chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Exercise tolerance decreased, Heart rate increased, Influenza like illness, Malaise
Clinical narrative: On Aug 8, 2022, I tested positive for Covid-19 with an antigen test at my hotel. I was staying at a hotel while attending my son's wedding a few days earlier. Approximately 1/2 of the 100 wedding guests became infected with Covid-19. The day after I tested positive, I started taking Paxlovid. Within 36 hours of starting the drug, I was essentially well, although my home antigen test still tested positive for Covid-19. The test did not show a negative result until Aug. 14th and Aug.15th.  On Aug. 19th I tested positive again for Covid-19 (Covid Rebound). For the next 3-days, I was fairly ill with flu like symptoms. On  Aug. 21st I experienced a new  and scary symptom of an accelerated heart rate that lasted for 6 hours. My normal resting heart rate is between 48 and 52 ( I exercise every day). On Sunday evening Aug. 21 my heart rate went from 50's up to 160 to 170 for 6 hours. My heart rate then gradually returned to normal during the next 24 hours. This accelerated heart rate symptom has not recurred. I did not take Paxlovid for my 2nd, Covid rebound case.  Since the beginning of September, I have returned to my full aerobic and weight machine exercise program. My aerobic workout is 45 minutes every other day on an Elliptical exercise machine. On the alternate days, I lift weights on 8 different machines for approximately 1 hour total at the local fitness center. My accelerated heart rate symptom has not returned.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: On Aug 8, 2022, I tested positive for Covid-19 with an antigen test at my hotel. I was staying at a hotel while attending my son's wedding a few days earlier. Approximately 1/2 of the 100 wedding guests became infected with Covid-19. The day after I tested positive, I started taking Paxlovid. Within 36 hours of starting the drug, I was essentially well, although my home antigen test still tested positive for Covid-19. The test did not show a negative result until Aug. 14th and Aug.15th.  On Aug. 19th I tested positive again for Covid-19 (Covid Rebound). For the next 3-days, I was fairly ill with flu like symptoms. On  Aug. 21st I experienced a new  and scary symptom of an accelerated heart rate that lasted for 6 hours. My normal resting heart rate is between 48 and 52 ( I exercise every day). On Sunday evening Aug. 21 my heart rate went from 50's up to 160 to 170 for 6 hours. My heart rate then gradually returned to normal during the next 24 hours. This accelerated heart rate symptom has not recurred. I did not take Paxlovid for my 2nd, Covid rebound case.  Since the beginning of September, I have returned to my full aerobic and weight machine exercise program. My aerobic workout is 45 minutes every other day on an Elliptical exercise machine. On the alternate days, I lift weights on 8 different machines for approximately 1 hour total at the local fitness center. My accelerated heart rate symptom has not returned.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pt came into clinic for dr appt, requested covid booster, provider ordered bivalent booster, patient accidently received monovalent covid vaccine
Age: 63.0
Sex: M
Vaccine: COVID19-2, FLUC4
Symptoms: Death, Unresponsive to stimuli
Clinical narrative: The patient got an annual Flucelvax Quad shot and a Moderna Bivalent Booster on 9-16-22.  He was fine on Friday and Saturday but was found unresponsive on Sunday, 9-18.  He was taken to the hospital and died later that day.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Candida infection, Exposure to SARS-CoV-2, Fatigue, Foreign travel
Clinical narrative: After returning from trip on 7/7/2022, I was exposed to covid after being packed is customs hall for about 2 hours with about 200 mostly mask-less people. Unsurprisingly, I came down with covid despite having had both boosters. I was prescribed Paxlovid by an after hours clinic doctor.  My symptoms were only a fever of 101 for about 1 day and exhaustion.  By then end of the treatment course, I seemed to be cured except for continuing feeling of exhaustion, but a covid rapid test came showed negative..  Then after 2 days mild symptoms of congestion and more pronounced exhaustion came back and I tested strongly positive for covid again.  After another day or so, I then developed thrush, or covid  tongue.  I was prescribed medication for that which worked after several days. One week after the positive test, I again tested negative.  Fatigue continued for another several weeks.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation reaction, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: After returning from trip on 7/7/2022, I was exposed to covid after being packed is customs hall for about 2 hours with about 200 mostly mask-less people. Unsurprisingly, I came down with covid despite having had both boosters. I was prescribed Paxlovid by an after hours clinic doctor.  My symptoms were only a fever of 101 for about 1 day and exhaustion.  By then end of the treatment course, I seemed to be cured except for continuing feeling of exhaustion, but a covid rapid test came showed negative..  Then after 2 days mild symptoms of congestion and more pronounced exhaustion came back and I tested strongly positive for covid again.  After another day or so, I then developed thrush, or covid  tongue.  I was prescribed medication for that which worked after several days. One week after the positive test, I again tested negative.  Fatigue continued for another several weeks.
Age: 2.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: MA and provider were reviewing the patient's vaccine schedule since patient was behind they wanted to make sure they could give them the lease amount of "pokes." Provider ordered a Kinrix and the MA gave what was ordered. Patient is only 2yrs old so the Kinrix is not age appropriate. This happened on a Saturday. MA was made aware by coder for clarification on vaccine since the ages were not correct. MA who gave vaccine contacted guardian's to let them know about the incident and that patient will need to come back in a month for the correct vaccine. Reports were made both at the state level and clinic level since the vaccines were from state stock.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Bradycardia, COVID-19, Death, Dyspnoea, Mechanical ventilation
Clinical narrative: tested + for covid3-10-22  at hospital and was admitted from 3-10-22 until her passing 3-25-22.  had fever and shortness of breath.  Pneumonia.  initially thought it was community acquired but she was + for covid.  They used broad spectrum antibiotics, iv decadron, remdesivir, baricitinib and bipap.  bipap failed and she was mechanically ventilated and later required levophed, had bradycardia, .  She was changed to DNR and comfort care.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Positive airway pressure therapy, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: tested + for covid3-10-22  at hospital and was admitted from 3-10-22 until her passing 3-25-22.  had fever and shortness of breath.  Pneumonia.  initially thought it was community acquired but she was + for covid.  They used broad spectrum antibiotics, iv decadron, remdesivir, baricitinib and bipap.  bipap failed and she was mechanically ventilated and later required levophed, had bradycardia, .  She was changed to DNR and comfort care.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Axillary mass
Clinical narrative: lump in right arm pit after immunization about the size of softball
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral
Clinical narrative: Dramatic swelling of left armpit
Age: 54.0
Sex: F
Vaccine: COVID19-2, FLU4, VARZOS
Symptoms: Abdominal pain, Appendicectomy, Appendicitis, Surgery
Clinical narrative: Appendicitis resulting in an appendectomy
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Cough, Malaise, Pain
Clinical narrative: Sore arm the evening of 10/14/2022. Began to feel unwell 10/15/22-Felt like I had a fever, aches, chills, mild cough. took at home COVID-19 Test and it was positive. Called doctor's office. Prescribed Paxlovid and Fluzone Hi-Dose Quad cough Syrup. 10/16/22-Felt unwell and had a fever of abiut 101 at the high point 10/17-unwell with fever 10/18-feeling better but without a fever, but have cough Wife Developed COVID-19 Symptons 0n 10/18.
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pain in extremity, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Sore arm the evening of 10/14/2022. Began to feel unwell 10/15/22-Felt like I had a fever, aches, chills, mild cough. took at home COVID-19 Test and it was positive. Called doctor's office. Prescribed Paxlovid and Fluzone Hi-Dose Quad cough Syrup. 10/16/22-Felt unwell and had a fever of abiut 101 at the high point 10/17-unwell with fever 10/18-feeling better but without a fever, but have cough Wife Developed COVID-19 Symptons 0n 10/18.
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acupuncture, Back pain, Blood test normal, Disability, Dysstasia
Clinical narrative: The day after, I wasn't feeling well and just rested. That evening at about 7PM, I went to stand up from the sofa and just felt pain in my lower back. I'm used to pain in my back with my conditions, but this felt a little more severe. By the next morning, I was having some trouble getting out of bed because of the pain. I immediately contacted my physical therapist and I got in to see her. I was able to work that week from home but only standing. I have not been able to sit comfortably since September 17. From there, I've been under her care and under the care of my physiatrist. Basically, there is something going on with my spine as far as inflammation. It's inflaming some parts that are already my weak spots.  By week 2, my pain became more severe. My body was in a lateral shift. My scoliosis goes one way, but my body was going the opposite. I've been in a lot of pain. I had to go on short term disability because I'm not able to stand or sit for extended periods of time. Week 2 also started with some tremors in my body. I've been having muscle twitches, but it happens in my legs, torso, and arms. Sometimes I will just feel a micro feeling of that and it will dissipate. There have been four times where shaking lasts from 20-45 minutes. I've been making some progress in PT with the back pain. It seems like even the smallest amount of exertion such as walking or even doing some PT exercises, it seems to set off my nervous system. I've never experienced back pain and shaking like this. It's completely involuntary. I tried to go back to work with reduced hours, but I'm only able to work while standing. I cannot sit and it causes pain in my lumbar spine. Today at PT, I actually had an episode of vertigo that led into the shaking episode for about 45 minutes. My physician and PT suggested I go to the ER. I went to the ER today and the shaking stopped by the time I got there. They did some blood work and that was normal, but they suggested to go see a neurologist for the shaking. My physiatrist has already ordered a lumbar MRI. My physician thinks this is necessary that I report because there's too much going on without explanation. This has been going on for 4 weeks now. I've never experienced anything like this before. For pain, my physiatrist has me taking Diclofenac/Voltaren  starting on 09/30/2022. Other treatments have been physical therapy and acupuncture specifically for these last few weeks outside of regular treatments.
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: Impaired work ability, Inflammation, Malaise, Mobility decreased, Muscle twitching
Clinical narrative: The day after, I wasn't feeling well and just rested. That evening at about 7PM, I went to stand up from the sofa and just felt pain in my lower back. I'm used to pain in my back with my conditions, but this felt a little more severe. By the next morning, I was having some trouble getting out of bed because of the pain. I immediately contacted my physical therapist and I got in to see her. I was able to work that week from home but only standing. I have not been able to sit comfortably since September 17. From there, I've been under her care and under the care of my physiatrist. Basically, there is something going on with my spine as far as inflammation. It's inflaming some parts that are already my weak spots.  By week 2, my pain became more severe. My body was in a lateral shift. My scoliosis goes one way, but my body was going the opposite. I've been in a lot of pain. I had to go on short term disability because I'm not able to stand or sit for extended periods of time. Week 2 also started with some tremors in my body. I've been having muscle twitches, but it happens in my legs, torso, and arms. Sometimes I will just feel a micro feeling of that and it will dissipate. There have been four times where shaking lasts from 20-45 minutes. I've been making some progress in PT with the back pain. It seems like even the smallest amount of exertion such as walking or even doing some PT exercises, it seems to set off my nervous system. I've never experienced back pain and shaking like this. It's completely involuntary. I tried to go back to work with reduced hours, but I'm only able to work while standing. I cannot sit and it causes pain in my lumbar spine. Today at PT, I actually had an episode of vertigo that led into the shaking episode for about 45 minutes. My physician and PT suggested I go to the ER. I went to the ER today and the shaking stopped by the time I got there. They did some blood work and that was normal, but they suggested to go see a neurologist for the shaking. My physiatrist has already ordered a lumbar MRI. My physician thinks this is necessary that I report because there's too much going on without explanation. This has been going on for 4 weeks now. I've never experienced anything like this before. For pain, my physiatrist has me taking Diclofenac/Voltaren  starting on 09/30/2022. Other treatments have been physical therapy and acupuncture specifically for these last few weeks outside of regular treatments.
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: Sitting disability, Spinal pain, Tremor, Vertigo
Clinical narrative: The day after, I wasn't feeling well and just rested. That evening at about 7PM, I went to stand up from the sofa and just felt pain in my lower back. I'm used to pain in my back with my conditions, but this felt a little more severe. By the next morning, I was having some trouble getting out of bed because of the pain. I immediately contacted my physical therapist and I got in to see her. I was able to work that week from home but only standing. I have not been able to sit comfortably since September 17. From there, I've been under her care and under the care of my physiatrist. Basically, there is something going on with my spine as far as inflammation. It's inflaming some parts that are already my weak spots.  By week 2, my pain became more severe. My body was in a lateral shift. My scoliosis goes one way, but my body was going the opposite. I've been in a lot of pain. I had to go on short term disability because I'm not able to stand or sit for extended periods of time. Week 2 also started with some tremors in my body. I've been having muscle twitches, but it happens in my legs, torso, and arms. Sometimes I will just feel a micro feeling of that and it will dissipate. There have been four times where shaking lasts from 20-45 minutes. I've been making some progress in PT with the back pain. It seems like even the smallest amount of exertion such as walking or even doing some PT exercises, it seems to set off my nervous system. I've never experienced back pain and shaking like this. It's completely involuntary. I tried to go back to work with reduced hours, but I'm only able to work while standing. I cannot sit and it causes pain in my lumbar spine. Today at PT, I actually had an episode of vertigo that led into the shaking episode for about 45 minutes. My physician and PT suggested I go to the ER. I went to the ER today and the shaking stopped by the time I got there. They did some blood work and that was normal, but they suggested to go see a neurologist for the shaking. My physiatrist has already ordered a lumbar MRI. My physician thinks this is necessary that I report because there's too much going on without explanation. This has been going on for 4 weeks now. I've never experienced anything like this before. For pain, my physiatrist has me taking Diclofenac/Voltaren  starting on 09/30/2022. Other treatments have been physical therapy and acupuncture specifically for these last few weeks outside of regular treatments.
Age: 83.0
Sex: F
Vaccine: FLUA4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse event. Patient stated she was here for 2 vaccinations- COVID and flu. We do not have the COVID shot at our facility. Patient said she did not get vaccinations at her doctor's office. Her husband called later that evening stating she did get the flu shot the day prior at her primary care provider's office.
Age: 52.0
Sex: F
Vaccine: FLUR4
Symptoms: Injection site bruising, Injection site haematoma, Pain in extremity, Urticaria
Clinical narrative: Small hematoma at injection site with 2 small hives, turned into a deep, dark bruise.  Has been itching since receiving the injection and arm soreness has continued through today.
Age: 1.17
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: patient received undiluted Pfizer Bivalent indicated for 5-11. No adverse reactions noted during post vax observation
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site rash
Clinical narrative: Localized rash at injection site persisting at least one week.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, COVID-19, Fatigue, Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: Five plus months later I had a terrible cold and thought it was bronchitis after my vaccine, 10-02-2022. I went to the clinic on 10-02-2022, a COVID-19 test was performed, examined my lungs as well. I was prescribed Paxlovid.  I had a few reactions to the Paxlovid, disgusting taste of metal in my mouth for some days afterwards.  I have to say COVID-19 also gave me anxiety and needed to take Lexapro for a while, I had situational anxiety due to COVID-19.   I have recovered from my symptoms, still feel little tired but overall doing well.
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: Influenza A virus test negative, Influenza B virus test, Ocular hyperaemia, Pyrexia, Rhinorrhoea
Clinical narrative: Mother of patient calling call center reported child was seen in clinic on 10/14/22 and states Saturday woke up with his eyes all red. States white of eyes have remained red since then and also has a little bit of runny nose and low-grade fever on Saturday. MOC states school nurse just called her to pick child up for red eyes and to take child to be seen by provider.   Mother of child gave Motrin Patient was scheduled appointment with PCP where patient was tested for flu and strep. Medication as prescribed antibiotic Cefdinir, olopatadine solution, Cetirizine
Age: 5.0
Sex: M
Vaccine: FLU4
Symptoms: Streptococcus test negative
Clinical narrative: Mother of patient calling call center reported child was seen in clinic on 10/14/22 and states Saturday woke up with his eyes all red. States white of eyes have remained red since then and also has a little bit of runny nose and low-grade fever on Saturday. MOC states school nurse just called her to pick child up for red eyes and to take child to be seen by provider.   Mother of child gave Motrin Patient was scheduled appointment with PCP where patient was tested for flu and strep. Medication as prescribed antibiotic Cefdinir, olopatadine solution, Cetirizine
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Cardiac stress test normal, Chest discomfort, Electrocardiogram normal, Feeling abnormal
Clinical narrative: pt states after getting his 2nd covid vaccine his right arm went numb. He had tightness in his chest.  Hew felt like he was having a stroke or a hear attack.  He went to an urgent care.  He was told he was having a reaction to the vaccine and was sent to the local ER hospital.  He was given test and all came out normal.  He saw his Cardiologist at his local office.  He was having  heart defibrillations and was given Stress Test, EKG, and US.  BP was 200/90 and pulse was 160.  He was scheduled a FU end of  October to run more test.  Heart does not show any damage but is still having heart palpitations. He had a car accident on 6/16 that caused his arm to go numb so now he has complications along with the other symptoms.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Immunisation reaction, Laboratory test normal, Palpitations, Road traffic accident
Clinical narrative: pt states after getting his 2nd covid vaccine his right arm went numb. He had tightness in his chest.  Hew felt like he was having a stroke or a hear attack.  He went to an urgent care.  He was told he was having a reaction to the vaccine and was sent to the local ER hospital.  He was given test and all came out normal.  He saw his Cardiologist at his local office.  He was having  heart defibrillations and was given Stress Test, EKG, and US.  BP was 200/90 and pulse was 160.  He was scheduled a FU end of  October to run more test.  Heart does not show any damage but is still having heart palpitations. He had a car accident on 6/16 that caused his arm to go numb so now he has complications along with the other symptoms.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound scan normal
Clinical narrative: pt states after getting his 2nd covid vaccine his right arm went numb. He had tightness in his chest.  Hew felt like he was having a stroke or a hear attack.  He went to an urgent care.  He was told he was having a reaction to the vaccine and was sent to the local ER hospital.  He was given test and all came out normal.  He saw his Cardiologist at his local office.  He was having  heart defibrillations and was given Stress Test, EKG, and US.  BP was 200/90 and pulse was 160.  He was scheduled a FU end of  October to run more test.  Heart does not show any damage but is still having heart palpitations. He had a car accident on 6/16 that caused his arm to go numb so now he has complications along with the other symptoms.
Age: 83.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anticoagulant therapy, Chest pain, Computerised tomogram, Fatigue, Laboratory test normal
Clinical narrative: On the morning of 10/10/2022, patient developed extreme fatigue.  By early afternoon, she was in extreme pain in her upper right chest area.  The PCP recommended going to the nearest emergency room.  We arrived there shortly after 3:00.  Around 6:00 she received tests to determine the source of the pain, including a CAT Scan and a test for DVT.  DVT was not found, but a pulmonary embolism was found in the right lung.  She was started on heparin and admitted.  She was released Wednesday, October 12.  She is home and has improved, and is now on Eliquis 5 mg 2 times daily and 1,000 mg Tylenol daily.
Age: 83.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pulmonary embolism
Clinical narrative: On the morning of 10/10/2022, patient developed extreme fatigue.  By early afternoon, she was in extreme pain in her upper right chest area.  The PCP recommended going to the nearest emergency room.  We arrived there shortly after 3:00.  Around 6:00 she received tests to determine the source of the pain, including a CAT Scan and a test for DVT.  DVT was not found, but a pulmonary embolism was found in the right lung.  She was started on heparin and admitted.  She was released Wednesday, October 12.  She is home and has improved, and is now on Eliquis 5 mg 2 times daily and 1,000 mg Tylenol daily.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pt came into clinic for dr appt, provider ordered covid bivalent booster, pt received covid monovalent vaccine
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Bedridden, Blood creatine phosphokinase increased, Bursitis, C-reactive protein decreased, Cortisol abnormal
Clinical narrative: Arm Pain that developed into Bursitis.  Felt like injection went into bone and not muscle.  Noticed gradual onset of fatigue resulting in being nearly bedridden in September.  Saw Doctor about this on 9/21.  Doctor ordered some tests,  CBC, Chem Panel, Cortisol; CRP; CK; Epstein Bar panel.  Doctor surmised Orencia may have been causing issue and so he ordered discontinued use of it. I didn't feel functional until November of 2021
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Epstein-Barr virus test, Fatigue, Feeling abnormal, Full blood count, Laboratory test
Clinical narrative: Arm Pain that developed into Bursitis.  Felt like injection went into bone and not muscle.  Noticed gradual onset of fatigue resulting in being nearly bedridden in September.  Saw Doctor about this on 9/21.  Doctor ordered some tests,  CBC, Chem Panel, Cortisol; CRP; CK; Epstein Bar panel.  Doctor surmised Orencia may have been causing issue and so he ordered discontinued use of it. I didn't feel functional until November of 2021
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test abnormal, Pain in extremity
Clinical narrative: Arm Pain that developed into Bursitis.  Felt like injection went into bone and not muscle.  Noticed gradual onset of fatigue resulting in being nearly bedridden in September.  Saw Doctor about this on 9/21.  Doctor ordered some tests,  CBC, Chem Panel, Cortisol; CRP; CK; Epstein Bar panel.  Doctor surmised Orencia may have been causing issue and so he ordered discontinued use of it. I didn't feel functional until November of 2021
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Acidosis, Acute hepatic failure, Acute kidney injury, Allogenic stem cell transplantation
Clinical narrative: Per Web report received to Health Department. Patient noted to be positive for COVID-19. Pfizer: (1) 3/16/2021 EN6207 (2) 4/12/2021 EW0150 (3) 11/5/2021 FG3527 Patient was admitted to Hospital 10/5/2022 with concerns for night sweats, mental fog, and abdominal pain. Patient found to have Epstein Barr viremia (EBV) with additional concern for recurrence of lymphoma which was subsequently treated with rituximab on 10/10/2022. Patient underwent tumor lysis syndrome resulting in acute on chronic renal failure, transferred to the ICU for initiation of CVVH (continuous venovenous hemodialysis). At the same time, he was experiencing acute hepatic failure. A diagnostic liver biopsy showed EBV reactivation within lymphoma cells in the liver. Upon arrival to the ICU on 10/13/2022 the patient appeared in significant respiratory distress secondary to increased metabolic demands and fluid overload. Patient was also noted to be in atrial fibrillation with RVR. The patient was intubation. CVVH was started however patient became hypotensive requiring the placement of a central line. In addition, the patient was on the maximum of three different pressors. The patient?s acidosis and multiorgan failure continued to worsen. His family made the decision to transition to comfort cares. Patient was terminally extubated 10/14/20 AM and shortly thereafter passed. Patient was surrounded by his family. Complications in the hospital: Acute renal failure, shock, death. Health department has no further information on this patient.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Arterial catheterisation, Atrial fibrillation, Biopsy liver abnormal, COVID-19, Cardiac telemetry
Clinical narrative: Per Web report received to Health Department. Patient noted to be positive for COVID-19. Pfizer: (1) 3/16/2021 EN6207 (2) 4/12/2021 EW0150 (3) 11/5/2021 FG3527 Patient was admitted to Hospital 10/5/2022 with concerns for night sweats, mental fog, and abdominal pain. Patient found to have Epstein Barr viremia (EBV) with additional concern for recurrence of lymphoma which was subsequently treated with rituximab on 10/10/2022. Patient underwent tumor lysis syndrome resulting in acute on chronic renal failure, transferred to the ICU for initiation of CVVH (continuous venovenous hemodialysis). At the same time, he was experiencing acute hepatic failure. A diagnostic liver biopsy showed EBV reactivation within lymphoma cells in the liver. Upon arrival to the ICU on 10/13/2022 the patient appeared in significant respiratory distress secondary to increased metabolic demands and fluid overload. Patient was also noted to be in atrial fibrillation with RVR. The patient was intubation. CVVH was started however patient became hypotensive requiring the placement of a central line. In addition, the patient was on the maximum of three different pressors. The patient?s acidosis and multiorgan failure continued to worsen. His family made the decision to transition to comfort cares. Patient was terminally extubated 10/14/20 AM and shortly thereafter passed. Patient was surrounded by his family. Complications in the hospital: Acute renal failure, shock, death. Health department has no further information on this patient.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Central venous catheterisation, Condition aggravated, Death, Endotracheal intubation, Epstein-Barr viraemia
Clinical narrative: Per Web report received to Health Department. Patient noted to be positive for COVID-19. Pfizer: (1) 3/16/2021 EN6207 (2) 4/12/2021 EW0150 (3) 11/5/2021 FG3527 Patient was admitted to Hospital 10/5/2022 with concerns for night sweats, mental fog, and abdominal pain. Patient found to have Epstein Barr viremia (EBV) with additional concern for recurrence of lymphoma which was subsequently treated with rituximab on 10/10/2022. Patient underwent tumor lysis syndrome resulting in acute on chronic renal failure, transferred to the ICU for initiation of CVVH (continuous venovenous hemodialysis). At the same time, he was experiencing acute hepatic failure. A diagnostic liver biopsy showed EBV reactivation within lymphoma cells in the liver. Upon arrival to the ICU on 10/13/2022 the patient appeared in significant respiratory distress secondary to increased metabolic demands and fluid overload. Patient was also noted to be in atrial fibrillation with RVR. The patient was intubation. CVVH was started however patient became hypotensive requiring the placement of a central line. In addition, the patient was on the maximum of three different pressors. The patient?s acidosis and multiorgan failure continued to worsen. His family made the decision to transition to comfort cares. Patient was terminally extubated 10/14/20 AM and shortly thereafter passed. Patient was surrounded by his family. Complications in the hospital: Acute renal failure, shock, death. Health department has no further information on this patient.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Epstein-Barr virus infection reactivation, Feeling abnormal, Graft versus host disease, Haemodialysis, Hypervolaemia
Clinical narrative: Per Web report received to Health Department. Patient noted to be positive for COVID-19. Pfizer: (1) 3/16/2021 EN6207 (2) 4/12/2021 EW0150 (3) 11/5/2021 FG3527 Patient was admitted to Hospital 10/5/2022 with concerns for night sweats, mental fog, and abdominal pain. Patient found to have Epstein Barr viremia (EBV) with additional concern for recurrence of lymphoma which was subsequently treated with rituximab on 10/10/2022. Patient underwent tumor lysis syndrome resulting in acute on chronic renal failure, transferred to the ICU for initiation of CVVH (continuous venovenous hemodialysis). At the same time, he was experiencing acute hepatic failure. A diagnostic liver biopsy showed EBV reactivation within lymphoma cells in the liver. Upon arrival to the ICU on 10/13/2022 the patient appeared in significant respiratory distress secondary to increased metabolic demands and fluid overload. Patient was also noted to be in atrial fibrillation with RVR. The patient was intubation. CVVH was started however patient became hypotensive requiring the placement of a central line. In addition, the patient was on the maximum of three different pressors. The patient?s acidosis and multiorgan failure continued to worsen. His family made the decision to transition to comfort cares. Patient was terminally extubated 10/14/20 AM and shortly thereafter passed. Patient was surrounded by his family. Complications in the hospital: Acute renal failure, shock, death. Health department has no further information on this patient.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Intensive care, Laboratory test, Multiple organ dysfunction syndrome, Night sweats
Clinical narrative: Per Web report received to Health Department. Patient noted to be positive for COVID-19. Pfizer: (1) 3/16/2021 EN6207 (2) 4/12/2021 EW0150 (3) 11/5/2021 FG3527 Patient was admitted to Hospital 10/5/2022 with concerns for night sweats, mental fog, and abdominal pain. Patient found to have Epstein Barr viremia (EBV) with additional concern for recurrence of lymphoma which was subsequently treated with rituximab on 10/10/2022. Patient underwent tumor lysis syndrome resulting in acute on chronic renal failure, transferred to the ICU for initiation of CVVH (continuous venovenous hemodialysis). At the same time, he was experiencing acute hepatic failure. A diagnostic liver biopsy showed EBV reactivation within lymphoma cells in the liver. Upon arrival to the ICU on 10/13/2022 the patient appeared in significant respiratory distress secondary to increased metabolic demands and fluid overload. Patient was also noted to be in atrial fibrillation with RVR. The patient was intubation. CVVH was started however patient became hypotensive requiring the placement of a central line. In addition, the patient was on the maximum of three different pressors. The patient?s acidosis and multiorgan failure continued to worsen. His family made the decision to transition to comfort cares. Patient was terminally extubated 10/14/20 AM and shortly thereafter passed. Patient was surrounded by his family. Complications in the hospital: Acute renal failure, shock, death. Health department has no further information on this patient.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory distress, SARS-CoV-2 test positive, Shock, Tumour lysis syndrome
Clinical narrative: Per Web report received to Health Department. Patient noted to be positive for COVID-19. Pfizer: (1) 3/16/2021 EN6207 (2) 4/12/2021 EW0150 (3) 11/5/2021 FG3527 Patient was admitted to Hospital 10/5/2022 with concerns for night sweats, mental fog, and abdominal pain. Patient found to have Epstein Barr viremia (EBV) with additional concern for recurrence of lymphoma which was subsequently treated with rituximab on 10/10/2022. Patient underwent tumor lysis syndrome resulting in acute on chronic renal failure, transferred to the ICU for initiation of CVVH (continuous venovenous hemodialysis). At the same time, he was experiencing acute hepatic failure. A diagnostic liver biopsy showed EBV reactivation within lymphoma cells in the liver. Upon arrival to the ICU on 10/13/2022 the patient appeared in significant respiratory distress secondary to increased metabolic demands and fluid overload. Patient was also noted to be in atrial fibrillation with RVR. The patient was intubation. CVVH was started however patient became hypotensive requiring the placement of a central line. In addition, the patient was on the maximum of three different pressors. The patient?s acidosis and multiorgan failure continued to worsen. His family made the decision to transition to comfort cares. Patient was terminally extubated 10/14/20 AM and shortly thereafter passed. Patient was surrounded by his family. Complications in the hospital: Acute renal failure, shock, death. Health department has no further information on this patient.
Age: 7.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product preparation issue
Clinical narrative: Administered undiluted Pfizer 5-11 0.2ml.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain in extremity
Clinical narrative: sorness in arm, Chills
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMR
Symptoms: Erythema, Immunisation reaction
Clinical narrative: PT HAD A REACTION TO THE VACCINE. ARM WAS RED.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pt did not get the booster. Pt got the single valet instead of Bi valet.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: tested + for covid 7-4-22 at Medical Center and passed away 7-19-22.  I have no other information on this patient.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Nasal congestion
Clinical narrative: I felt tired, slight headache for 2-3 days, stuffy and drainage of nose, and little cough. I tested positive at home for COVID-19. Then the next day I went to the urgent care and tested positive there as well. They prescribed me cough medicine.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus operation
Clinical narrative: I felt tired, slight headache for 2-3 days, stuffy and drainage of nose, and little cough. I tested positive at home for COVID-19. Then the next day I went to the urgent care and tested positive there as well. They prescribed me cough medicine.
Age: 25.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Exposure during pregnancy, Incorrect product formulation administered, No adverse event
Clinical narrative: Provider ordered initial covid vaccine and patient received Bivalent Pfizer booster dose instead. Employee notified manager. Manager notified provider and pharmacist. Information received from both Department of Public Health and Manufacture - "If a bivalent Pfizer-BioNtech vaccine is administered for primary series dose: Do not repeat the dose. The primary and booster dosages are the same; the bivalent dose can be counted as a primary series dose. Continue with the recommended vaccination schedule: (iel, complete the primary series with a monovalent Pfizer-BioNTech vaccine, then administer a bivalent booster dose at least 2 months after completion of the primary series." All information provided.  No adverse reactions noted.  No adverse reactions at this time.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Oropharyngeal pain
Clinical narrative: They started on 8/15 I had a sore throat. On the 16th I had a runny nose. By the 17th I had extreme fatigue, headache, runny nose, cough, and body ache. I tested myself on the 15th it was negative on the 17th it was positive. I called the doctor on the 18 or 19th for a virtual visit. All I did was take cough drops; I tried some nasal decongestant. I hardly 15th to the 19th I probably got 2 hours of sleep each day. My doctor prescribed me, Paxlovid and Tessalon Perles. I continued to take an over-the-counter antihistamine, Benadryl. I was also using a cold vaporizer. I went back to the doctor because the cough was still pretty horrible on 9/2. She prescribed more Tessalon Perles. I still couldn't get rid of the cough, so I went back again, she gave me steroids and a round of antibiotics. Until this day I have been coughing up phlegm that is very thick like a paste. The headaches have gone away now. It all turned into bronchitis, I got an x-ray, but it didn't show any signs of pneumonia.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Rhinorrhoea, SARS-CoV-2 test positive, X-ray
Clinical narrative: They started on 8/15 I had a sore throat. On the 16th I had a runny nose. By the 17th I had extreme fatigue, headache, runny nose, cough, and body ache. I tested myself on the 15th it was negative on the 17th it was positive. I called the doctor on the 18 or 19th for a virtual visit. All I did was take cough drops; I tried some nasal decongestant. I hardly 15th to the 19th I probably got 2 hours of sleep each day. My doctor prescribed me, Paxlovid and Tessalon Perles. I continued to take an over-the-counter antihistamine, Benadryl. I was also using a cold vaporizer. I went back to the doctor because the cough was still pretty horrible on 9/2. She prescribed more Tessalon Perles. I still couldn't get rid of the cough, so I went back again, she gave me steroids and a round of antibiotics. Until this day I have been coughing up phlegm that is very thick like a paste. The headaches have gone away now. It all turned into bronchitis, I got an x-ray, but it didn't show any signs of pneumonia.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Pt got the 5-11 and not the 6 month to 5 yr
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: tested + for covid  2-10-22,  passed on 5-1-22;  I have no further info available
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Ear pain, Fatigue, Headache
Clinical narrative: I received my fourth dose of Pfizer on 04/18/2022 and started to experience symptoms of COVID-19 on 09/18/2022. On, 09/19/2022 I had a breakthrough case of COVID-19. I then called my doctor and was prescribed Lagevrio because I am on metoprolol. I started to feel better about four days later. I experienced a fever, dry cough, throbbing headache, my ears were both hurting, and I had some fatigue. I still tested positive on October 1st, so I tested a week later and finally received a negative result. I also experienced a rash and hives after this dose, but I got it under control because of antihistamines.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pyrexia, Rash, SARS-CoV-2 test positive, Urticaria
Clinical narrative: I received my fourth dose of Pfizer on 04/18/2022 and started to experience symptoms of COVID-19 on 09/18/2022. On, 09/19/2022 I had a breakthrough case of COVID-19. I then called my doctor and was prescribed Lagevrio because I am on metoprolol. I started to feel better about four days later. I experienced a fever, dry cough, throbbing headache, my ears were both hurting, and I had some fatigue. I still tested positive on October 1st, so I tested a week later and finally received a negative result. I also experienced a rash and hives after this dose, but I got it under control because of antihistamines.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: I received my fourth dose of Pfizer on 04/18/2022 and started to experience symptoms of COVID-19 on 09/18/2022. On, 09/19/2022 I had a breakthrough case of COVID-19. I then called my doctor and was prescribed Lagevrio because I am on metoprolol. I started to feel better about four days later. I experienced a fever, dry cough, throbbing headache, my ears were both hurting, and I had some fatigue. I still tested positive on October 1st, so I tested a week later and finally received a negative result. I also experienced a rash and hives after this dose, but I got it under control because of antihistamines.
Age: 6.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: Administered undiluted Pfizer Biv 5-11, 0.2ml
Age: 18.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: This patient received a bivalent moderna vaccine when they should have completed their primary series first.  We realized that they should finish their primary series and they are coming back to the pharmacy to finish the series.
Age: 14.0
Sex: M
Vaccine: COVID19-2
Symptoms: Wrong patient received product, Wrong product administered
Clinical narrative: Description of Incident: We were at School providing a vaccination clinic (6-12 graders) for flu and covid vaccine. Each grade was called separately starting with 6th graders. While doing 9th grade class immunizations, there were 2 boys with the same first name in the same class ? While providing vaccines for patient, the other patient's paper was pulled by this RN and student was given the incorrect vaccines. Patient was signed up for Injectable flu and was given what other signed up for which was nasal mist flu and covid booster. When this RN handed Patient his card to bring home he mentioned that that the name written on the form was not his name, but another student in his grade. This RN apologized extensively. PC to parent to explain situation. This RN also explained measures we will take to prevent this from happening to any other student. Apologized extensively. Explained to mom that according to CDC if a booster dose of Pfizer covid vaccine is inadvertently given for the primary series that dose should not be repeated. This RN states if parent has any further questions she can call this RN.   Plan for future to prevent incident: students coming to vaccination clinic will be asked to recite full name and date of birth before receiving any injections and that information to be verified with what is on consent form. Vaccinators will pause before vaccination to be sure 5 vaccine rights are being upheld (right dose, right route, right patient, right time, right vaccine, right site and right documentation).
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Crying, Dyskinesia, Feeling abnormal, Headache, Hyperhidrosis
Clinical narrative: As writer is giving the Gardisil patient becomes pale and diaphoretic. Patient slouches down on exam table. Head of the exam table down and patient hoisted further up on table. Call light for help pushed.  Patient not talking and squirming on table. Mask removed from patient's face. Patient sits up on own. Writer asks patient her name. Patient responds. Writer lays patient back down. Help arrives and vital signs taken: Blood pressure 124/73, pulse 93, respirations 20. Patient begins weeping stating she felt weird and didn't know what was happening. Ice pack placed on forehead. Patient states it is too cold. Ice pack removed. Patient offered juice. Sits up on own and is given apple juice. Ice water given as well. Patient states she has a little bit of nausea and a slight headache. Patient remained for 20 minutes after incident. Explained to patient and mother fainting reaction is not unusual. Both verbalize understanding. Patient states she is feeling fine. Writer walks patient and mother to lobby. Letter for school provided. Patient left with mother without further incident.
Age: 11.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Hypotonia, Nausea, Pallor, Speech disorder
Clinical narrative: As writer is giving the Gardisil patient becomes pale and diaphoretic. Patient slouches down on exam table. Head of the exam table down and patient hoisted further up on table. Call light for help pushed.  Patient not talking and squirming on table. Mask removed from patient's face. Patient sits up on own. Writer asks patient her name. Patient responds. Writer lays patient back down. Help arrives and vital signs taken: Blood pressure 124/73, pulse 93, respirations 20. Patient begins weeping stating she felt weird and didn't know what was happening. Ice pack placed on forehead. Patient states it is too cold. Ice pack removed. Patient offered juice. Sits up on own and is given apple juice. Ice water given as well. Patient states she has a little bit of nausea and a slight headache. Patient remained for 20 minutes after incident. Explained to patient and mother fainting reaction is not unusual. Both verbalize understanding. Patient states she is feeling fine. Writer walks patient and mother to lobby. Letter for school provided. Patient left with mother without further incident.
Age: 48.0
Sex: M
Vaccine: FLU4, HEPAB
Symptoms: Unevaluable event
Clinical narrative: No symptoms