chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia
Clinical narrative: Pt complained of severe shoulder pain after administration that slowly diminished over several days but has not completely resolved.
Age: 6.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient was administered the bivalent vaccine two days after the beyond use date was. Pfizer was contacted and said viability of vaccine could be up to 72 days in the refrigerator in accepted temperatures. The day of vaccination would have been the 72nd day in the accepted temperature range.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Given monovalent instead of bivalent
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Acute pulmonary oedema, Acute respiratory failure, Asthenia, Bowel movement irregularity, COVID-19
Clinical narrative: Patient is a 75 y.o. male patient of personal MD with history of ESRD, CHF, Chronic resp failure, COPD, DM II, CAD, HTN, PE, PAD s/p b/l bka on Eliquis, CVA presented to local Hospital with sob and edema after missing HD.   Acute pulm edema ESRD Chronic heart failure with preserved ejection fraction Hypertension Missed 2 sessions of HD PTA On HD MWF Nephro consulted, patient dialyzed on 12/20,12/21, 12/23 continue with dialysis and fluid removal. S/p HD 12/26   Acute on chronic hypoxic respiratory failure Covid-19 Virus Infection COPD Date of onset of symptoms: ~12/12 Symptoms present on admission: weakness Date of covid positive test: 12/19 at hospital Vaccination status: vaccinated Imaging: Pulm edema Oxygen requirements on admission: 4L Oxygen requirement at baseline: 3 L Current oxygen requirements: 3L Medical therapy: Currently on Decadron?12/23 discontinued as patient stable on home 3L. Received 5 days of decadron during hospitalization Consultants following:  None Anticipated special isolation end date: 12/30   Pancytopenia WBC 4.4; Hb 10.8 Plt 32 Platelets of 32 on presentation, now back to normal Unclear if this was lab error Hematology consulted, likely all lab error Eliquis resumed Hemoglobin 11.2 with platelets 135 on 12/26  DM II; controlled Hemoglobin A1c 8.1 Diet controlled at home Currently on SSI, Lantus increased to 15 units nightly due to hyperglycemia Controlled Discharge on Lantus 10 units with further adjustments per PCP   PAD History of bilateral BKA Cont home Trental Eliquis resumed   Patient seen and examined on day of discharge patient was in the mid 90s on his home 3 L.  Denied any shortness of breath or chest pain.  Admits to bowel movement this morning.  Was amendable to Senokot-S on discharge for bowel regularity.  Denied any other complaints.  I did discuss with case management who confirmed that with outpatient HD that he can return to normal center at regular scheduled time. Family has private transport home set up for 12/27.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Glycosylated haemoglobin increased, Haemoglobin decreased, Hyperglycaemia, Oedema
Clinical narrative: Patient is a 75 y.o. male patient of personal MD with history of ESRD, CHF, Chronic resp failure, COPD, DM II, CAD, HTN, PE, PAD s/p b/l bka on Eliquis, CVA presented to local Hospital with sob and edema after missing HD.   Acute pulm edema ESRD Chronic heart failure with preserved ejection fraction Hypertension Missed 2 sessions of HD PTA On HD MWF Nephro consulted, patient dialyzed on 12/20,12/21, 12/23 continue with dialysis and fluid removal. S/p HD 12/26   Acute on chronic hypoxic respiratory failure Covid-19 Virus Infection COPD Date of onset of symptoms: ~12/12 Symptoms present on admission: weakness Date of covid positive test: 12/19 at hospital Vaccination status: vaccinated Imaging: Pulm edema Oxygen requirements on admission: 4L Oxygen requirement at baseline: 3 L Current oxygen requirements: 3L Medical therapy: Currently on Decadron?12/23 discontinued as patient stable on home 3L. Received 5 days of decadron during hospitalization Consultants following:  None Anticipated special isolation end date: 12/30   Pancytopenia WBC 4.4; Hb 10.8 Plt 32 Platelets of 32 on presentation, now back to normal Unclear if this was lab error Hematology consulted, likely all lab error Eliquis resumed Hemoglobin 11.2 with platelets 135 on 12/26  DM II; controlled Hemoglobin A1c 8.1 Diet controlled at home Currently on SSI, Lantus increased to 15 units nightly due to hyperglycemia Controlled Discharge on Lantus 10 units with further adjustments per PCP   PAD History of bilateral BKA Cont home Trental Eliquis resumed   Patient seen and examined on day of discharge patient was in the mid 90s on his home 3 L.  Denied any shortness of breath or chest pain.  Admits to bowel movement this morning.  Was amendable to Senokot-S on discharge for bowel regularity.  Denied any other complaints.  I did discuss with case management who confirmed that with outpatient HD that he can return to normal center at regular scheduled time. Family has private transport home set up for 12/27.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pancytopenia, Platelet count decreased, Pulmonary imaging procedure abnormal, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Patient is a 75 y.o. male patient of personal MD with history of ESRD, CHF, Chronic resp failure, COPD, DM II, CAD, HTN, PE, PAD s/p b/l bka on Eliquis, CVA presented to local Hospital with sob and edema after missing HD.   Acute pulm edema ESRD Chronic heart failure with preserved ejection fraction Hypertension Missed 2 sessions of HD PTA On HD MWF Nephro consulted, patient dialyzed on 12/20,12/21, 12/23 continue with dialysis and fluid removal. S/p HD 12/26   Acute on chronic hypoxic respiratory failure Covid-19 Virus Infection COPD Date of onset of symptoms: ~12/12 Symptoms present on admission: weakness Date of covid positive test: 12/19 at hospital Vaccination status: vaccinated Imaging: Pulm edema Oxygen requirements on admission: 4L Oxygen requirement at baseline: 3 L Current oxygen requirements: 3L Medical therapy: Currently on Decadron?12/23 discontinued as patient stable on home 3L. Received 5 days of decadron during hospitalization Consultants following:  None Anticipated special isolation end date: 12/30   Pancytopenia WBC 4.4; Hb 10.8 Plt 32 Platelets of 32 on presentation, now back to normal Unclear if this was lab error Hematology consulted, likely all lab error Eliquis resumed Hemoglobin 11.2 with platelets 135 on 12/26  DM II; controlled Hemoglobin A1c 8.1 Diet controlled at home Currently on SSI, Lantus increased to 15 units nightly due to hyperglycemia Controlled Discharge on Lantus 10 units with further adjustments per PCP   PAD History of bilateral BKA Cont home Trental Eliquis resumed   Patient seen and examined on day of discharge patient was in the mid 90s on his home 3 L.  Denied any shortness of breath or chest pain.  Admits to bowel movement this morning.  Was amendable to Senokot-S on discharge for bowel regularity.  Denied any other complaints.  I did discuss with case management who confirmed that with outpatient HD that he can return to normal center at regular scheduled time. Family has private transport home set up for 12/27.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count decreased
Clinical narrative: Patient is a 75 y.o. male patient of personal MD with history of ESRD, CHF, Chronic resp failure, COPD, DM II, CAD, HTN, PE, PAD s/p b/l bka on Eliquis, CVA presented to local Hospital with sob and edema after missing HD.   Acute pulm edema ESRD Chronic heart failure with preserved ejection fraction Hypertension Missed 2 sessions of HD PTA On HD MWF Nephro consulted, patient dialyzed on 12/20,12/21, 12/23 continue with dialysis and fluid removal. S/p HD 12/26   Acute on chronic hypoxic respiratory failure Covid-19 Virus Infection COPD Date of onset of symptoms: ~12/12 Symptoms present on admission: weakness Date of covid positive test: 12/19 at hospital Vaccination status: vaccinated Imaging: Pulm edema Oxygen requirements on admission: 4L Oxygen requirement at baseline: 3 L Current oxygen requirements: 3L Medical therapy: Currently on Decadron?12/23 discontinued as patient stable on home 3L. Received 5 days of decadron during hospitalization Consultants following:  None Anticipated special isolation end date: 12/30   Pancytopenia WBC 4.4; Hb 10.8 Plt 32 Platelets of 32 on presentation, now back to normal Unclear if this was lab error Hematology consulted, likely all lab error Eliquis resumed Hemoglobin 11.2 with platelets 135 on 12/26  DM II; controlled Hemoglobin A1c 8.1 Diet controlled at home Currently on SSI, Lantus increased to 15 units nightly due to hyperglycemia Controlled Discharge on Lantus 10 units with further adjustments per PCP   PAD History of bilateral BKA Cont home Trental Eliquis resumed   Patient seen and examined on day of discharge patient was in the mid 90s on his home 3 L.  Denied any shortness of breath or chest pain.  Admits to bowel movement this morning.  Was amendable to Senokot-S on discharge for bowel regularity.  Denied any other complaints.  I did discuss with case management who confirmed that with outpatient HD that he can return to normal center at regular scheduled time. Family has private transport home set up for 12/27.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray abnormal, Death, Diarrhoea
Clinical narrative: 3RD DOSE OF MODERNA COVID VACCINE GIVEN 12/1/21, LOT # 018F21A; pt to hospital with c/o weakness, nausea, vomiting, diarrhea, dyspnea; required intubation; CXR showed multifocal pneumonia; found to be positive for COVID; started Remdesivir, but had to dc due to rise in LFT; given ABX and dexamethasone; renal function worsened; pt extubated and still on O2 supplementation; made some improvements, then dyspnea worsened; taken to ICU; oxygenating well on 6 L O2 via NC; pt experienced hypoxemic respiratory failure and passed away in the hospital
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Intensive care, Liver function test increased, Nausea
Clinical narrative: 3RD DOSE OF MODERNA COVID VACCINE GIVEN 12/1/21, LOT # 018F21A; pt to hospital with c/o weakness, nausea, vomiting, diarrhea, dyspnea; required intubation; CXR showed multifocal pneumonia; found to be positive for COVID; started Remdesivir, but had to dc due to rise in LFT; given ABX and dexamethasone; renal function worsened; pt extubated and still on O2 supplementation; made some improvements, then dyspnea worsened; taken to ICU; oxygenating well on 6 L O2 via NC; pt experienced hypoxemic respiratory failure and passed away in the hospital
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Renal impairment, Respiratory failure, SARS-CoV-2 test positive, Vomiting
Clinical narrative: 3RD DOSE OF MODERNA COVID VACCINE GIVEN 12/1/21, LOT # 018F21A; pt to hospital with c/o weakness, nausea, vomiting, diarrhea, dyspnea; required intubation; CXR showed multifocal pneumonia; found to be positive for COVID; started Remdesivir, but had to dc due to rise in LFT; given ABX and dexamethasone; renal function worsened; pt extubated and still on O2 supplementation; made some improvements, then dyspnea worsened; taken to ICU; oxygenating well on 6 L O2 via NC; pt experienced hypoxemic respiratory failure and passed away in the hospital
Age: 4.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient received Pfizer 5-11 year old COVID vaccine. Patient waited 15 minutes post injection with no adverse reactions. Vaccine administration error was not realized until patient left the office and LPN was documenting vaccine administration. Nurse manager contacted to inform mom of vaccine administration error.  Mom denied adverse reactions at time of phone call. Advised mom to continue to monitor for adverse reactions. Mom verbalized understanding.
Age: 63.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Oropharyngeal pain, Pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I received my Covid-19 vaccine on 10/11/2022. On 11/28/2022 I woke up with a sore throat, minor congestion and feeling achy. Next day I took the Covid-19 home test was positive. Went to urgent care and retested. Doctor prescribed antiviral drug and symptoms lasted approx. a week then went away.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature decreased, Borrelia test, COVID-19, Chest pain
Clinical narrative: Soon after I had the vaccine I started to have joint pain in all my major joints (knees, hips, elbows, shoulders, etc.) then I began to feel other symptoms.  Dizziness, random chest pain, shortness of breath after minimal exertion, difficulty concentrating, difficulty sleeping, heart palpitations.  Eventually I began to have high blood pressure for the first time in my life.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax, Cystoscopy, Disturbance in attention, Dizziness, Dyspnoea
Clinical narrative: Soon after I had the vaccine I started to have joint pain in all my major joints (knees, hips, elbows, shoulders, etc.) then I began to feel other symptoms.  Dizziness, random chest pain, shortness of breath after minimal exertion, difficulty concentrating, difficulty sleeping, heart palpitations.  Eventually I began to have high blood pressure for the first time in my life.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Electrocardiogram abnormal, Electrocardiogram ambulatory abnormal, Fibrin D dimer, Hypertension
Clinical narrative: Soon after I had the vaccine I started to have joint pain in all my major joints (knees, hips, elbows, shoulders, etc.) then I began to feel other symptoms.  Dizziness, random chest pain, shortness of breath after minimal exertion, difficulty concentrating, difficulty sleeping, heart palpitations.  Eventually I began to have high blood pressure for the first time in my life.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Hypothermia, Insomnia, Laboratory test, Palpitations, Pulmonary function test
Clinical narrative: Soon after I had the vaccine I started to have joint pain in all my major joints (knees, hips, elbows, shoulders, etc.) then I began to feel other symptoms.  Dizziness, random chest pain, shortness of breath after minimal exertion, difficulty concentrating, difficulty sleeping, heart palpitations.  Eventually I began to have high blood pressure for the first time in my life.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Urogram
Clinical narrative: Soon after I had the vaccine I started to have joint pain in all my major joints (knees, hips, elbows, shoulders, etc.) then I began to feel other symptoms.  Dizziness, random chest pain, shortness of breath after minimal exertion, difficulty concentrating, difficulty sleeping, heart palpitations.  Eventually I began to have high blood pressure for the first time in my life.
Age: 74.0
Sex: F
Vaccine: MMR
Symptoms: Cough, Dyspnoea, Swelling face
Clinical narrative: Over 24 hours after vaccination, patient reported to primary provider with complaints of facial swelling, dyspnea, and cough. Was then admitted to hospital for close airway monitoring
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac monitoring abnormal, Condition aggravated, Dizziness, Echocardiogram abnormal
Clinical narrative: I occasionally would have palpitations and an irregular heartbeat. I have since been diagnosed with Afib presently and have taken the 4th and 5th dose. I am on a heart monitor now. I did have a tachycardia attack sometime in September 2021, after the 4th dose. But to be brief, my heart races and I get palpitations and dizzy spells. This all became much more pronounced after the 3rd dose, which is why I am reporting on the 3rd dose as the start. I also had the afib attack soon after the 5th dose. It seems that the vaccine might be triggering and flaring up any pre existing conditions. I did have palpitations before any of the COVID vaccines and before COVID but they were mild and very sporadic. Now they are much more pronounced now, which could be age, but it seems to be a pattern with the vaccines and my current attacks.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Heart rate irregular, Palpitations, Tachycardia
Clinical narrative: I occasionally would have palpitations and an irregular heartbeat. I have since been diagnosed with Afib presently and have taken the 4th and 5th dose. I am on a heart monitor now. I did have a tachycardia attack sometime in September 2021, after the 4th dose. But to be brief, my heart races and I get palpitations and dizzy spells. This all became much more pronounced after the 3rd dose, which is why I am reporting on the 3rd dose as the start. I also had the afib attack soon after the 5th dose. It seems that the vaccine might be triggering and flaring up any pre existing conditions. I did have palpitations before any of the COVID vaccines and before COVID but they were mild and very sporadic. Now they are much more pronounced now, which could be age, but it seems to be a pattern with the vaccines and my current attacks.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Death on 12/16/2022
Age: 73.0
Sex: M
Vaccine: FLUA4
Symptoms: Pain, Pain in extremity
Clinical narrative: Patient states has pain in arm since vaccination with occasional shooting pain.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, Aortic valve replacement, Atrial fibrillation, Blood culture negative
Clinical narrative: Patient is a 76 y.o. female patient of local MD with history of Colon Cancer with mets, CKD, DM II, Gout, HTN, HLD, Hypothyroidism, RA, Stroke, Anemia, CAD presented to local Hospital with Fever.  Was found to be neutropenic, with neutropenic fever started on broad-spectrum antibiotics and consult placed to infectious disease and oncology.  Tested positive for COVID-19 and was hypoxic.  Over the following days able to be weaned off oxygen.  With resolution of fevers and negative cultures, fevers likely all due to COVID infection.  Received Neupogen per oncology with resolution of neutropenia.  With improvement of symptoms patient to be discharged home.     COVID-19 Neutropenic fever Acute respiratory failure with hypoxia Reported fever of 103.8 at clinic COVID test positive RLE venous doppler neg for DVT UA neg, CXR no acute process. Lactate normal Neutropenic on presentation Oncology recommended empiric antibiotics Blood cultures NGTD Continue vancomycin, cefepime for now, likely be able to de-escalate in the near future as no longer neutropenic On Decadron and remdesivir while inpatient Neupogen given 12/14 and 12/15, neutrophils trending up ID and Oncology consulted Initially hypoxic requiring 2 L nasal cannula, has since been weaned to room air Continues to have intermittent fevers PT/OT consulted      Colon Ca with metastasis Pancytopenia Follows with personal Dr. Pancytopenia due to chemotherapy Hb 8.7, Plt 75, WBC 1.76 on admission On Chemotherapy Oncology following Neupogen started 12/14, since been discontinued with resolution of neutropenia PAF S/p aortic & mitral valve replacement On warfarin   HLD Continue statin   Chronic Pain RA Continue prn norco   Severe malnutrition POA Likely secondary to metastatic colon cancer Dietitian consulted
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactic acid normal, COVID-19, Chemotherapy, Chest X-ray normal, Colon cancer metastatic
Clinical narrative: Patient is a 76 y.o. female patient of local MD with history of Colon Cancer with mets, CKD, DM II, Gout, HTN, HLD, Hypothyroidism, RA, Stroke, Anemia, CAD presented to local Hospital with Fever.  Was found to be neutropenic, with neutropenic fever started on broad-spectrum antibiotics and consult placed to infectious disease and oncology.  Tested positive for COVID-19 and was hypoxic.  Over the following days able to be weaned off oxygen.  With resolution of fevers and negative cultures, fevers likely all due to COVID infection.  Received Neupogen per oncology with resolution of neutropenia.  With improvement of symptoms patient to be discharged home.     COVID-19 Neutropenic fever Acute respiratory failure with hypoxia Reported fever of 103.8 at clinic COVID test positive RLE venous doppler neg for DVT UA neg, CXR no acute process. Lactate normal Neutropenic on presentation Oncology recommended empiric antibiotics Blood cultures NGTD Continue vancomycin, cefepime for now, likely be able to de-escalate in the near future as no longer neutropenic On Decadron and remdesivir while inpatient Neupogen given 12/14 and 12/15, neutrophils trending up ID and Oncology consulted Initially hypoxic requiring 2 L nasal cannula, has since been weaned to room air Continues to have intermittent fevers PT/OT consulted      Colon Ca with metastasis Pancytopenia Follows with personal Dr. Pancytopenia due to chemotherapy Hb 8.7, Plt 75, WBC 1.76 on admission On Chemotherapy Oncology following Neupogen started 12/14, since been discontinued with resolution of neutropenia PAF S/p aortic & mitral valve replacement On warfarin   HLD Continue statin   Chronic Pain RA Continue prn norco   Severe malnutrition POA Likely secondary to metastatic colon cancer Dietitian consulted
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Culture negative, Febrile neutropenia, Haemoglobin decreased, Hypoxia, Malnutrition
Clinical narrative: Patient is a 76 y.o. female patient of local MD with history of Colon Cancer with mets, CKD, DM II, Gout, HTN, HLD, Hypothyroidism, RA, Stroke, Anemia, CAD presented to local Hospital with Fever.  Was found to be neutropenic, with neutropenic fever started on broad-spectrum antibiotics and consult placed to infectious disease and oncology.  Tested positive for COVID-19 and was hypoxic.  Over the following days able to be weaned off oxygen.  With resolution of fevers and negative cultures, fevers likely all due to COVID infection.  Received Neupogen per oncology with resolution of neutropenia.  With improvement of symptoms patient to be discharged home.     COVID-19 Neutropenic fever Acute respiratory failure with hypoxia Reported fever of 103.8 at clinic COVID test positive RLE venous doppler neg for DVT UA neg, CXR no acute process. Lactate normal Neutropenic on presentation Oncology recommended empiric antibiotics Blood cultures NGTD Continue vancomycin, cefepime for now, likely be able to de-escalate in the near future as no longer neutropenic On Decadron and remdesivir while inpatient Neupogen given 12/14 and 12/15, neutrophils trending up ID and Oncology consulted Initially hypoxic requiring 2 L nasal cannula, has since been weaned to room air Continues to have intermittent fevers PT/OT consulted      Colon Ca with metastasis Pancytopenia Follows with personal Dr. Pancytopenia due to chemotherapy Hb 8.7, Plt 75, WBC 1.76 on admission On Chemotherapy Oncology following Neupogen started 12/14, since been discontinued with resolution of neutropenia PAF S/p aortic & mitral valve replacement On warfarin   HLD Continue statin   Chronic Pain RA Continue prn norco   Severe malnutrition POA Likely secondary to metastatic colon cancer Dietitian consulted
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Mitral valve replacement, Neutropenia, Neutrophil count increased, Pancytopenia, Platelet count decreased
Clinical narrative: Patient is a 76 y.o. female patient of local MD with history of Colon Cancer with mets, CKD, DM II, Gout, HTN, HLD, Hypothyroidism, RA, Stroke, Anemia, CAD presented to local Hospital with Fever.  Was found to be neutropenic, with neutropenic fever started on broad-spectrum antibiotics and consult placed to infectious disease and oncology.  Tested positive for COVID-19 and was hypoxic.  Over the following days able to be weaned off oxygen.  With resolution of fevers and negative cultures, fevers likely all due to COVID infection.  Received Neupogen per oncology with resolution of neutropenia.  With improvement of symptoms patient to be discharged home.     COVID-19 Neutropenic fever Acute respiratory failure with hypoxia Reported fever of 103.8 at clinic COVID test positive RLE venous doppler neg for DVT UA neg, CXR no acute process. Lactate normal Neutropenic on presentation Oncology recommended empiric antibiotics Blood cultures NGTD Continue vancomycin, cefepime for now, likely be able to de-escalate in the near future as no longer neutropenic On Decadron and remdesivir while inpatient Neupogen given 12/14 and 12/15, neutrophils trending up ID and Oncology consulted Initially hypoxic requiring 2 L nasal cannula, has since been weaned to room air Continues to have intermittent fevers PT/OT consulted      Colon Ca with metastasis Pancytopenia Follows with personal Dr. Pancytopenia due to chemotherapy Hb 8.7, Plt 75, WBC 1.76 on admission On Chemotherapy Oncology following Neupogen started 12/14, since been discontinued with resolution of neutropenia PAF S/p aortic & mitral valve replacement On warfarin   HLD Continue statin   Chronic Pain RA Continue prn norco   Severe malnutrition POA Likely secondary to metastatic colon cancer Dietitian consulted
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Ultrasound Doppler normal, Urine analysis normal, White blood cell count decreased
Clinical narrative: Patient is a 76 y.o. female patient of local MD with history of Colon Cancer with mets, CKD, DM II, Gout, HTN, HLD, Hypothyroidism, RA, Stroke, Anemia, CAD presented to local Hospital with Fever.  Was found to be neutropenic, with neutropenic fever started on broad-spectrum antibiotics and consult placed to infectious disease and oncology.  Tested positive for COVID-19 and was hypoxic.  Over the following days able to be weaned off oxygen.  With resolution of fevers and negative cultures, fevers likely all due to COVID infection.  Received Neupogen per oncology with resolution of neutropenia.  With improvement of symptoms patient to be discharged home.     COVID-19 Neutropenic fever Acute respiratory failure with hypoxia Reported fever of 103.8 at clinic COVID test positive RLE venous doppler neg for DVT UA neg, CXR no acute process. Lactate normal Neutropenic on presentation Oncology recommended empiric antibiotics Blood cultures NGTD Continue vancomycin, cefepime for now, likely be able to de-escalate in the near future as no longer neutropenic On Decadron and remdesivir while inpatient Neupogen given 12/14 and 12/15, neutrophils trending up ID and Oncology consulted Initially hypoxic requiring 2 L nasal cannula, has since been weaned to room air Continues to have intermittent fevers PT/OT consulted      Colon Ca with metastasis Pancytopenia Follows with personal Dr. Pancytopenia due to chemotherapy Hb 8.7, Plt 75, WBC 1.76 on admission On Chemotherapy Oncology following Neupogen started 12/14, since been discontinued with resolution of neutropenia PAF S/p aortic & mitral valve replacement On warfarin   HLD Continue statin   Chronic Pain RA Continue prn norco   Severe malnutrition POA Likely secondary to metastatic colon cancer Dietitian consulted
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: No adverse events reported.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Aphonia, COVID-19, Cough, Dysphagia, Headache
Clinical narrative: After the vaccine I had headache for three days. (Cross reference to V-safe). I got COVID-19 last Saturday Jan 7th, at 4:00AM , I had very painful sore throat, so painful it was difficult to swallow, later on the day I had fever (101.7), sinus pain, headache, body ache, I had a home COVID-19 test and it was positive (very dark), I called my doctor, I requested PAXLOVID, I was told I had to speak to someone tele health appointment the next day, Sunday Jan 8th, I had the appointment with the TA and he prescribed PAXLOVID and ibuprofen, I never picked it up until that evening, the first dose 8PM January 8th. I am still taking PAXLOVID. I am on day 4th, symptoms are improving. On Monday Jan 9th coughing about 100 times a day. On Tuesday night January 10th at 9PM I started dry rapid pulse, take me from sleeping. Last night January 11th I took the first cough medicine, I called my doctor back, I lost my voice. The nurse told me that due to my symptom and my test results I had a huge Viral Load. She thinks I got the new Omicron Variant.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Heart rate increased, Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 RNA increased
Clinical narrative: After the vaccine I had headache for three days. (Cross reference to V-safe). I got COVID-19 last Saturday Jan 7th, at 4:00AM , I had very painful sore throat, so painful it was difficult to swallow, later on the day I had fever (101.7), sinus pain, headache, body ache, I had a home COVID-19 test and it was positive (very dark), I called my doctor, I requested PAXLOVID, I was told I had to speak to someone tele health appointment the next day, Sunday Jan 8th, I had the appointment with the TA and he prescribed PAXLOVID and ibuprofen, I never picked it up until that evening, the first dose 8PM January 8th. I am still taking PAXLOVID. I am on day 4th, symptoms are improving. On Monday Jan 9th coughing about 100 times a day. On Tuesday night January 10th at 9PM I started dry rapid pulse, take me from sleeping. Last night January 11th I took the first cough medicine, I called my doctor back, I lost my voice. The nurse told me that due to my symptom and my test results I had a huge Viral Load. She thinks I got the new Omicron Variant.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Sinus pain, Sleep disorder
Clinical narrative: After the vaccine I had headache for three days. (Cross reference to V-safe). I got COVID-19 last Saturday Jan 7th, at 4:00AM , I had very painful sore throat, so painful it was difficult to swallow, later on the day I had fever (101.7), sinus pain, headache, body ache, I had a home COVID-19 test and it was positive (very dark), I called my doctor, I requested PAXLOVID, I was told I had to speak to someone tele health appointment the next day, Sunday Jan 8th, I had the appointment with the TA and he prescribed PAXLOVID and ibuprofen, I never picked it up until that evening, the first dose 8PM January 8th. I am still taking PAXLOVID. I am on day 4th, symptoms are improving. On Monday Jan 9th coughing about 100 times a day. On Tuesday night January 10th at 9PM I started dry rapid pulse, take me from sleeping. Last night January 11th I took the first cough medicine, I called my doctor back, I lost my voice. The nurse told me that due to my symptom and my test results I had a huge Viral Load. She thinks I got the new Omicron Variant.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Death, Pneumonia aspiration, SARS-CoV-2 test positive
Clinical narrative: 3RD DOSE PFIZER COVID VACCINE GIVEN 12/7/21, LOT #FJ1620; pt had a positive COVID test on 7/30/22; brought to hospital and admitted to Hospice for end of life care; comfort measures; pt had previous aspiration pneumonia as well; acute hypoxic respiratory failure; pt passed away in the hospital under hospice care
Age: 1.25
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Single component of a two-component product administered
Clinical narrative: I administered Pentacel without mixing the other powdered component
Age: 32.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: No adverse events reported.
Age: 76.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Chest discomfort, Cough, Fatigue, Feeling abnormal
Clinical narrative: I was feeling out of sorts, I would not say I had one symptom that made me think I was sick, but just felt a little off. I had COVID-19 home tests and I decided to take one and it was positive. I reached out to my healthcare provider, but he did not get back to me for about 48 hours. In that time frame I had a headache, sore throat, and fatigue, these were really my only symptoms that I had throughout my time of being positive. The sore throat was the worst and the fatigue lasted throughout as all. I finally spoke with my health care provider, and he gave me PAXLOVID and that did help and shortly after that I did test negative. However, 48 hours after that negative test I tested positive again. Then the cough started with a tightness in my chest. This cough has continued now but once I am up and around and it dies down and is not as bad. I tested negative three days consecutively starting on January 5th and then the last day on the 7th. The last day I had been positive was the day before that on January 4th.
Age: 76.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Headache, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I was feeling out of sorts, I would not say I had one symptom that made me think I was sick, but just felt a little off. I had COVID-19 home tests and I decided to take one and it was positive. I reached out to my healthcare provider, but he did not get back to me for about 48 hours. In that time frame I had a headache, sore throat, and fatigue, these were really my only symptoms that I had throughout my time of being positive. The sore throat was the worst and the fatigue lasted throughout as all. I finally spoke with my health care provider, and he gave me PAXLOVID and that did help and shortly after that I did test negative. However, 48 hours after that negative test I tested positive again. Then the cough started with a tightness in my chest. This cough has continued now but once I am up and around and it dies down and is not as bad. I tested negative three days consecutively starting on January 5th and then the last day on the 7th. The last day I had been positive was the day before that on January 4th.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: She is a health care worker.  She presented with her CDC card.  There was no indication she had received the Bivalent Booster.  She filled out the paperwork for consent.  At time of injection prior to injections she was asked if she had received a Bivalent she stated no.  When charting this information into patients Chart there was no indication she had received a Bivalent booster.  However when nursing facility was charting in their system they found out on Oct 2022 she did in fact receive a bivalent booster and notified us of this.   NO adverse reaction-no symptoms, no signs, no treatment, no reaction
Age: 63.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: No adverse events reported.
Age: 91.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: No adverse event reported.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Atrial fibrillation, Echocardiogram, Electrocardiogram ambulatory, Hypotension, Postural orthostatic tachycardia syndrome
Clinical narrative: Developed postural/orthostatic tachycardia (HR 120s) over several days, lowered blood pressure, and sudden onset of atrial fibrillation (HR 150s)  that lasted 4.5 hours on 10/21/2022. No prior or subsequent history of these events.
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: No adverse events reported.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, COVID-19, Chills, Headache, Nasal congestion
Clinical narrative: It was a real bad burning in my nose and nasal congestion. I thought it was a sinus infection because I get those frequently. I also had chills and a fever, and a headache. My blood pressure was also up. I took an at home COVID-19 test and it came back positive. I went to the doctor the next day and took another COVID-19 test which also came back positive. I was given PAXLOVID. It was also noted after the COVID-19 infection that I had some hypertension. I was told to take zinc and vitamin C, and I was put on low dose amlodipine.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal discomfort, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: It was a real bad burning in my nose and nasal congestion. I thought it was a sinus infection because I get those frequently. I also had chills and a fever, and a headache. My blood pressure was also up. I took an at home COVID-19 test and it came back positive. I went to the doctor the next day and took another COVID-19 test which also came back positive. I was given PAXLOVID. It was also noted after the COVID-19 infection that I had some hypertension. I was told to take zinc and vitamin C, and I was put on low dose amlodipine.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, SARS-CoV-2 test positive, Wheezing
Clinical narrative: I tested positive for COVID-219 on 12/23/22. She had a cough, and wheezing. No other symptoms occurred. We contacted her doctor, and she was prescribed Albuterol. Since testing positive for COVID-19 she has been wheezing a lot and has a lingering cough. She is using an inhaler now.
Age: 80.0
Sex: F
Vaccine: COVID19-2
Symptoms: Death
Clinical narrative: Death on 01/01/2023
Age: 20.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: No adverse events reported.
Age: 27.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: No adverse events reported.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal cavity drainage, Abdominal distension, Catheterisation cardiac normal, Death, Dyspnoea
Clinical narrative: Started having shortness of breath in March (or possibly earlier than March) 2022, had heart cath in April 2022 which was normal. April 2022 had shortness of breath, extreme fatigue, swelling in lower extremities and abdomen, nausea, vomiting. Diagnosed in May 2022 with blood clots in legs and lung, had saddle embolism in lung, hemoglobin would drop due to bleeding ulcers in GI tract, was having to have paracentesis weekly due to fluid in abdomen from non alcoholic cirrhosis of her liver. 5 hospitalizations in less that 2 months. Died on June 11, 2022. These were all new medical issues within 3 months of having the Covid booster.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gastrointestinal ulcer haemorrhage, Haemoglobin decreased, Hepatic cirrhosis, Nausea
Clinical narrative: Started having shortness of breath in March (or possibly earlier than March) 2022, had heart cath in April 2022 which was normal. April 2022 had shortness of breath, extreme fatigue, swelling in lower extremities and abdomen, nausea, vomiting. Diagnosed in May 2022 with blood clots in legs and lung, had saddle embolism in lung, hemoglobin would drop due to bleeding ulcers in GI tract, was having to have paracentesis weekly due to fluid in abdomen from non alcoholic cirrhosis of her liver. 5 hospitalizations in less that 2 months. Died on June 11, 2022. These were all new medical issues within 3 months of having the Covid booster.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pulmonary embolism, Pulmonary thrombosis, Thrombosis, Vomiting
Clinical narrative: Started having shortness of breath in March (or possibly earlier than March) 2022, had heart cath in April 2022 which was normal. April 2022 had shortness of breath, extreme fatigue, swelling in lower extremities and abdomen, nausea, vomiting. Diagnosed in May 2022 with blood clots in legs and lung, had saddle embolism in lung, hemoglobin would drop due to bleeding ulcers in GI tract, was having to have paracentesis weekly due to fluid in abdomen from non alcoholic cirrhosis of her liver. 5 hospitalizations in less that 2 months. Died on June 11, 2022. These were all new medical issues within 3 months of having the Covid booster.
Age: 8.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient was administered the bivalent vaccine two days after the beyond use date was. Pfizer was contacted and said viability of vaccine could be up to 72 days in the refrigerator in accepted temperatures. The day of vaccination would have been the 72nd day in the accepted temperature range.
Age: 62.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: No adverse events reported.
Age: 29.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: I experienced a breakthrough case of COVID-19 with extreme fatigue.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Productive cough, SARS-CoV-2 test positive
Clinical narrative: I did not have a reaction to the vaccine. I was exposed from family members that had traveled. I tested positive for COVID-19 on 11/24/2022 with a home test. It took ten days before I tested negative. I contacted my doctor and they prescribed Paxlovid, but I never took it. My main symptom was a very productive cough.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, COVID-19, Cough, Diarrhoea, Exposure to SARS-CoV-2
Clinical narrative: A friend had let me know they had tested positive for COVID-19, and I was around them, so I took a COVID-19 home test and it was positive. That night I had a lot of diarrhea, a runny nose, a ton of sneezing, and runny eyes. I did have a cough that now that I think about it may have started the day before because it was different than my normal allergy cough. I called my doctor that same day and they did give me PAXLOVID which I started Friday after adjusting the normal medications I take. I started that on Friday as instructed and I did not really notice if it made a difference or not. I probably about 80% better at this point, I am achy and I do not have a lot of energy but the runny nose, sneezing and coughing are gone.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lacrimation increased, Pain, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
Clinical narrative: A friend had let me know they had tested positive for COVID-19, and I was around them, so I took a COVID-19 home test and it was positive. That night I had a lot of diarrhea, a runny nose, a ton of sneezing, and runny eyes. I did have a cough that now that I think about it may have started the day before because it was different than my normal allergy cough. I called my doctor that same day and they did give me PAXLOVID which I started Friday after adjusting the normal medications I take. I started that on Friday as instructed and I did not really notice if it made a difference or not. I probably about 80% better at this point, I am achy and I do not have a lot of energy but the runny nose, sneezing and coughing are gone.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Chest pain, Dyspnoea, Electrocardiogram, Laboratory test
Clinical narrative: 1/8/23 chest pain, palpitations, tachycardia and dyspnea.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Tachycardia
Clinical narrative: 1/8/23 chest pain, palpitations, tachycardia and dyspnea.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: No adverse effects reported.
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Heart rate increased, Supraventricular tachycardia
Clinical narrative: I experienced Supraventricular Tachycardia with increased heartrate.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: No adverse events reported.
Age: 19.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: No adverse events reported.
Age: 56.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: COVID-19, Cough, Diarrhoea, Fatigue, Malaise
Clinical narrative: After the vaccine I had no problems, two months later when I got COVID-19 I had cough, congestion on my chest, diarrhea, fatigue, and a fever. Symptoms started on December 20th, on the 21st I had a home test and I tested positive, on the 22nd I called my doctor and started PAXLOVID, I took it for 5 days and I felt better. On the 29th my cough came back, and I was running a fever and then symptoms started to get better, on the 6th of January I became sick again with vomiting, diarrhea and a fever.
Age: 56.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Vomiting
Clinical narrative: After the vaccine I had no problems, two months later when I got COVID-19 I had cough, congestion on my chest, diarrhea, fatigue, and a fever. Symptoms started on December 20th, on the 21st I had a home test and I tested positive, on the 22nd I called my doctor and started PAXLOVID, I took it for 5 days and I felt better. On the 29th my cough came back, and I was running a fever and then symptoms started to get better, on the 6th of January I became sick again with vomiting, diarrhea and a fever.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: No adverse events reported.
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Conjunctivitis, Cough, Ear infection, Fatigue, Headache
Clinical narrative: On Thursday, December 22, 2022, I had a sore throat, cough, and congestion. I consulted on online doctor who gave some advice but did not provide medication. The symptoms worsened through December 25th and 26th to included headache and fatigue. I went to urgent care on December 26, 2022. The provider administered a COVID-19 test. The result was negative. I was diagnosed with an ear infection, a sinus infection, and conjunctivitis. The cough and congestion continued until about January 5 or 6, 2023. Minor sinus symptoms continued through January 12, 2023.
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative, Sinusitis
Clinical narrative: On Thursday, December 22, 2022, I had a sore throat, cough, and congestion. I consulted on online doctor who gave some advice but did not provide medication. The symptoms worsened through December 25th and 26th to included headache and fatigue. I went to urgent care on December 26, 2022. The provider administered a COVID-19 test. The result was negative. I was diagnosed with an ear infection, a sinus infection, and conjunctivitis. The cough and congestion continued until about January 5 or 6, 2023. Minor sinus symptoms continued through January 12, 2023.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin abnormal, Chronic spontaneous urticaria, Laboratory test normal, Urticaria
Clinical narrative: I randomly broke out in hives a few weeks after my Moderna booster shot. The hives have been present every couple of days since September 2022. They appear of my stomach, legs, feet, and arms. This have been an ongoing event and no treatment options have helped (steroid shots, creams, antihistamines). This continues to be an issue for me and it only seems to be getting worse.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site discharge, Injection site haemorrhage, Injection site mass, Injection site pain, Injection site warmth
Clinical narrative: on 11/2/22 patient reported painful lump at injection site and warm to the touch on 11/29/22 later reported injection site was oozing pus and blood.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Body temperature increased, Chills, Fatigue, Injection site pain, Myalgia
Clinical narrative: 1600L Chills, fatigue, muscle aches, sore injection site, 101.3° temp Aleve at 2300L
Age: 93.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: No adverse events reported.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: No adverse events reported.
Age: 67.0
Sex: F
Vaccine: COVID19-2, FLUR4
Symptoms: COVID-19, Chest pain, Cough, Fatigue, SARS-CoV-2 test positive
Clinical narrative: I had a cough and chest pain.  I did not get a fever.  I was very tired.  I did have rebound COVID-19 as well.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Vaccination error
Clinical narrative: On 10/21/2121 patient was given a full dose Moderna dose, for dose 3. Patient forms reviewed and patient is NOT immunocompromised. Patient received one booster following this on 06/30/2022 and a bivalent dose on 01/11/2023, which is when this error was noticed.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Underdose
Clinical narrative: PT WAS GIVEN MODERNA MONOVALENT 6  MONTHS TO 5 YRS BY MEDICAL ASSISTANT AS A BOOSTER DOSE