chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: C-reactive protein decreased, COVID-19, Cardiac monitoring, Cardiomegaly, Chest X-ray abnormal
Clinical narrative: The patient is a 76 y.o. female with history of HTN, SSS s/p pacemaker in 2012, PAF, and anxiety presented to the Hospital with chest pain with productive cough.   Acute hypoxic respiratory failure d/t Covid-19 infection   Gastroenteritis  Bronchitis  Received full immunization and 2 boosters, most recently on 10/17  RA on arrival, currently requiring 2L NC Afebrile, no leukocytosis On Decadron 6mg for 10 days CRP  TRENDING DOWN PRN mucinex and cough suppressants Encourage IS use Contact precautions On tele/pulse ox with goal SpO2 > 88-90% warfarin for DVT ppx PT/OT/SW consulted Weaned off from NC 02 as able, continue decadron for a total of 10 days, antitussive, PCP follow up. Monitor Pulse ox at home. IS  and Acapella   Atypical Chest Pain, unknown etiology Paroxysmal Atrial Fibrillation Elevated troponin  QT prolongation  Intermittent, episodic shooting chest pains similar to her previous symptomology of Afib Afebrile, no leukocytosis O2 saturation >94% on room air, no orthopnea  CBC unremarkable, Hgb stable at 13  Chem 7 shows mild hyponatremia (132) and hypokalemia (2.6) Last 2D echo July 2022 shows LVEF 55% +/- 5 with mild left ventricular concentric hypertrophy  Troponin elevated to 277, chronically elevated in the past, down trending w/o complaint of CP  CXR shows stable cardiomegaly, non-acute EKG shows atrial fibrillation with PVCs, rate of 90 Continuous cardiac monitoring Anticoagulation with warfarin to be continued on admission Cardiac diet  Repeat EKG   Essential HTN  Elevated BP to 160 SBP, ~80-90 DBP on admission Continue home metoprolol   Anxiety Continue home sertraline  Obesity  Body mass index is 35.09 kg/m². Discussed dietary and lifestyle modifications Consider nutrition consult    Severe hypokalemia, resolved  Mild hyponatremia, resolved  Potassium of 2.6 on admission, pt reported several episodes of diarrhea the past few days Sodium 132, continue to monitor with repeat labs and hydration  Cr stable at 0.63, eGFR 92  Received Covid-19 booster on Monday 10/17 Mag 1.5  EKG shows atrial fibrillation with PVCs, rate of 90 Replete potassium and monitor with repeat labs
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest pain, Condition aggravated, Diarrhoea, Electrocardiogram QT prolonged, Electrocardiogram abnormal
Clinical narrative: The patient is a 76 y.o. female with history of HTN, SSS s/p pacemaker in 2012, PAF, and anxiety presented to the Hospital with chest pain with productive cough.   Acute hypoxic respiratory failure d/t Covid-19 infection   Gastroenteritis  Bronchitis  Received full immunization and 2 boosters, most recently on 10/17  RA on arrival, currently requiring 2L NC Afebrile, no leukocytosis On Decadron 6mg for 10 days CRP  TRENDING DOWN PRN mucinex and cough suppressants Encourage IS use Contact precautions On tele/pulse ox with goal SpO2 > 88-90% warfarin for DVT ppx PT/OT/SW consulted Weaned off from NC 02 as able, continue decadron for a total of 10 days, antitussive, PCP follow up. Monitor Pulse ox at home. IS  and Acapella   Atypical Chest Pain, unknown etiology Paroxysmal Atrial Fibrillation Elevated troponin  QT prolongation  Intermittent, episodic shooting chest pains similar to her previous symptomology of Afib Afebrile, no leukocytosis O2 saturation >94% on room air, no orthopnea  CBC unremarkable, Hgb stable at 13  Chem 7 shows mild hyponatremia (132) and hypokalemia (2.6) Last 2D echo July 2022 shows LVEF 55% +/- 5 with mild left ventricular concentric hypertrophy  Troponin elevated to 277, chronically elevated in the past, down trending w/o complaint of CP  CXR shows stable cardiomegaly, non-acute EKG shows atrial fibrillation with PVCs, rate of 90 Continuous cardiac monitoring Anticoagulation with warfarin to be continued on admission Cardiac diet  Repeat EKG   Essential HTN  Elevated BP to 160 SBP, ~80-90 DBP on admission Continue home metoprolol   Anxiety Continue home sertraline  Obesity  Body mass index is 35.09 kg/m². Discussed dietary and lifestyle modifications Consider nutrition consult    Severe hypokalemia, resolved  Mild hyponatremia, resolved  Potassium of 2.6 on admission, pt reported several episodes of diarrhea the past few days Sodium 132, continue to monitor with repeat labs and hydration  Cr stable at 0.63, eGFR 92  Received Covid-19 booster on Monday 10/17 Mag 1.5  EKG shows atrial fibrillation with PVCs, rate of 90 Replete potassium and monitor with repeat labs
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Essential hypertension, Full blood count normal, Gastroenteritis, Glomerular filtration rate normal, Haemoglobin normal
Clinical narrative: The patient is a 76 y.o. female with history of HTN, SSS s/p pacemaker in 2012, PAF, and anxiety presented to the Hospital with chest pain with productive cough.   Acute hypoxic respiratory failure d/t Covid-19 infection   Gastroenteritis  Bronchitis  Received full immunization and 2 boosters, most recently on 10/17  RA on arrival, currently requiring 2L NC Afebrile, no leukocytosis On Decadron 6mg for 10 days CRP  TRENDING DOWN PRN mucinex and cough suppressants Encourage IS use Contact precautions On tele/pulse ox with goal SpO2 > 88-90% warfarin for DVT ppx PT/OT/SW consulted Weaned off from NC 02 as able, continue decadron for a total of 10 days, antitussive, PCP follow up. Monitor Pulse ox at home. IS  and Acapella   Atypical Chest Pain, unknown etiology Paroxysmal Atrial Fibrillation Elevated troponin  QT prolongation  Intermittent, episodic shooting chest pains similar to her previous symptomology of Afib Afebrile, no leukocytosis O2 saturation >94% on room air, no orthopnea  CBC unremarkable, Hgb stable at 13  Chem 7 shows mild hyponatremia (132) and hypokalemia (2.6) Last 2D echo July 2022 shows LVEF 55% +/- 5 with mild left ventricular concentric hypertrophy  Troponin elevated to 277, chronically elevated in the past, down trending w/o complaint of CP  CXR shows stable cardiomegaly, non-acute EKG shows atrial fibrillation with PVCs, rate of 90 Continuous cardiac monitoring Anticoagulation with warfarin to be continued on admission Cardiac diet  Repeat EKG   Essential HTN  Elevated BP to 160 SBP, ~80-90 DBP on admission Continue home metoprolol   Anxiety Continue home sertraline  Obesity  Body mass index is 35.09 kg/m². Discussed dietary and lifestyle modifications Consider nutrition consult    Severe hypokalemia, resolved  Mild hyponatremia, resolved  Potassium of 2.6 on admission, pt reported several episodes of diarrhea the past few days Sodium 132, continue to monitor with repeat labs and hydration  Cr stable at 0.63, eGFR 92  Received Covid-19 booster on Monday 10/17 Mag 1.5  EKG shows atrial fibrillation with PVCs, rate of 90 Replete potassium and monitor with repeat labs
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypokalaemia, Hyponatraemia, Metabolic function test abnormal, Obesity, Pain
Clinical narrative: The patient is a 76 y.o. female with history of HTN, SSS s/p pacemaker in 2012, PAF, and anxiety presented to the Hospital with chest pain with productive cough.   Acute hypoxic respiratory failure d/t Covid-19 infection   Gastroenteritis  Bronchitis  Received full immunization and 2 boosters, most recently on 10/17  RA on arrival, currently requiring 2L NC Afebrile, no leukocytosis On Decadron 6mg for 10 days CRP  TRENDING DOWN PRN mucinex and cough suppressants Encourage IS use Contact precautions On tele/pulse ox with goal SpO2 > 88-90% warfarin for DVT ppx PT/OT/SW consulted Weaned off from NC 02 as able, continue decadron for a total of 10 days, antitussive, PCP follow up. Monitor Pulse ox at home. IS  and Acapella   Atypical Chest Pain, unknown etiology Paroxysmal Atrial Fibrillation Elevated troponin  QT prolongation  Intermittent, episodic shooting chest pains similar to her previous symptomology of Afib Afebrile, no leukocytosis O2 saturation >94% on room air, no orthopnea  CBC unremarkable, Hgb stable at 13  Chem 7 shows mild hyponatremia (132) and hypokalemia (2.6) Last 2D echo July 2022 shows LVEF 55% +/- 5 with mild left ventricular concentric hypertrophy  Troponin elevated to 277, chronically elevated in the past, down trending w/o complaint of CP  CXR shows stable cardiomegaly, non-acute EKG shows atrial fibrillation with PVCs, rate of 90 Continuous cardiac monitoring Anticoagulation with warfarin to be continued on admission Cardiac diet  Repeat EKG   Essential HTN  Elevated BP to 160 SBP, ~80-90 DBP on admission Continue home metoprolol   Anxiety Continue home sertraline  Obesity  Body mass index is 35.09 kg/m². Discussed dietary and lifestyle modifications Consider nutrition consult    Severe hypokalemia, resolved  Mild hyponatremia, resolved  Potassium of 2.6 on admission, pt reported several episodes of diarrhea the past few days Sodium 132, continue to monitor with repeat labs and hydration  Cr stable at 0.63, eGFR 92  Received Covid-19 booster on Monday 10/17 Mag 1.5  EKG shows atrial fibrillation with PVCs, rate of 90 Replete potassium and monitor with repeat labs
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Productive cough, Troponin increased, Ventricular extrasystoles
Clinical narrative: The patient is a 76 y.o. female with history of HTN, SSS s/p pacemaker in 2012, PAF, and anxiety presented to the Hospital with chest pain with productive cough.   Acute hypoxic respiratory failure d/t Covid-19 infection   Gastroenteritis  Bronchitis  Received full immunization and 2 boosters, most recently on 10/17  RA on arrival, currently requiring 2L NC Afebrile, no leukocytosis On Decadron 6mg for 10 days CRP  TRENDING DOWN PRN mucinex and cough suppressants Encourage IS use Contact precautions On tele/pulse ox with goal SpO2 > 88-90% warfarin for DVT ppx PT/OT/SW consulted Weaned off from NC 02 as able, continue decadron for a total of 10 days, antitussive, PCP follow up. Monitor Pulse ox at home. IS  and Acapella   Atypical Chest Pain, unknown etiology Paroxysmal Atrial Fibrillation Elevated troponin  QT prolongation  Intermittent, episodic shooting chest pains similar to her previous symptomology of Afib Afebrile, no leukocytosis O2 saturation >94% on room air, no orthopnea  CBC unremarkable, Hgb stable at 13  Chem 7 shows mild hyponatremia (132) and hypokalemia (2.6) Last 2D echo July 2022 shows LVEF 55% +/- 5 with mild left ventricular concentric hypertrophy  Troponin elevated to 277, chronically elevated in the past, down trending w/o complaint of CP  CXR shows stable cardiomegaly, non-acute EKG shows atrial fibrillation with PVCs, rate of 90 Continuous cardiac monitoring Anticoagulation with warfarin to be continued on admission Cardiac diet  Repeat EKG   Essential HTN  Elevated BP to 160 SBP, ~80-90 DBP on admission Continue home metoprolol   Anxiety Continue home sertraline  Obesity  Body mass index is 35.09 kg/m². Discussed dietary and lifestyle modifications Consider nutrition consult    Severe hypokalemia, resolved  Mild hyponatremia, resolved  Potassium of 2.6 on admission, pt reported several episodes of diarrhea the past few days Sodium 132, continue to monitor with repeat labs and hydration  Cr stable at 0.63, eGFR 92  Received Covid-19 booster on Monday 10/17 Mag 1.5  EKG shows atrial fibrillation with PVCs, rate of 90 Replete potassium and monitor with repeat labs
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Cough
Clinical narrative: cough
Age: 49.0
Sex: F
Vaccine: UNK
Symptoms: Myoclonus, Syncope
Clinical narrative: Vasovagal syncope with myclonic jerks
Age: 54.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness
Clinical narrative: Patient became dizzy after shot. she was dizzy for 30 minutes. refused medical attention. color was normal and was talking then entire time. Her husband came and brought her home
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Ear pain, Headache, Influenza virus test negative, Mucosal discolouration
Clinical narrative: Non-stop loud ringing in ears, severe sinus pressure, headache, post-nasal drip (thick yellow mucous) achy, chills, earache, sore throat
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Paranasal sinus discomfort, SARS-CoV-2 test negative, Tinnitus
Clinical narrative: Non-stop loud ringing in ears, severe sinus pressure, headache, post-nasal drip (thick yellow mucous) achy, chills, earache, sore throat
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Upper-airway cough syndrome
Clinical narrative: Non-stop loud ringing in ears, severe sinus pressure, headache, post-nasal drip (thick yellow mucous) achy, chills, earache, sore throat
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Myalgia, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: congestion, rhinorrhea, cough, SOB, myalgias
Age: 62.0
Sex: F
Vaccine: FLUA4, VARZOS
Symptoms: Malaise, Pain
Clinical narrative: pT RECEIVED SHINGLES AND INFLUENZA VACCINE 11/09/2022 APPROXIMATELY AROUND 11:30 AM. REPORTS NO ADV EFFECTS, JUST SORE AND NOT FEELING WELL DUE TO FLU VACCINE
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Cough, Headache, Pulmonary congestion
Clinical narrative: After testing positive I had a mild but persistent headache; joint tenderness in knees; mild cough; slight chest congestion; 2 days with 101.0 fever. Emailed my physician with the test results and was prescribed PAXLOVID for 5 days.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: After testing positive I had a mild but persistent headache; joint tenderness in knees; mild cough; slight chest congestion; 2 days with 101.0 fever. Emailed my physician with the test results and was prescribed PAXLOVID for 5 days.
Age: 62.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Incorrect dose administered
Clinical narrative: Administered incorrect dose, MD administered volume containing more than one dose
Sex: U
Vaccine: UNK
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Diagnosed with Covid.  Had Covid Vaccine
Age: 5.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was scheduled to receive a Primary Pediatric Pfizer 5yrs-11yrs 2nd dose, but was mistakenly given a Pediatric Pifzer Bivalent dose.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: patient was administered 0.3ml of pfizer bivalent 5-11years with out diluted. no adverse reaction or side effects noted
Age: 0.42
Sex: F
Vaccine: RV5
Symptoms: Flushing, Immediate post-injection reaction, Rash
Clinical narrative: Five month patient came in for scheduled Rotavirus vaccine.  Patient identified by full name and DOB. Patient was administered Rotavirus vaccine per MD order and with consent.  This is the third scheduled Rotavirus vaccine patient has received in total in immunization history. Patient consumed Rotavirus vaccine by mouth without fussiness. Immediately became flushed with rashes appearing on left front thigh radiating to left back thigh, chest belly, and back. Doctor assessed patient head to toe and oral cavity with recommendations to monitor baby for 20 minutes in room for any further adverse reactions and for mom to follow up with PCP if any concerns.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash, Urticaria
Clinical narrative: My skin became very itchy with the 3 one. It was itchy before but after the third one I developed hives on my face, neck and leg. On my face and neck it was very red, blood red. It was so bad that my husband rushed me to the emergency room. The first rash/hives that appeared was on the back of my left leg only.  Then after that they progressively got worse. I?ve seen 2 dermatologists, and one allergist. None of them even brought this up to me. I started talking to a friend who had the exact, same thing. Her allergist suggested that it could be a reaction that she had.  I?ve never had to be this careful of covering up my skin for even 5 mins when I just go outside. My face hasNever gotten red like this.  My entire body has to be covered up. I?ve had the 4 shots over  2 1/2 years a just got the new one also.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Pulmonary embolism
Clinical narrative: Bilateral pulmonary embolisms and lower extremity DVT
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Flank pain
Clinical narrative: In the second week after vaccination I started to have stabbing sharp pains in my side.   The pain would just come without warning periodically and last about a minute.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product use issue
Clinical narrative: Patient ineligible to receive vaccine
Age: 10.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse event occurred. Injection of Pfizer vaccine was administered on 09-21-2022, the BUD label on the vaccine packaging read 09-23-2022. However, the expiration date as per the MFR was 08-31-2022, MFR was contacted, so far no adverse events to report. Currently awaiting instructions to determine if whether or not an additional dose is required for protection against COVID-19.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac monitoring abnormal, Electrocardiogram, Heart rate irregular, Supraventricular extrasystoles, Supraventricular tachycardia
Clinical narrative: New and unprecedented occurrance of irregular heart beats that are still ongoing regardless of state of rest or level of activity.  ZIO heart monitor worn for 13 days.  Cardiologists' analysis: runs of PAC,s, PVCs, and  SVTs.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Ventricular extrasystoles
Clinical narrative: New and unprecedented occurrance of irregular heart beats that are still ongoing regardless of state of rest or level of activity.  ZIO heart monitor worn for 13 days.  Cardiologists' analysis: runs of PAC,s, PVCs, and  SVTs.
Age: 10.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Patient was supposed to receive lower dose (Pedia) of Pfizer Bivalent but administered the regular dose which is 12+.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Death, Resuscitation, Unresponsive to stimuli
Clinical narrative: Res found unresponsive lying in bed at 0735. No VS present. Res was last seen by nurse at 0720, in bed, moving, nurse told res was time to get up for breakfast and left room. Staff returned to room at 0735. 0737 CPR initiated; 0738 EMS called; 0741 EMS took over CPR, established IV, airway and suctioned ; 0750 Dr notified of situation;  0808 EMS pronounced res death per Dr.
Age: 0.5
Sex: M
Vaccine: RV5
Symptoms: Flushing, Immediate post-injection reaction, Rash
Clinical narrative: Six month baby came in for scheduled Rotavirus vaccine.  Patient identified by full name and DOB. Patient was administered COVID-19, Influenza, PCV13, Rotavirus and Pentacel (Dtap, IPV, Hib) vaccines per MD order and with consent.  Rotavirus oral vaccine was administered prior to the remainder vaccines ordered per MD. Covid Moderna, Influenza, PCV13, and Pentacel vaccines were administered half hour later after careful monitoring of baby and were well-tolerated by baby.  This is the third scheduled Rotavirus vaccine baby has received in total in immunization history. Baby consumed Rotavirus vaccine by mouth without fussiness. Immediately became flushed with rashes appearing on both cheeks radiating to upper back. Dr. assessed baby head to toe with recommendations to first monitor baby for 20 minutes in room for any further adverse reactions, then to resume remainder vaccines administration, and for mom to follow up with PCP if any concerns.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Given pfizer grey cap instead of Pfizer bivalent booster
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was exposed to storage temperature outside the recommended ranges. Patient did not need any treatment and did not have any symptoms.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccines drawn up the day before were not thrown out as waste. Vaccine was administered unknowing of the expiration status.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: The patient was given a Pediatric Bivalent Booster (5-11) and it was not diluted.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Muscle spasms, Nausea
Clinical narrative: Patient within 15 complains of back spasm with nausea.  Patient affirms hx. of back-related problems.
Age: 30.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was exposed to storage temperature outside the recommended ranges. Patient did not need any treatment and did not have any symptoms.
Age: 53.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Asthenia, COVID-19, Cough, Diarrhoea, Dysstasia
Clinical narrative: On 10/29/2022 in the morning I woke up coughing. I thought I just had a cold. The next day on 10/30/2022 I started feeling sick and I was coughing more. On 10/31/2022 I was feeling the same symptoms along with severe cough. I took 2 home COVID-19 tests which were positive, and I also went to the pharmacy for a PCR test which was positive too. I messaged my doctor after testing positive. A nurse from her office reached out to me and advised me if my situation gets worse to go to the ER. On 11/01/2022 I was feeling very weak. I couldn't even stand up. On 11/02/2022 I was having diarrhea. I took over counter MUCINEX. On Monday I woke up with a headache so for all my symptoms I started taking TYLENOL, vitamin C, vitamin D, zinc and MUCINEX. I'm recovering from COVID-19, but I still have lingering cough and chest congestions.
Age: 53.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Headache, Malaise, Pulmonary congestion, SARS-CoV-2 test positive, Sleep disorder
Clinical narrative: On 10/29/2022 in the morning I woke up coughing. I thought I just had a cold. The next day on 10/30/2022 I started feeling sick and I was coughing more. On 10/31/2022 I was feeling the same symptoms along with severe cough. I took 2 home COVID-19 tests which were positive, and I also went to the pharmacy for a PCR test which was positive too. I messaged my doctor after testing positive. A nurse from her office reached out to me and advised me if my situation gets worse to go to the ER. On 11/01/2022 I was feeling very weak. I couldn't even stand up. On 11/02/2022 I was having diarrhea. I took over counter MUCINEX. On Monday I woke up with a headache so for all my symptoms I started taking TYLENOL, vitamin C, vitamin D, zinc and MUCINEX. I'm recovering from COVID-19, but I still have lingering cough and chest congestions.
Age: 0.83
Sex: M
Vaccine: RV5
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 1st dose of RotaTeq was administered after 8months - was not indicated.  Mother notified by provider denies any side effects at this time.
Age: 74.0
Sex: M
Vaccine: FLU4
Symptoms: Decreased activity, Headache, Insomnia, Malaise, Nasal congestion
Clinical narrative: 11/9/2022 ~ 9:30 p.m. Minor headache, maybe low fever, treated with 500 mg Acetaminophen, stuffy nose - no treatment. 11/10/2022, 1:35 a.m. sneezing and runny nose, mild, not treated, and headache/mild fever treated with another 500 mg Acetaminophen at 2:50 a.m. At 3:10 a.m. ~2.5 mg zolpidem for difficulty sleeping. 11/10/2022 cont. 09:45 continued mild sneezing, runny nose a bit worse, no treatment done. 500 mg Acetaminophen at 1:35 p.m. Headache less, but mild malaise, feeling sick, from about 2:00 p.m. Am not up for much activity.
Age: 74.0
Sex: M
Vaccine: FLU4
Symptoms: Pyrexia, Rhinorrhoea, Sneezing
Clinical narrative: 11/9/2022 ~ 9:30 p.m. Minor headache, maybe low fever, treated with 500 mg Acetaminophen, stuffy nose - no treatment. 11/10/2022, 1:35 a.m. sneezing and runny nose, mild, not treated, and headache/mild fever treated with another 500 mg Acetaminophen at 2:50 a.m. At 3:10 a.m. ~2.5 mg zolpidem for difficulty sleeping. 11/10/2022 cont. 09:45 continued mild sneezing, runny nose a bit worse, no treatment done. 500 mg Acetaminophen at 1:35 p.m. Headache less, but mild malaise, feeling sick, from about 2:00 p.m. Am not up for much activity.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Immobile
Clinical narrative: Freezing gait lost mobility
Age: 60.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Feeling hot, Hyperhidrosis, Insomnia
Clinical narrative: At about 3:30 AM I woke up hot and sweating. I developed a hacking cough during the day and to sleep I had to take over the counter medication to sleep. I had lots of chest congestion and was producing lots of mucus. I tested on 11/7 and tested positive then went to my doctors office and tested a positive again. I was given LAGEVRIO, I am currently on the 3rd day of taking the medication I am still coughing but not as bad.
Age: 60.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Secretion discharge, Upper respiratory tract congestion
Clinical narrative: At about 3:30 AM I woke up hot and sweating. I developed a hacking cough during the day and to sleep I had to take over the counter medication to sleep. I had lots of chest congestion and was producing lots of mucus. I tested on 11/7 and tested positive then went to my doctors office and tested a positive again. I was given LAGEVRIO, I am currently on the 3rd day of taking the medication I am still coughing but not as bad.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: One day after vaccination became extremely sick. Had a fever; sore throat and body aches.
Age: 82.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Arthralgia, Dysstasia, Fall, Gait inability, Imaging procedure
Clinical narrative: 2 days after reciving her seasonal influenza and bivalent booster she started with pain in her right arm side she got the COVID shot and which progressed to leg pain and weakness bilaterally in the thighs.  Patient was seen in the ED on Sunday given pain medications and was sent home.  On Monday she saw her primary Dr. and talked about the pain in her arm and thighs and he felt that it was possibly an immune reaction.  Later in that day as she was walking in her house her legs "buckled" and she fell down.  Today she was in the bathroom and had a hard time arising from the toilet due to weakness in her lower extremities.  Patient moved to a chair after this to rest and when she tried to get up she fell again.  She is complaining of severe pain in her knees and lower extremities with inability to walk well as she is unsure when her legs will give out again.  She denies any fever chills body aches.  No nausea vomiting or diarrhea.  No palpitations or chest pain prior to her falling.  She denies any shortness of breath or focal weakness.  Today when she fell she fell with her left leg trapped beneath her causing pain in that leg where she has had a replacement.  Patient is denied any dizziness associated with all of her falls.
Age: 82.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Laboratory test normal, Loss of control of legs, Muscular weakness, Pain in extremity
Clinical narrative: 2 days after reciving her seasonal influenza and bivalent booster she started with pain in her right arm side she got the COVID shot and which progressed to leg pain and weakness bilaterally in the thighs.  Patient was seen in the ED on Sunday given pain medications and was sent home.  On Monday she saw her primary Dr. and talked about the pain in her arm and thighs and he felt that it was possibly an immune reaction.  Later in that day as she was walking in her house her legs "buckled" and she fell down.  Today she was in the bathroom and had a hard time arising from the toilet due to weakness in her lower extremities.  Patient moved to a chair after this to rest and when she tried to get up she fell again.  She is complaining of severe pain in her knees and lower extremities with inability to walk well as she is unsure when her legs will give out again.  She denies any fever chills body aches.  No nausea vomiting or diarrhea.  No palpitations or chest pain prior to her falling.  She denies any shortness of breath or focal weakness.  Today when she fell she fell with her left leg trapped beneath her causing pain in that leg where she has had a replacement.  Patient is denied any dizziness associated with all of her falls.
Age: 1.25
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Diarrhoea, Irritability, Urticaria
Clinical narrative: Localized hives on abdomen and lower extremities 4-6 hours after administration.  Persisting over 2 days.  Also with diarrhea, fussiness x 2 days, progressing.  Reevaluated in office on following day.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: patient given incorrect moderna vaccine. Correct dosage of 0.25ml was given, but given from moderna 12+ vial instead of 6-11 year old vial with magenta strip. Patient currently has no signs/symptoms of adverse reaction to vaccine that was administered.
Age: 0.75
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: PT was given a concentrated dose of the Pfizer COVID 6mos-<5yrs maroon cap vaccine.  The vaccine was diluted with only 0.2ml of solution and not the full 2.2mls.  PT was given the correct 0.2ml amount but just of a very concentrated dose.
Age: 97.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was exposed to storage temperature outside the recommended ranges. Patient did not need any treatment and did not have any symptoms.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient administered incorrect Moderna vaccine. Patient was administered the correct dosage of 0.25ml. No adverse signs/symptoms after administration
Age: 62.0
Sex: F
Vaccine: FLUC4
Symptoms: Bursa injury, Product administered at inappropriate site, Shoulder injury related to vaccine administration, X-ray
Clinical narrative: Injection received too high into shoulder, injured bursa, dx SIRVA by orthopedic surgeon, patient is in PT,  steroid injection (11/10/22)
Age: 91.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was exposed to storage temperature outside the recommended ranges. Patient did not need any treatment and did not have any symptoms.
Age: 95.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product administered to patient of inappropriate age, Product preparation issue
Clinical narrative: Patient was given the undiluted pediatric does of Pfizer when it should have been the adult dose
Age: 84.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Product storage error
Clinical narrative: Vaccine was exposed to storage temperature outside the recommended ranges. Patient did not need any treatment and did not have any symptoms.
Age: 66.0
Sex: F
Vaccine: COVID19-2, FLU4, PNC20, VARZOS
Symptoms: Loss of consciousness, Syncope
Clinical narrative: pt got vaccine at 12:40pm on 11/7/22 and she reported fainting or passing ou at 4 am on 11/8/22. treatment and outcome are unknow as were unable to reach pt and we left her a msg to call us back. she reported it using the survey for the pharmacy
Age: 87.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product preparation issue, Underdose
Clinical narrative: Patient received 0.3 of Pfizer pediatric undiluted instead of the Pfizer Bivalent adult vaccine
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Expired product administered
Clinical narrative: Patient received an expired vaccine product. Vaccine product expired on 8/26/22 and was administered on 9/2/22.
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Dizziness, Vestibular disorder
Clinical narrative: Severe dizziness : Vestibular symptoms
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Asthenia, Bradycardia, Breath sounds abnormal, Breath sounds absent
Clinical narrative: 10/16/2022: Patient presented to the ED with cough, unsteady when ambulating, weakness. Physical exam significant for coarse and congested breath sounds in the mid lung fields, chronically ill-appearing male who is otherwise in no acute distress. 10/31/2022: Initially admitted to the medical floor. ID consulted for COVID-19. Treated with IV abx for superimposed bacterial pneumonia. Pt required supplemental O2, but was able to be weaned to RA at some point. Pt was treated with Decadron initially. Eventually changed to solumedrol. Respiratory status worsened again. Pt attempted to be diuresed without any improvement. Renal function has worsened. Pt had some bradycardia and sinus pauses. EP consulted. Scopolamine patch and bentyl given. As HR improved, Bentyl was weaned off. Pt had completed course of abx, but restarted on Cefepime when respiratory status worsened and WBC increased. Pt continued to decline with worsening O2 needs and worsening renal function. Palliative care was involved, but pt remained full code. He was transferred to ICU for close monitoring and possible need for intubation. He did not require intubation but was BiPAP dependent. Pt needed medications to help with anxiety as he was not tolerating BiPAP well. Renal function continued to worsen. After many family updates /discussions, it has been decided to pursue comfort care. Pt will be discharged to hospice in the hospital.  Pt found to be absent of heart beat and respirations at 1610 on 10/29/22.  Submitter does not have access to any further medical records. If further information is needed, please contact Hospital
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac arrest, Chest X-ray normal, Condition aggravated, Cough
Clinical narrative: 10/16/2022: Patient presented to the ED with cough, unsteady when ambulating, weakness. Physical exam significant for coarse and congested breath sounds in the mid lung fields, chronically ill-appearing male who is otherwise in no acute distress. 10/31/2022: Initially admitted to the medical floor. ID consulted for COVID-19. Treated with IV abx for superimposed bacterial pneumonia. Pt required supplemental O2, but was able to be weaned to RA at some point. Pt was treated with Decadron initially. Eventually changed to solumedrol. Respiratory status worsened again. Pt attempted to be diuresed without any improvement. Renal function has worsened. Pt had some bradycardia and sinus pauses. EP consulted. Scopolamine patch and bentyl given. As HR improved, Bentyl was weaned off. Pt had completed course of abx, but restarted on Cefepime when respiratory status worsened and WBC increased. Pt continued to decline with worsening O2 needs and worsening renal function. Palliative care was involved, but pt remained full code. He was transferred to ICU for close monitoring and possible need for intubation. He did not require intubation but was BiPAP dependent. Pt needed medications to help with anxiety as he was not tolerating BiPAP well. Renal function continued to worsen. After many family updates /discussions, it has been decided to pursue comfort care. Pt will be discharged to hospice in the hospital.  Pt found to be absent of heart beat and respirations at 1610 on 10/29/22.  Submitter does not have access to any further medical records. If further information is needed, please contact Hospital
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, General physical health deterioration, Intensive care, Malaise, Pneumonia bacterial
Clinical narrative: 10/16/2022: Patient presented to the ED with cough, unsteady when ambulating, weakness. Physical exam significant for coarse and congested breath sounds in the mid lung fields, chronically ill-appearing male who is otherwise in no acute distress. 10/31/2022: Initially admitted to the medical floor. ID consulted for COVID-19. Treated with IV abx for superimposed bacterial pneumonia. Pt required supplemental O2, but was able to be weaned to RA at some point. Pt was treated with Decadron initially. Eventually changed to solumedrol. Respiratory status worsened again. Pt attempted to be diuresed without any improvement. Renal function has worsened. Pt had some bradycardia and sinus pauses. EP consulted. Scopolamine patch and bentyl given. As HR improved, Bentyl was weaned off. Pt had completed course of abx, but restarted on Cefepime when respiratory status worsened and WBC increased. Pt continued to decline with worsening O2 needs and worsening renal function. Palliative care was involved, but pt remained full code. He was transferred to ICU for close monitoring and possible need for intubation. He did not require intubation but was BiPAP dependent. Pt needed medications to help with anxiety as he was not tolerating BiPAP well. Renal function continued to worsen. After many family updates /discussions, it has been decided to pursue comfort care. Pt will be discharged to hospice in the hospital.  Pt found to be absent of heart beat and respirations at 1610 on 10/29/22.  Submitter does not have access to any further medical records. If further information is needed, please contact Hospital
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Renal impairment, Respiratory disorder, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: 10/16/2022: Patient presented to the ED with cough, unsteady when ambulating, weakness. Physical exam significant for coarse and congested breath sounds in the mid lung fields, chronically ill-appearing male who is otherwise in no acute distress. 10/31/2022: Initially admitted to the medical floor. ID consulted for COVID-19. Treated with IV abx for superimposed bacterial pneumonia. Pt required supplemental O2, but was able to be weaned to RA at some point. Pt was treated with Decadron initially. Eventually changed to solumedrol. Respiratory status worsened again. Pt attempted to be diuresed without any improvement. Renal function has worsened. Pt had some bradycardia and sinus pauses. EP consulted. Scopolamine patch and bentyl given. As HR improved, Bentyl was weaned off. Pt had completed course of abx, but restarted on Cefepime when respiratory status worsened and WBC increased. Pt continued to decline with worsening O2 needs and worsening renal function. Palliative care was involved, but pt remained full code. He was transferred to ICU for close monitoring and possible need for intubation. He did not require intubation but was BiPAP dependent. Pt needed medications to help with anxiety as he was not tolerating BiPAP well. Renal function continued to worsen. After many family updates /discussions, it has been decided to pursue comfort care. Pt will be discharged to hospice in the hospital.  Pt found to be absent of heart beat and respirations at 1610 on 10/29/22.  Submitter does not have access to any further medical records. If further information is needed, please contact Hospital
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus arrest, Superinfection, White blood cell count increased
Clinical narrative: 10/16/2022: Patient presented to the ED with cough, unsteady when ambulating, weakness. Physical exam significant for coarse and congested breath sounds in the mid lung fields, chronically ill-appearing male who is otherwise in no acute distress. 10/31/2022: Initially admitted to the medical floor. ID consulted for COVID-19. Treated with IV abx for superimposed bacterial pneumonia. Pt required supplemental O2, but was able to be weaned to RA at some point. Pt was treated with Decadron initially. Eventually changed to solumedrol. Respiratory status worsened again. Pt attempted to be diuresed without any improvement. Renal function has worsened. Pt had some bradycardia and sinus pauses. EP consulted. Scopolamine patch and bentyl given. As HR improved, Bentyl was weaned off. Pt had completed course of abx, but restarted on Cefepime when respiratory status worsened and WBC increased. Pt continued to decline with worsening O2 needs and worsening renal function. Palliative care was involved, but pt remained full code. He was transferred to ICU for close monitoring and possible need for intubation. He did not require intubation but was BiPAP dependent. Pt needed medications to help with anxiety as he was not tolerating BiPAP well. Renal function continued to worsen. After many family updates /discussions, it has been decided to pursue comfort care. Pt will be discharged to hospice in the hospital.  Pt found to be absent of heart beat and respirations at 1610 on 10/29/22.  Submitter does not have access to any further medical records. If further information is needed, please contact Hospital
Age: 72.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Face and mouth X-ray normal, Infection, Oral pain, Oropharyngeal pain, Toothache
Clinical narrative: A day after the vaccine my mouth felt tender inside and slight sore throat, tender underneath my jaw, each day got worst, the teeth hurt, also, I went to the dentist yesterday and he said it's not the teeth, he sent me to a specialist, it looks kind of infection, I have an appointment for tomorrow.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anion gap, Asthenia, Back pain, Blood bicarbonate normal, Blood creatinine increased
Clinical narrative: Per web report received by Public Health Department and per state Immunization Registry; Presented 11/03/2022 to  Hospital ED for evaluation of sudden onset of slurred speech and confusion that started at 3 PM. Patient was last known to feel well at bedtime yesterday. In the emergency department, symptoms spontaneously improved. Patient was positive for COVID-19 per 4-plex PCR. Patient is vaccinated: Denies having cough, shortness of breath, congestion, or sore throat. Patient has generalized weakness with confusion. Saturating well on room air, no indication for initiating antibiotic management or steroid therapy -Isolation per protocol, plan for 10 days of isolation starting from 11/3/2022. Pfizer 02/02/2021 lot EN5318;  Pfizer 02/23/2021 lot EN6200;  Pfizer 09/22/2021 lot 301308A;  Pfizer BvlntBstr 12+ 11/01/2022 lot GJ6665 Per web report this Patient was recently started on Zanaflex for back pain, 11/03/2022 is day 3 of using Zanaflex. Urinalysis negative for UTI. WBC 8.9, hemoglobin 11.6, random blood sugar 142, creatinine 1.5/consistent with previously, potassium 4.3, anion gap 8, bicarbonate 28, normal liver function test, normal initial troponin, lipase 31, INR 2.2CT. note stated head stroke protocol negative for acute findings. Differential diagnosis of metabolic encephalopathy, infection, TIA/CVA, medication reaction, other. Stroke protocol initiated. CT head negative. The patient was not a tPA candidate because patient is on daily Xarelto. INR 2.2. Symptoms essentially completely resolved. Patient also had a COVI D-19 vaccination 11/1/2022. Patient given 4 baby aspirin. Per web report there was no evidence of UTI or other infections. Patient was admitted to the hospital to continue care. Public Health Department has no further information on this patient?s hospitalization or outcome. Please contact provider for any additional information.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood glucose normal, Blood potassium normal, COVID-19, Computerised tomogram head normal, Confusional state
Clinical narrative: Per web report received by Public Health Department and per state Immunization Registry; Presented 11/03/2022 to  Hospital ED for evaluation of sudden onset of slurred speech and confusion that started at 3 PM. Patient was last known to feel well at bedtime yesterday. In the emergency department, symptoms spontaneously improved. Patient was positive for COVID-19 per 4-plex PCR. Patient is vaccinated: Denies having cough, shortness of breath, congestion, or sore throat. Patient has generalized weakness with confusion. Saturating well on room air, no indication for initiating antibiotic management or steroid therapy -Isolation per protocol, plan for 10 days of isolation starting from 11/3/2022. Pfizer 02/02/2021 lot EN5318;  Pfizer 02/23/2021 lot EN6200;  Pfizer 09/22/2021 lot 301308A;  Pfizer BvlntBstr 12+ 11/01/2022 lot GJ6665 Per web report this Patient was recently started on Zanaflex for back pain, 11/03/2022 is day 3 of using Zanaflex. Urinalysis negative for UTI. WBC 8.9, hemoglobin 11.6, random blood sugar 142, creatinine 1.5/consistent with previously, potassium 4.3, anion gap 8, bicarbonate 28, normal liver function test, normal initial troponin, lipase 31, INR 2.2CT. note stated head stroke protocol negative for acute findings. Differential diagnosis of metabolic encephalopathy, infection, TIA/CVA, medication reaction, other. Stroke protocol initiated. CT head negative. The patient was not a tPA candidate because patient is on daily Xarelto. INR 2.2. Symptoms essentially completely resolved. Patient also had a COVI D-19 vaccination 11/1/2022. Patient given 4 baby aspirin. Per web report there was no evidence of UTI or other infections. Patient was admitted to the hospital to continue care. Public Health Department has no further information on this patient?s hospitalization or outcome. Please contact provider for any additional information.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dysarthria, Haemoglobin decreased, International normalised ratio increased, Laboratory test, Lipase normal
Clinical narrative: Per web report received by Public Health Department and per state Immunization Registry; Presented 11/03/2022 to  Hospital ED for evaluation of sudden onset of slurred speech and confusion that started at 3 PM. Patient was last known to feel well at bedtime yesterday. In the emergency department, symptoms spontaneously improved. Patient was positive for COVID-19 per 4-plex PCR. Patient is vaccinated: Denies having cough, shortness of breath, congestion, or sore throat. Patient has generalized weakness with confusion. Saturating well on room air, no indication for initiating antibiotic management or steroid therapy -Isolation per protocol, plan for 10 days of isolation starting from 11/3/2022. Pfizer 02/02/2021 lot EN5318;  Pfizer 02/23/2021 lot EN6200;  Pfizer 09/22/2021 lot 301308A;  Pfizer BvlntBstr 12+ 11/01/2022 lot GJ6665 Per web report this Patient was recently started on Zanaflex for back pain, 11/03/2022 is day 3 of using Zanaflex. Urinalysis negative for UTI. WBC 8.9, hemoglobin 11.6, random blood sugar 142, creatinine 1.5/consistent with previously, potassium 4.3, anion gap 8, bicarbonate 28, normal liver function test, normal initial troponin, lipase 31, INR 2.2CT. note stated head stroke protocol negative for acute findings. Differential diagnosis of metabolic encephalopathy, infection, TIA/CVA, medication reaction, other. Stroke protocol initiated. CT head negative. The patient was not a tPA candidate because patient is on daily Xarelto. INR 2.2. Symptoms essentially completely resolved. Patient also had a COVI D-19 vaccination 11/1/2022. Patient given 4 baby aspirin. Per web report there was no evidence of UTI or other infections. Patient was admitted to the hospital to continue care. Public Health Department has no further information on this patient?s hospitalization or outcome. Please contact provider for any additional information.