chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, SARS-CoV-2 test positive
Clinical narrative: I had very bad sore throat, coughing, body aches (mainly in my hands), loss of appetite, extreme fatigue, chills. No fever or shortness of breath or breathing difficulties. I called my doctor and started Paxlovid. I started it on a Monday and by Wednesday I felt completely like myself. The duration was not long at all.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: Redness and itching to right arm, onset 22 hours after vaccination. Benedryl 50mg PO with good results
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received a pediatric Moderna dose during booster appointment. Patient was schedule to receive a pfizer 5-11 year old booster. nurse inadvertently grab the Moderna dose scanned it and bypass message pop up. after administering realized she had a moderna dose not a pfizer dose incident disclosed to parent and  notified.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Musculoskeletal pain, Spinal pain, X-ray
Clinical narrative: I was sitting down and had a very sharp quick pain in my right back. Down where the lumbar goes into the sacral and I didn't know what it was because it has never happened before. I didn't think anything about it until the next time. I would have 3-4 of these a day when getting up off the sofa. I was told to see a doctor right away and I had to go a doctor who did an x-ray. He also had me doing physical therapy for that. Since then it has changed from a quick sharp pain to a longer duration sharp pain. In the last two weeks the pain seems to be in the buttocks area rather than the side of the spine.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient was advised to come in for a Moderna Booster after a 2 dose series of Pfizer.  The patient received the Moderna 0.25 mL as a booster dose but the approved booster at the time was Pfizer.  Patient tolerate the Moderna vaccine well with no reported symptoms.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna COVID-19 vaccine was drawn up and administered 5 days after the use by date.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient received a full dose (0.5ml) when she should have received a half dose (0.25ml) booster. Patient was informed. No adverse effects reported by patient.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: PATIENT RECEIVED A FULL DOSE (0.5ML) WHEN THE PATIENT SHOULD HAVE RECEIVED A HALF DOSE (0.25ML) BOOSTER. PATIENT MADE AWARE. NO ADVERSE REACTION REPORTED BY PATIENT.
Age: 31.0
Sex: F
Vaccine: PPV
Symptoms: Injection site rash, Injection site urticaria
Clinical narrative: rash/hives on upper arm around injection site
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Blood test abnormal, Chest X-ray abnormal, Chest pain, Dizziness
Clinical narrative: After first two injections..tired..weak..sore..dizzy. After booster shot..experienced same symptoms as above But with chest pain. Chest pain..hard to breathe. Started on 7/7..went to er on 7/11/22 pain was too intense and breathing difficulty. Was released that night...returned to er on 7/12/22 via squad for chest pain and breathing difficulty more severe than previous day
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Echocardiogram abnormal, Electrocardiogram abnormal, Fatigue, Pain
Clinical narrative: After first two injections..tired..weak..sore..dizzy. After booster shot..experienced same symptoms as above But with chest pain. Chest pain..hard to breathe. Started on 7/7..went to er on 7/11/22 pain was too intense and breathing difficulty. Was released that night...returned to er on 7/12/22 via squad for chest pain and breathing difficulty more severe than previous day
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pericarditis, Troponin
Clinical narrative: After first two injections..tired..weak..sore..dizzy. After booster shot..experienced same symptoms as above But with chest pain. Chest pain..hard to breathe. Started on 7/7..went to er on 7/11/22 pain was too intense and breathing difficulty. Was released that night...returned to er on 7/12/22 via squad for chest pain and breathing difficulty more severe than previous day
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Back pain, Blood test normal, Computerised tomogram, Computerised tomogram abdomen
Clinical narrative: No reaction until Monday afternoon. Stomach ache, increasing in pain. By Tuesday evening @ 5pm was unbearable, I felt nauseous, blacked out. My stomach was in agony, pain began radiating up my back, so my husband took me to the ER.  I had blood panels done, all returned normal.   CT scan with and without dye. Doctor came and said that I was diagnosed with enteritis. I've never before had this. He said they don't know why it happened, I was perfectly healthy beforehand and I informed him that I just received my Covid vaccine on Saturday and this was listed by Pfizer as a post-authorisation adverse reaction. No doctor will confirm that it is the reason and be liable so I am unable to be exempt me from the second dose.   1 week from being in the ER and the pain has continued. I am unable to eat, I've lost 8 lbs. I can sip water. No position is comfortable, and no doctor will prescribe pain medication either. They simply say I have to wait for it to go away.   10 days from injection and no sign of the pain going away.  I have another appointment with a doctor 7/20/22.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Computerised tomogram pelvis, Differential white blood cell count, Electrocardiogram, Enteritis
Clinical narrative: No reaction until Monday afternoon. Stomach ache, increasing in pain. By Tuesday evening @ 5pm was unbearable, I felt nauseous, blacked out. My stomach was in agony, pain began radiating up my back, so my husband took me to the ER.  I had blood panels done, all returned normal.   CT scan with and without dye. Doctor came and said that I was diagnosed with enteritis. I've never before had this. He said they don't know why it happened, I was perfectly healthy beforehand and I informed him that I just received my Covid vaccine on Saturday and this was listed by Pfizer as a post-authorisation adverse reaction. No doctor will confirm that it is the reason and be liable so I am unable to be exempt me from the second dose.   1 week from being in the ER and the pain has continued. I am unable to eat, I've lost 8 lbs. I can sip water. No position is comfortable, and no doctor will prescribe pain medication either. They simply say I have to wait for it to go away.   10 days from injection and no sign of the pain going away.  I have another appointment with a doctor 7/20/22.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Feeding disorder, Full blood count, Lipase, Loss of consciousness, Metabolic function test
Clinical narrative: No reaction until Monday afternoon. Stomach ache, increasing in pain. By Tuesday evening @ 5pm was unbearable, I felt nauseous, blacked out. My stomach was in agony, pain began radiating up my back, so my husband took me to the ER.  I had blood panels done, all returned normal.   CT scan with and without dye. Doctor came and said that I was diagnosed with enteritis. I've never before had this. He said they don't know why it happened, I was perfectly healthy beforehand and I informed him that I just received my Covid vaccine on Saturday and this was listed by Pfizer as a post-authorisation adverse reaction. No doctor will confirm that it is the reason and be liable so I am unable to be exempt me from the second dose.   1 week from being in the ER and the pain has continued. I am unable to eat, I've lost 8 lbs. I can sip water. No position is comfortable, and no doctor will prescribe pain medication either. They simply say I have to wait for it to go away.   10 days from injection and no sign of the pain going away.  I have another appointment with a doctor 7/20/22.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pregnancy test urine, Scan with contrast, Urine analysis
Clinical narrative: No reaction until Monday afternoon. Stomach ache, increasing in pain. By Tuesday evening @ 5pm was unbearable, I felt nauseous, blacked out. My stomach was in agony, pain began radiating up my back, so my husband took me to the ER.  I had blood panels done, all returned normal.   CT scan with and without dye. Doctor came and said that I was diagnosed with enteritis. I've never before had this. He said they don't know why it happened, I was perfectly healthy beforehand and I informed him that I just received my Covid vaccine on Saturday and this was listed by Pfizer as a post-authorisation adverse reaction. No doctor will confirm that it is the reason and be liable so I am unable to be exempt me from the second dose.   1 week from being in the ER and the pain has continued. I am unable to eat, I've lost 8 lbs. I can sip water. No position is comfortable, and no doctor will prescribe pain medication either. They simply say I have to wait for it to go away.   10 days from injection and no sign of the pain going away.  I have another appointment with a doctor 7/20/22.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Weight decreased
Clinical narrative: No reaction until Monday afternoon. Stomach ache, increasing in pain. By Tuesday evening @ 5pm was unbearable, I felt nauseous, blacked out. My stomach was in agony, pain began radiating up my back, so my husband took me to the ER.  I had blood panels done, all returned normal.   CT scan with and without dye. Doctor came and said that I was diagnosed with enteritis. I've never before had this. He said they don't know why it happened, I was perfectly healthy beforehand and I informed him that I just received my Covid vaccine on Saturday and this was listed by Pfizer as a post-authorisation adverse reaction. No doctor will confirm that it is the reason and be liable so I am unable to be exempt me from the second dose.   1 week from being in the ER and the pain has continued. I am unable to eat, I've lost 8 lbs. I can sip water. No position is comfortable, and no doctor will prescribe pain medication either. They simply say I have to wait for it to go away.   10 days from injection and no sign of the pain going away.  I have another appointment with a doctor 7/20/22.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram, Arterial occlusive disease, Back pain, Dry gangrene, Inflammation
Clinical narrative: 5/15/2021-Had instant sharp pain in Rt Calf below Knee and inflammation throughout Rt foot 5/26/2021-Evaluated by Orothepedic Dr  as I had both knees replaced 2014, 2016-Knee and Hip Joints were good, nerve issues were suggested as being an issue-MRI of lower back was scheduled 5/28/2021-MRI of lower back suggested consultation with Doctors 6/16/2021-Evaluation with Dept referred me to Pain Management evaluation 7/14/2021-Evaluation with Pain Management Dr -recommended Epidural treatment after a Venous Doppler Scan 7-21-2021-US Venous Doppler Scan performed-no evidence of vein thrombosis involving right lower extremity-left common femoral vein-Possible baker's cyst noted on Rt
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Magnetic resonance imaging spinal, Pain in extremity, Toe amputation, Ultrasound Doppler
Clinical narrative: 5/15/2021-Had instant sharp pain in Rt Calf below Knee and inflammation throughout Rt foot 5/26/2021-Evaluated by Orothepedic Dr  as I had both knees replaced 2014, 2016-Knee and Hip Joints were good, nerve issues were suggested as being an issue-MRI of lower back was scheduled 5/28/2021-MRI of lower back suggested consultation with Doctors 6/16/2021-Evaluation with Dept referred me to Pain Management evaluation 7/14/2021-Evaluation with Pain Management Dr -recommended Epidural treatment after a Venous Doppler Scan 7-21-2021-US Venous Doppler Scan performed-no evidence of vein thrombosis involving right lower extremity-left common femoral vein-Possible baker's cyst noted on Rt
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ultrasound Doppler abnormal, Vascular graft, X-ray, X-ray limb, X-ray of pelvis and hip
Clinical narrative: 5/15/2021-Had instant sharp pain in Rt Calf below Knee and inflammation throughout Rt foot 5/26/2021-Evaluated by Orothepedic Dr  as I had both knees replaced 2014, 2016-Knee and Hip Joints were good, nerve issues were suggested as being an issue-MRI of lower back was scheduled 5/28/2021-MRI of lower back suggested consultation with Doctors 6/16/2021-Evaluation with Dept referred me to Pain Management evaluation 7/14/2021-Evaluation with Pain Management Dr -recommended Epidural treatment after a Venous Doppler Scan 7-21-2021-US Venous Doppler Scan performed-no evidence of vein thrombosis involving right lower extremity-left common femoral vein-Possible baker's cyst noted on Rt
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Muscle spasms, Pain, Product preparation issue
Clinical narrative: Patient was given 0.3 mL of Pfizer that had not been diluted
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure decreased, Blood pressure fluctuation, Blood pressure increased, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: See previous explanation
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray normal, Condition aggravated, Hypertension
Clinical narrative: Patient received the moderna vaccine on 4/10/21, 5/8/21 and 12/9/21. Presented to ER on 7/1/22 and found to be COVID positive. Patient is a gentleman who presented to the emergency department with complaints of acute on chronic generalized weakness.  Was found positive for COVID and was felt the weakness was secondary to that issue.  Was admitted and appropriately isolated and monitored for hypoxia.  Did not have any issues related to symptomatic COVID other than the weakness.  PT and OT were consulted.  Restarted on home medications but they were choir to adjustments in regards to hypoglycemia in the morning and also uncontrolled hypertension.  For details of med changes see below.  He continues very weak and was felt would benefit from continued rehab in a skilled, rehab type setting.  Nursing home placement was the best fit in terms of patient's endurance and physical therapy and occupational therapy requirements.  He was discharged to swing bed on 7/15/22
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoglycaemia, SARS-CoV-2 test positive
Clinical narrative: Patient received the moderna vaccine on 4/10/21, 5/8/21 and 12/9/21. Presented to ER on 7/1/22 and found to be COVID positive. Patient is a gentleman who presented to the emergency department with complaints of acute on chronic generalized weakness.  Was found positive for COVID and was felt the weakness was secondary to that issue.  Was admitted and appropriately isolated and monitored for hypoxia.  Did not have any issues related to symptomatic COVID other than the weakness.  PT and OT were consulted.  Restarted on home medications but they were choir to adjustments in regards to hypoglycemia in the morning and also uncontrolled hypertension.  For details of med changes see below.  He continues very weak and was felt would benefit from continued rehab in a skilled, rehab type setting.  Nursing home placement was the best fit in terms of patient's endurance and physical therapy and occupational therapy requirements.  He was discharged to swing bed on 7/15/22
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: On 06/18/2022 and 06/19/2022 I took a home test and both were negative. I retested on 06/20/2022 and was positive.  The only thing I had was a really sore throat, dry cough and felt tired for the first day or so. I received a prescription for PAXLOVID 06/20/2022 and started taking it the same day. I was symptom free by Wednesday morning and tested negative the following Sunday the 26th.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient administered Moderna 0.25 ml  Dose instead of pfizer scheduled dose. Pt redose with moderna 0.25 ml to receive full dose.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Blood loss anaemia, Cardiomegaly, Chest X-ray abnormal, Fall
Clinical narrative: Patient received moderna vaccine on 1/22/21, 2/22/21 and 5/24/22. Presented to ER on 7/4/22 and found to be COVID positive.  Patient is a 71-year-old female who on the date of admission had a mechanical fall and sustained injury as noted in the H and P as well.  She was admitted and was tested for COVID and found positive.  She remained asymptomatic throughout her hospital stay and was appropriately isolated and monitored for hypoxia.  Was continued on home medications.  Underwent surgical repair of her femur fracture as documented in the associated operative note.  Tolerated the procedure well and was initiated with physical and occupational therapy status post the procedure.  She did drop her hemoglobin with the greater than expected acute blood loss anemia and was transfused with 1 unit and hemoglobin remained stable throughout the rest of her hospital stay.  Was continued on home medications for her chronic issues including hypertension and SVT.  It was felt would benefit from rehab in a skilled nursing facility setting and was discharged on 7/13/22
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Femur fracture, Fracture treatment, Haemoglobin decreased, Inappropriate schedule of product administration, Injury
Clinical narrative: Patient received moderna vaccine on 1/22/21, 2/22/21 and 5/24/22. Presented to ER on 7/4/22 and found to be COVID positive.  Patient is a 71-year-old female who on the date of admission had a mechanical fall and sustained injury as noted in the H and P as well.  She was admitted and was tested for COVID and found positive.  She remained asymptomatic throughout her hospital stay and was appropriately isolated and monitored for hypoxia.  Was continued on home medications.  Underwent surgical repair of her femur fracture as documented in the associated operative note.  Tolerated the procedure well and was initiated with physical and occupational therapy status post the procedure.  She did drop her hemoglobin with the greater than expected acute blood loss anemia and was transfused with 1 unit and hemoglobin remained stable throughout the rest of her hospital stay.  Was continued on home medications for her chronic issues including hypertension and SVT.  It was felt would benefit from rehab in a skilled nursing facility setting and was discharged on 7/13/22
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Transfusion
Clinical narrative: Patient received moderna vaccine on 1/22/21, 2/22/21 and 5/24/22. Presented to ER on 7/4/22 and found to be COVID positive.  Patient is a 71-year-old female who on the date of admission had a mechanical fall and sustained injury as noted in the H and P as well.  She was admitted and was tested for COVID and found positive.  She remained asymptomatic throughout her hospital stay and was appropriately isolated and monitored for hypoxia.  Was continued on home medications.  Underwent surgical repair of her femur fracture as documented in the associated operative note.  Tolerated the procedure well and was initiated with physical and occupational therapy status post the procedure.  She did drop her hemoglobin with the greater than expected acute blood loss anemia and was transfused with 1 unit and hemoglobin remained stable throughout the rest of her hospital stay.  Was continued on home medications for her chronic issues including hypertension and SVT.  It was felt would benefit from rehab in a skilled nursing facility setting and was discharged on 7/13/22
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was administered 0.25 cc of the Blue Cap Child Moderna (6-11yo) which resulted in the patient receiving half the dose that should have been given for an adult booster.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, COVID-19, Cough, Headache, Pain
Clinical narrative: Developed a slight headache and then horrible body aches and temperature later in the night. Had a slight cough. I tested positive and called my doctor and received PAXLOVID. Finished 5 days of medication and started feeling better by the 3rd day. I tested negative on the 5th day but tested positive again on day 7.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Developed a slight headache and then horrible body aches and temperature later in the night. Had a slight cough. I tested positive and called my doctor and received PAXLOVID. Finished 5 days of medication and started feeling better by the 3rd day. I tested negative on the 5th day but tested positive again on day 7.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Vaccine was administered in right arm. Agonizing debilitating pain on entire right side of body.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Anticoagulation drug level below therapeutic, Atelectasis, Blood thyroid stimulating hormone decreased, Bronchial secretion retention
Clinical narrative: Patient received moderna vaccine on 2/9/21, 3/9/21, 10/28/21, and 5/3/22. Presented to ER on 7/5/22. COVID positive on 6/27/22. present on 7/5/22 because of worsening shortness of breath and cough for a few days. home COVID test + on 6/27/22. CT angio of the chest- Tiny focus of acute pulmonary thromboembolic disease involving a subsegmental branch of the right lower lobe. Significant mucous plugging in the lung bases with mild consolidative changes- atelectasis and/or pneumonia. Lymphadenopathy. Recommend to follow next 2-3 months for resolution. He was also given DuoNeb and Solu-Medrol.   Patient is diagnosed and treat as shortness of breath likely with hypoxia with COVID-19 pneumonia, COPD exacerbation, acute PE with subtherapeutic INR, Pulmonary consulted.  Treated with IV Solu-Medrol, Rocephin, doxycycline, Remdesivir- completed 5 days. Respiratory culture showed Gram-positive cocci in pairs and clusters. TSH 0.15, decrease dose of levothyroxine. Patient condition is improved and not required oxygen at the day of discharge. Based on 6 minutes walk test , patient is not qualified for home oxygen. Patient is moderate- high risk for readmission because of underlying COPD. Discharged on 7/10/22.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray normal, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: Patient received moderna vaccine on 2/9/21, 3/9/21, 10/28/21, and 5/3/22. Presented to ER on 7/5/22. COVID positive on 6/27/22. present on 7/5/22 because of worsening shortness of breath and cough for a few days. home COVID test + on 6/27/22. CT angio of the chest- Tiny focus of acute pulmonary thromboembolic disease involving a subsegmental branch of the right lower lobe. Significant mucous plugging in the lung bases with mild consolidative changes- atelectasis and/or pneumonia. Lymphadenopathy. Recommend to follow next 2-3 months for resolution. He was also given DuoNeb and Solu-Medrol.   Patient is diagnosed and treat as shortness of breath likely with hypoxia with COVID-19 pneumonia, COPD exacerbation, acute PE with subtherapeutic INR, Pulmonary consulted.  Treated with IV Solu-Medrol, Rocephin, doxycycline, Remdesivir- completed 5 days. Respiratory culture showed Gram-positive cocci in pairs and clusters. TSH 0.15, decrease dose of levothyroxine. Patient condition is improved and not required oxygen at the day of discharge. Based on 6 minutes walk test , patient is not qualified for home oxygen. Patient is moderate- high risk for readmission because of underlying COPD. Discharged on 7/10/22.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Culture positive, Dyspnoea, Gram stain positive, Hypoxia
Clinical narrative: Patient received moderna vaccine on 2/9/21, 3/9/21, 10/28/21, and 5/3/22. Presented to ER on 7/5/22. COVID positive on 6/27/22. present on 7/5/22 because of worsening shortness of breath and cough for a few days. home COVID test + on 6/27/22. CT angio of the chest- Tiny focus of acute pulmonary thromboembolic disease involving a subsegmental branch of the right lower lobe. Significant mucous plugging in the lung bases with mild consolidative changes- atelectasis and/or pneumonia. Lymphadenopathy. Recommend to follow next 2-3 months for resolution. He was also given DuoNeb and Solu-Medrol.   Patient is diagnosed and treat as shortness of breath likely with hypoxia with COVID-19 pneumonia, COPD exacerbation, acute PE with subtherapeutic INR, Pulmonary consulted.  Treated with IV Solu-Medrol, Rocephin, doxycycline, Remdesivir- completed 5 days. Respiratory culture showed Gram-positive cocci in pairs and clusters. TSH 0.15, decrease dose of levothyroxine. Patient condition is improved and not required oxygen at the day of discharge. Based on 6 minutes walk test , patient is not qualified for home oxygen. Patient is moderate- high risk for readmission because of underlying COPD. Discharged on 7/10/22.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Lung consolidation, Lymphadenopathy, Pneumonia, Pulmonary embolism, SARS-CoV-2 test positive
Clinical narrative: Patient received moderna vaccine on 2/9/21, 3/9/21, 10/28/21, and 5/3/22. Presented to ER on 7/5/22. COVID positive on 6/27/22. present on 7/5/22 because of worsening shortness of breath and cough for a few days. home COVID test + on 6/27/22. CT angio of the chest- Tiny focus of acute pulmonary thromboembolic disease involving a subsegmental branch of the right lower lobe. Significant mucous plugging in the lung bases with mild consolidative changes- atelectasis and/or pneumonia. Lymphadenopathy. Recommend to follow next 2-3 months for resolution. He was also given DuoNeb and Solu-Medrol.   Patient is diagnosed and treat as shortness of breath likely with hypoxia with COVID-19 pneumonia, COPD exacerbation, acute PE with subtherapeutic INR, Pulmonary consulted.  Treated with IV Solu-Medrol, Rocephin, doxycycline, Remdesivir- completed 5 days. Respiratory culture showed Gram-positive cocci in pairs and clusters. TSH 0.15, decrease dose of levothyroxine. Patient condition is improved and not required oxygen at the day of discharge. Based on 6 minutes walk test , patient is not qualified for home oxygen. Patient is moderate- high risk for readmission because of underlying COPD. Discharged on 7/10/22.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Walking distance test normal
Clinical narrative: Patient received moderna vaccine on 2/9/21, 3/9/21, 10/28/21, and 5/3/22. Presented to ER on 7/5/22. COVID positive on 6/27/22. present on 7/5/22 because of worsening shortness of breath and cough for a few days. home COVID test + on 6/27/22. CT angio of the chest- Tiny focus of acute pulmonary thromboembolic disease involving a subsegmental branch of the right lower lobe. Significant mucous plugging in the lung bases with mild consolidative changes- atelectasis and/or pneumonia. Lymphadenopathy. Recommend to follow next 2-3 months for resolution. He was also given DuoNeb and Solu-Medrol.   Patient is diagnosed and treat as shortness of breath likely with hypoxia with COVID-19 pneumonia, COPD exacerbation, acute PE with subtherapeutic INR, Pulmonary consulted.  Treated with IV Solu-Medrol, Rocephin, doxycycline, Remdesivir- completed 5 days. Respiratory culture showed Gram-positive cocci in pairs and clusters. TSH 0.15, decrease dose of levothyroxine. Patient condition is improved and not required oxygen at the day of discharge. Based on 6 minutes walk test , patient is not qualified for home oxygen. Patient is moderate- high risk for readmission because of underlying COPD. Discharged on 7/10/22.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Acquired diaphragmatic eventration, Angiogram abnormal, Asthenia, Asymptomatic COVID-19, Atelectasis
Clinical narrative: Patient received moderna vaccine on 3/17/21, 4/14/21 and 12/23/21. Presented to ER on 7/4/22. COVID positive on 7/5/22. Patient is an 84-year-old female who went to the emergency department secondary to worsening weakness and multiple falls.  Was found to have UA with infection and also positive for COVID-19.  Was admitted and appropriately isolated and monitored for hypoxia.  Her COVID-19 remained essentially asymptomatic throughout her hospital stay.  She was started on Rocephin for the UTI.  Culture showed contamination.  Physical therapy and occupational therapy were consulted.  She continued with a lot of weakness and at high risk for further falls.  It was felt she would benefit from nursing home placement for continued rehabilitation and close supervision.  She had complete her hospital course of isolation prior to being discharged to nursing home.  This was completed on 07/14/2022.  She was discharged to Nursing Home on the above date in stable condition.  Blood pressure medications were adjusted during hospitalization and control improved. Discharged on 7/15/22
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Culture positive, Fall, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Patient received moderna vaccine on 3/17/21, 4/14/21 and 12/23/21. Presented to ER on 7/4/22. COVID positive on 7/5/22. Patient is an 84-year-old female who went to the emergency department secondary to worsening weakness and multiple falls.  Was found to have UA with infection and also positive for COVID-19.  Was admitted and appropriately isolated and monitored for hypoxia.  Her COVID-19 remained essentially asymptomatic throughout her hospital stay.  She was started on Rocephin for the UTI.  Culture showed contamination.  Physical therapy and occupational therapy were consulted.  She continued with a lot of weakness and at high risk for further falls.  It was felt she would benefit from nursing home placement for continued rehabilitation and close supervision.  She had complete her hospital course of isolation prior to being discharged to nursing home.  This was completed on 07/14/2022.  She was discharged to Nursing Home on the above date in stable condition.  Blood pressure medications were adjusted during hospitalization and control improved. Discharged on 7/15/22
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis abnormal
Clinical narrative: Patient received moderna vaccine on 3/17/21, 4/14/21 and 12/23/21. Presented to ER on 7/4/22. COVID positive on 7/5/22. Patient is an 84-year-old female who went to the emergency department secondary to worsening weakness and multiple falls.  Was found to have UA with infection and also positive for COVID-19.  Was admitted and appropriately isolated and monitored for hypoxia.  Her COVID-19 remained essentially asymptomatic throughout her hospital stay.  She was started on Rocephin for the UTI.  Culture showed contamination.  Physical therapy and occupational therapy were consulted.  She continued with a lot of weakness and at high risk for further falls.  It was felt she would benefit from nursing home placement for continued rehabilitation and close supervision.  She had complete her hospital course of isolation prior to being discharged to nursing home.  This was completed on 07/14/2022.  She was discharged to Nursing Home on the above date in stable condition.  Blood pressure medications were adjusted during hospitalization and control improved. Discharged on 7/15/22
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Cough, Dyspnoea, Malaise
Clinical narrative: Tested positive for COVID-19 on 07/06/2022. I received my 4th dose on 06/17/2022 and my COVID-19 symptoms started on 07/06/2022 in the morning, sneezing; coughing; fever 99.2; congestion of nose; scratchy throat; compression in the chest. I felt like I was having trouble breathing. My husband went to the nearest pharmacy to get some advise from the pharmacist, said to take cold medication and beeline; precede mole; I took the medication for 5 days straight regularly. When my symptoms were getting better I took it less. I am still recovering from it.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Pyrexia, SARS-CoV-2 test positive, Sneezing, Throat irritation
Clinical narrative: Tested positive for COVID-19 on 07/06/2022. I received my 4th dose on 06/17/2022 and my COVID-19 symptoms started on 07/06/2022 in the morning, sneezing; coughing; fever 99.2; congestion of nose; scratchy throat; compression in the chest. I felt like I was having trouble breathing. My husband went to the nearest pharmacy to get some advise from the pharmacist, said to take cold medication and beeline; precede mole; I took the medication for 5 days straight regularly. When my symptoms were getting better I took it less. I am still recovering from it.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema multiforme, Pruritus, Rash macular
Clinical narrative: 6 days after vaccination, on Sunday June 26th, started to develop red itchy spots on lower legs and left arm. Patient thought this was poison ivy contamination. The itching and red spots spread and on Wed July 6th patient visited a nurse practitioner who diagnosed poison ivy and prescribed prednazolone (60 mg first day, 50 mg 2nd day, etc until 10 mg 6th day). and Betamethasone Dipropionate ointment.  This helped and red spots and itching went down. But on Tuesday July 12th, while flying, red spots increased quickly again, with many spots on my hands and feet, and red areas over belly and back. So on Wednesday July 13th I visited a doctor, who sent me to the hospital on Thursday July 14th to visit a dermatologist.  The dermatologist diagnosed Erythema Multiforme - minor form, a skin condition caused by overreacting of the immune system. He prescribed prednozolone again, now 80 mg per day for 4 days.  This helped to get rid of the red spots in 5 days, and I have now fully recovered.  The dermatologist was not sure what triggered this condition. Could be the vaccine, could be the poison ivy, could be another virus.  I have a medical report from the dermatologist and pictures of my body in case this is of interest to the CDC.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Hallucination, Pyrexia
Clinical narrative: fever and hallucinations same day as vaccine, x2 days
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Underdose
Clinical narrative: Patient received 0.25 cc of the child Moderna (blue cap 6-11 yo) which resulted in the patient receiving half the dose at the time of vaccinaiton.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: There was Moderna vaccine on the counter at room temperature and this was used to give patient her second booster of moderna vaccine, 0.25mL.  It was discovered after the fact that this was taken out the day prior on 7/18/2022 at 10:30AM and had not been discarded at the end of the day. The vial had not been labeled with the date and time it was removed from the fridge.  Patient did not have a reaction to the vaccine given and displayed no signs or symptoms.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Rash pruritic
Clinical narrative: On 7-5, I started having a itchy rash on my upper body such as neck and shoulders. On 7-8, I started having slight shortness of breath that increased in severity and I thought it was my blood thinner so I stopped taking it. On 7-15, I noticed the rash and breathing improving. On 7-17,  even tho the symptoms had slightly improved, they were not gone so I stopped taking Atorvastatin. On 7-18, I called my cardiologist. I went in today on 7-19 to see my cardiologist who suggested I start taking aspirin. He said it was ok to continue to hold the 2 meds ( atorvastatin/eliquis). He prescribed praluent (alirocumab). He scheduled an XRAY and stress test that are scheduled for 7-27. He also ordered lab to be drawn on 7-20. We have been working together to figure out a good medication regimen so I am unsure if these symptoms are due to the vaccine but thought I would report it.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Head discomfort, Headache
Clinical narrative: Tested Positive for Covid on July 12, 2022. Flu like sympthoms with head congestion, coughing, fever and headache until July 17, 2022. Fatigue continues
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Tested Positive for Covid on July 12, 2022. Flu like sympthoms with head congestion, coughing, fever and headache until July 17, 2022. Fatigue continues
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Asthenia, COVID-19, Chest X-ray normal, Cough
Clinical narrative: Patient received moderna vaccine on 3/8/21, 4/6/21 and 12/7/21 (site, and lot number unknown). Presented to ER on 7/6/22 and found to be COVID positive. Patient is a 79-year-old gentleman diagnosed with COVID recently as documented in the H and P and who presented to the emergency department secondary to persistent weakness with falls.  He was isolated appropriately and monitored for hypoxia.  He did end up with slight hypoxia and was placed on O2 per protocol and dexamethasone which resolved by the close of his hospital stay and was on room air.  Physical therapy and occupational therapy were consulted.  Was on Accu-Cheks AC and HS as well as glipizide and long-acting insulin and metformin.  Blood sugars did elevate secondary to steroid.  Was complaining of some coughing as well as sore throat that were persistent so was placed on ceftriaxone and Zithromax for pneumonia.  Pulmonary toilet, Mucinex, incentive spirometer, flutter valve made available.  Those symptoms improved by the close of his hospital stay.  Was felt he would benefit from rehabilitation so arrangements were made for discharge to  He was discharged there in stable condition on 7/13/22
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Hypoxia, Lung consolidation, Lung infiltration, Lung opacity
Clinical narrative: Patient received moderna vaccine on 3/8/21, 4/6/21 and 12/7/21 (site, and lot number unknown). Presented to ER on 7/6/22 and found to be COVID positive. Patient is a 79-year-old gentleman diagnosed with COVID recently as documented in the H and P and who presented to the emergency department secondary to persistent weakness with falls.  He was isolated appropriately and monitored for hypoxia.  He did end up with slight hypoxia and was placed on O2 per protocol and dexamethasone which resolved by the close of his hospital stay and was on room air.  Physical therapy and occupational therapy were consulted.  Was on Accu-Cheks AC and HS as well as glipizide and long-acting insulin and metformin.  Blood sugars did elevate secondary to steroid.  Was complaining of some coughing as well as sore throat that were persistent so was placed on ceftriaxone and Zithromax for pneumonia.  Pulmonary toilet, Mucinex, incentive spirometer, flutter valve made available.  Those symptoms improved by the close of his hospital stay.  Was felt he would benefit from rehabilitation so arrangements were made for discharge to  He was discharged there in stable condition on 7/13/22
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient received moderna vaccine on 3/8/21, 4/6/21 and 12/7/21 (site, and lot number unknown). Presented to ER on 7/6/22 and found to be COVID positive. Patient is a 79-year-old gentleman diagnosed with COVID recently as documented in the H and P and who presented to the emergency department secondary to persistent weakness with falls.  He was isolated appropriately and monitored for hypoxia.  He did end up with slight hypoxia and was placed on O2 per protocol and dexamethasone which resolved by the close of his hospital stay and was on room air.  Physical therapy and occupational therapy were consulted.  Was on Accu-Cheks AC and HS as well as glipizide and long-acting insulin and metformin.  Blood sugars did elevate secondary to steroid.  Was complaining of some coughing as well as sore throat that were persistent so was placed on ceftriaxone and Zithromax for pneumonia.  Pulmonary toilet, Mucinex, incentive spirometer, flutter valve made available.  Those symptoms improved by the close of his hospital stay.  Was felt he would benefit from rehabilitation so arrangements were made for discharge to  He was discharged there in stable condition on 7/13/22
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Blood culture negative, COVID-19, Cardiac failure congestive, Chronic obstructive pulmonary disease
Clinical narrative: Patient received pfizer vaccine on 2/12/21, 3/11/21 and 9/28/21. Presented to ER on 7/7/22. COVID positive on 7/7/22. 77-year-old female with past medical history significant for anxiety, arthritis, COPD on 3 L home oxygen at night, hypertension, pulmonary hypertension, spinal stenosis admitted for shortness of breaths and covered infection.  CT angio ruled out PE, small bilateral pleural effusion.  Also superimposed COPD exacerbation.  Started on empiric antibiotic ceftriaxone azithromycin and steroids.  Pt improved with above measures and  Blood cultures remained negative.    Oxygen weaned down to RA.  Saturating well.  Hemodynamically stable.Pt didn't require oxygen on 6MWT. Pt became medically stable and will be discharged home with tapering dose of steroids. Discharged on 7/11/22
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspnoea, Inappropriate schedule of product administration, Infection, Pleural effusion
Clinical narrative: Patient received pfizer vaccine on 2/12/21, 3/11/21 and 9/28/21. Presented to ER on 7/7/22. COVID positive on 7/7/22. 77-year-old female with past medical history significant for anxiety, arthritis, COPD on 3 L home oxygen at night, hypertension, pulmonary hypertension, spinal stenosis admitted for shortness of breaths and covered infection.  CT angio ruled out PE, small bilateral pleural effusion.  Also superimposed COPD exacerbation.  Started on empiric antibiotic ceftriaxone azithromycin and steroids.  Pt improved with above measures and  Blood cultures remained negative.    Oxygen weaned down to RA.  Saturating well.  Hemodynamically stable.Pt didn't require oxygen on 6MWT. Pt became medically stable and will be discharged home with tapering dose of steroids. Discharged on 7/11/22
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient received pfizer vaccine on 2/12/21, 3/11/21 and 9/28/21. Presented to ER on 7/7/22. COVID positive on 7/7/22. 77-year-old female with past medical history significant for anxiety, arthritis, COPD on 3 L home oxygen at night, hypertension, pulmonary hypertension, spinal stenosis admitted for shortness of breaths and covered infection.  CT angio ruled out PE, small bilateral pleural effusion.  Also superimposed COPD exacerbation.  Started on empiric antibiotic ceftriaxone azithromycin and steroids.  Pt improved with above measures and  Blood cultures remained negative.    Oxygen weaned down to RA.  Saturating well.  Hemodynamically stable.Pt didn't require oxygen on 6MWT. Pt became medically stable and will be discharged home with tapering dose of steroids. Discharged on 7/11/22
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: patient received vaccine beyond the BUD. BUD was 7/1/22 and patient received on 7/17/22
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: 7cm swollen bump at injection site, tender
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Arteriogram coronary abnormal, Asthenia, Atelectasis, Blood magnesium normal, Blood potassium decreased
Clinical narrative: Patient received pfizer vaccine on 2/2/21 and 3/2/21. Presented to ER on 7/10/22. COVID positive on 7/5/22. presented to the ED with weakness and cough on 7/11/22.  While in the ED, patient's saturation dropped to 80% and she required 4 L nasal cannula. Patient COVID symptoms started on 07/03/2022 and patient went to her primary care physician on 07/05/2022 and tested positive. She had been taking steroids and cough medications at home with no improvement.  While in the ED, Potassium was initially 5.8; repeat potassium 3.4, Magnesium was 1.5 and BNP was 130.  CT angio chest showed Cardiomegaly, raising question of a dilated cardiomyopathy and Pulmonary hypertension. Findings also suggestive of chronic and/or acute bronchitis with mucous plugging and bibasilar atelectasis   Pt admitted with acute hypoxia with COVID-19 pneumonia.  She has now been weaned off of oxygen.  She has been treated with Remdesivir, Antibiotics and steroids in house.  Pt weaned off of oxygen for more than 24 hours and doing well without desaturation even after exertion.  Vitals are stable.  Will discharge home at this time as pt is off of oxygen and vitals and labs are stable.  Pt was able to walk around the room this afternoon and complete ADLs without any problems.  Pt to complete course of antibiotics and steroid.  She is to have labs repeated prior to next appointment.  Pt to follow up with PCP in the next 3-5 days. Discharged on 7/14/22
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium increased, Brain natriuretic peptide increased, Bronchial secretion retention, Bronchitis, Bronchitis chronic
Clinical narrative: Patient received pfizer vaccine on 2/2/21 and 3/2/21. Presented to ER on 7/10/22. COVID positive on 7/5/22. presented to the ED with weakness and cough on 7/11/22.  While in the ED, patient's saturation dropped to 80% and she required 4 L nasal cannula. Patient COVID symptoms started on 07/03/2022 and patient went to her primary care physician on 07/05/2022 and tested positive. She had been taking steroids and cough medications at home with no improvement.  While in the ED, Potassium was initially 5.8; repeat potassium 3.4, Magnesium was 1.5 and BNP was 130.  CT angio chest showed Cardiomegaly, raising question of a dilated cardiomyopathy and Pulmonary hypertension. Findings also suggestive of chronic and/or acute bronchitis with mucous plugging and bibasilar atelectasis   Pt admitted with acute hypoxia with COVID-19 pneumonia.  She has now been weaned off of oxygen.  She has been treated with Remdesivir, Antibiotics and steroids in house.  Pt weaned off of oxygen for more than 24 hours and doing well without desaturation even after exertion.  Vitals are stable.  Will discharge home at this time as pt is off of oxygen and vitals and labs are stable.  Pt was able to walk around the room this afternoon and complete ADLs without any problems.  Pt to complete course of antibiotics and steroid.  She is to have labs repeated prior to next appointment.  Pt to follow up with PCP in the next 3-5 days. Discharged on 7/14/22