chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cardiac ventricular thrombosis, Chest X-ray abnormal, Diuretic therapy, Dyspnoea, Echocardiogram abnormal
Clinical narrative: Patient is a 79 y.o. male patient with history of CAD, GERD, HLD, obesity, OSA, A-fib, anxiety, depression presented to local Hospital with shortness of breath.    Community-acquired bacterial pneumonia  Covid 19 infection Increased in shortness of breath No leukocytosis CXR: right pleural effusion and sm right lung base infiltrate can't be excluded Check flu and Ur antigens neg IV fluids completed Aspiration precautions.   Cough and deep breathing exercises.  Incentive spirometry and pep Continue Levaquin started in the ED. Hemodynamically stable, does not appear septic at this time. Blood Cx NGTD At Baseline 2L NC Covid pos Dexamethasone 6mg PO daily for 10 days total    Atrial fibrillation with RVR History of left ventricular thrombus as above S/p ablation 2004, S/P cardioversion 2019, 2020, 2021 Amiodarone recent, 09/13/22, stopped due to dyspnea Continue home metoprolol, diltiazem, and warfarin. Given 5 mg Cardizem IV and restarted metoprolol BID 11/14/22 Telemetry afib with RVR VR 140s. Unable to increase metoprolol or cardizem secondary to low BP. Start digoxin  11/16/22 VR well controlled. Plan to increase his metoprolol to his home dose and stop digoxin for discharge. SBP low 100s    HFpEF  Hypertension Hyperlipidemia He was given IV Lasix at the outside hospital emergency room, but with patient's BNP being relatively stable, and chest x-ray without any edema, will hold off on further IV diuresis for the moment, and continue home oral loop diuretic.   ECHO 7/2022: EF 50%, filling defect in the apex of LV in images suggesting intra-cavitary thrombus Continue metoprolol and atorvastatin    Thrombocytopenia Likely DITP from levaquin use  PLT 137   Anxiety and depression Continue home Celexa, and quetiapine.  Morbid Obesity Outpatient diet and exercise regimen.   Evaluation for OSA and/or continuation of home CPAP.   BMI: 44.76   OSA Stopped wearing CPAP because didn't think it did anything Continue CPAP while here
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Ejection fraction, Hypotension, Influenza virus test negative, Left ventricular dysfunction, Lung infiltration
Clinical narrative: Patient is a 79 y.o. male patient with history of CAD, GERD, HLD, obesity, OSA, A-fib, anxiety, depression presented to local Hospital with shortness of breath.    Community-acquired bacterial pneumonia  Covid 19 infection Increased in shortness of breath No leukocytosis CXR: right pleural effusion and sm right lung base infiltrate can't be excluded Check flu and Ur antigens neg IV fluids completed Aspiration precautions.   Cough and deep breathing exercises.  Incentive spirometry and pep Continue Levaquin started in the ED. Hemodynamically stable, does not appear septic at this time. Blood Cx NGTD At Baseline 2L NC Covid pos Dexamethasone 6mg PO daily for 10 days total    Atrial fibrillation with RVR History of left ventricular thrombus as above S/p ablation 2004, S/P cardioversion 2019, 2020, 2021 Amiodarone recent, 09/13/22, stopped due to dyspnea Continue home metoprolol, diltiazem, and warfarin. Given 5 mg Cardizem IV and restarted metoprolol BID 11/14/22 Telemetry afib with RVR VR 140s. Unable to increase metoprolol or cardizem secondary to low BP. Start digoxin  11/16/22 VR well controlled. Plan to increase his metoprolol to his home dose and stop digoxin for discharge. SBP low 100s    HFpEF  Hypertension Hyperlipidemia He was given IV Lasix at the outside hospital emergency room, but with patient's BNP being relatively stable, and chest x-ray without any edema, will hold off on further IV diuresis for the moment, and continue home oral loop diuretic.   ECHO 7/2022: EF 50%, filling defect in the apex of LV in images suggesting intra-cavitary thrombus Continue metoprolol and atorvastatin    Thrombocytopenia Likely DITP from levaquin use  PLT 137   Anxiety and depression Continue home Celexa, and quetiapine.  Morbid Obesity Outpatient diet and exercise regimen.   Evaluation for OSA and/or continuation of home CPAP.   BMI: 44.76   OSA Stopped wearing CPAP because didn't think it did anything Continue CPAP while here
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Platelet count decreased, Pleural effusion, Pneumonia, Pneumonia bacterial, Positive airway pressure therapy
Clinical narrative: Patient is a 79 y.o. male patient with history of CAD, GERD, HLD, obesity, OSA, A-fib, anxiety, depression presented to local Hospital with shortness of breath.    Community-acquired bacterial pneumonia  Covid 19 infection Increased in shortness of breath No leukocytosis CXR: right pleural effusion and sm right lung base infiltrate can't be excluded Check flu and Ur antigens neg IV fluids completed Aspiration precautions.   Cough and deep breathing exercises.  Incentive spirometry and pep Continue Levaquin started in the ED. Hemodynamically stable, does not appear septic at this time. Blood Cx NGTD At Baseline 2L NC Covid pos Dexamethasone 6mg PO daily for 10 days total    Atrial fibrillation with RVR History of left ventricular thrombus as above S/p ablation 2004, S/P cardioversion 2019, 2020, 2021 Amiodarone recent, 09/13/22, stopped due to dyspnea Continue home metoprolol, diltiazem, and warfarin. Given 5 mg Cardizem IV and restarted metoprolol BID 11/14/22 Telemetry afib with RVR VR 140s. Unable to increase metoprolol or cardizem secondary to low BP. Start digoxin  11/16/22 VR well controlled. Plan to increase his metoprolol to his home dose and stop digoxin for discharge. SBP low 100s    HFpEF  Hypertension Hyperlipidemia He was given IV Lasix at the outside hospital emergency room, but with patient's BNP being relatively stable, and chest x-ray without any edema, will hold off on further IV diuresis for the moment, and continue home oral loop diuretic.   ECHO 7/2022: EF 50%, filling defect in the apex of LV in images suggesting intra-cavitary thrombus Continue metoprolol and atorvastatin    Thrombocytopenia Likely DITP from levaquin use  PLT 137   Anxiety and depression Continue home Celexa, and quetiapine.  Morbid Obesity Outpatient diet and exercise regimen.   Evaluation for OSA and/or continuation of home CPAP.   BMI: 44.76   OSA Stopped wearing CPAP because didn't think it did anything Continue CPAP while here
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Thrombocytopenia, Urine antigen test
Clinical narrative: Patient is a 79 y.o. male patient with history of CAD, GERD, HLD, obesity, OSA, A-fib, anxiety, depression presented to local Hospital with shortness of breath.    Community-acquired bacterial pneumonia  Covid 19 infection Increased in shortness of breath No leukocytosis CXR: right pleural effusion and sm right lung base infiltrate can't be excluded Check flu and Ur antigens neg IV fluids completed Aspiration precautions.   Cough and deep breathing exercises.  Incentive spirometry and pep Continue Levaquin started in the ED. Hemodynamically stable, does not appear septic at this time. Blood Cx NGTD At Baseline 2L NC Covid pos Dexamethasone 6mg PO daily for 10 days total    Atrial fibrillation with RVR History of left ventricular thrombus as above S/p ablation 2004, S/P cardioversion 2019, 2020, 2021 Amiodarone recent, 09/13/22, stopped due to dyspnea Continue home metoprolol, diltiazem, and warfarin. Given 5 mg Cardizem IV and restarted metoprolol BID 11/14/22 Telemetry afib with RVR VR 140s. Unable to increase metoprolol or cardizem secondary to low BP. Start digoxin  11/16/22 VR well controlled. Plan to increase his metoprolol to his home dose and stop digoxin for discharge. SBP low 100s    HFpEF  Hypertension Hyperlipidemia He was given IV Lasix at the outside hospital emergency room, but with patient's BNP being relatively stable, and chest x-ray without any edema, will hold off on further IV diuresis for the moment, and continue home oral loop diuretic.   ECHO 7/2022: EF 50%, filling defect in the apex of LV in images suggesting intra-cavitary thrombus Continue metoprolol and atorvastatin    Thrombocytopenia Likely DITP from levaquin use  PLT 137   Anxiety and depression Continue home Celexa, and quetiapine.  Morbid Obesity Outpatient diet and exercise regimen.   Evaluation for OSA and/or continuation of home CPAP.   BMI: 44.76   OSA Stopped wearing CPAP because didn't think it did anything Continue CPAP while here
Age: 59.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Arrhythmia, Arthralgia, Atrial fibrillation, Blood test abnormal
Clinical narrative: A few weeks after COVID-19 vaccine, began to have Vertigo; Also started having knee and shoulder joint pain; Since having COVID-19 vaccines have started having more frequent Herpes outbreaks; Has had Atrial Fibrillation within the past year, but started to go into Afib again and went to the ER; Was given carnism and amiodarone to stop Atrial Fibrillation;  Prescribed ELIQUIS and metoprolol.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Condition aggravated, Electrocardiogram abnormal, Herpes virus infection, Pulmonary mass
Clinical narrative: A few weeks after COVID-19 vaccine, began to have Vertigo; Also started having knee and shoulder joint pain; Since having COVID-19 vaccines have started having more frequent Herpes outbreaks; Has had Atrial Fibrillation within the past year, but started to go into Afib again and went to the ER; Was given carnism and amiodarone to stop Atrial Fibrillation;  Prescribed ELIQUIS and metoprolol.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: A few weeks after COVID-19 vaccine, began to have Vertigo; Also started having knee and shoulder joint pain; Since having COVID-19 vaccines have started having more frequent Herpes outbreaks; Has had Atrial Fibrillation within the past year, but started to go into Afib again and went to the ER; Was given carnism and amiodarone to stop Atrial Fibrillation;  Prescribed ELIQUIS and metoprolol.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Chronic respiratory disease, Condition aggravated, Death
Clinical narrative: Patient is a 74 y.o. male admitted to the hospital on 10/24/2022 for acute on chronic hypoxemic respiratory failure as well as COVID-19 infection.  Patient was found to have acute exacerbation of his chronic lung disease.  He suffered a complicated hospital course ultimately resulting in endotracheal intubation.  Patient was unable to be weaned from the ventilator and the decision was made on hospital day 26 to pursue compassionate extubation.  Patient passed away in the hospital on 11/19/2022.  Please see previous notes for full detailed hospital course.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, Mechanical ventilation, Respiratory failure
Clinical narrative: Patient is a 74 y.o. male admitted to the hospital on 10/24/2022 for acute on chronic hypoxemic respiratory failure as well as COVID-19 infection.  Patient was found to have acute exacerbation of his chronic lung disease.  He suffered a complicated hospital course ultimately resulting in endotracheal intubation.  Patient was unable to be weaned from the ventilator and the decision was made on hospital day 26 to pursue compassionate extubation.  Patient passed away in the hospital on 11/19/2022.  Please see previous notes for full detailed hospital course.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation error, Product storage error
Clinical narrative: The patient was given a dose of the undiluted (Gray cap) Pfizer COVID-19 Bivalent booster that was not stored in an ultra-cold temperature freezer and was instead stored in the regular freezer (between -30 to -20 F). It was moved out of the regular freezer to the refrigerator after more than 3 weeks in the regular freezer. The doses were then used after more than 24 hours in the refrigerator. We have contacted Pfizer about this and according to their off-label studies they provided via PDF file, they are not able to support the temperature excursions that occurred. As per guidance, the recommendation is to re-vaccinate the individual with the full authorized dose of any Bivalent vaccine (either Pfizer or Moderna) and we have communicated with the patient for re-vaccination.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, COVID-19, Cough, Fatigue, Feeling abnormal
Clinical narrative: I tested positive for COVID-19 on 12/10/22. I had severe muscle and joint pain, sneezing, congestion, fatigue, and a cough. I never had a fever though. We were out of town, and I had to go to a clinic that I am unfamiliar with. They prescribed 5 days' worth of Paxlovid. A week after the symptoms started, I was feeling better. Then, all of the sudden I started feeling bad again. I am just now starting to feel better again. I am still testing positive for COVID-19.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Myalgia, Respiratory tract congestion, SARS-CoV-2 test positive, Sneezing
Clinical narrative: I tested positive for COVID-19 on 12/10/22. I had severe muscle and joint pain, sneezing, congestion, fatigue, and a cough. I never had a fever though. We were out of town, and I had to go to a clinic that I am unfamiliar with. They prescribed 5 days' worth of Paxlovid. A week after the symptoms started, I was feeling better. Then, all of the sudden I started feeling bad again. I am just now starting to feel better again. I am still testing positive for COVID-19.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: PATIENT RECEIVED A PEDIATRIC PFIZER COVID MONOVALENT VACCINE AT AGE 4 YEARS OLD.  THE PRODUCT RECEIVED IS ONLY APPROVED FOR PATIENTS AGES 5 TO 12 YEARS.  PER PATIENT'S MOTHER THE PATIENT DID NOT EXPERIENCE ANY ADVERSE EFFECTS FROM THE VACCINE.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Amyotrophic lateral sclerosis, Laboratory test abnormal
Clinical narrative: Developed ALS
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Blindness transient, Bronchitis, Condition aggravated, Deafness
Clinical narrative: Within a few days of getting the vaccine, I had a herpes outbreak which was much worse compared to my first outbreak. The one I got after the vaccine, I thought I was dying and it was way more painful and awful. I can't remember how many times outbreaks have happened since the vaccine, but maybe I've had about 5, with two back to back a few months ago. Valtrex has been handling it but it's been depressing to know that my body has been handling this well and now it's so much worse now. It's bad how much my immune system has changed. Recently, I had a mild cold, then a sinus infection, then the flu, then bronchitis, and pneumonia. I did go to the ER on 11/25/2022 for the pneumonia. I'm just concerned with how little my immune system can handle compared to prior to the vaccine.  With my menstrual cycle, my periods were super regular and after the vaccine, I didn't get it for 9 months. I even took pregnancy tests and they were all negative. When my period did finally return, it was pretty bad. The second period I had was really awful to where I woke up sweating and I was in extreme pain. My whole abdomen was convulsing. It was so bad that I lost my vision and hearing for 15 minutes and laid on the floor and threw up. I've never had anything like that happen in my life. Since then, my periods have gotten back on track but those first two periods were astounding. I also did have shingles for the first time in March 2022. I initially thought it was a bug bite or something but it was only a feeling in my leg and it was odd. It looked like I had a really weird rash localized to one leg. I finally went to the doctor and he said it was unusual for shingles to last that long because it had lasted for a month. I felt low grade sickness and my leg always felt unusual. I always felt tired and it was a weird feeling to describe. My doctors basically said that it was weird for it to be here for that long, but taking Valtrex resolved it and confirmed that it was shingles. I've also had a huge increase in migraine auras. Auras would appear very rarely, but now my vision in general is much more sensitive to light and I can't see anything. Auras tend to appear more frequently now. I haven't gotten any headaches with the auras but not being able to see has been inconvenient.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Depressed mood, Fatigue, Feeling abnormal, Herpes virus infection, Herpes zoster
Clinical narrative: Within a few days of getting the vaccine, I had a herpes outbreak which was much worse compared to my first outbreak. The one I got after the vaccine, I thought I was dying and it was way more painful and awful. I can't remember how many times outbreaks have happened since the vaccine, but maybe I've had about 5, with two back to back a few months ago. Valtrex has been handling it but it's been depressing to know that my body has been handling this well and now it's so much worse now. It's bad how much my immune system has changed. Recently, I had a mild cold, then a sinus infection, then the flu, then bronchitis, and pneumonia. I did go to the ER on 11/25/2022 for the pneumonia. I'm just concerned with how little my immune system can handle compared to prior to the vaccine.  With my menstrual cycle, my periods were super regular and after the vaccine, I didn't get it for 9 months. I even took pregnancy tests and they were all negative. When my period did finally return, it was pretty bad. The second period I had was really awful to where I woke up sweating and I was in extreme pain. My whole abdomen was convulsing. It was so bad that I lost my vision and hearing for 15 minutes and laid on the floor and threw up. I've never had anything like that happen in my life. Since then, my periods have gotten back on track but those first two periods were astounding. I also did have shingles for the first time in March 2022. I initially thought it was a bug bite or something but it was only a feeling in my leg and it was odd. It looked like I had a really weird rash localized to one leg. I finally went to the doctor and he said it was unusual for shingles to last that long because it had lasted for a month. I felt low grade sickness and my leg always felt unusual. I always felt tired and it was a weird feeling to describe. My doctors basically said that it was weird for it to be here for that long, but taking Valtrex resolved it and confirmed that it was shingles. I've also had a huge increase in migraine auras. Auras would appear very rarely, but now my vision in general is much more sensitive to light and I can't see anything. Auras tend to appear more frequently now. I haven't gotten any headaches with the auras but not being able to see has been inconvenient.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Illness, Immune system disorder, Influenza, Menstrual disorder
Clinical narrative: Within a few days of getting the vaccine, I had a herpes outbreak which was much worse compared to my first outbreak. The one I got after the vaccine, I thought I was dying and it was way more painful and awful. I can't remember how many times outbreaks have happened since the vaccine, but maybe I've had about 5, with two back to back a few months ago. Valtrex has been handling it but it's been depressing to know that my body has been handling this well and now it's so much worse now. It's bad how much my immune system has changed. Recently, I had a mild cold, then a sinus infection, then the flu, then bronchitis, and pneumonia. I did go to the ER on 11/25/2022 for the pneumonia. I'm just concerned with how little my immune system can handle compared to prior to the vaccine.  With my menstrual cycle, my periods were super regular and after the vaccine, I didn't get it for 9 months. I even took pregnancy tests and they were all negative. When my period did finally return, it was pretty bad. The second period I had was really awful to where I woke up sweating and I was in extreme pain. My whole abdomen was convulsing. It was so bad that I lost my vision and hearing for 15 minutes and laid on the floor and threw up. I've never had anything like that happen in my life. Since then, my periods have gotten back on track but those first two periods were astounding. I also did have shingles for the first time in March 2022. I initially thought it was a bug bite or something but it was only a feeling in my leg and it was odd. It looked like I had a really weird rash localized to one leg. I finally went to the doctor and he said it was unusual for shingles to last that long because it had lasted for a month. I felt low grade sickness and my leg always felt unusual. I always felt tired and it was a weird feeling to describe. My doctors basically said that it was weird for it to be here for that long, but taking Valtrex resolved it and confirmed that it was shingles. I've also had a huge increase in migraine auras. Auras would appear very rarely, but now my vision in general is much more sensitive to light and I can't see anything. Auras tend to appear more frequently now. I haven't gotten any headaches with the auras but not being able to see has been inconvenient.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine with aura, Nasopharyngitis, Pain, Photophobia, Pneumonia
Clinical narrative: Within a few days of getting the vaccine, I had a herpes outbreak which was much worse compared to my first outbreak. The one I got after the vaccine, I thought I was dying and it was way more painful and awful. I can't remember how many times outbreaks have happened since the vaccine, but maybe I've had about 5, with two back to back a few months ago. Valtrex has been handling it but it's been depressing to know that my body has been handling this well and now it's so much worse now. It's bad how much my immune system has changed. Recently, I had a mild cold, then a sinus infection, then the flu, then bronchitis, and pneumonia. I did go to the ER on 11/25/2022 for the pneumonia. I'm just concerned with how little my immune system can handle compared to prior to the vaccine.  With my menstrual cycle, my periods were super regular and after the vaccine, I didn't get it for 9 months. I even took pregnancy tests and they were all negative. When my period did finally return, it was pretty bad. The second period I had was really awful to where I woke up sweating and I was in extreme pain. My whole abdomen was convulsing. It was so bad that I lost my vision and hearing for 15 minutes and laid on the floor and threw up. I've never had anything like that happen in my life. Since then, my periods have gotten back on track but those first two periods were astounding. I also did have shingles for the first time in March 2022. I initially thought it was a bug bite or something but it was only a feeling in my leg and it was odd. It looked like I had a really weird rash localized to one leg. I finally went to the doctor and he said it was unusual for shingles to last that long because it had lasted for a month. I felt low grade sickness and my leg always felt unusual. I always felt tired and it was a weird feeling to describe. My doctors basically said that it was weird for it to be here for that long, but taking Valtrex resolved it and confirmed that it was shingles. I've also had a huge increase in migraine auras. Auras would appear very rarely, but now my vision in general is much more sensitive to light and I can't see anything. Auras tend to appear more frequently now. I haven't gotten any headaches with the auras but not being able to see has been inconvenient.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pregnancy test negative, Rash, Sensory disturbance, Sinusitis, Tremor
Clinical narrative: Within a few days of getting the vaccine, I had a herpes outbreak which was much worse compared to my first outbreak. The one I got after the vaccine, I thought I was dying and it was way more painful and awful. I can't remember how many times outbreaks have happened since the vaccine, but maybe I've had about 5, with two back to back a few months ago. Valtrex has been handling it but it's been depressing to know that my body has been handling this well and now it's so much worse now. It's bad how much my immune system has changed. Recently, I had a mild cold, then a sinus infection, then the flu, then bronchitis, and pneumonia. I did go to the ER on 11/25/2022 for the pneumonia. I'm just concerned with how little my immune system can handle compared to prior to the vaccine.  With my menstrual cycle, my periods were super regular and after the vaccine, I didn't get it for 9 months. I even took pregnancy tests and they were all negative. When my period did finally return, it was pretty bad. The second period I had was really awful to where I woke up sweating and I was in extreme pain. My whole abdomen was convulsing. It was so bad that I lost my vision and hearing for 15 minutes and laid on the floor and threw up. I've never had anything like that happen in my life. Since then, my periods have gotten back on track but those first two periods were astounding. I also did have shingles for the first time in March 2022. I initially thought it was a bug bite or something but it was only a feeling in my leg and it was odd. It looked like I had a really weird rash localized to one leg. I finally went to the doctor and he said it was unusual for shingles to last that long because it had lasted for a month. I felt low grade sickness and my leg always felt unusual. I always felt tired and it was a weird feeling to describe. My doctors basically said that it was weird for it to be here for that long, but taking Valtrex resolved it and confirmed that it was shingles. I've also had a huge increase in migraine auras. Auras would appear very rarely, but now my vision in general is much more sensitive to light and I can't see anything. Auras tend to appear more frequently now. I haven't gotten any headaches with the auras but not being able to see has been inconvenient.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Within a few days of getting the vaccine, I had a herpes outbreak which was much worse compared to my first outbreak. The one I got after the vaccine, I thought I was dying and it was way more painful and awful. I can't remember how many times outbreaks have happened since the vaccine, but maybe I've had about 5, with two back to back a few months ago. Valtrex has been handling it but it's been depressing to know that my body has been handling this well and now it's so much worse now. It's bad how much my immune system has changed. Recently, I had a mild cold, then a sinus infection, then the flu, then bronchitis, and pneumonia. I did go to the ER on 11/25/2022 for the pneumonia. I'm just concerned with how little my immune system can handle compared to prior to the vaccine.  With my menstrual cycle, my periods were super regular and after the vaccine, I didn't get it for 9 months. I even took pregnancy tests and they were all negative. When my period did finally return, it was pretty bad. The second period I had was really awful to where I woke up sweating and I was in extreme pain. My whole abdomen was convulsing. It was so bad that I lost my vision and hearing for 15 minutes and laid on the floor and threw up. I've never had anything like that happen in my life. Since then, my periods have gotten back on track but those first two periods were astounding. I also did have shingles for the first time in March 2022. I initially thought it was a bug bite or something but it was only a feeling in my leg and it was odd. It looked like I had a really weird rash localized to one leg. I finally went to the doctor and he said it was unusual for shingles to last that long because it had lasted for a month. I felt low grade sickness and my leg always felt unusual. I always felt tired and it was a weird feeling to describe. My doctors basically said that it was weird for it to be here for that long, but taking Valtrex resolved it and confirmed that it was shingles. I've also had a huge increase in migraine auras. Auras would appear very rarely, but now my vision in general is much more sensitive to light and I can't see anything. Auras tend to appear more frequently now. I haven't gotten any headaches with the auras but not being able to see has been inconvenient.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dizziness, Fall, Headache, Oropharyngeal pain
Clinical narrative: Hospitalized 1/9/22-1/14/22 Dizziness, fall, HA, sore throat, decreased appetite, PNA, anemia
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia
Clinical narrative: Hospitalized 1/9/22-1/14/22 Dizziness, fall, HA, sore throat, decreased appetite, PNA, anemia
Age: 54.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too Low-
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pt received a 6 months to 4 years monovalent covid shot instead of a 5 years to 11 years monovalent covid shot. Pt needed a second 5-11 covid shot.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Balance disorder, Chest X-ray normal, Chest pain, Malaise
Clinical narrative: Haven't felt well since I received 5th vaccine, balance was effected experience vertigo.  The night of 12/14/2022 started feeling  pain in my left chest the pain continued the next pain progressed across chest into both shoulder to scapula.  The 11/16/2022 the pain traveled to rib on the left side of my body.  Prescribed Tylenol
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal chest pain, Musculoskeletal pain, SARS-CoV-2 test negative, Vertigo
Clinical narrative: Haven't felt well since I received 5th vaccine, balance was effected experience vertigo.  The night of 12/14/2022 started feeling  pain in my left chest the pain continued the next pain progressed across chest into both shoulder to scapula.  The 11/16/2022 the pain traveled to rib on the left side of my body.  Prescribed Tylenol
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Injection site pain, Magnetic resonance imaging, Magnetic resonance imaging head, Magnetic resonance imaging spinal
Clinical narrative: 1. Repeat episodes of extreme pain in upper left arm and left shoulder which lasted for ca. 30 minutes for a period of a week. 2. Tremor in left hand while using a mobile phone for photos. 3. Inability to raise left arm beyond waist level. 4. Multiple Post-event Physical Therapy Sessions
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Scan with contrast, Tremor, X-ray limb
Clinical narrative: 1. Repeat episodes of extreme pain in upper left arm and left shoulder which lasted for ca. 30 minutes for a period of a week. 2. Tremor in left hand while using a mobile phone for photos. 3. Inability to raise left arm beyond waist level. 4. Multiple Post-event Physical Therapy Sessions
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Aphonia, Cough, Fatigue, Insomnia, Laryngitis
Clinical narrative: Initial reaction on evening of 12/20/22  booster was a low grade fever and tired and light cough. That disappeared within 24 hours. Last night on 12/22/22 around 11 pm I began coughing. By 3 am this morning on 12/23/22, my cough was severe and uncontrollable. I tried to talk and found I had laryngitis.  I was unable to sleep due to the cough. Eventually around 4 am, the coughing subsided enough for me to sleep. I still cough occassionally.  As of 2:45 pm, I can only whisper. I have no voice.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia
Clinical narrative: Initial reaction on evening of 12/20/22  booster was a low grade fever and tired and light cough. That disappeared within 24 hours. Last night on 12/22/22 around 11 pm I began coughing. By 3 am this morning on 12/23/22, my cough was severe and uncontrollable. I tried to talk and found I had laryngitis.  I was unable to sleep due to the cough. Eventually around 4 am, the coughing subsided enough for me to sleep. I still cough occassionally.  As of 2:45 pm, I can only whisper. I have no voice.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute kidney injury, Acute respiratory failure, Blood creatinine increased, Blood iron decreased, Blood lactic acid increased
Clinical narrative: Patient is a 72 y.o. male patient with history of     type 2 diabetes hypertension BPH and a heart murmur presented to local Hospital with worsening shortness of breath   Acute hypoxemic respiratory failure Sepsis POA due to COVID pneumonia COVID-19 pneumonia Covid-19 Virus Infection Date of onset of symptoms: 11/12/2022 Symptoms present on admission: Shortness of breath Date of covid positive test: 11/8/2022 Vaccination status: vaccinated Imaging: Bilateral multifocal airspace disease chest x-ray Oxygen requirements on admission: Nonrebreather mask Oxygen requirements: was on  HF now on NC Medical therapy: steroids,  remdesivir and received a dose of Tocilizumab  Consultants following: Infectious disease Anticipated special isolation end date: 11/22/2022 Patient is doing well, on RA, hypoxia resolved,  Discharge home stable on decadron.    Loud heart murmur Location and provocation suggest MR Could be causing pulmonary congestion/CHF Echocardiogram, EF of 53% AS bicuspid.   Lactic acidosis Presented with LA of 7.5 Resolved down to 1.9   Acute kidney injury on chronic kidney disease stage IIIb Baseline cr is 2.5-2.6, presented with cr of 3.13 Improved back to 2.6>2.78>2.5   Acute on chronic normocytic anemia Hemoglobin down to 7 baseline is close to 10 No evidence of bleeding at this point Iron studies completed on July 2022 showed iron 30 ferritin 16 iron saturation 7% and TIBC 446 suggest iron deficiency anemia Will guaiac stool and consider GI consultation if positive Hg at 8.1 Type 2 diabetes mellitus On Lantus daily A1c 5.9 on 11/4/2022 Will cover with sliding scale   BPH Continue Flomax   HTN On metoprolol succinate 25 mg daily
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, COVID-19 pneumonia, Cardiac failure congestive, Chest X-ray abnormal, Dyspnoea
Clinical narrative: Patient is a 72 y.o. male patient with history of     type 2 diabetes hypertension BPH and a heart murmur presented to local Hospital with worsening shortness of breath   Acute hypoxemic respiratory failure Sepsis POA due to COVID pneumonia COVID-19 pneumonia Covid-19 Virus Infection Date of onset of symptoms: 11/12/2022 Symptoms present on admission: Shortness of breath Date of covid positive test: 11/8/2022 Vaccination status: vaccinated Imaging: Bilateral multifocal airspace disease chest x-ray Oxygen requirements on admission: Nonrebreather mask Oxygen requirements: was on  HF now on NC Medical therapy: steroids,  remdesivir and received a dose of Tocilizumab  Consultants following: Infectious disease Anticipated special isolation end date: 11/22/2022 Patient is doing well, on RA, hypoxia resolved,  Discharge home stable on decadron.    Loud heart murmur Location and provocation suggest MR Could be causing pulmonary congestion/CHF Echocardiogram, EF of 53% AS bicuspid.   Lactic acidosis Presented with LA of 7.5 Resolved down to 1.9   Acute kidney injury on chronic kidney disease stage IIIb Baseline cr is 2.5-2.6, presented with cr of 3.13 Improved back to 2.6>2.78>2.5   Acute on chronic normocytic anemia Hemoglobin down to 7 baseline is close to 10 No evidence of bleeding at this point Iron studies completed on July 2022 showed iron 30 ferritin 16 iron saturation 7% and TIBC 446 suggest iron deficiency anemia Will guaiac stool and consider GI consultation if positive Hg at 8.1 Type 2 diabetes mellitus On Lantus daily A1c 5.9 on 11/4/2022 Will cover with sliding scale   BPH Continue Flomax   HTN On metoprolol succinate 25 mg daily
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Echocardiogram abnormal, Ejection fraction, Glycosylated haemoglobin normal, Haemoglobin decreased, Iron binding capacity total normal
Clinical narrative: Patient is a 72 y.o. male patient with history of     type 2 diabetes hypertension BPH and a heart murmur presented to local Hospital with worsening shortness of breath   Acute hypoxemic respiratory failure Sepsis POA due to COVID pneumonia COVID-19 pneumonia Covid-19 Virus Infection Date of onset of symptoms: 11/12/2022 Symptoms present on admission: Shortness of breath Date of covid positive test: 11/8/2022 Vaccination status: vaccinated Imaging: Bilateral multifocal airspace disease chest x-ray Oxygen requirements on admission: Nonrebreather mask Oxygen requirements: was on  HF now on NC Medical therapy: steroids,  remdesivir and received a dose of Tocilizumab  Consultants following: Infectious disease Anticipated special isolation end date: 11/22/2022 Patient is doing well, on RA, hypoxia resolved,  Discharge home stable on decadron.    Loud heart murmur Location and provocation suggest MR Could be causing pulmonary congestion/CHF Echocardiogram, EF of 53% AS bicuspid.   Lactic acidosis Presented with LA of 7.5 Resolved down to 1.9   Acute kidney injury on chronic kidney disease stage IIIb Baseline cr is 2.5-2.6, presented with cr of 3.13 Improved back to 2.6>2.78>2.5   Acute on chronic normocytic anemia Hemoglobin down to 7 baseline is close to 10 No evidence of bleeding at this point Iron studies completed on July 2022 showed iron 30 ferritin 16 iron saturation 7% and TIBC 446 suggest iron deficiency anemia Will guaiac stool and consider GI consultation if positive Hg at 8.1 Type 2 diabetes mellitus On Lantus daily A1c 5.9 on 11/4/2022 Will cover with sliding scale   BPH Continue Flomax   HTN On metoprolol succinate 25 mg daily
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Iron deficiency anaemia, Lactic acidosis, Normocytic anaemia, Pulmonary congestion, Respiratory disorder
Clinical narrative: Patient is a 72 y.o. male patient with history of     type 2 diabetes hypertension BPH and a heart murmur presented to local Hospital with worsening shortness of breath   Acute hypoxemic respiratory failure Sepsis POA due to COVID pneumonia COVID-19 pneumonia Covid-19 Virus Infection Date of onset of symptoms: 11/12/2022 Symptoms present on admission: Shortness of breath Date of covid positive test: 11/8/2022 Vaccination status: vaccinated Imaging: Bilateral multifocal airspace disease chest x-ray Oxygen requirements on admission: Nonrebreather mask Oxygen requirements: was on  HF now on NC Medical therapy: steroids,  remdesivir and received a dose of Tocilizumab  Consultants following: Infectious disease Anticipated special isolation end date: 11/22/2022 Patient is doing well, on RA, hypoxia resolved,  Discharge home stable on decadron.    Loud heart murmur Location and provocation suggest MR Could be causing pulmonary congestion/CHF Echocardiogram, EF of 53% AS bicuspid.   Lactic acidosis Presented with LA of 7.5 Resolved down to 1.9   Acute kidney injury on chronic kidney disease stage IIIb Baseline cr is 2.5-2.6, presented with cr of 3.13 Improved back to 2.6>2.78>2.5   Acute on chronic normocytic anemia Hemoglobin down to 7 baseline is close to 10 No evidence of bleeding at this point Iron studies completed on July 2022 showed iron 30 ferritin 16 iron saturation 7% and TIBC 446 suggest iron deficiency anemia Will guaiac stool and consider GI consultation if positive Hg at 8.1 Type 2 diabetes mellitus On Lantus daily A1c 5.9 on 11/4/2022 Will cover with sliding scale   BPH Continue Flomax   HTN On metoprolol succinate 25 mg daily
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Sepsis, Serum ferritin normal, Transferrin saturation decreased
Clinical narrative: Patient is a 72 y.o. male patient with history of     type 2 diabetes hypertension BPH and a heart murmur presented to local Hospital with worsening shortness of breath   Acute hypoxemic respiratory failure Sepsis POA due to COVID pneumonia COVID-19 pneumonia Covid-19 Virus Infection Date of onset of symptoms: 11/12/2022 Symptoms present on admission: Shortness of breath Date of covid positive test: 11/8/2022 Vaccination status: vaccinated Imaging: Bilateral multifocal airspace disease chest x-ray Oxygen requirements on admission: Nonrebreather mask Oxygen requirements: was on  HF now on NC Medical therapy: steroids,  remdesivir and received a dose of Tocilizumab  Consultants following: Infectious disease Anticipated special isolation end date: 11/22/2022 Patient is doing well, on RA, hypoxia resolved,  Discharge home stable on decadron.    Loud heart murmur Location and provocation suggest MR Could be causing pulmonary congestion/CHF Echocardiogram, EF of 53% AS bicuspid.   Lactic acidosis Presented with LA of 7.5 Resolved down to 1.9   Acute kidney injury on chronic kidney disease stage IIIb Baseline cr is 2.5-2.6, presented with cr of 3.13 Improved back to 2.6>2.78>2.5   Acute on chronic normocytic anemia Hemoglobin down to 7 baseline is close to 10 No evidence of bleeding at this point Iron studies completed on July 2022 showed iron 30 ferritin 16 iron saturation 7% and TIBC 446 suggest iron deficiency anemia Will guaiac stool and consider GI consultation if positive Hg at 8.1 Type 2 diabetes mellitus On Lantus daily A1c 5.9 on 11/4/2022 Will cover with sliding scale   BPH Continue Flomax   HTN On metoprolol succinate 25 mg daily
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 44.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product preparation issue, Product storage error
Clinical narrative: The patient was given a dose of the undiluted (Gray cap) Pfizer COVID-19 Bivalent booster that was not stored in an ultra-cold temperature freezer and was instead stored in the regular freezer (between -30 to -20 F). It was moved out of the regular freezer to the refrigerator after more than 3 weeks in the regular freezer. The doses were then used after more than 24 hours in the refrigerator. We have contacted Pfizer about this and according to their off-label studies they provided via PDF file, they are not able to support the temperature excursions that occurred. As per CDC guidance, the recommendation is to re-vaccinate the individual with the full authorized dose of any Bivalent vaccine (either Pfizer or Moderna) and we have communicated with the patient for re-vaccination.
Age: 12.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Child was given a half dose from a single dose vial.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 66.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Cough, Fatigue, Headache, Nasopharyngitis
Clinical narrative: On December 9 I started having symptoms of a cold - scratchy and sore throat primarily.  Over the next two days the symptoms increased and included sinus congestion, sore throat, severe dry cough, headache, tiredness and low grade fever 99.5- 100 F.  On December 10 I tested negative for Covid with a home test, but on December 11 the test was positive.   I contacted my family practice provider by telephone on December 12 and 13  was prescribed Paxlovid for 5 days starting December 13.   Symptoms started to resolve  slowly on December 14.  On December 16 my home covid test was still (faintly) positive.   On December 19 the home Covid test was negative.  I still have some minor sinus congestion and cough as of December 23.
Age: 66.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Oropharyngeal pain, SARS-CoV-2 test positive, Sinus congestion, Throat irritation
Clinical narrative: On December 9 I started having symptoms of a cold - scratchy and sore throat primarily.  Over the next two days the symptoms increased and included sinus congestion, sore throat, severe dry cough, headache, tiredness and low grade fever 99.5- 100 F.  On December 10 I tested negative for Covid with a home test, but on December 11 the test was positive.   I contacted my family practice provider by telephone on December 12 and 13  was prescribed Paxlovid for 5 days starting December 13.   Symptoms started to resolve  slowly on December 14.  On December 16 my home covid test was still (faintly) positive.   On December 19 the home Covid test was negative.  I still have some minor sinus congestion and cough as of December 23.
Age: 74.0
Sex: F
Vaccine: FLUA4
Symptoms: Alopecia, Chills, Dizziness, Fall, Heart rate irregular
Clinical narrative: Systemic: Chills-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Hyperventilation-Severe, Systemic: Shakiness-Severe, Additional Details: PT reports to pharmacy that she had an adverse reaction the night of recieving her flu shot. By the third day she was feeling too dizzy and fell down the stairs which prompted her to visit the ER. At the ER they found that she had a slight irregular rhythm. She was discharged that day after the symptoms subsided and they have not returned. She has followed up with a cardiologist. Noteworthy, she has had covid August of 2022 and she is still having symptoms of hair loss from that.
Age: 74.0
Sex: F
Vaccine: FLUA4
Symptoms: Hyperventilation, Tremor
Clinical narrative: Systemic: Chills-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Hyperventilation-Severe, Systemic: Shakiness-Severe, Additional Details: PT reports to pharmacy that she had an adverse reaction the night of recieving her flu shot. By the third day she was feeling too dizzy and fell down the stairs which prompted her to visit the ER. At the ER they found that she had a slight irregular rhythm. She was discharged that day after the symptoms subsided and they have not returned. She has followed up with a cardiologist. Noteworthy, she has had covid August of 2022 and she is still having symptoms of hair loss from that.
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chest pain, Chills, Cough, Diarrhoea
Clinical narrative: On Tuesday I woke up and when I took a deep breath and it felt like hot burning and sharp daggers in my chest. That was the only symptom I had. I knew it was really bad. I scheduled a appointment with the urgent care and went within 3 hours of waking up and prescribed Paxlovid. The symptoms where awful, I had the hot burning deep dry cough. I had a fever of 100 to 101. I had nausea, diarrhea, headache aches, chills and muscle pain.  By Wednesday on the Paxlovid I have felt progressively better. I have a low lingering cough and tested today with a at home kit, and it was negative.
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Myalgia, Nausea, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: On Tuesday I woke up and when I took a deep breath and it felt like hot burning and sharp daggers in my chest. That was the only symptom I had. I knew it was really bad. I scheduled a appointment with the urgent care and went within 3 hours of waking up and prescribed Paxlovid. The symptoms where awful, I had the hot burning deep dry cough. I had a fever of 100 to 101. I had nausea, diarrhea, headache aches, chills and muscle pain.  By Wednesday on the Paxlovid I have felt progressively better. I have a low lingering cough and tested today with a at home kit, and it was negative.