chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 89.0
Sex: F
Vaccine: COVID19-2
Symptoms: Respiratory failure, SARS-CoV-2 test positive, Tachypnoea
Clinical narrative: COVID+ 1/2/23.  Vaccination Status - moderna x4 + Pfizer BIVALENT x1 BRIEF OVERVIEW: Discharge Provider: MD, MPH Primary Care Physician at Discharge: DO  Admission Date: 1/2/2023 Active Hospital Problems   Diagnosis Date Noted POA ? COVID-19 virus infection 01/03/2023 Unknown ? Tachypnea 01/02/2023 Yes ? COVID-19   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Tachypnea  Acute respiratory failure, unspecified whether with hypoxia or hypercapnia  COVID-19 virus infection HOSPITAL COURSE: 89-year-old woman recently admitted for hypoxic and hypercapnic respiratory failure secondary to aspiration pneumonitis.  She completed aspiration coverage with Unasyn and was weaned back to her baseline 2 L of oxygen and discharged to her facility.  She came back COVID 19 positive with worsening respiratory failure and family elected to make patient comfort care / hospice.  Family did not want to pursue aggressive measures and opted for comfort measures.  Spectrum Health hospice was consulted and managing patient's symptoms.  Due to decline in patient's clinical condition, she was made GIP Hospice and Hospice team helped manage patient's symptoms. Patient eventually passes away. Patient's son was at bedside when patient passed away.  Medical Examiner Case Assessment Select Applicable Patient Criteria: Does not meet any of the listed criteria
Age: 85.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Pfizer was given to the client beyond date of vaccine handling and storing. CDC and Pfizer manufactory made aware, instruction was given to revaccinated. Supervisor made aware. I spoke to client and parents informed them of the vaccine and the need of revaccinated, clients agreed appointment is scheduled for clients and will follow up with care.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Computerised tomogram head normal, Encephalitis viral, Headache
Clinical narrative: Starting 12/04/2022, she woke up with a fever and malaise. She had some sinus congestion and we took her to urgent care and she was tested for flu. We tested her at home earlier for COVID-19 and it was negative so we assumed she had the flu. They didn't tell us the strain of flu, but she did test positive. They told us to increase her fluid intake and told us to manage her fever at home. We used TYLENOL and MOTRIN over the next few days to manage the fever but otherwise her symptoms were mild. She had received the flu vaccine in October. Tuesday afternoon into Wednesday she did not have a fever so we assumed she was getting better and planned to send her back to school on Thursday 12/08/2022. 12/07/2022, in the evening, she became altered (couldn't answer questions appropriately or follow directions). She also was talking gibberish and would not make sense when she spoke. We took her to the nearest emergency room because we were concerned she was having a stroke. They did a lot of tests including tests to check for pneumonia (chest x-ray), blood work and a CT scan of her head. All of the tests were negative. They sent us to the local hospital where they did a lumbar puncture and that was negative. So, the diagnosis was flu induced encephalitis. She was admitted for observation and was discharged on 12/08/2022. She progressively got better that day and only received TYLENOL for a mild headache as she got better. We went home and she stayed home from school the next day. We limited her activity and refrained from screen time until she could fully recover. As of today, she appears to have made a full recovery.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza, Influenza virus test positive, Lumbar puncture normal, Malaise, Mental status changes
Clinical narrative: Starting 12/04/2022, she woke up with a fever and malaise. She had some sinus congestion and we took her to urgent care and she was tested for flu. We tested her at home earlier for COVID-19 and it was negative so we assumed she had the flu. They didn't tell us the strain of flu, but she did test positive. They told us to increase her fluid intake and told us to manage her fever at home. We used TYLENOL and MOTRIN over the next few days to manage the fever but otherwise her symptoms were mild. She had received the flu vaccine in October. Tuesday afternoon into Wednesday she did not have a fever so we assumed she was getting better and planned to send her back to school on Thursday 12/08/2022. 12/07/2022, in the evening, she became altered (couldn't answer questions appropriately or follow directions). She also was talking gibberish and would not make sense when she spoke. We took her to the nearest emergency room because we were concerned she was having a stroke. They did a lot of tests including tests to check for pneumonia (chest x-ray), blood work and a CT scan of her head. All of the tests were negative. They sent us to the local hospital where they did a lumbar puncture and that was negative. So, the diagnosis was flu induced encephalitis. She was admitted for observation and was discharged on 12/08/2022. She progressively got better that day and only received TYLENOL for a mild headache as she got better. We went home and she stayed home from school the next day. We limited her activity and refrained from screen time until she could fully recover. As of today, she appears to have made a full recovery.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, Sinus congestion, Speech disorder
Clinical narrative: Starting 12/04/2022, she woke up with a fever and malaise. She had some sinus congestion and we took her to urgent care and she was tested for flu. We tested her at home earlier for COVID-19 and it was negative so we assumed she had the flu. They didn't tell us the strain of flu, but she did test positive. They told us to increase her fluid intake and told us to manage her fever at home. We used TYLENOL and MOTRIN over the next few days to manage the fever but otherwise her symptoms were mild. She had received the flu vaccine in October. Tuesday afternoon into Wednesday she did not have a fever so we assumed she was getting better and planned to send her back to school on Thursday 12/08/2022. 12/07/2022, in the evening, she became altered (couldn't answer questions appropriately or follow directions). She also was talking gibberish and would not make sense when she spoke. We took her to the nearest emergency room because we were concerned she was having a stroke. They did a lot of tests including tests to check for pneumonia (chest x-ray), blood work and a CT scan of her head. All of the tests were negative. They sent us to the local hospital where they did a lumbar puncture and that was negative. So, the diagnosis was flu induced encephalitis. She was admitted for observation and was discharged on 12/08/2022. She progressively got better that day and only received TYLENOL for a mild headache as she got better. We went home and she stayed home from school the next day. We limited her activity and refrained from screen time until she could fully recover. As of today, she appears to have made a full recovery.
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location).
Age: 18.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: DEVELOPED ITCHING, REDNESS  AND SWELLING TO INJECTION SITE AREA. STATES THIS BEGAN APPROXIMATELY 2 DAYS AFTER INJECTION. APPLIED ICE TO THE AREA, NO FURTHER TREATMENT SOUGHT. NOTIFIED EMPLOYER WHEN RETURNED TO WORK ON 1/09/2023.
Age: 56.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Pfizer was given to the client beyond date of vaccine handling and storing. CDC and Pfizer manufactory made aware, instruction was given to revaccinated. Supervisor made aware. I spoke to client and informed them of the vaccine and the need of revaccinated, clients agreed appointment is scheduled for clients and will follow up with care.
Age: 67.0
Sex: F
Vaccine: TDAP
Symptoms: Diarrhoea, Fatigue, Headache
Clinical narrative: She got her vaccine, had no reaction initially.  During the morning hours of  Saturday she had severe diarrhea at least 20 some times like she had a colonoscopy prep, was living in the bed and the bathroom.  While it said it could be a side effect she had never heard of such a thing.  She did not know if her previous COVID vaccines may have caused the reactions.  She also had fatigue, slight headache and a temp of 99.  She took Tylenol for the symptoms, which did help.  By the following day the headache was gone.  She gets headaches when she gets vaccine.  The diarrhea is less, but did still have some today.  She did take 4 Pepto-Bismol tablets on Saturday.  She called her pharmacist who looked it up and told her the percentage of people that would get this and it was 2-10%, and that was it.
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I received my Covid-19 vaccine on 10/07/2022. On 12/26/2022 I started having sore throat, cough, and stuffy nose. I tested positive on 12/29/2022 and called doctor. I was prescribed PAXLOVID. Symptoms lasted for three days.
Age: 13.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Pfizer was given to the client beyond date of vaccine handling and storing. CDC and Pfizer manufactory made aware, instruction was given to revaccinated. Supervisor made aware. I spoke to client and parents informed them of the vaccine and the need of revaccinated, clients agreed appointment is scheduled for clients and will follow up with care.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient came in for his appointment for a bivalent booster but he received a 4th dose of the primary series monovalent Pfizer vaccine instead of the bivalent Pfizer booster. The immunizer informed the patient of the vaccine error and scheduled the patient for a bivalent Pfizer booster appointment 2 months from now. Patient was okay with the plan and he left the vaccine clinic without any adverse reactions after waiting the 15 minutes after his Covid shot.
Age: 14.0
Sex: F
Vaccine: COVID19-2
Symptoms: Respiratory rate increased, Throat tightness
Clinical narrative: Patient had mild reaction (itchiness) to COVID vaccine second dose on 8/25/2022.  Patient came into vaccine clinic on 1/6/23 for COVID booster.  Patient and mother were advised that same reaction may occur.  Mother aware and wanted patient to receive booster dose.  After less than 5 mins was given patient complained feeling like throat was closing.  Diphenhydramine 50mg liquid was given to patient who was observed for 40 mins without further symptoms.
Age: 71.0
Sex: F
Vaccine: COVID19-2, COVID19-2
Symptoms: Headache, Paraesthesia, Skin warm
Clinical narrative: c/o tingling in left shoulder that radiated down to the hands; reported that hands felt warm and then developed a mild headache.  Remained with patient for 20 minutes post vaccine; stated she was "fine" and that symptoms were dissipated.  Instructed to repeat Tylenol and take Benadryl prophylactically.  Assisted in setting up an account in the program.
Age: 71.0
Sex: F
Vaccine: COVID19-2, COVID19-2
Symptoms: Axillary pain, COVID-19, Chest pain, Cough, Decreased appetite
Clinical narrative: c/o tingling in left shoulder that radiated down to the hands; reported that hands felt warm and then developed a mild headache.  Remained with patient for 20 minutes post vaccine; stated she was "fine" and that symptoms were dissipated.  Instructed to repeat Tylenol and take Benadryl prophylactically.  Assisted in setting up an account in the program.
Age: 71.0
Sex: F
Vaccine: COVID19-2, COVID19-2
Symptoms: Headache, Heart rate increased, Hypoaesthesia, Injection site pain, Myalgia
Clinical narrative: c/o tingling in left shoulder that radiated down to the hands; reported that hands felt warm and then developed a mild headache.  Remained with patient for 20 minutes post vaccine; stated she was "fine" and that symptoms were dissipated.  Instructed to repeat Tylenol and take Benadryl prophylactically.  Assisted in setting up an account in the program.
Age: 71.0
Sex: F
Vaccine: COVID19-2, COVID19-2
Symptoms: Neuropathy peripheral, Paraesthesia, Pyrexia, SARS-CoV-2 test positive, Secretion discharge
Clinical narrative: c/o tingling in left shoulder that radiated down to the hands; reported that hands felt warm and then developed a mild headache.  Remained with patient for 20 minutes post vaccine; stated she was "fine" and that symptoms were dissipated.  Instructed to repeat Tylenol and take Benadryl prophylactically.  Assisted in setting up an account in the program.
Age: 71.0
Sex: F
Vaccine: COVID19-2, COVID19-2
Symptoms: Sneezing
Clinical narrative: c/o tingling in left shoulder that radiated down to the hands; reported that hands felt warm and then developed a mild headache.  Remained with patient for 20 minutes post vaccine; stated she was "fine" and that symptoms were dissipated.  Instructed to repeat Tylenol and take Benadryl prophylactically.  Assisted in setting up an account in the program.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Acute sinusitis, COVID-19, Cough, Headache, SARS-CoV-2 test positive
Clinical narrative: Positive for covid, cough, headaches, 4 days
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Urine analysis abnormal
Clinical narrative: Positive for covid, cough, headaches, 4 days
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Blood test abnormal, COVID-19, Impaired work ability, Malaise
Clinical narrative: On 12/12/2022 I did not feel well I left work and tested positive the same day for COVID-19, on 12/14/2022 I had a miscarriage.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Maternal exposure before pregnancy, SARS-CoV-2 test positive
Clinical narrative: On 12/12/2022 I did not feel well I left work and tested positive the same day for COVID-19, on 12/14/2022 I had a miscarriage.
Age: 71.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: COVID-19, Cough, Fatigue, Headache, Nasal congestion
Clinical narrative: I received the Pfizer Bivalent booster for COVID-19 and a flu shot on 9/27/2022. On around 10/19/2022, I had cold-like symptoms and a headache. The cold-like symptoms consisted of a mild sore throat, nasal congestion, and coughing. I took a home antigen test on 10/21/2022, and the result was positive. I called my doctor's office and got a prescription for PAXLOVID, which I began taking 10/21/2022. By 10/23/2022, most of my symptoms were gone. I felt a little tired and still had a slight headache, but I otherwise felt fine. By the time I finished the 5-day course of PAXLOVID, I was completely symptom-free. I don't remember the date, but I did take another test and got a negative result. On 12/28/2022, I had cold-like symptoms. I had previously tested myself for COVID-19 and gotten a negative result, and my symptoms were improving at this point. However, on 1/1/2023, I noticed that my symptoms were getting worse again, so I took another home test and got a positive result. I had nasal congestion, cough, slight headache, and a sore throat. On 1/2/2023, I called my doctor and was prescribed PAXLOVID again. I began taking the PAXLOVID that day. My symptoms improved very quickly. By the evening of 1/3/2023, my sore throat (the most troublesome symptom) was gone. My congestion was almost gone, and I wasn't coughing. I tested myself on 1/3/2023, and the result was positive. I took more home tests on 1/4/2023, 1/5/2023, and 1/6/2023, and all of them yielded a negative result. At the time of this writing, I feel fine and have no residual symptoms.
Age: 71.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I received the Pfizer Bivalent booster for COVID-19 and a flu shot on 9/27/2022. On around 10/19/2022, I had cold-like symptoms and a headache. The cold-like symptoms consisted of a mild sore throat, nasal congestion, and coughing. I took a home antigen test on 10/21/2022, and the result was positive. I called my doctor's office and got a prescription for PAXLOVID, which I began taking 10/21/2022. By 10/23/2022, most of my symptoms were gone. I felt a little tired and still had a slight headache, but I otherwise felt fine. By the time I finished the 5-day course of PAXLOVID, I was completely symptom-free. I don't remember the date, but I did take another test and got a negative result. On 12/28/2022, I had cold-like symptoms. I had previously tested myself for COVID-19 and gotten a negative result, and my symptoms were improving at this point. However, on 1/1/2023, I noticed that my symptoms were getting worse again, so I took another home test and got a positive result. I had nasal congestion, cough, slight headache, and a sore throat. On 1/2/2023, I called my doctor and was prescribed PAXLOVID again. I began taking the PAXLOVID that day. My symptoms improved very quickly. By the evening of 1/3/2023, my sore throat (the most troublesome symptom) was gone. My congestion was almost gone, and I wasn't coughing. I tested myself on 1/3/2023, and the result was positive. I took more home tests on 1/4/2023, 1/5/2023, and 1/6/2023, and all of them yielded a negative result. At the time of this writing, I feel fine and have no residual symptoms.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 11/21/22 presents to ED for "shortness of breath". PMHx of "RLD , HFpEF, HTN, HLD,mild OSA not on CPAP, and depression/GAD"
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Cough
Clinical narrative: confusion, cough
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 11/21/22 presents to EC ED for "shortness of breath". PMHx of "factor V and CAD"
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Echocardiogram, Laboratory test, Malaise, Tremor
Clinical narrative: Sick for 5 days, tremors,
Age: 31.0
Sex: F
Vaccine: HEPAB, TDAP
Symptoms: Expired product administered
Clinical narrative: Patient given expired  Twinrix vaccine dated 1-1-23.  Checked with manufacturer and vaccine is still potent up to 30 days after expiration date.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: COVID-19, mRNA, LNP-S, PF, 100 mcg/0.5mL dose or 50 mcg/0.25mL dose (Moderna COVID-19 vaccine) Date Administered: 11/01/2021 Manufacturer: MODERNA US,INC. Lot Number: 076C21A  Patient died of COVID 08/11/2022
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No adverse effect.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Headache, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: On December 27, 2022, I began to have a scratchy throat. I tested negative for three days. On December 31, 2022, I went to the urgent care and received antibiotic and steroid. On January 2, 2023, I tested at home and was positive for COVID-19. I had a runny nose and sneezing and fatigue that included a headache. I took PAXLOVID and I tested negative yesterday.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Sneezing, Throat irritation
Clinical narrative: On December 27, 2022, I began to have a scratchy throat. I tested negative for three days. On December 31, 2022, I went to the urgent care and received antibiotic and steroid. On January 2, 2023, I tested at home and was positive for COVID-19. I had a runny nose and sneezing and fatigue that included a headache. I took PAXLOVID and I tested negative yesterday.
Age: 71.0
Sex: M
Vaccine: COVID19-2, UNK
Symptoms: COVID-19, Echocardiogram normal, Influenza like illness, Malaise, SARS-CoV-2 test positive
Clinical narrative: On 12/27/2022, I started feeling sick with flu like symptoms. I took a Sudafed PE and around 02:00PM, I took an at home COVID-19 test which was positive. At that point, my heartbeat went up to 150 and my blood pressure was down to 65. I was admitted to the local hospital. They confirmed my COVID-19 diagnosis and admitted me for 2 days. I was given medication for COVID-19. They also took me off of Amlodipine and prescribed Metoprolol. I started feeling back to normal by 12/30/2022, after leaving the hospital.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: I tested positive for COVID on November 13, 2022.
Age: 1.5
Sex: M
Vaccine: DTPPVHBHPB, HEPA, HIBV, MMRV, PNC13
Symptoms: Extra dose administered, Pain
Clinical narrative: Patient came in to get caught up on routine vaccines. PedVaxHib was accidentally given in addition to Vaxelis, resulting in an extra dose of Hib vaccine. No reaction noted at time of vaccination. Child tolerated vaccines well. Mom was contacted on 1/4/2023 to notify of extra dose and to ask how child was doing. Mom stated patient was doing well with no fever and seeming mild soreness. No concerns from mom other than to ask if child received all the vaccines he needed.
Age: 60.0
Sex: M
Vaccine: MENB
Symptoms: Wrong product administered
Clinical narrative: Patient was given wrong vaccine.  He was to be given Engerix B not Bexsero.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Oedema peripheral, Paraesthesia, Peripheral swelling, Pruritus
Clinical narrative: Edema noted to bilateral hands 12 hours after injection. Resident states they became red, began to itch, then they were swollen. He also states he felt a tingling sensation to bilateral hands.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Injection site pain, Lymphadenopathy, Malaise
Clinical narrative: Persistent (4 weeks) sharp pain in left deltoid, radiating superiorly to head.   Persistent (4week) enlarged lymph nodes, left arm soreness.  Fatigue Malaise
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: Persistent (4 weeks) sharp pain in left deltoid, radiating superiorly to head.   Persistent (4week) enlarged lymph nodes, left arm soreness.  Fatigue Malaise
Age: 65.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Postmenopausal haemorrhage, Secretion discharge, Smear cervix abnormal, Ultrasound scan vagina abnormal, Uterine haematoma
Clinical narrative: First I had a mucous thick bloody discharge then a few days later a bloody discharge similar to my period. This continued for several days of and on for several weeks. I made a doctors appointment and was referred to a Gynecologists, on 12/07/2022 a pap smear was performed and an abnormal result was noted.
Age: 65.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Uterine mass, Vaginal haemorrhage
Clinical narrative: First I had a mucous thick bloody discharge then a few days later a bloody discharge similar to my period. This continued for several days of and on for several weeks. I made a doctors appointment and was referred to a Gynecologists, on 12/07/2022 a pap smear was performed and an abnormal result was noted.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Urine output decreased
Clinical narrative: 11/21/22 presents to EC ED for "decreased output from her Foley catheter". PMHx of "anemia, hypertension, GERD, gastric ulcer, diverticulosis, NSTEMI and SBO"
Age: 2.0
Sex: F
Vaccine: DTAPIPV, DTAPIPV
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Female pt 2y/o was given TDAP+IPV dose appropriate for 4-6 years old. No signs of symptoms.
Age: 2.0
Sex: F
Vaccine: DTAPIPV, DTAPIPV
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Female pt 2y/o was given TDAP+IPV dose appropriate for 4-6 years old. No signs of symptoms.
Age: 2.0
Sex: F
Vaccine: DTAPIPV, DTAPIPV
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: ADMINISTRATION ERROR KINRIX WAS GIVEN INSTEAD OF DTAP #4 BY ANOTHER NURSE, PCP AND NURSE MANAGER HAVE BEEN NOTIFIED  NO REACTION HAS BEEN REPORTED AT THIS TIME
Age: 2.0
Sex: F
Vaccine: DTAPIPV, DTAPIPV
Symptoms: No adverse event, Wrong product administered
Clinical narrative: ADMINISTRATION ERROR KINRIX WAS GIVEN INSTEAD OF DTAP #4 BY ANOTHER NURSE, PCP AND NURSE MANAGER HAVE BEEN NOTIFIED  NO REACTION HAS BEEN REPORTED AT THIS TIME
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Ear infection, Exposure to communicable disease, Sinusitis
Clinical narrative: Sinus infection and ear infections, similar symptoms to that of grandchildren who were ill during the time I had contact with them.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness unilateral, Eye haemorrhage
Clinical narrative: lost my vision in my right eye.
Age: 0.58
Sex: M
Vaccine: DTAPIPV, PNC13, RV5
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: 7 month old patient was administered Kinrx. No symptoms no side effects noted.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Influenza like illness, Pain, SARS-CoV-2 test positive
Clinical narrative: tired, achy flu like symptoms
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Exercise tolerance decreased, Fatigue, Hyperhidrosis
Clinical narrative: Tightness in chest, shortness of breath throughout my day. When I exercise I become fatigued (sweaty and breathing heavier than normal) from the same exercise that I have done prior to vaccine.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Respiration abnormal
Clinical narrative: Tightness in chest, shortness of breath throughout my day. When I exercise I become fatigued (sweaty and breathing heavier than normal) from the same exercise that I have done prior to vaccine.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Chills, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 11/21/22 presents to EC ED for "fever, chills". PMHx of "breast cancer s/p bilateral mastectomy"
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, COVID-19, Chest X-ray, Chest pain, Condition aggravated
Clinical narrative: I had my vaccination on 03/18/2021. On 03/25/2021 I went to the emergency room because I felt like I was having a heart attack with shortness of breath and pain in chest. They deemed it was another episode of Pericarditis and was put on a Holter monitor. I was told I was COVID-19 positive in 12/2019. I was initially diagnosed with Pericarditis in 2020.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram ambulatory, Pericarditis, SARS-CoV-2 test positive, Scan with contrast
Clinical narrative: I had my vaccination on 03/18/2021. On 03/25/2021 I went to the emergency room because I felt like I was having a heart attack with shortness of breath and pain in chest. They deemed it was another episode of Pericarditis and was put on a Holter monitor. I was told I was COVID-19 positive in 12/2019. I was initially diagnosed with Pericarditis in 2020.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin
Clinical narrative: I had my vaccination on 03/18/2021. On 03/25/2021 I went to the emergency room because I felt like I was having a heart attack with shortness of breath and pain in chest. They deemed it was another episode of Pericarditis and was put on a Holter monitor. I was told I was COVID-19 positive in 12/2019. I was initially diagnosed with Pericarditis in 2020.
Age: 75.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Angiogram pulmonary normal, Blood potassium abnormal, COVID-19, Chest X-ray normal, Chronic obstructive pulmonary disease
Clinical narrative: COVID+ 12/30/22.  Vaccination Status - Pfizer x4 + Pfizer BIVALENT x1 BRIEF OVERVIEW: Admission Date: 12/27/2022 Discharge Date: 1/7/2023   Active Hospital Problems   Diagnosis Date Noted POA ? Statin started by Vascular Surgery with Rx to be taken over by patient's PCP 01/07/2023 Unknown ? Multiple comorbid conditions 01/02/2023 Unknown ? COVID-19 09/13/2022 Yes ? Immunosuppressed status 07/29/2022 Yes ? Moderate pulmonary hypertension on echo from May 2019 01/14/2020 Yes ? OSA (obstructive sleep apnea) 04/09/2018 Yes ? Anxiety 03/11/2018 Yes ? History of tobacco abuse: 30 pack years, quit 1999 06/20/2016 Yes ? COPD with asthma   Yes DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxemia [R09.02] COPD exacerbation [J44.1] Chronic obstructive pulmonary disease with (acute) exacerbation [J44.1]   HOSPITAL COURSE: Patient is a 75-year-old female who presented to the emergency department with chief complaint of shortness of breath.  In the emergency department, she was found to be hypoxemic and required increased O2.  In the emergency department chest x-ray with no acute process.  Patient had known exposure to COVID-19 prior to admission.  On admission COVID-19, influenza and RSV were negative.  She was admitted to the Internal Medicine Service with a pulmonology consult.  She was started on IV steroids and DuoNebs.  She completed a course of azithromycin.  CTA chest was obtained which revealed no evidence of PE and no acute thoracic abnormality.  Bilateral lower extremity ultrasound was negative for DVT.  As patient's symptoms improved, IV steroids were discontinued and she was placed on prednisone  Repeat COVID-19 testing was performed due to recent exposure and was positive.   Patient completed a course of Remdesivir while inpatient. She was seen by pulmonary medicine who recommended prednisone taper by 10 mg every 5 days until off.  They also recommended she follow-up with her pulmonologist on 01/13/2023 as previously scheduled,   Patient was seen by PT and OT and recommendation was for home with home health care.   Patient with history of anxiety which is worsened by her acute respiratory failure.  Palliative Care was consulted for assistance with symptom management.  Patient had hypokalemia during her stay and losartan was held.  Potassium level did normalize and patient advised to resume losartan at discharge. Care management did arrange for home care.  Patient had improvement of her respiratory status, had no other acute issues and was discharged home in stable condition on 1/7/2023.
Age: 75.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Condition aggravated, Dyspnoea, Exposure to SARS-CoV-2, Hypokalaemia, Hypoxia
Clinical narrative: COVID+ 12/30/22.  Vaccination Status - Pfizer x4 + Pfizer BIVALENT x1 BRIEF OVERVIEW: Admission Date: 12/27/2022 Discharge Date: 1/7/2023   Active Hospital Problems   Diagnosis Date Noted POA ? Statin started by Vascular Surgery with Rx to be taken over by patient's PCP 01/07/2023 Unknown ? Multiple comorbid conditions 01/02/2023 Unknown ? COVID-19 09/13/2022 Yes ? Immunosuppressed status 07/29/2022 Yes ? Moderate pulmonary hypertension on echo from May 2019 01/14/2020 Yes ? OSA (obstructive sleep apnea) 04/09/2018 Yes ? Anxiety 03/11/2018 Yes ? History of tobacco abuse: 30 pack years, quit 1999 06/20/2016 Yes ? COPD with asthma   Yes DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxemia [R09.02] COPD exacerbation [J44.1] Chronic obstructive pulmonary disease with (acute) exacerbation [J44.1]   HOSPITAL COURSE: Patient is a 75-year-old female who presented to the emergency department with chief complaint of shortness of breath.  In the emergency department, she was found to be hypoxemic and required increased O2.  In the emergency department chest x-ray with no acute process.  Patient had known exposure to COVID-19 prior to admission.  On admission COVID-19, influenza and RSV were negative.  She was admitted to the Internal Medicine Service with a pulmonology consult.  She was started on IV steroids and DuoNebs.  She completed a course of azithromycin.  CTA chest was obtained which revealed no evidence of PE and no acute thoracic abnormality.  Bilateral lower extremity ultrasound was negative for DVT.  As patient's symptoms improved, IV steroids were discontinued and she was placed on prednisone  Repeat COVID-19 testing was performed due to recent exposure and was positive.   Patient completed a course of Remdesivir while inpatient. She was seen by pulmonary medicine who recommended prednisone taper by 10 mg every 5 days until off.  They also recommended she follow-up with her pulmonologist on 01/13/2023 as previously scheduled,   Patient was seen by PT and OT and recommendation was for home with home health care.   Patient with history of anxiety which is worsened by her acute respiratory failure.  Palliative Care was consulted for assistance with symptom management.  Patient had hypokalemia during her stay and losartan was held.  Potassium level did normalize and patient advised to resume losartan at discharge. Care management did arrange for home care.  Patient had improvement of her respiratory status, had no other acute issues and was discharged home in stable condition on 1/7/2023.
Age: 75.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Influenza virus test negative, Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Ultrasound Doppler normal
Clinical narrative: COVID+ 12/30/22.  Vaccination Status - Pfizer x4 + Pfizer BIVALENT x1 BRIEF OVERVIEW: Admission Date: 12/27/2022 Discharge Date: 1/7/2023   Active Hospital Problems   Diagnosis Date Noted POA ? Statin started by Vascular Surgery with Rx to be taken over by patient's PCP 01/07/2023 Unknown ? Multiple comorbid conditions 01/02/2023 Unknown ? COVID-19 09/13/2022 Yes ? Immunosuppressed status 07/29/2022 Yes ? Moderate pulmonary hypertension on echo from May 2019 01/14/2020 Yes ? OSA (obstructive sleep apnea) 04/09/2018 Yes ? Anxiety 03/11/2018 Yes ? History of tobacco abuse: 30 pack years, quit 1999 06/20/2016 Yes ? COPD with asthma   Yes DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxemia [R09.02] COPD exacerbation [J44.1] Chronic obstructive pulmonary disease with (acute) exacerbation [J44.1]   HOSPITAL COURSE: Patient is a 75-year-old female who presented to the emergency department with chief complaint of shortness of breath.  In the emergency department, she was found to be hypoxemic and required increased O2.  In the emergency department chest x-ray with no acute process.  Patient had known exposure to COVID-19 prior to admission.  On admission COVID-19, influenza and RSV were negative.  She was admitted to the Internal Medicine Service with a pulmonology consult.  She was started on IV steroids and DuoNebs.  She completed a course of azithromycin.  CTA chest was obtained which revealed no evidence of PE and no acute thoracic abnormality.  Bilateral lower extremity ultrasound was negative for DVT.  As patient's symptoms improved, IV steroids were discontinued and she was placed on prednisone  Repeat COVID-19 testing was performed due to recent exposure and was positive.   Patient completed a course of Remdesivir while inpatient. She was seen by pulmonary medicine who recommended prednisone taper by 10 mg every 5 days until off.  They also recommended she follow-up with her pulmonologist on 01/13/2023 as previously scheduled,   Patient was seen by PT and OT and recommendation was for home with home health care.   Patient with history of anxiety which is worsened by her acute respiratory failure.  Palliative Care was consulted for assistance with symptom management.  Patient had hypokalemia during her stay and losartan was held.  Potassium level did normalize and patient advised to resume losartan at discharge. Care management did arrange for home care.  Patient had improvement of her respiratory status, had no other acute issues and was discharged home in stable condition on 1/7/2023.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Electrocardiogram, Electrocardiogram ambulatory, Injection site pain, Neuralgia
Clinical narrative: 1) At injection site. Burning sensation (neuralgia?) that varies in intensity reported to physician on 11/30/21.  Chronic and persistent as of 1/9/2023.  2) Atrial fibrillation episode 4/8/22 that continues as of 1/9/2023. Could be a coincidence but I'll start by recording it.
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Cough, Dysphonia, Fatigue, Influenza A virus test negative
Clinical narrative: Starting 11/30/2022, I developed a runny nose and some nasal congestion. I waited a few days because I thought it was a cold. It progressed into chills and more severe nasal congestion. I developed a cough and some wheezing, and also felt very fatigued. After waiting a few weeks thinking, again, it was just a cold, I decided to see my doctor. I saw my doctor via telehealth about 3 weeks into December and she prescribed some antibiotics and a cough medicine to take at night time. She had me do a COVID-19 PCR test which came back negative. I was taking MUCINEX before I saw her but had no relief from it. I took the antibiotics for about 5 days (Z-PAK) and I felt better after a few days. I felt the congestion and post nasal drip come back about 2 days after finishing the course of antibiotics. I tried to wait it out to let the medicine do its job and I took a cough drop to help the cough when it came back. On 12/28/2022, I had sneezing and sinus congestion but worse than last time and a cough. I called my doctor on 01/02/2023 and I scheduled it for 01/04/2023 because I had to wait for a COVID-19 PCR test and Flu A/B to come back before I could go into the office. All of the tests ended up coming back negative. In the office, they did a strep test due to my post nasal drip and the hoarseness of my voice, and that came back negative. She said I was wheezing and coughing, the same way as before. She prescribed me a stronger dose of antibiotics (AUGMENTIN) and prescribed an inhaler (albuterol). I am still taking those to this day. I still have congestion and wheezing but not as much as before. Also, I am still getting some intermittent fatigue.
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Influenza B virus test, Nasal congestion, Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: Starting 11/30/2022, I developed a runny nose and some nasal congestion. I waited a few days because I thought it was a cold. It progressed into chills and more severe nasal congestion. I developed a cough and some wheezing, and also felt very fatigued. After waiting a few weeks thinking, again, it was just a cold, I decided to see my doctor. I saw my doctor via telehealth about 3 weeks into December and she prescribed some antibiotics and a cough medicine to take at night time. She had me do a COVID-19 PCR test which came back negative. I was taking MUCINEX before I saw her but had no relief from it. I took the antibiotics for about 5 days (Z-PAK) and I felt better after a few days. I felt the congestion and post nasal drip come back about 2 days after finishing the course of antibiotics. I tried to wait it out to let the medicine do its job and I took a cough drop to help the cough when it came back. On 12/28/2022, I had sneezing and sinus congestion but worse than last time and a cough. I called my doctor on 01/02/2023 and I scheduled it for 01/04/2023 because I had to wait for a COVID-19 PCR test and Flu A/B to come back before I could go into the office. All of the tests ended up coming back negative. In the office, they did a strep test due to my post nasal drip and the hoarseness of my voice, and that came back negative. She said I was wheezing and coughing, the same way as before. She prescribed me a stronger dose of antibiotics (AUGMENTIN) and prescribed an inhaler (albuterol). I am still taking those to this day. I still have congestion and wheezing but not as much as before. Also, I am still getting some intermittent fatigue.
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Sinus congestion, Sneezing, Streptococcus test negative, Upper-airway cough syndrome, Wheezing
Clinical narrative: Starting 11/30/2022, I developed a runny nose and some nasal congestion. I waited a few days because I thought it was a cold. It progressed into chills and more severe nasal congestion. I developed a cough and some wheezing, and also felt very fatigued. After waiting a few weeks thinking, again, it was just a cold, I decided to see my doctor. I saw my doctor via telehealth about 3 weeks into December and she prescribed some antibiotics and a cough medicine to take at night time. She had me do a COVID-19 PCR test which came back negative. I was taking MUCINEX before I saw her but had no relief from it. I took the antibiotics for about 5 days (Z-PAK) and I felt better after a few days. I felt the congestion and post nasal drip come back about 2 days after finishing the course of antibiotics. I tried to wait it out to let the medicine do its job and I took a cough drop to help the cough when it came back. On 12/28/2022, I had sneezing and sinus congestion but worse than last time and a cough. I called my doctor on 01/02/2023 and I scheduled it for 01/04/2023 because I had to wait for a COVID-19 PCR test and Flu A/B to come back before I could go into the office. All of the tests ended up coming back negative. In the office, they did a strep test due to my post nasal drip and the hoarseness of my voice, and that came back negative. She said I was wheezing and coughing, the same way as before. She prescribed me a stronger dose of antibiotics (AUGMENTIN) and prescribed an inhaler (albuterol). I am still taking those to this day. I still have congestion and wheezing but not as much as before. Also, I am still getting some intermittent fatigue.
Age: 12.0
Sex: M
Vaccine: HEPA
Symptoms: Extra dose administered, No adverse event, Product administration error
Clinical narrative: A Hep A was ordered and given on this patient in error.  He had previously received 2 doses of the Hep A series.  He did not need a 3rd dose.  Pt had no adverse reaction to the vaccine in the clinic.  Patient and Parent notified immediately when the error was noted.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Discomfort, Hyperaesthesia, Loss of personal independence in daily activities
Clinical narrative: Patient reported heightened sensitivity on her arms, scalp, torso, and back. Simple activities like putting on clothes and brushing her hair caused significant discomfort.  Patient also said sensitivity began going away the beginning of the new year (2023).
Age: 31.0
Sex: M
Vaccine: COVID19-2
Symptoms: Bell's palsy, Ear pain, Facial paralysis, Hypoaesthesia oral, Magnetic resonance imaging abnormal
Clinical narrative: Went to Facility on 12/15/22  for pain behind ear and down to lower jaw, numbness in tongue and mouth and paralysis of the right side of the face. Was diagnosed with Bells Palsy.   Told nurse that I recently received the Pfiser Booster and had side effects a few days later.  Told nurse that after receiving the second pfiser August of 2021, I had swollen lymph nodes causing pain in armpit and my first case of shingles. Nurse asked why I wanted to get the booster after having those side effects.
Age: 31.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pain in jaw
Clinical narrative: Went to Facility on 12/15/22  for pain behind ear and down to lower jaw, numbness in tongue and mouth and paralysis of the right side of the face. Was diagnosed with Bells Palsy.   Told nurse that I recently received the Pfiser Booster and had side effects a few days later.  Told nurse that after receiving the second pfiser August of 2021, I had swollen lymph nodes causing pain in armpit and my first case of shingles. Nurse asked why I wanted to get the booster after having those side effects.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Headache, Nasal congestion, Nausea, Oropharyngeal pain
Clinical narrative: 11/22/22 presents to ED for "fever, headache, nausea, sore throat, nasal congestion, urinary frequency". PMHx of "Crohn's disease, psoriatic arthritis"
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pollakiuria, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 11/22/22 presents to ED for "fever, headache, nausea, sore throat, nasal congestion, urinary frequency". PMHx of "Crohn's disease, psoriatic arthritis"
Age: 54.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Ear pain, Gastrointestinal disorder, Inflammation, Injection site scab
Clinical narrative: The night after dose 4 I had swelling around the injection site. I could feel the injection site and it is like there is a scab inside. I have also had GI issues and felt week and lethargic. I feel like my nerves on my left side are inflamed. I have back issues that are like muscle tightness and inflamed similar to sciatic but much worse. These symptoms began, got worse, and now they seem to be getting better. In addition to these symptoms, I have had congestion and ear pain. I was prescribed a ZPAK on January 7, 2023.
Age: 54.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site swelling, Lethargy, Muscle tightness, Neuritis, Respiratory tract congestion
Clinical narrative: The night after dose 4 I had swelling around the injection site. I could feel the injection site and it is like there is a scab inside. I have also had GI issues and felt week and lethargic. I feel like my nerves on my left side are inflamed. I have back issues that are like muscle tightness and inflamed similar to sciatic but much worse. These symptoms began, got worse, and now they seem to be getting better. In addition to these symptoms, I have had congestion and ear pain. I was prescribed a ZPAK on January 7, 2023.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Pyrexia, Vomiting
Clinical narrative: 01/07/2022, I got the vaccine in the morning and by the night, I had vomiting, diarrhea, fever, chills for 2 to 3 days.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, Vaccine breakthrough infection
Clinical narrative: COVID-related death, breakthrough case
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: COVID-related death, breakthrough case
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer COVID vaccine given past BUD. Recommendation is to revaccinate.
Age: 0.83
Sex: F
Vaccine: DTAPHEPBIP, FLU4, PNC13, RV5
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Baby presented for 9 month child health and was only due for a flu vaccine.  Staff administered 6 month vaccine schedule to 9 month who was up to date.  Baby received an extra pediarix, prevnar and rotovirus vaccine.  No adverse reactions noted.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Scab, Wound
Clinical narrative: Patient reports open wound at injection site one month post-vaccination. Per patient, wound will scab over, fall off, and does not heal. Patient called pharmacy on 1/9/2023 to report AE and inquire about OTC treatment options. We advised patient to come into the pharmacy for further evaluation.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: 11/22/22 presents to ED for "altered mental status". PMHx of "CVA, CKD, left bundle branch block, hypertension"
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Pallor
Clinical narrative: L lateral thigh and size: 6in x 6in. Color: red. Infectious signs: no drainage, fluctuance, or lymphangitic streaking and warmth, erythema, and induration.  proquad given subQ and superior location and quadracel inferior location. blanching and warm, mildly tender, but otherwise well. continue benadryl, tylenol. can add topical steroid cream BID. start cephalexin if enlarging size or streaking. will report to VAERS. hydrocortisone 2.5 % topical ointment - apply twice daily for 7 days     Qty: (1)  30 gram tube  cephalexin 250 mg/5 mL oral suspension - Take 5 mL twice a day by oral route for 7 days.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine that was expired ( past BUD). Recommendation is to revaccinate.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: A dose of Moderna bivalent of 0.25 ml was administered, when it should have been 0.5 ml..
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: At the moment there was no adverse event.