chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Mental status changes, Pyrexia, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Pfizer Dose 1 1/20/21 (EL0140) Pfizer Dose 2 2/10/21 (EL9261) Pfizer Dose 3 12/3/21 (FG3527) COVID Positive 1/20/22  1/22/22: 85-year-old female patient with a history of hypertension, CAD, hypothyroidism, Parkinson's disease, dementia, COPD, chronic constipation, adult failure to thrive lives at a local nursing home.  Patient was sent to the emergency room via paramedics as the patient was found to be not very responsive to the staff at the nursing home. The patient normally is able to perform a few of her activities of daily living and be herself in the wheelchair around the nursing home.  The patient also verbalizes her needs at the nursing home.  The patient was diagnosed with SARS-CoV-2 infection on 1/20/2022.  Since then, patient has been weak, fatigued with no oral intake and reaching state of not being very responsive.  When the paramedics reach the nursing home, the patient's pulse ox was at 78%. Patient was placed on non-rebreather mask with 15 L of oxygen and brought to the hospital.  Upon evaluation, patient is noted to have a urinary tract infection and was given IV antibiotics.  She is also noted to have elevated CK levels with acute renal failure, hypernatremia and hyperchloremia.  Patient's son does not wish for any aggressive treatment but reported treatment with IV fluids, antibiotics.  Patient is a DNR/DNI.  If the patient is not responsive in the next 48-72 hours, the son would like to proceed with hospice care for the emergency room provider.  1/24/22: 85-year-old female patient with a history of CAD, hypothyroidism, hypertension, COPD, dementia, Parkinson's disease, chronic constipation and failure to thrive was admitted on 1/22/2022 for altered mental status.  The patient was recent diagnosed with SARS-CoV-2 infection as of 1/20/2022.  The patient was noted to have fever on admission.  She was also diagnosed with E coli tract infection and requiring significant amount of oxygen at 15 L via OxyMask.  I discussed patient's case with the son on admission who wanted to wait for for clinical to 48 hours to see how the patient responded to treatment.  The but there was no significant improvement in the patient's clinical condition and he decided to proceed with comfort care.  The patient was made comfort care as of 1/23 and transferred to the nursing home this care.  The son did not want to proceed with any further aggressive treatment and with the patient to be comfortable.  The case manager also has spoken with the son prior to discharge.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Wheelchair user
Clinical narrative: Pfizer Dose 1 1/20/21 (EL0140) Pfizer Dose 2 2/10/21 (EL9261) Pfizer Dose 3 12/3/21 (FG3527) COVID Positive 1/20/22  1/22/22: 85-year-old female patient with a history of hypertension, CAD, hypothyroidism, Parkinson's disease, dementia, COPD, chronic constipation, adult failure to thrive lives at a local nursing home.  Patient was sent to the emergency room via paramedics as the patient was found to be not very responsive to the staff at the nursing home. The patient normally is able to perform a few of her activities of daily living and be herself in the wheelchair around the nursing home.  The patient also verbalizes her needs at the nursing home.  The patient was diagnosed with SARS-CoV-2 infection on 1/20/2022.  Since then, patient has been weak, fatigued with no oral intake and reaching state of not being very responsive.  When the paramedics reach the nursing home, the patient's pulse ox was at 78%. Patient was placed on non-rebreather mask with 15 L of oxygen and brought to the hospital.  Upon evaluation, patient is noted to have a urinary tract infection and was given IV antibiotics.  She is also noted to have elevated CK levels with acute renal failure, hypernatremia and hyperchloremia.  Patient's son does not wish for any aggressive treatment but reported treatment with IV fluids, antibiotics.  Patient is a DNR/DNI.  If the patient is not responsive in the next 48-72 hours, the son would like to proceed with hospice care for the emergency room provider.  1/24/22: 85-year-old female patient with a history of CAD, hypothyroidism, hypertension, COPD, dementia, Parkinson's disease, chronic constipation and failure to thrive was admitted on 1/22/2022 for altered mental status.  The patient was recent diagnosed with SARS-CoV-2 infection as of 1/20/2022.  The patient was noted to have fever on admission.  She was also diagnosed with E coli tract infection and requiring significant amount of oxygen at 15 L via OxyMask.  I discussed patient's case with the son on admission who wanted to wait for for clinical to 48 hours to see how the patient responded to treatment.  The but there was no significant improvement in the patient's clinical condition and he decided to proceed with comfort care.  The patient was made comfort care as of 1/23 and transferred to the nursing home this care.  The son did not want to proceed with any further aggressive treatment and with the patient to be comfortable.  The case manager also has spoken with the son prior to discharge.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Pain, SARS-CoV-2 test, Throat irritation
Clinical narrative: Approximately 3 months after my 4th dose vaccination I contracted COVID-19 and experienced the following symptoms: scratchy throat, fatigue and body aches. I called my doctor and he did not pick up and I have been taking ibuprofen for now to help improve my symptoms and so far it has been working. As of today 07/12/2022 I am feeling fine and pretty much back to normal.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: received expired vaccine
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine invalid due to a possible temperature issue CDC recommendation to repeat vaccine
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Multisystem inflammatory syndrome in children
Clinical narrative: MIS-C diagnosis on 06/07/2022
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Lethargy, Muscle spasms, Myalgia, Pyrexia
Clinical narrative: Severe chills/muscle spasms Fever Muscle aches/pain Lethargy All symptoms occurred from 6 hrs post-vaccination to approximately 24 hrs
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Feeling abnormal, Oropharyngeal pain, Quarantine
Clinical narrative: On Saturday 6/25/2022 noticed slight sore throat when I woke up and didn't think much of it. 6/26/2022 woke up and it worse and had a runny nose. So I took an at home COVID-19 test and it was negative. On 6/27/2022, I woke up and felt even worse and also very fatigued; so I took another home COVID-19 test and it was positive. I didn't want to believe I was positive so I too 2 more and they were both positive. Once, I realized I was positive I called my PCP, they prescribed PAXLOVID and told me to quarantine for 5 days. I quarantined for 6 days testing everyday and I tested negative on the 7/2/2022. The medication helped tremendously and I did not feel any symptoms after I began it. No one who was around me after 7/2/2022 has been positive.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: On Saturday 6/25/2022 noticed slight sore throat when I woke up and didn't think much of it. 6/26/2022 woke up and it worse and had a runny nose. So I took an at home COVID-19 test and it was negative. On 6/27/2022, I woke up and felt even worse and also very fatigued; so I took another home COVID-19 test and it was positive. I didn't want to believe I was positive so I too 2 more and they were both positive. Once, I realized I was positive I called my PCP, they prescribed PAXLOVID and told me to quarantine for 5 days. I quarantined for 6 days testing everyday and I tested negative on the 7/2/2022. The medication helped tremendously and I did not feel any symptoms after I began it. No one who was around me after 7/2/2022 has been positive.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Computerised tomogram head normal, Mental status changes, Neurological symptom, Pneumonia
Clinical narrative: Pfizer Dose 1 1/26/21 (EN5318) Pfizer Dose 2 2/16/21 (EN5318) Pfizer Dose 3 11/4/21 (30145BA) COVID Positive 1/13/22  1/13/22: 93-year-old female with a past medical history of recurrent urinary tract infections, diabetes mellitus, hypertension, congestive heart failure presents after being found altered.  Patient's daughter was at bedside during the interview.  As per daughter the patient has been hospitalized multiple times over the last 2-3 months due to urinary tract infections.  This morning the patient appears to to have stroke like symptoms and was unable to respond to medical personal.  The daughter reports that this has been a common occurrence when the patient had been having urinary tract infections during this most recent period.  In the ED the patient did not appear to have any focal neurological deficits and CT head was clean.  Patient is positive for a urinary tract infection and appears to have left-sided pneumonia.  1/15/22: 2019 novel coronavirus detected  Acute UTI, Acute UTI  AMS (altered mental status)  Pneumonia, Pneumonia
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Unresponsive to stimuli, Urinary tract infection, Urine analysis abnormal
Clinical narrative: Pfizer Dose 1 1/26/21 (EN5318) Pfizer Dose 2 2/16/21 (EN5318) Pfizer Dose 3 11/4/21 (30145BA) COVID Positive 1/13/22  1/13/22: 93-year-old female with a past medical history of recurrent urinary tract infections, diabetes mellitus, hypertension, congestive heart failure presents after being found altered.  Patient's daughter was at bedside during the interview.  As per daughter the patient has been hospitalized multiple times over the last 2-3 months due to urinary tract infections.  This morning the patient appears to to have stroke like symptoms and was unable to respond to medical personal.  The daughter reports that this has been a common occurrence when the patient had been having urinary tract infections during this most recent period.  In the ED the patient did not appear to have any focal neurological deficits and CT head was clean.  Patient is positive for a urinary tract infection and appears to have left-sided pneumonia.  1/15/22: 2019 novel coronavirus detected  Acute UTI, Acute UTI  AMS (altered mental status)  Pneumonia, Pneumonia
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: received expired vaccine
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond use date.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: dose administered beyond-use date
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dote administered beyond-use date
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: received expired vaccine
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site hypoaesthesia, Injection site muscle weakness, Muscular weakness
Clinical narrative: Numbness left arm/hand, and left leg. Sometimes weakness in both
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Vaccine invalid due to a possible temperature issue CDC recommendation to repeat vaccine
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had a clear runny nose and I took two COVID-19 test at home that came back positive. I also took a PCR COVID-19 test that came back positive as well. I called my doctor, and they prescribed me PAXLOVID. I did not develop any other symptoms besides the clear runny nose that lasted for two days.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Error: Expired Product Administered-
Age: 1.0
Sex: F
Vaccine: MNQ
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: NO REACTIONS AT THIS TIME
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Anaemia, Full blood count, Injury
Clinical narrative: Started experiencing extreme  hair loss on 4/14/2022 about 2 days after the vaccine . My hair was falling out in clumps and has continued for the past 3  months. Contacted my Dermatologist and she recommended a medical shampoo. The shampoo has not worked to date. MD recommended  taking iron and vitamin C due to anemia. And have been diagnosed with Hair Loss due to a Traumatic Event. I have a  follow up  appointment on  7/25/2022.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Malaise, Pain, Productive cough, SARS-CoV-2 test positive
Clinical narrative: I received my second Pfizer booster for COVID-19 on 4/7/2022. On 6/25/2022, I developed very slight body aches. I also had a slight cough with a little bit of phlegm. That day, I took a home test for COVID-19 and got a positive result. The mild symptoms lasted for 3 days. On 6/28/2022, I took two more home tests to confirm that I had COVID-19, and they both yielded a positive result.  On about 6/29/2022, my doctor gave me a 5-day course of Paxlovid. All of my symptoms went away and I felt fine. On 7/6/2022, I took two home tests and got a negative result with both of them.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: dose administered beyond use date.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Additional Details: Patient came in pharmacy and reported and showed left arm red and swollen and vaccination area hurts and warm to touch. She has taken a dose of tylenol will repeat and i counselled as well on benadryl will see prescriber (ER or urgent care) if reaction still ongoing after 24hours from time of vaccine
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Peripheral swelling, Vaccination site pain, Vaccination site warmth
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Additional Details: Patient came in pharmacy and reported and showed left arm red and swollen and vaccination area hurts and warm to touch. She has taken a dose of tylenol will repeat and i counselled as well on benadryl will see prescriber (ER or urgent care) if reaction still ongoing after 24hours from time of vaccine
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dote administered beyond-use date
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: On July 3rd I began to feel fatigued and a bit of a cough with a runny nose. My symptoms stayed about the same. I tested positive for COVID-19 from a home test on July 3rd. The doctor prescribed PAXLOVID and I took the 5 day course. I began to start feel better on day 6. As of today I am much better but still fatigued.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization with covid; fully vaccinated
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Diet refusal, Lethargy, Malaise, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: The night of the vaccine, she developed a fever and woke up. She has had a fever ever since the vaccine. She is lethargic and will not eat. I took her to the urgent care on 7/8/2022. She had a strep and COVID-19 test that were negative. Her highest fever was 104. I also took her to the ER yesterday. She is currently still sick.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Streptococcus test negative
Clinical narrative: The night of the vaccine, she developed a fever and woke up. She has had a fever ever since the vaccine. She is lethargic and will not eat. I took her to the urgent care on 7/8/2022. She had a strep and COVID-19 test that were negative. Her highest fever was 104. I also took her to the ER yesterday. She is currently still sick.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Admitted to hospital for C19 and worsening SOA. tested positive on 7/4
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Insomnia, Oropharyngeal pain, Pain
Clinical narrative: I had a sore throat, congestion and had a difficulty sleeping for 3 days, coughing, sneezing, body aches. I used MUCINEX D to help with the congestion at night. I used a home COVID-19 test that once it showed positive called my doctor. He advised me to quarantine.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Sneezing
Clinical narrative: I had a sore throat, congestion and had a difficulty sleeping for 3 days, coughing, sneezing, body aches. I used MUCINEX D to help with the congestion at night. I used a home COVID-19 test that once it showed positive called my doctor. He advised me to quarantine.
Age: 5.0
Sex: F
Vaccine: HEPA
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE ADMINISTERED. Vaccine expired on 06/19/2022 and administered in error on 06/22/2022
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: dose administered beyond use date.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dote administered beyond-use date
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Death, Liver function test increased, Respiratory disorder
Clinical narrative: pt to ED 8/22/21 testing positive for COVID; AHRF; given steroids; Remdesivir not given due to elevated Liver Function Tests; O2 supplementation; DNR/DNI; worsening respiratory status; comfort measures; in patient hospice where pt passed away
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: pt to ED 8/22/21 testing positive for COVID; AHRF; given steroids; Remdesivir not given due to elevated Liver Function Tests; O2 supplementation; DNR/DNI; worsening respiratory status; comfort measures; in patient hospice where pt passed away
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer Dose 1 1/7/21 (EL0142) Pfizer Dose 2 1/28/21 (EL0142) Pfizer Does 3 10/13/21 (FD0809) COVID Positive 3/28/22 Hospitalized 3/23/22-3/30/22
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization with covid; fully vaccinated with booster
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pyrexia, Rash
Clinical narrative: Patient came in reporting a rash , fever, and body chills the day after the vaccination, patient was advised by doctor to report to vaers
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: received expired vaccine
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Dysstasia, Fall, Gait disturbance
Clinical narrative: J&J Dose 4/2/21 (1808978) COVID Positive 1/13/22  1/13/22: The patient is a 58-year-old male with a history of the aforementioned symptoms.  I am able obtain the history from the medical record as well as his wife at the bedside.  The patient had been drinking earlier this evening.  He fell directly on the ice, he tried to get up and crawled home.  He called the Emergency Medical Services. It was noted that he had significant bleeding from an open fracture, which was on his left lower extremity.  He was brought to the emergency room.  He has a history of alcohol use and Orthopedics was consulted for management and treatment.  1/16/22: Patient is a 58-year-old male who presents to the emergency room after slipping and falling on the ice. Patient was noted with a left ankle, fibula and tibia which required open reduction and internal fixation(ORIF). Orthopedic was consulted patient underwent ORIF with Dr. 01/14/202. Pulse operatively patient was noted with hypoxia requiring supplemental oxygen. Patient tested positive for COVID-19 on December 15, 2021 and states that he also was vaccinated with the Johnson and Johnson vaccine. Repeat test during this admission came back positive the patient does not have any signs of infection. Chest x-ray came back negative and patient was able to wean off supplemental oxygen. He was able to maintain his sats above 90% on room at rest and with activities. He worked with PT recommended home physical therapy. RN care coordination referred patient to a home care service. Patient will need 325 mg p.o. b.i.d. for 4 weeks for VTE prophylactic per ortho. Patient to follow-up with Dr. in 1 week at the clinic and continue on strict non-weight-bearing.  He was provided with crutches and will be discharging home this evening. Pain medication, aspirin  e-prescribed patient is aware. Today patient has stable vital signs he was seen and evaluated at bedsides. All questions answered patient updated on test findings.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Haemorrhage, Hypoxia, Open fracture, Open reduction of fracture, SARS-CoV-2 test positive
Clinical narrative: J&J Dose 4/2/21 (1808978) COVID Positive 1/13/22  1/13/22: The patient is a 58-year-old male with a history of the aforementioned symptoms.  I am able obtain the history from the medical record as well as his wife at the bedside.  The patient had been drinking earlier this evening.  He fell directly on the ice, he tried to get up and crawled home.  He called the Emergency Medical Services. It was noted that he had significant bleeding from an open fracture, which was on his left lower extremity.  He was brought to the emergency room.  He has a history of alcohol use and Orthopedics was consulted for management and treatment.  1/16/22: Patient is a 58-year-old male who presents to the emergency room after slipping and falling on the ice. Patient was noted with a left ankle, fibula and tibia which required open reduction and internal fixation(ORIF). Orthopedic was consulted patient underwent ORIF with Dr. 01/14/202. Pulse operatively patient was noted with hypoxia requiring supplemental oxygen. Patient tested positive for COVID-19 on December 15, 2021 and states that he also was vaccinated with the Johnson and Johnson vaccine. Repeat test during this admission came back positive the patient does not have any signs of infection. Chest x-ray came back negative and patient was able to wean off supplemental oxygen. He was able to maintain his sats above 90% on room at rest and with activities. He worked with PT recommended home physical therapy. RN care coordination referred patient to a home care service. Patient will need 325 mg p.o. b.i.d. for 4 weeks for VTE prophylactic per ortho. Patient to follow-up with Dr. in 1 week at the clinic and continue on strict non-weight-bearing.  He was provided with crutches and will be discharging home this evening. Pain medication, aspirin  e-prescribed patient is aware. Today patient has stable vital signs he was seen and evaluated at bedsides. All questions answered patient updated on test findings.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Walking aid user
Clinical narrative: J&J Dose 4/2/21 (1808978) COVID Positive 1/13/22  1/13/22: The patient is a 58-year-old male with a history of the aforementioned symptoms.  I am able obtain the history from the medical record as well as his wife at the bedside.  The patient had been drinking earlier this evening.  He fell directly on the ice, he tried to get up and crawled home.  He called the Emergency Medical Services. It was noted that he had significant bleeding from an open fracture, which was on his left lower extremity.  He was brought to the emergency room.  He has a history of alcohol use and Orthopedics was consulted for management and treatment.  1/16/22: Patient is a 58-year-old male who presents to the emergency room after slipping and falling on the ice. Patient was noted with a left ankle, fibula and tibia which required open reduction and internal fixation(ORIF). Orthopedic was consulted patient underwent ORIF with Dr. 01/14/202. Pulse operatively patient was noted with hypoxia requiring supplemental oxygen. Patient tested positive for COVID-19 on December 15, 2021 and states that he also was vaccinated with the Johnson and Johnson vaccine. Repeat test during this admission came back positive the patient does not have any signs of infection. Chest x-ray came back negative and patient was able to wean off supplemental oxygen. He was able to maintain his sats above 90% on room at rest and with activities. He worked with PT recommended home physical therapy. RN care coordination referred patient to a home care service. Patient will need 325 mg p.o. b.i.d. for 4 weeks for VTE prophylactic per ortho. Patient to follow-up with Dr. in 1 week at the clinic and continue on strict non-weight-bearing.  He was provided with crutches and will be discharging home this evening. Pain medication, aspirin  e-prescribed patient is aware. Today patient has stable vital signs he was seen and evaluated at bedsides. All questions answered patient updated on test findings.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dote administered beyond-use date
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: dose administered beyond use date.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain upper, COVID-19, COVID-19 pneumonia, Cholecystectomy
Clinical narrative: Pfizer Dose 1 3/6/21 (EN6205); Pfizer Dose 2 3/31/21 (EN6207); Pfizer Dose 3 10/1/21 (FF2588); COVID Positive 3/3/22. 3/3/22: 71-year-old gentleman presented to the emergency room with complaint of mid section abdominal pain that started earlier yesterday.  Patient reports that the pain is constant with no obvious radiation.  The pain is almost generalized.  However, it is at its peak on the right upper quadrant.  Reports episode of nausea with no vomiting.  He has had normal bowel movement. 3/7/22: Patient is a 71-year-old male with history of anxiety disorder, BPH, and recently diagnosed hemophilia a, who was admitted on 3/3/2022 with acute gangrenous cholecystitis, severe sepsis, and bilateral COVID pneumonia.  He was admitted to the medical floor and was started on IV antibiotics.  The general surgeon was consulted.  The patient was taken to the operating room that afternoon for a laparoscopic cholecystectomy.  During the procedure, the surgeon noted that the patient's gallbladder was gangrenous and had ruptured, spilling bile contents into the abdomen.  He placed a JP drain.  The patient developed some postoperative diarrhea and was placed on cholestyramine, which helped.  After having his gallbladder removed, the patient's symptoms have improved greatly.  His sepsis has completely resolved.  His vitals have been stable and the patient has not required any supplemental oxygen.  The patient was evaluated by Physical therapy and they felt that he would need skilled nursing placement at discharge.  The patient today reports that he is feeling well.  He has been getting up and moving around the room with physical therapy and the nursing staff.  He denies any shortness of breath at rest, dyspnea on exertion, chest pain, palpitations.  He does report some mild to moderate abdominal pain, but reports that it is overall better, and improving daily.  Dr. has cleared the patient for discharge and would like him to follow-up with him in the office on 3/11/2022 at 09:00 for drain removal.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Cholecystitis infective, Drain placement, Factor VIII deficiency, Gallbladder rupture, Inappropriate schedule of product administration
Clinical narrative: Pfizer Dose 1 3/6/21 (EN6205); Pfizer Dose 2 3/31/21 (EN6207); Pfizer Dose 3 10/1/21 (FF2588); COVID Positive 3/3/22. 3/3/22: 71-year-old gentleman presented to the emergency room with complaint of mid section abdominal pain that started earlier yesterday.  Patient reports that the pain is constant with no obvious radiation.  The pain is almost generalized.  However, it is at its peak on the right upper quadrant.  Reports episode of nausea with no vomiting.  He has had normal bowel movement. 3/7/22: Patient is a 71-year-old male with history of anxiety disorder, BPH, and recently diagnosed hemophilia a, who was admitted on 3/3/2022 with acute gangrenous cholecystitis, severe sepsis, and bilateral COVID pneumonia.  He was admitted to the medical floor and was started on IV antibiotics.  The general surgeon was consulted.  The patient was taken to the operating room that afternoon for a laparoscopic cholecystectomy.  During the procedure, the surgeon noted that the patient's gallbladder was gangrenous and had ruptured, spilling bile contents into the abdomen.  He placed a JP drain.  The patient developed some postoperative diarrhea and was placed on cholestyramine, which helped.  After having his gallbladder removed, the patient's symptoms have improved greatly.  His sepsis has completely resolved.  His vitals have been stable and the patient has not required any supplemental oxygen.  The patient was evaluated by Physical therapy and they felt that he would need skilled nursing placement at discharge.  The patient today reports that he is feeling well.  He has been getting up and moving around the room with physical therapy and the nursing staff.  He denies any shortness of breath at rest, dyspnea on exertion, chest pain, palpitations.  He does report some mild to moderate abdominal pain, but reports that it is overall better, and improving daily.  Dr. has cleared the patient for discharge and would like him to follow-up with him in the office on 3/11/2022 at 09:00 for drain removal.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Laparoscopic surgery, Pneumonia, Post procedural diarrhoea, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Pfizer Dose 1 3/6/21 (EN6205); Pfizer Dose 2 3/31/21 (EN6207); Pfizer Dose 3 10/1/21 (FF2588); COVID Positive 3/3/22. 3/3/22: 71-year-old gentleman presented to the emergency room with complaint of mid section abdominal pain that started earlier yesterday.  Patient reports that the pain is constant with no obvious radiation.  The pain is almost generalized.  However, it is at its peak on the right upper quadrant.  Reports episode of nausea with no vomiting.  He has had normal bowel movement. 3/7/22: Patient is a 71-year-old male with history of anxiety disorder, BPH, and recently diagnosed hemophilia a, who was admitted on 3/3/2022 with acute gangrenous cholecystitis, severe sepsis, and bilateral COVID pneumonia.  He was admitted to the medical floor and was started on IV antibiotics.  The general surgeon was consulted.  The patient was taken to the operating room that afternoon for a laparoscopic cholecystectomy.  During the procedure, the surgeon noted that the patient's gallbladder was gangrenous and had ruptured, spilling bile contents into the abdomen.  He placed a JP drain.  The patient developed some postoperative diarrhea and was placed on cholestyramine, which helped.  After having his gallbladder removed, the patient's symptoms have improved greatly.  His sepsis has completely resolved.  His vitals have been stable and the patient has not required any supplemental oxygen.  The patient was evaluated by Physical therapy and they felt that he would need skilled nursing placement at discharge.  The patient today reports that he is feeling well.  He has been getting up and moving around the room with physical therapy and the nursing staff.  He denies any shortness of breath at rest, dyspnea on exertion, chest pain, palpitations.  He does report some mild to moderate abdominal pain, but reports that it is overall better, and improving daily.  Dr. has cleared the patient for discharge and would like him to follow-up with him in the office on 3/11/2022 at 09:00 for drain removal.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Respiratory distress
Clinical narrative: "Called for respiratory distress, Spo2 on scene 90%. Pt usually on 3L nc, and bumped himself up to 6L. Pt given 2 of nitro, 324 of Asprin, and 40mg of lasix in route, and placed on a Bipap."
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Decreased appetite, Fatigue, Headache, Nausea
Clinical narrative: Starting 06/02/2022, I had a bad sore throat, a headache, nausea and loss of appetite. I took an at home test on 06/04/2022 which was positive. I called my doctor on 06/06/2022 and they told me to go to Urgent care, where I was tested again and was positive. I was referred to the COVID triage center at the hospital and had a telemedicine visit. I was scheduled for the monoclonal antibodies infusion the next day. My symptoms were starting to get better after the infusion, but I still felt fatigued. By the end of the week, I felt better, tested negative and had my appetite return. I was still fatigued for about a week more. I quarantined at home from 06/06/2022 - 06/11/2022. I did another at home test on 06/14/2022 and it was negative.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Quarantine, SARS-CoV-2 test positive
Clinical narrative: Starting 06/02/2022, I had a bad sore throat, a headache, nausea and loss of appetite. I took an at home test on 06/04/2022 which was positive. I called my doctor on 06/06/2022 and they told me to go to Urgent care, where I was tested again and was positive. I was referred to the COVID triage center at the hospital and had a telemedicine visit. I was scheduled for the monoclonal antibodies infusion the next day. My symptoms were starting to get better after the infusion, but I still felt fatigued. By the end of the week, I felt better, tested negative and had my appetite return. I was still fatigued for about a week more. I quarantined at home from 06/06/2022 - 06/11/2022. I did another at home test on 06/14/2022 and it was negative.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong technique in product usage process
Clinical narrative: PFIZER COVID 19 VACCINE EUA: ADMINISTRATION ERROR.  INDIVIDUAL RECEIVED VACCINE DOSE FROM VIAL STORED FOR MORE THAN 12 HOURS AFTER PUNCTURE BUT LESS THAN 24 HOURS OF PUNCTURE.  PFIZER STATED THEY HAD ADDITIONAL STABILITY INFORMATION FOR UP TO 24 HOURS AFTER PUNCTURE OF VIAL BUT NO EFFICACY DATA FOR THIS OFF LABEL USE.  RECOMMENDED MEDICAL DIRECTOR AND FNURSING FACILITY PROVIDE DISCUSS WITH INDIVIDUAL THAT THEY MAY BE REVACCINATED IF THEY CHOOSE BASED ON LACK OF EFFICACY DATA.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: dose administered beyond use date
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: 1 dose was given 6 days after expired
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: hospitalization with covid; fully vaccinated
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Off label use, Product administration error, Product storage error
Clinical narrative: PFIZER COVID 19 VACCINE EUA: ADMINISTRATION ERROR.  INDIVIDUAL RECEIVED VACCINE DOSE FROM VIAL STORED FOR MORE THAN 12 HOURS AFTER PUNCTURE BUT LESS THAN 24 HOURS OF PUNCTURE.  PFIZER STATED THEY HAD ADDITIONAL STABILITY INFORMATION FOR UP TO 24 HOURS AFTER PUNCTURE OF VIAL BUT NO EFFICACY DATA FOR THIS OFF LABEL USE.  RECOMMENDED MEDICAL DIRECTOR AND NURSING FACILITY DISCUSS WITH INDIVIDUAL THAT THEY MAY BE REVACCINATED IF THEY CHOOSE BASED ON LACK OF EFFICACY DATA.  BOOSTER DOSE OF VACCINE WAS ALSO GIVEN 1 MONTH TOO SOON (1ST BOOSTER CAN BE GIVEN 5 MONTHS AFTER PRIMARY SERIES COMPLETED).
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Off label use, Product administration error
Clinical narrative: PFIZER COVID 19 VACCINE EUA: ADMINISTRATION ERROR. INDIVIDUAL RECEIVED VACCINE DOSE FROM VIAL STORED FOR MORE THAN 12 HOURS AFTER PUNCTURE BUT LESS THAN 24 HOURS OF PUNCTURE. PFIZER STATED THEY HAD ADDITIONAL STABILITY INFORMATION FOR UP TO 24 HOURS AFTER PUNCTURE OF VIAL BUT NO EFFICACY DATA FOR THIS OFF LABEL USE. RECOMMENDED MEDICAL DIRECTOR AND NURSING FACILITY DISCUSS WITH INDIVIDUAL THAT THEY MAY BE REVACCINATED IF THEY CHOOSE BASED ON LACK OF EFFICACY DATA.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Colitis ulcerative, Diarrhoea haemorrhagic
Clinical narrative: Bloody diarrhea started at end of Oct 2021 that did not resolve and eventually diagnosed with ulcerative colitis in 2022
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Off label use, Product administration error
Clinical narrative: PFIZER COVID 19 VACCINE EUA: ADMINISTRATION ERROR.  INDIVIDUAL RECEIVED VACCINE DOSE FROM VIAL STORED FOR MORE THAN 12 HOURS AFTER PUNCTURE BUT LESS THAN 24 HOURS OF PUNCTURE.  PFIZER STATED THEY HAD ADDITIONAL STABILITY INFORMATION FOR UP TO 24 HOURS AFTER PUNCTURE OF VIAL BUT NO EFFICACY DATA FOR THIS OFF LABEL USE.  RECOMMENDED MEDICAL DIRECTOR AND NURSING FACILITY DISCUSS WITH INDIVIDUAL THAT THEY MAY BE REVACCINATED IF THEY CHOOSE BASED ON LACK OF EFFICACY DATA.  ALSO RECEIVED BOOSTER DOSE 7 DAYS BEFORE DUE. (1ST BOOSTER DUE 5 MONTHS AFTER PRIMARY SERIES).
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: dose administered beyond use date.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dote administered beyond-use date
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling, Swelling face, Swelling of eyelid, Urticaria
Clinical narrative: Dose 1 given at 11:01 and at about 11:16 AM father alerted us that his son was rubbing his face and scratching his neck.  Face swollen with swelling of bilateral eyelids, upper lip swollen and visible hives on face and neck.  Mouth was OK and no wheezes heard.  Benadryl was offered at 11:25 and after about 10-15min the swelling of the eyelids and lip subsided and most of the facial hives gone and only a few remaining hives on neck.  Observed until 11:45 and given instructions on when to return. Also, family has epipens at home for the preexisting tree nut allergy
Age: 69.0
Sex: F
Vaccine: PNC20
Symptoms: Abdominal pain upper, Blood potassium decreased, Blood test, Chest X-ray, Ear pain
Clinical narrative: She got her vaccine, her arm was hurting that day and that night, a little red around it.  Then it continued to grow and grew a marker and it grew outside of that circle and went to the ER, on 7/2/22.  They looked at the arm, saw that she was having an allergic reaction, gave her IV Benadryl, Pepcid for her stomach, Toradol for the pain, and then they did blood work, her potassium was low and they gave her sodium chloride packets.  They did an EKG on her as she was stressed as well as a chest x-ray, which they did cool compresses on the right arm.  The arm was swollen and getting worse, and she was told to continue the Benadryl at home.  The arm was then getting worse and by Tuesday it was more swollen, the redness was more and the area was going down toward the elbow and is red and swollen.  When she went back the 2nd time saw that her arm was swollen, etc., and did the Benadryl through the IV.  They did blood tests and it showed common cold (rhinovirus).  They gave her Tylenol and gave her Prednisone IV as well as 40 mg for 4 days at home.  She is still having the cold symptoms with her nose, throat, hurting ear, eyes are watery.  Her arm is still swollen, red down from middle of arm down to the elbow, but does not have it up top.  She called her infectious provider and saw her and said that it was a reaction and not an infection.  Every day she hopes that it would be less swollen.  Her skin is red and now really does not know if she is protected.  She is still not feeling "herself", having cramps/pain in her legs due to low potassium and has a call to her doctor for that.   She has had had 3 COVID vaccines and now cannot get the 2nd booster due to this reaction and feels she will have to wait 4 months to get that one.
Age: 69.0
Sex: F
Vaccine: PNC20
Symptoms: Electrocardiogram, Erythema, Hypersensitivity, Laboratory test abnormal, Lacrimation increased
Clinical narrative: She got her vaccine, her arm was hurting that day and that night, a little red around it.  Then it continued to grow and grew a marker and it grew outside of that circle and went to the ER, on 7/2/22.  They looked at the arm, saw that she was having an allergic reaction, gave her IV Benadryl, Pepcid for her stomach, Toradol for the pain, and then they did blood work, her potassium was low and they gave her sodium chloride packets.  They did an EKG on her as she was stressed as well as a chest x-ray, which they did cool compresses on the right arm.  The arm was swollen and getting worse, and she was told to continue the Benadryl at home.  The arm was then getting worse and by Tuesday it was more swollen, the redness was more and the area was going down toward the elbow and is red and swollen.  When she went back the 2nd time saw that her arm was swollen, etc., and did the Benadryl through the IV.  They did blood tests and it showed common cold (rhinovirus).  They gave her Tylenol and gave her Prednisone IV as well as 40 mg for 4 days at home.  She is still having the cold symptoms with her nose, throat, hurting ear, eyes are watery.  Her arm is still swollen, red down from middle of arm down to the elbow, but does not have it up top.  She called her infectious provider and saw her and said that it was a reaction and not an infection.  Every day she hopes that it would be less swollen.  Her skin is red and now really does not know if she is protected.  She is still not feeling "herself", having cramps/pain in her legs due to low potassium and has a call to her doctor for that.   She has had had 3 COVID vaccines and now cannot get the 2nd booster due to this reaction and feels she will have to wait 4 months to get that one.
Age: 69.0
Sex: F
Vaccine: PNC20
Symptoms: Muscle spasms, Nasopharyngitis, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: She got her vaccine, her arm was hurting that day and that night, a little red around it.  Then it continued to grow and grew a marker and it grew outside of that circle and went to the ER, on 7/2/22.  They looked at the arm, saw that she was having an allergic reaction, gave her IV Benadryl, Pepcid for her stomach, Toradol for the pain, and then they did blood work, her potassium was low and they gave her sodium chloride packets.  They did an EKG on her as she was stressed as well as a chest x-ray, which they did cool compresses on the right arm.  The arm was swollen and getting worse, and she was told to continue the Benadryl at home.  The arm was then getting worse and by Tuesday it was more swollen, the redness was more and the area was going down toward the elbow and is red and swollen.  When she went back the 2nd time saw that her arm was swollen, etc., and did the Benadryl through the IV.  They did blood tests and it showed common cold (rhinovirus).  They gave her Tylenol and gave her Prednisone IV as well as 40 mg for 4 days at home.  She is still having the cold symptoms with her nose, throat, hurting ear, eyes are watery.  Her arm is still swollen, red down from middle of arm down to the elbow, but does not have it up top.  She called her infectious provider and saw her and said that it was a reaction and not an infection.  Every day she hopes that it would be less swollen.  Her skin is red and now really does not know if she is protected.  She is still not feeling "herself", having cramps/pain in her legs due to low potassium and has a call to her doctor for that.   She has had had 3 COVID vaccines and now cannot get the 2nd booster due to this reaction and feels she will have to wait 4 months to get that one.
Age: 69.0
Sex: F
Vaccine: PNC20
Symptoms: Rhinovirus infection, Stress, X-ray
Clinical narrative: She got her vaccine, her arm was hurting that day and that night, a little red around it.  Then it continued to grow and grew a marker and it grew outside of that circle and went to the ER, on 7/2/22.  They looked at the arm, saw that she was having an allergic reaction, gave her IV Benadryl, Pepcid for her stomach, Toradol for the pain, and then they did blood work, her potassium was low and they gave her sodium chloride packets.  They did an EKG on her as she was stressed as well as a chest x-ray, which they did cool compresses on the right arm.  The arm was swollen and getting worse, and she was told to continue the Benadryl at home.  The arm was then getting worse and by Tuesday it was more swollen, the redness was more and the area was going down toward the elbow and is red and swollen.  When she went back the 2nd time saw that her arm was swollen, etc., and did the Benadryl through the IV.  They did blood tests and it showed common cold (rhinovirus).  They gave her Tylenol and gave her Prednisone IV as well as 40 mg for 4 days at home.  She is still having the cold symptoms with her nose, throat, hurting ear, eyes are watery.  Her arm is still swollen, red down from middle of arm down to the elbow, but does not have it up top.  She called her infectious provider and saw her and said that it was a reaction and not an infection.  Every day she hopes that it would be less swollen.  Her skin is red and now really does not know if she is protected.  She is still not feeling "herself", having cramps/pain in her legs due to low potassium and has a call to her doctor for that.   She has had had 3 COVID vaccines and now cannot get the 2nd booster due to this reaction and feels she will have to wait 4 months to get that one.
Age: 91.0
Sex: M
Vaccine: UNK
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired medication. confirmed with manufacturer that dose maintained its efficacy. no follow-up needed. no adverse outcome
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested Positive for Covid 19  06/24:2022@ 0930 A
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Pain, Rhinorrhoea
Clinical narrative: I started to have a headache, minor cough, and dripping nose. COVID-19 home test was used to see if I had COVID-19 and it did come out positive. I reached out to an urgent care and my PCP and was prescribed PAXLOVID, and after taking them for about 2.5 days it seems to be helping a lot with symptoms. I did have some minor body aches however I did not have a fever.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I started to have a headache, minor cough, and dripping nose. COVID-19 home test was used to see if I had COVID-19 and it did come out positive. I reached out to an urgent care and my PCP and was prescribed PAXLOVID, and after taking them for about 2.5 days it seems to be helping a lot with symptoms. I did have some minor body aches however I did not have a fever.