chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Sensitive skin, Sneezing
Clinical narrative: Starting 10/09/2022, I developed a minor sore throat in the evening. On Monday, it started out as sneezing and a runny nose in the afternoon. Monday evening, I started having body aches along with the sneezing and runny nose. On Tuesday, I woke up with body aches, a fever of 102, minor cough, headache, burning eyes, runny nose and I mostly stayed in bed until mid afternoon. When I did get up, my skin was pretty sensitive to touch. I took a COVID test that day and it was almost instantly positive. I called the doctor that day and they scheduled my telemedicine appointment for that coming Monday and sent a Z-PAK immediately which I started. When I spoke to them, they put me on a steroid (MEDROL dose pack). I slowly got better each day after the telehealth visit. On Thursday, I just had a cough, runny nose and headache. Even today I still have a head cold: Sneezing, coughing and runny nose. I'm slowly getting better but the head cold is lingering.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage administered beyond used date
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Condition aggravated, Fatigue, Injection site pruritus
Clinical narrative: The COVID arm was large, oval at the injection site with severe itching. I had vitiligo since 2016, which it has been stable until I received the first and continuing with the ongoing shots at well. Once receiving the first injection, the vitiligo has been out of control. In May 2022, I tested positive for COVID-19, and my vitiligo was worsened more after as well and I believe it's still getting worst. I had fatigue after COVID also, I now have joint more after having COVID-19 and its seeming to increase in pain.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, SARS-CoV-2 test positive, Vitiligo
Clinical narrative: The COVID arm was large, oval at the injection site with severe itching. I had vitiligo since 2016, which it has been stable until I received the first and continuing with the ongoing shots at well. Once receiving the first injection, the vitiligo has been out of control. In May 2022, I tested positive for COVID-19, and my vitiligo was worsened more after as well and I believe it's still getting worst. I had fatigue after COVID also, I now have joint more after having COVID-19 and its seeming to increase in pain.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Oropharyngeal pain, Pyrexia
Clinical narrative: He tested positive for COVID-19 on 9/14/22. He had a sore throat, cough, slight fever, and really fatigued. Within a couple hours of testing positive, he started taking PAXLOVID and he will be taking it for five days. PAXLOVID worked great because he is feeling much better now. He did get a small rash and it is hard to tell if it was from the medication or COVID-19.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, SARS-CoV-2 test positive
Clinical narrative: He tested positive for COVID-19 on 9/14/22. He had a sore throat, cough, slight fever, and really fatigued. Within a couple hours of testing positive, he started taking PAXLOVID and he will be taking it for five days. PAXLOVID worked great because he is feeling much better now. He did get a small rash and it is hard to tell if it was from the medication or COVID-19.
Age: 55.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: Aphonia, Blood test normal, Body temperature increased, COVID-19, Cough
Clinical narrative: My symptoms started with a tickle in my throat and I felt kind of ok on Sat. Sunday it was getting worse. I was traveling for work. On Monday I felt even worse but urgent care was already closed. I thought it was allergies so I was treating it with my allergy medication. The next morning I felt worse and even possibly from the allergy medication. I went to urgent care on Tuesday morning. My oxygen level was 93. I was given PAXLOVID. I started it on Tuesday and completed it on Saturday the 22nd. I was having a very difficult time swallowing because I couldn't even drink liquid; my throat was very irritated. Mon and Tues I couldn't drink much. Wed I could drink a little. Thru/ Friday I could drink a lot more. The PAXLOVID was definitely working because I was feeling better after each dose. The only side effect I experience of PAXLOVID was the metal taste in my mouth. I'm feeling now like I'm at the tail end of it, I don't feel back to normal enough feeling still a little fatigued and have a slight temperature. After I talk for a while I cough a little bit. I also lost my voice entirely at one point and that is why I initially thought I had strep.
Age: 55.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: Dysphagia, Fatigue, Feeling abnormal, Fluid intake reduced, Laboratory test normal
Clinical narrative: My symptoms started with a tickle in my throat and I felt kind of ok on Sat. Sunday it was getting worse. I was traveling for work. On Monday I felt even worse but urgent care was already closed. I thought it was allergies so I was treating it with my allergy medication. The next morning I felt worse and even possibly from the allergy medication. I went to urgent care on Tuesday morning. My oxygen level was 93. I was given PAXLOVID. I started it on Tuesday and completed it on Saturday the 22nd. I was having a very difficult time swallowing because I couldn't even drink liquid; my throat was very irritated. Mon and Tues I couldn't drink much. Wed I could drink a little. Thru/ Friday I could drink a lot more. The PAXLOVID was definitely working because I was feeling better after each dose. The only side effect I experience of PAXLOVID was the metal taste in my mouth. I'm feeling now like I'm at the tail end of it, I don't feel back to normal enough feeling still a little fatigued and have a slight temperature. After I talk for a while I cough a little bit. I also lost my voice entirely at one point and that is why I initially thought I had strep.
Age: 55.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: SARS-CoV-2 test positive, Throat irritation
Clinical narrative: My symptoms started with a tickle in my throat and I felt kind of ok on Sat. Sunday it was getting worse. I was traveling for work. On Monday I felt even worse but urgent care was already closed. I thought it was allergies so I was treating it with my allergy medication. The next morning I felt worse and even possibly from the allergy medication. I went to urgent care on Tuesday morning. My oxygen level was 93. I was given PAXLOVID. I started it on Tuesday and completed it on Saturday the 22nd. I was having a very difficult time swallowing because I couldn't even drink liquid; my throat was very irritated. Mon and Tues I couldn't drink much. Wed I could drink a little. Thru/ Friday I could drink a lot more. The PAXLOVID was definitely working because I was feeling better after each dose. The only side effect I experience of PAXLOVID was the metal taste in my mouth. I'm feeling now like I'm at the tail end of it, I don't feel back to normal enough feeling still a little fatigued and have a slight temperature. After I talk for a while I cough a little bit. I also lost my voice entirely at one point and that is why I initially thought I had strep.
Age: 26.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage administered beyond used date
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given in error. No adverse events noted.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Stared on Oct 19 in the left forearm I got the shot in and in the morning, I noticed it was all over the truck of my body may abdomen and my chest they looked like a bunch of round dots. I started taking Clairton and Benadryl hydrocodone and other anti-itch medication.
Age: 41.0
Sex: M
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: The vaccines were possibly out of temperature due to the move, during hurricane. They were transported in the refrigerator provided by the department of Health with their respective blocks of ice, not accompanied by a thermometer.
Age: 7.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fall, Pallor, Seizure, Syncope, Vomiting
Clinical narrative: My daughter seemed to faint and fell to the floor, , seemed to seize slightly for about one minute  Then woke and seemed pale but fine  This morning she threw up
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Cough, Fatigue, Respiratory tract infection viral, SARS-CoV-2 test negative
Clinical narrative: I don't think this virus is related to the last booster I received several months ago. But I have had a respiratory virus for 4 weeks. My in-home tests for Covid have been negative, but I'm still dealing with the cough, fatigue, sinus congestion, etc. My Dr. put me on Doxycycline which didn't help, so I know it's a virus. He never mentioned that I might have Covid although he did ask me questions about my testing and sent me for a chest x-ray, which was normal. I just wonder if the tests were not accurate and this is Covid. I want to get the next booster but I'm waiting until I feel well.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus congestion
Clinical narrative: I don't think this virus is related to the last booster I received several months ago. But I have had a respiratory virus for 4 weeks. My in-home tests for Covid have been negative, but I'm still dealing with the cough, fatigue, sinus congestion, etc. My Dr. put me on Doxycycline which didn't help, so I know it's a virus. He never mentioned that I might have Covid although he did ask me questions about my testing and sent me for a chest x-ray, which was normal. I just wonder if the tests were not accurate and this is Covid. I want to get the next booster but I'm waiting until I feel well.
Age: 65.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage administered beyond used date
Age: 11.0
Sex: M
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Panic attack, Pyrexia
Clinical narrative: Patient received 11yo vaccines and flu vaccine last week, the following day had fever and symptoms of panic attack, seen at ED, was new patient but does have history of anxiety, motor tic, sleep disturbance. I had already placed referrals for Neuro and Psych at his well check appointment. He was stable in clinic today. Thanks.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Monovalent given in error. No adverse events noted.
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: RED/WARM RASH BELOW INJECTION SITE APPEARED 10/26
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Patient is not experiencing adverse event.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Monovalent given in error. No adverse events noted.
Age: 11.0
Sex: M
Vaccine: DTAP
Symptoms: Wrong product administered
Clinical narrative: Patient received the Dtap vaccine instead of the Tdap vaccine.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage administered beyond used date
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Monovalent given in error. No adverse events noted.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received monovalent Pfizer instead of bivalent Pfizer. No adverse side effects occured.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Anticoagulant therapy, Atrial fibrillation, Blood urea increased
Clinical narrative: Discharge Provider: DO; Primary Care Provider at Discharge:  PA-C; Admission Date: 10/22/2022; Discharge Date: 10/24/2022; PRESENTING PROBLEM: Hypoxia [R09.02]; COPD with acute exacerbation [J44.1] Chest pain, unspecified type [R07.9]; COVID [U07.1]; HOSPITAL COURSE: A 76 y.o. female who presented to the emergency department with complaints of shortness of breath.  Patient has a past medical history of persistent atrial fibrillation, vertigo, chronic obstructive pulmonary disease, hypertension, GERD, hyperlipidemia, depression, seasonal allergies, and obesity. Patient states that she awoke this morning with chest pain.  She has additional complaints of worsening cough, shortness of breath, and sore throat.  She denies nausea, vomiting, diarrhea, fever and chills.  She presented to the emergency department for further evaluation.  In the emergency department, patient was tachycardic, but was afebrile, and did not require supplemental oxygen at rest.  Complete blood count was unremarkable.  CMP was unremarkable.  BNP was 1054. Troponin was 25 with a blood pressure of 18. Patient tested positive for COVID-19 on 10/12/2022.  EKG showed atrial fibrillation with RVR.  CTA of the thorax showed no evidence of PE, but there was emphysema changes as well as patchy ground-glass opacities peripheral E in the right upper lobe.  Suspect chronic obstructive pulmonary disease with acute exacerbation combined with COVID-19.  Patient has been admitted for further evaluation and management of chronic obstructive pulmonary disease with acute exacerbation.  Patient remained stable throughout her stay.  She had no chest pain at rest and chest pain seem to be exacerbated most with palpation and deep breathing.  Because of her COVID status we were unable to arrange for cardiac stress testing during this admission.  Her respiratory status stabilized with aggressive pulmonary toilet steroids and respiratory support.  We were able to wean her off supplemental oxygen.  She was seen on the day of discharge doing well and discharged home to follow-up with her primary care provider.  She was to continue her steroid taper, she could return to diet and activity as tolerated.  She is out of severe respiratory isolation from COVID now.  She could resume the rest her medications as previously ordered.  She understood all these instructions and was discharged home in stable condition.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, COVID-19, Chest X-ray normal, Chest discomfort, Chest pain
Clinical narrative: Discharge Provider: DO; Primary Care Provider at Discharge:  PA-C; Admission Date: 10/22/2022; Discharge Date: 10/24/2022; PRESENTING PROBLEM: Hypoxia [R09.02]; COPD with acute exacerbation [J44.1] Chest pain, unspecified type [R07.9]; COVID [U07.1]; HOSPITAL COURSE: A 76 y.o. female who presented to the emergency department with complaints of shortness of breath.  Patient has a past medical history of persistent atrial fibrillation, vertigo, chronic obstructive pulmonary disease, hypertension, GERD, hyperlipidemia, depression, seasonal allergies, and obesity. Patient states that she awoke this morning with chest pain.  She has additional complaints of worsening cough, shortness of breath, and sore throat.  She denies nausea, vomiting, diarrhea, fever and chills.  She presented to the emergency department for further evaluation.  In the emergency department, patient was tachycardic, but was afebrile, and did not require supplemental oxygen at rest.  Complete blood count was unremarkable.  CMP was unremarkable.  BNP was 1054. Troponin was 25 with a blood pressure of 18. Patient tested positive for COVID-19 on 10/12/2022.  EKG showed atrial fibrillation with RVR.  CTA of the thorax showed no evidence of PE, but there was emphysema changes as well as patchy ground-glass opacities peripheral E in the right upper lobe.  Suspect chronic obstructive pulmonary disease with acute exacerbation combined with COVID-19.  Patient has been admitted for further evaluation and management of chronic obstructive pulmonary disease with acute exacerbation.  Patient remained stable throughout her stay.  She had no chest pain at rest and chest pain seem to be exacerbated most with palpation and deep breathing.  Because of her COVID status we were unable to arrange for cardiac stress testing during this admission.  Her respiratory status stabilized with aggressive pulmonary toilet steroids and respiratory support.  We were able to wean her off supplemental oxygen.  She was seen on the day of discharge doing well and discharged home to follow-up with her primary care provider.  She was to continue her steroid taper, she could return to diet and activity as tolerated.  She is out of severe respiratory isolation from COVID now.  She could resume the rest her medications as previously ordered.  She understood all these instructions and was discharged home in stable condition.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic obstructive pulmonary disease, Computerised tomogram abnormal, Computerised tomogram thorax abnormal, Condition aggravated, Cough
Clinical narrative: Discharge Provider: DO; Primary Care Provider at Discharge:  PA-C; Admission Date: 10/22/2022; Discharge Date: 10/24/2022; PRESENTING PROBLEM: Hypoxia [R09.02]; COPD with acute exacerbation [J44.1] Chest pain, unspecified type [R07.9]; COVID [U07.1]; HOSPITAL COURSE: A 76 y.o. female who presented to the emergency department with complaints of shortness of breath.  Patient has a past medical history of persistent atrial fibrillation, vertigo, chronic obstructive pulmonary disease, hypertension, GERD, hyperlipidemia, depression, seasonal allergies, and obesity. Patient states that she awoke this morning with chest pain.  She has additional complaints of worsening cough, shortness of breath, and sore throat.  She denies nausea, vomiting, diarrhea, fever and chills.  She presented to the emergency department for further evaluation.  In the emergency department, patient was tachycardic, but was afebrile, and did not require supplemental oxygen at rest.  Complete blood count was unremarkable.  CMP was unremarkable.  BNP was 1054. Troponin was 25 with a blood pressure of 18. Patient tested positive for COVID-19 on 10/12/2022.  EKG showed atrial fibrillation with RVR.  CTA of the thorax showed no evidence of PE, but there was emphysema changes as well as patchy ground-glass opacities peripheral E in the right upper lobe.  Suspect chronic obstructive pulmonary disease with acute exacerbation combined with COVID-19.  Patient has been admitted for further evaluation and management of chronic obstructive pulmonary disease with acute exacerbation.  Patient remained stable throughout her stay.  She had no chest pain at rest and chest pain seem to be exacerbated most with palpation and deep breathing.  Because of her COVID status we were unable to arrange for cardiac stress testing during this admission.  Her respiratory status stabilized with aggressive pulmonary toilet steroids and respiratory support.  We were able to wean her off supplemental oxygen.  She was seen on the day of discharge doing well and discharged home to follow-up with her primary care provider.  She was to continue her steroid taper, she could return to diet and activity as tolerated.  She is out of severe respiratory isolation from COVID now.  She could resume the rest her medications as previously ordered.  She understood all these instructions and was discharged home in stable condition.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram abnormal, Emphysema, Exposure to communicable disease, Fatigue
Clinical narrative: Discharge Provider: DO; Primary Care Provider at Discharge:  PA-C; Admission Date: 10/22/2022; Discharge Date: 10/24/2022; PRESENTING PROBLEM: Hypoxia [R09.02]; COPD with acute exacerbation [J44.1] Chest pain, unspecified type [R07.9]; COVID [U07.1]; HOSPITAL COURSE: A 76 y.o. female who presented to the emergency department with complaints of shortness of breath.  Patient has a past medical history of persistent atrial fibrillation, vertigo, chronic obstructive pulmonary disease, hypertension, GERD, hyperlipidemia, depression, seasonal allergies, and obesity. Patient states that she awoke this morning with chest pain.  She has additional complaints of worsening cough, shortness of breath, and sore throat.  She denies nausea, vomiting, diarrhea, fever and chills.  She presented to the emergency department for further evaluation.  In the emergency department, patient was tachycardic, but was afebrile, and did not require supplemental oxygen at rest.  Complete blood count was unremarkable.  CMP was unremarkable.  BNP was 1054. Troponin was 25 with a blood pressure of 18. Patient tested positive for COVID-19 on 10/12/2022.  EKG showed atrial fibrillation with RVR.  CTA of the thorax showed no evidence of PE, but there was emphysema changes as well as patchy ground-glass opacities peripheral E in the right upper lobe.  Suspect chronic obstructive pulmonary disease with acute exacerbation combined with COVID-19.  Patient has been admitted for further evaluation and management of chronic obstructive pulmonary disease with acute exacerbation.  Patient remained stable throughout her stay.  She had no chest pain at rest and chest pain seem to be exacerbated most with palpation and deep breathing.  Because of her COVID status we were unable to arrange for cardiac stress testing during this admission.  Her respiratory status stabilized with aggressive pulmonary toilet steroids and respiratory support.  We were able to wean her off supplemental oxygen.  She was seen on the day of discharge doing well and discharged home to follow-up with her primary care provider.  She was to continue her steroid taper, she could return to diet and activity as tolerated.  She is out of severe respiratory isolation from COVID now.  She could resume the rest her medications as previously ordered.  She understood all these instructions and was discharged home in stable condition.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Hypoxia, Laboratory test normal, Lung opacity, Metabolic function test
Clinical narrative: Discharge Provider: DO; Primary Care Provider at Discharge:  PA-C; Admission Date: 10/22/2022; Discharge Date: 10/24/2022; PRESENTING PROBLEM: Hypoxia [R09.02]; COPD with acute exacerbation [J44.1] Chest pain, unspecified type [R07.9]; COVID [U07.1]; HOSPITAL COURSE: A 76 y.o. female who presented to the emergency department with complaints of shortness of breath.  Patient has a past medical history of persistent atrial fibrillation, vertigo, chronic obstructive pulmonary disease, hypertension, GERD, hyperlipidemia, depression, seasonal allergies, and obesity. Patient states that she awoke this morning with chest pain.  She has additional complaints of worsening cough, shortness of breath, and sore throat.  She denies nausea, vomiting, diarrhea, fever and chills.  She presented to the emergency department for further evaluation.  In the emergency department, patient was tachycardic, but was afebrile, and did not require supplemental oxygen at rest.  Complete blood count was unremarkable.  CMP was unremarkable.  BNP was 1054. Troponin was 25 with a blood pressure of 18. Patient tested positive for COVID-19 on 10/12/2022.  EKG showed atrial fibrillation with RVR.  CTA of the thorax showed no evidence of PE, but there was emphysema changes as well as patchy ground-glass opacities peripheral E in the right upper lobe.  Suspect chronic obstructive pulmonary disease with acute exacerbation combined with COVID-19.  Patient has been admitted for further evaluation and management of chronic obstructive pulmonary disease with acute exacerbation.  Patient remained stable throughout her stay.  She had no chest pain at rest and chest pain seem to be exacerbated most with palpation and deep breathing.  Because of her COVID status we were unable to arrange for cardiac stress testing during this admission.  Her respiratory status stabilized with aggressive pulmonary toilet steroids and respiratory support.  We were able to wean her off supplemental oxygen.  She was seen on the day of discharge doing well and discharged home to follow-up with her primary care provider.  She was to continue her steroid taper, she could return to diet and activity as tolerated.  She is out of severe respiratory isolation from COVID now.  She could resume the rest her medications as previously ordered.  She understood all these instructions and was discharged home in stable condition.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test normal, Oropharyngeal pain, Painful respiration, Pulmonary mass, Radiation pneumonitis
Clinical narrative: Discharge Provider: DO; Primary Care Provider at Discharge:  PA-C; Admission Date: 10/22/2022; Discharge Date: 10/24/2022; PRESENTING PROBLEM: Hypoxia [R09.02]; COPD with acute exacerbation [J44.1] Chest pain, unspecified type [R07.9]; COVID [U07.1]; HOSPITAL COURSE: A 76 y.o. female who presented to the emergency department with complaints of shortness of breath.  Patient has a past medical history of persistent atrial fibrillation, vertigo, chronic obstructive pulmonary disease, hypertension, GERD, hyperlipidemia, depression, seasonal allergies, and obesity. Patient states that she awoke this morning with chest pain.  She has additional complaints of worsening cough, shortness of breath, and sore throat.  She denies nausea, vomiting, diarrhea, fever and chills.  She presented to the emergency department for further evaluation.  In the emergency department, patient was tachycardic, but was afebrile, and did not require supplemental oxygen at rest.  Complete blood count was unremarkable.  CMP was unremarkable.  BNP was 1054. Troponin was 25 with a blood pressure of 18. Patient tested positive for COVID-19 on 10/12/2022.  EKG showed atrial fibrillation with RVR.  CTA of the thorax showed no evidence of PE, but there was emphysema changes as well as patchy ground-glass opacities peripheral E in the right upper lobe.  Suspect chronic obstructive pulmonary disease with acute exacerbation combined with COVID-19.  Patient has been admitted for further evaluation and management of chronic obstructive pulmonary disease with acute exacerbation.  Patient remained stable throughout her stay.  She had no chest pain at rest and chest pain seem to be exacerbated most with palpation and deep breathing.  Because of her COVID status we were unable to arrange for cardiac stress testing during this admission.  Her respiratory status stabilized with aggressive pulmonary toilet steroids and respiratory support.  We were able to wean her off supplemental oxygen.  She was seen on the day of discharge doing well and discharged home to follow-up with her primary care provider.  She was to continue her steroid taper, she could return to diet and activity as tolerated.  She is out of severe respiratory isolation from COVID now.  She could resume the rest her medications as previously ordered.  She understood all these instructions and was discharged home in stable condition.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Tachycardia, Tachypnoea, Troponin, Wheezing
Clinical narrative: Discharge Provider: DO; Primary Care Provider at Discharge:  PA-C; Admission Date: 10/22/2022; Discharge Date: 10/24/2022; PRESENTING PROBLEM: Hypoxia [R09.02]; COPD with acute exacerbation [J44.1] Chest pain, unspecified type [R07.9]; COVID [U07.1]; HOSPITAL COURSE: A 76 y.o. female who presented to the emergency department with complaints of shortness of breath.  Patient has a past medical history of persistent atrial fibrillation, vertigo, chronic obstructive pulmonary disease, hypertension, GERD, hyperlipidemia, depression, seasonal allergies, and obesity. Patient states that she awoke this morning with chest pain.  She has additional complaints of worsening cough, shortness of breath, and sore throat.  She denies nausea, vomiting, diarrhea, fever and chills.  She presented to the emergency department for further evaluation.  In the emergency department, patient was tachycardic, but was afebrile, and did not require supplemental oxygen at rest.  Complete blood count was unremarkable.  CMP was unremarkable.  BNP was 1054. Troponin was 25 with a blood pressure of 18. Patient tested positive for COVID-19 on 10/12/2022.  EKG showed atrial fibrillation with RVR.  CTA of the thorax showed no evidence of PE, but there was emphysema changes as well as patchy ground-glass opacities peripheral E in the right upper lobe.  Suspect chronic obstructive pulmonary disease with acute exacerbation combined with COVID-19.  Patient has been admitted for further evaluation and management of chronic obstructive pulmonary disease with acute exacerbation.  Patient remained stable throughout her stay.  She had no chest pain at rest and chest pain seem to be exacerbated most with palpation and deep breathing.  Because of her COVID status we were unable to arrange for cardiac stress testing during this admission.  Her respiratory status stabilized with aggressive pulmonary toilet steroids and respiratory support.  We were able to wean her off supplemental oxygen.  She was seen on the day of discharge doing well and discharged home to follow-up with her primary care provider.  She was to continue her steroid taper, she could return to diet and activity as tolerated.  She is out of severe respiratory isolation from COVID now.  She could resume the rest her medications as previously ordered.  She understood all these instructions and was discharged home in stable condition.
Age: 16.0
Sex: M
Vaccine: RAB
Symptoms: Dizziness, Eye disorder, Nausea
Clinical narrative: within a few hours of being vaccinated experienced dizziness, nausea and "eye vibration". Lasted into the next day and resolved.
Age: 28.0
Sex: F
Vaccine: FLUR4
Symptoms: Injury associated with device, Pain in extremity
Clinical narrative: Needle inserted, hit bone, retracted and injected vaccine.  Patient has persistent arm pain
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Monovalent given in error. No adverse events noted.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Atelectasis, Blood creatinine, Brain natriuretic peptide increased, COVID-19, Computerised tomogram abdomen
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer BioNTech vaccine on 9/8/2021, 5/18/2021 and 2/10/2022. Presented to ED with c/o SOB and coughing. Pt was dx'ed w/covid-19 and admitted. Upon admission pt was tachycardic in 130s, sats 96% on 4L O2.BNP elevated 1700+, trops neg, creatinine, h/h, and wbc near baseline. CT ab pelv and chest: findings included large bilateral lower lung consolidations, atelectasis and small pleural effusions. Pt continued to decline despite treatment. Transitioned to comfort care  and changed to DNAR/AND. Admitted to inpatient hospice service, expired 10/21/22. Tx'd w/decadron and rifaximin.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Cough, Death, Dyspnoea, Haematocrit
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer BioNTech vaccine on 9/8/2021, 5/18/2021 and 2/10/2022. Presented to ED with c/o SOB and coughing. Pt was dx'ed w/covid-19 and admitted. Upon admission pt was tachycardic in 130s, sats 96% on 4L O2.BNP elevated 1700+, trops neg, creatinine, h/h, and wbc near baseline. CT ab pelv and chest: findings included large bilateral lower lung consolidations, atelectasis and small pleural effusions. Pt continued to decline despite treatment. Transitioned to comfort care  and changed to DNAR/AND. Admitted to inpatient hospice service, expired 10/21/22. Tx'd w/decadron and rifaximin.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Haemoglobin, Lung consolidation, Pleural effusion, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer BioNTech vaccine on 9/8/2021, 5/18/2021 and 2/10/2022. Presented to ED with c/o SOB and coughing. Pt was dx'ed w/covid-19 and admitted. Upon admission pt was tachycardic in 130s, sats 96% on 4L O2.BNP elevated 1700+, trops neg, creatinine, h/h, and wbc near baseline. CT ab pelv and chest: findings included large bilateral lower lung consolidations, atelectasis and small pleural effusions. Pt continued to decline despite treatment. Transitioned to comfort care  and changed to DNAR/AND. Admitted to inpatient hospice service, expired 10/21/22. Tx'd w/decadron and rifaximin.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Troponin normal, White blood cell count
Clinical narrative: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization/Death. Rec'd Pfizer BioNTech vaccine on 9/8/2021, 5/18/2021 and 2/10/2022. Presented to ED with c/o SOB and coughing. Pt was dx'ed w/covid-19 and admitted. Upon admission pt was tachycardic in 130s, sats 96% on 4L O2.BNP elevated 1700+, trops neg, creatinine, h/h, and wbc near baseline. CT ab pelv and chest: findings included large bilateral lower lung consolidations, atelectasis and small pleural effusions. Pt continued to decline despite treatment. Transitioned to comfort care  and changed to DNAR/AND. Admitted to inpatient hospice service, expired 10/21/22. Tx'd w/decadron and rifaximin.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage administered beyond used date
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received monovalent Pfizer instead of bivalent Pfizer. No adverse side effects to report.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Monovalent given in error. No adverse events noted.
Age: 92.0
Sex: F
Vaccine: FLU4
Symptoms: Poor quality product administered, Product storage error
Clinical narrative: The influenza vaccine Fluarix was administered after a temperature excursion that the vaccine was not viable.
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: The vaccines were possibly out of temperature due to the move, during hurricane. They were transported in the refrigerator provided by the department of Health with their respective blocks of ice, not accompanied by a thermometer.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: A day getting the vaccine, started feeling extreme itchy all over body; Have continued experiencing itching after all the vaccines; Took Benadryl and was prescribed a topical cream, doesn't remember name; The cream seemed to help temporarily; Going back to the Doctor for a follow up in November 2022.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received monovalent  Pfizer instead of bivalent Pfizer. No adverse side effects to report.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Electrocardiogram ambulatory, Heart rate increased, Palpitations
Clinical narrative: I woke up with a rapid and oddly strong heart pounding in the middle of the night. This made me really concerned about my heart. This then was something that started happening at random times, but I noticed that my heart rate was overall higher by ten to thirty beats per minute. After about three months I reached out to my health care provider, and they did an EKG and had me wear a Holter monitor to track my heart rate. This only started occurring after having my COVID-19 booster. I do not really have a base line to compare my heart rate to before getting the shot, but it has been higher, and I now track and monitor my heart rate because of this experience. It had been high enough that I could notice it was higher and it was off. At this point I would say I am about 98% better and my heart rate is closer to where it should be and not as high as it had been. This has me worried about getting another dose of a COVID-19 vaccine.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Monovalent given in error. No adverse events noted.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head abnormal, Nasal disorder, Nasal operation, Sinusitis
Clinical narrative: I had a sinus infection that I went to an infectious disease doctor about and he discovered it and he then sent me to an ENT Doctor for further treatment. The treatment was a nasal surgery to the right side of my face due to occlusion, a successful surgery was performed and a CT Scan ordered every six months.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Monovalent given in error. No adverse events noted.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received a monovalent when a bivalent was due.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage administered beyond used date
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received monovalent Pfizer instead of bivalent Pfizer. No adverse side effects to report.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Monovalent given in error. No adverse events noted.
Age: 52.0
Sex: M
Vaccine: COVID19-2
Symptoms: Bronchoscopy, Computerised tomogram neck, Computerised tomogram normal, Full blood count normal, Laboratory test
Clinical narrative: On 10/16/2022, I noticed mild discomfort in the right side of my neck. The following day, I noticed it a little bit more and felt a tenderness in the upper part of the right neck that felt like a lymph node. That was inflamed and my right jaw was achy but not bad. I thought it may be a dental issue, so I went to see my dentist on 10/18/2022. He did not find anything abnormal. Wednesday, things were still bothering me, and I felt pain in my upper neck, so I went to see an ENT on 10/20/2022. He did multiple tests and exams until he did a fiberoptic scope into my throat and saw that my right vocal cord is paralyzed. He prescribed and antibiotic for 7 days and we will be following up. I went today for an MRI of the brain with and without contrast as well as a CT scan of the neck with and without contrast and I am waiting on results. The radiologist called and said he did not see anything wildly abnormal, but I will get further results this afternoon. My neck is still swollen and tender as of today.
Age: 52.0
Sex: M
Vaccine: COVID19-2
Symptoms: Lipids normal, Lymphadenitis, Magnetic resonance imaging, Magnetic resonance imaging head, Musculoskeletal discomfort
Clinical narrative: On 10/16/2022, I noticed mild discomfort in the right side of my neck. The following day, I noticed it a little bit more and felt a tenderness in the upper part of the right neck that felt like a lymph node. That was inflamed and my right jaw was achy but not bad. I thought it may be a dental issue, so I went to see my dentist on 10/18/2022. He did not find anything abnormal. Wednesday, things were still bothering me, and I felt pain in my upper neck, so I went to see an ENT on 10/20/2022. He did multiple tests and exams until he did a fiberoptic scope into my throat and saw that my right vocal cord is paralyzed. He prescribed and antibiotic for 7 days and we will be following up. I went today for an MRI of the brain with and without contrast as well as a CT scan of the neck with and without contrast and I am waiting on results. The radiologist called and said he did not see anything wildly abnormal, but I will get further results this afternoon. My neck is still swollen and tender as of today.
Age: 52.0
Sex: M
Vaccine: COVID19-2
Symptoms: Neck pain, Pain in jaw, Scan, Scan with contrast, Swelling
Clinical narrative: On 10/16/2022, I noticed mild discomfort in the right side of my neck. The following day, I noticed it a little bit more and felt a tenderness in the upper part of the right neck that felt like a lymph node. That was inflamed and my right jaw was achy but not bad. I thought it may be a dental issue, so I went to see my dentist on 10/18/2022. He did not find anything abnormal. Wednesday, things were still bothering me, and I felt pain in my upper neck, so I went to see an ENT on 10/20/2022. He did multiple tests and exams until he did a fiberoptic scope into my throat and saw that my right vocal cord is paralyzed. He prescribed and antibiotic for 7 days and we will be following up. I went today for an MRI of the brain with and without contrast as well as a CT scan of the neck with and without contrast and I am waiting on results. The radiologist called and said he did not see anything wildly abnormal, but I will get further results this afternoon. My neck is still swollen and tender as of today.
Age: 52.0
Sex: M
Vaccine: COVID19-2
Symptoms: Tenderness, Ultrasound scan normal, Vocal cord paralysis, X-ray dental normal
Clinical narrative: On 10/16/2022, I noticed mild discomfort in the right side of my neck. The following day, I noticed it a little bit more and felt a tenderness in the upper part of the right neck that felt like a lymph node. That was inflamed and my right jaw was achy but not bad. I thought it may be a dental issue, so I went to see my dentist on 10/18/2022. He did not find anything abnormal. Wednesday, things were still bothering me, and I felt pain in my upper neck, so I went to see an ENT on 10/20/2022. He did multiple tests and exams until he did a fiberoptic scope into my throat and saw that my right vocal cord is paralyzed. He prescribed and antibiotic for 7 days and we will be following up. I went today for an MRI of the brain with and without contrast as well as a CT scan of the neck with and without contrast and I am waiting on results. The radiologist called and said he did not see anything wildly abnormal, but I will get further results this afternoon. My neck is still swollen and tender as of today.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Monovalent given in error. No adverse events noted.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received monovalent Pfizer instead of bivalent Pfizer. No adverse side effects reported at this time.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: The vaccines were possibly out of temperature due to the move, during hurricane. They were transported in the refrigerator provided by the department of Health with their respective blocks of ice, not accompanied by a thermometer.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Monovalent given in error. No adverse events noted.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received monovalent Pfizer instead of bivalent Pfizer. No adverse side effects to report at this time.
Age: 66.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: On 10/26/22 the patient above received the Moderna Monovalent vaccine instead of the Moderna Bivalent Vaccine. He received .5 ml dose. He waited 15 minutes in our lobby without any side affects or reactions.
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood electrolytes, Blood test, Chest pain, Chest scan, Fatigue
Clinical narrative: On 10/23/2022 the day after the vaccine I had fatigue, headache, but I did not think anything of it. It was just normal side effects from the vaccine. But then in the afternoon I started having chest pain. I went to the emergency room. They did a chest scan, blood work to check if I was not having any cardiac event or a blood clot. Then I was sent home to follow up with my primary care doctor and another cardiology team. I am still having the chest pain. It feels more like an inconvenience, not like I feel like I'm dying.
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Myocardial necrosis marker
Clinical narrative: On 10/23/2022 the day after the vaccine I had fatigue, headache, but I did not think anything of it. It was just normal side effects from the vaccine. But then in the afternoon I started having chest pain. I went to the emergency room. They did a chest scan, blood work to check if I was not having any cardiac event or a blood clot. Then I was sent home to follow up with my primary care doctor and another cardiology team. I am still having the chest pain. It feels more like an inconvenience, not like I feel like I'm dying.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Resident received Moderna Bivalent dose instead of initial Moderna dose.  This was her first dose in her series.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Monovalent given in error. No adverse events noted.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: The vaccines were possibly out of temperature due to the move, during hurricane. They were transported in the refrigerator provided by the department of Health with their respective blocks of ice, not accompanied by a thermometer.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive home COVID-19 test on 10/7/22.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage administered beyond used date
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administration data indicates your location administered doses of the affected lot after the Sept. 30 expiration date but on or before Oct. 19. For doses administered between Oct. 1 and Oct. 19, with manufacturer data to support the stability and efficacy, revaccination is not indicated, and patient notification is not required.
Age: 15.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Bivalent Covid booster was administered prior to the completion of the 2-dose Pfizer series.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent given in error. No adverse events noted.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: The vaccines were possibly out of temperature due to the move, during hurricane. They were transported in the refrigerator provided by the department of Health with their respective blocks of ice, not accompanied by a thermometer.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage administered beyond used date
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: On 10/26/2022 the patient above received the Moderna Monovalent vaccine instead of the Moderna Bivalent vaccine. She received .5 ml. She waited 15 minutes in the lobby after the administration of the vaccine without in side affects or reactions.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Monovalent given in error. No adverse events noted.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Monovalent given in error. No adverse events noted.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine manufactured expiration 8/31/22. Vaccine was administered to patient on 9/14/22 after expiration. No adverse reaction reported by the patient.