chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 41.0
Sex: M
Vaccine: COVID19, FLUX
Symptoms: Bloody discharge, COVID-19, Dyspnoea exertional, Fatigue, Head discomfort
Clinical narrative: I had a headache, worst I've had for about 3 weeks; fatigue, sore throat, runny nose; congestion in my head and chest. With activity I would get really winded and find it hard to catch my breath, even with minor activity like walking around. Bloody sinus and I'm still coughing up stuff and have the runny nose. I didn't have a fever. I tested negative but still have symptoms.
Age: 41.0
Sex: M
Vaccine: COVID19, FLUX
Symptoms: Headache, Oropharyngeal pain, Productive cough, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: I had a headache, worst I've had for about 3 weeks; fatigue, sore throat, runny nose; congestion in my head and chest. With activity I would get really winded and find it hard to catch my breath, even with minor activity like walking around. Bloody sinus and I'm still coughing up stuff and have the runny nose. I didn't have a fever. I tested negative but still have symptoms.
Age: 41.0
Sex: M
Vaccine: COVID19, FLUX
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: I had a headache, worst I've had for about 3 weeks; fatigue, sore throat, runny nose; congestion in my head and chest. With activity I would get really winded and find it hard to catch my breath, even with minor activity like walking around. Bloody sinus and I'm still coughing up stuff and have the runny nose. I didn't have a fever. I tested negative but still have symptoms.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19, COVID19-2
Symptoms: Influenza like illness, Nasal congestion
Clinical narrative: Stuffy Nose Flu Like Symptoms
Age: 0.67
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Temperature Excursion. Vaccine was stored refrigerated (2-8 degrees Celsius) for greater than 10 weeks.  Vaccine was stored for a total of 4 days past its beyond use date in the refrigerator.   Patient did not experience any adverse events.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Pain in extremity
Clinical narrative: COVID-19 Pfizer Updated Booster 12+ given to patient. Adult Booster was intended for mom but went to patient in error.   Patient's arm was sore starting at 8:00pm and lasted until the next night.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given 2nd dose Pfizer FN2908 on 11/1/22. The lot number had expired on 10/31/22. Reports no adverse reactions
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: CONGESTION, SORE THROAT
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Loss of personal independence in daily activities, Mobility decreased
Clinical narrative: Patient called on 11/1/2022 and states after receiving her 2 primary doses of the moderna vaccine 3/31/21 and 4/28/21 she developed bilateral shoulder pain. She reported being examined for rotator cuff injury and was normal. She states over 1 year later she is unable to raise both arms and reach behind her back. She states she is unbale to dress herself without assistance.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Atrioventricular block complete, Bacteraemia, COVID-19, Cardiac pacemaker insertion
Clinical narrative: Patient who has completed primary COVID vaccination series who admitted to hospital with a COVID detected PCR.  Patient discharged home with hospice and subsequently died on 10/17/22.  Provider d/c note:  "77-year-old female past history of coronary artery disease, CHF preserved EF, hypertension gout hyperlipidemia aortic stenosis status post AVR recent COVID/urinary tract infection.  She presented for chief complaint of generalized weakness.  She is found to be in third-degree heart block on arrival to now was emergency department.  Patient was admitted to intensive care unit and at drip and had transvenous pacemaker placed.  She was treated for urinary tract infection.  Patient was transferred to intensive care unit to the floor.  Patient developed cardiorenal syndrome fluid overload on the floor.  Despite aggressive diuresis patient required hemodialysis.  Her stay was complicated by bacteremia completed course of vancomycin.  Patient tolerated dialysis poorly.  After trial of 3 days of dialysis patient did not want to continue.  She is seen by palliative and hospice services.  Patient plans to go home with hospice" Patient expired 7 days after discharge on 10/17/2022.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiorenal syndrome, Death, Diuretic therapy, Haemodialysis, Hypervolaemia
Clinical narrative: Patient who has completed primary COVID vaccination series who admitted to hospital with a COVID detected PCR.  Patient discharged home with hospice and subsequently died on 10/17/22.  Provider d/c note:  "77-year-old female past history of coronary artery disease, CHF preserved EF, hypertension gout hyperlipidemia aortic stenosis status post AVR recent COVID/urinary tract infection.  She presented for chief complaint of generalized weakness.  She is found to be in third-degree heart block on arrival to now was emergency department.  Patient was admitted to intensive care unit and at drip and had transvenous pacemaker placed.  She was treated for urinary tract infection.  Patient was transferred to intensive care unit to the floor.  Patient developed cardiorenal syndrome fluid overload on the floor.  Despite aggressive diuresis patient required hemodialysis.  Her stay was complicated by bacteremia completed course of vancomycin.  Patient tolerated dialysis poorly.  After trial of 3 days of dialysis patient did not want to continue.  She is seen by palliative and hospice services.  Patient plans to go home with hospice" Patient expired 7 days after discharge on 10/17/2022.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Intensive care, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Patient who has completed primary COVID vaccination series who admitted to hospital with a COVID detected PCR.  Patient discharged home with hospice and subsequently died on 10/17/22.  Provider d/c note:  "77-year-old female past history of coronary artery disease, CHF preserved EF, hypertension gout hyperlipidemia aortic stenosis status post AVR recent COVID/urinary tract infection.  She presented for chief complaint of generalized weakness.  She is found to be in third-degree heart block on arrival to now was emergency department.  Patient was admitted to intensive care unit and at drip and had transvenous pacemaker placed.  She was treated for urinary tract infection.  Patient was transferred to intensive care unit to the floor.  Patient developed cardiorenal syndrome fluid overload on the floor.  Despite aggressive diuresis patient required hemodialysis.  Her stay was complicated by bacteremia completed course of vancomycin.  Patient tolerated dialysis poorly.  After trial of 3 days of dialysis patient did not want to continue.  She is seen by palliative and hospice services.  Patient plans to go home with hospice" Patient expired 7 days after discharge on 10/17/2022.
Age: 18.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient came in for very first dose of covid vaccine, accidently was given Pfizer bivalent booster instead of monovalent. Patient made aware that she received bivalent instead of monovalent dose. Patient did not report any adverse reaction.
Age: 1.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Temperature Excursion. Vaccine was stored refrigerated (2-8 degrees Celsius) for greater than 10 weeks.  Vaccine was stored for a total of 4 days past its beyond use date in the refrigerator.  Patient did not experience any adverse events at this time.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood test normal, Dyspepsia, Endoscopy abnormal, Gastritis
Clinical narrative: On July 2022, I really had a stomach pain, burn and nausea. I went to the doctor, and he said I had gastritis and I had endoscopy. With that the result was that I had gastritis and GERD. He gave me medications for that.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrooesophageal reflux disease, Nausea
Clinical narrative: On July 2022, I really had a stomach pain, burn and nausea. I went to the doctor, and he said I had gastritis and I had endoscopy. With that the result was that I had gastritis and GERD. He gave me medications for that.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Malaise, Productive cough, Respiratory tract congestion
Clinical narrative: About two and a half months after receiving my second booster of Moderna, my spouse and I tested positive for COVID-19. He showed symptoms of having the virus first and then we both tested and it came out positive. We were able to get treated with Paxlovid and we feel that it helped. Our symptoms were pretty mild though. We experienced runny noses, a little congestion, cough with phlegm and fatigue.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: About two and a half months after receiving my second booster of Moderna, my spouse and I tested positive for COVID-19. He showed symptoms of having the virus first and then we both tested and it came out positive. We were able to get treated with Paxlovid and we feel that it helped. Our symptoms were pretty mild though. We experienced runny noses, a little congestion, cough with phlegm and fatigue.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Diarrhoea, Full blood count, Metabolic function test, Pruritus
Clinical narrative: Allergic reaction: Generalized itching and generalized rash. Weakness. Diarrhea
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urine analysis
Clinical narrative: Allergic reaction: Generalized itching and generalized rash. Weakness. Diarrhea
Age: 29.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered, No adverse event, Wrong product administered
Clinical narrative: THE PATIENT HAD ALREADY RECEIVED THEIR FLU VACCINE 2 WEEKS  PRIOR TO THIS DOSE. THE DOSE WAS GIVEN IN ERROR INSTEAD OF A PFIZER BIVALENT BOOSTER. NO ADVERSE REACTION REPORTED AT THIS TIME.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood culture negative, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chronic obstructive pulmonary disease
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "72yo female with hx of COPD, chronic hypoxic respiratory failure, anxiety, bipolar disease, CAD s/p stent, HTN, HLD, hx of seizures who reported to Hospital ED with acute complaint of shortness of breath. At home, patient uses supplemental oxygen at 1L per which she required an increase in supplemental O2. She was developing worsening chronic cough with productive sputum. Reported generalized fatigue prior to arrival. She denied fever, chills, rigors, orthopnea. Patient took a home COVID test which was positive on 10/21/22.    In the ED, patient was afebrile and hemodynamically stable. SpO2 2was 96% on 2L. She initially was found to have increased work of breathing and placed on BiPAP. She became hypotensive to 87/35, fluids were administered. Patient received Ativan and was transitioned to CPAP from BiPAP. WBC was 16.2, COVID was positive. Chest XR remarkable for bibasilar reticulonodular opacities.    Hospital Course:  Patient was taken off BiPAP, started on Decadron and Remdesivir for COVID pneumonia. IV rocephin and doxycycline were started for COPD exacerbation. Patient's hyponatremia resolved with fluids. Patient complained of multiple episodes of loose stools. C. Diff isolation and testing protocols were initiated on 10/25/22, with negative results. Patient's loose stools improved with PRN imodium. Blood cultures continued to show no growth. She was discharged in stable condition to home with home-care after completing Remdesivir therapy and 5 days of antibiotics.   Issues Requiring Follow Up: (Who, what, when, and how communicated?) PCP - COPD exacerbation and COVID pneumonia f/u. Discharged with short course Decadron to complete 10 days therapy."
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Clostridium test negative, Condition aggravated, Diarrhoea, Dyspnoea, Fatigue
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "72yo female with hx of COPD, chronic hypoxic respiratory failure, anxiety, bipolar disease, CAD s/p stent, HTN, HLD, hx of seizures who reported to Hospital ED with acute complaint of shortness of breath. At home, patient uses supplemental oxygen at 1L per which she required an increase in supplemental O2. She was developing worsening chronic cough with productive sputum. Reported generalized fatigue prior to arrival. She denied fever, chills, rigors, orthopnea. Patient took a home COVID test which was positive on 10/21/22.    In the ED, patient was afebrile and hemodynamically stable. SpO2 2was 96% on 2L. She initially was found to have increased work of breathing and placed on BiPAP. She became hypotensive to 87/35, fluids were administered. Patient received Ativan and was transitioned to CPAP from BiPAP. WBC was 16.2, COVID was positive. Chest XR remarkable for bibasilar reticulonodular opacities.    Hospital Course:  Patient was taken off BiPAP, started on Decadron and Remdesivir for COVID pneumonia. IV rocephin and doxycycline were started for COPD exacerbation. Patient's hyponatremia resolved with fluids. Patient complained of multiple episodes of loose stools. C. Diff isolation and testing protocols were initiated on 10/25/22, with negative results. Patient's loose stools improved with PRN imodium. Blood cultures continued to show no growth. She was discharged in stable condition to home with home-care after completing Remdesivir therapy and 5 days of antibiotics.   Issues Requiring Follow Up: (Who, what, when, and how communicated?) PCP - COPD exacerbation and COVID pneumonia f/u. Discharged with short course Decadron to complete 10 days therapy."
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hyponatraemia, Hypotension, Lung opacity, Positive airway pressure therapy, Productive cough
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "72yo female with hx of COPD, chronic hypoxic respiratory failure, anxiety, bipolar disease, CAD s/p stent, HTN, HLD, hx of seizures who reported to Hospital ED with acute complaint of shortness of breath. At home, patient uses supplemental oxygen at 1L per which she required an increase in supplemental O2. She was developing worsening chronic cough with productive sputum. Reported generalized fatigue prior to arrival. She denied fever, chills, rigors, orthopnea. Patient took a home COVID test which was positive on 10/21/22.    In the ED, patient was afebrile and hemodynamically stable. SpO2 2was 96% on 2L. She initially was found to have increased work of breathing and placed on BiPAP. She became hypotensive to 87/35, fluids were administered. Patient received Ativan and was transitioned to CPAP from BiPAP. WBC was 16.2, COVID was positive. Chest XR remarkable for bibasilar reticulonodular opacities.    Hospital Course:  Patient was taken off BiPAP, started on Decadron and Remdesivir for COVID pneumonia. IV rocephin and doxycycline were started for COPD exacerbation. Patient's hyponatremia resolved with fluids. Patient complained of multiple episodes of loose stools. C. Diff isolation and testing protocols were initiated on 10/25/22, with negative results. Patient's loose stools improved with PRN imodium. Blood cultures continued to show no growth. She was discharged in stable condition to home with home-care after completing Remdesivir therapy and 5 days of antibiotics.   Issues Requiring Follow Up: (Who, what, when, and how communicated?) PCP - COPD exacerbation and COVID pneumonia f/u. Discharged with short course Decadron to complete 10 days therapy."
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, White blood cell count increased
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "72yo female with hx of COPD, chronic hypoxic respiratory failure, anxiety, bipolar disease, CAD s/p stent, HTN, HLD, hx of seizures who reported to Hospital ED with acute complaint of shortness of breath. At home, patient uses supplemental oxygen at 1L per which she required an increase in supplemental O2. She was developing worsening chronic cough with productive sputum. Reported generalized fatigue prior to arrival. She denied fever, chills, rigors, orthopnea. Patient took a home COVID test which was positive on 10/21/22.    In the ED, patient was afebrile and hemodynamically stable. SpO2 2was 96% on 2L. She initially was found to have increased work of breathing and placed on BiPAP. She became hypotensive to 87/35, fluids were administered. Patient received Ativan and was transitioned to CPAP from BiPAP. WBC was 16.2, COVID was positive. Chest XR remarkable for bibasilar reticulonodular opacities.    Hospital Course:  Patient was taken off BiPAP, started on Decadron and Remdesivir for COVID pneumonia. IV rocephin and doxycycline were started for COPD exacerbation. Patient's hyponatremia resolved with fluids. Patient complained of multiple episodes of loose stools. C. Diff isolation and testing protocols were initiated on 10/25/22, with negative results. Patient's loose stools improved with PRN imodium. Blood cultures continued to show no growth. She was discharged in stable condition to home with home-care after completing Remdesivir therapy and 5 days of antibiotics.   Issues Requiring Follow Up: (Who, what, when, and how communicated?) PCP - COPD exacerbation and COVID pneumonia f/u. Discharged with short course Decadron to complete 10 days therapy."
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Fatigue, Malaise
Clinical narrative: I received my second Moderna booster for COVID-19 on 3/17/2022. On about 7/28/2022, I developed a really bad cough and a general feeling of un-wellness. My husband was admitted to the hospital for treatment for COVID-19 at this time, so most of my energies were devoted to ensuring that he received proper care. On 7/30/2022, I took a home test for COVID-19 and got a positive result. I went to the local hospital and was prescribed PAXLOVID. I self-isolated at home for a few days and stayed in a separate room from my husband. My aforementioned cough subsided after a short time and was similar to a mild cold. However, I did have extreme fatigue, which lasted maybe two or three days; of all my COVID-19 symptoms, the fatigue was the most noticeable symptom. After a few days, the symptoms subsided and everything returned to normal.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: I received my second Moderna booster for COVID-19 on 3/17/2022. On about 7/28/2022, I developed a really bad cough and a general feeling of un-wellness. My husband was admitted to the hospital for treatment for COVID-19 at this time, so most of my energies were devoted to ensuring that he received proper care. On 7/30/2022, I took a home test for COVID-19 and got a positive result. I went to the local hospital and was prescribed PAXLOVID. I self-isolated at home for a few days and stayed in a separate room from my husband. My aforementioned cough subsided after a short time and was similar to a mild cold. However, I did have extreme fatigue, which lasted maybe two or three days; of all my COVID-19 symptoms, the fatigue was the most noticeable symptom. After a few days, the symptoms subsided and everything returned to normal.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Covid  Pfizer Bi-Valent as primary dose.
Age: 36.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Aphonia, Cough, Exposure to communicable disease, Productive cough, Pyrexia
Clinical narrative: My kids have been sick for 10 days now so I got RSV from them. Its basically respiratory, lots of phlegm, loosing my voice, coughing and fevers. I was given a zpack and I've completed it.
Age: 36.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Respiratory syncytial virus infection
Clinical narrative: My kids have been sick for 10 days now so I got RSV from them. Its basically respiratory, lots of phlegm, loosing my voice, coughing and fevers. I was given a zpack and I've completed it.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event, Wrong product administered
Clinical narrative: The first dose of covid was given elsewhere and was Pfizer and the second dose given in clinic was Moderna. The concern is that the wrong vaccine was given to complete the series. No known reaction in the child after receiving 2nd dose.
Age: 68.0
Sex: M
Vaccine: FLUA4
Symptoms: Wrong product administered
Clinical narrative: pt has a history of guillane barre. Pt recieved a flu shot instead of a Pfizer bivalent booster dose
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Bone disorder, Fatigue, Hypersomnia, Pain
Clinical narrative: -"next day aching all over and totally no strength" -"every bone was putty" -next 4 days in bed sleeping -"it was terrible."  Today, patient reports: -"finally beginning to feel a little less tired" -still has an "awful lot of saliva in mouth"
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Salivary hypersecretion
Clinical narrative: -"next day aching all over and totally no strength" -"every bone was putty" -next 4 days in bed sleeping -"it was terrible."  Today, patient reports: -"finally beginning to feel a little less tired" -still has an "awful lot of saliva in mouth"
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, COVID-19, Circulatory collapse, Condition aggravated
Clinical narrative: Patient with 4 COVID vaccines who admitted with positive COVID test and pulmonary embolism for hospital admission.  Provider d/c note:  "66 YO male presented with passive pulmonary embolism causing respiratory failure and circulatory failure.  Found to have covid, though likely incidental given course and imaging findings.  Treated with tpa and subsequent thrombectomy with resolution of respiratory failure.  Patient noted to have concerning right renal mass on imaging, will need Urology evaluation for nephrectomy. Pulmonary consulted, likely safe for surgery in 1 month.   Problem list: Acute respiratory failure with hypoxia - pulmonary embolism, COVID, OSA               -resolved, off supplemental O2               -home BiPAP settings when sleeping Acute pulmonary embolism               -s/p tpa 10/23, mechanical thrombectomy 10/24               -apixaban x 6  months Circulatory shock, resolved (due to pulmonary embolism) Right renal mass               -Referred for Urology evaluation, concern for RCC               -Requires a month of anticoagulation before nephrectomy is safe and anticoagulation can be held temporarily  Diabetes mellitus type 2 in morbidly obese, Body mass index is 49.02 kg/m².                -sliding scale Humalog               -resume metformin/ozempic on discharge  Hypertension               -valsartan/hydrochlorothiazide remain held with relative hypotension             -reassess with PCP "
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Hypotension, Imaging procedure abnormal, Obstructive sleep apnoea syndrome, Pulmonary embolism, Renal mass
Clinical narrative: Patient with 4 COVID vaccines who admitted with positive COVID test and pulmonary embolism for hospital admission.  Provider d/c note:  "66 YO male presented with passive pulmonary embolism causing respiratory failure and circulatory failure.  Found to have covid, though likely incidental given course and imaging findings.  Treated with tpa and subsequent thrombectomy with resolution of respiratory failure.  Patient noted to have concerning right renal mass on imaging, will need Urology evaluation for nephrectomy. Pulmonary consulted, likely safe for surgery in 1 month.   Problem list: Acute respiratory failure with hypoxia - pulmonary embolism, COVID, OSA               -resolved, off supplemental O2               -home BiPAP settings when sleeping Acute pulmonary embolism               -s/p tpa 10/23, mechanical thrombectomy 10/24               -apixaban x 6  months Circulatory shock, resolved (due to pulmonary embolism) Right renal mass               -Referred for Urology evaluation, concern for RCC               -Requires a month of anticoagulation before nephrectomy is safe and anticoagulation can be held temporarily  Diabetes mellitus type 2 in morbidly obese, Body mass index is 49.02 kg/m².                -sliding scale Humalog               -resume metformin/ozempic on discharge  Hypertension               -valsartan/hydrochlorothiazide remain held with relative hypotension             -reassess with PCP "
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive, Shock, Thrombectomy
Clinical narrative: Patient with 4 COVID vaccines who admitted with positive COVID test and pulmonary embolism for hospital admission.  Provider d/c note:  "66 YO male presented with passive pulmonary embolism causing respiratory failure and circulatory failure.  Found to have covid, though likely incidental given course and imaging findings.  Treated with tpa and subsequent thrombectomy with resolution of respiratory failure.  Patient noted to have concerning right renal mass on imaging, will need Urology evaluation for nephrectomy. Pulmonary consulted, likely safe for surgery in 1 month.   Problem list: Acute respiratory failure with hypoxia - pulmonary embolism, COVID, OSA               -resolved, off supplemental O2               -home BiPAP settings when sleeping Acute pulmonary embolism               -s/p tpa 10/23, mechanical thrombectomy 10/24               -apixaban x 6  months Circulatory shock, resolved (due to pulmonary embolism) Right renal mass               -Referred for Urology evaluation, concern for RCC               -Requires a month of anticoagulation before nephrectomy is safe and anticoagulation can be held temporarily  Diabetes mellitus type 2 in morbidly obese, Body mass index is 49.02 kg/m².                -sliding scale Humalog               -resume metformin/ozempic on discharge  Hypertension               -valsartan/hydrochlorothiazide remain held with relative hypotension             -reassess with PCP "
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Cough, Diarrhoea, Dyspnoea, Fatigue
Clinical narrative: fatigue, sore throat, cough, SOB, diarrhea, arthralgias, myalgias, headaches
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Myalgia, Oropharyngeal pain
Clinical narrative: fatigue, sore throat, cough, SOB, diarrhea, arthralgias, myalgias, headaches
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chills, Dizziness, Fall, Hyperhidrosis, Loss of consciousness
Clinical narrative: I had the shot as stated above.  I was ok until about 1am(29Oct22) WHEN I WOKE UP WITH CHILLS AND MUSCLE ACHES.  I WENT BACK TO SLEEP AND WOKE UP ABOUT 730AM.  I GOT UP WENT TO THE KITCHEN TO PREPARE COFFEE WHEN I FELT VERY DIZZY AND BLACKED OUT AND FELL TO FLOOR.  MY WIFE HEARD THE FALL AND CAME TO THE KITCHEN AND I WAS ON THE FLOOR BUT WAS THEN CONSCIOUS.  SHE ASKED IF I WANTED HER TO CALL EMS AND I SAID NO.  SHE WIPED ME DOWN BECAUSE I WAS SWEATING, SHE GAVE ME SOMETHING TO DRINK.  AFTER A FEW MINUTES I SLOWLY GOT TO MY FEET, HAD MORE WATER AND MY WIFE ASKED AGAIN IF I WANTED HER TO CALL EMS, I SAID NO.  I STILL DIZZY, CHILLED AND ACHEY BUT I DID NOT HAVE DIFFICULTY BREATHING AND HAD NO CHEST PAIN.  SHE HELPED ME
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Myalgia, Pain, Sleep disorder
Clinical narrative: I had the shot as stated above.  I was ok until about 1am(29Oct22) WHEN I WOKE UP WITH CHILLS AND MUSCLE ACHES.  I WENT BACK TO SLEEP AND WOKE UP ABOUT 730AM.  I GOT UP WENT TO THE KITCHEN TO PREPARE COFFEE WHEN I FELT VERY DIZZY AND BLACKED OUT AND FELL TO FLOOR.  MY WIFE HEARD THE FALL AND CAME TO THE KITCHEN AND I WAS ON THE FLOOR BUT WAS THEN CONSCIOUS.  SHE ASKED IF I WANTED HER TO CALL EMS AND I SAID NO.  SHE WIPED ME DOWN BECAUSE I WAS SWEATING, SHE GAVE ME SOMETHING TO DRINK.  AFTER A FEW MINUTES I SLOWLY GOT TO MY FEET, HAD MORE WATER AND MY WIFE ASKED AGAIN IF I WANTED HER TO CALL EMS, I SAID NO.  I STILL DIZZY, CHILLED AND ACHEY BUT I DID NOT HAVE DIFFICULTY BREATHING AND HAD NO CHEST PAIN.  SHE HELPED ME
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong product administered
Clinical narrative: Patient Received a Fluarix instead of a Fluad.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lethargy, Malaise, Mobility decreased
Clinical narrative: Patient states that about 8 hours after getting vaccine, she was extremely sick and could not get out of bed for 4 days afterward. She stated she felt lethargic, "sick", and overall ill. She was not specific about what types of symptoms she had or anything else.
Age: 65.0
Sex: M
Vaccine: UNK
Symptoms: Diarrhoea, Disturbance in attention, Gait disturbance, Mobility decreased
Clinical narrative: Extreme diarrhea during the night along with difficulty in moving both legs and difficulty concentrating.  The difficulty in walking lasted for 2 days.  The problems with concentration lasted 3 days.
Age: 79.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event, Wrong product administered
Clinical narrative: No adverse events occurred due to error*- patient was inadvertently given flu vaccine instead of COVID booster. Patient aware. Check on with no adverse side effects from error. Med sheet colors changed to distinguish and avoid future errors.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Temperature Excursion. Vaccine was stored refrigerated (2-8 degrees Celsius) for greater than 10 weeks.  Vaccine was stored for a total of 5 days past its beyond use date in the refrigerator.  Patient did not experience any adverse events.
Age: 37.0
Sex: F
Vaccine: HPV9
Symptoms: Anaphylactic reaction, Rash erythematous
Clinical narrative: Anaphylactic type reaction requiring attention in the emergency room. red rash
Age: 101.0
Sex: M
Vaccine: COVID19-2, FLUC4
Symptoms: Axillary vein thrombosis, Basilar artery thrombosis, Brachiocephalic vein thrombosis, Ultrasound Doppler abnormal
Clinical narrative: Thrombus to basilic, cephalic, brachial and axillary veins per ultrasound
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Chest pain, Injection site pain, Neck pain
Clinical narrative: Left arm all the way up to neck, upper chest, shoulder and down arm have been sore with decreased strength, increased pain since injection given. Lasting at least 12 days now. Still has mobility/range of motion to arm/shoulder.
Age: 41.0
Sex: F
Vaccine: UNK
Symptoms: Illness, Malaise, Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: I was told via phone message to report the adverse event, but I don't think I had one.  I just happened to get sick a month after the vaccine with congestion, cold, virus type illness. Covid test is negative.
Age: 41.0
Sex: F
Vaccine: UNK
Symptoms: Viral infection
Clinical narrative: I was told via phone message to report the adverse event, but I don't think I had one.  I just happened to get sick a month after the vaccine with congestion, cold, virus type illness. Covid test is negative.
Age: 49.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Fatigue, Hyperaesthesia, Joint noise, Sensitive skin
Clinical narrative: Woke up with hypersensitive abdomen to the touch, tiredness, painful right wrist (wrist frequently 'cracks' through out the day), very similar symptoms when I had covid a few months ago but w/o the sinus and pulmonary symptoms related to infection.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Child given expired vaccine.
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Impaired work ability, Injected limb mobility decreased, Injection site pain, Loss of personal independence in daily activities, Pain in extremity
Clinical narrative: Patient reported: i received a FLU shot from store employee at my job they came out every year and i am not the only one who stated this lady had hurt us to give that vaccination and i just got in from my doctors appointment and i was told that i have encapsulation adhesive basically there is something wrong and i have to take physical therapy this shot has left my arm hurting for 4weeks and i am unable to take off my own shirt and it has effected my job performance as well because i work inventory i have to lift boxes and i have to ask for help it was not my fault that this lady inject me the wrong way and i need physical therapy and is going to be expensive and i work for employer where we make  products to drink if that could help with finding out who came to my employment to give the Flu shot
Age: 55.0
Sex: F
Vaccine: FLU4
Symptoms: Periarthritis
Clinical narrative: Patient reported: i received a FLU shot from store employee at my job they came out every year and i am not the only one who stated this lady had hurt us to give that vaccination and i just got in from my doctors appointment and i was told that i have encapsulation adhesive basically there is something wrong and i have to take physical therapy this shot has left my arm hurting for 4weeks and i am unable to take off my own shirt and it has effected my job performance as well because i work inventory i have to lift boxes and i have to ask for help it was not my fault that this lady inject me the wrong way and i need physical therapy and is going to be expensive and i work for employer where we make  products to drink if that could help with finding out who came to my employment to give the Flu shot
Age: 25.0
Sex: F
Vaccine: FLUC4
Symptoms: Erythema, Mobility decreased, Pain, Swelling
Clinical narrative: Redness, Swelling, Pain, Difficulty Lifting Arm (5 days later)
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anaphylactic shock, Angioedema, Paraesthesia, Paraesthesia oral, Swelling face
Clinical narrative: I had facial swelling, lips tongue, neck, face and I also had a tingling sensation. I reached out to my allergist; she diagnosed me with angioedema and internal urticaria and had me taking ZYRTEC once a day. After two weeks she had me stop taking the ZYRTEC and within seven hours my throat closed up and I had to be transported by ambulance to the hospital. I went into anaphylactic shock and treated me as per protocol. I was sent home and advised to take three medications to keep the swelling down. On the last breakthrough they put me on 4 ZYRTEC, 2 BENADRYL every 12 hours and 1 famotidine every 12 hours but I was nonfunctioning. I had a reassessment, and the allergist switched the ZYRTEC to allergy and took the me off the BENADRYL. I will be getting reassessed to see if I can eventually be weaned off these medications.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Throat tightness, Urticaria
Clinical narrative: I had facial swelling, lips tongue, neck, face and I also had a tingling sensation. I reached out to my allergist; she diagnosed me with angioedema and internal urticaria and had me taking ZYRTEC once a day. After two weeks she had me stop taking the ZYRTEC and within seven hours my throat closed up and I had to be transported by ambulance to the hospital. I went into anaphylactic shock and treated me as per protocol. I was sent home and advised to take three medications to keep the swelling down. On the last breakthrough they put me on 4 ZYRTEC, 2 BENADRYL every 12 hours and 1 famotidine every 12 hours but I was nonfunctioning. I had a reassessment, and the allergist switched the ZYRTEC to allergy and took the me off the BENADRYL. I will be getting reassessed to see if I can eventually be weaned off these medications.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Eye pruritus, Fatigue, Nasopharyngitis
Clinical narrative: Incredible fatigue, cough, cold symptoms, runny nose, itchy eyes. The fatigue lasted about 3.5 weeks. I still have a tickle in my throat. I was given Paxlovid.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Incredible fatigue, cough, cold symptoms, runny nose, itchy eyes. The fatigue lasted about 3.5 weeks. I still have a tickle in my throat. I was given Paxlovid.
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: tinitus
Age: 45.0
Sex: F
Vaccine: FLUA4
Symptoms: Injection site bruising, Paraesthesia
Clinical narrative: Tingling in left forearm down to palm, onset 1 hr after administration of flu vaccine.  Bruising noted at injection site
Age: 16.0
Sex: M
Vaccine: FLU4, MENB
Symptoms: Asthenia, Syncope
Clinical narrative: The patient developed a fainting episode after the administration of the Bexsero and Fluzone vaccines. The patient did not lose consciousness completely but he felt weak for about 10 minutes. We placed the patient in the Trendelenburg position and he recovered well. The patient left without any other incident.
Age: 79.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Cardiac arrest, Death
Clinical narrative: CARDIAC ARREST, PT DIED AT HOSPITAL 15 HOURS AFTER INJECTION
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Temperature Excursion. Vaccine was stored refrigerated (2-8 degrees Celsius) for greater than 10 weeks.  Vaccine was stored for a total of 5 days past its beyond use date in the refrigerator.  Patient did not experience any adverse events.
Age: 21.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient presented to a prenatal appt on October 27th, 2022.  Patient received a flu  vaccine at appt.  System flagged a duplicate vaccine.  When this nurse checked System patient had received a flu vaccine at Pharmacy on October 13th, 2022.  Patient received two flu vaccines in a two week period of time.  Patient's EGA on October 27th was 37 weeks 3 days with EDD 11/14/2022.  No adverse reactions noted.
Age: 83.0
Sex: F
Vaccine: COVID19-2
Symptoms: Atrial fibrillation, Atrial flutter, Condition aggravated, Heart rate increased, Hyperthyroidism
Clinical narrative: Approximately 2 weeks after vaccine, had new onset atrial fibrillation/flutter with rapid heart rate, requiring hospitalization.  Was also mildly hyperthyroid at the time.
Age: 55.0
Sex: F
Vaccine: FLUR4
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red, raised, warm to touch areas on arm below injection site appeared 24-36 hours after injection. Lasted 48-72 hours.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills
Clinical narrative: severe chills
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Temperature Excursion. Vaccine was stored refrigerated (2-8 degrees Celsius) for greater than 10 weeks.  Vaccine was stored for a total of 5 days past its beyond use date in the refrigerator.  Patient did not experience any adverse events.
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Balance disorder, Dysuria, Feeling abnormal
Clinical narrative: I received the vaccine I was fine on Friday.  He got up on Saturday and I was very wobbly.  I had a hard time urinating.  I just did not feel like myself.  I had brain fog.  I also had a 99.9 temperature.  By the end of the day my temperature was down, and I still did not feel right.  The next morning, I woke up and felt fine.  I never had pain in my arm from the injection.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chills, Dizziness, Feeling abnormal
Clinical narrative: I woke up on October 17 and was a little dizzy, extremely nauseated, achy and I had a funny taste in my mouth. I took my morning medicine. I smelled something in the restaurant I went to and immediately became nauseated to the point I had to lay down in the back of my car. I started to have some chills and was achy and decided to take a test. I contacted my doctor she prescribed PAXLOVID. I took the first dose and made myself eat so I could take meds. The next day I was still achy but no longer had the chills. By Monday, I felt like a different person. I was not back to normal, but I felt better. I tested on Thursday and was no linger positive. I am still having some brain fog now but not as often. I am having to write things down. I still don't have my full energy back and I am not sleeping as I was previously.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Memory impairment, Nausea, Pain, Parosmia, SARS-CoV-2 test positive
Clinical narrative: I woke up on October 17 and was a little dizzy, extremely nauseated, achy and I had a funny taste in my mouth. I took my morning medicine. I smelled something in the restaurant I went to and immediately became nauseated to the point I had to lay down in the back of my car. I started to have some chills and was achy and decided to take a test. I contacted my doctor she prescribed PAXLOVID. I took the first dose and made myself eat so I could take meds. The next day I was still achy but no longer had the chills. By Monday, I felt like a different person. I was not back to normal, but I felt better. I tested on Thursday and was no linger positive. I am still having some brain fog now but not as often. I am having to write things down. I still don't have my full energy back and I am not sleeping as I was previously.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Taste disorder
Clinical narrative: I woke up on October 17 and was a little dizzy, extremely nauseated, achy and I had a funny taste in my mouth. I took my morning medicine. I smelled something in the restaurant I went to and immediately became nauseated to the point I had to lay down in the back of my car. I started to have some chills and was achy and decided to take a test. I contacted my doctor she prescribed PAXLOVID. I took the first dose and made myself eat so I could take meds. The next day I was still achy but no longer had the chills. By Monday, I felt like a different person. I was not back to normal, but I felt better. I tested on Thursday and was no linger positive. I am still having some brain fog now but not as often. I am having to write things down. I still don't have my full energy back and I am not sleeping as I was previously.
Age: 77.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Pruritus, Swelling face
Clinical narrative: Patient reported that she began to have an itchy and swollen face approximately five hours after receiving her COVID bivalent booster and high dose flu vaccine.  She denied a rash.  Also denied difficulty breathing and any other symptoms.  She did not contact her doctor but has been taking Benadryl since the episode.  Continued to have an itchy and swollen face on 10/31/22.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Cough, Fatigue, Headache, Limb discomfort
Clinical narrative: Tired, chills, body aches, legs discomfort, cough, headache
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain
Clinical narrative: Tired, chills, body aches, legs discomfort, cough, headache
Age: 1.5
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Temperature Excursion. Vaccine was stored refrigerated (2-8 degrees Celsius) for greater than 10 weeks.  Vaccine was stored for a total of 5 days past its beyond use date in the refrigerator.  Patient did not experience any adverse events.
Age: 12.0
Sex: F
Vaccine: FLUC4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was given 1 dose of flu vaccine in clinic on 9/20/22. Patient's mom had signed patient up to receive a flu vaccine through the school. Paper was not pulled from school stack and patient was given an additional dose of flu vaccine at school on 10/28/22. Mother notified, reports patient is having no adverse symptoms or reactions.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Temperature Excursion. Vaccine was stored refrigerated (2-8 degrees Celsius) for greater than 10 weeks.  Vaccine was stored for a total of 6 days past its beyond use date in the refrigerator.  Patient did not experience any adverse events.
Age: 11.0
Sex: F
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Expired product administered
Clinical narrative: Exp date on vaccine was 10/28/22 and given on 10/31/22.  Error not discovered until vaccine given
Age: 1.08
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Temperature Excursion. Vaccine was stored refrigerated (2-8 degrees Celsius) for greater than 10 weeks.  Vaccine was stored for a total of 6 days past its beyond use date in the refrigerator.  Patient did not experience any adverse events.
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anaphylactic reaction, Anxiety, Dry mouth, Dysphagia, Lip dry
Clinical narrative: She got her vaccine, within 2 minutes her tongue starting tingling.  Then roughly a few minutes later she got such a dry mouth that she could not swallow her own saliva.  She went to the pharmacist and informed him that she was going into anaphylaxis and drank so much water that she had to use the bathroom.  She got home, took an allergy pill, and about 2 hours later her lips puffed up, they are still puffed up  She called her 24/7 nurse who talked to her for 30 minutes, asked a lot of questions and informed her that it was a typical path for an allergy to take and that within 2-3 hours she may get more symptoms, and to keep her Epi-Pen by her.  Suggested rinsing her mouth out with warm salt water and continued to drink water.  She then thinks her allergy pill kicked in, but continued to drink water.  She continued throughout the night with drinking water for the dry mouth.   Due to her allergies she has damage to her salivary glands and does have a dry mouth situation, but this was worse than her normal dry mouth.   She saw her doctor the next day and gave her a Kenalog shot and put her on oral steroids which she started today as pharmacy did not have it until today.  The Kenalog did make it easier to swallow with the dry mouth.  Her lips are still swollen and uncomfortable and very dry.   She is having anxiety over this.    She had the 1st J&J and the booster J&J and had no reactions to either one of them, not even a sore arm.    She had anaphylaxis that she has had in the past are to wasps, hornets, yellow jacket stings and has an Epi-Pen for that.  Her tongue swelled up badly with the wasp sting.  With the plum family fruit her larynx swelled up.    Wants to know what she can do for this, somebody in the CDC who she can talk to.