chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: M
Vaccine: FLU4
Symptoms: Medication error, No adverse event, Product use issue
Clinical narrative: 32-year-old patient a dose of fluzone high dose quadrivalent with no adverse event; Initial information received on 27-Jan-2023 regarding an unsolicited valid  non-serious case received from a other health professional.  This case involves 32-year-old patient who received a dose of Influenza Quadrival A-B high dose HV vaccine [Fluzone high-dose quadrivalent] with no adverse event.  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.   On 27-Jan-2023, the patient of 32-year-old received a 0.7 ml dose of suspect Influenza Quadrival A-B high dose HV vaccine with no adverse event (product use issue) (lot UJ925AA, expiry date: 30-Jun-2023 with strength and formulation unknown) via intramuscular route in the left arm as prophylactic vaccination.  Action taken: not applicable.  At time of reporting, the outcome was Unknown for the event.    This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Sex: U
Vaccine: PPV
Symptoms: Expired product administered
Clinical narrative: No additional AEs or PQC reported; Caller reported expired dose of PNEUMOVAX 23 was administered; This spontaneous report was received from a nurse and refers to a patient of unknown age and gender. The patient's medical history, concurrent conditions, concomitant therapies, drug reactions and allergies were not reported.  On 09-JAN-2023, the patient was vaccinated with an expired dose of Pneumococcal Vaccine, Polyvalent (23-valent)(PNEUMOVAX23) injection, 0.5 ml, at left (L) deltoid, lot# U003306, expiration date 15-OCT-2022, (strength, dose # and route of vaccination were not provided) for prophylaxis (expired product administered). No additional adverse events (AEs) was reported (no adverse event)
Age: 66.0
Sex: M
Vaccine: HEPA
Symptoms: Expired product administered
Clinical narrative: No additional AE/PQC reported; expired VAQTA was administered to a patient; This spontaneous report was received from a medical assistant and referred to a 66-year-old male patient. The patient's medical history, concurrent conditions, concomitant therapies and drug reaction/allergies were not reported.   On 16-JAN-2023, the expired hepatitis a vaccine, inactivated (VAQTA) intramuscular injection was administered to the patient for prophylaxis (lot #U021561, expiration date: 14-JAN-2023; strength, dose and route of administration were not provided) (expired product administered). No additional adverse event (AE) was reported.
Sex: U
Vaccine: PPV
Symptoms: Product storage error
Clinical narrative: No additional AE reported; Patient was administered Improperly Stored, Separate PNEUMOVAX 23; This spontaneous report was received from Healthcare Business Professional and refers to a patient of unknown age and gender. The patient's medical history, concurrent conditions and concomitant therapies were not reported.  On 04-JAN-2023, the patient was vaccinated with improperly stored dose of pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) injection, lot #W007035, expiration date: 20-OCT-2023, administered for prophylaxis (strength, dose, and route of administration were not provided) (Product storage error).  On 23-DEC-2022, administered doses of vaccines experienced the temperature excursion of 55 degrees Fahrenheit (F) for 153 hours. There was no previous temperature excursion. There was no adverse event reported.  This is one of the several reports received from the same reporter. ; Sender's Comments:  US-009507513-2301USA007699:Same Reporter US-009507513-2301USA007405:Same Reporter US-009507513-2301USA007605:Same Reporter US-009507513-2301USA007693:Same Reporter US-009507513-2301USA007635:Same Reporter
Sex: U
Vaccine: MMRV
Symptoms: No adverse event, Product storage error
Clinical narrative: No additional AE reported; Nurse reports improperly stored PROQUAD was administered.; This spontaneous report was received from a nurse and refers to a patient of unknown age and gender. The patient's medical history and concurrent conditions were not reported. Concomitant medications included sterile diluent.   On 05-JAN-2023, the patient was vaccinated with improperly stored (temperature -14 degree Celsius up to-10 degree Celsius  (-13.7 degree Celsius), time frame 5 hours 15 minutes 0 seconds, no previous temperature excursion) measles, mumps, rubella and varicella (oka-merck) virus vaccine live (recombinant human albumin) (PROQUAD) subcutaneous injection, lot #W012730, expiration date: 16-OCT-2023, administered for prophylaxis (strength and route of administration were not provided) (product storage error). No additional adverse event reported (no adverse event).  This is one of several reports from the same reporter.
Age: 63.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location).
Age: 20.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location).
Age: 39.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location).
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case
Age: 42.0
Sex: F
Vaccine: UNK
Symptoms: Bell's palsy
Clinical narrative: bells palsy
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location).
Age: 56.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location).
Age: 47.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location).
Age: 39.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location).
Age: 22.0
Sex: F
Vaccine: HPV9
Symptoms: Cervical dysplasia, Human papilloma virus test negative, Inappropriate schedule of product administration, Loop electrosurgical excision procedure, Smear cervix normal
Clinical narrative: CIN grade 2 pre cancer; first dose on 26-FEB-2018, second dose on 23-OCT-2018, and the third dose on 27-OCT-2019; This spontaneous report was received from the Pharmacist, who refers to a 24-year-old daughter.  The patient's medical history, concurrent conditions, and concomitant therapies were not provided.  On 26-FEB-2018, the patient was vaccinated with first dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) injection, 0.5 milliliter, for prophylaxis (strength, lot #, expiry date, and route of administration were not provided); the second and third dose she received on the following dates respectively: 23-OCT-2018 and 27-OCT-2019 (inappropriate schedule of product administration). Outcome of the event was unknown.  On 20-OCT-2021, the patient had a Pap smear (the Papanicolaou test), that identified potential precancer [Cervical intra-epithelial neoplasia (CIN) grade 2 precancer] (cervical dysplasia), and a loop electrosurgical excision procedure (LEEP) was completed on an unknown date in March 2022 (exact date unknown by reporter). The gynecologist (OBGYN) stated the CIN grade 2 was in the glandular area, not just surface, type unknown. Pap smear tests made on an unspecified dates in June 2022 and August 2022 were negative. At the time of report the patient was Human papillomavirus (HPV) negative. No additional information provided.  The causal relationship between cervical dysplasia, and hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) was unknown.
Age: 10.0
Sex: U
Vaccine: HPV9, HPV9
Symptoms: Extra dose administered
Clinical narrative: No additional AE information; was administered a 4th dose; the patient received a dose at 10 years old and then two doses at 13 years old; This spontaneous report has been received from a nurse, concerning a 13-years old patient of unknown gender. The patient's medical history, concurrent conditions, concomitant medications, previous drug reactions, and allergies were not provided.   In approximately 2014 (reported as "at 10 years old"), the patient was vaccinated with HPV rL1 6 11 16 18 31 33 45 52 58 VLP vaccine (yeast) (GARDASIL 9) injection as prophylaxis, later in approximately 2017 ("reported as at 13 years") the patient received the consequent two additional doses (inappropriate schedule of product administration) (strengths, doses, routes of administration, anatomical locations, lot numbers, and expiration dates were not provided). Moreover, on 26-JAN-2023, the patient was administered a 4th dose of HPV rL1 6 11 16 18 31 33 45 52 58 VLP vaccine (yeast) (GARDASIL 9) (extra dose administered) at a dose of 0.5 milliliter intramuscularly as prophylaxis (lot number W011264 has been verified to be valid; expiration date reported as 16-JUN-2024 but upon internal validation established as 05-SEP-2024) (strength and anatomical location were not provided).
Age: 0.5
Sex: U
Vaccine: HEPA
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: No symptomatic AE reported during time of call. No additional AE details or PQC.; Inbound call from HCP stating that a VAQTA was inadvertently administered to 6 month old. No symptomatic AE reported during time of call. No additional AE details or PQC.; This spontaneous report was received from a nurse and refers to a 6-month-old infant of unknown gender. The patient's medical history, concurrent conditions and concomitant medications were not reported.  On 30-JAN-2023, the patient was vaccinated with hepatitis a vaccine, inactivated (VAQTA) intramuscular injection, 0.5 milliliter, lot #W036135, expiration date: 13-MAY-2024, administered for prophylaxis (strength, dose number, and route of administration were not provided) (product administered to patient of inappropriate age).  No adverse event reported.
Sex: F
Vaccine: VARCEL
Symptoms: Extra dose administered, No adverse event, Product administered at inappropriate site
Clinical narrative: No additional AE reported; she administered a second dose of VARIVAX subcutaneous in the opposite arm; patient was administered VARIVAX intramuscularly; This spontaneous report has been received from a pharmacist, concerning a female patient of unknown age. The patient's medical history, drug reactions or allergies, concurrent conditions and concomitant medications were not reported.  On 28-JAN-2023, the patient was vaccinated with a dose of varicella virus vaccine live (oka/merck) (VARIVAX) 0.5 ml, intramuscular (IM) (lot # W003822, expiration date 02-FEB-2024) (exact anatomical location was not provided) in one arm as prophylaxis (incorrect route of product administration). On the same date, and due to the previous dose was administered via IM, by her request, she was vaccinated with a second dose of varicella virus vaccine live (oka/merck) (VARIVAX) 0.5 ml, subcutaneous (lot # W003822, expiration date 02-FEB-2024) (exact anatomical location was not provided) in the opposite arm (extra dose administered). It was reported that the patient did not experienced any side effects associated with the administration and not additional events were reported (no adverse event).
Sex: F
Vaccine: HPV9
Symptoms: Inappropriate schedule of product administration
Clinical narrative: She reports that she received the 2nd dose 10 months after the first dose; No additional AE reported; This spontaneous report has been received from a female patient (reported as "she") of unknown age, reporting on herself. The patient's medical history, drug reactions or allergies, concurrent conditions and concomitant medications were not reported.  On an unknown date, the patient was prescribed by her physician 3 doses of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9).  On an unreported date, she received the first dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) (dose, lot #, expiration date, route of administration and anatomical location were not provided) for prophylaxis. It was reported that the second dose was supposed to be administered two months later.  On an unknown date (reported as "10 months after the first"), the patient received the second dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) (dose, lot #, expiration date, route of administration and anatomical location were not provided) (inappropriate schedule of product administration). No additional events were reported.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeding disorder, Fluid intake reduced, Headache, Malaise, Mobility decreased
Clinical narrative: Grossly sick: dry heaves, 15 hrs to break fever, 19 hrs in bed before i could even sit up. pain in head, body aches. 36 hrs of absolute agony. Could not eat nor drink. Now I am upright but weak.  Previously ( aug 18, 2022) pharmacist advised I take multiple vaccines at once ; pneumonia, shingles, tetanus. This put be in bed for FOUR consecutive days. Grossly sick,  My experience with these vaccines has made be leery of future ones. Especially since I have choosen to make myself this ill.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia, Retching
Clinical narrative: Grossly sick: dry heaves, 15 hrs to break fever, 19 hrs in bed before i could even sit up. pain in head, body aches. 36 hrs of absolute agony. Could not eat nor drink. Now I am upright but weak.  Previously ( aug 18, 2022) pharmacist advised I take multiple vaccines at once ; pneumonia, shingles, tetanus. This put be in bed for FOUR consecutive days. Grossly sick,  My experience with these vaccines has made be leery of future ones. Especially since I have choosen to make myself this ill.
Age: 90.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location).
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19-2
Symptoms: Cough, Fatigue, Flank pain, Herpes zoster, Impaired work ability
Clinical narrative: A few days after the booster started with cough then stated to get pain in flank. The cough went away in about 2 weeks but the pain remined intermittent. Thought it was a pulled muscle from coughing. Then stating around Jan 3rd 2023 the pain became more consistent, Mid January I was more fatigued to the point didn't want to drive  and by Jan 26th pain was worse. On Jan 29th broke out in a rash where the pain was. Saw Dr and was diagnosed with shingles.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19-2
Symptoms: Rash
Clinical narrative: A few days after the booster started with cough then stated to get pain in flank. The cough went away in about 2 weeks but the pain remined intermittent. Thought it was a pulled muscle from coughing. Then stating around Jan 3rd 2023 the pain became more consistent, Mid January I was more fatigued to the point didn't want to drive  and by Jan 26th pain was worse. On Jan 29th broke out in a rash where the pain was. Saw Dr and was diagnosed with shingles.
Age: 23.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location).
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location).
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 01/02/23 presents to ED for "SOB". PMHx of "fibromyalgia, seizures"
Age: 26.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location).
Age: 21.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location).
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, SARS-CoV-2 test positive
Clinical narrative: 01/02/23 presents to ED for "cough". PMHx of "asthma, migraines"
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer 11/2/21, 11/29/21. Positive on 1/27/23
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna 3/27/21, 4/27/21. Positive on 1/28/23
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location).
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Feeling abnormal, Heart rate increased, Homeless, Hyperhidrosis
Clinical narrative: On the day of the vaccine, I immediately felt different. I went to dinner and a concert and was a zombie. I could not talk or do anything. My heart started palpitating the next day, and I had extreme bouts of vomiting. By June, I was in the emergency room with what appeared to be a heart attack accompanied by vomiting. This progressively got worse with no diagnosis. I was in bed, and it's 2023 and still happening. I haven't left my home in years. When I am remotely active, my heart literally explodes. I have extreme sweating, and crazy smells, I can't move. I am mostly from one chair to another. I went to all specialists with no answers but vitamin deficiency and trauma. I have (according to them) maybe a stomach virus and no one knows, anemia. I eat vitamins and it helps. My heart doctor says maybe I have too many beats and I just am in tune and feel them. My therapist says it's trauma even though I spend most days in meditation and I can yoga. I lost my life. Last year I became unhomed. I was so sick and had no answers and could do nothing about it. I would love to know if this is going on.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Hypovitaminosis, Immediate post-injection reaction, Injury, Laboratory test, Loss of personal independence in daily activities
Clinical narrative: On the day of the vaccine, I immediately felt different. I went to dinner and a concert and was a zombie. I could not talk or do anything. My heart started palpitating the next day, and I had extreme bouts of vomiting. By June, I was in the emergency room with what appeared to be a heart attack accompanied by vomiting. This progressively got worse with no diagnosis. I was in bed, and it's 2023 and still happening. I haven't left my home in years. When I am remotely active, my heart literally explodes. I have extreme sweating, and crazy smells, I can't move. I am mostly from one chair to another. I went to all specialists with no answers but vitamin deficiency and trauma. I have (according to them) maybe a stomach virus and no one knows, anemia. I eat vitamins and it helps. My heart doctor says maybe I have too many beats and I just am in tune and feel them. My therapist says it's trauma even though I spend most days in meditation and I can yoga. I lost my life. Last year I became unhomed. I was so sick and had no answers and could do nothing about it. I would love to know if this is going on.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Mobility decreased, Palpitations, Parosmia, Speech disorder
Clinical narrative: On the day of the vaccine, I immediately felt different. I went to dinner and a concert and was a zombie. I could not talk or do anything. My heart started palpitating the next day, and I had extreme bouts of vomiting. By June, I was in the emergency room with what appeared to be a heart attack accompanied by vomiting. This progressively got worse with no diagnosis. I was in bed, and it's 2023 and still happening. I haven't left my home in years. When I am remotely active, my heart literally explodes. I have extreme sweating, and crazy smells, I can't move. I am mostly from one chair to another. I went to all specialists with no answers but vitamin deficiency and trauma. I have (according to them) maybe a stomach virus and no one knows, anemia. I eat vitamins and it helps. My heart doctor says maybe I have too many beats and I just am in tune and feel them. My therapist says it's trauma even though I spend most days in meditation and I can yoga. I lost my life. Last year I became unhomed. I was so sick and had no answers and could do nothing about it. I would love to know if this is going on.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: On the day of the vaccine, I immediately felt different. I went to dinner and a concert and was a zombie. I could not talk or do anything. My heart started palpitating the next day, and I had extreme bouts of vomiting. By June, I was in the emergency room with what appeared to be a heart attack accompanied by vomiting. This progressively got worse with no diagnosis. I was in bed, and it's 2023 and still happening. I haven't left my home in years. When I am remotely active, my heart literally explodes. I have extreme sweating, and crazy smells, I can't move. I am mostly from one chair to another. I went to all specialists with no answers but vitamin deficiency and trauma. I have (according to them) maybe a stomach virus and no one knows, anemia. I eat vitamins and it helps. My heart doctor says maybe I have too many beats and I just am in tune and feel them. My therapist says it's trauma even though I spend most days in meditation and I can yoga. I lost my life. Last year I became unhomed. I was so sick and had no answers and could do nothing about it. I would love to know if this is going on.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer 2/15/21, 3/6/21, 10/5/21. Moderna 9/29/22. Positive on 1/29/23
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location).
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer 4/1/21, 4/29/21, 12/28/21. Positive on 1/29/23
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 01/02/23 presents to ED for "breathing problem". PMHx of "asthma, HTN, hypertrophic cardiomyopathy"
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer 3/23/21, 4/22/21, 10/28/21. Positive on 1/30/23
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna 4/14/21, 5/2/21. Pfizer 11/14/22. Positive on 1/25/23
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna 2/12/21, 3/12/21, 1/7/22. Positive on 1/25/23
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: covid positive pt, full vaccinated and boosted admitted to hospital
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer 3/1/21, 3/22/21, 11/15/21, 7/21/22. Positive on 1/31/23
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Pfizer monovalent vaccine instead of Pfizer bivalent vaccine
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Catheterisation cardiac normal, Cerebral thrombosis, Dizziness, Gait disturbance
Clinical narrative: Vaccinated on Monday 9/27/21 3:30 pm. Woke up Tuesday morning 9/28/21 with headaches and dizziness.  Couldn`t sit up or keep my balance.  Vomiting and fever came later.  Stayed in bed all day Tuesday and Wednesday fever and vomiting and dizziness, (no balance) taking many fluids and couldn`t keep food down.  Thursday felt better, could walk from room to room with the assistance of the wall. Friday at noon the left half of my head went numb and had no balance to the left. got up and ran straight into the wall. Called Dr.'s office and they suggested I go to urgent care. went to a local Hospital around 1:00 pm. There they ran tests and determined I had three blood clots in my cerebellum and transfered me to another local Hospital. I was there from Friday afternoon to the following  friday.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Imaging procedure abnormal, Laboratory test normal, Mobility decreased
Clinical narrative: Vaccinated on Monday 9/27/21 3:30 pm. Woke up Tuesday morning 9/28/21 with headaches and dizziness.  Couldn`t sit up or keep my balance.  Vomiting and fever came later.  Stayed in bed all day Tuesday and Wednesday fever and vomiting and dizziness, (no balance) taking many fluids and couldn`t keep food down.  Thursday felt better, could walk from room to room with the assistance of the wall. Friday at noon the left half of my head went numb and had no balance to the left. got up and ran straight into the wall. Called Dr.'s office and they suggested I go to urgent care. went to a local Hospital around 1:00 pm. There they ran tests and determined I had three blood clots in my cerebellum and transfered me to another local Hospital. I was there from Friday afternoon to the following  friday.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Ultrasound scan normal, Vomiting
Clinical narrative: Vaccinated on Monday 9/27/21 3:30 pm. Woke up Tuesday morning 9/28/21 with headaches and dizziness.  Couldn`t sit up or keep my balance.  Vomiting and fever came later.  Stayed in bed all day Tuesday and Wednesday fever and vomiting and dizziness, (no balance) taking many fluids and couldn`t keep food down.  Thursday felt better, could walk from room to room with the assistance of the wall. Friday at noon the left half of my head went numb and had no balance to the left. got up and ran straight into the wall. Called Dr.'s office and they suggested I go to urgent care. went to a local Hospital around 1:00 pm. There they ran tests and determined I had three blood clots in my cerebellum and transfered me to another local Hospital. I was there from Friday afternoon to the following  friday.
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Syringe issue
Clinical narrative: Error: Leaking from Syringe-
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: PATIENT RECEIVED PFIZER MONOVALENT INSTEAD OF PFIZER BIVALENT
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Injection site warmth, Pharyngeal swelling, Pruritus
Clinical narrative: Pt came in today for Covid19 Pfizer 2nd dose vaccine. Vaccine was administered at 3:15pm and pt was advised to remain in exam room for 30 min post vaccine to monitor for reaction.  I checked on pt around 3:20pm to see how was she was doing and she reported arm felt really hot above injection site and that her face felt warm.  I at that time went and got provider FNP-C to assess pt.  Pt did not feel like throat was swelling or closing up at that time and states she felt fine other that face and arm being hot.  I continued to check in on pt every few minutes  to observe for reaction.  Around 3:30pm pt states she was now starting to itch across the upper part of her chest/neck and arms were also itching.  She also stated she now felt like throat may be swelling.  She also states she still feels very hot in her face. RN and myself contacted provider FNP-C who advised us to go ahead and administer Benadryl 50mg IM.  Benadryl 50mg was given IM right glute at 3:35pm and FNP-C came in to check on pt and start full assessment. FNP-C took over care for pt at that time.
Age: 18.0
Sex: F
Vaccine: HPV9
Symptoms: Asthenia, Pyrexia, Syncope
Clinical narrative: Fainting, on and off fevers, low energy
Age: 42.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Nurse drawing up vaccine only drew up a half dose instead of the full dose. Patient came back in to get the other half
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: The nurse drawing up the vaccine only drew up half a dose so patient had to come back to get the other half
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Nurse only drew up half a dose so patient had to come back for the other half
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Rash, Rash erythematous, Rash vesicular, Urticaria
Clinical narrative: About 12 hours after getting the vaccine, I developed a line of red chicken pox like marks on my left arm. I also have a small rash on left breast.  I also had hives, which were slightly different in presentation than the red marks.  (And went away after taking Benadryl; the red bumps did not go away.)
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Gastrooesophageal reflux disease, Pyrexia
Clinical narrative: I contracted COVID. In 11/22/22 I felt a scratchy feeling in my upper chest, and I thought it was acid reflux so I took tums. My sinuses felt heavy and stuffy, but I did not have a runny nose. I have seasonal allergies so I did not think anything of it. The next day I developed a dry cough and the day after a fever, which varied from 99.5 to 100.5, The next day I called my doctor who gave me Paxlovid, which I took from 11/26 to 11/30. From 12/3/22 I took a home test and was negative. On 12/9 my sinuses bothered me and I started coughing so I took another test and was positive again, so I did rebound. I did not take the Paxlovid again and just waited it out. I was not real sick, and by December 11th, I was negative again. The only other symptom I had both times was mild fatigue.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory symptom, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: I contracted COVID. In 11/22/22 I felt a scratchy feeling in my upper chest, and I thought it was acid reflux so I took tums. My sinuses felt heavy and stuffy, but I did not have a runny nose. I have seasonal allergies so I did not think anything of it. The next day I developed a dry cough and the day after a fever, which varied from 99.5 to 100.5, The next day I called my doctor who gave me Paxlovid, which I took from 11/26 to 11/30. From 12/3/22 I took a home test and was negative. On 12/9 my sinuses bothered me and I started coughing so I took another test and was positive again, so I did rebound. I did not take the Paxlovid again and just waited it out. I was not real sick, and by December 11th, I was negative again. The only other symptom I had both times was mild fatigue.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Nurse only drew up half a dose so patient had to come back for the other half
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Injection site pain, Malaise, SARS-CoV-2 test positive
Clinical narrative: I had soreness at the injection site for a couple of days. I began not feeling well on 12/27/2022 with sneezing and coughing. I thought my allergies were acting up. On 01/01/2023 I tested positive with a home test for COVID-19. I was out of state when I tested positive for COVID-19 and contacted my doctor's office over the phone. I got a prescription for Paxlovid five hours later. I started feeling better, but it all returned with a vengeance.  I started taking over the counter medication to relieve my symptoms. I was sick for 19 days.  As of today, I still have a cough.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Sneezing
Clinical narrative: I had soreness at the injection site for a couple of days. I began not feeling well on 12/27/2022 with sneezing and coughing. I thought my allergies were acting up. On 01/01/2023 I tested positive with a home test for COVID-19. I was out of state when I tested positive for COVID-19 and contacted my doctor's office over the phone. I got a prescription for Paxlovid five hours later. I started feeling better, but it all returned with a vengeance.  I started taking over the counter medication to relieve my symptoms. I was sick for 19 days.  As of today, I still have a cough.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Nurse only drew up half a dose so patient had to come back for the other half
Age: 0.33
Sex: F
Vaccine: DTPPVHBHPB, HIBV
Symptoms: Extra dose administered
Clinical narrative: Patient was given multi dose that contained Hib as well as single antigen ACTHib causing a double dose of Hib
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Nurse only drew up half a dose so patient had to come back for the other half
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Nurse only drew up half a dose so patient had to come back for the other half
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Blood creatinine increased, Blood potassium increased, Blood pressure increased
Clinical narrative: Clinical Summary A 67 y.o. male with a history of HFmrEF, CKD IV, Chronic Hyperkalemia, Cirrhosis, CAD, NIDDM2, COPD, OSA, Polysubstance Abuse. Recent admission 12/11-12/16/22 for acute decompensated heart failure and progressive CKD IV and hyperkalemia with relapse of polysubstance abuse. Presents with AKI on CKD, hyperkalemia, COVID. Acute respiratory failure, Improved. Covid-19 Virus Infection Start of symptoms and positive test 12/29/2022 SOB & fatigue on admission Vaccinated Oxygen requirements on admission: 3L Medical therapy: Decadron 6mg every day x10 days (12/30 -1/9); CKD precludes remdesivir Weaned to RA prior to discharge   AKI on CKD IV Outpatient provider Dr.  Ddx: likely ATN from COVID vs. acute viral illness, dehydration, multimodal BP meds S/p 24hr of biarb gtt without improvement Cr remains elevated, 3.5-3.7 baseline 1/7 Cr 3.52 eGFR 18, BUN 79 1/8 Cr 3.97 eGFR 16, BUN 82 Renal diet & daily RFP Nephrology followed Continued home bumex 2mg daily   Hyperkalemia  Highest 6.1 on admission S/p Lokelma 10 g TID x 2 days; currently on 10 g daily, continue Bowel regimen: Miralax, Lokelma Continued home bumex Potassium 5.2 at baseline Has f/u with Nephro scheduled   Essential hypertension BP elevated to 170 systolic Cont coreg and Imdur, Bumex Cont home hydralazine at 50mg bid May need additional titration up to 100 TID as outpatient   Heart Failure with Reduced EF CXR w/ pulmonary edema Stress (11/2022): normal myocard perf, EF 47% Echo (4/2022): EF +/-55%, grade I dysfx Continued home carvedilol and imdur Held bumex in setting of AKI, restarted prior to discharge
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea increased, COVID-19, Cardiac dysfunction, Cardiac failure acute, Cardiac stress test
Clinical narrative: Clinical Summary A 67 y.o. male with a history of HFmrEF, CKD IV, Chronic Hyperkalemia, Cirrhosis, CAD, NIDDM2, COPD, OSA, Polysubstance Abuse. Recent admission 12/11-12/16/22 for acute decompensated heart failure and progressive CKD IV and hyperkalemia with relapse of polysubstance abuse. Presents with AKI on CKD, hyperkalemia, COVID. Acute respiratory failure, Improved. Covid-19 Virus Infection Start of symptoms and positive test 12/29/2022 SOB & fatigue on admission Vaccinated Oxygen requirements on admission: 3L Medical therapy: Decadron 6mg every day x10 days (12/30 -1/9); CKD precludes remdesivir Weaned to RA prior to discharge   AKI on CKD IV Outpatient provider Dr.  Ddx: likely ATN from COVID vs. acute viral illness, dehydration, multimodal BP meds S/p 24hr of biarb gtt without improvement Cr remains elevated, 3.5-3.7 baseline 1/7 Cr 3.52 eGFR 18, BUN 79 1/8 Cr 3.97 eGFR 16, BUN 82 Renal diet & daily RFP Nephrology followed Continued home bumex 2mg daily   Hyperkalemia  Highest 6.1 on admission S/p Lokelma 10 g TID x 2 days; currently on 10 g daily, continue Bowel regimen: Miralax, Lokelma Continued home bumex Potassium 5.2 at baseline Has f/u with Nephro scheduled   Essential hypertension BP elevated to 170 systolic Cont coreg and Imdur, Bumex Cont home hydralazine at 50mg bid May need additional titration up to 100 TID as outpatient   Heart Failure with Reduced EF CXR w/ pulmonary edema Stress (11/2022): normal myocard perf, EF 47% Echo (4/2022): EF +/-55%, grade I dysfx Continued home carvedilol and imdur Held bumex in setting of AKI, restarted prior to discharge
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chronic kidney disease, Condition aggravated, Dehydration, Dyspnoea
Clinical narrative: Clinical Summary A 67 y.o. male with a history of HFmrEF, CKD IV, Chronic Hyperkalemia, Cirrhosis, CAD, NIDDM2, COPD, OSA, Polysubstance Abuse. Recent admission 12/11-12/16/22 for acute decompensated heart failure and progressive CKD IV and hyperkalemia with relapse of polysubstance abuse. Presents with AKI on CKD, hyperkalemia, COVID. Acute respiratory failure, Improved. Covid-19 Virus Infection Start of symptoms and positive test 12/29/2022 SOB & fatigue on admission Vaccinated Oxygen requirements on admission: 3L Medical therapy: Decadron 6mg every day x10 days (12/30 -1/9); CKD precludes remdesivir Weaned to RA prior to discharge   AKI on CKD IV Outpatient provider Dr.  Ddx: likely ATN from COVID vs. acute viral illness, dehydration, multimodal BP meds S/p 24hr of biarb gtt without improvement Cr remains elevated, 3.5-3.7 baseline 1/7 Cr 3.52 eGFR 18, BUN 79 1/8 Cr 3.97 eGFR 16, BUN 82 Renal diet & daily RFP Nephrology followed Continued home bumex 2mg daily   Hyperkalemia  Highest 6.1 on admission S/p Lokelma 10 g TID x 2 days; currently on 10 g daily, continue Bowel regimen: Miralax, Lokelma Continued home bumex Potassium 5.2 at baseline Has f/u with Nephro scheduled   Essential hypertension BP elevated to 170 systolic Cont coreg and Imdur, Bumex Cont home hydralazine at 50mg bid May need additional titration up to 100 TID as outpatient   Heart Failure with Reduced EF CXR w/ pulmonary edema Stress (11/2022): normal myocard perf, EF 47% Echo (4/2022): EF +/-55%, grade I dysfx Continued home carvedilol and imdur Held bumex in setting of AKI, restarted prior to discharge
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Ejection fraction, Essential hypertension, Fatigue, Glomerular filtration rate decreased
Clinical narrative: Clinical Summary A 67 y.o. male with a history of HFmrEF, CKD IV, Chronic Hyperkalemia, Cirrhosis, CAD, NIDDM2, COPD, OSA, Polysubstance Abuse. Recent admission 12/11-12/16/22 for acute decompensated heart failure and progressive CKD IV and hyperkalemia with relapse of polysubstance abuse. Presents with AKI on CKD, hyperkalemia, COVID. Acute respiratory failure, Improved. Covid-19 Virus Infection Start of symptoms and positive test 12/29/2022 SOB & fatigue on admission Vaccinated Oxygen requirements on admission: 3L Medical therapy: Decadron 6mg every day x10 days (12/30 -1/9); CKD precludes remdesivir Weaned to RA prior to discharge   AKI on CKD IV Outpatient provider Dr.  Ddx: likely ATN from COVID vs. acute viral illness, dehydration, multimodal BP meds S/p 24hr of biarb gtt without improvement Cr remains elevated, 3.5-3.7 baseline 1/7 Cr 3.52 eGFR 18, BUN 79 1/8 Cr 3.97 eGFR 16, BUN 82 Renal diet & daily RFP Nephrology followed Continued home bumex 2mg daily   Hyperkalemia  Highest 6.1 on admission S/p Lokelma 10 g TID x 2 days; currently on 10 g daily, continue Bowel regimen: Miralax, Lokelma Continued home bumex Potassium 5.2 at baseline Has f/u with Nephro scheduled   Essential hypertension BP elevated to 170 systolic Cont coreg and Imdur, Bumex Cont home hydralazine at 50mg bid May need additional titration up to 100 TID as outpatient   Heart Failure with Reduced EF CXR w/ pulmonary edema Stress (11/2022): normal myocard perf, EF 47% Echo (4/2022): EF +/-55%, grade I dysfx Continued home carvedilol and imdur Held bumex in setting of AKI, restarted prior to discharge
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperkalaemia, Illness, Malaise, Pulmonary oedema, Renal tubular necrosis
Clinical narrative: Clinical Summary A 67 y.o. male with a history of HFmrEF, CKD IV, Chronic Hyperkalemia, Cirrhosis, CAD, NIDDM2, COPD, OSA, Polysubstance Abuse. Recent admission 12/11-12/16/22 for acute decompensated heart failure and progressive CKD IV and hyperkalemia with relapse of polysubstance abuse. Presents with AKI on CKD, hyperkalemia, COVID. Acute respiratory failure, Improved. Covid-19 Virus Infection Start of symptoms and positive test 12/29/2022 SOB & fatigue on admission Vaccinated Oxygen requirements on admission: 3L Medical therapy: Decadron 6mg every day x10 days (12/30 -1/9); CKD precludes remdesivir Weaned to RA prior to discharge   AKI on CKD IV Outpatient provider Dr.  Ddx: likely ATN from COVID vs. acute viral illness, dehydration, multimodal BP meds S/p 24hr of biarb gtt without improvement Cr remains elevated, 3.5-3.7 baseline 1/7 Cr 3.52 eGFR 18, BUN 79 1/8 Cr 3.97 eGFR 16, BUN 82 Renal diet & daily RFP Nephrology followed Continued home bumex 2mg daily   Hyperkalemia  Highest 6.1 on admission S/p Lokelma 10 g TID x 2 days; currently on 10 g daily, continue Bowel regimen: Miralax, Lokelma Continued home bumex Potassium 5.2 at baseline Has f/u with Nephro scheduled   Essential hypertension BP elevated to 170 systolic Cont coreg and Imdur, Bumex Cont home hydralazine at 50mg bid May need additional titration up to 100 TID as outpatient   Heart Failure with Reduced EF CXR w/ pulmonary edema Stress (11/2022): normal myocard perf, EF 47% Echo (4/2022): EF +/-55%, grade I dysfx Continued home carvedilol and imdur Held bumex in setting of AKI, restarted prior to discharge
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Substance abuse
Clinical narrative: Clinical Summary A 67 y.o. male with a history of HFmrEF, CKD IV, Chronic Hyperkalemia, Cirrhosis, CAD, NIDDM2, COPD, OSA, Polysubstance Abuse. Recent admission 12/11-12/16/22 for acute decompensated heart failure and progressive CKD IV and hyperkalemia with relapse of polysubstance abuse. Presents with AKI on CKD, hyperkalemia, COVID. Acute respiratory failure, Improved. Covid-19 Virus Infection Start of symptoms and positive test 12/29/2022 SOB & fatigue on admission Vaccinated Oxygen requirements on admission: 3L Medical therapy: Decadron 6mg every day x10 days (12/30 -1/9); CKD precludes remdesivir Weaned to RA prior to discharge   AKI on CKD IV Outpatient provider Dr.  Ddx: likely ATN from COVID vs. acute viral illness, dehydration, multimodal BP meds S/p 24hr of biarb gtt without improvement Cr remains elevated, 3.5-3.7 baseline 1/7 Cr 3.52 eGFR 18, BUN 79 1/8 Cr 3.97 eGFR 16, BUN 82 Renal diet & daily RFP Nephrology followed Continued home bumex 2mg daily   Hyperkalemia  Highest 6.1 on admission S/p Lokelma 10 g TID x 2 days; currently on 10 g daily, continue Bowel regimen: Miralax, Lokelma Continued home bumex Potassium 5.2 at baseline Has f/u with Nephro scheduled   Essential hypertension BP elevated to 170 systolic Cont coreg and Imdur, Bumex Cont home hydralazine at 50mg bid May need additional titration up to 100 TID as outpatient   Heart Failure with Reduced EF CXR w/ pulmonary edema Stress (11/2022): normal myocard perf, EF 47% Echo (4/2022): EF +/-55%, grade I dysfx Continued home carvedilol and imdur Held bumex in setting of AKI, restarted prior to discharge
Age: 88.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Nurse only drew up half a dose so patient had to come back for the other half
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Nurse only drew up half a dose so patient had to come back for the other half
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Nurse only drew up half a dose so patient had to come back for the other half
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood culture negative, Blood sodium decreased, Blood thyroid stimulating hormone normal, C-reactive protein increased
Clinical narrative: Perpetual Assessment: Patient is a 76 y.o. male who presented from home on 1/5/2023 with productive cough, shortness of breath, fevers, acute on chronic neck pain. He tested positive for SARS-CoV-2 on 12/31/22.          Assessment and Plan COVID-19 pneumonia - Presented with: Cough, shortness of breath, generalized weakness, fevers, myalgias  - Symptom onset: Patient is unsure, approximately 12/28 or 12/29  - Positive COVID-19: 12/31/22 at ED - Vaccination status: Vaccinated with Moderna and boosted with Moderna with booster dose on 8/22/22. - CXR on admission showed: There are multifocal areas of diffuse ground-glass opacities in the bilateral mid and lower lung zones, progressed from the study of 12/31/2022.  There is also blunting of the bilateral costophrenic sulci, suggestive of small pleural effusions.   - Oxygen status: 93% on room air although desats with ambulation so arranged for home O2 - Decadron: Does not qualify due to SpO2>94% on RA.  - Remdesivir: Does not qualify due to SpO2>94% on RA, unclear symptom onset.  - DVT prophylaxis:Lovenox - CRP elevated, procalcitonin wnl, blood and sputum cultures NGTD, urine antigens non-contributory - Aggressive pulmonary hygiene - Mucinex, prn Tesslon capsules - Out of isolation 1/10/23   Neck pain, acute on chronic  Cervical spine DDD - Acute worsening over the last few days with new pain radiating down right upper extremity. No weakness on exam. Denies recent trauma/injury. - CT cervical spine on admission: Severe disc space narrowing C5-6, C6-7 and moderate-to-severe disc space narrowing C3-4 and C7-T1. Facet arthropathy to the right of midline C3-4, C4-5 and to the left of midline C3-4, C4-5, C5-6. Foraminal stenosis to the right of midline C3-4, C5-6, C6-7 and to the left of midline C3-4, C4-5, C5-6, C6-7. No evidence of central spinal canal stenosis. - MRI C-spine reveals severe bilateral neural foraminal stenosis C3-C6 levels and severe neuroforaminal stenosis on the left at C6 and 7.  Moderate stenosis C7-T2.  No central canal stenosis or cord signal abnormality. - Pain control with acetaminophen, lidocaine patch, prn Flexeril   Hyponatremia, improving - Acute on chronic; prior Na+ levels ~127-132. Na+ 124 on presentation - TSH and AM Cortisol wnl. - S/p 500 cc 0.9% NS in the ED, with 75cc of NS in the AM 1/6. - Na worsened to 122 1/6/23.  Suspicious for SIADH, possible in setting of COVID - SSRI held, fluid restriction initiated; Na continues to fluctuate although mostly in the upper 120s - Stable at 126 on dc; rec ongoing fluid restriction and followup BMP 1 week  COPD - No current evidence of exacerbation. - Continue home ICS-LABA, prn albuterol  - Aggressive pulmonary hygiene with incentive spirometry, vibratory PEP therapy    Paroxysmal atrial fibrillation - Per history. Not on AC. Currently in sinus rhythm - Continue home BB