chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Dermatitis atopic, Laboratory test, Myalgia, Pain, Rash
Clinical narrative: Made wife ill, muscle aches, pain. 2nd shot was worse. Then wife developed a rash which did not go away and now 1.5 years later wife has uncontrolled atopic dermatitis which will cost 50k/yr in medication or more, which I cannot afford and which my healthcare plan refuses to cover.   It cannot be proved by the dermatologist that the Shingrix vaccine caused the disease, but the disease is ideopathic. Previous to this vaccination, my wife had no allergies or chronic conditions or illness related to immune system.
Age: 22.0
Sex: F
Vaccine: TDAP
Symptoms: Exposure during pregnancy
Clinical narrative: Patient is 35 weeks pregnant.  Patient visited local ER department on 10/19/22 for a bite on her hand and was given a TDAP Boostrix lot number 34FR4.  Patient presented to prenatal appt on October 24th and was given another TDAP Boostrix at her appointment.  Patient was 35weeks 3 days pregnant at her appt on October 24th when she was given her second Boostrix 5 days apart. LMP 02/01/2022.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccination that was expired (expired on 9/30/22 and administered on 10/3/22). No adverse effects
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Lacrimation increased, Oropharyngeal pain
Clinical narrative: 20 Oct 2022 - Symptons began.  Watery eyes, runny nose, congestion.  21 Oct 2022 - Mild fever. Responded to Motrin.  22 Oct 2022 - Sore throat (throat lozenges). Headache.   23 Oct 2022 - Sore throat. Headache.  Some coughing with chest congestion (cough syrup)  24 Oct 2022 -  Sore Throat.  Contacted doctor's office to discuss treatment options.  Decided to treat symptons (vice anti-viral medications).  Currently taking Prednisone to treat sore throat.  25 Oct 2022 - Fever gone (Motrin stopped).  Headache gone.  Watery eyes, runny nose, congestion almost gone.  Chest congestion clearing up.   Note: No loss of taste or breathing difficulties.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: 20 Oct 2022 - Symptons began.  Watery eyes, runny nose, congestion.  21 Oct 2022 - Mild fever. Responded to Motrin.  22 Oct 2022 - Sore throat (throat lozenges). Headache.   23 Oct 2022 - Sore throat. Headache.  Some coughing with chest congestion (cough syrup)  24 Oct 2022 -  Sore Throat.  Contacted doctor's office to discuss treatment options.  Decided to treat symptons (vice anti-viral medications).  Currently taking Prednisone to treat sore throat.  25 Oct 2022 - Fever gone (Motrin stopped).  Headache gone.  Watery eyes, runny nose, congestion almost gone.  Chest congestion clearing up.   Note: No loss of taste or breathing difficulties.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired Vaccine
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None known, administered vaccine that expired 9/30/2022 on 10/2/2022
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Body aches, head ache, fatigue, chills and nausea
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Fatigue, Feeling abnormal, Headache, Herpes zoster
Clinical narrative: On 10/20/2022, I noticed four bumps in a ring shape on my lower back above the left buttock. I used a hydrocortisone cream that day. The next few days, I started to feel a little tired and not myself. I felt like I might be fighting something or under the weather. At some point, my left groin lymph node became swollen and was visibly larger than the other side. Around that area and into my upper leg, my skin felt tender to the touch. By 10/23/2022, I was starting to become more concerned, so I emailed my doctor with a description of my symptoms and a photo of the ring of bumps. Yesterday, they responded saying that it sounded like early shingles. They prescribed an antiviral which I began taking yesterday. Since then, I have now developed 5 separate rashes and I have felt malaise, headache, chills, fatigue, tender skin, and I still have swelling in the groin area.
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lymphadenopathy, Malaise, Rash, Tenderness
Clinical narrative: On 10/20/2022, I noticed four bumps in a ring shape on my lower back above the left buttock. I used a hydrocortisone cream that day. The next few days, I started to feel a little tired and not myself. I felt like I might be fighting something or under the weather. At some point, my left groin lymph node became swollen and was visibly larger than the other side. Around that area and into my upper leg, my skin felt tender to the touch. By 10/23/2022, I was starting to become more concerned, so I emailed my doctor with a description of my symptoms and a photo of the ring of bumps. Yesterday, they responded saying that it sounded like early shingles. They prescribed an antiviral which I began taking yesterday. Since then, I have now developed 5 separate rashes and I have felt malaise, headache, chills, fatigue, tender skin, and I still have swelling in the groin area.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: no adverse event this lot number was incorrectly communicated information recieved from Pfizer that product was stable Oct 1 thru 19th beyond expiration date of 9/30/2022 on packaging
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: LOT # FL2757 WAS PULLED FROM FREEZER AND DELIVERED TO CLINIC ON 08/11/22, EXP DATE WAS RECORDED AS 10/25/22, BASED ON PULL DATE. MANUFATURER BUD WAS ESIMATED TO HAVE VACCINE EXP ON 09/30/22. PATIENT WAS GIVEN INJECTION ON 10/14/22, 14 DAYS AFTER MANUFACTURE'S EXP DATE.  WAS NOTIFIED BY THE STATE OF COLORADO THAT VACCINE WAS EXIPRED. PARENT OF PATIENT WAS CONTACTED AND ADIVSIED. SHE REPORTED NO ISSUES WITH THE PATIENT, FURTHER INFORMATION OBTAINED FROM PFIZER THAT THE VACCINE'S BUD WOULD HAVE ACCUALY BEEN 10/19/22, AND IT WAS NOT IN FACT EXPIRED AT THE TIME OF USE. THE STOCK IN QUESTION WAS PULLED FROM OUR SUPPLY AND WAS NOT USED ON ANY OTHER PATIENTS. BEYOND THE ORIGINAL RECOMMENDED USE DATE ON 09/30/22.
Age: 64.0
Sex: F
Vaccine: COVID19, FLUA4, COVID19-2, FLUA4
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Hypopnoea
Clinical narrative: Extreme fatigue, low fever, headache, shallow breathing, pounding heartbeat, chills, sweats for 7 days
Age: 64.0
Sex: F
Vaccine: COVID19, FLUA4, COVID19-2, FLUA4
Symptoms: Palpitations, Pyrexia
Clinical narrative: Extreme fatigue, low fever, headache, shallow breathing, pounding heartbeat, chills, sweats for 7 days
Age: 64.0
Sex: F
Vaccine: COVID19, FLUA4, COVID19-2, FLUA4
Symptoms: Chills, Fatigue, Headache, Heart rate increased, Hyperhidrosis
Clinical narrative: Extreme fatigue, low fever, headache, shallow breathing, pounding heartbeat, chills, sweats for 7 days
Age: 64.0
Sex: F
Vaccine: COVID19, FLUA4, COVID19-2, FLUA4
Symptoms: Pain, Pyrexia
Clinical narrative: Extreme fatigue, low fever, headache, shallow breathing, pounding heartbeat, chills, sweats for 7 days
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given a vaccine on 10/11/2022 with a lot number FL2757 that had a manufacturer expiration date of 9/30/22, however additional manufacturer safety and efficacy data show that the vaccine can be used through 10/19/22
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE HAD ONLY MANUFACTURING DATE ON THE BOX AND NO EXPIRATION DATE PRINTED. AS ADVISED BY PFIZER, PHARMACY USED 10 WEEKS FROM THE DATE OF RECEIPT OF VACCINE AT REFRIGERATED CONDITIONS. NO HARM TO THE PT, NO TREATMENT.
Age: 66.0
Sex: M
Vaccine: FLU4
Symptoms: Mobility decreased, Pain in extremity, Sleep disorder
Clinical narrative: about a day or 2 later after the fluzone hd the patient arm started to ache. It is affecting the mobility of the arm and affected his sleep. He says he gets some relief when he put a pillow under his arm to sleep. this ache has been going on for at least 10 days at this point.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Feeling abnormal, Influenza like illness, Nasopharyngitis
Clinical narrative: I experienced flu-like symptoms after taking my 3rd dose. I was extremely tired, achy, and felt really bad for 24 hours. When I contracted COVID-19, I felt like I had a bad cold. I had a snotty nose and a stuffy head.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I experienced flu-like symptoms after taking my 3rd dose. I was extremely tired, achy, and felt really bad for 24 hours. When I contracted COVID-19, I felt like I had a bad cold. I had a snotty nose and a stuffy head.
Age: 55.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The Moderna Bivalent vaccine was administered after a temperature excursion and the vaccine was not viable.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Cough, Exposure to SARS-CoV-2, Fatigue
Clinical narrative: I had direct exposure to someone that tested positive on August 28th-31st, 2022. I became symptomatic on September 2nd, 2022. My symptoms included vomiting, fever, fatigue, coughing, nasal congestion, chest tightness, and achiness. I tested positive for COVID-19 on September 4th. I went to the ER after calling the nurse line. I was prescribed PAXLOVID. Everything but the fatigue abated by September 12th, 2022. The coughing and congestion returned on September 30th, 2022. I went back to the doctor. The fatigue lingered until October 17th, 2022.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza virus test negative, Malaise, Nasal congestion, Pain, Pyrexia
Clinical narrative: I had direct exposure to someone that tested positive on August 28th-31st, 2022. I became symptomatic on September 2nd, 2022. My symptoms included vomiting, fever, fatigue, coughing, nasal congestion, chest tightness, and achiness. I tested positive for COVID-19 on September 4th. I went to the ER after calling the nurse line. I was prescribed PAXLOVID. Everything but the fatigue abated by September 12th, 2022. The coughing and congestion returned on September 30th, 2022. I went back to the doctor. The fatigue lingered until October 17th, 2022.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Streptococcus test negative, Vomiting
Clinical narrative: I had direct exposure to someone that tested positive on August 28th-31st, 2022. I became symptomatic on September 2nd, 2022. My symptoms included vomiting, fever, fatigue, coughing, nasal congestion, chest tightness, and achiness. I tested positive for COVID-19 on September 4th. I went to the ER after calling the nurse line. I was prescribed PAXLOVID. Everything but the fatigue abated by September 12th, 2022. The coughing and congestion returned on September 30th, 2022. I went back to the doctor. The fatigue lingered until October 17th, 2022.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: 09/03/22 presents to ED for "coronavirus concern". PMHx of "A. fib on Eliquis, hypertension, CAD"
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient received 2nd dose of Pfizer Pediatric dose on 10/01/2022 Lot FL2757. Product removal update on 10/25/2022 for Lot FL2757
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: The Medical staff of clinic prescreen all their patients for the for covid 19 vaccines.  We the Health Department supply them with the vaccine needed and they vaccinate under our covid PIN.  The Nurse Practitioner vaccinating today thought she was giving the patient her 2nd Moderna in the initial series because only one dose was visible in database.  The patient advised she had a second full dose in different state so she discarded half the dose and gave her .25ml IM of Moderna Monovalent which is no longer authorized as a booster dose.
Age: 10.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient receivent bivalent as a first shot.  (Has not completed primary series yet)
Age: 49.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood pressure increased, Chest X-ray normal, Chest pain, Dyspnoea, Electrocardiogram normal
Clinical narrative: Vaccinated morning of 10/17/2022. At work at desk on 10/19/2022 and had sudden onset of right side chest pain and shortness of breath. Blood pressure was elevated at 158/104. Transported to emergency department . Referred to cardiology for further workup.
Age: 49.0
Sex: M
Vaccine: COVID19-2
Symptoms: Fibrin D dimer normal, Full blood count normal, Metabolic function test normal, Troponin normal
Clinical narrative: Vaccinated morning of 10/17/2022. At work at desk on 10/19/2022 and had sudden onset of right side chest pain and shortness of breath. Blood pressure was elevated at 158/104. Transported to emergency department . Referred to cardiology for further workup.
Age: 26.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness, Fall, Hypoaesthesia, Muscular weakness, Paraesthesia
Clinical narrative: weakness in arms and feet  numbness and tingling in hands and feet  unable to make a fist with the right hand (RHD)  fell in bathroom ; dizziness  all symptoms took place within 24 hours of vaccine being received
Age: 76.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Headache, Hypopnoea, Pain, Tremor
Clinical narrative: Patient complained of Headache, Chills, Shallow Breathing, Body shakes, Body aches.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered 10/1/22 with expiration date of 9/30/22.  No adverse event  observed or reported by patient.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event, Recalled product administered
Clinical narrative: Patient received correct pediatric Pfizer vaccine, however 11 days later the pharmacy received a recall notice stating that this lot number actually expired 9/30/22 even though it was not listed this way. Further information has now been provided that the stability data for this vaccine lot was currently active through 10/19/22. Reporting due to first recall information. Patient did not report any adverse effects or noted side effects.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: Broke out in hives 24 hours after vaccine.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Deafness bilateral, Feeling abnormal, Nasal congestion, No adverse event
Clinical narrative: I did not have an adverse reaction to the vaccine. I had been on a river cruise and started to feel bad after returning. I tested positive with a home test for COVID-19 on 06/11/2022. I started having a slight sore throat and a runny nose. I started having trouble with hearing loss in my right ear and sometime later it went to my left ear. I contacted my doctor, but it was not recommended to take PAXLOVID. I continue to have brain fog, nasal congestion and loss of hearing in both ears.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I did not have an adverse reaction to the vaccine. I had been on a river cruise and started to feel bad after returning. I tested positive with a home test for COVID-19 on 06/11/2022. I started having a slight sore throat and a runny nose. I started having trouble with hearing loss in my right ear and sometime later it went to my left ear. I contacted my doctor, but it was not recommended to take PAXLOVID. I continue to have brain fog, nasal congestion and loss of hearing in both ears.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine was given to patient by error
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: Patient reported that they had never received a COVID vaccine before.  RN administered dose one in the primary Pfizer series per patient request. RN later determined that patient has received previous covid vaccinations on the following: 7/6/21 Pfizer Primary LOT EW0196 7/18/21 Janssen LOT 1A2288 4/8/22 Pfizer Primary LOT FK9893 10/10/22 Pfizer Bivalent LOT FP7138
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Began getting feverish, sore throat, aches, and tiredness on Thursday night. Did Covid test Friday which was negative. Slept most of weekend with same symptoms. Retested Monday to a positive test for Covid. Partner also tested Monday to positive Covid.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Began getting feverish, sore throat, aches, and tiredness on Thursday night. Did Covid test Friday which was negative. Slept most of weekend with same symptoms. Retested Monday to a positive test for Covid. Partner also tested Monday to positive Covid.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Recalled product administered
Clinical narrative: Patient received 2nd dose of Pfizer Pediatric dose on 10/01/2022 Lot FL2757. Product removal update on 10/25/2022 for Lot FL2757
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: The Moderna Bivalent vaccine was administered after a temperature excursion and the vaccine was not viable.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse event.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal X-ray, Acute myocardial infarction, Aortic root enlargement procedure, Aortic valve incompetence, Aortic valve replacement
Clinical narrative: Admission Date: 10/12/2022 Date of Decease: 10/19/2022 Discharge Provider:  Primary Care Provider: None Physician, DO  PRESENTING PROBLEM: STEMI (ST elevation myocardial infarction) (HCC)  Severe aortic insufficiency    HOSPITAL COURSE: Patient is a 77 y.o. male. Who presented with the following complaint. 77YOM with PMH significant for GERD and AS s/p 23mm freestyle subcoronary AVR at a facility in 2021 arrived to outside emergency department 10/12/22 with crushing chest pain. He was transferred to a HCF and cardiology evaluation. TTE with EF 65%, severe AI and severe MR. He was also found to incidentally have COVID-19. Patient with mild hypotension and low diastolics. CTS was consulted for redo SAVR.  also consulted for TAVR evaluation. In 2021 he did have a TEE and LHC performed with showed mechanical occlusion of RCA (good collaterals) and mild to moderate "perivalvular leak." He was discharged for outpatient TAVR evaluation.   Unfortunately his sinus diameters were too small for valve-in-valve TAVR and due to his instability he was agreeable to full aggressive measures and underwent emergent redo AVR with root enlargement. Following his surgery he was taken to the ICU for postoperative management.     10/13: High dose pressors, very critical state in ICU. CVVH started. 10/14 remains on high dose pressors, intubated/sedated. Paced at 100 with temp/perm. CVVH running even. IABP 1:1. Corpak being placed today. Platelets trending down. Plan for neuro assessment today 10/15 IABP weaned to 1:2, remains on Epi, adding Nipride. CVVH even. 10/16 IABP removal today. Remains on Epi and NTG, A paced at 100. CVVH -25 10/17 right pigtail chest tube for PTX. CVVH -50. Remains on Epi, NTG, amio and veletri 10/18: Remains on epinephrine and levophed with CRRT. Had been following commands per nursing staff. Workup for thrombocytopenia in process. Patient appearing septic and abdominal xray was completed showing concern for perforated bowel or pneumatosis or obstruction. He was taken to CT and general surgery was notified immediately. CT scan showed intramural air in the dilated cecum, ascending colon and hepatic flexure of the colon consistent with bowel ischemia. General surgery discussed with patient's family and had concern for patient's ability to thrive following the operation they would perform. Dr. with cardiothoracic surgery discussed the case with family and general surgery.  10/19: After lengthy discussion with medical team the family felt that pt. would not want to undergo another surgery and opted for comfort care.    He was pronounced deceased on 10/19/2022 at 0222.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure diastolic decreased, COVID-19, Catheterisation cardiac, Chest pain, Chest tube insertion
Clinical narrative: Admission Date: 10/12/2022 Date of Decease: 10/19/2022 Discharge Provider:  Primary Care Provider: None Physician, DO  PRESENTING PROBLEM: STEMI (ST elevation myocardial infarction) (HCC)  Severe aortic insufficiency    HOSPITAL COURSE: Patient is a 77 y.o. male. Who presented with the following complaint. 77YOM with PMH significant for GERD and AS s/p 23mm freestyle subcoronary AVR at a facility in 2021 arrived to outside emergency department 10/12/22 with crushing chest pain. He was transferred to a HCF and cardiology evaluation. TTE with EF 65%, severe AI and severe MR. He was also found to incidentally have COVID-19. Patient with mild hypotension and low diastolics. CTS was consulted for redo SAVR.  also consulted for TAVR evaluation. In 2021 he did have a TEE and LHC performed with showed mechanical occlusion of RCA (good collaterals) and mild to moderate "perivalvular leak." He was discharged for outpatient TAVR evaluation.   Unfortunately his sinus diameters were too small for valve-in-valve TAVR and due to his instability he was agreeable to full aggressive measures and underwent emergent redo AVR with root enlargement. Following his surgery he was taken to the ICU for postoperative management.     10/13: High dose pressors, very critical state in ICU. CVVH started. 10/14 remains on high dose pressors, intubated/sedated. Paced at 100 with temp/perm. CVVH running even. IABP 1:1. Corpak being placed today. Platelets trending down. Plan for neuro assessment today 10/15 IABP weaned to 1:2, remains on Epi, adding Nipride. CVVH even. 10/16 IABP removal today. Remains on Epi and NTG, A paced at 100. CVVH -25 10/17 right pigtail chest tube for PTX. CVVH -50. Remains on Epi, NTG, amio and veletri 10/18: Remains on epinephrine and levophed with CRRT. Had been following commands per nursing staff. Workup for thrombocytopenia in process. Patient appearing septic and abdominal xray was completed showing concern for perforated bowel or pneumatosis or obstruction. He was taken to CT and general surgery was notified immediately. CT scan showed intramural air in the dilated cecum, ascending colon and hepatic flexure of the colon consistent with bowel ischemia. General surgery discussed with patient's family and had concern for patient's ability to thrive following the operation they would perform. Dr. with cardiothoracic surgery discussed the case with family and general surgery.  10/19: After lengthy discussion with medical team the family felt that pt. would not want to undergo another surgery and opted for comfort care.    He was pronounced deceased on 10/19/2022 at 0222.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen abnormal, Death, Echocardiogram abnormal, Ejection fraction normal, Endotracheal intubation
Clinical narrative: Admission Date: 10/12/2022 Date of Decease: 10/19/2022 Discharge Provider:  Primary Care Provider: None Physician, DO  PRESENTING PROBLEM: STEMI (ST elevation myocardial infarction) (HCC)  Severe aortic insufficiency    HOSPITAL COURSE: Patient is a 77 y.o. male. Who presented with the following complaint. 77YOM with PMH significant for GERD and AS s/p 23mm freestyle subcoronary AVR at a facility in 2021 arrived to outside emergency department 10/12/22 with crushing chest pain. He was transferred to a HCF and cardiology evaluation. TTE with EF 65%, severe AI and severe MR. He was also found to incidentally have COVID-19. Patient with mild hypotension and low diastolics. CTS was consulted for redo SAVR.  also consulted for TAVR evaluation. In 2021 he did have a TEE and LHC performed with showed mechanical occlusion of RCA (good collaterals) and mild to moderate "perivalvular leak." He was discharged for outpatient TAVR evaluation.   Unfortunately his sinus diameters were too small for valve-in-valve TAVR and due to his instability he was agreeable to full aggressive measures and underwent emergent redo AVR with root enlargement. Following his surgery he was taken to the ICU for postoperative management.     10/13: High dose pressors, very critical state in ICU. CVVH started. 10/14 remains on high dose pressors, intubated/sedated. Paced at 100 with temp/perm. CVVH running even. IABP 1:1. Corpak being placed today. Platelets trending down. Plan for neuro assessment today 10/15 IABP weaned to 1:2, remains on Epi, adding Nipride. CVVH even. 10/16 IABP removal today. Remains on Epi and NTG, A paced at 100. CVVH -25 10/17 right pigtail chest tube for PTX. CVVH -50. Remains on Epi, NTG, amio and veletri 10/18: Remains on epinephrine and levophed with CRRT. Had been following commands per nursing staff. Workup for thrombocytopenia in process. Patient appearing septic and abdominal xray was completed showing concern for perforated bowel or pneumatosis or obstruction. He was taken to CT and general surgery was notified immediately. CT scan showed intramural air in the dilated cecum, ascending colon and hepatic flexure of the colon consistent with bowel ischemia. General surgery discussed with patient's family and had concern for patient's ability to thrive following the operation they would perform. Dr. with cardiothoracic surgery discussed the case with family and general surgery.  10/19: After lengthy discussion with medical team the family felt that pt. would not want to undergo another surgery and opted for comfort care.    He was pronounced deceased on 10/19/2022 at 0222.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Haemofiltration, Hypotension, Intensive care, Intestinal ischaemia, Mitral valve incompetence
Clinical narrative: Admission Date: 10/12/2022 Date of Decease: 10/19/2022 Discharge Provider:  Primary Care Provider: None Physician, DO  PRESENTING PROBLEM: STEMI (ST elevation myocardial infarction) (HCC)  Severe aortic insufficiency    HOSPITAL COURSE: Patient is a 77 y.o. male. Who presented with the following complaint. 77YOM with PMH significant for GERD and AS s/p 23mm freestyle subcoronary AVR at a facility in 2021 arrived to outside emergency department 10/12/22 with crushing chest pain. He was transferred to a HCF and cardiology evaluation. TTE with EF 65%, severe AI and severe MR. He was also found to incidentally have COVID-19. Patient with mild hypotension and low diastolics. CTS was consulted for redo SAVR.  also consulted for TAVR evaluation. In 2021 he did have a TEE and LHC performed with showed mechanical occlusion of RCA (good collaterals) and mild to moderate "perivalvular leak." He was discharged for outpatient TAVR evaluation.   Unfortunately his sinus diameters were too small for valve-in-valve TAVR and due to his instability he was agreeable to full aggressive measures and underwent emergent redo AVR with root enlargement. Following his surgery he was taken to the ICU for postoperative management.     10/13: High dose pressors, very critical state in ICU. CVVH started. 10/14 remains on high dose pressors, intubated/sedated. Paced at 100 with temp/perm. CVVH running even. IABP 1:1. Corpak being placed today. Platelets trending down. Plan for neuro assessment today 10/15 IABP weaned to 1:2, remains on Epi, adding Nipride. CVVH even. 10/16 IABP removal today. Remains on Epi and NTG, A paced at 100. CVVH -25 10/17 right pigtail chest tube for PTX. CVVH -50. Remains on Epi, NTG, amio and veletri 10/18: Remains on epinephrine and levophed with CRRT. Had been following commands per nursing staff. Workup for thrombocytopenia in process. Patient appearing septic and abdominal xray was completed showing concern for perforated bowel or pneumatosis or obstruction. He was taken to CT and general surgery was notified immediately. CT scan showed intramural air in the dilated cecum, ascending colon and hepatic flexure of the colon consistent with bowel ischemia. General surgery discussed with patient's family and had concern for patient's ability to thrive following the operation they would perform. Dr. with cardiothoracic surgery discussed the case with family and general surgery.  10/19: After lengthy discussion with medical team the family felt that pt. would not want to undergo another surgery and opted for comfort care.    He was pronounced deceased on 10/19/2022 at 0222.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count decreased, Sepsis
Clinical narrative: Admission Date: 10/12/2022 Date of Decease: 10/19/2022 Discharge Provider:  Primary Care Provider: None Physician, DO  PRESENTING PROBLEM: STEMI (ST elevation myocardial infarction) (HCC)  Severe aortic insufficiency    HOSPITAL COURSE: Patient is a 77 y.o. male. Who presented with the following complaint. 77YOM with PMH significant for GERD and AS s/p 23mm freestyle subcoronary AVR at a facility in 2021 arrived to outside emergency department 10/12/22 with crushing chest pain. He was transferred to a HCF and cardiology evaluation. TTE with EF 65%, severe AI and severe MR. He was also found to incidentally have COVID-19. Patient with mild hypotension and low diastolics. CTS was consulted for redo SAVR.  also consulted for TAVR evaluation. In 2021 he did have a TEE and LHC performed with showed mechanical occlusion of RCA (good collaterals) and mild to moderate "perivalvular leak." He was discharged for outpatient TAVR evaluation.   Unfortunately his sinus diameters were too small for valve-in-valve TAVR and due to his instability he was agreeable to full aggressive measures and underwent emergent redo AVR with root enlargement. Following his surgery he was taken to the ICU for postoperative management.     10/13: High dose pressors, very critical state in ICU. CVVH started. 10/14 remains on high dose pressors, intubated/sedated. Paced at 100 with temp/perm. CVVH running even. IABP 1:1. Corpak being placed today. Platelets trending down. Plan for neuro assessment today 10/15 IABP weaned to 1:2, remains on Epi, adding Nipride. CVVH even. 10/16 IABP removal today. Remains on Epi and NTG, A paced at 100. CVVH -25 10/17 right pigtail chest tube for PTX. CVVH -50. Remains on Epi, NTG, amio and veletri 10/18: Remains on epinephrine and levophed with CRRT. Had been following commands per nursing staff. Workup for thrombocytopenia in process. Patient appearing septic and abdominal xray was completed showing concern for perforated bowel or pneumatosis or obstruction. He was taken to CT and general surgery was notified immediately. CT scan showed intramural air in the dilated cecum, ascending colon and hepatic flexure of the colon consistent with bowel ischemia. General surgery discussed with patient's family and had concern for patient's ability to thrive following the operation they would perform. Dr. with cardiothoracic surgery discussed the case with family and general surgery.  10/19: After lengthy discussion with medical team the family felt that pt. would not want to undergo another surgery and opted for comfort care.    He was pronounced deceased on 10/19/2022 at 0222.
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: I tested positive for Covid October 14 and amd still testing positive as of October 25
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Patient given Pfizer >12yrs and older vaccine
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Gait disturbance, Loss of personal independence in daily activities, Orthostatic hypotension, Sitting disability
Clinical narrative: Extreme dizziness the morning after receiving the vaccine. As soon as I would try to stand or sit up, I would feel like I was going to pass out and had to immediately lay back down. I had to have assistance getting to the bathroom and was unable to walk to the kitchen or to sit up in a chair except for a recliner.  I also had orthostatic hypotension associated with standing. It was severe for 2 full days and gradually got better over the next 5 days.  It was my 3rd Pfizer dose. I opted for a Moderna booster 6 months later and had no side effects from that.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Carotid artery occlusion, Dizziness, Fatigue, Foreign travel
Clinical narrative: I thought I was coming down with a cold. I congested, sore throat and sneezing. I was buying throat lozenges to treat the sore throat. I was on vacation when I started having symptoms.  By the time I got home I was really tired, so I decided to take an at home COVID-19 Test which lit up immediately. I called my doctor who prescribed a Z-Pack that I took for about 7 days.  I called one of the pharmacies to have and they develop residual dizziness. I was tired for a long time, and I am still dizzy. I don't know if its from COVID-19 and I have been dizzy every sense.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test abnormal, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I thought I was coming down with a cold. I congested, sore throat and sneezing. I was buying throat lozenges to treat the sore throat. I was on vacation when I started having symptoms.  By the time I got home I was really tired, so I decided to take an at home COVID-19 Test which lit up immediately. I called my doctor who prescribed a Z-Pack that I took for about 7 days.  I called one of the pharmacies to have and they develop residual dizziness. I was tired for a long time, and I am still dizzy. I don't know if its from COVID-19 and I have been dizzy every sense.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: I thought I was coming down with a cold. I congested, sore throat and sneezing. I was buying throat lozenges to treat the sore throat. I was on vacation when I started having symptoms.  By the time I got home I was really tired, so I decided to take an at home COVID-19 Test which lit up immediately. I called my doctor who prescribed a Z-Pack that I took for about 7 days.  I called one of the pharmacies to have and they develop residual dizziness. I was tired for a long time, and I am still dizzy. I don't know if its from COVID-19 and I have been dizzy every sense.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Heart rate increased, Hypertension, Palpitations
Clinical narrative: About11 hours after the shot, I experienced rapid and pounding heart beat and high blood pressure 184/100 for 12 hours.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse event.
Age: 41.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Injection site haemorrhage, Injection site swelling, Product leakage
Clinical narrative: When I received my COVID vaccine, there was some overspill of the vaccine and blood that spilled out of the injection site. The vaccinating RN told me to put some pressure on it. And to monitor the site for more bleeding. I received the vaccine around 09:00. Around 15:00, I took off my bandaid to check the site, and I noticed that I now have a bump at the injection site. It is not a large bump, about 1 cm in diameter. The bump is subcutaneous, I cannot see it from the surface, but I feel it.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Recalled product administered
Clinical narrative: Patient received 2nd dose of Pfizer Pediatric dose on 10/07/2022 Lot FL2757. Product removal update on 10/25/2022 for Lot FL2757
Age: 15.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood test normal, Chest X-ray normal, Chest pain, Dizziness, Fatigue
Clinical narrative: Extreme chest pain, light headed, pale, some nausea, fatigue, very high blood pressure, heart palpitations.  *went to emergency room via ambulance. His blood pressure was 190/90 at first in the ambulance before starting to go down. Slight symptoms began in the morning but escalated around 2:45pm. We headed out to get him checked just before 3pm but had to call Paramedics while still in the neighborhood as he was having more extreme chest pain and became very pale. Left ER after 6pm. At the hospital he was given an NSAID and  SALINE via I.V. He also had a chest X-ray. We were told to give him ibuprofen for one week. The doctor said he had likely inflammation of cartilage & muscle in his chest wall which had caused the pain. It has now been 4 days since this occurred and he has only complained of slight chest pain on occasion.
Age: 15.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypertension, Inflammation, Nausea, Pallor, Palpitations
Clinical narrative: Extreme chest pain, light headed, pale, some nausea, fatigue, very high blood pressure, heart palpitations.  *went to emergency room via ambulance. His blood pressure was 190/90 at first in the ambulance before starting to go down. Slight symptoms began in the morning but escalated around 2:45pm. We headed out to get him checked just before 3pm but had to call Paramedics while still in the neighborhood as he was having more extreme chest pain and became very pale. Left ER after 6pm. At the hospital he was given an NSAID and  SALINE via I.V. He also had a chest X-ray. We were told to give him ibuprofen for one week. The doctor said he had likely inflammation of cartilage & muscle in his chest wall which had caused the pain. It has now been 4 days since this occurred and he has only complained of slight chest pain on occasion.
Age: 47.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Greater than authorized dosing
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product lot number issue
Clinical narrative: NOT ADVERSE EVENT; Patient was given the correct vaccine NDC lot number FT1551 -- however box of previous lot number was scanned instead lot number FL2757 with expiration date of 9/30/22
Age: 53.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Cold sweat, Confusional state, Discomfort, Movement disorder, Mydriasis
Clinical narrative: DURING VACCINATION REPORTED NOT LIKING SMELL OF ALCOHOL. AFTER SHOT HE LEANED BACK AND LOOKED UNCONFORTABLE. THEN FATHER GOT A SHOT, AT THE END OF HIS FATHERS ADMINISTRATION (IMMEDIATELY AFTER) PATIENT WAS LOOKING PALE AND CLAMMY SOWE GAVE HIM A BOTTLE OF WATER AND SNACKS. THEN PATIENT BEGAN SUDDEN MOVEMENTS ALMOST AS IF HAVING SEIZURE. PATIENTS EYES WERE VERY DILATED. THIS IS ALL WITHIN 2 MINUTES OF VACCINE ADMINISTRATION.  I AND THE PATIENTS FATHER BEGAN LIFTING PATIENT TO MOVE HIM TO THE FLOOR TO PREVENT INJURY. APPROXIMATLEY 10 SECONDS AFTER BEING LAID DOWN THE PATIENT WOKE UP AND ASKED "WHERE AM I?" "WHAT HAPPENED". HE BEGAN TO RECOVER ON THE FLOOR APPROXIMATLEY 5 MINUTES. THEN HE SAT IN THE CHAIR A COUPLE MINUTES. I REUQESTED HE CHECK HIS BLOOD PRESSURE - 125/75 HR = 60. PATIENT REPORTED THIS "ALWAYS HAPPENS " WHEN GETTING VACCINES AND INSISTED HE WAS OKAY.REFUSED TO STAY FOR THE PARAMEDICS
Age: 53.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Pallor, Parosmia, Seizure like phenomena
Clinical narrative: DURING VACCINATION REPORTED NOT LIKING SMELL OF ALCOHOL. AFTER SHOT HE LEANED BACK AND LOOKED UNCONFORTABLE. THEN FATHER GOT A SHOT, AT THE END OF HIS FATHERS ADMINISTRATION (IMMEDIATELY AFTER) PATIENT WAS LOOKING PALE AND CLAMMY SOWE GAVE HIM A BOTTLE OF WATER AND SNACKS. THEN PATIENT BEGAN SUDDEN MOVEMENTS ALMOST AS IF HAVING SEIZURE. PATIENTS EYES WERE VERY DILATED. THIS IS ALL WITHIN 2 MINUTES OF VACCINE ADMINISTRATION.  I AND THE PATIENTS FATHER BEGAN LIFTING PATIENT TO MOVE HIM TO THE FLOOR TO PREVENT INJURY. APPROXIMATLEY 10 SECONDS AFTER BEING LAID DOWN THE PATIENT WOKE UP AND ASKED "WHERE AM I?" "WHAT HAPPENED". HE BEGAN TO RECOVER ON THE FLOOR APPROXIMATLEY 5 MINUTES. THEN HE SAT IN THE CHAIR A COUPLE MINUTES. I REUQESTED HE CHECK HIS BLOOD PRESSURE - 125/75 HR = 60. PATIENT REPORTED THIS "ALWAYS HAPPENS " WHEN GETTING VACCINES AND INSISTED HE WAS OKAY.REFUSED TO STAY FOR THE PARAMEDICS
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Poor quality product administered, Product storage error
Clinical narrative: The Moderna Bivalent vaccine was administered after a temperature excursion and the vaccine was not viable.
Age: 68.0
Sex: F
Vaccine: FLUA4, PPV
Symptoms: Injection site erythema, Injection site nodule, Injection site reaction
Clinical narrative: Patient woke up next day with an injection site reaction. Arm was red from shoulder to elbow and had an "egg sized" knot. Patient has not completed an treatment as of reporting day.
Age: 5.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: THERE WERE NO ADVERSE EFFECTS TO THE PATIENT. THE SECOND DOSE WAS GIVEN ON OCTOBER 1, 2022 WHICH HAD AN MANUFACTURER'S EXPIRATION DATE OF 09/30/2022.  WE HAD A LABEL WITH EXPIRATION DATE OF 10/21/2022 WHICH WAS 10 WEEKS AFTER RECIEVING SO I GAVE A DOSE THAT I THOUGHT WAS STILL IN DATE BUT HAD EXPIRED BY ONE DAY.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Pain, Pyrexia, Rhinorrhoea
Clinical narrative: The symptoms were cough, a mild fever, runny nose, and general aches. I did a home test and went to the urgent care, and they treated me with PAXLOVID.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: The symptoms were cough, a mild fever, runny nose, and general aches. I did a home test and went to the urgent care, and they treated me with PAXLOVID.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Recalled product administered
Clinical narrative: Pfizer-BioNTech covid-19 pediatric 5-11 vaccine was administered after expiration of vaccine. Recall of vaccine issued on 10/12/2022 while vaccine was given on 10/01/22.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abnormal dreams, Decreased appetite, Dyspnoea, Fatigue, Headache
Clinical narrative: The initial AE that I knew came from the shot I was tired, no appetite for 2 days, big headache, once or twice queasy, I think I took ADVIL on the 3rd day. Then 2 weeks later my thyroid levels dropped, difficult falling asleep, disruptive dreams, short of breath, and heart palpitations.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypothyroidism, Insomnia, Nausea, Palpitations
Clinical narrative: The initial AE that I knew came from the shot I was tired, no appetite for 2 days, big headache, once or twice queasy, I think I took ADVIL on the 3rd day. Then 2 weeks later my thyroid levels dropped, difficult falling asleep, disruptive dreams, short of breath, and heart palpitations.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Bronchitis, Chills, Headache, Oropharyngeal pain, Pyrexia
Clinical narrative: About 11 hours after the vaccine, I had the chills like very bad chills, my husband had to give me blankets to keep warm, I went to bed early that night but did not sleep well because I had the chills all night long, I woke up the next morning and felt groggy and ate some toast and went back to sleep, I got up again and took my meds, and went back to sleep, I got up again and had a low grade fever and still had the chills and a very bad headache and I went to lay down around 2:30PM and got back up around 05:30PM but went to bed early due to have an tickle in my throat. I took some elderberry tablets for that tickle and went to bed, the next morning which was the morning of the 19th I had a tickle in my throat, and it was itchy and sore so I call the Dr. for an appointment which I went to the next day on the 20th and it was stated that I had Bronchitis, and was prescribed, azithromycin; and albuterol sulfate inhaler; and methylprednisolone.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Sleep disorder, Somnolence, Throat irritation
Clinical narrative: About 11 hours after the vaccine, I had the chills like very bad chills, my husband had to give me blankets to keep warm, I went to bed early that night but did not sleep well because I had the chills all night long, I woke up the next morning and felt groggy and ate some toast and went back to sleep, I got up again and took my meds, and went back to sleep, I got up again and had a low grade fever and still had the chills and a very bad headache and I went to lay down around 2:30PM and got back up around 05:30PM but went to bed early due to have an tickle in my throat. I took some elderberry tablets for that tickle and went to bed, the next morning which was the morning of the 19th I had a tickle in my throat, and it was itchy and sore so I call the Dr. for an appointment which I went to the next day on the 20th and it was stated that I had Bronchitis, and was prescribed, azithromycin; and albuterol sulfate inhaler; and methylprednisolone.
Age: 21.0
Sex: F
Vaccine: FLU4
Symptoms: Chest discomfort, Dyspnoea, Electrocardiogram normal, Hypoaesthesia, Joint range of motion decreased
Clinical narrative: Patient had decreased range of motion, left arm felt numb, and developed heavy breathing with chest discomfort.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer Ped 5-11 Lot# FL2757 was to be removed per notice on 10/12/2022. Pharmacist gave a dose of the vaccine to be removed due to expiration date early morning on the 12th before the removal  notice came through . Pfizer indicated on 10/25/2022 that the stability of the vaccine supports the use of the product through 10/19/2022. No further action is needed and patient not to be revaccinated nor notification required.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: RECALL
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, SARS-CoV-2 test positive
Clinical narrative: On 9/17/2022, basically I started coughing, a hard cough. I did not feel sick. I did not feel like I had a cold, just basically coughed a lot. I did not feel bad, but I was going to a party, and I wanted to be safe. I tested on 9/18/2022 and it was positive. I was getting tired easily. I did not feel horrible. I had a cough that I could not shake. On 9/19/2022 I called my doctor and she prescribe PAXLOVID. By 9/23/2022 I was feeling pretty good.
Age: 5.0
Sex: M
Vaccine: COVID19-2, COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient had his first shot on 7/26/22 when he was 4 years old.  He had his second shot on 8/16/22 when he was 4 years old.  He turned 5 years old, therefore he was supposed to get a monovalent 5 year old dose as his 3rd shot to complete his primary series.  This is what I ordered for his appointment.  When I arrived at pharmacy, I immediately told them when I checked in that he was under the special transition rules.  I had researched on the CDC website and consulted with my pediatrician.  But they did not believe this was true and they gave him a bivalent booster instead.  I even asked what they were giving each of us because there were 4 of us getting shots and they still did not disclose to me that they were giving patient something different than what I asked for.  Right after the shot they asked me to sign a form consenting that they changed the monovalent shot I ordered to a bivalent booster and I was shocked and did not sign because I did not consent to this.  They told me that nobody gets a third shot unless they are immunocompromised.  They did not believe me even when I showed them the CDC guidance.  They were totally unaware that 6 month to 4 year olds have a 3 shot primary series for Pfizer vaccines and they were unaware of the transition rules.  They had no right to give my son a shot that I did not order and did not consent to.