chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient was diagnosed with covid on 10.6.21. Patient was seen by PCP and started on steroids. Patient was not improving so she came to the hospital.  O2 sats on room air were 85%. Patient was diagnosed with acute hypoxic respiratory failure from Covid penumonia. Patient treated with IV Decadron, Remdesivir, vitamin supplements. Patient was able to wean off oxygen. Patient was discharged home.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, COVID-19, COVID-19 pneumonia, Chronic kidney disease
Clinical narrative: Patient presented to the ER with complaints of weakness and dizziness. Patient tested positive for Covid-19. Patient was admitted for covid-19 pneumonia, AKI on CKD, and UTI. Patient developed septic shock. Patient was treated with Decadron IV, Remdesivir, Tocilizumab, and vitamin supplements. Family made decision to transfer to Hospice inpatient. Patient passed away on 12.12.21.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dizziness, SARS-CoV-2 test positive, Septic shock, Urinary tract infection
Clinical narrative: Patient presented to the ER with complaints of weakness and dizziness. Patient tested positive for Covid-19. Patient was admitted for covid-19 pneumonia, AKI on CKD, and UTI. Patient developed septic shock. Patient was treated with Decadron IV, Remdesivir, Tocilizumab, and vitamin supplements. Family made decision to transfer to Hospice inpatient. Patient passed away on 12.12.21.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Delivery, Exposure during pregnancy, Malaise, SARS-CoV-2 test positive
Clinical narrative: Patient admitted to L&D for delivery. Patient tested positive for covid, mild symptoms since 10.2.21 with sinus congestion. No specific covid treatment given. Patient discharged home.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus congestion
Clinical narrative: Patient admitted to L&D for delivery. Patient tested positive for covid, mild symptoms since 10.2.21 with sinus congestion. No specific covid treatment given. Patient discharged home.
Age: 62.0
Sex: F
Vaccine: HEPAB, PNC20, RSV, TDAP
Symptoms: Culture wound, Injection site pain, Injection site reaction, Serratia test positive, Skin wound
Clinical narrative: Patient states on September 15 she received a tetanus booster to the right upper arm.  Patient reports there is persistent pain at the area that then turned to a wound.  Patient states there is now a visible hole to the site over the past 2 weeks.  Patient states that she was evaluated by her primary care provider.  Patient states that when at her providers office she had the wound opened and packed.  She states that she has placed antibiotic ointment and covering over the wound but has continued to not heal.  She called her primary care provider and was sent to the ER.  She denies any fever, pus drainage, surrounding redness.  Denies any chest pain, shortness of breath, fever, cough, vomiting, diarrhea. Treated with antibiotics and referred for wound care.
Age: 62.0
Sex: F
Vaccine: HEPAB, PNC20, RSV, TDAP
Symptoms: Wound treatment
Clinical narrative: Patient states on September 15 she received a tetanus booster to the right upper arm.  Patient reports there is persistent pain at the area that then turned to a wound.  Patient states there is now a visible hole to the site over the past 2 weeks.  Patient states that she was evaluated by her primary care provider.  Patient states that when at her providers office she had the wound opened and packed.  She states that she has placed antibiotic ointment and covering over the wound but has continued to not heal.  She called her primary care provider and was sent to the ER.  She denies any fever, pus drainage, surrounding redness.  Denies any chest pain, shortness of breath, fever, cough, vomiting, diarrhea. Treated with antibiotics and referred for wound care.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Pericardial effusion
Clinical narrative: Per Family "She has fluid around the heart." "started a couple days ago"
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Ageusia, Anosmia, COVID-19 pneumonia, Cough
Clinical narrative: Patient presented to the ER with c/o cough and SOB. She first developed symptons on 12.23.21. Since then, she has had worsening cough, SOB, intermittent diarrhea, loss of taste and smell, fatigue and lethargy. Patient admitted to the hospital with acute hypoxemic respiratory failure secondary to Covid-19 pneumonia. Patient was treated with Decadron IV, vitamin supplements. Patient was not a candidate for Remdesivir as she was outside of the window. Patient was discharged home on home o2.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspnoea, Fatigue, Lethargy
Clinical narrative: Patient presented to the ER with c/o cough and SOB. She first developed symptons on 12.23.21. Since then, she has had worsening cough, SOB, intermittent diarrhea, loss of taste and smell, fatigue and lethargy. Patient admitted to the hospital with acute hypoxemic respiratory failure secondary to Covid-19 pneumonia. Patient was treated with Decadron IV, vitamin supplements. Patient was not a candidate for Remdesivir as she was outside of the window. Patient was discharged home on home o2.
Age: 50.0
Sex: F
Vaccine: HEP
Symptoms: Abdominal pain lower, Computerised tomogram abdomen normal
Clinical narrative: Severe LLQ abdominal pain. Had similar symptom after 2nd dose of Hep B series.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive, Walking distance test normal
Clinical narrative: On 01/12/2022, patient tested positive on home kit for COVID-19.  Patient came to the emergency room with increasing shortness of breath.  He was evaluated and found to have oxygen saturation of 88% on room air. Patient was treated with steroids, bronchodilators, remdesivir. Patient passed walk study. Patient was discharged home.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Chest X-ray abnormal, Constipation, Nausea
Clinical narrative: Patient presented to the ER with constipation, abdominal pain, nausea and vomiting. CXR showed left sided pneumonia. Patient tested positive for Covid-19. Patient required oxygen and was treated with Remdesivir and Decadron. Patient was able to wean off oxygen, passed walk study and was discharged home.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, SARS-CoV-2 test positive, Vomiting, Walking distance test normal
Clinical narrative: Patient presented to the ER with constipation, abdominal pain, nausea and vomiting. CXR showed left sided pneumonia. Patient tested positive for Covid-19. Patient required oxygen and was treated with Remdesivir and Decadron. Patient was able to wean off oxygen, passed walk study and was discharged home.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient given COVID vaccine on 12/1/23 that expired 11/30/23. No adverse event noted by patient
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient received Spikevax vaccine made for people over the age of 12 years old. NO ADVERSE EVENTS noted by parents. Patient weights 175 pounds and is 67" tall.
Age: 42.0
Sex: F
Vaccine: YF
Symptoms: Erythema, Injection site pruritus, Injection site swelling, Myalgia, Nausea
Clinical narrative: Developed erythema, swelling and pealing of the skin around the injection site. This improved but remained pruritic. Then she developed fevers, nausea and myalgias. Took motrin and benadryl with resolution of symptoms
Age: 42.0
Sex: F
Vaccine: YF
Symptoms: Pyrexia, Skin exfoliation
Clinical narrative: Developed erythema, swelling and pealing of the skin around the injection site. This improved but remained pruritic. Then she developed fevers, nausea and myalgias. Took motrin and benadryl with resolution of symptoms
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea
Clinical narrative: Patient presented to the ER with complaints of worsening shortness of breath with recently diagnosed Covid-19 infection. Patient stayed overnight in the ER to monitor with oxygen. Patient improved overnight, and due to covid surge, was discharged home the following morning.
Age: 13.0
Sex: F
Vaccine: FLUR4
Symptoms: Dizziness
Clinical narrative: Patient walked away from clinic with family.  Within 20 feet of clinic patient became lightheaded.  Her mother was able to sit her to the ground.  After a 1 minute she abmulated with supported assist to the clinic chairs where she was monitored for 10 minutes.  PERRLA, NML bp, awake and talking.  drinking water and eating lollipop. Once she left, she denied lightheadedness, dizziness, ambulating without issues.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Muscular weakness, Pneumonia viral
Clinical narrative: Patient was admitted for multifocal viral pneumonia related to Covid-19 infection. Patient was treated with vitamin supplements, nebulizer treatments. Patient had lower extremity weakness likely in the setting of Covid. Physical therapy recommended SNU. Patient was discharged to SNU.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Haemoglobin, Pyrexia, Red blood cell transfusion
Clinical narrative: Presented with shortness of breath and fevers. He was found to have COVID-19 positive. He was seen by infectious disease and placed on remdesivir and completed his 5-day course. He was also on empiric antibiotics and steroids. From respiratory standpoint, he has been weaned off oxygen and is now on room air. His WBC is elevated and he was seen by oncology and was felt to be stable. His rise in WBC was felt to be secondary to steroids. He did receive 2 units irradiated prbc this admission. His hgb is stable at 10.0 on discharge. He will follow up closely with PCP and oncology as outpatient.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, White blood cell count increased
Clinical narrative: Presented with shortness of breath and fevers. He was found to have COVID-19 positive. He was seen by infectious disease and placed on remdesivir and completed his 5-day course. He was also on empiric antibiotics and steroids. From respiratory standpoint, he has been weaned off oxygen and is now on room air. His WBC is elevated and he was seen by oncology and was felt to be stable. His rise in WBC was felt to be secondary to steroids. He did receive 2 units irradiated prbc this admission. His hgb is stable at 10.0 on discharge. He will follow up closely with PCP and oncology as outpatient.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Blood culture negative, COVID-19, COVID-19 pneumonia, Computerised tomogram head normal
Clinical narrative: came in with shortness of breath.  History of dementia, CKD.  Patient was hypoxic.  Initially was placed on BiPAP later weaned off the BiPAP.  Patient has on right lying dementia which was exacerbated by COVID-19 pneumonia.  His inflammatory markers/labs were monitored.  CT angiogram done showed no acute pulmonary embolus.  Showed progressive infiltrates in the both lower lobe.  CT head showed no intracranial abnormality either.  Patient had COVID-19 testing done on 12/28 came back positive.  Influenza negative, RSV negative sputum/blood cultures also negative.  Patient was placed on Remdesivir for 5 days. Done with his treatment.  Kept on steroids patient responded well.  Patient is currently on room air.  Was also kept on Zosyn for superimposed pneumonia.  Which was transitioned to p.o. cefdinir.  Discussed with infectious disease physician patient is currently stable to be discharged back to the memory care center.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Culture negative, Dementia, Dyspnoea, Hypoxia
Clinical narrative: came in with shortness of breath.  History of dementia, CKD.  Patient was hypoxic.  Initially was placed on BiPAP later weaned off the BiPAP.  Patient has on right lying dementia which was exacerbated by COVID-19 pneumonia.  His inflammatory markers/labs were monitored.  CT angiogram done showed no acute pulmonary embolus.  Showed progressive infiltrates in the both lower lobe.  CT head showed no intracranial abnormality either.  Patient had COVID-19 testing done on 12/28 came back positive.  Influenza negative, RSV negative sputum/blood cultures also negative.  Patient was placed on Remdesivir for 5 days. Done with his treatment.  Kept on steroids patient responded well.  Patient is currently on room air.  Was also kept on Zosyn for superimposed pneumonia.  Which was transitioned to p.o. cefdinir.  Discussed with infectious disease physician patient is currently stable to be discharged back to the memory care center.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Inflammatory marker test, Influenza virus test negative, Lung infiltration, Positive airway pressure therapy, Respiratory syncytial virus test negative
Clinical narrative: came in with shortness of breath.  History of dementia, CKD.  Patient was hypoxic.  Initially was placed on BiPAP later weaned off the BiPAP.  Patient has on right lying dementia which was exacerbated by COVID-19 pneumonia.  His inflammatory markers/labs were monitored.  CT angiogram done showed no acute pulmonary embolus.  Showed progressive infiltrates in the both lower lobe.  CT head showed no intracranial abnormality either.  Patient had COVID-19 testing done on 12/28 came back positive.  Influenza negative, RSV negative sputum/blood cultures also negative.  Patient was placed on Remdesivir for 5 days. Done with his treatment.  Kept on steroids patient responded well.  Patient is currently on room air.  Was also kept on Zosyn for superimposed pneumonia.  Which was transitioned to p.o. cefdinir.  Discussed with infectious disease physician patient is currently stable to be discharged back to the memory care center.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sputum culture
Clinical narrative: came in with shortness of breath.  History of dementia, CKD.  Patient was hypoxic.  Initially was placed on BiPAP later weaned off the BiPAP.  Patient has on right lying dementia which was exacerbated by COVID-19 pneumonia.  His inflammatory markers/labs were monitored.  CT angiogram done showed no acute pulmonary embolus.  Showed progressive infiltrates in the both lower lobe.  CT head showed no intracranial abnormality either.  Patient had COVID-19 testing done on 12/28 came back positive.  Influenza negative, RSV negative sputum/blood cultures also negative.  Patient was placed on Remdesivir for 5 days. Done with his treatment.  Kept on steroids patient responded well.  Patient is currently on room air.  Was also kept on Zosyn for superimposed pneumonia.  Which was transitioned to p.o. cefdinir.  Discussed with infectious disease physician patient is currently stable to be discharged back to the memory care center.
Age: 51.0
Sex: F
Vaccine: HPV9
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: None stated.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia
Clinical narrative: Acute hypoxic respiratory failure due to Covid 19 pneumonia:  Was on HFNC. Now on NC 3L liters/minute. Wean off as tolerated, received Remdesivir, on IV steroids, will change to oral prednisone taper. VQ with no PE. Better, she is off of precautions today.  OK for home today, home O2 arragned, f/u noted , ER precautions d/w pt, med reconciled, eliquis with card for one month
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, COVID-19 pneumonia, Fibrin D dimer increased, Surgery
Clinical narrative: Received vitamin C, antibiotics, decadron, Lovenox, and zinc. COVID-19 pneumonia patient not requiring any oxygen.  But in the light of elevated CRP and D-dimer will start her on Lovenox and steroids.  Cleared Lovenox with Dr since patient's less than 24 hours after surgery.
Age: 59.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Bursa injury, Magnetic resonance imaging abnormal, Product administered at inappropriate site, Tendonitis
Clinical narrative: Flu shot was injected into my right shoulder joint toward where the bicep tendin attached.  It was the most painful flu vax I have ever received.   Within a few days I was experiencing constant pain.   I suffered with this for a few weeks before calling Dr.'s office to inquire if this is normal.  I was told to ice my shoulder and take Advil.   I did this on and off for weeks and it did not help.   I just continued to suffer not knowing that the vax at actually injured me, I thought this might have been a reaction of some sort and would eventually clear up on it's own.   Around the holiday the pain in my right shoulder became unbearable.   I made an appointment with Dr. 11/28/2023
Age: 59.0
Sex: M
Vaccine: FLU4
Symptoms: X-ray limb abnormal
Clinical narrative: Flu shot was injected into my right shoulder joint toward where the bicep tendin attached.  It was the most painful flu vax I have ever received.   Within a few days I was experiencing constant pain.   I suffered with this for a few weeks before calling Dr.'s office to inquire if this is normal.  I was told to ice my shoulder and take Advil.   I did this on and off for weeks and it did not help.   I just continued to suffer not knowing that the vax at actually injured me, I thought this might have been a reaction of some sort and would eventually clear up on it's own.   Around the holiday the pain in my right shoulder became unbearable.   I made an appointment with Dr. 11/28/2023
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Fall, Fatigue, Gait inability
Clinical narrative: Presented with chief complaints of generalized weakness and fatigue and low hemoglobin of 6.1.Generalized debility: possibly related to covid which was diagnosed in 1/2/2022. Patient has not walked since January 1st since the fall.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased
Clinical narrative: Presented with chief complaints of generalized weakness and fatigue and low hemoglobin of 6.1.Generalized debility: possibly related to covid which was diagnosed in 1/2/2022. Patient has not walked since January 1st since the fall.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Malaise, Myalgia, Pyrexia
Clinical narrative: Admitted with acute stroke s/p TPA, but also had myalgias, low grade temps, and overall not feeling well upon presentation.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Hypoxia, Inflammatory marker test, Respiratory distress
Clinical narrative: presented with acute respiratory failure with hypoxia due to COVID-19 pneumonia.  Patient has been vaccinated already.  Patient does have history of lung injury from Agent Orange exposure in the past.   patient was admitted and received IV antibiotics, IV steroids, IV Remdisivir, Lovenox, Lasix.  Patient's COVID-19 inflammatory markers were monitored and have now improved.  Patient's respiratory status is improved and is now stable on 3 L oxygen.  Vital signs are stable today.  Patient is ambulating and oxygen saturation is maintaining on 3 L NC.  Patient is stable for discharge home today and will continue to wean off oxygen at home.  Patient will complete course of antibiotic and steroids as outpatient.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood glucose, COVID-19, Chills, Cough
Clinical narrative: Developed cough, fever and chills since 24th.  Tested positive for COVID on the 27th.  Son has been monitoring her oxygen level.  It was low today.  She was brought to the emergency room.  She has been weak also.  She did have the vaccine but did not get the booster. Patient was admitted.  Kept on oxygen and steroids.  Seen by Infectious Disease.  Not a candidate for remdesivir.  Her oxygen requirements have been stable at 2 L. her D-dimer is less than 1. Her blood sugars are under control.  Stable for discharge on home oxygen if needed with outpatient follow-up.  She does not want rehab
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, Oxygen saturation decreased, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Developed cough, fever and chills since 24th.  Tested positive for COVID on the 27th.  Son has been monitoring her oxygen level.  It was low today.  She was brought to the emergency room.  She has been weak also.  She did have the vaccine but did not get the booster. Patient was admitted.  Kept on oxygen and steroids.  Seen by Infectious Disease.  Not a candidate for remdesivir.  Her oxygen requirements have been stable at 2 L. her D-dimer is less than 1. Her blood sugars are under control.  Stable for discharge on home oxygen if needed with outpatient follow-up.  She does not want rehab
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site rash, Injection site warmth, Rash, Rash erythematous, Rash pruritic
Clinical narrative: Rash around the vaccine site on left upper thigh. Started on 12/9/23 in the morning warm, red, warm, itchy and painful.  Mom applied Hydrocortisone cream and no improvement.        - About 4 cm, itchy and painful,         - No fever, no chills, child able to walk.  Cellulitis, unspecified   Start Triamcinolone Acetonide Cream, 0.1 %, 1 application, Externally, Twice a day,5 days, 60 grams, Refills 0 Start Cephalexin Suspension Reconstituted, 250 MG/5ML, 7 ml, Orally, every 8 hours,10 days, 210 ml, Refills 0 Start Loratadine Syrup, 5 MG/5ML, 5 ml, Orally, Once a day for allergies, 30 days,300 ml, Refills 0 Notes: Discussed findings and care and management.  Apply warm and cold compress alternate 5- 15 minutes four times daily for a week.  Maintain hygiene, shower daily, change clothes daily.  Explained the need for antibiotics, probiotics.  Discussed prevention, side effects of meds, call if with any.  Advised to return to office if no improvement in 2 days, or if area becomes more red, warm, swollen, more painful, or develops chills, fever, or seems to be getting worse or if with new concerns to seek med attn stat in ER.
Age: 74.0
Sex: F
Vaccine: RSV
Symptoms: Injection site bruising, Injection site erythema, Injection site inflammation, Pruritus
Clinical narrative: Patient came in today to show me her arm. She stated that she had gotten the Arexvy vaccine on Saturday. The site looked red and inflamed, and purple bruising. She did confirm she is on blood thinners. I was concerned about local site infection and suggested she go to her primary for follow up as she may need an oral anti-biotic. She wanted a recommendation for OTC itching products. She purchased topical hydrocortisone, topical Benadryl, and Claritin. She stated she was going to an urgent care after our discussion.
Age: 74.0
Sex: F
Vaccine: RSV
Symptoms: Headache, Pain, Pyrexia, Vertigo
Clinical narrative: Starting about 24 hours after administration, patient started getting vertigo, headache, body aches, fever/chills. Symptoms continued for about 2-3 days until finally resolving.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, C-reactive protein increased, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: brought to ER for evaluation of cough, shortness of breath, vomiting and diarrhea. In the ER patient was noted to be hypoxic with the O2 saturation 82% and placed on oxygen 6 L by nasal cannula.  CRP elevated.  Tested positive for COVID-19.  Chest x-ray notable for bilateral pulmonary opacities consistent with pneumonia.  Patient has received 2 doses for COVID-19 but not the booster. Patient is admitted with the COVID-19 pneumonia, placed on IV Decadron, remdesivir and supportive treatment failure.  For acute hypoxic respiratory failure due to COVID-19 patient has been placed on supplemental oxygen. Patient's symptoms significantly improved.  Inflammatory markers were improving.  Patient needed home oxygen and was arranged. Patient was discharged home.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Dyspnoea, Hypoxia, Lung opacity
Clinical narrative: brought to ER for evaluation of cough, shortness of breath, vomiting and diarrhea. In the ER patient was noted to be hypoxic with the O2 saturation 82% and placed on oxygen 6 L by nasal cannula.  CRP elevated.  Tested positive for COVID-19.  Chest x-ray notable for bilateral pulmonary opacities consistent with pneumonia.  Patient has received 2 doses for COVID-19 but not the booster. Patient is admitted with the COVID-19 pneumonia, placed on IV Decadron, remdesivir and supportive treatment failure.  For acute hypoxic respiratory failure due to COVID-19 patient has been placed on supplemental oxygen. Patient's symptoms significantly improved.  Inflammatory markers were improving.  Patient needed home oxygen and was arranged. Patient was discharged home.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: brought to ER for evaluation of cough, shortness of breath, vomiting and diarrhea. In the ER patient was noted to be hypoxic with the O2 saturation 82% and placed on oxygen 6 L by nasal cannula.  CRP elevated.  Tested positive for COVID-19.  Chest x-ray notable for bilateral pulmonary opacities consistent with pneumonia.  Patient has received 2 doses for COVID-19 but not the booster. Patient is admitted with the COVID-19 pneumonia, placed on IV Decadron, remdesivir and supportive treatment failure.  For acute hypoxic respiratory failure due to COVID-19 patient has been placed on supplemental oxygen. Patient's symptoms significantly improved.  Inflammatory markers were improving.  Patient needed home oxygen and was arranged. Patient was discharged home.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Presented to the ER with SOB and chest pain. Treated with antibiotics and steroids.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Hypogeusia
Clinical narrative: lost 75-85% of taste and all food. When eating, taste transitions to less and less desirable at eating continues. This is an extremely significant change and has continued to date.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood creatinine increased, Chest X-ray normal, Dyspnoea
Clinical narrative: Presents to hospital with extreme weakness and SOB.  CXR with no pneumonia.  Orthostatics negative.  Denied receiving any treatment for COVID.  Was able to walk to bathroom without any issues.  Patient has CKD stage 4. Creatinine 2.4 on admission improved to 1.8.  All home medications were continued.  Patient takes Lasix 80 mg daily for lower extremity swelling.  No history of heart failure.  Patient did not require any oxygenation during his stay.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, Blood creatinine increased, Chronic kidney disease, Fall
Clinical narrative: Presented with c/o "feeling bad" for 1 week.  He has been weak and fatigued.  He tripped over his dog and fell 1 week ago. Acute renal failure on CKD Stage 4 - Creatinine on admission was 4.73 . Nephrology consult was obtained and Dr. evaluated pt . As pt was having fluid overload - pt was started on IV Lasix and as he is high risk for progression - pt was given 5 days of Remdesvir.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Gait disturbance, Hypervolaemia
Clinical narrative: Presented with c/o "feeling bad" for 1 week.  He has been weak and fatigued.  He tripped over his dog and fell 1 week ago. Acute renal failure on CKD Stage 4 - Creatinine on admission was 4.73 . Nephrology consult was obtained and Dr. evaluated pt . As pt was having fluid overload - pt was started on IV Lasix and as he is high risk for progression - pt was given 5 days of Remdesvir.
Age: 63.0
Sex: F
Vaccine: FLU4, RSV
Symptoms: Injection site erythema, Injection site rash, Pain in extremity
Clinical narrative: Patient received both vaccines in right arm (Thursday), due to previous mastectomy; patient stated that she noticed some minor soreness the next day and into the weekend (Saturday), she said the site started to turn red.  The next week, she received Pneumococcal and COVID vaccines since she wanted to do them on seperate days - they were given in her right thigh, since nursing is unable to use left arm and that the right arm was sore. Minor redness was observed on assessment of the right arm at the site of injection; Patient stated that the redness had started wrapping around her arm into her shoulder - she said it looks different than her normal psoriasis patches; patient was told to keep an eye on the rash and to report any new symptoms to health department or to her PCP (12/6/23); no further symptoms have been reported at this time; patient has history of psoriatic arthritis and psoriasis
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Maternal exposure before pregnancy, SARS-CoV-2 test positive
Clinical narrative: COVID-19 affecting pregnancy in third trimester", "covid positive, slight cough".
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dizziness, Fatigue, Gait inability
Clinical narrative: Presenting with worsening myalgias, Nausea, vomiting, fever. She tested positive for COVID on Tuesday.  Wednesday she had monoclonal antibodies.  She states that after getting her treatment she started having worsening myalgias, cough, rhinorrhea, and overall fatigue.  States that she has been having nausea and vomiting as well.  She has been able to ambulate due to dizziness while she tries to get up.  Patient received Actemra during hospitalization, completed course of remdesivir.  Continued dexamethasone during hospitalization, and prescription was sent to pharmacy on the day of discharge to complete 10 day course of steroids.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Presenting with worsening myalgias, Nausea, vomiting, fever. She tested positive for COVID on Tuesday.  Wednesday she had monoclonal antibodies.  She states that after getting her treatment she started having worsening myalgias, cough, rhinorrhea, and overall fatigue.  States that she has been having nausea and vomiting as well.  She has been able to ambulate due to dizziness while she tries to get up.  Patient received Actemra during hospitalization, completed course of remdesivir.  Continued dexamethasone during hospitalization, and prescription was sent to pharmacy on the day of discharge to complete 10 day course of steroids.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Presenting with worsening myalgias, Nausea, vomiting, fever. She tested positive for COVID on Tuesday.  Wednesday she had monoclonal antibodies.  She states that after getting her treatment she started having worsening myalgias, cough, rhinorrhea, and overall fatigue.  States that she has been having nausea and vomiting as well.  She has been able to ambulate due to dizziness while she tries to get up.  Patient received Actemra during hospitalization, completed course of remdesivir.  Continued dexamethasone during hospitalization, and prescription was sent to pharmacy on the day of discharge to complete 10 day course of steroids.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Nausea, Pain in extremity, Vomiting
Clinical narrative: Began feeling nauseous a few hours after injection, then vomited followed by diarrhea ~30 minutes later.  Arm is very sore.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Cough, Decreased appetite, Diarrhoea
Clinical narrative: Presents with anorexia, nausea, vomiting, diarrhea, cough, fevers, sob and found to have covid pneumonia with acute respiratory failure with hypoxia,    Treated with remdesivir and steroids and back on room air and doing well on discharge
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Hypoxia, Nausea, Pyrexia, Vomiting
Clinical narrative: Presents with anorexia, nausea, vomiting, diarrhea, cough, fevers, sob and found to have covid pneumonia with acute respiratory failure with hypoxia,    Treated with remdesivir and steroids and back on room air and doing well on discharge
Age: 0.83
Sex: M
Vaccine: DTAPIPVHIB, FLUC4, HEP, HEPA, PNC13
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse events or reactions.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Foetal hypokinesia, Maternal exposure before pregnancy, Uterine contractions during pregnancy
Clinical narrative: Presenting after a anaphylactic reaction to regeneron for treatment of current Covid 19.  The patient required Decadron and antihistamines and hydration.  Since that time, she has not felt her baby move.  She denies any vaginal bleeding.  She states that she is contracting q. 1-2 min and the contractions are rated 6/10.
Age: 76.0
Sex: M
Vaccine: RSV
Symptoms: Arthralgia, Joint stiffness, Muscular weakness
Clinical narrative: Patient reports acute pain and stiffness in knees the following day. No noted swelling or fever. Reports so stiff that knees gave out on the patient. It is 12/12/23 at 10:52 am and reports still have knee pain.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: hospitalized with covid
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered, Pain in extremity
Clinical narrative: Pt received 2 flu shots, one given 9/16/2023 and second given 11/1/2023. Pt requested flu shot both times but meant to get a covid shot. Pt having arm soreness still 5 weeks later.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Calculus urinary, Chills, Chromaturia, Flank pain
Clinical narrative: This is a 19 y.o. female without any past medical history who presented to the emergency room with complaints of fever onset yesterday.  Patient reports that yesterday she had a low grade fever of 99 ° F took of which she tookTylenol and then this morning her fever was 102° F associated with body aches, chills, nausea and dark urine.  Patient reports that she was seen here at the emergency room a week ago with complaints of left flank pain and was diagnosed with left ureteral stone which she was prescribed medication but no antibiotics.  Patient was subsequently admitted for further evaluation treatment.Sepsis secondary to COVID-19 viral infection.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Sepsis
Clinical narrative: This is a 19 y.o. female without any past medical history who presented to the emergency room with complaints of fever onset yesterday.  Patient reports that yesterday she had a low grade fever of 99 ° F took of which she tookTylenol and then this morning her fever was 102° F associated with body aches, chills, nausea and dark urine.  Patient reports that she was seen here at the emergency room a week ago with complaints of left flank pain and was diagnosed with left ureteral stone which she was prescribed medication but no antibiotics.  Patient was subsequently admitted for further evaluation treatment.Sepsis secondary to COVID-19 viral infection.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Dyspnoea, Gait disturbance
Clinical narrative: 12/10/23 EDNOTE: "Patient is a 76 year old male who present to the ED for cough, SOB. He reports that his symptoms started 1 day ago and have progressively gotten worse. He took a COVID test a home this morning and it was positive. He reports that he is so weak that he can barely ambulate."
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza virus test negative, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: 12/10/23 EDNOTE: "Patient is a 76 year old male who present to the ED for cough, SOB. He reports that his symptoms started 1 day ago and have progressively gotten worse. He took a COVID test a home this morning and it was positive. He reports that he is so weak that he can barely ambulate."
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Pneumonia
Clinical narrative: ED NOTE 12/6/23: "Patient presented to the ER for further evaluation of pneumonia and increased weakness."
Age: 89.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient came in for an office visit with Dr. At the end fo the visit, Dr. offered patient a flu vaccine and patient agreed. This writer administered the flu vaccine. After administering vaccine, it was discovered that patient had already received a flu vaccine a little over 1 month prior, already documented in her chart. Dr. was informed of additional flu vaccine.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Client Received Vaccines and did well. Went into waiting room c/o  dizziness and passed out in chair. Client placed on floor and client was breathing and regular heart rate. Cool pack placed on clients chest and neck. Client awakened and Public Health Nurse administered 25 mg of oral liquid Benadryl.  B/P 125/83 and Heart rate 68. Breathing normal. Mother stated that her children are terrified of needles and that he passed out from getting blood taken. Client  observed client x 40 minutes and Client stood after sitting and and walked to the car independently.  Spoke with mom on 12/12/2023 and client only received the one Benadryl dose from our clinic and took no other meds and has done well and has no problems. Clients mother is Spanish Speaking only and brought her own interpreter to the clinic.
Age: 78.0
Sex: M
Vaccine: RSV
Symptoms: Cartilage injury, Condition aggravated, Injection site pain, Pain in extremity, Procedural pain
Clinical narrative: He got his vaccine, the arm was a little sore at the puncture site.  Then as time went on the symptosm got worse.  He then noticed that his heel was hurting, then his arm was starting hurting.  On 11/6/23 they moved for the winter, and had a surgery on his right arm with a detached labrum, and they had to have the bicep moved, went to therapy and started having pains in the right arm.  He went to the doctor for other things and told them about his arm.  He also has back problems, and his spine is really bad.  He feels that the vaccine triggerd his pain that he had from the surgery.  His arm was feeling great, and has not been able to figure out what was going on with his arm.  His heel was not hurting him more than before, and it feels like a runners heel.   He is not feeling any better, and is seeing his PCP for his symptoms.  He went for a bone density scan today but it could not have been done due to his severe pain and not able to lie down.    He did not have any problems with any of his other vaccines.  He had a flu shot 2 weeks prior and he had no problems with them.
Age: 78.0
Sex: M
Vaccine: RSV
Symptoms: Tenodesis
Clinical narrative: He got his vaccine, the arm was a little sore at the puncture site.  Then as time went on the symptosm got worse.  He then noticed that his heel was hurting, then his arm was starting hurting.  On 11/6/23 they moved for the winter, and had a surgery on his right arm with a detached labrum, and they had to have the bicep moved, went to therapy and started having pains in the right arm.  He went to the doctor for other things and told them about his arm.  He also has back problems, and his spine is really bad.  He feels that the vaccine triggerd his pain that he had from the surgery.  His arm was feeling great, and has not been able to figure out what was going on with his arm.  His heel was not hurting him more than before, and it feels like a runners heel.   He is not feeling any better, and is seeing his PCP for his symptoms.  He went for a bone density scan today but it could not have been done due to his severe pain and not able to lie down.    He did not have any problems with any of his other vaccines.  He had a flu shot 2 weeks prior and he had no problems with them.
Age: 76.0
Sex: F
Vaccine: RSV
Symptoms: Injection site infection, Injection site irritation, Injection site reaction, Skin wound
Clinical narrative: SITE OF INJECTION STARTED AS A PIMPLE SIZE SKIN IRRITATION, AND THEN TURNED INTO A MUCH LARGER INFECTION BY THE SECOND MONTH.  PATIENT VISITED DR OFFICE AROUND 1 MONTH AND DR FELT IT WAS FINE AND DID NOT PRESCRIBE MEDICATION.  AT THE 2 MONTH MARK THE PATIENT REVISITED THE DR OFFICE AND THE DR PRESCRIBED MUPIROCIN. THE WOUND IS JUST OVER THE SIZE OF A QUARTER.
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: Circumstance or information capable of leading to medication error, Underdose
Clinical narrative: Patient came into office for a nurse visit to obtain flu vaccine. After reviewing all information this MA went to administer vaccine, Upon administering at least half of the fluid in the shot patient began to move and fight this MA. I removed the needle from patients arm, and was unable to administer remaining fluid of vaccine. Due to it not being safe for myself or the patient.
Age: 13.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache
Clinical narrative: 5/10 headache since day of injection.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Malaise, Myalgia, Nausea
Clinical narrative: ED NOTE 12/6/23: "This is a 91-year-old gentleman seen for malaise, myalgias along with sore throat headache nausea vomiting and diarrhea for a few days."
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Vomiting
Clinical narrative: ED NOTE 12/6/23: "This is a 91-year-old gentleman seen for malaise, myalgias along with sore throat headache nausea vomiting and diarrhea for a few days."
Age: 0.92
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC15
Symptoms: Extra dose administered
Clinical narrative: Gave extra dose of Pentacel that had same lot number as above.
Age: 5.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Expired product administered, No adverse event
Clinical narrative: The Pediatric Moderna COVID-19 Vaccine 2023-2024 Formula was administered pass the beyond-use-date (30 days from thaw date per manufacturer). Vaccine was received and thawed on 10/19/23 and the BUD was 11/20/2023. Vaccine was administered on 12/07/2023. No adverse events besides determining whether vaccine was/is efficacious.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Malaise, Nausea, SARS-CoV-2 test positive
Clinical narrative: ED NOTE 12/6/23: "92-year-old woman brought over by assisted living staff due to low malaise weakness nausea and vomiting, positive COVID.  Has not been febrile or hypoxic."
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: ED NOTE 12/6/23: "92-year-old woman brought over by assisted living staff due to low malaise weakness nausea and vomiting, positive COVID.  Has not been febrile or hypoxic."
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was given Moderna 12+ by mistake instead of Moderna 6 mo--11yr. No adverse reactions. Reported to Provider and patient's mother.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The Pediatric Moderna COVID-19 Vaccine 2023-2024 Formula was administered pass the beyond-use-date (30 days from thaw date per manufacturer). Vaccine was received and thawed on 10/19/23 and the BUD was 11/20/2023. Vaccine was administered on 12/07/2023. No adverse events besides determining whether vaccine was/is efficacious.
Age: 78.0
Sex: F
Vaccine: COVID19, RSV
Symptoms: Asthenia, Dizziness, Dyspnoea, Feeling abnormal, Loss of personal independence in daily activities
Clinical narrative: She got her vaccines, was OK.  Later in the evening her arm started getting real sore.  She started rubbing the area and was moving it around.  Was hurting with body aches, and laid down, took Alka-Seltzer.  The next morning she went to shower and noticed that her arm was real red, felt too bad to go to church, had no energy to cook or anything.  Her arm was really sore, and looked in the mirror and saw that it was real red and sore to the touch.  yesterday she was feeling better, was able to cook drinner, and just dragged around, and was leaving to take her child some food and was talking on the phone and was having a hard time breathing, and was light headed.  She got home and laid down and rested.  She is feeling much better today, her arm is still a litlte sore to the touch, but not like it was.  Her energy level is better, and has been out and about and is improving.  She has not called her doctor yet, but she plans to.    She did not have any issues with her other COVID shots other than a sore arm.
Age: 78.0
Sex: F
Vaccine: COVID19, RSV
Symptoms: Pain, Pain in extremity, Skin reaction, Tenderness
Clinical narrative: She got her vaccines, was OK.  Later in the evening her arm started getting real sore.  She started rubbing the area and was moving it around.  Was hurting with body aches, and laid down, took Alka-Seltzer.  The next morning she went to shower and noticed that her arm was real red, felt too bad to go to church, had no energy to cook or anything.  Her arm was really sore, and looked in the mirror and saw that it was real red and sore to the touch.  yesterday she was feeling better, was able to cook drinner, and just dragged around, and was leaving to take her child some food and was talking on the phone and was having a hard time breathing, and was light headed.  She got home and laid down and rested.  She is feeling much better today, her arm is still a litlte sore to the touch, but not like it was.  Her energy level is better, and has been out and about and is improving.  She has not called her doctor yet, but she plans to.    She did not have any issues with her other COVID shots other than a sore arm.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Erythema, Peripheral swelling
Clinical narrative: 4 year old boy with red, swollen arm starting 12/7/23. Mom came by health department with child for nurse to assess 12/8/23. Recommended cool compresses.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cough, Dysarthria
Clinical narrative: ED VISIT 12/10/23: Associated symptoms include slurred speech, generalized weakness and cough. She denies chest pain, shortness of breath, nausea, vomiting, or diarrhea.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Pain in extremity, Post polio syndrome
Clinical narrative: Reported to have arm pain that interfered with daily activities for multiple days. Patient was inpatient in a hospital. No other information given to this who is reporting on behalf of the facility, who did not report.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: patient was given the wrong dose in error, received 12+ Moderna instead of Moderna 6mo-11yr
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Blood test, Electrocardiogram, Loss of personal independence in daily activities, Tinnitus
Clinical narrative: I awakened at 3:30AM on November 15th with very loud cricket noises in my head, made worse by any movement.  It was like hundreds of wheels turning at different speeds and different pitch noise levels and sounds, pausing and pulsing at different times.  Terrifying. It has not gone away. It's 24/7 and very disruptive to my life. I was dx with long covid in April. This was my second vaccination since diagnosis.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test
Clinical narrative: Sore throat, congestion
Age: 27.0
Sex: F
Vaccine: RSV
Symptoms: Amniotic fluid index decreased, Amniotic membrane rupture test negative, Cervical dilatation, Exposure during pregnancy, Foetal non-stress test normal
Clinical narrative: No concerns during pregnancy. At 35 weeks and 4 days was dilated 1cm and 80% effaced. In 36 weeks and 2 days was dilated 3cm and amniotic fluid was low. For this reason a fetal stress test was done which was normal and 2 doses of betamethasone were given on 36+2 and 36+3. Preterm delivery. Delivered 36 weeks and 4 days. Baby weighed 5lb 15oz and was healthy although APGAR was 8/9 for coloring as it took longer for baby to pink up.