chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Vaccination error
Clinical narrative: ACCIDENTALLY BROUGHT AN EMPTY SYRINGE ALONG WITH TWO SYRINGES WITH THE MODERNA VACCINE FOR THE IMMUNIZATION. INITIALLY VACCINCATED THE PATIENT'S WIFE. THEN STUCK PATIENT WITH THE EMPTY SYRINGE/NEEDLE IN THE RIGHT ARM. CORRECTED SELF AND THEN ADMINISTERED THE LAST SYRINGE WITH MODERNA VACCINE IN THE PATIENT'S LEFT ARM. EXPLAINED THE SITUATION TO BOTH THE PATIENT AND THE PATIENT'S SPOUSE.
Age: 38.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Epistaxis, Malaise, Mouth haemorrhage, Oropharyngeal pain, Pharyngeal haemorrhage
Clinical narrative: Patient states is feeling "sick" including sore throat and runny nose.  Patient also notes that he is bleeding from the mouth, nose, and rectum which started approximately at 9am this morning. Patient notes bleeding is not heavy. States when he sneezes, he can tell bleeding is coming from his throat which his throat is sore.   Patient questioning if related to the Jynneos Vaccine (2nd dose) which he received yesterday in the clinic around 4:15 pm. Patient encouraged to call PCP regarding bleeding and/or seek medical attention if bleeding is moderate/severe and/or persists.  Patient declines taking any aspirins/blood thinners/ or anticoagulants. Patient states at home COVID test negative; patient encouraged to schedule PCR test.
Age: 38.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Rectal haemorrhage, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing
Clinical narrative: Patient states is feeling "sick" including sore throat and runny nose.  Patient also notes that he is bleeding from the mouth, nose, and rectum which started approximately at 9am this morning. Patient notes bleeding is not heavy. States when he sneezes, he can tell bleeding is coming from his throat which his throat is sore.   Patient questioning if related to the Jynneos Vaccine (2nd dose) which he received yesterday in the clinic around 4:15 pm. Patient encouraged to call PCP regarding bleeding and/or seek medical attention if bleeding is moderate/severe and/or persists.  Patient declines taking any aspirins/blood thinners/ or anticoagulants. Patient states at home COVID test negative; patient encouraged to schedule PCR test.
Age: 37.0
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Pt had covid vaccine.  Pt diagnosed with Covid
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Immediate post-injection reaction, Pruritus, Swelling
Clinical narrative: Immediate swelling to fist size bump. Slight itchiness. Resolved in 24 hours.
Age: 69.0
Sex: U
Vaccine: COVID19
Symptoms: Incorrect dose administered, Incorrect product formulation administered, No adverse event
Clinical narrative: Moderna Booster dose was given instead of Moderna Bivalent as the booster dose. No reactions noted.
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Patient received 0.25 ml instead of 0.5 ml for moderna bivalent vaccine. Patient did not report any symptoms but would follow up with doctor before seeking the full dose vaccine.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Chills, Death, Fatigue
Clinical narrative: Tested COVID positive and eventually died. Symptoms included chills, chest pain, and fatigue.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Tested COVID positive and eventually died. Symptoms included chills, chest pain, and fatigue.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given Moderna monovalent booster instead of Moderna bivalent booster.  Patient was contacted and informed and was ok with receiving their bivalent booster in 2 months.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Chest pain, Electrocardiogram normal
Clinical narrative: -June 2021 Covid vaccine #2, c/o chest pain and tightness for 2-3d. -January 8, 2022 Booster given - c/o chest pain and tightness for 2-3d similar to June 2021 event.
Age: 30.0
Sex: F
Vaccine: COVID19-2
Symptoms: Muscle rigidity, Respiratory rate increased
Clinical narrative: Patient reported rapid breathing rate and muscle rigidity in the arms for approx 20 minutes. After that she reported feeling 100% and needed no care or attention.
Age: 84.0
Sex: U
Vaccine: COVID19
Symptoms: Incorrect dose administered, Incorrect product formulation administered, No adverse event
Clinical narrative: Moderna Booster dose was given instead of the Moderna Bivalent dose that was needed for the booster. No reaction noted.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Headache, Heart rate increased, SARS-CoV-2 test negative
Clinical narrative: Extreme fatigue, headache and elevated heartrate came on 4 days after injection and 2 days after more moderate side effects had cleared; I called nurseline two nights and doctor's office on 9/14; all said my symptoms were within normal range, but to call back if they got worse. I self-treated with tylenol, heat wraps, hydrating and rest. I still feel mild headache and fatigue, but better than yesterday and through the night last night.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Tested COVID positive, patient died from COVID. No apparent symptoms.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Flatulence, Frequent bowel movements, Gastrointestinal disorder, Liver function test
Clinical narrative: In late May 2022 I began to have nausea and gastrointestinal issues. I tested positive for COVID-19 on June 8, 2022. The gastrointestinal issues have continued. In the middle of the night, it wakes me up. I have lots of gas pains. I have up to eight bowel movements per day. Before COVID-19 I had a bowel movement every other day. It is not considered diarrhea. Usually by 8:00AM in the morning I am good.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Renal function test, SARS-CoV-2 test positive, Sleep disorder
Clinical narrative: In late May 2022 I began to have nausea and gastrointestinal issues. I tested positive for COVID-19 on June 8, 2022. The gastrointestinal issues have continued. In the middle of the night, it wakes me up. I have lots of gas pains. I have up to eight bowel movements per day. Before COVID-19 I had a bowel movement every other day. It is not considered diarrhea. Usually by 8:00AM in the morning I am good.
Age: 70.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Client was given Moderna Booster dose instead of Moderna Bivalent Booster dose. No reactions noted.
Age: 58.0
Sex: F
Vaccine: COVID19-2, COVID19
Symptoms: Arthralgia, Chills, Headache, Myalgia, Nausea
Clinical narrative: Fever, chills, severe body pain: muscle aches, joint aches, severe headache, light sensitivity, naseau.
Age: 58.0
Sex: F
Vaccine: COVID19-2, COVID19
Symptoms: Pain, Photophobia, Pyrexia
Clinical narrative: Fever, chills, severe body pain: muscle aches, joint aches, severe headache, light sensitivity, naseau.
Age: 58.0
Sex: F
Vaccine: COVID19-2, COVID19
Symptoms: Arthralgia, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Fever, chills, severe body pain: muscle aches, joint aches, severe headache, light sensitivity, naseau.
Age: 37.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: Patient did not report any symptoms but would follow up with doctor.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site warmth, Peripheral swelling, Pyrexia, Rash
Clinical narrative: low grade fever, swelling in hands, rash, heat at injection site
Age: 51.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Client was given Moderna Booster dose instead of the Moderna Bivalent Booster dose. No reactions noted.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Acupuncture, Blood thyroid stimulating hormone normal, Full blood count normal, Headache, Laboratory test normal
Clinical narrative: Headache started within 2wk of #2 vaccine for covid and has never stopped.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head normal, Metabolic function test normal, Red blood cell sedimentation rate normal, Serum ferritin normal, Thyroxine free normal
Clinical narrative: Headache started within 2wk of #2 vaccine for covid and has never stopped.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Vitamin D decreased
Clinical narrative: Headache started within 2wk of #2 vaccine for covid and has never stopped.
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: Patient did not report any symptoms but would follow up with doctor.
Age: 27.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lymph node pain, Lymphadenopathy, Pain
Clinical narrative: Swollen, protruding, and sore lymph node on the left clavicle. This is the same side as the injection site (left upper arm). Dull pain / soreness. The lymph node moves back and forth over my clavicle as I move my neck. Started about 3 hours ago, and is ongoing.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Feeling cold, Hyperhidrosis, Nausea, Visual impairment
Clinical narrative: Pt felt cold, sweaty, nauseous, dizzy, and had trouble seeing right after receiving the vaccine.
Age: 55.0
Sex: U
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Moderna Booster dose was given instead of Moderna Bivalent Booster. No reactions noted.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Pt had a positive COVID test on 6/2/22; per our records, pt passed away at home; we do not know the pt's PCP; we have no medical records
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Diarrhoea, Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Tested COVID positive- symptoms include nausea/vomiting and diarrhea.
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Fatigue, Feeding disorder, Fluid intake reduced, Headache
Clinical narrative: She got her vaccine, around 10:00 PM she started to feel nauseous and went to bed, got a severe headache which lasted most of the night . She had chills, fever, was very nauseous with this and was nauseated the whole next day where she could not eat anything, and could only drink a few sips of clear soda.  She slept most of the next day.  Today she is feeling better, she is able to eat today.  She did not take anything for her symptoms.  She is still feeling a little tired due to not able to eat and lying around and feels that she will be fine by tomorrow.
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypersomnia, Mobility decreased, Nausea, Pyrexia
Clinical narrative: She got her vaccine, around 10:00 PM she started to feel nauseous and went to bed, got a severe headache which lasted most of the night . She had chills, fever, was very nauseous with this and was nauseated the whole next day where she could not eat anything, and could only drink a few sips of clear soda.  She slept most of the next day.  Today she is feeling better, she is able to eat today.  She did not take anything for her symptoms.  She is still feeling a little tired due to not able to eat and lying around and feels that she will be fine by tomorrow.
Age: 14.0
Sex: M
Vaccine: MMRV
Symptoms: No adverse event, Off label use, Product administered to patient of inappropriate age
Clinical narrative: MMRV given off label for patient age 14 years. He should have been given MMR plus Varicella as separate doses. No reaction noted.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood thyroid stimulating hormone normal, Chest X-ray normal, Chills, Cold sweat
Clinical narrative: This Covid Vaccine I am reporting  was the booster. I did not get adverse events with the 2 previous shots. I received the booster on 12/03/2021. On 12/05/2021, I developed strong stomach pain with heartburns, heart palpitations, diarrhea, shivers, cold sweat, troubled vision, headaches and dizziness.  Since I received the COVID19 booster, I have Gastroesophageal Reflux Disease without Esophagitis. I take Omeprazole daily.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Colonoscopy normal, Diarrhoea, Dizziness, Dyspepsia, Echocardiogram normal
Clinical narrative: This Covid Vaccine I am reporting  was the booster. I did not get adverse events with the 2 previous shots. I received the booster on 12/03/2021. On 12/05/2021, I developed strong stomach pain with heartburns, heart palpitations, diarrhea, shivers, cold sweat, troubled vision, headaches and dizziness.  Since I received the COVID19 booster, I have Gastroesophageal Reflux Disease without Esophagitis. I take Omeprazole daily.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Endoscopy normal, Gastrooesophageal reflux disease, Headache, Helicobacter test negative
Clinical narrative: This Covid Vaccine I am reporting  was the booster. I did not get adverse events with the 2 previous shots. I received the booster on 12/03/2021. On 12/05/2021, I developed strong stomach pain with heartburns, heart palpitations, diarrhea, shivers, cold sweat, troubled vision, headaches and dizziness.  Since I received the COVID19 booster, I have Gastroesophageal Reflux Disease without Esophagitis. I take Omeprazole daily.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Palpitations, Troponin I normal, Ultrasound abdomen normal, Visual impairment
Clinical narrative: This Covid Vaccine I am reporting  was the booster. I did not get adverse events with the 2 previous shots. I received the booster on 12/03/2021. On 12/05/2021, I developed strong stomach pain with heartburns, heart palpitations, diarrhea, shivers, cold sweat, troubled vision, headaches and dizziness.  Since I received the COVID19 booster, I have Gastroesophageal Reflux Disease without Esophagitis. I take Omeprazole daily.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Myalgia, Nausea, SARS-CoV-2 test positive
Clinical narrative: Tested COVID positive- symptoms include chills, muscle aches, and nausea/vomiting.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Tested COVID positive- symptoms include chills, muscle aches, and nausea/vomiting.
Age: 19.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patients were given the incorrect formulation of COVID booster.  They were given the original formulation and should have received the bivalent booster dose.  Patients were contacted and made aware of the error.
Age: 24.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Anxiety, Dizziness, Feeling hot, Hyperhidrosis, Pallor
Clinical narrative: VAERS note on patient who experienced a vasovagal episode following receiving Monkeypox vaccine today 09/15/2022 at approximately 2:10 PM.   Within approximately 1 minute of the administration of 0.1 ml intradermal Jynneos/BN vaccine in left forearm the client became pale and stated he was hot. He stated that he felt lightheaded. He appeared to be diaphoretic. No airway compromise was noted.  No difficulty breathing noted.  Client's legs were elevated onto an adjacent chair, and legs were visibly shaking when elevated to the chair. There was no loss of consciousness and no head trauma at any time.  No impact injury of any kind.  Client was conscious and verbalizing and answering questions appropriately through the entire experience.  Client was given alcohol swab to breathe through nose while vital signs were taken on right upper arm with NIBP device at close intervals.  SaO2 was measured on left index finger.  Vitals were also repeated on the right arm to compare values. All VS remained within normal limits.  Client stated he has never had an adverse reaction to any vaccine administration.  When client stated he was feeling improved and diaphoresis had abated, client was transitioned from sitting to standing so that vital signs could be measured at each position change.  The Client remained sitting for an additional 15 minutes in the vaccination room.    Assessment:  vasovagal response secondary to anxiety occasioned by receiving an injection.     Initial right arm vital signs noted below:   2:20 PM  - 89/68 sitting HR 61  SaO2 98%      Serial Left arm vital signs noted below:   2:29 PM  - 99/73 sitting HR 67 SaO2 100%    2:34 PM  - 95/65 standing SaO2 98%   2:47PM  - 100/70 standing HR 81 SaO2 99%     When client felt improved and returned to prevaccination state he was transferred to postvaccination waiting area and instructed to remain for an additional 15 minutes before leaving and to communicate with postvaccination area nurses if he felt lightheaded again.
Age: 24.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Presyncope, Tremor
Clinical narrative: VAERS note on patient who experienced a vasovagal episode following receiving Monkeypox vaccine today 09/15/2022 at approximately 2:10 PM.   Within approximately 1 minute of the administration of 0.1 ml intradermal Jynneos/BN vaccine in left forearm the client became pale and stated he was hot. He stated that he felt lightheaded. He appeared to be diaphoretic. No airway compromise was noted.  No difficulty breathing noted.  Client's legs were elevated onto an adjacent chair, and legs were visibly shaking when elevated to the chair. There was no loss of consciousness and no head trauma at any time.  No impact injury of any kind.  Client was conscious and verbalizing and answering questions appropriately through the entire experience.  Client was given alcohol swab to breathe through nose while vital signs were taken on right upper arm with NIBP device at close intervals.  SaO2 was measured on left index finger.  Vitals were also repeated on the right arm to compare values. All VS remained within normal limits.  Client stated he has never had an adverse reaction to any vaccine administration.  When client stated he was feeling improved and diaphoresis had abated, client was transitioned from sitting to standing so that vital signs could be measured at each position change.  The Client remained sitting for an additional 15 minutes in the vaccination room.    Assessment:  vasovagal response secondary to anxiety occasioned by receiving an injection.     Initial right arm vital signs noted below:   2:20 PM  - 89/68 sitting HR 61  SaO2 98%      Serial Left arm vital signs noted below:   2:29 PM  - 99/73 sitting HR 67 SaO2 100%    2:34 PM  - 95/65 standing SaO2 98%   2:47PM  - 100/70 standing HR 81 SaO2 99%     When client felt improved and returned to prevaccination state he was transferred to postvaccination waiting area and instructed to remain for an additional 15 minutes before leaving and to communicate with postvaccination area nurses if he felt lightheaded again.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Incorrect product formulation administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: The wrong formulation was given. The patient was given 0.5ml of the Moderna for 6mos - 5 yrs formula as opposed to the Moderna 6yr - 11yr formula. This was realized after patient had left the clinic. Patient did not have any adverse effects during the observations time. A call was placed to CDC but they did not have an answer as to what to do next and will call clinic back with a response; the CDC report number is: CDC-2654547-V4Q0T9.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Monovalent booster vaccine given on 09/01/2022. No adverse reaction observed or reported.
Age: 13.0
Sex: F
Vaccine: MENB
Symptoms: Inappropriate schedule of product administration
Clinical narrative: dose given too early
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Movement disorder, Muscle spasms, X-ray abnormal
Clinical narrative: Patient received bivalent Covid-19 booster on 9/8 evening, pain set in Friday morning 9/9. She had pain in her shoulder. On Sunday 9/11, she  could not move and went to ER to seek help. ER took X-ray and informed her that she had muscle spasms on her back.  She went to her PCP during the week and was saw by NP and going through signs and symptoms was concluded maybe shoulder injury. Prescribed Pain medication, steroid pack & muscle  relaxant. not much improvement  but not getting worst. will have followup appointment next week with her PCP
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Malaise, SARS-CoV-2 test positive
Clinical narrative: Tested positive with home test  Very mild symptoms,fatigue   Dr.prescribed Paxlovid  after phone call
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Patient received 0.25 ml instead of 0.5 ml. Patient reported no symptoms but would follow up with doctor before receiving any more Covid vaccines.
Age: 21.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site discharge
Clinical narrative: Vaccinator attempted to vaccinate client with Monkeypox Jynneos 0.1ml intradermally in L arm.  There appeared to be leakage on site.  Another successful attempt was performed on R forearm.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Monovalent booster vaccine given on 09/01/2022. No adverse reaction observed or reported.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain in extremity, Pruritus, Rash, Swelling
Clinical narrative: Patient returned to the pharmacy 4 days later with complaints of rash, arm soreness, itchiness, and swelling.
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chest X-ray normal, Chest discomfort, Electrocardiogram normal, Headache, Hypertension
Clinical narrative: patient recieved his bi-valent covid booster yesterday. presenting now today with HTN emergency: new HTN, frontal HA, chest tightness. Negative ED workup including EKG, CXR, basic labs, troponin, however HTN is new and symptoms were concerning.  responded to 2 doses of IV labetalol 10mg each.  recommended hospitalization but patient left AMA. because this SHOULD have been a hospitalization i will mark it as such below
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Laboratory test normal, Troponin normal
Clinical narrative: patient recieved his bi-valent covid booster yesterday. presenting now today with HTN emergency: new HTN, frontal HA, chest tightness. Negative ED workup including EKG, CXR, basic labs, troponin, however HTN is new and symptoms were concerning.  responded to 2 doses of IV labetalol 10mg each.  recommended hospitalization but patient left AMA. because this SHOULD have been a hospitalization i will mark it as such below
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Was administered as a booster to this patient on 9/2/2022; FDA stopped authorization on 9/1/2022 for ages 12> as a booster.   No adverse reactions or events occurred.
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Syringe issue
Clinical narrative: The syringe leaked between needle and plunger when giving injection to the patient.  They did not get a full dose. Re-injected the patient.
Age: 86.0
Sex: F
Vaccine: COVID19-2
Symptoms: Paraesthesia oral, Rash
Clinical narrative: PATIENT REPORTS TINGLY MOUTH AND SLIGHT ORAL RASH.  TREATEDD WITH DIPHENHYDRAMINE 25MG (OTC) CAPLET
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Incorrect product formulation administered, Product administered to patient of inappropriate age
Clinical narrative: Patient received a pediatric dose of pfizer vaccine instead of the bivalent pfizer vaccine requested.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given Moderna monovalent booster instead of Moderna bivalent booster.  Patient was contacted and informed and was ok with receiving their bivalent booster in 2 months.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Tested COVID positive, died on 6/9/2022.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, COVID-19, Computerised tomogram thorax normal, Condition aggravated, Cough
Clinical narrative: 84 y.o. female patient of MD with history of cholangiocarcinoma, paroxysmal atrial fibrillation on long-term anticoagulation, essential hypertension, hyperlipidemia, coronary artery disease, ascending aortic aneurysm who presented with fever and cough in context of positive home COVID testing.   Covid-19 Virus Infection Date of onset of symptoms: ~8/5/2022 Symptoms present on admission: Fever, cough, sore throat, fatigue, shortness of breath. Date of covid positive test: 8/6/2022 Vaccination status: vaccinated +2 boosters Imaging: CT chest is without evidence of consolidation Oxygen requirements on admission: None Medical therapy: not indicated, was sent for Paxlovid, but this is an outpatient therapy only to prevent hospitalization Consultants following: Infectious disease, Oncology Given overall immunosuppression - MAB and Neupogen given per ID and oncology   Neutropenic fever On admission was not febrile however on day 1 had fever of 100.4 Absolute neutrophil count: 723 With known source of viral COVID infection as likely cause of fever will hold off on antibiotics for now pending ID input Hematology/oncology following ID following  Cholangiocarcinoma S/p chemotherapy (just finished earlier this week)   Atrial fibrillation with rapid ventricular response Heart rate near 130 on admission Likely due to COVID infection Continue home Xarelto, carvedilol  Continue low-dose Cardizem drip for rate control, wean as tolerated Increased BB   Essential hypertension Increased coreg given rapid HR Will continue ARB and stop hydrochlorothiazide given relative hypotension and hypokalemia on admission
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Febrile neutropenia, Neutrophil count decreased, Oropharyngeal pain
Clinical narrative: 84 y.o. female patient of MD with history of cholangiocarcinoma, paroxysmal atrial fibrillation on long-term anticoagulation, essential hypertension, hyperlipidemia, coronary artery disease, ascending aortic aneurysm who presented with fever and cough in context of positive home COVID testing.   Covid-19 Virus Infection Date of onset of symptoms: ~8/5/2022 Symptoms present on admission: Fever, cough, sore throat, fatigue, shortness of breath. Date of covid positive test: 8/6/2022 Vaccination status: vaccinated +2 boosters Imaging: CT chest is without evidence of consolidation Oxygen requirements on admission: None Medical therapy: not indicated, was sent for Paxlovid, but this is an outpatient therapy only to prevent hospitalization Consultants following: Infectious disease, Oncology Given overall immunosuppression - MAB and Neupogen given per ID and oncology   Neutropenic fever On admission was not febrile however on day 1 had fever of 100.4 Absolute neutrophil count: 723 With known source of viral COVID infection as likely cause of fever will hold off on antibiotics for now pending ID input Hematology/oncology following ID following  Cholangiocarcinoma S/p chemotherapy (just finished earlier this week)   Atrial fibrillation with rapid ventricular response Heart rate near 130 on admission Likely due to COVID infection Continue home Xarelto, carvedilol  Continue low-dose Cardizem drip for rate control, wean as tolerated Increased BB   Essential hypertension Increased coreg given rapid HR Will continue ARB and stop hydrochlorothiazide given relative hypotension and hypokalemia on admission
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 84 y.o. female patient of MD with history of cholangiocarcinoma, paroxysmal atrial fibrillation on long-term anticoagulation, essential hypertension, hyperlipidemia, coronary artery disease, ascending aortic aneurysm who presented with fever and cough in context of positive home COVID testing.   Covid-19 Virus Infection Date of onset of symptoms: ~8/5/2022 Symptoms present on admission: Fever, cough, sore throat, fatigue, shortness of breath. Date of covid positive test: 8/6/2022 Vaccination status: vaccinated +2 boosters Imaging: CT chest is without evidence of consolidation Oxygen requirements on admission: None Medical therapy: not indicated, was sent for Paxlovid, but this is an outpatient therapy only to prevent hospitalization Consultants following: Infectious disease, Oncology Given overall immunosuppression - MAB and Neupogen given per ID and oncology   Neutropenic fever On admission was not febrile however on day 1 had fever of 100.4 Absolute neutrophil count: 723 With known source of viral COVID infection as likely cause of fever will hold off on antibiotics for now pending ID input Hematology/oncology following ID following  Cholangiocarcinoma S/p chemotherapy (just finished earlier this week)   Atrial fibrillation with rapid ventricular response Heart rate near 130 on admission Likely due to COVID infection Continue home Xarelto, carvedilol  Continue low-dose Cardizem drip for rate control, wean as tolerated Increased BB   Essential hypertension Increased coreg given rapid HR Will continue ARB and stop hydrochlorothiazide given relative hypotension and hypokalemia on admission
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was given a pediatric dose of pfizer vaccines instead of the bivalent pfizer vaccine that was requested.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Mobility decreased, Pain in extremity, Peripheral swelling
Clinical narrative: Patient complains of pain in arm that is more severe than normal vaccination that started within 24 hours of vaccination. She states that she is having difficulty raising her arm above chest level. She feels that dose may have been given too high near shoulder. The area did not appear to be overtly swollen and there was no redness, bruising, or discoloration of any kind. I could not tell where vaccine had been given based on visual examination. I encouraged patient to be seen by physician if pain does not subside.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Tested COVID positive- symptoms include fever and shortness of breath.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Pt was given a pediatric dose (age 6 mos - 4 yrs) of moderna booster rather than adult dose, no symptoms following dose, pt did not get appropriate dosing; error found when provider was reconciling vaccines in state immunization system.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given Moderna monovalent booster instead of Moderna bivalent booster.  Patient was contacted and informed and was ok with receiving their bivalent booster in 2 months.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Eructation, Flatulence, Gastritis
Clinical narrative: The morning of 9/10 I woke up feeling achy, extremely nauseated and diarrhea twice.  I started taking Zofram to avoid vomiting.  I experienced really bad upper stomach cramps and pain with a lot of gas and burping.  It continued the next day and I went to the urgent care on 9/11 because the pain and gas was constant.   Doctor advised that vaccine had caused inflammation in my stomach lining.  She provided medication there at the urgent care and we waited 15 minutes and we saw that the medication was helping.  She advised that I buy Gas-X and tums and she gave me a prescription for Omeprazole.  I went back to the urgent care on 9/14 and advised doctor that I still had stomach pain and burping but its not as constant nor as severe but comes on randomly.  As of 9/15 I feel better.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza virus test, Nausea, Pain, SARS-CoV-2 test
Clinical narrative: The morning of 9/10 I woke up feeling achy, extremely nauseated and diarrhea twice.  I started taking Zofram to avoid vomiting.  I experienced really bad upper stomach cramps and pain with a lot of gas and burping.  It continued the next day and I went to the urgent care on 9/11 because the pain and gas was constant.   Doctor advised that vaccine had caused inflammation in my stomach lining.  She provided medication there at the urgent care and we waited 15 minutes and we saw that the medication was helping.  She advised that I buy Gas-X and tums and she gave me a prescription for Omeprazole.  I went back to the urgent care on 9/14 and advised doctor that I still had stomach pain and burping but its not as constant nor as severe but comes on randomly.  As of 9/15 I feel better.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Myalgia, SARS-CoV-2 test positive
Clinical narrative: Tested COVID positive- symptoms include muscle aches, cough, and fatigue.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Pt was given a pediatric dose (age 6 mos- 4 yrs) of moderna booster rather than an adult booster dose. No symptoms reported, error of lower than recommended dosing was identified during vaccine reconciliation in vaccine system. CDC notified and recommendation received.
Age: 18.0
Sex: M
Vaccine: HPV9, MENB
Symptoms: Injection site pain
Clinical narrative: initial pain at site which somewhat improved but continues to have upper left deltoid pain with overhead extension since vaccination, no longer improving.  No pain or problems prior to vaccination.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Syringe issue
Clinical narrative: Syringe failure resulting in a need to revaccinate
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Breath sounds abnormal, Cardiac discomfort, Cardiovascular symptom, Chest discomfort
Clinical narrative: On July 16, started with chest pains and inflammation. These continued for several weeks On Week of July 18, cardiac symptoms such as intense fatigue, rapid heart rate, indigestion, sense of fullness occurred On July 30, went to ER with heart palpitations that woke me up. Heart rate was 125 Nothing of significance was found at ER and symptoms of heart palpitations  and rapid heart rate continued resulting in impaired ability to work and function normally. On Aug 16 at 4am, woke to a buzzing and quaking in my heart. Went to ER. Nothing of significance was found at ER. Went home after 13 hours. Rapid heart rate continued off and on until August 31
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspepsia, Echocardiogram, Electrocardiogram, Fatigue
Clinical narrative: On July 16, started with chest pains and inflammation. These continued for several weeks On Week of July 18, cardiac symptoms such as intense fatigue, rapid heart rate, indigestion, sense of fullness occurred On July 30, went to ER with heart palpitations that woke me up. Heart rate was 125 Nothing of significance was found at ER and symptoms of heart palpitations  and rapid heart rate continued resulting in impaired ability to work and function normally. On Aug 16 at 4am, woke to a buzzing and quaking in my heart. Went to ER. Nothing of significance was found at ER. Went home after 13 hours. Rapid heart rate continued off and on until August 31
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Impaired work ability, Inflammation, Loss of personal independence in daily activities, Palpitations
Clinical narrative: On July 16, started with chest pains and inflammation. These continued for several weeks On Week of July 18, cardiac symptoms such as intense fatigue, rapid heart rate, indigestion, sense of fullness occurred On July 30, went to ER with heart palpitations that woke me up. Heart rate was 125 Nothing of significance was found at ER and symptoms of heart palpitations  and rapid heart rate continued resulting in impaired ability to work and function normally. On Aug 16 at 4am, woke to a buzzing and quaking in my heart. Went to ER. Nothing of significance was found at ER. Went home after 13 hours. Rapid heart rate continued off and on until August 31
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Ultrasound scan
Clinical narrative: On July 16, started with chest pains and inflammation. These continued for several weeks On Week of July 18, cardiac symptoms such as intense fatigue, rapid heart rate, indigestion, sense of fullness occurred On July 30, went to ER with heart palpitations that woke me up. Heart rate was 125 Nothing of significance was found at ER and symptoms of heart palpitations  and rapid heart rate continued resulting in impaired ability to work and function normally. On Aug 16 at 4am, woke to a buzzing and quaking in my heart. Went to ER. Nothing of significance was found at ER. Went home after 13 hours. Rapid heart rate continued off and on until August 31
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Gave bivalent covid pfizer booster instead of pfizer covid dose 2 of primary series
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Blood test, Computerised tomogram, Seizure, Urine analysis
Clinical narrative: PAIN IN ABDOM.   AND THEN SIZURE  LASTING 10 MIN.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Syncope
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Pt received a pediatric dose of moderna booster #2 rather than adult dose. No adverse symptoms reported. Pt received a lower dose than recommended. Error identified when provider performing vaccine reconciliation in states vaccine system. CDC notified and received recommendation.
Age: 5.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Pyrexia, Rash, Skin warm
Clinical narrative: Patient started with a rash and a fever of 101 the night of the injection.  The next morning, the rash had spread up and down and along the sides of the leg.  Mom states that leg was warm to the touch.  Gradually the rash has started to go away. The rash is just spotty right now.  There have been no other symptoms.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Audiogram abnormal, Deafness unilateral, Tinnitus
Clinical narrative: Sudden idiopathic hearing loss-left ear and accompanying Tinnitus, bilateral
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, Arteriogram carotid normal, Asthenia, Blood sodium normal, COVID-19
Clinical narrative: 84 yo F with a h/o metastatic breast cancer ( to ilium ) and NPH ( with VP shunt, follows with dr) has been  admitted to the hospital due to generalized weakness  and stroke like symptoms . She is incidentally found to have COVID-19 infection.    COVID - 19 virus infection Generalized fatigue - Positive test from home kit on 7/12/22 - Completed paxlovid - no respiratory issues but fatigue which seems to be improving - patient near baseline prior to discharge on PT/OT eval and she is gradually improving - resume OP PCP f/u for current update on COVID19 vaccination - PT/OT recommends HHC on discharge   Acute Right Sided Horner's Syndrome- improved  - Ptosis with associated with intense ipsilateral scalp pain, improved - no  internal carotid artery dissection on CTA head and neck, stroked ruled out and this was her 4 the episode of stroke of symptoms per patient requiring further w/u and they were all negative. - no acute process on  CTA Head & Neck - PT/OT consulted for deconditioning and felt stable for discharge to HHC     Metastatic Breast Cancer  - Left breast with  Metastatis to the right iliac wing - On ibrance/letrozole , continue on discharge -resume OP hem/onc f/u  - overall prognosis guarded   Hypokalemia-resolved - Monitor and replete - check mag level   Hyponatremia  - likely from dehydration and use of diuretic at home - Na 128>139>137    Chronic Leukopenia Macrocytosis  - Due to ibrance - WBC improving Hx of bladder incontinence Recurrent UTI - s/p recent antibiotic course few days bac - UA normal on admission   Hx of Hydrocephalous - titratable VP shunt -shuntogram xrays look stable on this admission -resume OP f/u with dr as discussed      Physical deconditioning - PT/OT consulted and recommends HHC  - husband thinks patient at his baseline currently and can handle with some help at home
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Eyelid ptosis, Fatigue, Horner's syndrome, Hypokalaemia
Clinical narrative: 84 yo F with a h/o metastatic breast cancer ( to ilium ) and NPH ( with VP shunt, follows with dr) has been  admitted to the hospital due to generalized weakness  and stroke like symptoms . She is incidentally found to have COVID-19 infection.    COVID - 19 virus infection Generalized fatigue - Positive test from home kit on 7/12/22 - Completed paxlovid - no respiratory issues but fatigue which seems to be improving - patient near baseline prior to discharge on PT/OT eval and she is gradually improving - resume OP PCP f/u for current update on COVID19 vaccination - PT/OT recommends HHC on discharge   Acute Right Sided Horner's Syndrome- improved  - Ptosis with associated with intense ipsilateral scalp pain, improved - no  internal carotid artery dissection on CTA head and neck, stroked ruled out and this was her 4 the episode of stroke of symptoms per patient requiring further w/u and they were all negative. - no acute process on  CTA Head & Neck - PT/OT consulted for deconditioning and felt stable for discharge to HHC     Metastatic Breast Cancer  - Left breast with  Metastatis to the right iliac wing - On ibrance/letrozole , continue on discharge -resume OP hem/onc f/u  - overall prognosis guarded   Hypokalemia-resolved - Monitor and replete - check mag level   Hyponatremia  - likely from dehydration and use of diuretic at home - Na 128>139>137    Chronic Leukopenia Macrocytosis  - Due to ibrance - WBC improving Hx of bladder incontinence Recurrent UTI - s/p recent antibiotic course few days bac - UA normal on admission   Hx of Hydrocephalous - titratable VP shunt -shuntogram xrays look stable on this admission -resume OP f/u with dr as discussed      Physical deconditioning - PT/OT consulted and recommends HHC  - husband thinks patient at his baseline currently and can handle with some help at home
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Hyponatraemia, Leukopenia, Macrocytosis, Neurological symptom, Pain of skin
Clinical narrative: 84 yo F with a h/o metastatic breast cancer ( to ilium ) and NPH ( with VP shunt, follows with dr) has been  admitted to the hospital due to generalized weakness  and stroke like symptoms . She is incidentally found to have COVID-19 infection.    COVID - 19 virus infection Generalized fatigue - Positive test from home kit on 7/12/22 - Completed paxlovid - no respiratory issues but fatigue which seems to be improving - patient near baseline prior to discharge on PT/OT eval and she is gradually improving - resume OP PCP f/u for current update on COVID19 vaccination - PT/OT recommends HHC on discharge   Acute Right Sided Horner's Syndrome- improved  - Ptosis with associated with intense ipsilateral scalp pain, improved - no  internal carotid artery dissection on CTA head and neck, stroked ruled out and this was her 4 the episode of stroke of symptoms per patient requiring further w/u and they were all negative. - no acute process on  CTA Head & Neck - PT/OT consulted for deconditioning and felt stable for discharge to HHC     Metastatic Breast Cancer  - Left breast with  Metastatis to the right iliac wing - On ibrance/letrozole , continue on discharge -resume OP hem/onc f/u  - overall prognosis guarded   Hypokalemia-resolved - Monitor and replete - check mag level   Hyponatremia  - likely from dehydration and use of diuretic at home - Na 128>139>137    Chronic Leukopenia Macrocytosis  - Due to ibrance - WBC improving Hx of bladder incontinence Recurrent UTI - s/p recent antibiotic course few days bac - UA normal on admission   Hx of Hydrocephalous - titratable VP shunt -shuntogram xrays look stable on this admission -resume OP f/u with dr as discussed      Physical deconditioning - PT/OT consulted and recommends HHC  - husband thinks patient at his baseline currently and can handle with some help at home
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Physical deconditioning, SARS-CoV-2 test positive, Urine analysis normal, White blood cell disorder
Clinical narrative: 84 yo F with a h/o metastatic breast cancer ( to ilium ) and NPH ( with VP shunt, follows with dr) has been  admitted to the hospital due to generalized weakness  and stroke like symptoms . She is incidentally found to have COVID-19 infection.    COVID - 19 virus infection Generalized fatigue - Positive test from home kit on 7/12/22 - Completed paxlovid - no respiratory issues but fatigue which seems to be improving - patient near baseline prior to discharge on PT/OT eval and she is gradually improving - resume OP PCP f/u for current update on COVID19 vaccination - PT/OT recommends HHC on discharge   Acute Right Sided Horner's Syndrome- improved  - Ptosis with associated with intense ipsilateral scalp pain, improved - no  internal carotid artery dissection on CTA head and neck, stroked ruled out and this was her 4 the episode of stroke of symptoms per patient requiring further w/u and they were all negative. - no acute process on  CTA Head & Neck - PT/OT consulted for deconditioning and felt stable for discharge to HHC     Metastatic Breast Cancer  - Left breast with  Metastatis to the right iliac wing - On ibrance/letrozole , continue on discharge -resume OP hem/onc f/u  - overall prognosis guarded   Hypokalemia-resolved - Monitor and replete - check mag level   Hyponatremia  - likely from dehydration and use of diuretic at home - Na 128>139>137    Chronic Leukopenia Macrocytosis  - Due to ibrance - WBC improving Hx of bladder incontinence Recurrent UTI - s/p recent antibiotic course few days bac - UA normal on admission   Hx of Hydrocephalous - titratable VP shunt -shuntogram xrays look stable on this admission -resume OP f/u with dr as discussed      Physical deconditioning - PT/OT consulted and recommends HHC  - husband thinks patient at his baseline currently and can handle with some help at home
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Asthma, Blood test normal, Dyspnoea, Electrocardiogram normal
Clinical narrative: In November 2021 I began to have shortness of breath and tightness it my throat.  It is almost a sensation of a lump in my throat although no lump has been found.  This has gotten progressively worse since February.  I began having heart arrhythmias in April or May of 2022.  They were occasional.  However, recently, the heart palpitations have gotten worse.  It seems that it is related to physical exertion when it gets worse and happens more often.  I saw my doctor in March for the throat issues and shortness of breath.  I had an ultrasound in June on my thyroid.  I learned that is not what is causing my throat issues.  Since June I have seen my doctor about my heart, but the EKG did not show anything because I was not having palpitations at the time.  I also saw my allergist.  He said now I may have asthma.  I learned that I have an allergy to mold.  I have an endoscopy scheduled for the end of September 2022 as advised by my doctor.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Mycotic allergy, Palpitations, Pulmonary function test normal, Sensation of foreign body, Throat tightness
Clinical narrative: In November 2021 I began to have shortness of breath and tightness it my throat.  It is almost a sensation of a lump in my throat although no lump has been found.  This has gotten progressively worse since February.  I began having heart arrhythmias in April or May of 2022.  They were occasional.  However, recently, the heart palpitations have gotten worse.  It seems that it is related to physical exertion when it gets worse and happens more often.  I saw my doctor in March for the throat issues and shortness of breath.  I had an ultrasound in June on my thyroid.  I learned that is not what is causing my throat issues.  Since June I have seen my doctor about my heart, but the EKG did not show anything because I was not having palpitations at the time.  I also saw my allergist.  He said now I may have asthma.  I learned that I have an allergy to mold.  I have an endoscopy scheduled for the end of September 2022 as advised by my doctor.