chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Underdose
Clinical narrative: Patient who is an adult was given 0.25mL of the Moderna Bivalent COVID booster vaccine, which is less than the authorized dose of 0.50mL.  No adverse events were noted at the time of the administration.
Age: 7.0
Sex: F
Vaccine: COVID19, FLUX
Symptoms: Influenza A virus test positive, Loss of personal independence in daily activities, Pyrexia, Streptococcus test positive, Vomiting
Clinical narrative: She almost ended up in the emergency room on 12/2/22. She was vomiting every 15 minutes. We took her to her pediatrician office, and they prescribed ondansetron the first day. Then, on 12/12/22, she spiked a fever, and we took her back to the doctor and she tested positive for Influenza A. She went back to school 12/14/22 and on 12/16/22, I had to pick her up from school because she had a fever again. I took her to the doctor, and she tested positive for Strep. She was prescribed amoxicillin for this. She is doing much better now, but she is still dealing with some of these symptoms.
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Additional booster: administered expired Bivalent booster Moderna COVID-19 vaccine after the 30 day beyond use date. Vial was initially stored in the refrigerator on October 24, 2022 and administered to patient November 28, 2022. No symptoms.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Anxiety, Atrial fibrillation, Atrial flutter, Blood pressure decreased
Clinical narrative: Began noticing shortness of breath and anxiety in January 2022. During colonoscopy my blood pressure bottomed out and heart rate shot up. Ran a lot of lab work and ordered stress test, and heart monitor. October I was put on ELIQUIS 5mg twice a day. Diltiazem to take twice a day and take an extra one if I felt atrial flutter. I was scheduled to see a heart surgeon and was scheduled for an ablation in both upper chambers of heart. Heart surgeon increased diltiazem.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring abnormal, Cardiac stress test, Colonoscopy, Dyspnoea, Heart rate increased
Clinical narrative: Began noticing shortness of breath and anxiety in January 2022. During colonoscopy my blood pressure bottomed out and heart rate shot up. Ran a lot of lab work and ordered stress test, and heart monitor. October I was put on ELIQUIS 5mg twice a day. Diltiazem to take twice a day and take an extra one if I felt atrial flutter. I was scheduled to see a heart surgeon and was scheduled for an ablation in both upper chambers of heart. Heart surgeon increased diltiazem.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test
Clinical narrative: Began noticing shortness of breath and anxiety in January 2022. During colonoscopy my blood pressure bottomed out and heart rate shot up. Ran a lot of lab work and ordered stress test, and heart monitor. October I was put on ELIQUIS 5mg twice a day. Diltiazem to take twice a day and take an extra one if I felt atrial flutter. I was scheduled to see a heart surgeon and was scheduled for an ablation in both upper chambers of heart. Heart surgeon increased diltiazem.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Antiphospholipid antibodies positive, Cardiac monitoring abnormal, Cardiolipin antibody, Echocardiogram normal, Raynaud's phenomenon
Clinical narrative: New onset Raynauds  New onset high  APL?s with increased clotting risk - intermittent Sinus Tachycardia up to HR of over 200 -
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sinus tachycardia
Clinical narrative: New onset Raynauds  New onset high  APL?s with increased clotting risk - intermittent Sinus Tachycardia up to HR of over 200 -
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: COVID-19, Computerised tomogram, Full blood count, Influenza virus test, Laboratory test
Clinical narrative: Got covid less than three months post vaxx
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: SARS-CoV-2 test positive, Scan with contrast
Clinical narrative: Got covid less than three months post vaxx
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: PT RECEIVED MONOVALENT INSTEAD OF BIVALENT, NO ADVERSE EVENTS AT ALL. PT WILL GET VACCINATED WITH BIVALENT IN 8 WEEKS.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Expired product administered
Clinical narrative: Patient received HIB vaccine in office that had a good expiration date on the actual vaccine and an expired date on the diluent.  Manufacturer contacted and HIB vaccine is invalid due to diluent beyond use date.  Patients mother contacted and is aware of the expired vaccine that was given and that the dose given is therefore invalid.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, General physical health deterioration, SARS-CoV-2 test positive
Clinical narrative: MODERNA COVID VACCINE DOSE #3 GIVEN 10/29/21, LOT #011F21A; pt in SNF; DNR and comfort measures; pt tested positive for COVID on 7/7/22; placed in isolation; O2 saturation 63% on RA; O2 supplementation; pt's condition worsened and she passed away the next day in the facility
Age: 69.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Asthenia, Cough, Exercise tolerance decreased, Feeling abnormal, Influenza virus test negative
Clinical narrative: On 11/25/22 I started feeling bad, my throat was hurting, the pain was unlike anything I have ever felt. After eight days I went to the local clinic. I had taken a home COVID-19 test that was negative, they test me for influenza that came back negative. Although the test came back negative, I was given a round of antibiotics to help me to get rid of what I had. The pain is gone, I still do not have as much energy as I normally do, I am still coughing. I do not feel like I have recovered, I am taking naps and I am unable to take my daily walks.
Age: 69.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Oropharyngeal pain, SARS-CoV-2 test negative
Clinical narrative: On 11/25/22 I started feeling bad, my throat was hurting, the pain was unlike anything I have ever felt. After eight days I went to the local clinic. I had taken a home COVID-19 test that was negative, they test me for influenza that came back negative. Although the test came back negative, I was given a round of antibiotics to help me to get rid of what I had. The pain is gone, I still do not have as much energy as I normally do, I am still coughing. I do not feel like I have recovered, I am taking naps and I am unable to take my daily walks.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: PT RECEIVED MONOVALENT INSTEAD OF BIVALENT, NO ADVERSE EVENTS AT ALL. PT WILL GET VACCINATED WITH BIVALENT IN 8 WEEKS.
Age: 90.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Immunization was given after BUD of 12-8-22. Moderna manufacturer was notified and a case # was assigned. The Lot of AS7166B was tested and found per Moderna the vaccine DID have the necessary activity to protect against the SARS-CoV-2 virus at the time of administration.
Age: 12.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Product storage error
Clinical narrative: Vaccine given was invalid due to exposure to out-of-range temperatures during transport.  Manufacturer, CDC, and medical director recommended revaccination.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Diarrhoea, Headache, Lower respiratory tract infection
Clinical narrative: I received my 5th dose on 09/20/2022. My COVID-19 symptoms started on 12/17/2022 around 08:00PM.  I had a runny nose, sneezing, headache, sore throat, fever, chills chest congestions, and diarrhea.  It was very mild. I went to the Urgent Care on 12/19/2022 at 11:00AM. I tested positive on 12/19/2022 at 09:00AM using a home COVID-19 test. I also went to  a local health clinic on 12/19/2022 for a PCR test at 10:30AM. I received the results on 12/20/2022  which was positive. At the Urgent Care they prescribed me with Paxlovid for 5 days.  I am recovering  from the COVID-19 infection  as of today 12/21/2022.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 antibody test positive, SARS-CoV-2 test positive
Clinical narrative: I received my 5th dose on 09/20/2022. My COVID-19 symptoms started on 12/17/2022 around 08:00PM.  I had a runny nose, sneezing, headache, sore throat, fever, chills chest congestions, and diarrhea.  It was very mild. I went to the Urgent Care on 12/19/2022 at 11:00AM. I tested positive on 12/19/2022 at 09:00AM using a home COVID-19 test. I also went to  a local health clinic on 12/19/2022 for a PCR test at 10:30AM. I received the results on 12/20/2022  which was positive. At the Urgent Care they prescribed me with Paxlovid for 5 days.  I am recovering  from the COVID-19 infection  as of today 12/21/2022.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Sneezing
Clinical narrative: I received my 5th dose on 09/20/2022. My COVID-19 symptoms started on 12/17/2022 around 08:00PM.  I had a runny nose, sneezing, headache, sore throat, fever, chills chest congestions, and diarrhea.  It was very mild. I went to the Urgent Care on 12/19/2022 at 11:00AM. I tested positive on 12/19/2022 at 09:00AM using a home COVID-19 test. I also went to  a local health clinic on 12/19/2022 for a PCR test at 10:30AM. I received the results on 12/20/2022  which was positive. At the Urgent Care they prescribed me with Paxlovid for 5 days.  I am recovering  from the COVID-19 infection  as of today 12/21/2022.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Chest discomfort, Pain, Paranasal sinus hypersecretion, Rhinorrhoea
Clinical narrative: Starting 12/09/2022, I had a runny nose and mild sinus drainage like allergies. On Saturday, I felt achy and my chest felt tight. I usually have upper respiratory infections so I thought I should see urgent care to get treatment for it. When I went to urgent care, 12/10/2022, they tested me for COVID-19 and I was positive. They gave me a prescription for an antiviral but I did not need to use it because my symptoms were not severe. When I got home, I tested myself for COVID-19 because I didn't believe I actually had COVID-19 and it was positive. I had the symptoms for about 2 days then felt fine and normal after words. I feel like I was experiencing my normal allergy symptoms with the COVID-19 infection.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Starting 12/09/2022, I had a runny nose and mild sinus drainage like allergies. On Saturday, I felt achy and my chest felt tight. I usually have upper respiratory infections so I thought I should see urgent care to get treatment for it. When I went to urgent care, 12/10/2022, they tested me for COVID-19 and I was positive. They gave me a prescription for an antiviral but I did not need to use it because my symptoms were not severe. When I got home, I tested myself for COVID-19 because I didn't believe I actually had COVID-19 and it was positive. I had the symptoms for about 2 days then felt fine and normal after words. I feel like I was experiencing my normal allergy symptoms with the COVID-19 infection.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Immunization was given after BUD of 12-8-22. Moderna manufacturer was notified and case # was assigned. The Lot of AS7166B was tested and found per Moderna the vaccine DID have the necessary activity to protect against the SARS-CoV-2 virus at the time of administration. Patient and patient's PCP notified.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: PT RECEIVED MONOVALENT INSTEAD OF BIVALENT, NO ADVERSE EVENTS AT ALL. PT WILL GET VACCINATED WITH BIVALENT IN 8 WEEKS.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Brain natriuretic peptide increased, COVID-19 pneumonia, Cardiac arrest, Chills
Clinical narrative: Discharge Provider: MD Primary Care Physician at Discharge: MD  Admission Date: 12/19/2022 COVID positive date 12/19/2022 PRESENTING PROBLEM: STEMI (ST elevation myocardial infarction) [I21.3] Shock [R57.9]   HOSPITAL COURSE: Patient is a 70 y.o. female with history of coronary artery disease, CHF, CKD 3, diabetes mellitus type 2, and peripheral artery disease with recent diagnosis COVID positive pneumonia and and antibiotic related rash who presented to an outside hospital with hypotension after dialysis with additional evidence of STEMI based ST-elevation in the inferior leads on EKG and elevated troponins over 2000. BNP was also elevated at over 59,000.  Patient was initiated on IV fluids and IV Levophed, but continued to remain hypotensive in the emergency department so she was subsequently transferred to the intensive care unit for septic shock treatment.  Per emergency department note and patient in the intensive care unit, patient reported no chest pain.  She did endorse dyspnea, nausea, multiple episodes of vomiting, chills, mild neck pain.  After questioning about vomiting, patient began developing coffee ground emesis on physical exam and was subsequently suction with NG tube place hooked to low intermittent suction.  During intensive care unit care, patient went into cardiac arrest with multiple rounds of ACLS attempted, however she could not be recessed stated and ultimately was pronounced at 1037. Further details of code can be found and intensive care unit note. Discussion of care and death was taken place with family
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Drug eruption, Dyspnoea, Electrocardiogram ST segment elevation, Gastrointestinal tube insertion
Clinical narrative: Discharge Provider: MD Primary Care Physician at Discharge: MD  Admission Date: 12/19/2022 COVID positive date 12/19/2022 PRESENTING PROBLEM: STEMI (ST elevation myocardial infarction) [I21.3] Shock [R57.9]   HOSPITAL COURSE: Patient is a 70 y.o. female with history of coronary artery disease, CHF, CKD 3, diabetes mellitus type 2, and peripheral artery disease with recent diagnosis COVID positive pneumonia and and antibiotic related rash who presented to an outside hospital with hypotension after dialysis with additional evidence of STEMI based ST-elevation in the inferior leads on EKG and elevated troponins over 2000. BNP was also elevated at over 59,000.  Patient was initiated on IV fluids and IV Levophed, but continued to remain hypotensive in the emergency department so she was subsequently transferred to the intensive care unit for septic shock treatment.  Per emergency department note and patient in the intensive care unit, patient reported no chest pain.  She did endorse dyspnea, nausea, multiple episodes of vomiting, chills, mild neck pain.  After questioning about vomiting, patient began developing coffee ground emesis on physical exam and was subsequently suction with NG tube place hooked to low intermittent suction.  During intensive care unit care, patient went into cardiac arrest with multiple rounds of ACLS attempted, however she could not be recessed stated and ultimately was pronounced at 1037. Further details of code can be found and intensive care unit note. Discussion of care and death was taken place with family
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Haematemesis, Hypotension, Intensive care, Nausea, Neck pain
Clinical narrative: Discharge Provider: MD Primary Care Physician at Discharge: MD  Admission Date: 12/19/2022 COVID positive date 12/19/2022 PRESENTING PROBLEM: STEMI (ST elevation myocardial infarction) [I21.3] Shock [R57.9]   HOSPITAL COURSE: Patient is a 70 y.o. female with history of coronary artery disease, CHF, CKD 3, diabetes mellitus type 2, and peripheral artery disease with recent diagnosis COVID positive pneumonia and and antibiotic related rash who presented to an outside hospital with hypotension after dialysis with additional evidence of STEMI based ST-elevation in the inferior leads on EKG and elevated troponins over 2000. BNP was also elevated at over 59,000.  Patient was initiated on IV fluids and IV Levophed, but continued to remain hypotensive in the emergency department so she was subsequently transferred to the intensive care unit for septic shock treatment.  Per emergency department note and patient in the intensive care unit, patient reported no chest pain.  She did endorse dyspnea, nausea, multiple episodes of vomiting, chills, mild neck pain.  After questioning about vomiting, patient began developing coffee ground emesis on physical exam and was subsequently suction with NG tube place hooked to low intermittent suction.  During intensive care unit care, patient went into cardiac arrest with multiple rounds of ACLS attempted, however she could not be recessed stated and ultimately was pronounced at 1037. Further details of code can be found and intensive care unit note. Discussion of care and death was taken place with family
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Septic shock, Troponin increased, Vomiting
Clinical narrative: Discharge Provider: MD Primary Care Physician at Discharge: MD  Admission Date: 12/19/2022 COVID positive date 12/19/2022 PRESENTING PROBLEM: STEMI (ST elevation myocardial infarction) [I21.3] Shock [R57.9]   HOSPITAL COURSE: Patient is a 70 y.o. female with history of coronary artery disease, CHF, CKD 3, diabetes mellitus type 2, and peripheral artery disease with recent diagnosis COVID positive pneumonia and and antibiotic related rash who presented to an outside hospital with hypotension after dialysis with additional evidence of STEMI based ST-elevation in the inferior leads on EKG and elevated troponins over 2000. BNP was also elevated at over 59,000.  Patient was initiated on IV fluids and IV Levophed, but continued to remain hypotensive in the emergency department so she was subsequently transferred to the intensive care unit for septic shock treatment.  Per emergency department note and patient in the intensive care unit, patient reported no chest pain.  She did endorse dyspnea, nausea, multiple episodes of vomiting, chills, mild neck pain.  After questioning about vomiting, patient began developing coffee ground emesis on physical exam and was subsequently suction with NG tube place hooked to low intermittent suction.  During intensive care unit care, patient went into cardiac arrest with multiple rounds of ACLS attempted, however she could not be recessed stated and ultimately was pronounced at 1037. Further details of code can be found and intensive care unit note. Discussion of care and death was taken place with family
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cough, Exposure to SARS-CoV-2, Respiratory tract congestion, SARS-CoV-2 test, Throat irritation
Clinical narrative: I got a scratchy throat and a little congestion. I was exposed to my sick grandson. Couple of days later after his visit. We tested with COVID-19 rapid home test. I had a cough for a couple of days. I took PAXLOVID, I was not feeling awful, if I had not been exposed, I would have not thought a lot about it. After 3 days of taking the medicine, my symptoms were gone, and I was fine.
Age: 44.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient who is an adult was given 0.25mL of the Moderna Bivalent COVID booster vaccine, which is less than the authorized dose of 0.50mL.  No adverse events were noted at the time of the administration.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Dysarthria, Dysstasia, Muscular weakness
Clinical narrative: Patient presenting to the emergency department as a code stroke for weakness. Last known well was 1 pm today per EMS. Patient had arm weakness, slurred speech, and was unable to stand.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: PT RECEIVED MONOVALENT INSTEAD OF BIVALENT, NO ADVERSE EVENTS AT ALL. PT WILL GET VACCINATED WITH BIVALENT IN 8 WEEKS.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Additional booster: administered expired Bivalent booster Moderna COVID-19 vaccine after the 30 day beyond use date. Vial was initially stored in the refrigerator on October 24, 2022 and administered to patient December 5, 2022. No symptoms.
Age: 49.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was given a second bivalent vaccination.  Patient showed no symptoms or signs of distress at time of discharge.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Fatigue, Headache, Injection site pain, Paraesthesia
Clinical narrative: first mild tingling in mouth and scalp, and headachy feeling, then joint soreness all over for several days, also several days so far  of deep fatigue  (note joint soreness and fatigue continue as of this writing) - I THINK I am improving but not sure yet  pain at injection site for 3 days but that is almost gone now
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Paraesthesia oral
Clinical narrative: first mild tingling in mouth and scalp, and headachy feeling, then joint soreness all over for several days, also several days so far  of deep fatigue  (note joint soreness and fatigue continue as of this writing) - I THINK I am improving but not sure yet  pain at injection site for 3 days but that is almost gone now
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: PT RECEIVED MONOVALENT INSTEAD OF BIVALENT, NO ADVERSE EVENTS AT ALL. PT WILL GET VACCINATED WITH BIVALENT IN 8 WEEKS.
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Immunization was given after BUD of 12-8-22. Moderna manufacturer was notified and case # was assigned. The Lot of AS7166B was tested and found per Moderna the vaccine DID have the necessary activity to protect against the SARS-CoV-2 virus at the time of administration. Patient and patient's PCP notified.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: HOSPITALIZATION.
Age: 34.0
Sex: M
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: No apparent injury
Age: 62.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chest X-ray normal, Cough, Dyspnoea, Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: I had a cough, and congestion and it kept getting worse to the point that I was having shortness of breath. I never tested positive for COVID-19 though. I had 2 negative tests during that period. I went to the doctor and was prescribed albuterol, prednisone, and codeine with guaifenesin for cough. I am feeling much better now, but I still have an occasional cough.
Age: 13.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Product storage error
Clinical narrative: Vaccine given was invalid due to exposure to out-of-range temperatures during transport. Manufacturer, CDC, and medical director recommended revaccination.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Respiratory symptom, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 around 10 months after receiving the COVID-19 vaccine I had breathing issues and fatigue.
Age: 6.0
Sex: M
Vaccine: COVID19, FLUN4
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent covid vaccine.  Patient was due for bivalent covid vaccine.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: PT RECEIVED MONOVALENT INSTEAD OF BIVALENT, NO ADVERSE EVENTS AT ALL. PT WILL GET VACCINATED WITH BIVALENT IN 8 WEEKS.
Age: 44.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Given 0.25mL of Bivalent Moderna Vaccine, no apparent injury.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Agitation, COVID-19, Confusional state, Dementia, Hypophagia
Clinical narrative: Patient has advanced dementia. The patient has been on treatment and under the care of Neurology.  The patient has been exhibiting change of mentation with confusion and agitation.  Decreased p.o. intake.  The patient was tested positive for COVID-19 even though she is saturating in the mid 90s on room air.  The patient does not seems to be in a major respiratory distress, yet when I came to see the patient along with the nurse, the patient was very agitated, was pacing within the room, noncooperative at all due to her dementia.  The patient had low-grade fever with possibility of pneumonia on the right middle lobe.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Mental status changes, Patient uncooperative, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient has advanced dementia. The patient has been on treatment and under the care of Neurology.  The patient has been exhibiting change of mentation with confusion and agitation.  Decreased p.o. intake.  The patient was tested positive for COVID-19 even though she is saturating in the mid 90s on room air.  The patient does not seems to be in a major respiratory distress, yet when I came to see the patient along with the nurse, the patient was very agitated, was pacing within the room, noncooperative at all due to her dementia.  The patient had low-grade fever with possibility of pneumonia on the right middle lobe.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: No adverse event, Underdose
Clinical narrative: No adverse event. Patient given pediatric dose instead of adult dose.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest pain, Cough, Death
Clinical narrative: MODERNA COVID VACCINE DOSE #3 GIVEN 11/5/21, LOT #066F21A; pt to hospital with increasing SOB, chronic cough, runny nose, chest pain, weakness, hemoptysis; found to be positive for COVID; occult blood stool also positive; O2 supplementation; DuoNebs, Vitamin C & D, Folic acid, zinc, dexamethasone, 1 unit PRBCs; pt transitioned to comfort measures and hospice; dc'd to home where she passed away
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Haemoptysis, Occult blood positive, Red blood cell transfusion, Rhinorrhoea
Clinical narrative: MODERNA COVID VACCINE DOSE #3 GIVEN 11/5/21, LOT #066F21A; pt to hospital with increasing SOB, chronic cough, runny nose, chest pain, weakness, hemoptysis; found to be positive for COVID; occult blood stool also positive; O2 supplementation; DuoNebs, Vitamin C & D, Folic acid, zinc, dexamethasone, 1 unit PRBCs; pt transitioned to comfort measures and hospice; dc'd to home where she passed away
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: MODERNA COVID VACCINE DOSE #3 GIVEN 11/5/21, LOT #066F21A; pt to hospital with increasing SOB, chronic cough, runny nose, chest pain, weakness, hemoptysis; found to be positive for COVID; occult blood stool also positive; O2 supplementation; DuoNebs, Vitamin C & D, Folic acid, zinc, dexamethasone, 1 unit PRBCs; pt transitioned to comfort measures and hospice; dc'd to home where she passed away
Age: 1.33
Sex: M
Vaccine: UNK
Symptoms: Rash, Urticaria
Clinical narrative: Generalized allergic urticaria involving entire body without systemic symptoms (wheezing, cough, abdominal pain, vomiting, swelling) Rash originally was treated with  PO Benadryl but due to progression required oral steroid administration.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Cellulitis
Clinical narrative: Cellulitis of right thigh  At this point, there is definite concerns for cellulitis.  I would be concerned that the barrier on the skin had been breached and perhaps normal skin flora had been introduced during the vaccination process.  I recommended coverage with cephalexin for cellulitis.  I recommended that mother watch closely over the weekend for improvement.  If there is no improvement over the weekend, I encouraged her to contact the clinic and we could broaden coverage for MRSA, likely with Bactrim.  Further evaluation could be taken with ultrasound if needed looking for pocket of purulent fluid collection for drainage if this continues to be problematic but hopefully this will not be needed as the family is leaving town on Wednesday.
Age: 53.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Given 0.25mL of Moderna Bivalent vaccine.  No apparent injury.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, COVID-19, Condition aggravated, Cough, Malaise
Clinical narrative: I was sick for about 7-8 days. I had cough, runny nose, fever, body aches, asthma exacerbation. Doctor prescribed a different inhaler which was helpful. Highest fever that I took on thermometer was 101.6.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I was sick for about 7-8 days. I had cough, runny nose, fever, body aches, asthma exacerbation. Doctor prescribed a different inhaler which was helpful. Highest fever that I took on thermometer was 101.6.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: PT RECEIVED MONOVALENT INSTEAD OF BIVALENT, NO ADVERSE EVENTS AT ALL. PT WILL GET VACCINATED WITH BIVALENT IN 8 WEEKS.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Nasopharyngitis
Clinical narrative: None at the time
Age: 52.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Given 0.25cc Bivalent Moderna.  No apparent injury.
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Culture wound negative, Pruritus, Skin ulcer, Skin weeping, White blood cell disorder
Clinical narrative: Multiple deep  skin ulcers appearing approximately 2 weeks later.  Ulcers last about 1 month. Start as small red itchy bumps and progress to large open, weeping soars. Tested negative for Monkey Pox, MRSA, staph.  Two on left chest/axillary area, one on left buttock, one on bottom of right foot.
Age: 12.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Product storage error
Clinical narrative: Vaccine given was invalid due to exposure to out-of-range temperatures during transport. Manufacturer, CDC, and medical director recommended revaccination.
Age: 48.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Given 0.25mL bivalent moderna.  no apparent injury.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: PT RECEIVED MONOVALENT INSTEAD OF BIVALENT, NO ADVERSE EVENTS AT ALL. PT WILL GET VACCINATED WITH BIVALENT IN 8 WEEKS.
Age: 45.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Given 0.25mL bivalent booster.  no apparent injury.
Age: 51.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Skin reaction, Skin swelling, Skin warm
Clinical narrative: local skin reaction redness, warmth and swelling antihistamine, icing, analgesic improving
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine was drawn from multidose vial on Friday 12/16/22 and expired 12 hours after being drawn. Dose was not used and remained in refrigerator over the weekend. Dose was administered on Monday 12/19/22.    Patient experienced no symptoms or adverse effects, no harm was noted after administration.
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest pain, Chills, Injection site pain, Lethargy, Painful respiration
Clinical narrative: 101 fever for almost 2 days after shot; chills; pain at injection site; felt lethargic (resolved after 48 hours) chest and back pain beginning 6 days after vaccination when taking a breath.
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia
Clinical narrative: 101 fever for almost 2 days after shot; chills; pain at injection site; felt lethargic (resolved after 48 hours) chest and back pain beginning 6 days after vaccination when taking a breath.
Age: 53.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Given 0.25mL bivalent moderna.  no apparent injury.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Immunization was given after BUD of 12-8-22. Moderna manufacturer was notified and case #  was assigned. The Lot of AS7166B was tested and found per Moderna the vaccine DID have the necessary activity to protect against the SARS-CoV-2 virus at the time of administration. Patient and patient's PCP notified.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was to received Covid Pfizer 5-11 monovalent and instead received Covid Pfizer bivalent 5-11.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: PT RECEIVED MONOVALENT INSTEAD OF BIVALENT, NO ADVERSE EVENTS AT ALL. PT WILL GET VACCINATED WITH BIVALENT IN 8 WEEKS.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Additional booster: administered expired Bivalent booster Moderna COVID-19 vaccine after the 30 day beyond use date. Vial was initially stored in the refrigerator on October 24, 2022 and administered to patient December 5, 2022. No symptoms.
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Product storage error
Clinical narrative: Vaccine given was invalid due to exposure to out-of-range temperatures during transport. Manufacturer, CDC, and medical director recommended revaccination.
Age: 55.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Was given 0.25ML MODERNA BIVALENT BOOSTER.  No apparent injury.
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Was given 0.25ML MODERNA BIVALENT BOOSTER.  No apparent injury.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Gave pt moderna Bivalent  Beyond use date 12/16/22
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Death, Dyspnoea, General physical health deterioration
Clinical narrative: MODERNA COVID VACCINE DOSE #3 GIVEN 11/5/21, LOT #071F; pt to ED with increasing SOb, chills; given Solumedrol, continuous Nebs; positive for COVID; given ABX, Remdesivir; pt's condition worsened; status became DNR; worsening respiratory status requiring ICU and O2 supplementation with facemask and vasopressors; status changed to comfort care and pt passed away in the hospital
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, SARS-CoV-2 test positive
Clinical narrative: MODERNA COVID VACCINE DOSE #3 GIVEN 11/5/21, LOT #071F; pt to ED with increasing SOb, chills; given Solumedrol, continuous Nebs; positive for COVID; given ABX, Remdesivir; pt's condition worsened; status became DNR; worsening respiratory status requiring ICU and O2 supplementation with facemask and vasopressors; status changed to comfort care and pt passed away in the hospital
Age: 83.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Immunization was given after BUD of 12-8-22. Moderna manufacturer was notified and it was assigned a case #. The Lot of AS7166B was tested and found per Moderna the vaccine DID have the necessary activity to protect against the SARS-CoV-2 virus at the time of administration. Patient and patient's PCP notified.
Age: 35.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Was given 0.25ML MODERNA BIVALENT BOOSTER.  No apparent injury.
Age: 45.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Immunization was given after BUD of 12-8-22. Moderna manufacturer was notified and case # was assigned. The Lot of AS7166B was tested and found per Moderna the vaccine DID have the necessary activity to protect against the SARS-CoV-2 virus at the time of administration. Patient and patient's PCP notified.
Age: 63.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Was given 0.25ML MODERNA BIVALENT BOOSTER.  No apparent injury.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: PT RECEIVED MONOVALENT INSTEAD OF BIVALENT, NO ADVERSE EVENTS AT ALL. PT WILL GET VACCINATED WITH BIVALENT IN 8 WEEKS.
Age: 14.0
Sex: M
Vaccine: FLU4
Symptoms: Poor quality product administered, Product storage error
Clinical narrative: Vaccine given was invalid due to exposure to out-of-range temperatures during transport. Manufacturer, CDC, and medical director recommended revaccination.
Age: 29.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Was given 0.25ML MODERNA BIVALENT BOOSTER.  No apparent injury.
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Immunization was given after 12-8-22. Moderna manufacturer was notified and case # MI-00003113 was assigned. The Lot of AS7166B was tested and found per Moderna the vaccine DID have the necessary activity to protect against the SARS-CoV-2 virus at the time of administration. Patient and patient's PCP notified.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: PT RECEIVED MONOVALENT INSTEAD OF BIVALENT, NO ADVERSE EVENTS AT ALL. PT WILL GET VACCINATED WITH BIVALENT IN 8 WEEKS.
Age: 59.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Was given 0.25ML MODERNA BIVALENT BOOSTER.  No apparent injury.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Balance disorder, Dizziness postural, Fall, Femur fracture
Clinical narrative: Pt presents to the ED with c/o of worsening R hip pain after trip and fall accident this morning. Pt was evaluated in the ED and found to have an impacted R subcapital femur fracture so trauma surgery has been consulted. Pt reports just before breakfast this morning she got dizzy when she stood getting off the toilette and lost hr balance and fell onto her R side. Pt reports she was able to get back up and ambulate after, however pain and mobility worsened throughout the day so she was brought in.  She describes her pain as aching and rates it 7/10 at its worst.  Pain does not radiate; pain is exacerbated with walking and alleviated with rest.   Pt denies head trauma and LOC. Pt is not on any AC/AP therapy. Pt denies pain elsewhere.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Mobility decreased, Pain
Clinical narrative: Pt presents to the ED with c/o of worsening R hip pain after trip and fall accident this morning. Pt was evaluated in the ED and found to have an impacted R subcapital femur fracture so trauma surgery has been consulted. Pt reports just before breakfast this morning she got dizzy when she stood getting off the toilette and lost hr balance and fell onto her R side. Pt reports she was able to get back up and ambulate after, however pain and mobility worsened throughout the day so she was brought in.  She describes her pain as aching and rates it 7/10 at its worst.  Pain does not radiate; pain is exacerbated with walking and alleviated with rest.   Pt denies head trauma and LOC. Pt is not on any AC/AP therapy. Pt denies pain elsewhere.
Age: 1.25
Sex: M
Vaccine: DTPPVHBHPB
Symptoms: Vaccination error, Wrong product administered
Clinical narrative: Patient was ordered for 15 month  vaccines: Infanrix, PCV13, HIB and Flu vaccine. This RN administered wrong vaccine and patient received Vexalis vaccine instead of Infanrix vaccine. RN immediately notified Dr. and nurse manager of error.  RN called patient's mother and informed her of vaccine  error.
Age: 80.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Immunization was given after of 12-8-22. Moderna manufacturer was notified and case # MI-00003113 was assigned. The Lot of AS7166B was tested and found per Moderna the vaccine DID have the necessary activity to protect against the SARS-CoV-2 virus at the time of administration. Patient and patient's PCP notified.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: PT RECEIVED MONOVALENT INSTEAD OF BIVALENT, NO ADVERSE EVENTS AT ALL. PT WILL GET VACCINATED WITH BIVALENT IN 8 WEEKS.
Age: 99.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: PFIZER COVID VACCINE DOSE #3 GIVE 12/14/21, LOT #FH8027; pt in facility for pneumonia; pt has completed ABX tx; had a positive COVID test on 7/9/22; isolation set up; DNR with comfort measures; family does not want pt sent to hospital; pt passed away 2 days later in the facility
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: PT RECEIVED MONOVALENT INSTEAD OF BIVALENT, NO ADVERSE EVENTS AT ALL. PT WILL GET VACCINATED WITH BIVALENT IN 8 WEEKS.
Age: 52.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Was given 0.25ML MODERNA BIVALENT BOOSTER.  No apparent injury.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Cough, Malaise, Pain
Clinical narrative: I woke up not feeling well on Monday December 19 2022 I had body aches chills and a slight cough. The next day day still not feeling well I took a home COVID-19 test the result of which was positive. I contacted my physician and received a prescription for PAXLOVID which I began taking on 12/20/2022.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I woke up not feeling well on Monday December 19 2022 I had body aches chills and a slight cough. The next day day still not feeling well I took a home COVID-19 test the result of which was positive. I contacted my physician and received a prescription for PAXLOVID which I began taking on 12/20/2022.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Underdose
Clinical narrative: Patient who is an adult was given 0.25mL of the Moderna Bivalent COVID booster vaccine, which is less than the authorized dose of 0.50mL.  No adverse events were noted at the time of the administration.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cough, Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: I was coughing and had chest congestion. I had tested myself several times with home COVID-19 test that came back negative. I made an appointment with my doctor and had a telehealth visit. We discussed my symptoms; she prescribed a Z-PAK and an inhaler to help me to get over what I was going through. After getting the medication it took me four days to get over everything and I am feeling much better.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Gave Moderna Bivalent Beyond use date 12/16/22.
Age: 58.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Was given 0.25ML MODERNA BIVALENT BOOSTER.  No apparent injury.
Age: 34.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Was given 0.25ML MODERNA BIVALENT BOOSTER.  No apparent injury.
Age: 12.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Product storage error
Clinical narrative: Vaccine given was invalid due to exposure to out-of-range temperatures during transport. Manufacturer, CDC, and medical director recommended revaccination.
Age: 62.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Was given 0.25ML MODERNA BIVALENT BOOSTER.  No apparent injury.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Angiogram pulmonary normal, Asthenia, COVID-19, Chest X-ray abnormal
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: PA-C  Admission Date: 12/19/2022 Discharge Date: 12/21/2022 Covid positive date: 12/19/2022 PRESENTING PROBLEM: Generalized weakness [R53.1] AKI (acute kidney injury) [N17.9] COVID-19 virus infection [U07.1] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 73 y.o. female who presents today with generalized weakness and fatigue. Patient noted a 5 day history of myalgias, weakness, fatigue, non productive cough, fever, chills, nasal congestion, hoarse voice and decreased appetite. She denied any nausea, vomiting, abdominal pain or chest pain. Today she had onset of diarrhea and felt even more weak which prompted her to call EMS.    On arrival patient was not hypoxic or tachycardic.  Patient was found hypotensive and her blood pressure improved with 2L IV fluid resuscitation.  Lab work showed an AKI.  Chest x-ray showed some possible increased lymph nodes.  COVID-19 positive.  She was given 10 mg Decadron.  Her blood pressure stabilized but she remained profoundly weak and fatigued.  Given her AKI, COVID-19and profound weakness she was admitted with hospitalist services for further care and treatment of COVID-19 virus infection, AKI and generalized weakness.   Patient's AKI resolved with IV fluids. Her D-dimer was elevated. CTA Thorax was negative for PE and US BLE Dopplers were negative for DVT. She continued to improve and remained stable on room air, steroids were discontinued.  PT/OT evaluated with no need identified. She was discharged home in stable condition with her husband. We reviewed the quarantine suggestions for COVID-19 as well. She will call and make an appointment to follow up with her PCP.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Decreased appetite, Diarrhoea, Dysphonia
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: PA-C  Admission Date: 12/19/2022 Discharge Date: 12/21/2022 Covid positive date: 12/19/2022 PRESENTING PROBLEM: Generalized weakness [R53.1] AKI (acute kidney injury) [N17.9] COVID-19 virus infection [U07.1] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 73 y.o. female who presents today with generalized weakness and fatigue. Patient noted a 5 day history of myalgias, weakness, fatigue, non productive cough, fever, chills, nasal congestion, hoarse voice and decreased appetite. She denied any nausea, vomiting, abdominal pain or chest pain. Today she had onset of diarrhea and felt even more weak which prompted her to call EMS.    On arrival patient was not hypoxic or tachycardic.  Patient was found hypotensive and her blood pressure improved with 2L IV fluid resuscitation.  Lab work showed an AKI.  Chest x-ray showed some possible increased lymph nodes.  COVID-19 positive.  She was given 10 mg Decadron.  Her blood pressure stabilized but she remained profoundly weak and fatigued.  Given her AKI, COVID-19and profound weakness she was admitted with hospitalist services for further care and treatment of COVID-19 virus infection, AKI and generalized weakness.   Patient's AKI resolved with IV fluids. Her D-dimer was elevated. CTA Thorax was negative for PE and US BLE Dopplers were negative for DVT. She continued to improve and remained stable on room air, steroids were discontinued.  PT/OT evaluated with no need identified. She was discharged home in stable condition with her husband. We reviewed the quarantine suggestions for COVID-19 as well. She will call and make an appointment to follow up with her PCP.