chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: MMR, TTOX, VARZOS
Symptoms: Spinal disorder
Clinical narrative: Vaccine induced Myelin oligodendrocyte glycoprotein antibody-associated disease; Literature Report:   This literature marketed report has been received from the authors of the published literature article entitled as above regarding a late 30's patient of unknown gender, who was part of a study that evaluate the prevalence and clinical characteristics iatrogenic central nervous system (CNS) inflammatory events of a total of 27 patients in a tertiary neuroimmunology clinic over five years from January 2017 and December 2021. The patient's pertinent medical history, previous drug reactions or allergies and concomitant medications were not provided. The patient did not have any other autoimmune disease, nor cancer history.  On an unknown date, the patient was vaccinated with tetanus vaccine; measles, mumps, and rubella (manufacturer unknown) and varicella-zoster vaccine (manufacturer unknown) (doses, vaccine schemes, routes, lot numbers and expiration dates were not provided).   After 2. 5 weeks of the last dose of pembrolizumab, the patient experienced vaccine- induced myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) with concomitant brainstem and spinal motor attack. The Naranjo Adverse Drug Reaction Probability Scale result was 7 and was used to score the probability of iatrogenicity. Treatment with plasma exchange (PLEX) and Intravenous Immunoglobulin (IVIg) had full response. The final disease course was reported as monophasic. The outcome was not provided.  The causality assessment between the event and the suspect vaccines was considered to be related.  Upon internal review, the event vaccine- induced myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) was determined to be medically significant.   A copy of the published article is attached as further documentation of the patient's experience.  This is one of several reports derived from the same literature article.; Sender's Comments:  US-009507513-2303USA007194:MSD
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site bruising, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
Age: 57.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Pain in extremity
Clinical narrative: Site: Pain at Injection Site-Mild, Additional Details: arm still hurts after flu shot
Age: 9.0
Sex: M
Vaccine: FLUC4
Symptoms: Injection site haemorrhage, Product administration error, Product dose omission issue
Clinical narrative: Systemic: Patient jerked right after I inserted the needle so I never gave him the vaccine, I pulled out but when pulling out, the needle scraped him and he did bleed a little but I was able to get the bleeding to stop. Patient did not get any of the vaccine.-Mild, Additional Details: Patient is special needs.  When I inserted the needle into the patient, he immediately jerked back which made me pull the needle out.  When pulling the needle out, he got scraped by the needle and did bleed a little. I was able to stop the bleeding with a cotton swab and bandaid.  Patient did not get any of the vaccine and dad said he will take his son to the pediatrician
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain upper, Acute respiratory failure, Aortic stenosis, Barrett's oesophagus, Bile duct stone
Clinical narrative: Discharge summary: "Brief Summary of Hospital Stay: patient is a 74 YO female a past medical history of hypertension, hyperlipidemia, who presented to the emergency department with acute onset of nausea, vomiting, and RUQ abdominal pain shortly after meal.  On arrival, the patient was hemodynamically stable but she was found to have elevated LFTs with cholestatic pattern as well as potassium 2.6.  CT abdomen and pelvis was obtained which showed gallbladder and cystic duct distention, mild intrahepatic and extrahepatic biliary dilatation, radiographic findings suggestive of choledocholithiasis.  Gastroenterology was consulted who recommended ERCP.  Potassium was replaced.  The patient initially underwent EGD given limited anesthesia availability, which was negative for Zenker's diverticulum, but did show esophageal mucosa consistent with short-segment Barrett's esophagus as well as a large hiatal hernia, otherwise unrevealing.  Patient then underwent ERCP on 3/17/2023 with Dr., where biliary sphincterotomy was performed, the common bile duct was dilated, the biliary tree was swept, and choledocholithiasis was visualized and removed.  Patient tolerated the procedure well.  General surgery was consulted for cholecystectomy evaluation given her presentation.  She underwent robotic assisted laparoscopic cholecystectomy on 3/18/2023 with another Dr. which she tolerated without immediate complicatinon.  In the interim, she was receiving maintenance IV fluids.  She initially tolerated the surgery well.     However, postoperatively on 3/18, she began exhibiting acute encephalopathy and respiratory distress, becoming acutely hypoxic.  Attempt was made to place her on BiPAP, however she acutely developed nausea and vomiting.  Given her respiratory distress and aspiration risk, ICU was consulted and the patient was intubated for airway protection.  The patient was diuresed and started on antibiotics given concern for aspiration pneumonia.  She would improvement in her oxygen requirements and was able to be extubated on 3/19 without postextubation complication.  She was transferred to floor status.     Antibiotics were discontinued given low suspicion for aspiration pneumonia.  Suspect that her acute respiratory decompensation was due to volume overload in setting of perioperative IV fluids and is supported chest imaging and physical exam.  Echo was obtained which showed EF 50% and mild aortic stenosis and mild-moderate MR. Diuresis was continued, after which the patient demonstrated improvement in her oxygen requirements and respiratory effort, being able to wean down to room air this admission.  She had resolution of her abdominal pain in her liver function testing had normalized, she otherwise remained hemodynamically stable.  Patient will be discharged home with PRN Lasix to treat volume overload with close PCP follow-up.  Patient will follow-up with General surgery.  She was discharged home in good condition."
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Biliary dilatation, Biliary sphincterotomy, Blood potassium decreased, COVID-19, Cholecystectomy
Clinical narrative: Discharge summary: "Brief Summary of Hospital Stay: patient is a 74 YO female a past medical history of hypertension, hyperlipidemia, who presented to the emergency department with acute onset of nausea, vomiting, and RUQ abdominal pain shortly after meal.  On arrival, the patient was hemodynamically stable but she was found to have elevated LFTs with cholestatic pattern as well as potassium 2.6.  CT abdomen and pelvis was obtained which showed gallbladder and cystic duct distention, mild intrahepatic and extrahepatic biliary dilatation, radiographic findings suggestive of choledocholithiasis.  Gastroenterology was consulted who recommended ERCP.  Potassium was replaced.  The patient initially underwent EGD given limited anesthesia availability, which was negative for Zenker's diverticulum, but did show esophageal mucosa consistent with short-segment Barrett's esophagus as well as a large hiatal hernia, otherwise unrevealing.  Patient then underwent ERCP on 3/17/2023 with Dr., where biliary sphincterotomy was performed, the common bile duct was dilated, the biliary tree was swept, and choledocholithiasis was visualized and removed.  Patient tolerated the procedure well.  General surgery was consulted for cholecystectomy evaluation given her presentation.  She underwent robotic assisted laparoscopic cholecystectomy on 3/18/2023 with another Dr. which she tolerated without immediate complicatinon.  In the interim, she was receiving maintenance IV fluids.  She initially tolerated the surgery well.     However, postoperatively on 3/18, she began exhibiting acute encephalopathy and respiratory distress, becoming acutely hypoxic.  Attempt was made to place her on BiPAP, however she acutely developed nausea and vomiting.  Given her respiratory distress and aspiration risk, ICU was consulted and the patient was intubated for airway protection.  The patient was diuresed and started on antibiotics given concern for aspiration pneumonia.  She would improvement in her oxygen requirements and was able to be extubated on 3/19 without postextubation complication.  She was transferred to floor status.     Antibiotics were discontinued given low suspicion for aspiration pneumonia.  Suspect that her acute respiratory decompensation was due to volume overload in setting of perioperative IV fluids and is supported chest imaging and physical exam.  Echo was obtained which showed EF 50% and mild aortic stenosis and mild-moderate MR. Diuresis was continued, after which the patient demonstrated improvement in her oxygen requirements and respiratory effort, being able to wean down to room air this admission.  She had resolution of her abdominal pain in her liver function testing had normalized, she otherwise remained hemodynamically stable.  Patient will be discharged home with PRN Lasix to treat volume overload with close PCP follow-up.  Patient will follow-up with General surgery.  She was discharged home in good condition."
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cholelithotomy, Computerised tomogram abdomen abnormal, Echocardiogram abnormal, Encephalopathy, Endoscopic retrograde cholangiopancreatography
Clinical narrative: Discharge summary: "Brief Summary of Hospital Stay: patient is a 74 YO female a past medical history of hypertension, hyperlipidemia, who presented to the emergency department with acute onset of nausea, vomiting, and RUQ abdominal pain shortly after meal.  On arrival, the patient was hemodynamically stable but she was found to have elevated LFTs with cholestatic pattern as well as potassium 2.6.  CT abdomen and pelvis was obtained which showed gallbladder and cystic duct distention, mild intrahepatic and extrahepatic biliary dilatation, radiographic findings suggestive of choledocholithiasis.  Gastroenterology was consulted who recommended ERCP.  Potassium was replaced.  The patient initially underwent EGD given limited anesthesia availability, which was negative for Zenker's diverticulum, but did show esophageal mucosa consistent with short-segment Barrett's esophagus as well as a large hiatal hernia, otherwise unrevealing.  Patient then underwent ERCP on 3/17/2023 with Dr., where biliary sphincterotomy was performed, the common bile duct was dilated, the biliary tree was swept, and choledocholithiasis was visualized and removed.  Patient tolerated the procedure well.  General surgery was consulted for cholecystectomy evaluation given her presentation.  She underwent robotic assisted laparoscopic cholecystectomy on 3/18/2023 with another Dr. which she tolerated without immediate complicatinon.  In the interim, she was receiving maintenance IV fluids.  She initially tolerated the surgery well.     However, postoperatively on 3/18, she began exhibiting acute encephalopathy and respiratory distress, becoming acutely hypoxic.  Attempt was made to place her on BiPAP, however she acutely developed nausea and vomiting.  Given her respiratory distress and aspiration risk, ICU was consulted and the patient was intubated for airway protection.  The patient was diuresed and started on antibiotics given concern for aspiration pneumonia.  She would improvement in her oxygen requirements and was able to be extubated on 3/19 without postextubation complication.  She was transferred to floor status.     Antibiotics were discontinued given low suspicion for aspiration pneumonia.  Suspect that her acute respiratory decompensation was due to volume overload in setting of perioperative IV fluids and is supported chest imaging and physical exam.  Echo was obtained which showed EF 50% and mild aortic stenosis and mild-moderate MR. Diuresis was continued, after which the patient demonstrated improvement in her oxygen requirements and respiratory effort, being able to wean down to room air this admission.  She had resolution of her abdominal pain in her liver function testing had normalized, she otherwise remained hemodynamically stable.  Patient will be discharged home with PRN Lasix to treat volume overload with close PCP follow-up.  Patient will follow-up with General surgery.  She was discharged home in good condition."
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Endotracheal intubation, Gallbladder disorder, Hiatus hernia, Hypervolaemia, Hypoxia
Clinical narrative: Discharge summary: "Brief Summary of Hospital Stay: patient is a 74 YO female a past medical history of hypertension, hyperlipidemia, who presented to the emergency department with acute onset of nausea, vomiting, and RUQ abdominal pain shortly after meal.  On arrival, the patient was hemodynamically stable but she was found to have elevated LFTs with cholestatic pattern as well as potassium 2.6.  CT abdomen and pelvis was obtained which showed gallbladder and cystic duct distention, mild intrahepatic and extrahepatic biliary dilatation, radiographic findings suggestive of choledocholithiasis.  Gastroenterology was consulted who recommended ERCP.  Potassium was replaced.  The patient initially underwent EGD given limited anesthesia availability, which was negative for Zenker's diverticulum, but did show esophageal mucosa consistent with short-segment Barrett's esophagus as well as a large hiatal hernia, otherwise unrevealing.  Patient then underwent ERCP on 3/17/2023 with Dr., where biliary sphincterotomy was performed, the common bile duct was dilated, the biliary tree was swept, and choledocholithiasis was visualized and removed.  Patient tolerated the procedure well.  General surgery was consulted for cholecystectomy evaluation given her presentation.  She underwent robotic assisted laparoscopic cholecystectomy on 3/18/2023 with another Dr. which she tolerated without immediate complicatinon.  In the interim, she was receiving maintenance IV fluids.  She initially tolerated the surgery well.     However, postoperatively on 3/18, she began exhibiting acute encephalopathy and respiratory distress, becoming acutely hypoxic.  Attempt was made to place her on BiPAP, however she acutely developed nausea and vomiting.  Given her respiratory distress and aspiration risk, ICU was consulted and the patient was intubated for airway protection.  The patient was diuresed and started on antibiotics given concern for aspiration pneumonia.  She would improvement in her oxygen requirements and was able to be extubated on 3/19 without postextubation complication.  She was transferred to floor status.     Antibiotics were discontinued given low suspicion for aspiration pneumonia.  Suspect that her acute respiratory decompensation was due to volume overload in setting of perioperative IV fluids and is supported chest imaging and physical exam.  Echo was obtained which showed EF 50% and mild aortic stenosis and mild-moderate MR. Diuresis was continued, after which the patient demonstrated improvement in her oxygen requirements and respiratory effort, being able to wean down to room air this admission.  She had resolution of her abdominal pain in her liver function testing had normalized, she otherwise remained hemodynamically stable.  Patient will be discharged home with PRN Lasix to treat volume overload with close PCP follow-up.  Patient will follow-up with General surgery.  She was discharged home in good condition."
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Imaging procedure abnormal, Intensive care, Laparoscopic surgery, Liver function test increased, Mitral valve incompetence
Clinical narrative: Discharge summary: "Brief Summary of Hospital Stay: patient is a 74 YO female a past medical history of hypertension, hyperlipidemia, who presented to the emergency department with acute onset of nausea, vomiting, and RUQ abdominal pain shortly after meal.  On arrival, the patient was hemodynamically stable but she was found to have elevated LFTs with cholestatic pattern as well as potassium 2.6.  CT abdomen and pelvis was obtained which showed gallbladder and cystic duct distention, mild intrahepatic and extrahepatic biliary dilatation, radiographic findings suggestive of choledocholithiasis.  Gastroenterology was consulted who recommended ERCP.  Potassium was replaced.  The patient initially underwent EGD given limited anesthesia availability, which was negative for Zenker's diverticulum, but did show esophageal mucosa consistent with short-segment Barrett's esophagus as well as a large hiatal hernia, otherwise unrevealing.  Patient then underwent ERCP on 3/17/2023 with Dr., where biliary sphincterotomy was performed, the common bile duct was dilated, the biliary tree was swept, and choledocholithiasis was visualized and removed.  Patient tolerated the procedure well.  General surgery was consulted for cholecystectomy evaluation given her presentation.  She underwent robotic assisted laparoscopic cholecystectomy on 3/18/2023 with another Dr. which she tolerated without immediate complicatinon.  In the interim, she was receiving maintenance IV fluids.  She initially tolerated the surgery well.     However, postoperatively on 3/18, she began exhibiting acute encephalopathy and respiratory distress, becoming acutely hypoxic.  Attempt was made to place her on BiPAP, however she acutely developed nausea and vomiting.  Given her respiratory distress and aspiration risk, ICU was consulted and the patient was intubated for airway protection.  The patient was diuresed and started on antibiotics given concern for aspiration pneumonia.  She would improvement in her oxygen requirements and was able to be extubated on 3/19 without postextubation complication.  She was transferred to floor status.     Antibiotics were discontinued given low suspicion for aspiration pneumonia.  Suspect that her acute respiratory decompensation was due to volume overload in setting of perioperative IV fluids and is supported chest imaging and physical exam.  Echo was obtained which showed EF 50% and mild aortic stenosis and mild-moderate MR. Diuresis was continued, after which the patient demonstrated improvement in her oxygen requirements and respiratory effort, being able to wean down to room air this admission.  She had resolution of her abdominal pain in her liver function testing had normalized, she otherwise remained hemodynamically stable.  Patient will be discharged home with PRN Lasix to treat volume overload with close PCP follow-up.  Patient will follow-up with General surgery.  She was discharged home in good condition."
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Nausea, Oesophagogastroduodenoscopy abnormal, Respiratory distress, SARS-CoV-2 test positive, Thoracic operation
Clinical narrative: Discharge summary: "Brief Summary of Hospital Stay: patient is a 74 YO female a past medical history of hypertension, hyperlipidemia, who presented to the emergency department with acute onset of nausea, vomiting, and RUQ abdominal pain shortly after meal.  On arrival, the patient was hemodynamically stable but she was found to have elevated LFTs with cholestatic pattern as well as potassium 2.6.  CT abdomen and pelvis was obtained which showed gallbladder and cystic duct distention, mild intrahepatic and extrahepatic biliary dilatation, radiographic findings suggestive of choledocholithiasis.  Gastroenterology was consulted who recommended ERCP.  Potassium was replaced.  The patient initially underwent EGD given limited anesthesia availability, which was negative for Zenker's diverticulum, but did show esophageal mucosa consistent with short-segment Barrett's esophagus as well as a large hiatal hernia, otherwise unrevealing.  Patient then underwent ERCP on 3/17/2023 with Dr., where biliary sphincterotomy was performed, the common bile duct was dilated, the biliary tree was swept, and choledocholithiasis was visualized and removed.  Patient tolerated the procedure well.  General surgery was consulted for cholecystectomy evaluation given her presentation.  She underwent robotic assisted laparoscopic cholecystectomy on 3/18/2023 with another Dr. which she tolerated without immediate complicatinon.  In the interim, she was receiving maintenance IV fluids.  She initially tolerated the surgery well.     However, postoperatively on 3/18, she began exhibiting acute encephalopathy and respiratory distress, becoming acutely hypoxic.  Attempt was made to place her on BiPAP, however she acutely developed nausea and vomiting.  Given her respiratory distress and aspiration risk, ICU was consulted and the patient was intubated for airway protection.  The patient was diuresed and started on antibiotics given concern for aspiration pneumonia.  She would improvement in her oxygen requirements and was able to be extubated on 3/19 without postextubation complication.  She was transferred to floor status.     Antibiotics were discontinued given low suspicion for aspiration pneumonia.  Suspect that her acute respiratory decompensation was due to volume overload in setting of perioperative IV fluids and is supported chest imaging and physical exam.  Echo was obtained which showed EF 50% and mild aortic stenosis and mild-moderate MR. Diuresis was continued, after which the patient demonstrated improvement in her oxygen requirements and respiratory effort, being able to wean down to room air this admission.  She had resolution of her abdominal pain in her liver function testing had normalized, she otherwise remained hemodynamically stable.  Patient will be discharged home with PRN Lasix to treat volume overload with close PCP follow-up.  Patient will follow-up with General surgery.  She was discharged home in good condition."
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vomiting, X-ray abnormal
Clinical narrative: Discharge summary: "Brief Summary of Hospital Stay: patient is a 74 YO female a past medical history of hypertension, hyperlipidemia, who presented to the emergency department with acute onset of nausea, vomiting, and RUQ abdominal pain shortly after meal.  On arrival, the patient was hemodynamically stable but she was found to have elevated LFTs with cholestatic pattern as well as potassium 2.6.  CT abdomen and pelvis was obtained which showed gallbladder and cystic duct distention, mild intrahepatic and extrahepatic biliary dilatation, radiographic findings suggestive of choledocholithiasis.  Gastroenterology was consulted who recommended ERCP.  Potassium was replaced.  The patient initially underwent EGD given limited anesthesia availability, which was negative for Zenker's diverticulum, but did show esophageal mucosa consistent with short-segment Barrett's esophagus as well as a large hiatal hernia, otherwise unrevealing.  Patient then underwent ERCP on 3/17/2023 with Dr., where biliary sphincterotomy was performed, the common bile duct was dilated, the biliary tree was swept, and choledocholithiasis was visualized and removed.  Patient tolerated the procedure well.  General surgery was consulted for cholecystectomy evaluation given her presentation.  She underwent robotic assisted laparoscopic cholecystectomy on 3/18/2023 with another Dr. which she tolerated without immediate complicatinon.  In the interim, she was receiving maintenance IV fluids.  She initially tolerated the surgery well.     However, postoperatively on 3/18, she began exhibiting acute encephalopathy and respiratory distress, becoming acutely hypoxic.  Attempt was made to place her on BiPAP, however she acutely developed nausea and vomiting.  Given her respiratory distress and aspiration risk, ICU was consulted and the patient was intubated for airway protection.  The patient was diuresed and started on antibiotics given concern for aspiration pneumonia.  She would improvement in her oxygen requirements and was able to be extubated on 3/19 without postextubation complication.  She was transferred to floor status.     Antibiotics were discontinued given low suspicion for aspiration pneumonia.  Suspect that her acute respiratory decompensation was due to volume overload in setting of perioperative IV fluids and is supported chest imaging and physical exam.  Echo was obtained which showed EF 50% and mild aortic stenosis and mild-moderate MR. Diuresis was continued, after which the patient demonstrated improvement in her oxygen requirements and respiratory effort, being able to wean down to room air this admission.  She had resolution of her abdominal pain in her liver function testing had normalized, she otherwise remained hemodynamically stable.  Patient will be discharged home with PRN Lasix to treat volume overload with close PCP follow-up.  Patient will follow-up with General surgery.  She was discharged home in good condition."
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Discomfort, Fall, Gait disturbance, Glomerular filtration rate decreased
Clinical narrative: Discharge Summary "Hospital Course: No notes on file Pt is a 90 YO female that presented to the ED with c/o ground level fall. Patient reports after dinner tonight she got in the closet to get some popcorn stumbled back and fell. She landed on her left side and pumped her head. She states she will not call it a hit of her head. She denies dizziness prior to fall. She reports being alert through the whole event. She denies any headache. States pain in much controlled since being here. She denies loosing consciousness.    In the ED, VSS. Labs reviewed and notes EGFR 54. XR notes left hip fracture (HPI per NP)   Patient is a 90yr old female with a history of HTN, CAD s/p stents, HLD, CKD, Carotid stenosis s/p bilateral stents who presented following a GLF. She apparently stumbled on her way to the closet to get some popcorn, falling on left side sustaining left hip fracture. Today she is seen laying in bed, uncomfortable due to pain. "
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Head injury, Hip fracture, Pain, SARS-CoV-2 test positive, X-ray of pelvis and hip abnormal
Clinical narrative: Discharge Summary "Hospital Course: No notes on file Pt is a 90 YO female that presented to the ED with c/o ground level fall. Patient reports after dinner tonight she got in the closet to get some popcorn stumbled back and fell. She landed on her left side and pumped her head. She states she will not call it a hit of her head. She denies dizziness prior to fall. She reports being alert through the whole event. She denies any headache. States pain in much controlled since being here. She denies loosing consciousness.    In the ED, VSS. Labs reviewed and notes EGFR 54. XR notes left hip fracture (HPI per NP)   Patient is a 90yr old female with a history of HTN, CAD s/p stents, HLD, CKD, Carotid stenosis s/p bilateral stents who presented following a GLF. She apparently stumbled on her way to the closet to get some popcorn, falling on left side sustaining left hip fracture. Today she is seen laying in bed, uncomfortable due to pain. "
Age: 26.0
Sex: F
Vaccine: COVID19-2
Symptoms: Iliotibial band syndrome, X-ray normal
Clinical narrative: I had trouble with my left knee and I went to see an Orthopedic Doctor to see why. I was told it was the IT band and PT was recommended to stretch the IT band area.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Ear infection, Infection, Oropharyngeal pain
Clinical narrative: I experienced a breakthrough case of COVID-19 with coughing, sore throat, body aches, ear infection and fever.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I experienced a breakthrough case of COVID-19 with coughing, sore throat, body aches, ear infection and fever.
Sex: U
Vaccine: HPV4, HPV9
Symptoms: Relapsing-remitting multiple sclerosis, Spinal disorder
Clinical narrative: Probable human papilloma virus vaccine unmasking of Relapsing-remitting multiple sclerosis (RRMS); human papilloma virus vaccine; Literature Report:   This literature marketed report has been received from the authors of the published literature article entitled as above regarding an early 20's patient of unknown gender, who was part of a study that evaluate the prevalence and clinical characteristics iatrogenic central nervous system (CNS) inflammatory events of a total of 27 patients in a tertiary neuroimmunology clinic over five years from January 2017 and December 2021. The patient's pertinent medical history, previous drug reactions or allergies and concomitant medications were not provided. The patient did not have any other autoimmune disease, nor cancer history.  On an unknown date, the patient was vaccinated with a human papilloma virus vaccine (manufacturer unknown) (product of unknown orugen (dose, vaccine scheme, route, lot number and expiration date were not provided).   After 14 days of the last dose of the vaccine, the patient experienced probable of human papilloma virus vaccine of relapsing-remitting multiple sclerosis (RRMS) with spinal motor attack. The Adverse Drug Reaction Probability Scale result was 7 and was used to score the probability of iatrogenicity.  Treatment with intravenous methylprednisolone (IVMP) with full response. The final disease course was reported as RR (initial relapse). The outcome was not provided.  The causality assessment between the event and the suspect vaccine was considered to be related.  Upon internal review, the event probable of human papilloma virus vaccine of relapsing-remitting multiple sclerosis (RRMS) was determined to be medically significant.   A copy of the published article is attached as further documentation of the patient's experience.  This is one of several reports derived from the same literature article.; Sender's Comments:  US-009507513-2303USA007194:MSD
Age: 81.0
Sex: M
Vaccine: VARZOS
Symptoms: Myalgia, Pain
Clinical narrative: Patient reported severe muscle pain  the day after injection. They were treated by their primary care physician who referred the patient to physical therapy to treat the pain associated with vaccination. Patient is still reporting pain with movement in the affected arm.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Hyperthermia, Malaise, Viral upper respiratory tract infection
Clinical narrative: I did not have an adverse reaction to the vaccine. I began not feeling well 03/14/2023 with weakness and hyperthermia. I was admitted to the hospital two days. I was recently diagnosed with a viral upper respiratory infection. I am not on any prescriptions to clear the infection.
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Malaise, Oropharyngeal pain
Clinical narrative: On January 23,2023; I wasn't feeling well, I had extreme fatigue, sore throat. congestion, coughing. I took a home COVID-19 test that came back positive. I called my doctor to have a telehealth visit. We discussed my symptoms, I was prescribed Paxlovid. I started taking the medication that evening. The next day I had already started feeling better. I would like to thank the people who invented the vaccines.
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: On January 23,2023; I wasn't feeling well, I had extreme fatigue, sore throat. congestion, coughing. I took a home COVID-19 test that came back positive. I called my doctor to have a telehealth visit. We discussed my symptoms, I was prescribed Paxlovid. I started taking the medication that evening. The next day I had already started feeling better. I would like to thank the people who invented the vaccines.
Age: 67.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Ageusia, Anosmia, COVID-19, Fall, Fatigue
Clinical narrative: On December 29-30, I attended a 17-person family reunion, and we stayed in cabins. Nobody was sick, on the night of December 31, I started feeling like I was getting a cold in the evening. On January 2, I took a flight to see my sister, so I masked up the entire time. On the 3rd of January I felt like I had a head cold, so I took a hot shower, and I passed out. The next thing I knew I was on the floor of the shower. I got up and I passed out again. I then crawled out of the shower so I wouldn't pass out again. I loss my sense of taste and smell at this point. I travel with test, so I tested, and I had a positive COVID-19 reading on the 3rd of January. I made a telehealth appoint and I was given Paxlovid, and I started taking the medicine that night. I stayed in bed for the next three day, I was fatigued, sinuses full. I started to feel better around the 10th of January, but I was still feeling like I had a slight cold. I had congestive lungs and lots of body aches. It moved to my lungs around the 11th of January, and I was coughing up stuff.
Age: 67.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Loss of consciousness, Mobility decreased, Nasopharyngitis, Pain, Productive cough
Clinical narrative: On December 29-30, I attended a 17-person family reunion, and we stayed in cabins. Nobody was sick, on the night of December 31, I started feeling like I was getting a cold in the evening. On January 2, I took a flight to see my sister, so I masked up the entire time. On the 3rd of January I felt like I had a head cold, so I took a hot shower, and I passed out. The next thing I knew I was on the floor of the shower. I got up and I passed out again. I then crawled out of the shower so I wouldn't pass out again. I loss my sense of taste and smell at this point. I travel with test, so I tested, and I had a positive COVID-19 reading on the 3rd of January. I made a telehealth appoint and I was given Paxlovid, and I started taking the medicine that night. I stayed in bed for the next three day, I was fatigued, sinuses full. I started to feel better around the 10th of January, but I was still feeling like I had a slight cold. I had congestive lungs and lots of body aches. It moved to my lungs around the 11th of January, and I was coughing up stuff.
Age: 67.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Pulmonary congestion, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: On December 29-30, I attended a 17-person family reunion, and we stayed in cabins. Nobody was sick, on the night of December 31, I started feeling like I was getting a cold in the evening. On January 2, I took a flight to see my sister, so I masked up the entire time. On the 3rd of January I felt like I had a head cold, so I took a hot shower, and I passed out. The next thing I knew I was on the floor of the shower. I got up and I passed out again. I then crawled out of the shower so I wouldn't pass out again. I loss my sense of taste and smell at this point. I travel with test, so I tested, and I had a positive COVID-19 reading on the 3rd of January. I made a telehealth appoint and I was given Paxlovid, and I started taking the medicine that night. I stayed in bed for the next three day, I was fatigued, sinuses full. I started to feel better around the 10th of January, but I was still feeling like I had a slight cold. I had congestive lungs and lots of body aches. It moved to my lungs around the 11th of January, and I was coughing up stuff.
Age: 18.0
Sex: M
Vaccine: MENB
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Red swollen right deltoid arm and hot to touch.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Iridocorneal endothelial syndrome
Clinical narrative: When I visited my Optometrist 02FEB2023 he discovered that the pupil of my left eye was misshapen it was looked at by three other Doctors and Doctor diagnosed ICE syndrome.
Age: 63.0
Sex: M
Vaccine: COVID19-2
Symptoms: Bronchial irritation, Cough, Nasal congestion, Sputum discoloured
Clinical narrative: A cough nonproductive, some central bronchial irritation; discolored greenish phlegm, they were continuous for four weeks now. The symptoms remained present but didn't escalate until the last ten days. The symptoms became more prevalent.  Not until ten days ago I started treating symptoms, I have developed nasal congestion. Since it progressed on the 18th, I started Erythromycin. Just stopped taking medication by the 21st of the month.  There is still cough but better than a week ago. It gets worse in the evening.  I do not believe this is COVID-19, I have not tested. I've seen many people with similar profiles, that are negative testing, as a Physician.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient did not disclose that he had already gotten a Moderna bivalent booster on 9/23/22. He received a Pfizer bivalent booster 3/6/23. He has no symptoms or side effects.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: CSF shunt operation, Cerebral disorder, Dizziness, Headache, Loss of personal independence in daily activities
Clinical narrative: I did not have an adverse reaction to the vaccine. I was in an airplane with very rough turbulence. I felt something strange in my brain. I also have two shunts from a previous surgery in my brain. I have terrible headaches and dizziness. I have to the emergency room to be monitored and they tried a procedure, but it didn't work. I am currently taking steroids. I have not been able to leave my house for a week.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Medical procedure
Clinical narrative: I did not have an adverse reaction to the vaccine. I was in an airplane with very rough turbulence. I felt something strange in my brain. I also have two shunts from a previous surgery in my brain. I have terrible headaches and dizziness. I have to the emergency room to be monitored and they tried a procedure, but it didn't work. I am currently taking steroids. I have not been able to leave my house for a week.
Age: 66.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: COVID-19, Chills, Cough, SARS-CoV-2 test positive
Clinical narrative: 2/6/23 I was coughing and no other symptoms. I took an at home COVID test and tested positive. I had a telehealth appointment and was prescribed PAXLOVID. I started the PAXLOVID that day for five days. I had chills for a couple of days and TYLENOL remedied the chills while taking the PAXLOVID. I was always wanting something hot to drink. I had a very dry cough that was nonstop and lasted for about three weeks. I was unable to produce phlegm. The medications I was taking for these symptoms were guaifenesin and TESSALON cough syrup and ROBITUSSIN.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood test abnormal, Chills, Computerised tomogram normal, Electrocardiogram normal, Heart rate increased
Clinical narrative: I woke up fever, chills that lead to my fever spiking to 102.9F, tachycardia, my heart rate spiking. I called my doctor who suggested I go to the emergency room to rule out heart attack. Once in the emergency room they ran a CAT scan, EKG, bloodwork, PCR COVID-19, urinalysis. The only that came back was a slight elevation in my white blood cell count. I was given an IV antibiotic while at the hospital and given a prescription to continue taking an antibiotic for another week. They said.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, SARS-CoV-2 test negative, Tachycardia, Urine analysis normal, White blood cell count increased
Clinical narrative: I woke up fever, chills that lead to my fever spiking to 102.9F, tachycardia, my heart rate spiking. I called my doctor who suggested I go to the emergency room to rule out heart attack. Once in the emergency room they ran a CAT scan, EKG, bloodwork, PCR COVID-19, urinalysis. The only that came back was a slight elevation in my white blood cell count. I was given an IV antibiotic while at the hospital and given a prescription to continue taking an antibiotic for another week. They said.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Poor quality product administered, Product storage error
Clinical narrative: Kinrix vaccine was involved in a temperature excursion, not deemed viable by manufacturer and vaccine will need to be repeated.
Age: 54.0
Sex: F
Vaccine: TD
Symptoms: Oedema peripheral, Swelling
Clinical narrative: pt stated swelling under arm pit up to her neck swelling started 3-23-23
Age: 43.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain, Streptococcus test positive
Clinical narrative: I had a severe sore throat for 3 days. I made an appointment to see my doctor on March 3rd, 2023. The diagnosis was thru a throat swab. I was prescribed 10 days of Amoxicillin. My symptoms improved in less than 24 hours.
Age: 24.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Chest discomfort, Dyspnoea, Electrocardiogram normal, Exercise tolerance decreased
Clinical narrative: 09DEC2022 COVID-19Test-Positive. For four months I have had difficulty breathing before Covid-19 I was running 25 miles a week , following my testing positive condition are improving  I had a general tightness in my chest or Exercise Intolerance conditions are improving but I certainly cannot run. Other symptoms are High Blood Pressure and elevated heart rate.
Age: 24.0
Sex: M
Vaccine: COVID19-2
Symptoms: Heart rate increased, Hypertension, Loss of personal independence in daily activities, SARS-CoV-2 test positive
Clinical narrative: 09DEC2022 COVID-19Test-Positive. For four months I have had difficulty breathing before Covid-19 I was running 25 miles a week , following my testing positive condition are improving  I had a general tightness in my chest or Exercise Intolerance conditions are improving but I certainly cannot run. Other symptoms are High Blood Pressure and elevated heart rate.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, COVID-19, Decreased appetite, Fatigue, Feeling abnormal
Clinical narrative: For a week in a half before COVID-19 I had sniffles, it felt like a minor head cold or even allergies. I had a COVID-19 test on February 11, February 14, February 15 which were all negative. My partner teaches and she was overly exposed to children and COVID-19. On Feb 16, my symptoms were 100.5 fever and I felt different, congestion, nasal secretions. These symptoms were very different from the week before. I did another at home COVID-19 test on Feb 16 and was positive. I then took another test on the same day to make sure that the results were accurate. I reached out to my doctor, the first NP said she wouldn't give Paxlovid because it was too late if I was having the sniffles a week prior. I then called my doctor office and asked to speak with someone else and they did ask more detailed questions and decided to prescribe Paxlovid. It was renal dose not as strong as the other or so they say I don't understand the difference.  My first dose of Paxlovid was taken Feb 17, and my last dose was taken Feb 22.  I was basically tired and fatigued and slept throughout the day and very low energy, lots of mucus, congestion, almost normal temp, loss of appetite, and the main symptom for me was fatigue through the entire sickness.     I have had the flu two times prior to this, and the COVID-19 illness was nowhere near as bad as the flu.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypersomnia, Illness, Influenza, Pyrexia, Respiratory tract congestion
Clinical narrative: For a week in a half before COVID-19 I had sniffles, it felt like a minor head cold or even allergies. I had a COVID-19 test on February 11, February 14, February 15 which were all negative. My partner teaches and she was overly exposed to children and COVID-19. On Feb 16, my symptoms were 100.5 fever and I felt different, congestion, nasal secretions. These symptoms were very different from the week before. I did another at home COVID-19 test on Feb 16 and was positive. I then took another test on the same day to make sure that the results were accurate. I reached out to my doctor, the first NP said she wouldn't give Paxlovid because it was too late if I was having the sniffles a week prior. I then called my doctor office and asked to speak with someone else and they did ask more detailed questions and decided to prescribe Paxlovid. It was renal dose not as strong as the other or so they say I don't understand the difference.  My first dose of Paxlovid was taken Feb 17, and my last dose was taken Feb 22.  I was basically tired and fatigued and slept throughout the day and very low energy, lots of mucus, congestion, almost normal temp, loss of appetite, and the main symptom for me was fatigue through the entire sickness.     I have had the flu two times prior to this, and the COVID-19 illness was nowhere near as bad as the flu.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Secretion discharge
Clinical narrative: For a week in a half before COVID-19 I had sniffles, it felt like a minor head cold or even allergies. I had a COVID-19 test on February 11, February 14, February 15 which were all negative. My partner teaches and she was overly exposed to children and COVID-19. On Feb 16, my symptoms were 100.5 fever and I felt different, congestion, nasal secretions. These symptoms were very different from the week before. I did another at home COVID-19 test on Feb 16 and was positive. I then took another test on the same day to make sure that the results were accurate. I reached out to my doctor, the first NP said she wouldn't give Paxlovid because it was too late if I was having the sniffles a week prior. I then called my doctor office and asked to speak with someone else and they did ask more detailed questions and decided to prescribe Paxlovid. It was renal dose not as strong as the other or so they say I don't understand the difference.  My first dose of Paxlovid was taken Feb 17, and my last dose was taken Feb 22.  I was basically tired and fatigued and slept throughout the day and very low energy, lots of mucus, congestion, almost normal temp, loss of appetite, and the main symptom for me was fatigue through the entire sickness.     I have had the flu two times prior to this, and the COVID-19 illness was nowhere near as bad as the flu.
Age: 62.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Pyrexia
Clinical narrative: fevers and headache x 2 days
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Chills, Fatigue, Headache, Injection site pain, Nausea
Clinical narrative: Bad chills, headache, nausea, tired, sore arm, sore injection site, worst reaction of all vaccines taken including all the Covid vaccines I took
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Pain in extremity
Clinical narrative: Bad chills, headache, nausea, tired, sore arm, sore injection site, worst reaction of all vaccines taken including all the Covid vaccines I took
Age: 29.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Feeling abnormal, Loss of personal independence in daily activities, Nasopharyngitis, Pain, SARS-CoV-2 test negative
Clinical narrative: Approximately 02/01/2023, I had cold symptoms, was run down, could not go to church. I was out of commission.  I had body aches from typical cold symptoms for three to five days. I went to an urgent care clinic.
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: Abdominal distension, Depressed level of consciousness, Pallor, Productive cough, Pyrexia
Clinical narrative: Vomiting that was treated with Zofran but continued despite G-tube feedings being held. Resident was also very pale, abdomen was distended, and resident's breath sounds were very congested. Resident was sent to the hospital and had a low-grade fever 99.9 F, decreased level of consciousness, and productive cough.
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: Respiratory tract congestion, Vomiting
Clinical narrative: Vomiting that was treated with Zofran but continued despite G-tube feedings being held. Resident was also very pale, abdomen was distended, and resident's breath sounds were very congested. Resident was sent to the hospital and had a low-grade fever 99.9 F, decreased level of consciousness, and productive cough.