chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site discolouration, Injection site pruritus, Injection site warmth
Clinical narrative: The injection site felt warm but I didn't notice the appearance until I started scratching the area on the 8th day after injection.  At that point, the site was dark pink and I became concerned.  I called the after hours nurse help line and she asked the doctor on call for recommendations.  I was told to use ice pack, take Tylenol and Benadryl.   After about the 11th day, the pinkness finally started diminishing and then a few days later there was no pinkness at all.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Discovered during second vaccine visit that child received a 3 mcg/0.2 ml dose instead of 10 mcg/0.2 ml dose on July 8th, 2022.  This was discovered during second vaccination, today, August 5th.  Appropriate 10mcg/0.2 ml dose given.  Instructed to return in 8 weeks for 3rd dose.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalized for COVID after receiving 2 vaccines and two boosters.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for COVID 8/1/2022 after receiving two vaccines and one booster
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram normal, Feeling abnormal, Headache, Heart rate decreased
Clinical narrative: Patient is here to talk about a possible Covid vaccine reaction. She had her first shot on July 1st at the pharmacy. She remarks that blood sprayed out when the injection was done. She got light headed driving home and felt very unstable. Her second shot was July 22nd. A few weeks later she passed out in the elevator after a routine lab check. Her pulse was extremely low and was taken code yellow by Ambulance to the ER (Aug 1st). Several tests were ordered in the ER. She had a normal EKG and was told she might be dehydrated. She continues to be dizzy and her head hurts.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site haemorrhage, Laboratory test, Loss of consciousness
Clinical narrative: Patient is here to talk about a possible Covid vaccine reaction. She had her first shot on July 1st at the pharmacy. She remarks that blood sprayed out when the injection was done. She got light headed driving home and felt very unstable. Her second shot was July 22nd. A few weeks later she passed out in the elevator after a routine lab check. Her pulse was extremely low and was taken code yellow by Ambulance to the ER (Aug 1st). Several tests were ordered in the ER. She had a normal EKG and was told she might be dehydrated. She continues to be dizzy and her head hurts.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Hypoxia
Clinical narrative: Patient fully vaccinated (J&J), but not boosted, admitted to the hospital on 7/6/22 (after Dose 1) with COVID-19 and associated hypoxia. Patient was discharged on 7/12/22.
Age: 63.0
Sex: F
Vaccine: UNK
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient diagnosed with COVID after being fully vaccinated.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Discomfort, Ear pain, Extra dose administered, Fall
Clinical narrative: Pain in shoulder? injection site; numbness and swollen from injection site up through neck and face, only on left side. Very swollen and numb tongue and pain in left ear. When outside of car (we were on road trip driving all night) I would hear a warf/woofing sound? like the normal sounds were interrrupted. (I had this on and off for several weeks after the first vaccine, along with vertigo, which I also reported).   These symptoms were frightening as my throat also swelled up on left side this time  and I worried I wouldn?t be able to breathe. I felt like I had been to the dentist and given major shots of novicane. The next day it was better and by the third day almost gone. I was fine the first week after that but second week I have a heaviness in my legs and a different sense of gravity: I feel like it takes effort to walk. I have taken five Covid tests and have no symtoms other than lethargy and heavy-feel since then. Oh my hips hurt but I stumbled on uneven pavement the second week and fell down and that couldn?t be why
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Gait disturbance, Hypoaesthesia, Hypoaesthesia oral, Injection site hypoaesthesia
Clinical narrative: Pain in shoulder? injection site; numbness and swollen from injection site up through neck and face, only on left side. Very swollen and numb tongue and pain in left ear. When outside of car (we were on road trip driving all night) I would hear a warf/woofing sound? like the normal sounds were interrrupted. (I had this on and off for several weeks after the first vaccine, along with vertigo, which I also reported).   These symptoms were frightening as my throat also swelled up on left side this time  and I worried I wouldn?t be able to breathe. I felt like I had been to the dentist and given major shots of novicane. The next day it was better and by the third day almost gone. I was fine the first week after that but second week I have a heaviness in my legs and a different sense of gravity: I feel like it takes effort to walk. I have taken five Covid tests and have no symtoms other than lethargy and heavy-feel since then. Oh my hips hurt but I stumbled on uneven pavement the second week and fell down and that couldn?t be why
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Lethargy, Limb discomfort, Pharyngeal swelling
Clinical narrative: Pain in shoulder? injection site; numbness and swollen from injection site up through neck and face, only on left side. Very swollen and numb tongue and pain in left ear. When outside of car (we were on road trip driving all night) I would hear a warf/woofing sound? like the normal sounds were interrrupted. (I had this on and off for several weeks after the first vaccine, along with vertigo, which I also reported).   These symptoms were frightening as my throat also swelled up on left side this time  and I worried I wouldn?t be able to breathe. I felt like I had been to the dentist and given major shots of novicane. The next day it was better and by the third day almost gone. I was fine the first week after that but second week I have a heaviness in my legs and a different sense of gravity: I feel like it takes effort to walk. I have taken five Covid tests and have no symtoms other than lethargy and heavy-feel since then. Oh my hips hurt but I stumbled on uneven pavement the second week and fell down and that couldn?t be why
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Swelling, Swelling face, Swollen tongue, Tinnitus
Clinical narrative: Pain in shoulder? injection site; numbness and swollen from injection site up through neck and face, only on left side. Very swollen and numb tongue and pain in left ear. When outside of car (we were on road trip driving all night) I would hear a warf/woofing sound? like the normal sounds were interrrupted. (I had this on and off for several weeks after the first vaccine, along with vertigo, which I also reported).   These symptoms were frightening as my throat also swelled up on left side this time  and I worried I wouldn?t be able to breathe. I felt like I had been to the dentist and given major shots of novicane. The next day it was better and by the third day almost gone. I was fine the first week after that but second week I have a heaviness in my legs and a different sense of gravity: I feel like it takes effort to walk. I have taken five Covid tests and have no symtoms other than lethargy and heavy-feel since then. Oh my hips hurt but I stumbled on uneven pavement the second week and fell down and that couldn?t be why
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: First vaccine given on 1/21/2021. The local Pharmacy. Moderna. Lot: 041L20A. Given Intramuscular in Left arm
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Cough, Rash, Rash maculo-papular, Respiratory tract congestion, Somnolence
Clinical narrative: Had small maculopapular rash all over hisbody coughing and congestion and drowsiness.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Hypoxia
Clinical narrative: Patient fully vaccinated (J&J), but not boosted, admitted to the hospital on 7/13/22 (after Dose 1) with COVID-19 and associated hypoxia. Patient was discharged on 7/16/22.
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, Atrial fibrillation, Blood creatinine normal, Blood sodium decreased
Clinical narrative: Patient with COVID vaccines who admitted to hospital with a COVID detected test.  Provider d/c note below:  " Brief Summary of Hospital Stay:  Per HPI, a 95 YO female with h/o paroxysmal atrial fibrillation, CKD III, COPD, dementia presenting to the ED for evaluation of acute hypoxic respiratory failure    Patient unable to provide any history. Entire history obtained via chart review, conversation with caregiver and son. Per caregiver, patient was feeling fine when she came off of her shift yesterday however found to be in significant respiratory distress this AM, was satting in the low 80s upon EMS arrival. Caregiver also states that she had some nonproductive cough ~2 weeks ago which at that time they tested her for COVID and returned positive. Patient reports of shortness of breath but otherwise feeling fine, denies cough, chest pain, palpitation, fever, chills.    In the ED, pt initially placed on BiPAP, later transitioned to 3L O2 with adequate saturation. Lab work significant for WBC 14.7, Hgb 11.6, Cr 1.1, Na 133, BNP 6465. CT chest showing bilateral basilar infiltrates   Hospital Course:  1. Acute hypoxic respiratory failure: due to COVID-19 +/- superimposed bacterial PNA. Pt satting 8-85% on RA, placed on BiPAP with brisk improvement, weaned immediately down to 3L O2. Patient was otherwise hemodynamically stable. WBC 14.7, procal low on admission. Patient was started on empiric ceftriaxone/doxycycline as well as remdesivir, dexamethasone.    2. Paroxysmal a-fib: initially in RVR due to above, responded well to dilitiazem. Patient was restarted on Lopressor (allergic to BB due to ""bradycardia"").  - Continue Xarelto  - Consider decreasing/stopping BB if recurrent bradycardia    3. CKD III - Stable    4. Dementia: mentation appear to be baseline  - Remeron   5. Normocytic anemia - iron supplement    6. S/p TAVR   7. Urinary retention: straight cath PRN"
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bradycardia, Brain natriuretic peptide increased, COVID-19, Catheter placement, Computerised tomogram thorax abnormal
Clinical narrative: Patient with COVID vaccines who admitted to hospital with a COVID detected test.  Provider d/c note below:  " Brief Summary of Hospital Stay:  Per HPI, a 95 YO female with h/o paroxysmal atrial fibrillation, CKD III, COPD, dementia presenting to the ED for evaluation of acute hypoxic respiratory failure    Patient unable to provide any history. Entire history obtained via chart review, conversation with caregiver and son. Per caregiver, patient was feeling fine when she came off of her shift yesterday however found to be in significant respiratory distress this AM, was satting in the low 80s upon EMS arrival. Caregiver also states that she had some nonproductive cough ~2 weeks ago which at that time they tested her for COVID and returned positive. Patient reports of shortness of breath but otherwise feeling fine, denies cough, chest pain, palpitation, fever, chills.    In the ED, pt initially placed on BiPAP, later transitioned to 3L O2 with adequate saturation. Lab work significant for WBC 14.7, Hgb 11.6, Cr 1.1, Na 133, BNP 6465. CT chest showing bilateral basilar infiltrates   Hospital Course:  1. Acute hypoxic respiratory failure: due to COVID-19 +/- superimposed bacterial PNA. Pt satting 8-85% on RA, placed on BiPAP with brisk improvement, weaned immediately down to 3L O2. Patient was otherwise hemodynamically stable. WBC 14.7, procal low on admission. Patient was started on empiric ceftriaxone/doxycycline as well as remdesivir, dexamethasone.    2. Paroxysmal a-fib: initially in RVR due to above, responded well to dilitiazem. Patient was restarted on Lopressor (allergic to BB due to ""bradycardia"").  - Continue Xarelto  - Consider decreasing/stopping BB if recurrent bradycardia    3. CKD III - Stable    4. Dementia: mentation appear to be baseline  - Remeron   5. Normocytic anemia - iron supplement    6. S/p TAVR   7. Urinary retention: straight cath PRN"
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Cough, Dyspnoea, Haemoglobin decreased, Lung infiltration
Clinical narrative: Patient with COVID vaccines who admitted to hospital with a COVID detected test.  Provider d/c note below:  " Brief Summary of Hospital Stay:  Per HPI, a 95 YO female with h/o paroxysmal atrial fibrillation, CKD III, COPD, dementia presenting to the ED for evaluation of acute hypoxic respiratory failure    Patient unable to provide any history. Entire history obtained via chart review, conversation with caregiver and son. Per caregiver, patient was feeling fine when she came off of her shift yesterday however found to be in significant respiratory distress this AM, was satting in the low 80s upon EMS arrival. Caregiver also states that she had some nonproductive cough ~2 weeks ago which at that time they tested her for COVID and returned positive. Patient reports of shortness of breath but otherwise feeling fine, denies cough, chest pain, palpitation, fever, chills.    In the ED, pt initially placed on BiPAP, later transitioned to 3L O2 with adequate saturation. Lab work significant for WBC 14.7, Hgb 11.6, Cr 1.1, Na 133, BNP 6465. CT chest showing bilateral basilar infiltrates   Hospital Course:  1. Acute hypoxic respiratory failure: due to COVID-19 +/- superimposed bacterial PNA. Pt satting 8-85% on RA, placed on BiPAP with brisk improvement, weaned immediately down to 3L O2. Patient was otherwise hemodynamically stable. WBC 14.7, procal low on admission. Patient was started on empiric ceftriaxone/doxycycline as well as remdesivir, dexamethasone.    2. Paroxysmal a-fib: initially in RVR due to above, responded well to dilitiazem. Patient was restarted on Lopressor (allergic to BB due to ""bradycardia"").  - Continue Xarelto  - Consider decreasing/stopping BB if recurrent bradycardia    3. CKD III - Stable    4. Dementia: mentation appear to be baseline  - Remeron   5. Normocytic anemia - iron supplement    6. S/p TAVR   7. Urinary retention: straight cath PRN"
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pneumonia bacterial, Positive airway pressure therapy, Procalcitonin decreased, Respiratory distress, SARS-CoV-2 test positive
Clinical narrative: Patient with COVID vaccines who admitted to hospital with a COVID detected test.  Provider d/c note below:  " Brief Summary of Hospital Stay:  Per HPI, a 95 YO female with h/o paroxysmal atrial fibrillation, CKD III, COPD, dementia presenting to the ED for evaluation of acute hypoxic respiratory failure    Patient unable to provide any history. Entire history obtained via chart review, conversation with caregiver and son. Per caregiver, patient was feeling fine when she came off of her shift yesterday however found to be in significant respiratory distress this AM, was satting in the low 80s upon EMS arrival. Caregiver also states that she had some nonproductive cough ~2 weeks ago which at that time they tested her for COVID and returned positive. Patient reports of shortness of breath but otherwise feeling fine, denies cough, chest pain, palpitation, fever, chills.    In the ED, pt initially placed on BiPAP, later transitioned to 3L O2 with adequate saturation. Lab work significant for WBC 14.7, Hgb 11.6, Cr 1.1, Na 133, BNP 6465. CT chest showing bilateral basilar infiltrates   Hospital Course:  1. Acute hypoxic respiratory failure: due to COVID-19 +/- superimposed bacterial PNA. Pt satting 8-85% on RA, placed on BiPAP with brisk improvement, weaned immediately down to 3L O2. Patient was otherwise hemodynamically stable. WBC 14.7, procal low on admission. Patient was started on empiric ceftriaxone/doxycycline as well as remdesivir, dexamethasone.    2. Paroxysmal a-fib: initially in RVR due to above, responded well to dilitiazem. Patient was restarted on Lopressor (allergic to BB due to ""bradycardia"").  - Continue Xarelto  - Consider decreasing/stopping BB if recurrent bradycardia    3. CKD III - Stable    4. Dementia: mentation appear to be baseline  - Remeron   5. Normocytic anemia - iron supplement    6. S/p TAVR   7. Urinary retention: straight cath PRN"
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Superinfection, Urinary retention, White blood cell count increased
Clinical narrative: Patient with COVID vaccines who admitted to hospital with a COVID detected test.  Provider d/c note below:  " Brief Summary of Hospital Stay:  Per HPI, a 95 YO female with h/o paroxysmal atrial fibrillation, CKD III, COPD, dementia presenting to the ED for evaluation of acute hypoxic respiratory failure    Patient unable to provide any history. Entire history obtained via chart review, conversation with caregiver and son. Per caregiver, patient was feeling fine when she came off of her shift yesterday however found to be in significant respiratory distress this AM, was satting in the low 80s upon EMS arrival. Caregiver also states that she had some nonproductive cough ~2 weeks ago which at that time they tested her for COVID and returned positive. Patient reports of shortness of breath but otherwise feeling fine, denies cough, chest pain, palpitation, fever, chills.    In the ED, pt initially placed on BiPAP, later transitioned to 3L O2 with adequate saturation. Lab work significant for WBC 14.7, Hgb 11.6, Cr 1.1, Na 133, BNP 6465. CT chest showing bilateral basilar infiltrates   Hospital Course:  1. Acute hypoxic respiratory failure: due to COVID-19 +/- superimposed bacterial PNA. Pt satting 8-85% on RA, placed on BiPAP with brisk improvement, weaned immediately down to 3L O2. Patient was otherwise hemodynamically stable. WBC 14.7, procal low on admission. Patient was started on empiric ceftriaxone/doxycycline as well as remdesivir, dexamethasone.    2. Paroxysmal a-fib: initially in RVR due to above, responded well to dilitiazem. Patient was restarted on Lopressor (allergic to BB due to ""bradycardia"").  - Continue Xarelto  - Consider decreasing/stopping BB if recurrent bradycardia    3. CKD III - Stable    4. Dementia: mentation appear to be baseline  - Remeron   5. Normocytic anemia - iron supplement    6. S/p TAVR   7. Urinary retention: straight cath PRN"
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient called pharmacy to schedule her second dose and was told by the technician she was one week early so we couldn't do it.  For some reason , she came to the pharmacy on the day we give vaccinations to get her vaccination despite what we had told her.  That's where the breakdown occurred.  I made the assumption the dates had been checked, but when she was processed, the original tech that talked to her was not the one date completed her intake paperwork and the previous vaccination date was missed.  Because of this, she was given a Moderna second dose at 21 days instead of 28 days.  I will be contacting the patient today to schedule her for a repeat dose in 28 days.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient received booster 16 days prior to the 5-month mark. No adverse reaction.
Age: 1.5
Sex: F
Vaccine: DTAPIPV
Symptoms: Wrong product administered
Clinical narrative: Pt did not have adverse effects, vaccine was given in error.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, Laryngitis, Oropharyngeal pain
Clinical narrative: My symptoms were similar to hay fever. I had runny nose, sore throat. After about 48 hours that turned into laryngitis and a headache. When I had a positive COVID-19 test, I went to the Clinic and they did another positive test and prescribed me Paxlovid. I started Paxlovid Thursday evening. By Friday evening, I had no symptoms. I finished the whole course of the medication and stayed isolated. Once I was out and about again, I noticed that I was fatigued more easily than I was prior to COVID-19. That lasted about 2 weeks. My PCP recommended swimming and building up with exercise. I did that and now I'm back to normal. 4 weeks later, there was no more fatigue.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: My symptoms were similar to hay fever. I had runny nose, sore throat. After about 48 hours that turned into laryngitis and a headache. When I had a positive COVID-19 test, I went to the Clinic and they did another positive test and prescribed me Paxlovid. I started Paxlovid Thursday evening. By Friday evening, I had no symptoms. I finished the whole course of the medication and stayed isolated. Once I was out and about again, I noticed that I was fatigued more easily than I was prior to COVID-19. That lasted about 2 weeks. My PCP recommended swimming and building up with exercise. I did that and now I'm back to normal. 4 weeks later, there was no more fatigue.
Sex: M
Vaccine: UNK
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient contracted COVID despite being vaccinated
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Product preparation issue
Clinical narrative: Patient was given Menveo powder mixed with sterile diluent instead of the liquid provided with the vaccination. Patient's mother does not report any reactions as of this report.
Age: 96.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Aortic arteriosclerosis, COVID-19, Carotid arteriosclerosis, Cerebral arteriosclerosis, Cerebral artery occlusion
Clinical narrative: Patient up to date on COVID vaccinations with incidental COVID detected test found upon d/c planning.  Provider d/c note below:  "Patient is a 97 YO widowed male living relatively independently at a senior living community with past medical history significant for 10 year remote pack year smoking history, prostate cancer with no known recurrence, urinary incontinence, hypertension, coronary artery disease, peripheral vascular disease, remote TBI, chronic kidney disease stage 3 and hyperlipidemia presented with acute onset of dysarthria, question of aphasia, dysphagia, left facial droop and left sided weakness found to have an acute right MCA stroke.  Patient and family declined TPA in the ER.     The patient was evaluated by PT/OT and was suppose to initially be discharged to facility. However on 7//27/22 the patient became obtunded and unresponsive. CT head showed 1.  Small acute/subacute infarct in right parietal lobe. New since previous. 3 mm focus of parenchymal hemorrhage suspected in this lesion 2.  Small acute/subacute infarct right occipital lobe, new since previous. The family decided to prusue comfort care and hospice was informed. The patient tested positive for COVID and therefore he was discharged home with Hospice."
Age: 96.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Cerebral artery stenosis, Cerebral haemorrhage, Cerebral infarction, Cerebral small vessel ischaemic disease, Cerebrovascular accident
Clinical narrative: Patient up to date on COVID vaccinations with incidental COVID detected test found upon d/c planning.  Provider d/c note below:  "Patient is a 97 YO widowed male living relatively independently at a senior living community with past medical history significant for 10 year remote pack year smoking history, prostate cancer with no known recurrence, urinary incontinence, hypertension, coronary artery disease, peripheral vascular disease, remote TBI, chronic kidney disease stage 3 and hyperlipidemia presented with acute onset of dysarthria, question of aphasia, dysphagia, left facial droop and left sided weakness found to have an acute right MCA stroke.  Patient and family declined TPA in the ER.     The patient was evaluated by PT/OT and was suppose to initially be discharged to facility. However on 7//27/22 the patient became obtunded and unresponsive. CT head showed 1.  Small acute/subacute infarct in right parietal lobe. New since previous. 3 mm focus of parenchymal hemorrhage suspected in this lesion 2.  Small acute/subacute infarct right occipital lobe, new since previous. The family decided to prusue comfort care and hospice was informed. The patient tested positive for COVID and therefore he was discharged home with Hospice."
Age: 96.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Computerised tomogram head abnormal, Depressed level of consciousness, Dysarthria, Dysphagia, Echocardiogram abnormal
Clinical narrative: Patient up to date on COVID vaccinations with incidental COVID detected test found upon d/c planning.  Provider d/c note below:  "Patient is a 97 YO widowed male living relatively independently at a senior living community with past medical history significant for 10 year remote pack year smoking history, prostate cancer with no known recurrence, urinary incontinence, hypertension, coronary artery disease, peripheral vascular disease, remote TBI, chronic kidney disease stage 3 and hyperlipidemia presented with acute onset of dysarthria, question of aphasia, dysphagia, left facial droop and left sided weakness found to have an acute right MCA stroke.  Patient and family declined TPA in the ER.     The patient was evaluated by PT/OT and was suppose to initially be discharged to facility. However on 7//27/22 the patient became obtunded and unresponsive. CT head showed 1.  Small acute/subacute infarct in right parietal lobe. New since previous. 3 mm focus of parenchymal hemorrhage suspected in this lesion 2.  Small acute/subacute infarct right occipital lobe, new since previous. The family decided to prusue comfort care and hospice was informed. The patient tested positive for COVID and therefore he was discharged home with Hospice."
Age: 96.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Extra dose administered, Facial paralysis, Hemiparesis, Prostatectomy, SARS-CoV-2 test positive
Clinical narrative: Patient up to date on COVID vaccinations with incidental COVID detected test found upon d/c planning.  Provider d/c note below:  "Patient is a 97 YO widowed male living relatively independently at a senior living community with past medical history significant for 10 year remote pack year smoking history, prostate cancer with no known recurrence, urinary incontinence, hypertension, coronary artery disease, peripheral vascular disease, remote TBI, chronic kidney disease stage 3 and hyperlipidemia presented with acute onset of dysarthria, question of aphasia, dysphagia, left facial droop and left sided weakness found to have an acute right MCA stroke.  Patient and family declined TPA in the ER.     The patient was evaluated by PT/OT and was suppose to initially be discharged to facility. However on 7//27/22 the patient became obtunded and unresponsive. CT head showed 1.  Small acute/subacute infarct in right parietal lobe. New since previous. 3 mm focus of parenchymal hemorrhage suspected in this lesion 2.  Small acute/subacute infarct right occipital lobe, new since previous. The family decided to prusue comfort care and hospice was informed. The patient tested positive for COVID and therefore he was discharged home with Hospice."
Age: 96.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Tricuspid valve incompetence, Unresponsive to stimuli
Clinical narrative: Patient up to date on COVID vaccinations with incidental COVID detected test found upon d/c planning.  Provider d/c note below:  "Patient is a 97 YO widowed male living relatively independently at a senior living community with past medical history significant for 10 year remote pack year smoking history, prostate cancer with no known recurrence, urinary incontinence, hypertension, coronary artery disease, peripheral vascular disease, remote TBI, chronic kidney disease stage 3 and hyperlipidemia presented with acute onset of dysarthria, question of aphasia, dysphagia, left facial droop and left sided weakness found to have an acute right MCA stroke.  Patient and family declined TPA in the ER.     The patient was evaluated by PT/OT and was suppose to initially be discharged to facility. However on 7//27/22 the patient became obtunded and unresponsive. CT head showed 1.  Small acute/subacute infarct in right parietal lobe. New since previous. 3 mm focus of parenchymal hemorrhage suspected in this lesion 2.  Small acute/subacute infarct right occipital lobe, new since previous. The family decided to prusue comfort care and hospice was informed. The patient tested positive for COVID and therefore he was discharged home with Hospice."
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered beyond-use-date.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Pt expired 1 yr 3 months after vaccine
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered beyond-use-date.
Age: 44.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: The site of the injection has been swollen, red and itchy for over 6 days. The symptoms improve and then get bad again.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, COVID-19 pneumonia, Death, Dyspnoea
Clinical narrative: 1/20/22 pt brought to ED with increasing SOB; positive COVID test; (pt also had a positive COVID test on 1/12/22); COVID pneumonia; O2 supplementation; dexamethasone; AKI - IV fluids; pt was made a DNR/DNI, comfort measures; transferred to an inpatient hospice bed, where she passed away
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 1/20/22 pt brought to ED with increasing SOB; positive COVID test; (pt also had a positive COVID test on 1/12/22); COVID pneumonia; O2 supplementation; dexamethasone; AKI - IV fluids; pt was made a DNR/DNI, comfort measures; transferred to an inpatient hospice bed, where she passed away
Age: 17.0
Sex: M
Vaccine: MENB
Symptoms: CSF test abnormal, Guillain-Barre syndrome, Magnetic resonance imaging spinal abnormal
Clinical narrative: Guillan Barre Syndrome diagnosed 8/4/2022
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administrated the beyond use date.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administrated the beyond use date.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Blood test normal, Blood thyroid stimulating hormone normal, Differential white blood cell count normal, Full blood count normal
Clinical narrative: I received my vaccine on 04/26/2022. Approx. 05/26/2022 I realized gradually I been loosing hair from head. On 07/12/2022 I reached out to my doctor. My doctored ordered blood test for me on 07/14/2022. Blood test came back normal with no internal cause of hair loss. Was told hair loss can be caused from Covid-19 and boaster for Covid-19 Vaccine. Was told to hake hair nails and skin supplement and Rogaine.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Serum ferritin normal, Vitamin D
Clinical narrative: I received my vaccine on 04/26/2022. Approx. 05/26/2022 I realized gradually I been loosing hair from head. On 07/12/2022 I reached out to my doctor. My doctored ordered blood test for me on 07/14/2022. Blood test came back normal with no internal cause of hair loss. Was told hair loss can be caused from Covid-19 and boaster for Covid-19 Vaccine. Was told to hake hair nails and skin supplement and Rogaine.
Age: 19.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administrated the beyond use date.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vitreous floaters
Clinical narrative: I have floaters- right eye. I never had these before. Started the evening that I received the vaccine. on 8/3/22 They have not subsided.   I will be seeing an eye doctor. I have not been able to get an appointment yet.  I did have COVID twice.  Once before the vaccine.  The second time was after receiving two doses of the vaccine. I am also a registered nurse.
Age: 4.0
Sex: M
Vaccine: COVID19, DTAPIPV, MMRV
Symptoms: Angiogram normal, Basal ganglia infarction, Brain oedema, Computerised tomogram head abnormal, Echocardiogram
Clinical narrative: 7/2/2022. acute left basal ganglia infarction. Right hemiparesis. Admission to a local Medical Center for evaluation.
Age: 4.0
Sex: M
Vaccine: COVID19, DTAPIPV, MMRV
Symptoms: Hemiparesis, Laboratory test normal, Magnetic resonance imaging head abnormal, Platelet count decreased, Ultrasound Doppler normal
Clinical narrative: 7/2/2022. acute left basal ganglia infarction. Right hemiparesis. Admission to a local Medical Center for evaluation.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administrated the beyond use date.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administrated the beyond use date.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administrated the beyond use date.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dizziness, Electrocardiogram, Fatigue, Headache
Clinical narrative: She has been dizzy and exhausted and it has lasted for about 7 weeks so far. She is also having headaches.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cardiac arrest, Death, Endotracheal intubation, Mental status changes
Clinical narrative: MODERNA COVID VACCINE #3 GIVEN 11/8/21, LOT #076C21A; 2/13/22 pt brought to ED with AMS; unresponsive, tachypnea, tachycardia; was intubated; pt had a positive COVID test on 2/12/22 at nursing home, but rapid COVID test was negative on admission; septic shock; metabolic and respiratory acidosis; given ABX, antivirals; experience cardiac arrest twice; pt expired after second cardiac arrest
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic acidosis, Respiratory acidosis, SARS-CoV-2 test positive, Septic shock, Tachycardia
Clinical narrative: MODERNA COVID VACCINE #3 GIVEN 11/8/21, LOT #076C21A; 2/13/22 pt brought to ED with AMS; unresponsive, tachypnea, tachycardia; was intubated; pt had a positive COVID test on 2/12/22 at nursing home, but rapid COVID test was negative on admission; septic shock; metabolic and respiratory acidosis; given ABX, antivirals; experience cardiac arrest twice; pt expired after second cardiac arrest
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Tachypnoea, Unresponsive to stimuli
Clinical narrative: MODERNA COVID VACCINE #3 GIVEN 11/8/21, LOT #076C21A; 2/13/22 pt brought to ED with AMS; unresponsive, tachypnea, tachycardia; was intubated; pt had a positive COVID test on 2/12/22 at nursing home, but rapid COVID test was negative on admission; septic shock; metabolic and respiratory acidosis; given ABX, antivirals; experience cardiac arrest twice; pt expired after second cardiac arrest
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Pain and swelling of left hand 4 days after vaccine
Age: 1.25
Sex: F
Vaccine: DTAP
Symptoms: Expired product administered
Clinical narrative: Patient received an expired vaccine. Vaccine was given on 3/25/21 and expired on 2/9/21.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety disorder, Asthenia, Balance disorder, Dizziness, Migraine
Clinical narrative: Last year when I had my second dose on 4/15/2021 I had to go to Neurologist because high intense migraines and was diagnosed with central nervous vestibular dysfunction. I was later on referred to an ENT who diagnosed me with migraine associated vertigo (vestibular migraine) and prescribed me Verapamil. I had to go through vestibular rehabilitation therapy as I was suffering with dizziness and loss of balance.  In terms of OTC, I was taking (and still am along with verapamil) Tylenol, Advil and Dramamine. In terms of dietary supplements, the ENT made me take Coenzyme Q10, Magnesium Glycinate, Vitamin B2.  I am also taking vitamin C and D to help me with low energy. When I recently took the booster (/2/1/2022), I experienced the same sypmtoms, and had to go to the ENT to have my verapamil dose increased because I ahd even more migraines and was dealing with loss of balance again. To this day, I am still dealing with the side effects : migraines, imbalance, dizziness, I also developed anxiety disorder because of these side effects.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Nervous system disorder, Vestibular disorder, Vestibular migraine
Clinical narrative: Last year when I had my second dose on 4/15/2021 I had to go to Neurologist because high intense migraines and was diagnosed with central nervous vestibular dysfunction. I was later on referred to an ENT who diagnosed me with migraine associated vertigo (vestibular migraine) and prescribed me Verapamil. I had to go through vestibular rehabilitation therapy as I was suffering with dizziness and loss of balance.  In terms of OTC, I was taking (and still am along with verapamil) Tylenol, Advil and Dramamine. In terms of dietary supplements, the ENT made me take Coenzyme Q10, Magnesium Glycinate, Vitamin B2.  I am also taking vitamin C and D to help me with low energy. When I recently took the booster (/2/1/2022), I experienced the same sypmtoms, and had to go to the ENT to have my verapamil dose increased because I ahd even more migraines and was dealing with loss of balance again. To this day, I am still dealing with the side effects : migraines, imbalance, dizziness, I also developed anxiety disorder because of these side effects.
Age: 21.0
Sex: F
Vaccine: HEPA
Symptoms: Underdose
Clinical narrative: Patient was 21 years old at date of vaccination. Should receive and adult dose of 1.0ml of Hep A vaccine. Was given 0.5ml dose of pediatric Hep A vaccine. Patient was recalled to the office 2 days later after mistake was discovered. Patient was revaccinated with correct dose of Hep A vaccine.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient diagnosed with COVID 7/29/22
Age: 0.17
Sex: F
Vaccine: DTPPVHBHPB, MMRV, RV1
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: 2 month patient was given ProQuad instead of Prevnar. The wrong vaccine was ordered. On 8-03-2022 the physician called the mother of the patient and explained that the baby had received the wrong vaccine. Explained that side effects include fever, soreness at the injection site and rash.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Flushing, Headache, Nausea, Pain
Clinical narrative: I experienced a fever of 101 to 102, chills, nausea, headache, and body aches that continued until 02/03/2022 before improving. I woke up with facial flushing, severe headache and had another telehealth visit on 02/04/2022, and my symptoms did not abate until 02/07/2022. I was diagnosed with non-intractable headache, facial flushing, body aches and nausea on my two visits. My symptoms fully resolved and have not returned. On 06/25/2022 I developed a rash on my neck, chest, face, groin, and inside of my fingers. I was prescribed Prednisone on 06/27/2022 and they resolved on 07/04/2022. The rash returned on 07/30/3033 and I began Prednisone again 08/05/2022, but it has not resolved yet.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash, SARS-CoV-2 test negative, Tongue eruption
Clinical narrative: I experienced a fever of 101 to 102, chills, nausea, headache, and body aches that continued until 02/03/2022 before improving. I woke up with facial flushing, severe headache and had another telehealth visit on 02/04/2022, and my symptoms did not abate until 02/07/2022. I was diagnosed with non-intractable headache, facial flushing, body aches and nausea on my two visits. My symptoms fully resolved and have not returned. On 06/25/2022 I developed a rash on my neck, chest, face, groin, and inside of my fingers. I was prescribed Prednisone on 06/27/2022 and they resolved on 07/04/2022. The rash returned on 07/30/3033 and I began Prednisone again 08/05/2022, but it has not resolved yet.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac arrest, Death, Dyspnoea, Endotracheal intubation
Clinical narrative: pt on CPAP/BiPAP at home for COPD; pt to ED via EMS for increasing SOB; O2 saturation 75% on CPAP; tachycardia; tachpneic; respiratory distress; tested positive for COVID; given remdesivir and steroids; respiratory status worsened requiring intubation; pneumothorax; asystole, no pulse; ACLS performed; pt passed away in the hospital
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Life support, Pneumothorax, Positive airway pressure therapy, Pulse absent, Respiratory disorder
Clinical narrative: pt on CPAP/BiPAP at home for COPD; pt to ED via EMS for increasing SOB; O2 saturation 75% on CPAP; tachycardia; tachpneic; respiratory distress; tested positive for COVID; given remdesivir and steroids; respiratory status worsened requiring intubation; pneumothorax; asystole, no pulse; ACLS performed; pt passed away in the hospital
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory distress, SARS-CoV-2 test positive, Tachycardia, Tachypnoea
Clinical narrative: pt on CPAP/BiPAP at home for COPD; pt to ED via EMS for increasing SOB; O2 saturation 75% on CPAP; tachycardia; tachpneic; respiratory distress; tested positive for COVID; given remdesivir and steroids; respiratory status worsened requiring intubation; pneumothorax; asystole, no pulse; ACLS performed; pt passed away in the hospital
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Eye pain, Facial pain, Headache, Herpes zoster
Clinical narrative: On June 6, 2022 I received the first of two injections for Shingles.   OnJuly 25, 2022, I felt the first sign of itching, burning and stinging above my left eye lid. On July 26, 2022 I went to the walk in clinic. Severe pain on face, eye, neck and arms. July 27, 2022, I met with my eye physician, Dr. Shyngles was not in my eye. July 28, 2022 I drove to the ER. Vicious pain, itching, swelling and stinging all over my head, neck and right arm.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Neck pain, Pain, Pain in extremity, Pruritus
Clinical narrative: On June 6, 2022 I received the first of two injections for Shingles.   OnJuly 25, 2022, I felt the first sign of itching, burning and stinging above my left eye lid. On July 26, 2022 I went to the walk in clinic. Severe pain on face, eye, neck and arms. July 27, 2022, I met with my eye physician, Dr. Shyngles was not in my eye. July 28, 2022 I drove to the ER. Vicious pain, itching, swelling and stinging all over my head, neck and right arm.
Age: 1.83
Sex: F
Vaccine: HEPA
Symptoms: Pyrexia, Urticaria
Clinical narrative: urticaria,  fever
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Extra dose administered, Feeling abnormal, Oropharyngeal pain
Clinical narrative: I contracted COVID19 approx 2 months after the Pfizer booster (4th shot).  Symptoms were sore throat, runny nose, fever and chills, brain fog.  Took an at home antigentest  on 7/7/2022 and it was positive.  Had a tele-medecine visit on 7/8/2022 and was prescribed Paxlovid.  It substantially reduced the symptoms. Only side effect of the Paxlovid was bad taste.  No rebound after completing Paxlovid.  Tested negative on at home test starting 7/13/2022.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID19 approx 2 months after the Pfizer booster (4th shot).  Symptoms were sore throat, runny nose, fever and chills, brain fog.  Took an at home antigentest  on 7/7/2022 and it was positive.  Had a tele-medecine visit on 7/8/2022 and was prescribed Paxlovid.  It substantially reduced the symptoms. Only side effect of the Paxlovid was bad taste.  No rebound after completing Paxlovid.  Tested negative on at home test starting 7/13/2022.
Age: 19.0
Sex: M
Vaccine: HEPA
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Client received Hepatitis A vaccine #1 on 7/22/22. Client received dose #2 on 8/5/22. The second dose was administered too early. There was no reaction to the vaccine. Client was informed of the error.
Age: 99.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Diarrhoea, Hypersomnia, Pain
Clinical narrative: Her symptoms started on a Tuesday or Wednesday. She had diahhrea for a couple days, no fever. For four days she would get up, go to the bathroom and go back to bed. She was picking at her dinner so we gave her Ensure. There might have been aches, she was showing that it was hurting. A couple days ago she was a lot better, eating and staying up more. She has been showing relaxed improvement. For about 3 to 4 days all she did was sleep. We never did test her for COVID-19.
Age: 57.0
Sex: U
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Dyspnoea
Clinical narrative: SOB, weakness, CP
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Feeling abnormal, Headache
Clinical narrative: I started with a scratchy throat and a headache which is unusual for me, I just was not feeling the best so I took a home test on Saturday and it was negative. I had started running a fever so I went to have a COVID-19 PCR test completed and it came back positive. By that time I was having a deep dry cough, headache, fever, and muscle soreness. I called the nurses hotline at my doctor off and was prescribed PAXLOVID on August 02, 2022. My symptoms improved after taking the medication as I have 3 doses remaining. The cough is better but I am still experiencing some coughing. I have not made a complete recovery but I am much better. I no longer have a temperature either. I still have diarrhea that I assume is a side effect from the medication.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I started with a scratchy throat and a headache which is unusual for me, I just was not feeling the best so I took a home test on Saturday and it was negative. I had started running a fever so I went to have a COVID-19 PCR test completed and it came back positive. By that time I was having a deep dry cough, headache, fever, and muscle soreness. I called the nurses hotline at my doctor off and was prescribed PAXLOVID on August 02, 2022. My symptoms improved after taking the medication as I have 3 doses remaining. The cough is better but I am still experiencing some coughing. I have not made a complete recovery but I am much better. I no longer have a temperature either. I still have diarrhea that I assume is a side effect from the medication.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Vomiting
Clinical narrative: The next day she started vomiting, stomach pain, diarrhea. This lasted for about 12 hours. She was just eating ice chips to stay hydrated.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dysphagia, Fatigue, Influenza virus test positive
Clinical narrative: I had a severe sore throat and difficulty swallowing. I had little to no fever. My oxygen was good. I felt fatigued. The sore throat lasted for about several days. I think I might've had a cough. I was tired and slept as much as I could. I went to an urgent care and they told me I was positive for COVID-19 and the flu. I was prescribed TAMIFLU and PAXLOVID. I didn't take the PAXLOVID though. I only took the TAMIFLU, and it cleared up my throat. I got better and never ended up having to take the PAXLOVID. I assume that I caught COVID-19 either overseas or on a plane. I started having symptoms right when I came back home.