes mellitus, with fat layer exposed 01/16/2023 Unknown ? COVID-19 virus infection    Details of Hospital Stay PRESENTING PROBLEM: Right upper quadrant abdominal pain   HOSPITAL COURSE: 62-year-old male with past medical history of chronic diastolic CHF, hypertension, diabetes mellitus type 2 with neuropathy, presented with cough, lightheadedness, nausea, vomiting, and right upper quadrant abdominal pain for 3 days.  He initially presented to emergency department were he tested positive for COVID -19. He had acute kidney injury, CT scan of the abdomen and pelvis revealed multiple gallstones with showed digestion of possible cholecystitis.  Patient was hydrated with IV fluids and was transferred to Hospital for general surgery evaluation.  He was empirically started on IV Zosyn.  A HIDA scan was done which was negative.  His nausea has improved and he is now tolerating a diet.  He continues to have right flank/lower rib pain that is worse with cough which was thought to be musculoskeletal strain.  His oxygen levels were monitored and he did not have any hypoxic episodes   Patient has also been following with Wound Clinic regarding nonhealing wounds on his right hallux, 2nd and 3rd toes.  ABI revealed moderate arterial insufficiency.  MRI of the right foot showed no evidence of osteomyelitis.  Chronic wounds does not look infected.  Zosyn was discontinued.  His renal function improved back to baseline.   Patient was discharged home on improved condition.  He was evaluated by PT and OT who recommended discharge home with assist.  He will continue to follow up with his wound clinic.
Age: 62.0
Sex: M
Vaccine: COVID19, PPV
Symptoms: Blood sodium normal, Blood urea increased, COVID-19, Cholelithiasis, Computerised tomogram abdomen abnormal
Clinical narrative: COVID+ 1/15/2023.  Vaccination status - J&J x1, Pfizer x1 Discharge Date: Jan 18, 2023 Discharge Provider: MD Primary Care Provider : PA-C    Admission Date: 1/15/2023   Discharge Diagnoses: Active Hospital Problems   Diagnosis Date Noted POA ? Diabetic ulcer of toe of right foot associated with type 2 diabetes mellitus, with fat layer exposed 01/16/2023 Unknown ? COVID-19 virus infection    Details of Hospital Stay PRESENTING PROBLEM: Right upper quadrant abdominal pain   HOSPITAL COURSE: 62-year-old male with past medical history of chronic diastolic CHF, hypertension, diabetes mellitus type 2 with neuropathy, presented with cough, lightheadedness, nausea, vomiting, and right upper quadrant abdominal pain for 3 days.  He initially presented to emergency department were he tested positive for COVID -19. He had acute kidney injury, CT scan of the abdomen and pelvis revealed multiple gallstones with showed digestion of possible cholecystitis.  Patient was hydrated with IV fluids and was transferred to Hospital for general surgery evaluation.  He was empirically started on IV Zosyn.  A HIDA scan was done which was negative.  His nausea has improved and he is now tolerating a diet.  He continues to have right flank/lower rib pain that is worse with cough which was thought to be musculoskeletal strain.  His oxygen levels were monitored and he did not have any hypoxic episodes   Patient has also been following with Wound Clinic regarding nonhealing wounds on his right hallux, 2nd and 3rd toes.  ABI revealed moderate arterial insufficiency.  MRI of the right foot showed no evidence of osteomyelitis.  Chronic wounds does not look infected.  Zosyn was discontinued.  His renal function improved back to baseline.   Patient was discharged home on improved condition.  He was evaluated by PT and OT who recommended discharge home with assist.  He will continue to follow up with his wound clinic.
Age: 62.0
Sex: M
Vaccine: COVID19, PPV
Symptoms: Cough, Diabetic foot, Dizziness, Flank pain, Haematocrit decreased
Clinical narrative: COVID+ 1/15/2023.  Vaccination status - J&J x1, Pfizer x1 Discharge Date: Jan 18, 2023 Discharge Provider: MD Primary Care Provider : PA-C    Admission Date: 1/15/2023   Discharge Diagnoses: Active Hospital Problems   Diagnosis Date Noted POA ? Diabetic ulcer of toe of right foot associated with type 2 diabetes mellitus, with fat layer exposed 01/16/2023 Unknown ? COVID-19 virus infection    Details of Hospital Stay PRESENTING PROBLEM: Right upper quadrant abdominal pain   HOSPITAL COURSE: 62-year-old male with past medical history of chronic diastolic CHF, hypertension, diabetes mellitus type 2 with neuropathy, presented with cough, lightheadedness, nausea, vomiting, and right upper quadrant abdominal pain for 3 days.  He initially presented to emergency department were he tested positive for COVID -19. He had acute kidney injury, CT scan of the abdomen and pelvis revealed multiple gallstones with showed digestion of possible cholecystitis.  Patient was hydrated with IV fluids and was transferred to Hospital for general surgery evaluation.  He was empirically started on IV Zosyn.  A HIDA scan was done which was negative.  His nausea has improved and he is now tolerating a diet.  He continues to have right flank/lower rib pain that is worse with cough which was thought to be musculoskeletal strain.  His oxygen levels were monitored and he did not have any hypoxic episodes   Patient has also been following with Wound Clinic regarding nonhealing wounds on his right hallux, 2nd and 3rd toes.  ABI revealed moderate arterial insufficiency.  MRI of the right foot showed no evidence of osteomyelitis.  Chronic wounds does not look infected.  Zosyn was discontinued.  His renal function improved back to baseline.   Patient was discharged home on improved condition.  He was evaluated by PT and OT who recommended discharge home with assist.  He will continue to follow up with his wound clinic.
Age: 62.0
Sex: M
Vaccine: COVID19, PPV
Symptoms: Haemoglobin decreased, Hepatobiliary scan normal, Impaired healing, International normalised ratio normal, Magnetic resonance imaging normal
Clinical narrative: COVID+ 1/15/2023.  Vaccination status - J&J x1, Pfizer x1 Discharge Date: Jan 18, 2023 Discharge Provider: MD Primary Care Provider : PA-C    Admission Date: 1/15/2023   Discharge Diagnoses: Active Hospital Problems   Diagnosis Date Noted POA ? Diabetic ulcer of toe of right foot associated with type 2 diabetes mellitus, with fat layer exposed 01/16/2023 Unknown ? COVID-19 virus infection    Details of Hospital Stay PRESENTING PROBLEM: Right upper quadrant abdominal pain   HOSPITAL COURSE: 62-year-old male with past medical history of chronic diastolic CHF, hypertension, diabetes mellitus type 2 with neuropathy, presented with cough, lightheadedness, nausea, vomiting, and right upper quadrant abdominal pain for 3 days.  He initially presented to emergency department were he tested positive for COVID -19. He had acute kidney injury, CT scan of the abdomen and pelvis revealed multiple gallstones with showed digestion of possible cholecystitis.  Patient was hydrated with IV fluids and was transferred to Hospital for general surgery evaluation.  He was empirically started on IV Zosyn.  A HIDA scan was done which was negative.  His nausea has improved and he is now tolerating a diet.  He continues to have right flank/lower rib pain that is worse with cough which was thought to be musculoskeletal strain.  His oxygen levels were monitored and he did not have any hypoxic episodes   Patient has also been following with Wound Clinic regarding nonhealing wounds on his right hallux, 2nd and 3rd toes.  ABI revealed moderate arterial insufficiency.  MRI of the right foot showed no evidence of osteomyelitis.  Chronic wounds does not look infected.  Zosyn was discontinued.  His renal function improved back to baseline.   Patient was discharged home on improved condition.  He was evaluated by PT and OT who recommended discharge home with assist.  He will continue to follow up with his wound clinic.
Age: 62.0
Sex: M
Vaccine: COVID19, PPV
Symptoms: Muscle strain, Musculoskeletal chest pain, Nausea, Platelet count normal, Protein total decreased
Clinical narrative: COVID+ 1/15/2023.  Vaccination status - J&J x1, Pfizer x1 Discharge Date: Jan 18, 2023 Discharge Provider: MD Primary Care Provider : PA-C    Admission Date: 1/15/2023   Discharge Diagnoses: Active Hospital Problems   Diagnosis Date Noted POA ? Diabetic ulcer of toe of right foot associated with type 2 diabetes mellitus, with fat layer exposed 01/16/2023 Unknown ? COVID-19 virus infection    Details of Hospital Stay PRESENTING PROBLEM: Right upper quadrant abdominal pain   HOSPITAL COURSE: 62-year-old male with past medical history of chronic diastolic CHF, hypertension, diabetes mellitus type 2 with neuropathy, presented with cough, lightheadedness, nausea, vomiting, and right upper quadrant abdominal pain for 3 days.  He initially presented to emergency department were he tested positive for COVID -19. He had acute kidney injury, CT scan of the abdomen and pelvis revealed multiple gallstones with showed digestion of possible cholecystitis.  Patient was hydrated with IV fluids and was transferred to Hospital for general surgery evaluation.  He was empirically started on IV Zosyn.  A HIDA scan was done which was negative.  His nausea has improved and he is now tolerating a diet.  He continues to have right flank/lower rib pain that is worse with cough which was thought to be musculoskeletal strain.  His oxygen levels were monitored and he did not have any hypoxic episodes   Patient has also been following with Wound Clinic regarding nonhealing wounds on his right hallux, 2nd and 3rd toes.  ABI revealed moderate arterial insufficiency.  MRI of the right foot showed no evidence of osteomyelitis.  Chronic wounds does not look infected.  Zosyn was discontinued.  His renal function improved back to baseline.   Patient was discharged home on improved condition.  He was evaluated by PT and OT who recommended discharge home with assist.  He will continue to follow up with his wound clinic.
Age: 62.0
Sex: M
Vaccine: COVID19, PPV
Symptoms: Renal impairment, SARS-CoV-2 test positive, Vomiting, White blood cell count normal
Clinical narrative: COVID+ 1/15/2023.  Vaccination status - J&J x1, Pfizer x1 Discharge Date: Jan 18, 2023 Discharge Provider: MD Primary Care Provider : PA-C    Admission Date: 1/15/2023   Discharge Diagnoses: Active Hospital Problems   Diagnosis Date Noted POA ? Diabetic ulcer of toe of right foot associated with type 2 diabetes mellitus, with fat layer exposed 01/16/2023 Unknown ? COVID-19 virus infection    Details of Hospital Stay PRESENTING PROBLEM: Right upper quadrant abdominal pain   HOSPITAL COURSE: 62-year-old male with past medical history of chronic diastolic CHF, hypertension, diabetes mellitus type 2 with neuropathy, presented with cough, lightheadedness, nausea, vomiting, and right upper quadrant abdominal pain for 3 days.  He initially presented to emergency department were he tested positive for COVID -19. He had acute kidney injury, CT scan of the abdomen and pelvis revealed multiple gallstones with showed digestion of possible cholecystitis.  Patient was hydrated with IV fluids and was transferred to Hospital for general surgery evaluation.  He was empirically started on IV Zosyn.  A HIDA scan was done which was negative.  His nausea has improved and he is now tolerating a diet.  He continues to have right flank/lower rib pain that is worse with cough which was thought to be musculoskeletal strain.  His oxygen levels were monitored and he did not have any hypoxic episodes   Patient has also been following with Wound Clinic regarding nonhealing wounds on his right hallux, 2nd and 3rd toes.  ABI revealed moderate arterial insufficiency.  MRI of the right foot showed no evidence of osteomyelitis.  Chronic wounds does not look infected.  Zosyn was discontinued.  His renal function improved back to baseline.   Patient was discharged home on improved condition.  He was evaluated by PT and OT who recommended discharge home with assist.  He will continue to follow up with his wound clinic.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized with covid; fully vaccinated
Age: 90.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized with covid; fully vaccinated with 3 boosters
Age: 10.0
Sex: M
Vaccine: COVID19-2
Symptoms: Axillary pain, Headache, Injection site pain, Malaise, Oedema peripheral
Clinical narrative: Very painful arm at shot site, but significant swelling and pain in armpit.  Malaise and headache as well
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Influenza virus test negative, Pyrexia, Respiratory syncytial virus test positive
Clinical narrative: She had a runny nose and developed a cough on  11/26/2022 and this lasted two to three weeks a RSV was positive, Influenza and  COVID-19 tests were negative, then around 12/25/2022 the same conditions started including a fever up to 101 degrees a COVID-19 test was negative.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: She had a runny nose and developed a cough on  11/26/2022 and this lasted two to three weeks a RSV was positive, Influenza and  COVID-19 tests were negative, then around 12/25/2022 the same conditions started including a fever up to 101 degrees a COVID-19 test was negative.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: I had a sore arm for a day after receiving the vaccine. I tested positive for COVID-19 on 12/20/2022.  I don't remember taking anything for my symptoms, but I tried to stay hydrated, rest and stayed home.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Pain, Pain in extremity, Pyrexia
Clinical narrative: On the morning of 03/31/2021, it started with a sore arm, headache, significant body aches, fever, and a general feeling of unwell. I just felt horrible. I treated myself with Tylenol and hydration. That lasted, unchanged, through Sunday. Monday, I started feeling better. I contacted my physician after three days. He informed me that it could last anywhere from six to ten days and that it was most likely an immune response to the vaccine. The fever reached 101 several times and it lasted for about five days.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Lethargy, Nasal congestion, Pain
Clinical narrative: I was covid-19 positive; I was tired; nasal congestion; fever; body aches and feeling very lethargic
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I was covid-19 positive; I was tired; nasal congestion; fever; body aches and feeling very lethargic
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, FLU4, HIBV, RV5
Symptoms: Diarrhoea, Product administered to patient of inappropriate age, Pyrexia, Vomiting
Clinical narrative: Patient received Influenza vaccine - a 6 mo and older vaccine at 2 mo. Has experienced vomiting x1 and loose stools for 2 days. Tactile fever but Tmax 99F. Managing with Tylenol PRN.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Body temperature increased, Chills, Cough, Fatigue
Clinical narrative: Patient described oral temperature of 100.4 degrees Fahrenheit, fatigue, joint and muscle pain, chills, headache, neck stiffness and pain, cough, nausea and vomiting.  Declined medical treatment when it was suggested to her.  On 1/18/23, she reported still having a cough and fatigue.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Musculoskeletal stiffness, Myalgia, Nausea, Neck pain
Clinical narrative: Patient described oral temperature of 100.4 degrees Fahrenheit, fatigue, joint and muscle pain, chills, headache, neck stiffness and pain, cough, nausea and vomiting.  Declined medical treatment when it was suggested to her.  On 1/18/23, she reported still having a cough and fatigue.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vomiting
Clinical narrative: Patient described oral temperature of 100.4 degrees Fahrenheit, fatigue, joint and muscle pain, chills, headache, neck stiffness and pain, cough, nausea and vomiting.  Declined medical treatment when it was suggested to her.  On 1/18/23, she reported still having a cough and fatigue.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, No adverse event, Product use issue, SARS-CoV-2 test positive, Vaccination error
Clinical narrative: Vaccine error occurred, vaccine card from native country indicated 1st dose was given on 8/5/2021. Patient recieved second dose while actively positive for Covid-19 on 12/17/2022. Patient monitored by PA at the clinic with no adverse reactions reported.
Age: 60.0
Sex: M
Vaccine: COVID19-2
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Dysgeusia
Clinical narrative: I tested positive for COVID-19 on 1/6/23. I was sneezing a lot, congestion, cough, loss of taste and smell. I contacted my doctor and was prescribed 5 days' worth of PAXLOVID. After two days pf taking PAXLOVID, I felt better. I did have a terrible metallic taste in my mouth from taking the medication. It is gone now though.
Age: 60.0
Sex: M
Vaccine: COVID19-2
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Sneezing
Clinical narrative: I tested positive for COVID-19 on 1/6/23. I was sneezing a lot, congestion, cough, loss of taste and smell. I contacted my doctor and was prescribed 5 days' worth of PAXLOVID. After two days pf taking PAXLOVID, I felt better. I did have a terrible metallic taste in my mouth from taking the medication. It is gone now though.
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain upper, Blood test, Electrocardiogram normal, Headache, Hyperaesthesia
Clinical narrative: About 12 hours after my shot, I was having aches and pains my skin was starting to hurt. This was similar to what has happened when I have had my COVID shots. Around 9:30PM I started throwing up and was very nauseous and was having a horrible headache. I then started having severe stomach pain and it was across my abdomen and it was this dull and sharp pain happening conqueringly. I was doubled over and not able to do hardly anything. My husband helped me into the car and took me to the ER while we were driving to the ER, I needed to throw up again and I did this out of the window and that stopped my pain that I was having. I was worried it may be something with my appendix, kidneys or my gallbladder. Since I had thrown up the horrific pain was gone but I was still sweaty, achy, and my skin was still sensitive to touch and causing pain when I was touched. They did an EKG to make sure nothing was wrong with my heart, but it came back normal. They gave me a medication for my nausea and also something to help with the headache as well. The next day after being discharged I did follow up with my PCP. I have been going through menopause and I have been having bad cramping and my thoughts are that maybe I had some sort of intestinal involuntary cramping which was causing the pain and vomiting. The next day I still had a headache and the nausea but the pain in my abdomen was gone, but I was still achy and not feeling 100% but I was able to go to work later in the day after taking the morning easy. The headache lasted throughout the day, but I was a little better. The headache has been constant and last night I was still having the headache and while the stomach pain has not come back but the nausea lasted a little longer. Today I am feeling great. All of the symptoms are gone, and I am really feeling much better. I did have my flu shot that same day and at the moment I do not have the information on that shot, flu shots do not normally affect me, but my COVID shots have always made me feel poorly after getting them.
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hyperhidrosis, Menopause, Mobility decreased, Muscle spasms, Nausea
Clinical narrative: About 12 hours after my shot, I was having aches and pains my skin was starting to hurt. This was similar to what has happened when I have had my COVID shots. Around 9:30PM I started throwing up and was very nauseous and was having a horrible headache. I then started having severe stomach pain and it was across my abdomen and it was this dull and sharp pain happening conqueringly. I was doubled over and not able to do hardly anything. My husband helped me into the car and took me to the ER while we were driving to the ER, I needed to throw up again and I did this out of the window and that stopped my pain that I was having. I was worried it may be something with my appendix, kidneys or my gallbladder. Since I had thrown up the horrific pain was gone but I was still sweaty, achy, and my skin was still sensitive to touch and causing pain when I was touched. They did an EKG to make sure nothing was wrong with my heart, but it came back normal. They gave me a medication for my nausea and also something to help with the headache as well. The next day after being discharged I did follow up with my PCP. I have been going through menopause and I have been having bad cramping and my thoughts are that maybe I had some sort of intestinal involuntary cramping which was causing the pain and vomiting. The next day I still had a headache and the nausea but the pain in my abdomen was gone, but I was still achy and not feeling 100% but I was able to go to work later in the day after taking the morning easy. The headache lasted throughout the day, but I was a little better. The headache has been constant and last night I was still having the headache and while the stomach pain has not come back but the nausea lasted a little longer. Today I am feeling great. All of the symptoms are gone, and I am really feeling much better. I did have my flu shot that same day and at the moment I do not have the information on that shot, flu shots do not normally affect me, but my COVID shots have always made me feel poorly after getting them.
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Pain of skin, Sensitive skin, Vomiting
Clinical narrative: About 12 hours after my shot, I was having aches and pains my skin was starting to hurt. This was similar to what has happened when I have had my COVID shots. Around 9:30PM I started throwing up and was very nauseous and was having a horrible headache. I then started having severe stomach pain and it was across my abdomen and it was this dull and sharp pain happening conqueringly. I was doubled over and not able to do hardly anything. My husband helped me into the car and took me to the ER while we were driving to the ER, I needed to throw up again and I did this out of the window and that stopped my pain that I was having. I was worried it may be something with my appendix, kidneys or my gallbladder. Since I had thrown up the horrific pain was gone but I was still sweaty, achy, and my skin was still sensitive to touch and causing pain when I was touched. They did an EKG to make sure nothing was wrong with my heart, but it came back normal. They gave me a medication for my nausea and also something to help with the headache as well. The next day after being discharged I did follow up with my PCP. I have been going through menopause and I have been having bad cramping and my thoughts are that maybe I had some sort of intestinal involuntary cramping which was causing the pain and vomiting. The next day I still had a headache and the nausea but the pain in my abdomen was gone, but I was still achy and not feeling 100% but I was able to go to work later in the day after taking the morning easy. The headache lasted throughout the day, but I was a little better. The headache has been constant and last night I was still having the headache and while the stomach pain has not come back but the nausea lasted a little longer. Today I am feeling great. All of the symptoms are gone, and I am really feeling much better. I did have my flu shot that same day and at the moment I do not have the information on that shot, flu shots do not normally affect me, but my COVID shots have always made me feel poorly after getting them.