chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: I had vaccine in August, first week of November I got COVID, after having a COVID-19 home test on Nov 3rd, I was positive. At the end of Nov, I had a loud sound in my ear, my balance was bad, and went to the doctor on Nov 30th, and mentioned this to the doctor and he referred me to have a hearing test and when I got the results it was a dramatic decrease on my left ear, the inner ear. I always had problem in my ear, but this time was disruptive. I will have an MRI of the brain on Feb 15th and, on the 28th of February I will have follow up with my doctor.
Age: 29.0
Sex: F
Vaccine: COVID19-2
Symptoms: Delivery, Epidural injection, Exposure during pregnancy, Induction of cervix ripening, Labour induction
Clinical narrative: Labor Analgesics: Epidural     OB Complications:    Cervical Ripening Type:   Cervical Ripening Comment:      Induction:    Induction Indications:   Augmentation: Oxytocin    Delivery Date:   Delivery Time: 12:43 PM  Gestational Age(weeks days/7): 38 1/7      Method of Delivery: Vaginal, Spontaneous
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient administered  Moderna instead of Pfizer as 2nd dose of primary Covid vaccine series.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anticoagulant therapy, Chest discomfort, Chest pain, Coronary artery bypass, Mitral valve replacement
Clinical narrative: History of Present Illness:  This is a 65y.o. female  history of ESRD on peritoneal dialysis, status post open MVR and CABG 40 days ago who presents due to chest pain.  Patient had sudden onset chest pressure today.  It is substernal and does not radiate to her back.  It is 7/10 in severity.  She says she thinks she  has had similar chest pain in the past but is never been evaluated for it.  She is on Eliquis.  She reports no shortness of breath or lightheadedness.  She has not yet taken any medications for pain.  She instilled peritoneal dialysis fluid and then came here before draining it.
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute kidney injury, Asymptomatic COVID-19, Cystitis, Cystitis escherichia, Hypomagnesaemia
Clinical narrative: Hospital Principal Problem (Discharge Diagnoses): Acute cystitis Acute mental status changes.  Resolved etiology questionable early sepsis  resolved 2.  Cystitis questional early urine with sepsis on empiric ceftriaxone and vancomycin dc vanco 2/1  ecoli  3.  COVID-19 positive asymptomatic Diabetes mellitus type 2 5.  Chronic nonhealing wound to the right foot digits 6.  Hyperlipidemia Severe chronic pain chronic  Neuropathy gabapentin and narcotics maps reviewed on admit and today dc date 8.  Hypertension 9.  Hypothyroidism 10.  History of recurrent lower GI blood loss has been stable 11.  Peripheral vas arterial disease follow-up Dr.  12.  History B12 deficiency 15.  History of chronic iron deficiency anemi
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Impaired healing, Limb injury, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: Hospital Principal Problem (Discharge Diagnoses): Acute cystitis Acute mental status changes.  Resolved etiology questionable early sepsis  resolved 2.  Cystitis questional early urine with sepsis on empiric ceftriaxone and vancomycin dc vanco 2/1  ecoli  3.  COVID-19 positive asymptomatic Diabetes mellitus type 2 5.  Chronic nonhealing wound to the right foot digits 6.  Hyperlipidemia Severe chronic pain chronic  Neuropathy gabapentin and narcotics maps reviewed on admit and today dc date 8.  Hypertension 9.  Hypothyroidism 10.  History of recurrent lower GI blood loss has been stable 11.  Peripheral vas arterial disease follow-up Dr.  12.  History B12 deficiency 15.  History of chronic iron deficiency anemi
Age: 92.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Atrioventricular block second degree, Balance disorder, Bundle branch block left, Cardiac monitoring abnormal
Clinical narrative: This is a 92-year-old woman with past medical history of CAD, aortic stenosis status post TAVR in January 2023, anemia, DM, & HLD who presented to emergency department due to presyncopal episode.  Patient describes spinning sensation, feeling of weakness and loss of balance.  She did not pass out or hit her of her head.  She had multiple episodes throughout the day, she was called by her cardiac monitor company to check on her due to " abnormal rhythm" called on monitor, she has informed them of the above therefore she was requested to present to the emergency department. Reportedly abnormal rhythm read was "Mobitz type II", monitor reading provided by cardiology was reviewed 2/5 at 9:33 AM heart rate ~ 32 with AV dissociation with narrow complex QRS.  Possible Mobitz type II. Upon evaluation, patient denied dizziness 2/6 while sitting in bed, her heart rate however was in the 70s, hemodynamically stable.  Oriented x3.  Labs without significant abnormalities, troponins indeterminant, hemoglobin is stable.  EKG with initial QTc of 515, reviewed, left bundle branch block was noted which has developed between January 21 and January 31 per EKGs reviewed.
Age: 92.0
Sex: F
Vaccine: COVID19-2
Symptoms: Electrocardiogram QRS complex shortened, Electrocardiogram abnormal, Haemoglobin normal, Heart rate irregular, Laboratory test normal
Clinical narrative: This is a 92-year-old woman with past medical history of CAD, aortic stenosis status post TAVR in January 2023, anemia, DM, & HLD who presented to emergency department due to presyncopal episode.  Patient describes spinning sensation, feeling of weakness and loss of balance.  She did not pass out or hit her of her head.  She had multiple episodes throughout the day, she was called by her cardiac monitor company to check on her due to " abnormal rhythm" called on monitor, she has informed them of the above therefore she was requested to present to the emergency department. Reportedly abnormal rhythm read was "Mobitz type II", monitor reading provided by cardiology was reviewed 2/5 at 9:33 AM heart rate ~ 32 with AV dissociation with narrow complex QRS.  Possible Mobitz type II. Upon evaluation, patient denied dizziness 2/6 while sitting in bed, her heart rate however was in the 70s, hemodynamically stable.  Oriented x3.  Labs without significant abnormalities, troponins indeterminant, hemoglobin is stable.  EKG with initial QTc of 515, reviewed, left bundle branch block was noted which has developed between January 21 and January 31 per EKGs reviewed.
Age: 92.0
Sex: F
Vaccine: COVID19-2
Symptoms: Presyncope, Transcatheter aortic valve implantation, Troponin, Vertigo
Clinical narrative: This is a 92-year-old woman with past medical history of CAD, aortic stenosis status post TAVR in January 2023, anemia, DM, & HLD who presented to emergency department due to presyncopal episode.  Patient describes spinning sensation, feeling of weakness and loss of balance.  She did not pass out or hit her of her head.  She had multiple episodes throughout the day, she was called by her cardiac monitor company to check on her due to " abnormal rhythm" called on monitor, she has informed them of the above therefore she was requested to present to the emergency department. Reportedly abnormal rhythm read was "Mobitz type II", monitor reading provided by cardiology was reviewed 2/5 at 9:33 AM heart rate ~ 32 with AV dissociation with narrow complex QRS.  Possible Mobitz type II. Upon evaluation, patient denied dizziness 2/6 while sitting in bed, her heart rate however was in the 70s, hemodynamically stable.  Oriented x3.  Labs without significant abnormalities, troponins indeterminant, hemoglobin is stable.  EKG with initial QTc of 515, reviewed, left bundle branch block was noted which has developed between January 21 and January 31 per EKGs reviewed.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Crying, Fall, Haemodialysis, Hip fracture
Clinical narrative: Chief Complaint: Patient is an 84 y.o. with PMH Alzheimer, ESRD on HD MWF, HTN, hypothyroidism, and DM II presented to Hospital after a fall and sustained a right hip fracture.   I was called for complaints of pain. Patient is fully awake, AOx1. She was able to verbalized right hip pain and crying. Patient is also currently on HD at bedside. No other complaints, VSS, NAD.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Chief Complaint: Patient is an 84 y.o. with PMH Alzheimer, ESRD on HD MWF, HTN, hypothyroidism, and DM II presented to Hospital after a fall and sustained a right hip fracture.   I was called for complaints of pain. Patient is fully awake, AOx1. She was able to verbalized right hip pain and crying. Patient is also currently on HD at bedside. No other complaints, VSS, NAD.
Age: 17.0
Sex: M
Vaccine: HEP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 1/25/2023 Hep B (HELPISAV-B) was administered to 17 years old;  Writer consulted pharmacist for advice and 2/6/2023 Patient's mother replied patient did not report no showed any side effect
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dry mouth, Fatigue, Lethargy
Clinical narrative: He began feeling fatigued, tired and kind of lethargic. He then developed a runny nose, cough and other respiratory symptoms like dry mouth. He received over the counter MUCINEX which helped which did help with his symptoms. I gave him rapid COVID-19 home test on December 26, 2022. He remained isolated for a full 14 days. He has since fully recovered from his symptoms.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory symptom, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: He began feeling fatigued, tired and kind of lethargic. He then developed a runny nose, cough and other respiratory symptoms like dry mouth. He received over the counter MUCINEX which helped which did help with his symptoms. I gave him rapid COVID-19 home test on December 26, 2022. He remained isolated for a full 14 days. He has since fully recovered from his symptoms.
Age: 71.0
Sex: F
Vaccine: VARZOS, COVID19, VARZOS
Symptoms: Peripheral swelling, Swelling
Clinical narrative: little bump on back, chest, below breasts, down arm, upper thigh
Age: 71.0
Sex: F
Vaccine: VARZOS, COVID19, VARZOS
Symptoms: Blister, Pruritus
Clinical narrative: little bump on back, chest, below breasts, down arm, upper thigh
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral haemorrhage, Cerebrovascular accident, Endotracheal intubation, Fatigue, Headache
Clinical narrative: Intense whiplash like headache Blood on the brain aneurysm popped Stroke . Hospitalized from 09/08/ 2021 to 09/17/2021
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Ruptured cerebral aneurysm, Transient ischaemic attack
Clinical narrative: Intense whiplash like headache Blood on the brain aneurysm popped Stroke . Hospitalized from 09/08/ 2021 to 09/17/2021
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Anaemia, COVID-19, Chromaturia, Confusional state, Lethargy
Clinical narrative: Patient history of asthma, COPD.  Patient brought to the ED by EMS  on 11/29 for lethargy and confusion. The day prior, patient's living facility staff collected a dark brown urine sample that was sent for evaluation. EMS reports patient had a temperature of 99.5 F, and noted patient was tachycardic and breathing rapidly.  COVID PCR test completed in the ED also resulted positive. Patient admitted 11/29 - 12/9 for COVID-19 infection, sepsis, suspected UTI, anemia.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis, Tachycardia, Urinary tract infection, Urine analysis
Clinical narrative: Patient history of asthma, COPD.  Patient brought to the ED by EMS  on 11/29 for lethargy and confusion. The day prior, patient's living facility staff collected a dark brown urine sample that was sent for evaluation. EMS reports patient had a temperature of 99.5 F, and noted patient was tachycardic and breathing rapidly.  COVID PCR test completed in the ED also resulted positive. Patient admitted 11/29 - 12/9 for COVID-19 infection, sepsis, suspected UTI, anemia.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cold sweat, Fatigue, Hyperhidrosis, Injection site pain, Nausea
Clinical narrative: He experienced nausea, vomiting, fatigue and tiredness. He also had clamminess and sweating and pain in the injection site. These symptoms started on the same day. He notified the nurse on the same date, but I was advised on 01/31/2023. He was given prescription strength Tylenol and started to feel better about 72 hours later. He still has some lingering fatigue and tiredness.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Vomiting
Clinical narrative: He experienced nausea, vomiting, fatigue and tiredness. He also had clamminess and sweating and pain in the injection site. These symptoms started on the same day. He notified the nurse on the same date, but I was advised on 01/31/2023. He was given prescription strength Tylenol and started to feel better about 72 hours later. He still has some lingering fatigue and tiredness.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: No adverse event, Wrong product administered
Clinical narrative: No Adverse Reaction, Wrong Vaccine Administered
Age: 25.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthma, Chest discomfort, Condition aggravated
Clinical narrative: Patient stated she started having asthma attacks after receiving the vaccine. She stated she rarely has asthma attacks but it started flaring after receiving the vaccine. She stated she felt pressure in her chest (like an elephant sitting on chest) but that is common with her asthma attacks. She denied any swelling, rashes, chest pains or fast beating/pounding heart.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Depression, Echocardiogram abnormal, Fatigue, Feeling abnormal
Clinical narrative: swollen lymph nodes, fatigue, brain fog, myocarditis, depression, anxiety.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Myocarditis, SARS-CoV-2 antibody test
Clinical narrative: swollen lymph nodes, fatigue, brain fog, myocarditis, depression, anxiety.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, Dyspnoea, Hypoxia
Clinical narrative: Patient with history of diabetes.  Patient seen in the ED for shortness of breath on 11/30/22. Patient has had several weeks of shortness of breath and weakness which has worsened over the past few days. In the ED, he was found to be hypoxic with O2 sats in 80's, so was placed on 4L supplemental O2 via nasal cannula. COVID PCR test performed on 11/30 resulted positive. Ultimately patient admitted 11/30/22 - 12/13/22 for acute on chronic hypoxic respiratory failure and COVID infection, among other problems.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Patient with history of diabetes.  Patient seen in the ED for shortness of breath on 11/30/22. Patient has had several weeks of shortness of breath and weakness which has worsened over the past few days. In the ED, he was found to be hypoxic with O2 sats in 80's, so was placed on 4L supplemental O2 via nasal cannula. COVID PCR test performed on 11/30 resulted positive. Ultimately patient admitted 11/30/22 - 12/13/22 for acute on chronic hypoxic respiratory failure and COVID infection, among other problems.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Nausea, Pain, Vomiting
Clinical narrative: About 5 to 8 minutes after receiving Janssen Covid-19 vaccine. Patient passed out. Patient lost consciousness for a few seconds. Patient was laid down on the floor & feet elevated. Patient then started vomiting. He vomited several times. We were able to use cold compresses & cold rags to help cool patient down. Vital signs were taken. O2-99%, Pulse:69, B/P- 120/82. Patient was given a coke to help with nausea. Patient did state that he had not ever passed out before. But did state that he had not really eaten today. Also stated that after receiving the vaccine it was painful for him. Patient had significant other with him today. We did recommend calling family provider & letting them know what happened today. Also if not any better take to ER. Patient did not have shortness of breath and no chest pain. Patient was able to walk out with significant other and nurse without any issues.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: MONOVALENT VACCINE WAS ADMINISTERED IN ERROR FOR A BOOSTER DOSE. ADVISED FACILITY TO NOTIFY MEDICAL DIRECTOR AND DETERMINE IF HE RECOMMENDS THE PATIENT RECEIVE A BIVALENT BOOSTER DOSE OR NOT.  ADVISED NOTIFY PATIENT/SPONSOR OF ERROR AND DECIDE IF THEY WISH TO REPEAT BASED ON CDC AND MD RECOMMENDATION.  CAN REPEAT IN 2 MONTHS FROM DATE OF WRONG DOSE WITH BIVALENT BOOSTER.
Age: 58.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Feeling abnormal, Headache
Clinical narrative: I felt a little off the evening of December 26, 2022. I had been exposed to COVID-19. I didn't sleep well the evening of December 26, 2022. I had a runny nose, headache, and had a tickle in my throat. I felt as if I had a low-grade fever, but I never took my temperature. I took an COVID-19 test. The result was positive. I did a telehealth appointment that afternoon. They prescribed PAXLOVID. I started taking it that evening. My symptoms were very mild. I had a scratchy throat, a slight cough, and a little bit of a headache. On January 1, 2023, I finished the PAXLOVID. I tested myself for COVID-19 again. The result was negative.
Age: 58.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Poor quality sleep, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I felt a little off the evening of December 26, 2022. I had been exposed to COVID-19. I didn't sleep well the evening of December 26, 2022. I had a runny nose, headache, and had a tickle in my throat. I felt as if I had a low-grade fever, but I never took my temperature. I took an COVID-19 test. The result was positive. I did a telehealth appointment that afternoon. They prescribed PAXLOVID. I started taking it that evening. My symptoms were very mild. I had a scratchy throat, a slight cough, and a little bit of a headache. On January 1, 2023, I finished the PAXLOVID. I tested myself for COVID-19 again. The result was negative.
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Headache, Wrong product administered
Clinical narrative: Bexsero ordered by provider. Patient recieved MenQuafi instead. Only headache reported 3 days after vaccination
Age: 5.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site rash
Clinical narrative: rash/skin eruption at the injection site. discussed benadryl and ointment for supportive care.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: MONOVALENT VACCINE WAS ADMINISTERED IN ERROR FOR A BOOSTER DOSE. ADVISED FACILITY TO NOTIFY MEDICAL DIRECTOR AND DETERMINE IF HE RECOMMENDS THE PATIENT RECEIVE A BIVALENT BOOSTER DOSE OR NOT.  ADVISED NOTIFY PATIENT/SPONSOR OF ERROR AND DECIDE IF THEY WISH TO REPEAT BASED ON CDC AND MD RECOMMENDATION.  CAN REPEAT IN 2 MONTHS FROM DATE OF WRONG DOSE WITH BIVALENT BOOSTER.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Myocarditis
Clinical narrative: 2/5/23 myocarditis
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy skin, Purpura
Clinical narrative: 14 days after vaccine #2, developed a rash(pigmented purpura)
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cardioversion, Chemotherapy, Cough
Clinical narrative: 8/8/22 EMS transported pt to hospital with SOB and tachycardia; given medications without changes to heart rate; cardioverted without changes; septic shock; right sided pneumonia; generalized weakness, cough, poor oral intake due to mouth ulcers from chemotherapy treatment; had a positive COVID test on 7/14/22 and given Paxlovid; 8/8/22 continued to show positive COVID test; CCU; ABX; pt's condition worsened; hypoxia requiring intubation with mechanical ventilation; pt's condition continued to deteriorate; transitioned to comfort care measures; pt passed away in the hospital
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Endotracheal intubation, General physical health deterioration, Hypophagia
Clinical narrative: 8/8/22 EMS transported pt to hospital with SOB and tachycardia; given medications without changes to heart rate; cardioverted without changes; septic shock; right sided pneumonia; generalized weakness, cough, poor oral intake due to mouth ulcers from chemotherapy treatment; had a positive COVID test on 7/14/22 and given Paxlovid; 8/8/22 continued to show positive COVID test; CCU; ABX; pt's condition worsened; hypoxia requiring intubation with mechanical ventilation; pt's condition continued to deteriorate; transitioned to comfort care measures; pt passed away in the hospital
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Intensive care, Mechanical ventilation, Mouth ulceration, Pneumonia
Clinical narrative: 8/8/22 EMS transported pt to hospital with SOB and tachycardia; given medications without changes to heart rate; cardioverted without changes; septic shock; right sided pneumonia; generalized weakness, cough, poor oral intake due to mouth ulcers from chemotherapy treatment; had a positive COVID test on 7/14/22 and given Paxlovid; 8/8/22 continued to show positive COVID test; CCU; ABX; pt's condition worsened; hypoxia requiring intubation with mechanical ventilation; pt's condition continued to deteriorate; transitioned to comfort care measures; pt passed away in the hospital
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Septic shock, Tachycardia
Clinical narrative: 8/8/22 EMS transported pt to hospital with SOB and tachycardia; given medications without changes to heart rate; cardioverted without changes; septic shock; right sided pneumonia; generalized weakness, cough, poor oral intake due to mouth ulcers from chemotherapy treatment; had a positive COVID test on 7/14/22 and given Paxlovid; 8/8/22 continued to show positive COVID test; CCU; ABX; pt's condition worsened; hypoxia requiring intubation with mechanical ventilation; pt's condition continued to deteriorate; transitioned to comfort care measures; pt passed away in the hospital
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received COVID Pfizer vaccine after expiration date.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pruritus, Skin discolouration
Clinical narrative: a week after receiving Covid Booster, noticed intense itching right leg, and what looked to be small pinpoint areas .. few days later other areas with same, right and left upper arms, left lower leg, left side stomach.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Depressed level of consciousness, Hypoxia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient with history of cerebral palsy, diabetes.  He was brought to the ED by EMS on 11/30/22 for evaluation of a fever. Patient lives in a group home and EMS was called after staff noticed patient's lack of alertness compared to baseline. Fever was 102 F, patient found to be hypoxic. COVID-19 PCR test performed in the ED on 11/30 and found to be positive. Ultimately patient admitted 11/30/22 - 12/5/22 for sepsis secondary to COVID-19 infection. Patient was on supplemental O2, however was able to be weaned off.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Sepsis
Clinical narrative: Patient with history of cerebral palsy, diabetes.  He was brought to the ED by EMS on 11/30/22 for evaluation of a fever. Patient lives in a group home and EMS was called after staff noticed patient's lack of alertness compared to baseline. Fever was 102 F, patient found to be hypoxic. COVID-19 PCR test performed in the ED on 11/30 and found to be positive. Ultimately patient admitted 11/30/22 - 12/5/22 for sepsis secondary to COVID-19 infection. Patient was on supplemental O2, however was able to be weaned off.
Age: 73.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Abdominal distension, Atrial fibrillation, Barium double contrast, Chronic obstructive pulmonary disease, Computerised tomogram
Clinical narrative: Frequency of urination: 40-50 times a day: still ongoing, but less frequent--12-15 times a day Severe constipation: lasting over 2-1/2 months; still ongoing with bloated stomach; liquid and very soft stool (unformed) owing to      multiple laxatives  Muscle weakness in thigh and calf; still ongoing Atrial fibrillation Extremely dry mouth--still ongoing, particularly at night COPD; breathing issues, particularly at night and mostly while lying down; less so sitting or standing up or during the day Waking up every 45 minutes to an hour at night due to dry mouth, unable to breathe, or a desperate urge to urinate
Age: 73.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Computerised tomogram abdomen, Constipation, Cystoscopy, Dry mouth, Dyspnoea
Clinical narrative: Frequency of urination: 40-50 times a day: still ongoing, but less frequent--12-15 times a day Severe constipation: lasting over 2-1/2 months; still ongoing with bloated stomach; liquid and very soft stool (unformed) owing to      multiple laxatives  Muscle weakness in thigh and calf; still ongoing Atrial fibrillation Extremely dry mouth--still ongoing, particularly at night COPD; breathing issues, particularly at night and mostly while lying down; less so sitting or standing up or during the day Waking up every 45 minutes to an hour at night due to dry mouth, unable to breathe, or a desperate urge to urinate
Age: 73.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Faeces soft, Magnetic resonance imaging, Muscular weakness, Pollakiuria, Sleep disorder
Clinical narrative: Frequency of urination: 40-50 times a day: still ongoing, but less frequent--12-15 times a day Severe constipation: lasting over 2-1/2 months; still ongoing with bloated stomach; liquid and very soft stool (unformed) owing to      multiple laxatives  Muscle weakness in thigh and calf; still ongoing Atrial fibrillation Extremely dry mouth--still ongoing, particularly at night COPD; breathing issues, particularly at night and mostly while lying down; less so sitting or standing up or during the day Waking up every 45 minutes to an hour at night due to dry mouth, unable to breathe, or a desperate urge to urinate
Age: 73.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Ultrasound abdomen, Ultrasound kidney, Urodynamics measurement
Clinical narrative: Frequency of urination: 40-50 times a day: still ongoing, but less frequent--12-15 times a day Severe constipation: lasting over 2-1/2 months; still ongoing with bloated stomach; liquid and very soft stool (unformed) owing to      multiple laxatives  Muscle weakness in thigh and calf; still ongoing Atrial fibrillation Extremely dry mouth--still ongoing, particularly at night COPD; breathing issues, particularly at night and mostly while lying down; less so sitting or standing up or during the day Waking up every 45 minutes to an hour at night due to dry mouth, unable to breathe, or a desperate urge to urinate
Age: 10.0
Sex: M
Vaccine: UNK
Symptoms: Incorrect dose administered
Clinical narrative: The patient presented to the clinic with his mother for 1st dose of Covid19 vaccine.( 5-11y) The vaccine was administered by MA. The patient was given 12 +monovalent dose instead of (5-11y).  Dr was notified and the mother of the patient was also notified The mother had no concerns and scheduled an appointment in 3-8 weeks for the next 2nd dose. Pt had already left the clinic and was back at school stated his mom. Mom did not have any concerns at the time.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received COVID Pfizer vaccine after expiration date.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: NONE
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: Patient with history of COPD. He was seen in the ED on 11/30/22 for difficulty breathing. Patient had been feeling sick for the past week and a half with cold-like symptoms and increasing shortness of breath. He initially went to urgent care but was advised to be seen in the ED. Upon arrival, patient was on 2L supplemental O2 and was at 72%. COVID PCR test preformed in the ED resulted positive. Ultimately patient admitted 11/30/22 - 12/11/22 for acute hypoxic failure with multifactorial etiology due to community acquired pneumonia/COPD exacerbation/COVID-19 viral pneumonia. Patient was on supplemental O2 up to 14L of oxygen, he was able to be weaned down to 3L but could not be weaned off. Patient was discharged with home oxygen.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Malaise, Nasopharyngitis, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient with history of COPD. He was seen in the ED on 11/30/22 for difficulty breathing. Patient had been feeling sick for the past week and a half with cold-like symptoms and increasing shortness of breath. He initially went to urgent care but was advised to be seen in the ED. Upon arrival, patient was on 2L supplemental O2 and was at 72%. COVID PCR test preformed in the ED resulted positive. Ultimately patient admitted 11/30/22 - 12/11/22 for acute hypoxic failure with multifactorial etiology due to community acquired pneumonia/COPD exacerbation/COVID-19 viral pneumonia. Patient was on supplemental O2 up to 14L of oxygen, he was able to be weaned down to 3L but could not be weaned off. Patient was discharged with home oxygen.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Atrioventricular block first degree, Blood pressure increased, Dizziness, Echocardiogram, Electrocardiogram abnormal
Clinical narrative: She got her vaccine, about 5-7 hours later her heart started pounding and pounding, and her BP went up.  She waited for it to go away, but then called them and her medication was changed on 4/5/21.  The problems then continued and her doctor did an EKG and it came out with the 1st degree AV block, which she has had since 2003.  She was taken off the Propranolol and started on Metoprolol titrate and dealing with the different dosages of those medicines, nothing really worked.  It did get a little better, but she could not take the dose they wanted her to as it made her feel like she was going to pass out and had to go on a lower dose.  Nobody would commit that it was due to the vaccine, so it was OK to get the next booster, which she got on 11/9/21.  Again, about 5-7 hours after that vaccine the same thing happened again, her heart started pounding and her BP was up.  She went to the ER and then got in touch with the doctors again and they could not say it was from the vaccine or not, and had medicine changed.  She does not remember if there was another EKG done or not.  She has not gotten any more vaccines since the one on 11/9/21.  She has pretty much been at a standstill with her condition, but no better.  She has days where it is a lot worse, and it has gotten worse recently as she is trying different medications again.  She did a 24 hour Holter monitor, then a 28 day Holter monitor, EKG's, echocardiogram.  They are trying to figure out what is going on with her.    She has tried to get a referral to a cardiologist, and this doctor she has now did refer her to a cardiologist.  She was then sent for the 2-week Holter monitor and had to stop her Metoprolol for 2 weeks.  Those 2 weeks were horrible on her.  If she would walk up to go up steps her heart would start off pounding.  Those results showed a muscle flutter (she does not agree with that).  She had 189 incidents that were recorded over the 2 week period.  Every-time she exerts herself her heart starts pounding.  She is now trying to get  help and cannot see cardiology due to the muscle flutter report, but nothing better.    If they can't commit to saying it's from the vaccine, then how 5-7 hours later did she have this happen to her.  It continued and then got her 2nd booster which made it worse.  Around 2003 she had high BP but never had a history of any heart issues.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory, Muscle twitching, Palpitations
Clinical narrative: She got her vaccine, about 5-7 hours later her heart started pounding and pounding, and her BP went up.  She waited for it to go away, but then called them and her medication was changed on 4/5/21.  The problems then continued and her doctor did an EKG and it came out with the 1st degree AV block, which she has had since 2003.  She was taken off the Propranolol and started on Metoprolol titrate and dealing with the different dosages of those medicines, nothing really worked.  It did get a little better, but she could not take the dose they wanted her to as it made her feel like she was going to pass out and had to go on a lower dose.  Nobody would commit that it was due to the vaccine, so it was OK to get the next booster, which she got on 11/9/21.  Again, about 5-7 hours after that vaccine the same thing happened again, her heart started pounding and her BP was up.  She went to the ER and then got in touch with the doctors again and they could not say it was from the vaccine or not, and had medicine changed.  She does not remember if there was another EKG done or not.  She has not gotten any more vaccines since the one on 11/9/21.  She has pretty much been at a standstill with her condition, but no better.  She has days where it is a lot worse, and it has gotten worse recently as she is trying different medications again.  She did a 24 hour Holter monitor, then a 28 day Holter monitor, EKG's, echocardiogram.  They are trying to figure out what is going on with her.    She has tried to get a referral to a cardiologist, and this doctor she has now did refer her to a cardiologist.  She was then sent for the 2-week Holter monitor and had to stop her Metoprolol for 2 weeks.  Those 2 weeks were horrible on her.  If she would walk up to go up steps her heart would start off pounding.  Those results showed a muscle flutter (she does not agree with that).  She had 189 incidents that were recorded over the 2 week period.  Every-time she exerts herself her heart starts pounding.  She is now trying to get  help and cannot see cardiology due to the muscle flutter report, but nothing better.    If they can't commit to saying it's from the vaccine, then how 5-7 hours later did she have this happen to her.  It continued and then got her 2nd booster which made it worse.  Around 2003 she had high BP but never had a history of any heart issues.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: Acute respiratory failure, Asthenia, Bronchitis, COVID-19, Chronic obstructive pulmonary disease
Clinical narrative: Patient seen in the ED on 12/2/22 for weakness. Patient has been feeling ill for the past several days, and on 11/28/22 tested positive for COVID. She does wear 2L home oxygen. She has been getting progressively weaker, and reports cough and shortness of breath. COVID PCR test done in the ED also resulted positive. Ultimately she was admitted 12/2/22 - 12/7/22 for COVID-19 infection, acute bronchitis, acute on chronic respiratory failure, and COPD.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: Cough, Dyspnoea, Malaise, SARS-CoV-2 test positive
Clinical narrative: Patient seen in the ED on 12/2/22 for weakness. Patient has been feeling ill for the past several days, and on 11/28/22 tested positive for COVID. She does wear 2L home oxygen. She has been getting progressively weaker, and reports cough and shortness of breath. COVID PCR test done in the ED also resulted positive. Ultimately she was admitted 12/2/22 - 12/7/22 for COVID-19 infection, acute bronchitis, acute on chronic respiratory failure, and COPD.
Age: 64.0
Sex: F
Vaccine: FLUC4
Symptoms: Angiogram abnormal, Antibody test negative, Beta 2 microglobulin normal, Blood immunoglobulin G normal, Blood test normal
Clinical narrative: Patient received vaccine 12/22 without incident. On 12/26, she developed rapid progression of bilateral LE weakness and numbness, sphincter incontinence, rapidly leading to paraplegia and total sphincter incontinence. Admitted to Hospital where MRI showed e/o diffuse cord signal hyperintensity and edema with patchy enhancement, suggesting transverse myelitis. Lack of clinical improvement with high dose steroids and PLEX x 5 sessions led to repeat imaging, which showed significant increase in associated edema and suggestion of spinal cord infarct in anterior spinal artery distribution, corresponding with her symptoms.
Age: 64.0
Sex: F
Vaccine: FLUC4
Symptoms: CSF glucose increased, CSF oligoclonal band absent, CSF protein increased, CSF red blood cell count positive, CSF white blood cell count negative
Clinical narrative: Patient received vaccine 12/22 without incident. On 12/26, she developed rapid progression of bilateral LE weakness and numbness, sphincter incontinence, rapidly leading to paraplegia and total sphincter incontinence. Admitted to Hospital where MRI showed e/o diffuse cord signal hyperintensity and edema with patchy enhancement, suggesting transverse myelitis. Lack of clinical improvement with high dose steroids and PLEX x 5 sessions led to repeat imaging, which showed significant increase in associated edema and suggestion of spinal cord infarct in anterior spinal artery distribution, corresponding with her symptoms.
Age: 64.0
Sex: F
Vaccine: FLUC4
Symptoms: Cardiolipin antibody negative, Cryptococcus test, Cytomegalovirus test, Epstein-Barr virus test, Escherichia test
Clinical narrative: Patient received vaccine 12/22 without incident. On 12/26, she developed rapid progression of bilateral LE weakness and numbness, sphincter incontinence, rapidly leading to paraplegia and total sphincter incontinence. Admitted to Hospital where MRI showed e/o diffuse cord signal hyperintensity and edema with patchy enhancement, suggesting transverse myelitis. Lack of clinical improvement with high dose steroids and PLEX x 5 sessions led to repeat imaging, which showed significant increase in associated edema and suggestion of spinal cord infarct in anterior spinal artery distribution, corresponding with her symptoms.
Age: 64.0
Sex: F
Vaccine: FLUC4
Symptoms: Fungal test, HIV test negative, Haemophilus test, Herpes simplex test, Human herpes virus 6 serology
Clinical narrative: Patient received vaccine 12/22 without incident. On 12/26, she developed rapid progression of bilateral LE weakness and numbness, sphincter incontinence, rapidly leading to paraplegia and total sphincter incontinence. Admitted to Hospital where MRI showed e/o diffuse cord signal hyperintensity and edema with patchy enhancement, suggesting transverse myelitis. Lack of clinical improvement with high dose steroids and PLEX x 5 sessions led to repeat imaging, which showed significant increase in associated edema and suggestion of spinal cord infarct in anterior spinal artery distribution, corresponding with her symptoms.
Age: 64.0
Sex: F
Vaccine: FLUC4
Symptoms: Hypoaesthesia, Incontinence, Intervertebral disc degeneration, Intervertebral disc disorder, Intervertebral disc protrusion
Clinical narrative: Patient received vaccine 12/22 without incident. On 12/26, she developed rapid progression of bilateral LE weakness and numbness, sphincter incontinence, rapidly leading to paraplegia and total sphincter incontinence. Admitted to Hospital where MRI showed e/o diffuse cord signal hyperintensity and edema with patchy enhancement, suggesting transverse myelitis. Lack of clinical improvement with high dose steroids and PLEX x 5 sessions led to repeat imaging, which showed significant increase in associated edema and suggestion of spinal cord infarct in anterior spinal artery distribution, corresponding with her symptoms.
Age: 64.0
Sex: F
Vaccine: FLUC4
Symptoms: Laboratory test normal, Listeria test, Magnetic resonance imaging head abnormal, Magnetic resonance imaging spinal abnormal, Muscular weakness
Clinical narrative: Patient received vaccine 12/22 without incident. On 12/26, she developed rapid progression of bilateral LE weakness and numbness, sphincter incontinence, rapidly leading to paraplegia and total sphincter incontinence. Admitted to Hospital where MRI showed e/o diffuse cord signal hyperintensity and edema with patchy enhancement, suggesting transverse myelitis. Lack of clinical improvement with high dose steroids and PLEX x 5 sessions led to repeat imaging, which showed significant increase in associated edema and suggestion of spinal cord infarct in anterior spinal artery distribution, corresponding with her symptoms.
Age: 64.0
Sex: F
Vaccine: FLUC4
Symptoms: Myelitis transverse, Neisseria test, Paraplegia, Red blood cell count increased, Scan with contrast abnormal
Clinical narrative: Patient received vaccine 12/22 without incident. On 12/26, she developed rapid progression of bilateral LE weakness and numbness, sphincter incontinence, rapidly leading to paraplegia and total sphincter incontinence. Admitted to Hospital where MRI showed e/o diffuse cord signal hyperintensity and edema with patchy enhancement, suggesting transverse myelitis. Lack of clinical improvement with high dose steroids and PLEX x 5 sessions led to repeat imaging, which showed significant increase in associated edema and suggestion of spinal cord infarct in anterior spinal artery distribution, corresponding with her symptoms.
Age: 64.0
Sex: F
Vaccine: FLUC4
Symptoms: Spinal cord infarction, Spinal cord oedema, Spinal osteoarthritis, Streptococcus test, Treponema test negative
Clinical narrative: Patient received vaccine 12/22 without incident. On 12/26, she developed rapid progression of bilateral LE weakness and numbness, sphincter incontinence, rapidly leading to paraplegia and total sphincter incontinence. Admitted to Hospital where MRI showed e/o diffuse cord signal hyperintensity and edema with patchy enhancement, suggesting transverse myelitis. Lack of clinical improvement with high dose steroids and PLEX x 5 sessions led to repeat imaging, which showed significant increase in associated edema and suggestion of spinal cord infarct in anterior spinal artery distribution, corresponding with her symptoms.
Age: 64.0
Sex: F
Vaccine: FLUC4
Symptoms: Varicella virus test, Viral test, White blood cell count decreased
Clinical narrative: Patient received vaccine 12/22 without incident. On 12/26, she developed rapid progression of bilateral LE weakness and numbness, sphincter incontinence, rapidly leading to paraplegia and total sphincter incontinence. Admitted to Hospital where MRI showed e/o diffuse cord signal hyperintensity and edema with patchy enhancement, suggesting transverse myelitis. Lack of clinical improvement with high dose steroids and PLEX x 5 sessions led to repeat imaging, which showed significant increase in associated edema and suggestion of spinal cord infarct in anterior spinal artery distribution, corresponding with her symptoms.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cardiac monitoring abnormal, Heart rate increased, SARS-CoV-2 test positive
Clinical narrative: I had got COVID-19. It started off with a heart attack like symptoms. I had a rapped heartbeat. I wore a heart monitor. It kept saying it was abnormal. I was referred to a cardiologist that put me on medication. I then was referred to a heart surgeon. I am now going to have a procedure done called Catheter Ablation. I am unsure if it is COVID or vaccination related. I have now recovered from COVID-19. I did have to go the emergency room and get a higher dose of my heart medication.
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Dementia, Fatigue
Clinical narrative: Patient with history of dementia and brought to the ED on 12/2/22 by her family. Family reports for the past two days, patient has become increasingly weak to the point where she is no longer able to walk with her walker. Additionally reports new and worsening productive cough and fatigue. COVID PCR test performed in the ED resulted positive. Ultimately, patient admitted 12/2/22 - 12/4/22 for COVID-19 pneumonia, among other problems. She did not require supplemental O2.
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Gait inability, Productive cough, SARS-CoV-2 test positive
Clinical narrative: Patient with history of dementia and brought to the ED on 12/2/22 by her family. Family reports for the past two days, patient has become increasingly weak to the point where she is no longer able to walk with her walker. Additionally reports new and worsening productive cough and fatigue. COVID PCR test performed in the ED resulted positive. Ultimately, patient admitted 12/2/22 - 12/4/22 for COVID-19 pneumonia, among other problems. She did not require supplemental O2.
Age: 54.0
Sex: M
Vaccine: COVID19, FLU4, HEP, MMR, TDAP, VARCEL
Symptoms: Pain in extremity
Clinical narrative: Pt reports bilateral arm pain that started 4 days ago around 2 and 1/2 weeks after vaccination, feels "like in the bone" rates 7/10, tried advil with only mild improvement, no redness, no swelling, no injury other other symptoms
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: Asthenia, COVID-19, Impaired self-care, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient with history of Parkinson's and COPD.  He was brought to the ED by EMS on 12/3/22 for evaluation of weakness. Patient reportedly has been feeling weak since being diagnosed with pneumonia on 11/9/22. He was hospitalized until 11/23/22 and was sent to a rehab center after discharge, and left the rehab center on 12/2/22 (day prior to presenting to the ED). Since leaving the rehab center, he has been feeling weak and does not believe he could take care of himself at home. COVID PCR test performed in the ED resulted as positive. Ultimately he was admitted 12/3/22 - 12/10/22 for what the provider notes as weakness due to mild COVID illness.
Age: 73.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Burning sensation, Bursa disorder, Exploratory operation, Immediate post-injection reaction, Joint range of motion decreased
Clinical narrative: Immediate burning, swelling, and pain. Loss of range of motion
Age: 73.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Magnetic resonance imaging, Nerve conduction studies, Pain, Rotator cuff syndrome, Swelling
Clinical narrative: Immediate burning, swelling, and pain. Loss of range of motion
Age: 73.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Tendonitis
Clinical narrative: Immediate burning, swelling, and pain. Loss of range of motion
Age: 73.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Burning sensation, Injected limb mobility decreased, Injection site pain, Monoplegia, Pain
Clinical narrative: Immediate burning, swelling, and pain. Loss of range of motion
Age: 73.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Periarthritis, Radiculopathy, Rotator cuff syndrome
Clinical narrative: Immediate burning, swelling, and pain. Loss of range of motion
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Malaise, Syncope
Clinical narrative: 1 MIN AFTER VACCINE ADMINISTRATION, PT REPORTED NOT FEELING WELL TO PHARMACY TECH WHILE SITTING IN VACCINE WAITING AREA. PT THEN STOOD UP TO WALK TO PHARMACY COUNTER AND FAINTED AGAINST WALL. SECONDS AFTER HITTING THE WALL PT REGAINED CONSCIOUSNESS AND PARAMEDICS WAS CALLED. PARAMEDICS ARRIVED 10 MIN LATER AND ASSESSED PT.
Age: 12.0
Sex: M
Vaccine: TDAP
Symptoms: Anxiety, Emotional distress, Loss of consciousness, Seizure, Syncope
Clinical narrative: Prior to administering vaccine, patient became very upset and began vomiting. Father stated that this was from anxiety. Patient asked for something to eat and was given crackers. Writer asked patient to lie down during admin due to previous reaction to vaccine. Patient attempted to lie down but then refused, stating that he needed to sit for it. This MA administered TDAP vaccine to patient's right deltoid. Patient sat for approximately a minute and then experienced syncope with some convulsing. Father of patient held patient up and writer assisted in lying patient on his back and propping feet up with a pillow. Patient attempted to sit up upon regaining consciousness, but writer and father of patient encouraged him to continue lying down. Patient remained lying down for approximately 10 minutes prior to leaving.