chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cerebrovascular accident, Computerised tomogram head abnormal, Dysphagia, Encephalopathy
Clinical narrative: Provider d/c note: "63-year-old female past medical history of poorly controlled hypertension and medical noncompliance.  She presented on 12/20 for chief complaint of altered mental status.  On presentation patient was noted to be hypertensive systolics in the 240s creatinine 2.8 hypokalemic, complete blood count notable for leukocytosis.  CT was performed showing nonspecific low attenuation in both cerebral hemispheres.  Patient was admitted for workup of strokes and altered mental status.  See initially admitted to the intensive care unit requiring IV blood pressure medications transferred to progressive care unit once titrated off of IV medications.  Patient continued to be noncompliant with oral medications throughout her stay requiring IV supplementation to her blood pressure regimen.  Patient was tested positive for COVID-19, family declined remdesivir and she was not requiring oxygen.  Initial repeat CT was concerning for acute CVA right caudate head lacunar infarct, question microhemorrhage.  Initial MRI was a poor study secondary to patient agitation.  Repeat studies were obtained with IV medications for anxiety/sedation.  MRI showed small attenuated acute infarcts right caudate nucleus right lateral ventricle, left temporal lobe.  Patient was started on dual antiplatelets and seen by Neurology.  MRI was obtained without large vessel occlusion or stenosis.  Patient required prolonged stay secondary to encephalopathy edema secondary to new CVAs, COVID, metabolic encephalopathy.  Renal function improved following IV fluids.  Blood pressure regimen was titrated up former she no longer required IV medications.  She was seen by PT and OT with recommendations for rehab.  Family declined wanting to take patient home.  Patient will be discharged on 21 day therapy dual antiplatelets followed by aspirin monotherapy.  Discharge was delayed secondary to holiday difficulty with coordination of home care.  Family choosing to pursue home care from primary outpatient.  Patient had dysphagia which improved prior to discharge patient was able to eat normal diet."
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count abnormal, Hypertension, Hypokalaemia, Intensive care, Leukocytosis
Clinical narrative: Provider d/c note: "63-year-old female past medical history of poorly controlled hypertension and medical noncompliance.  She presented on 12/20 for chief complaint of altered mental status.  On presentation patient was noted to be hypertensive systolics in the 240s creatinine 2.8 hypokalemic, complete blood count notable for leukocytosis.  CT was performed showing nonspecific low attenuation in both cerebral hemispheres.  Patient was admitted for workup of strokes and altered mental status.  See initially admitted to the intensive care unit requiring IV blood pressure medications transferred to progressive care unit once titrated off of IV medications.  Patient continued to be noncompliant with oral medications throughout her stay requiring IV supplementation to her blood pressure regimen.  Patient was tested positive for COVID-19, family declined remdesivir and she was not requiring oxygen.  Initial repeat CT was concerning for acute CVA right caudate head lacunar infarct, question microhemorrhage.  Initial MRI was a poor study secondary to patient agitation.  Repeat studies were obtained with IV medications for anxiety/sedation.  MRI showed small attenuated acute infarcts right caudate nucleus right lateral ventricle, left temporal lobe.  Patient was started on dual antiplatelets and seen by Neurology.  MRI was obtained without large vessel occlusion or stenosis.  Patient required prolonged stay secondary to encephalopathy edema secondary to new CVAs, COVID, metabolic encephalopathy.  Renal function improved following IV fluids.  Blood pressure regimen was titrated up former she no longer required IV medications.  She was seen by PT and OT with recommendations for rehab.  Family declined wanting to take patient home.  Patient will be discharged on 21 day therapy dual antiplatelets followed by aspirin monotherapy.  Discharge was delayed secondary to holiday difficulty with coordination of home care.  Family choosing to pursue home care from primary outpatient.  Patient had dysphagia which improved prior to discharge patient was able to eat normal diet."
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging abnormal, Mental status changes, Metabolic encephalopathy, Myocardial infarction, Nervous system disorder
Clinical narrative: Provider d/c note: "63-year-old female past medical history of poorly controlled hypertension and medical noncompliance.  She presented on 12/20 for chief complaint of altered mental status.  On presentation patient was noted to be hypertensive systolics in the 240s creatinine 2.8 hypokalemic, complete blood count notable for leukocytosis.  CT was performed showing nonspecific low attenuation in both cerebral hemispheres.  Patient was admitted for workup of strokes and altered mental status.  See initially admitted to the intensive care unit requiring IV blood pressure medications transferred to progressive care unit once titrated off of IV medications.  Patient continued to be noncompliant with oral medications throughout her stay requiring IV supplementation to her blood pressure regimen.  Patient was tested positive for COVID-19, family declined remdesivir and she was not requiring oxygen.  Initial repeat CT was concerning for acute CVA right caudate head lacunar infarct, question microhemorrhage.  Initial MRI was a poor study secondary to patient agitation.  Repeat studies were obtained with IV medications for anxiety/sedation.  MRI showed small attenuated acute infarcts right caudate nucleus right lateral ventricle, left temporal lobe.  Patient was started on dual antiplatelets and seen by Neurology.  MRI was obtained without large vessel occlusion or stenosis.  Patient required prolonged stay secondary to encephalopathy edema secondary to new CVAs, COVID, metabolic encephalopathy.  Renal function improved following IV fluids.  Blood pressure regimen was titrated up former she no longer required IV medications.  She was seen by PT and OT with recommendations for rehab.  Family declined wanting to take patient home.  Patient will be discharged on 21 day therapy dual antiplatelets followed by aspirin monotherapy.  Discharge was delayed secondary to holiday difficulty with coordination of home care.  Family choosing to pursue home care from primary outpatient.  Patient had dysphagia which improved prior to discharge patient was able to eat normal diet."
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oedema, Renal impairment, SARS-CoV-2 test positive, Treatment noncompliance
Clinical narrative: Provider d/c note: "63-year-old female past medical history of poorly controlled hypertension and medical noncompliance.  She presented on 12/20 for chief complaint of altered mental status.  On presentation patient was noted to be hypertensive systolics in the 240s creatinine 2.8 hypokalemic, complete blood count notable for leukocytosis.  CT was performed showing nonspecific low attenuation in both cerebral hemispheres.  Patient was admitted for workup of strokes and altered mental status.  See initially admitted to the intensive care unit requiring IV blood pressure medications transferred to progressive care unit once titrated off of IV medications.  Patient continued to be noncompliant with oral medications throughout her stay requiring IV supplementation to her blood pressure regimen.  Patient was tested positive for COVID-19, family declined remdesivir and she was not requiring oxygen.  Initial repeat CT was concerning for acute CVA right caudate head lacunar infarct, question microhemorrhage.  Initial MRI was a poor study secondary to patient agitation.  Repeat studies were obtained with IV medications for anxiety/sedation.  MRI showed small attenuated acute infarcts right caudate nucleus right lateral ventricle, left temporal lobe.  Patient was started on dual antiplatelets and seen by Neurology.  MRI was obtained without large vessel occlusion or stenosis.  Patient required prolonged stay secondary to encephalopathy edema secondary to new CVAs, COVID, metabolic encephalopathy.  Renal function improved following IV fluids.  Blood pressure regimen was titrated up former she no longer required IV medications.  She was seen by PT and OT with recommendations for rehab.  Family declined wanting to take patient home.  Patient will be discharged on 21 day therapy dual antiplatelets followed by aspirin monotherapy.  Discharge was delayed secondary to holiday difficulty with coordination of home care.  Family choosing to pursue home care from primary outpatient.  Patient had dysphagia which improved prior to discharge patient was able to eat normal diet."
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood test normal, Blood thyroid stimulating hormone abnormal, Chest discomfort, Colonoscopy abnormal
Clinical narrative: The vaccine did not hurt, just sore arm; about 30 days after, I started symptoms of pressure on my chest, hyper ventilating. I went to ER and had a scam and the doctor said I have problems with my thyroid and send me to a specialist for the lungs & thyroid. I have an elevated blood pressure (150/83 -156/84, which I never had before.  I will have a Colonoscopy, I have Diverticulitis. I am under inhaler. Most of the day I am fine, but at night I have like insomnia and feel hot.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Diverticulitis, Feeling hot, Hyperventilation, Insomnia, Lung disorder
Clinical narrative: The vaccine did not hurt, just sore arm; about 30 days after, I started symptoms of pressure on my chest, hyper ventilating. I went to ER and had a scam and the doctor said I have problems with my thyroid and send me to a specialist for the lungs & thyroid. I have an elevated blood pressure (150/83 -156/84, which I never had before.  I will have a Colonoscopy, I have Diverticulitis. I am under inhaler. Most of the day I am fine, but at night I have like insomnia and feel hot.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Thyroid disorder, Thyroid function test abnormal, Ultrasound chest, Ultrasound scan abnormal
Clinical narrative: The vaccine did not hurt, just sore arm; about 30 days after, I started symptoms of pressure on my chest, hyper ventilating. I went to ER and had a scam and the doctor said I have problems with my thyroid and send me to a specialist for the lungs & thyroid. I have an elevated blood pressure (150/83 -156/84, which I never had before.  I will have a Colonoscopy, I have Diverticulitis. I am under inhaler. Most of the day I am fine, but at night I have like insomnia and feel hot.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case  dose 1 Pfizer 4/19/21  EW0162
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: 3RD DOSE OF MODERNA COVID VACCINE GIVEN 11/23/21, LOT #027H21BL pt resides in Facility; 8/3/22 pt had a positive COVID test in the SNF; sx included runny nose, congestion, no SOB or dyspnea; pt on hospice in facility; pt found deceased in his bed at the SNF
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three vaccines Moderna 1/23/21 Lot# 029L20A;  Moderna 2/20/21 Lot# 024M20A;  Moderna 12/7/21 Lot# 012H21B
Age: 47.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Laboratory test, No adverse event, Product administration error
Clinical narrative: ADMINSTRATION ERROR: Patient forgot she had already received the Bivalent and received a second does.  As of today 2/8/23  pt. states no symptoms or side effects at this time.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case  dose 1 Pfizer  1/13/21  EL3248 dose 2 Pfizer  2/3/21  EL9265 dose 3 Pfizer  9/27/21  FC3148
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Pfizer 3/10/21 Lot# EN6199;  Pfizer 3/31/21 Lot# ER8733;  Pfizer 11/2/21 Lot# 301258A
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: Transfer from facility to facility. Treatment includes therapy.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, COVID-19, Computerised tomogram head normal, Condition aggravated, Facial paralysis
Clinical narrative: Patient with history of 2 COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "78 year old male with a history of cerebral amyloid angiopathy complicated by two intracranial hemorrhage events, CAD, hyperlipidemia, and hypertension who presented to Facility on 12/29/22 with facial droop and gait instability. Upon arrival to the hospital he was noted to be febrile and tachycardic. He did test positive for COVID-19. Stroke work-up was quickly initiated. Initial CT did not demonstrate any acute intracranial hemorrhage and follow-up MRI was positive for only chronic findings. Remainder of work-up was unremarkable. It is hypothesized that the presenting symptoms were more related to the acute viral illness compared to an acute intracranial abnormality. He was monitored for a couple days, and by the time of discharge he was at his physical and mental baseline according to family.    He was noted to be in atrial fibrillation on arrival to the hospital and periodically had a rapid ventricular rate. Unable to anticoagulate due to prior brain bleeds, he will be sent home with metoprolol for rate control.  "
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Gait disturbance, Heart rate increased, Magnetic resonance imaging head abnormal, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient with history of 2 COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "78 year old male with a history of cerebral amyloid angiopathy complicated by two intracranial hemorrhage events, CAD, hyperlipidemia, and hypertension who presented to Facility on 12/29/22 with facial droop and gait instability. Upon arrival to the hospital he was noted to be febrile and tachycardic. He did test positive for COVID-19. Stroke work-up was quickly initiated. Initial CT did not demonstrate any acute intracranial hemorrhage and follow-up MRI was positive for only chronic findings. Remainder of work-up was unremarkable. It is hypothesized that the presenting symptoms were more related to the acute viral illness compared to an acute intracranial abnormality. He was monitored for a couple days, and by the time of discharge he was at his physical and mental baseline according to family.    He was noted to be in atrial fibrillation on arrival to the hospital and periodically had a rapid ventricular rate. Unable to anticoagulate due to prior brain bleeds, he will be sent home with metoprolol for rate control.  "
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tachycardia
Clinical narrative: Patient with history of 2 COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "78 year old male with a history of cerebral amyloid angiopathy complicated by two intracranial hemorrhage events, CAD, hyperlipidemia, and hypertension who presented to Facility on 12/29/22 with facial droop and gait instability. Upon arrival to the hospital he was noted to be febrile and tachycardic. He did test positive for COVID-19. Stroke work-up was quickly initiated. Initial CT did not demonstrate any acute intracranial hemorrhage and follow-up MRI was positive for only chronic findings. Remainder of work-up was unremarkable. It is hypothesized that the presenting symptoms were more related to the acute viral illness compared to an acute intracranial abnormality. He was monitored for a couple days, and by the time of discharge he was at his physical and mental baseline according to family.    He was noted to be in atrial fibrillation on arrival to the hospital and periodically had a rapid ventricular rate. Unable to anticoagulate due to prior brain bleeds, he will be sent home with metoprolol for rate control.  "
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Moderna 4/30/21 NO LOT#;  Moderna 5/28/21 Lot# 036C21A;  Moderna 12/14/21 Lot# 058H21A
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Death on 02/02/2023
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Pfizer 2/2/21 Lot# EM9810;  Pfizer 2/23/21 Lot# EN6202;  Pfizer 11/4/21 Lot# 330268D;  Pfizer 10/13/22 Lot# FH9703
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Headache, Influenza like illness, Lung disorder, Oropharyngeal pain, Pain
Clinical narrative: It started with flu like symptoms, sinus drainage, post nasal drip, then it progressed into a sore throat. 24 hours later, I had body aches, headache, a cough that became productive later on. On 12/24/2022 at about 08:00PM, I had the tele-visit and he prescribed TAMIFLU. At that point in time, the symptoms were starting to abate on 12/25/2022. I took the 10 day course of TAMIFLU anyway. The symptoms slowly declined over a week. The sore throat and headache were gone by 12/28/2022. I continued to have the cough and symptoms with post nasal drip. I will go into a coughing fit every now and then to now. With strenuous exercise, I have noticed a change in my lungs. Seems to feel a bit different, but it is not debilitating. It's hard to describe.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Productive cough, Rhinorrhoea, SARS-CoV-2 test negative, Upper-airway cough syndrome
Clinical narrative: It started with flu like symptoms, sinus drainage, post nasal drip, then it progressed into a sore throat. 24 hours later, I had body aches, headache, a cough that became productive later on. On 12/24/2022 at about 08:00PM, I had the tele-visit and he prescribed TAMIFLU. At that point in time, the symptoms were starting to abate on 12/25/2022. I took the 10 day course of TAMIFLU anyway. The symptoms slowly declined over a week. The sore throat and headache were gone by 12/28/2022. I continued to have the cough and symptoms with post nasal drip. I will go into a coughing fit every now and then to now. With strenuous exercise, I have noticed a change in my lungs. Seems to feel a bit different, but it is not debilitating. It's hard to describe.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Pfizer 4/1/21 Lot# EP7534;  Pfizer 4/22/211 Lot# Ew0153;  Pfixer 9/28/21 Lot# FC3183
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Pfizer 3/30/21 Lot# EP7533;  Pfizer 4/20/21 Lot# EW0164;  Pfizer 10/21/21 Lot# FF8841
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood test, Electrocardiogram
Clinical narrative: Atrial Fibrillation All symptons
Age: 17.0
Sex: M
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: none
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Insomnia, Paraesthesia, Pelvic pain
Clinical narrative: Chronic pain in pelvis area. Pins and needles on left thigh . Fatigued but unable to sleep. Brain fog.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: Acute kidney injury, COVID-19, Encephalopathy, Hypernatraemia, Influenza
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "78-year-old female with dementia who presents with acute encephalopathy, somnolence.  Suspect influenza with over-sedation.  Wean down psychotropic medications.  Her mental status improved although she did have outbreaks of yelling.  Tamiflu x5 days.  Hypernatremia and AKI resolved with IV fluids and was stable without IV fluids.  Recommend outpatient neuropsych testing and psychiatric consultation.  I suspect progression of patient's dementia is causing many of her symptoms.   Incidentally tested positive for COVID on day of discharge, was negative on admission.  Question if false positive as she had no change in her respiratory status."
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: Mental status changes, SARS-CoV-2 test positive, Screaming, Sedation, Somnolence
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "78-year-old female with dementia who presents with acute encephalopathy, somnolence.  Suspect influenza with over-sedation.  Wean down psychotropic medications.  Her mental status improved although she did have outbreaks of yelling.  Tamiflu x5 days.  Hypernatremia and AKI resolved with IV fluids and was stable without IV fluids.  Recommend outpatient neuropsych testing and psychiatric consultation.  I suspect progression of patient's dementia is causing many of her symptoms.   Incidentally tested positive for COVID on day of discharge, was negative on admission.  Question if false positive as she had no change in her respiratory status."
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Moderna 3/13/21 Lot# 040A21A;  Moderna 4/10/21 Lot# 037A21B;  Moderna 12/12/21 Lot# 039F21A
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case after 2 vaccines moderna 4/6/21 Lot# 047A21A;  Moderna 5/4/21 Lot# 025B21A
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Moderna 2/10/21 NO LOT#;  Moderna 3/3/21 NO LOT#;  Moderna 10/30/21 Lot# 039D21A;  moderna 4/1/22 Lot# 026L21B
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Alanine aminotransferase increased, Arthralgia, Blood alkaline phosphatase increased, Bone pain, Fatigue
Clinical narrative: noted persistent fatigue, new and more severe bone & joint pain esp. in feet and hands. Muscle soreness in thighs, groin pain.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Gamma-glutamyltransferase increased, Laboratory test abnormal, Myalgia
Clinical narrative: noted persistent fatigue, new and more severe bone & joint pain esp. in feet and hands. Muscle soreness in thighs, groin pain.
Age: 45.0
Sex: F
Vaccine: UNK
Symptoms: Blood test, Colonoscopy, Gastrointestinal disorder, Laboratory test, Oesophagogastroduodenoscopy abnormal
Clinical narrative: Within 12 hours of receiving the COVID Booster, I had intense GI symptoms that have continued to date. I've lost 20 lbs and yesterday an internal EGD and sono of the pancreas revealed severe scaring and chronic pancreatitis
Age: 45.0
Sex: F
Vaccine: UNK
Symptoms: Pancreatic disorder, Pancreatitis chronic, Stool analysis, Ultrasound scan abnormal, Weight decreased
Clinical narrative: Within 12 hours of receiving the COVID Booster, I had intense GI symptoms that have continued to date. I've lost 20 lbs and yesterday an internal EGD and sono of the pancreas revealed severe scaring and chronic pancreatitis
Age: 68.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Condition aggravated, Contusion, Erythema, Hypertension, Pain in extremity
Clinical narrative: The patient got 2 shots on 2/3/2023 on separate arms (flu vaccine on right arm and shingles vaccine on left arm).  The patient came back on 2/5/2023 and showed her lower right arm  being very sore and bruised-like redness. The patient verified it started on the night of 2/3/2023 and she had taken Tylenol to help with the pain. The arm that got the shingles shot was sore but manageable. The right arm that got the flu shot was the one very swollen and hurting her.  She verified she changed to Goody powder on 2/5/2023.  The patient also verified she used ice compress to help the soreness. She had taken flu vaccines before but it is just this time that she had a big reaction. She is currently having issues with her blood pressure being high because she has missed a few doses for a while and that's why she came to the Pharmacy on 2/3/2023 to get her refills from the doctor. She has not reached out to her doctor yet to report her BP and to get additional relief.  The pharmacist advised her to stop the Goody powder and stay with Tylenol. She was also advised to continue to use ice compress and reach out to her PCP if not any better. Also,  the patient was counseled to get the BP controlled by always making sure not to miss her dose and continually monitor BP and reach out to her Primary Care Doctor if still not controlled.
Age: 68.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Peripheral swelling
Clinical narrative: The patient got 2 shots on 2/3/2023 on separate arms (flu vaccine on right arm and shingles vaccine on left arm).  The patient came back on 2/5/2023 and showed her lower right arm  being very sore and bruised-like redness. The patient verified it started on the night of 2/3/2023 and she had taken Tylenol to help with the pain. The arm that got the shingles shot was sore but manageable. The right arm that got the flu shot was the one very swollen and hurting her.  She verified she changed to Goody powder on 2/5/2023.  The patient also verified she used ice compress to help the soreness. She had taken flu vaccines before but it is just this time that she had a big reaction. She is currently having issues with her blood pressure being high because she has missed a few doses for a while and that's why she came to the Pharmacy on 2/3/2023 to get her refills from the doctor. She has not reached out to her doctor yet to report her BP and to get additional relief.  The pharmacist advised her to stop the Goody powder and stay with Tylenol. She was also advised to continue to use ice compress and reach out to her PCP if not any better. Also,  the patient was counseled to get the BP controlled by always making sure not to miss her dose and continually monitor BP and reach out to her Primary Care Doctor if still not controlled.
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: Decreased appetite, Feeling hot, Oropharyngeal pain, Peripheral swelling, Pyrexia
Clinical narrative: I received my Covid-19 vaccine on 02/01/2023. On 02/02/2023 I woke up with a swollen arm. I started feeling feverish. I felt as if I was on fire from the inside out. I started to feel real sleepy. Gradually my sore throat turned into not being able to talk and lack of appetite. I reached out to my doctor. I am still in the process of getting information after speaking to my doctor.
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test, Somnolence, Speech disorder
Clinical narrative: I received my Covid-19 vaccine on 02/01/2023. On 02/02/2023 I woke up with a swollen arm. I started feeling feverish. I felt as if I was on fire from the inside out. I started to feel real sleepy. Gradually my sore throat turned into not being able to talk and lack of appetite. I reached out to my doctor. I am still in the process of getting information after speaking to my doctor.
Age: 1.0
Sex: F
Vaccine: DTAPIPVHIB, HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Pyrexia, Single component of a two-component product administered
Clinical narrative: Patient received the Pentacel vaccine. With the Pentacel vaccine, only the blue top vial containing DTap and IPV were administered to the patient. The green top vial containing the HIB was not mixed with the blue top vial. Pt did not receive the HIB green top vial. Mother contacted the office today, 2/08/2023, to inform us that the patient has been running a fever since Monday after the vaccines were given. Also stated that she brought the patient to an ER today, 2/08/2023, which the staff at the ER informed mom that fever is normal after receiving vaccines.
Age: 16.0
Sex: F
Vaccine: UNK
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt 16 years old at time of Moderna Vaccination
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood alkaline phosphatase increased, Blood creatine phosphokinase, C-reactive protein normal, Differential white blood cell count normal
Clinical narrative: On Friday 1/20, patient started complaining of severe bilateral gluteal pain. The pain is most severe when going from sitting to standing and vice versa, especially when initially sitting and applying pressure to her glutes. The pain does not waken her from sleep and does not radiate down her legs. Occasionally, the pain is so severe that she feels it in her lower back. She's been able to attend school because once she's seated, the pain typically subsides. She has had no fevers, rash, erythema, pruritis, discharge, other signs of infection, decreased urine output, or darker urine than normal. . Mom has trialed Tylenol 20 mL but is still in tears due to pain. She has not yet trialed ibuprofen because every store mom went to was out of stock of children's ibuprofen. . She did not have any significant strenuous exercise or viral illness preceding the onset of pain. The only trigger mom can think of is sitting on a cold metal bench as she started to complain of pain of that. She received her first COVID vaccine on 1/11, which was the only vaccine she received that day. No contacts with similar symptoms.  . Exam: Bilateral glutes - extremely tender to mild palpation. Right glute is tender to light touch at the 6 o' clock portion. No overlying erythema, induration, rash, or discharge on bilateral glutes - tissue appears healthy and normal. No changes in skin color, sweating, or hair raising with palpation or light touch. Extreme pain leading to tears when asked to go from standing to sitting on exam table and switching positions. Straight leg raise test negative bilaterally. . Advised to take Tylenol 650 mg q6h and Motrin 480 mg q6h for one week with re-evaluation in clinic at that time.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Hyperaesthesia, Metabolic function test normal, Musculoskeletal pain, Pain
Clinical narrative: On Friday 1/20, patient started complaining of severe bilateral gluteal pain. The pain is most severe when going from sitting to standing and vice versa, especially when initially sitting and applying pressure to her glutes. The pain does not waken her from sleep and does not radiate down her legs. Occasionally, the pain is so severe that she feels it in her lower back. She's been able to attend school because once she's seated, the pain typically subsides. She has had no fevers, rash, erythema, pruritis, discharge, other signs of infection, decreased urine output, or darker urine than normal. . Mom has trialed Tylenol 20 mL but is still in tears due to pain. She has not yet trialed ibuprofen because every store mom went to was out of stock of children's ibuprofen. . She did not have any significant strenuous exercise or viral illness preceding the onset of pain. The only trigger mom can think of is sitting on a cold metal bench as she started to complain of pain of that. She received her first COVID vaccine on 1/11, which was the only vaccine she received that day. No contacts with similar symptoms.  . Exam: Bilateral glutes - extremely tender to mild palpation. Right glute is tender to light touch at the 6 o' clock portion. No overlying erythema, induration, rash, or discharge on bilateral glutes - tissue appears healthy and normal. No changes in skin color, sweating, or hair raising with palpation or light touch. Extreme pain leading to tears when asked to go from standing to sitting on exam table and switching positions. Straight leg raise test negative bilaterally. . Advised to take Tylenol 650 mg q6h and Motrin 480 mg q6h for one week with re-evaluation in clinic at that time.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate normal, Tearfulness, Tenderness
Clinical narrative: On Friday 1/20, patient started complaining of severe bilateral gluteal pain. The pain is most severe when going from sitting to standing and vice versa, especially when initially sitting and applying pressure to her glutes. The pain does not waken her from sleep and does not radiate down her legs. Occasionally, the pain is so severe that she feels it in her lower back. She's been able to attend school because once she's seated, the pain typically subsides. She has had no fevers, rash, erythema, pruritis, discharge, other signs of infection, decreased urine output, or darker urine than normal. . Mom has trialed Tylenol 20 mL but is still in tears due to pain. She has not yet trialed ibuprofen because every store mom went to was out of stock of children's ibuprofen. . She did not have any significant strenuous exercise or viral illness preceding the onset of pain. The only trigger mom can think of is sitting on a cold metal bench as she started to complain of pain of that. She received her first COVID vaccine on 1/11, which was the only vaccine she received that day. No contacts with similar symptoms.  . Exam: Bilateral glutes - extremely tender to mild palpation. Right glute is tender to light touch at the 6 o' clock portion. No overlying erythema, induration, rash, or discharge on bilateral glutes - tissue appears healthy and normal. No changes in skin color, sweating, or hair raising with palpation or light touch. Extreme pain leading to tears when asked to go from standing to sitting on exam table and switching positions. Straight leg raise test negative bilaterally. . Advised to take Tylenol 650 mg q6h and Motrin 480 mg q6h for one week with re-evaluation in clinic at that time.
Age: 13.0
Sex: M
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: none
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Toddler received a 2nd dose Pfizer when should have had 2nd dose Moderna
Age: 19.0
Sex: F
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: none
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Bronchitis, COVID-19, Chest X-ray normal, Diarrhoea
Clinical narrative: After my vaccination, I felt fine. I tested positive for COVID-19 in October. After contracting COVID-19, my body hasn't been the same. Something is lingering. I haven't felt 100% since then. I've been experiencing brain fog, exhaustion, uneasiness about breathing, and uneasiness about the heart. I tested positive for COVID-19 for about three weeks. The symptoms were mild, but they lingered. When I came back from a trip, I also contracted bronchitis that was on the verge of pneumonia. They gave me a Z-PAK, prednisone, and benzonatate. I had a reaction that felt like my throat was closing and had to call 911. By the time the first responders got to me, I felt better. I did not go to the hospital at that time. A couple of days later, I had heart palpations. I went to the emergency room. They monitored me for 12 hours, but they did not give me medication. I've also had diarrhea.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram normal, Fatigue, Feeling abnormal, Full blood count normal
Clinical narrative: After my vaccination, I felt fine. I tested positive for COVID-19 in October. After contracting COVID-19, my body hasn't been the same. Something is lingering. I haven't felt 100% since then. I've been experiencing brain fog, exhaustion, uneasiness about breathing, and uneasiness about the heart. I tested positive for COVID-19 for about three weeks. The symptoms were mild, but they lingered. When I came back from a trip, I also contracted bronchitis that was on the verge of pneumonia. They gave me a Z-PAK, prednisone, and benzonatate. I had a reaction that felt like my throat was closing and had to call 911. By the time the first responders got to me, I felt better. I did not go to the hospital at that time. A couple of days later, I had heart palpations. I went to the emergency room. They monitored me for 12 hours, but they did not give me medication. I've also had diarrhea.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Metabolic function test, Palpitations, SARS-CoV-2 test positive, Throat tightness
Clinical narrative: After my vaccination, I felt fine. I tested positive for COVID-19 in October. After contracting COVID-19, my body hasn't been the same. Something is lingering. I haven't felt 100% since then. I've been experiencing brain fog, exhaustion, uneasiness about breathing, and uneasiness about the heart. I tested positive for COVID-19 for about three weeks. The symptoms were mild, but they lingered. When I came back from a trip, I also contracted bronchitis that was on the verge of pneumonia. They gave me a Z-PAK, prednisone, and benzonatate. I had a reaction that felt like my throat was closing and had to call 911. By the time the first responders got to me, I felt better. I did not go to the hospital at that time. A couple of days later, I had heart palpations. I went to the emergency room. They monitored me for 12 hours, but they did not give me medication. I've also had diarrhea.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest pain, Cough, Drainage, Dry throat, Glossodynia
Clinical narrative: About a month after getting my vaccine, I was having a lot of drainage and coughing; my chest was aching with congestion. My throat was very dry with a very dry cough following. A couple of weeks later, it got worse with spitting up mucus, but the cough got worse and the mucus became phlegm. On 01/13/2023, I went to see my physician because the back of tongue and lymph nodes were hurting and swollen. While at the physician's office, they tested me for COVID-19 and influenza, which both came back negative. They presumed that I possibly had two viruses leading up to my appointment which became a sinus infection. She suggested doing a sinus rinse and prescribed AUGMENTIN. The prescription helped relieve a majority of my symptoms except a slight dry cough daily.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Influenza virus test negative, Lymph node pain, Lymphadenopathy, Productive cough, Respiratory tract congestion
Clinical narrative: About a month after getting my vaccine, I was having a lot of drainage and coughing; my chest was aching with congestion. My throat was very dry with a very dry cough following. A couple of weeks later, it got worse with spitting up mucus, but the cough got worse and the mucus became phlegm. On 01/13/2023, I went to see my physician because the back of tongue and lymph nodes were hurting and swollen. While at the physician's office, they tested me for COVID-19 and influenza, which both came back negative. They presumed that I possibly had two viruses leading up to my appointment which became a sinus infection. She suggested doing a sinus rinse and prescribed AUGMENTIN. The prescription helped relieve a majority of my symptoms except a slight dry cough daily.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test negative, Secretion discharge, Sinusitis, Swollen tongue
Clinical narrative: About a month after getting my vaccine, I was having a lot of drainage and coughing; my chest was aching with congestion. My throat was very dry with a very dry cough following. A couple of weeks later, it got worse with spitting up mucus, but the cough got worse and the mucus became phlegm. On 01/13/2023, I went to see my physician because the back of tongue and lymph nodes were hurting and swollen. While at the physician's office, they tested me for COVID-19 and influenza, which both came back negative. They presumed that I possibly had two viruses leading up to my appointment which became a sinus infection. She suggested doing a sinus rinse and prescribed AUGMENTIN. The prescription helped relieve a majority of my symptoms except a slight dry cough daily.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Supraventricular tachycardia
Clinical narrative: Supraventricular tachycardia
Age: 0.75
Sex: M
Vaccine: DTPPVHBHPB, PNC13, DTPPVHBHPB, PNC13
Symptoms: Breath holding, Crying, Posture abnormal, Respiration abnormal, Skin discolouration
Clinical narrative: Grandma gave him a hot bath in the evening, put lotion on, and he started crying really loudly, he threw his head back and then got very quiet. He seemed to hold his breath for 30 - 45 seconds. Mom said he looked gray. His color returned pretty quickly when the brought him back. Called 911, paramedics checked him out, did not transport.    He seemed to be more sleepy after that. Mom took him to the ER because she was worried about his sleepiness and that she did not think his breathing looked normal.    His temperature has been around 99.9 - 100. His temperature got up to 100.1.
Age: 0.75
Sex: M
Vaccine: DTPPVHBHPB, PNC13, DTPPVHBHPB, PNC13
Symptoms: Somnolence
Clinical narrative: Grandma gave him a hot bath in the evening, put lotion on, and he started crying really loudly, he threw his head back and then got very quiet. He seemed to hold his breath for 30 - 45 seconds. Mom said he looked gray. His color returned pretty quickly when the brought him back. Called 911, paramedics checked him out, did not transport.    He seemed to be more sleepy after that. Mom took him to the ER because she was worried about his sleepiness and that she did not think his breathing looked normal.    His temperature has been around 99.9 - 100. His temperature got up to 100.1.
Age: 51.0
Sex: F
Vaccine: FLU4, HEPA, VARZOS
Symptoms: Hypoaesthesia, Injected limb mobility decreased, Injection site swelling, Pain, Paraesthesia
Clinical narrative: Thru interpreter, pt indicated initially swelling to rt arm radiating up into rt side of clavicle region, no fever or redness. Reported numbness and tingling sensation to rt arm, able to open and close hand, limited range of motion to rt arm.  The vaccine given in rt deltoid on 12/14/2022. On visit, 2/8/2023, no redness, fever noted, pt provided details of incident.. Swelling noted rt upper arm with small amount to clavicular region. Continued c/o pain, limited range of motion, reports continued numbness and tingling to hand and fingers. grip strength intact. Rt arm remains warm and WNL color. Pt reports has been using otc meds for pain, cool compresses to arm. Informed client to follow up with private MD for further evaluation. Medical doctor notified of previous incident..
Age: 51.0
Sex: F
Vaccine: FLU4, HEPA, VARZOS
Symptoms: Swelling
Clinical narrative: Thru interpreter, pt indicated initially swelling to rt arm radiating up into rt side of clavicle region, no fever or redness. Reported numbness and tingling sensation to rt arm, able to open and close hand, limited range of motion to rt arm.  The vaccine given in rt deltoid on 12/14/2022. On visit, 2/8/2023, no redness, fever noted, pt provided details of incident.. Swelling noted rt upper arm with small amount to clavicular region. Continued c/o pain, limited range of motion, reports continued numbness and tingling to hand and fingers. grip strength intact. Rt arm remains warm and WNL color. Pt reports has been using otc meds for pain, cool compresses to arm. Informed client to follow up with private MD for further evaluation. Medical doctor notified of previous incident..
Age: 16.0
Sex: F
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: none
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Cough, Wheezing
Clinical narrative: Cough , wheezing breath 10 days Azithromycin 500 mg, Dexamehasone 4 mg. Followed by inhaler Breztri budesonide, glycopyrrolate and formoterol fumarate 28 puffs over 7 Days with no relief
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case. Pfizer 3/4/21 EN6202, 3/25/21 EN6207 and boosted 2/25/22 FK9729
Age: 59.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case. Pfizer 3/16/21 EN6205, 4/6/21 ER8732, 8/23/21 FD8448, 4/10/22 FJ1614 and 9/6/22 bivalent GH9694
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Impaired work ability, Influenza like illness
Clinical narrative: Head ache,   Fever,  Flu like symptoms  1st shot had no symptoms,   2nd shot was the adverse event Missed two days of work
Sex: F
Vaccine: COVID19-2
Symptoms: Chest pain, Inflammation, Nasal congestion, Pyrexia, Urticaria
Clinical narrative: Patient developed urticaria, nasal congestion, fever and extremities inflammation, chest pain.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse events, patient may have been given an expired vaccine
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after the 10 week refrigeration expiration date .  Vaccine put into refrigeration on 10/11/2022.  10 week expiration would have fell on 12/20/2022. Vaccine received on 01/20/2023 .  Patient had no symptoms or problems due to receiving the dosage.  Pfizer contacted on 02/06/2023 to determine the efficacy of the dose, pending final determination.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine manufacture date was 9/2023 but expired 01/31/23, administered 02/03/2023
Age: 54.0
Sex: F
Vaccine: HEPAB
Symptoms: Dizziness, Syncope
Clinical narrative: PATIENT PRESENTS DIZZINESS AND FAINTED OXYGEN WAS PLACED AT 3 HOURS. THE SIGNS AND REACTION.
Age: 28.0
Sex: M
Vaccine: HEP
Symptoms: Adverse reaction, Dizziness, Heart rate increased, Hyperhidrosis, Palpitations
Clinical narrative: Employee received his first dose of hepatitis B vaccine at 3 PM on 2/6/2023 at Occupational Health.  Approximately 45 minutes to 1 hour later he presented to my office complaining of palpitations, sweating and mild lightheadedness.  He denied chest pain, difficulty breathing, difficulty swallowing or rash.  Heart rate was 130 and regular, blood pressure 140/90.  He was given water and a piece of chocolate.  He laid down on the stretcher and within 30 minutes his heart rate was down to 100 and his blood pressure 130/80.  We discussed returning to work versus going home.  He felt able to go to work.  I called him from home 2 hours later and he was feeling better but not 100%. He stop by my office the following afternoon and felt back to his normal self.  He had no other symptoms.  He agreed with the plan not to complete the series.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccination administered after the 10 week refrigeration expiration date  Administered on 01/20/2023, expired in refrigerator on 12/20/2022.  Patient had no problems or symptoms after administration.  Administration of expired dose reported to Pfizer on 02/06/2023 , pending final determination of efficacy.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Brain scan abnormal, Cerebral thrombosis, Cerebrovascular accident, Gait inability, Laboratory test
Clinical narrative: Severe stroke caused by blood clot. She is still in onsite rehab and not able to speak or walk.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Speech disorder, Surgery
Clinical narrative: Severe stroke caused by blood clot. She is still in onsite rehab and not able to speak or walk.
Age: 1.33
Sex: M
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Rhinorrhoea
Clinical narrative: He had diarrhea beginning January 2nd. It was 6-8 times for the first 2 weeks. Then 4 to 6 times the 3rd week. He saw the doctor towards the end of the 3rd week. He saw the doctor on the 20th, and he was down to 4 times a day. The doctor advised me not to treat it and to allow it to phase out. He also had a runny nose and minor cough from the 14th-19th. He went back to the doctor, and she also advised me to allow this to phase out as well. His diarrhea stopped after 23rd and the cough and runny nose subsided as well.