chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Condition aggravated, Decreased appetite, Epiretinal membrane
Clinical narrative: About a week and a half after the second booster.  I began to feel sick but negative for COVID-19.  I had fever, chills, night sweats and exhaustion.  It lasted for about a week and general weakness and loss of appetite.  Then I noticed that my right eye was 'hopping' around and had trouble reading.  Symptoms also included headache and light sensitivity.  I visited doctor eye doctor and diagnosed with macular pucker.   My eye doctor referred me to a surgeon that confirmed the diagnosis and I will visit again in September.   I was prescribed an eye drop Ketorolac Tromethamine.  The eye surgeon also noticed that my blood pressure was very high and we would not be able to do surgery until my blood pressure lowers.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Eye movement disorder, Fatigue, Headache, Hypertension, Imaging procedure
Clinical narrative: About a week and a half after the second booster.  I began to feel sick but negative for COVID-19.  I had fever, chills, night sweats and exhaustion.  It lasted for about a week and general weakness and loss of appetite.  Then I noticed that my right eye was 'hopping' around and had trouble reading.  Symptoms also included headache and light sensitivity.  I visited doctor eye doctor and diagnosed with macular pucker.   My eye doctor referred me to a surgeon that confirmed the diagnosis and I will visit again in September.   I was prescribed an eye drop Ketorolac Tromethamine.  The eye surgeon also noticed that my blood pressure was very high and we would not be able to do surgery until my blood pressure lowers.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Intraocular pressure test, Malaise, Night sweats, Ophthalmological examination, Photophobia
Clinical narrative: About a week and a half after the second booster.  I began to feel sick but negative for COVID-19.  I had fever, chills, night sweats and exhaustion.  It lasted for about a week and general weakness and loss of appetite.  Then I noticed that my right eye was 'hopping' around and had trouble reading.  Symptoms also included headache and light sensitivity.  I visited doctor eye doctor and diagnosed with macular pucker.   My eye doctor referred me to a surgeon that confirmed the diagnosis and I will visit again in September.   I was prescribed an eye drop Ketorolac Tromethamine.  The eye surgeon also noticed that my blood pressure was very high and we would not be able to do surgery until my blood pressure lowers.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pupil dilation procedure, Pyrexia, Reading disorder, SARS-CoV-2 test negative
Clinical narrative: About a week and a half after the second booster.  I began to feel sick but negative for COVID-19.  I had fever, chills, night sweats and exhaustion.  It lasted for about a week and general weakness and loss of appetite.  Then I noticed that my right eye was 'hopping' around and had trouble reading.  Symptoms also included headache and light sensitivity.  I visited doctor eye doctor and diagnosed with macular pucker.   My eye doctor referred me to a surgeon that confirmed the diagnosis and I will visit again in September.   I was prescribed an eye drop Ketorolac Tromethamine.  The eye surgeon also noticed that my blood pressure was very high and we would not be able to do surgery until my blood pressure lowers.
Age: 26.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Chills, Fatigue, Headache, Myalgia, Pain in extremity
Clinical narrative: Evening of and the next day: Itchy legs, achy legs, fatigue  Two days after: Fever, chills, muscle aches, fatigue, headache
Age: 26.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Pruritus, Pyrexia
Clinical narrative: Evening of and the next day: Itchy legs, achy legs, fatigue  Two days after: Fever, chills, muscle aches, fatigue, headache
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Respiratory tract congestion
Clinical narrative: congestion, cough, SOB
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Blood test, Dyspnoea, Echocardiogram, Electrocardiogram
Clinical narrative: Uncontrollable  full-body shaking, nausea, headaches, shortness of breath, losing consciousness, light sensitivity, fatigue,  brain fog, short term memory loss, heart palpitations, twitching. Began approximately 2 weeks following vaccine and continued for 8 months Self-treated with ibuprofin, as doctors were not able to identify a cause, other than likely vaccine side effects.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Immunisation reaction, Loss of consciousness
Clinical narrative: Uncontrollable  full-body shaking, nausea, headaches, shortness of breath, losing consciousness, light sensitivity, fatigue,  brain fog, short term memory loss, heart palpitations, twitching. Began approximately 2 weeks following vaccine and continued for 8 months Self-treated with ibuprofin, as doctors were not able to identify a cause, other than likely vaccine side effects.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Muscle twitching, Nausea, Palpitations, Photophobia
Clinical narrative: Uncontrollable  full-body shaking, nausea, headaches, shortness of breath, losing consciousness, light sensitivity, fatigue,  brain fog, short term memory loss, heart palpitations, twitching. Began approximately 2 weeks following vaccine and continued for 8 months Self-treated with ibuprofin, as doctors were not able to identify a cause, other than likely vaccine side effects.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Scan, Tremor
Clinical narrative: Uncontrollable  full-body shaking, nausea, headaches, shortness of breath, losing consciousness, light sensitivity, fatigue,  brain fog, short term memory loss, heart palpitations, twitching. Began approximately 2 weeks following vaccine and continued for 8 months Self-treated with ibuprofin, as doctors were not able to identify a cause, other than likely vaccine side effects.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: Chills, fever.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Systemic: Allergic: Rash Generalized-Medium, Additional Details: Patient reports rash developed on arms & legs about 1 month after receiving vaccine. States she cannot think of any other reason for rash. Previous rash (i.e. childhood) resolved with OTC topicals. It has been 2 months of prescription steroids and it is just now resolving.
Age: 0.17
Sex: M
Vaccine: HIBV, IPV, PNC13
Symptoms: Tremor
Clinical narrative: Involuntary full body tremor that lasted until 03/25/2022. Tremor was spontaneous and was not correlated to any specific stimuli; occurred multiple times per day.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac disorder, Chest pain, Computerised tomogram thorax, Dizziness, Dyspnoea
Clinical narrative: bilateral pulmonary embolisms with heart strain, resident complained of shortness of breath, dizziness, and chest pain on 8/16/22 and resident was transferred
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Pulmonary embolism
Clinical narrative: bilateral pulmonary embolisms with heart strain, resident complained of shortness of breath, dizziness, and chest pain on 8/16/22 and resident was transferred
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Death, Dyspnoea exertional, SARS-CoV-2 test positive
Clinical narrative: Patient was a resident of a facility.  Patient had hx of thoracic spinal mass and not being able to walk.  Patient tested positive for Covid-19 at the facility on 02/08/2022.  CXR obtained at the facility came back clear.  On 02/17/2022 patient c/o SOB with exertion and positional changes.  Patient expired at facility on 02/22/2022.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case COVID-19 after fully vaccinated with 2 doses.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Headache, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I received my first Pfizer booster for COVID-19 on 7/1/2022. On the morning of 7/27/2022, I woke up with a sore throat. I have allergies, so I didn't think much of it. I just drank some lemon tea and went about my day. I had a slight headache later that day, which I didn't really give much thought to.  I didn't have any other symptoms, but I was babysitting my granddaughter at the time, and she vomited at one point and felt lethargic. When my daughter returned home from a conference, I told her about it, and she suggested that we all get tested for COVID-19.  On 7/28/2022, we underwent a PCR test. When I got my results back a few days later, they were positive. On 7/29/2022, I called my doctor's office and got a prescription for Paxlovid. Aside from the abovementioned symptoms, the only real issue I had with the COVID-19 was a slight cough, which lasted for maybe just a day. I took a home COVID-19 test on or about 8/2/2022, and the result was still positive. I didn't take any more tests after that. I just isolated for about 5 days, as I was directed by my doctor, and then came out of isolation and resumed my normal activities afterwards.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeding disorder, Feeling abnormal, Fluid intake reduced, Migraine
Clinical narrative: Arm sore. Arm remained warm/hot to the touch for approx 36 hours. Headache started Friday pm (12 hours after Vacc). Ibuprofen ineffective. Saturday, 5 am (21 hours post vacc), migraine headache conditions: Sensitive to light, nauseous, unbearable  headache. Ibuprofen ineffective. Could not eat or drink all day. Used ice packs on head. Sunday. Headache persisted throughout the day. Ibuprofen ineffective. Used ice packs. Was able to go outside and run errands. Started consuming drinks. Ate something at 1 pm. Monday morning, Woke up and headache was mild. Ibuprofen effective. went to work, able to eat and drink. Extremely tired and still feel muddle-headed. Forgot to bring ibuprofen, headache started reappearing at 1 pm. Arm soreness lasted approx 12 hours.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity, Photophobia, Skin warm
Clinical narrative: Arm sore. Arm remained warm/hot to the touch for approx 36 hours. Headache started Friday pm (12 hours after Vacc). Ibuprofen ineffective. Saturday, 5 am (21 hours post vacc), migraine headache conditions: Sensitive to light, nauseous, unbearable  headache. Ibuprofen ineffective. Could not eat or drink all day. Used ice packs on head. Sunday. Headache persisted throughout the day. Ibuprofen ineffective. Used ice packs. Was able to go outside and run errands. Started consuming drinks. Ate something at 1 pm. Monday morning, Woke up and headache was mild. Ibuprofen effective. went to work, able to eat and drink. Extremely tired and still feel muddle-headed. Forgot to bring ibuprofen, headache started reappearing at 1 pm. Arm soreness lasted approx 12 hours.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 3-year-old administered incorrect Pfizer COVID-19 vaccine (orange top for 5 to 11-year-old).
Age: 65.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Chills, Diarrhoea, Nausea, Pain, Pyrexia
Clinical narrative: JYNNEOS - Body aches, chills, low grade ever, serious nausea, serious diarrhea
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Diarrhoea, Headache, Nausea, SARS-CoV-2 test positive
Clinical narrative: On July 30, 2022 I started having a headache, nausea and diarrhea. On 7-31, I took a home COVID-19 test with negative results. On 8-1, I took another home COVID-19 test with positive result. I called the doctors office and had a telehealth visit. They ordered a prescription for PAXLOVID. I started the medication on that same day. I am reporting a breakthrough case of COVID-19.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: On July 30, 2022 I started having a headache, nausea and diarrhea. On 7-31, I took a home COVID-19 test with negative results. On 8-1, I took another home COVID-19 test with positive result. I called the doctors office and had a telehealth visit. They ordered a prescription for PAXLOVID. I started the medication on that same day. I am reporting a breakthrough case of COVID-19.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case COVID-19 after fully vaccinated with 2 doses.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Extra dose administered
Clinical narrative: The patient presented to a event at the school where our organization was administering Well Child Exams.  Family member with child stated she was scheduled to receive her 4 year old "school shots" the upcoming week with her pcp. However, she wanted to get them at the event since available.  The nurse on duty had pulled a record that exemplified that the shots were due. However, after administration it was brought to the attention that the record was not a match to the patient therefore discovery that the 4 year old patient had received Kinrix and Proquad June 21st according to state website if placed accurately by PCP which had recorded the vaccines in April and June of this year.  No adverse immediate reaction was noted.
Age: 12.0
Sex: F
Vaccine: COVID19, HPV9, MNQ, TDAP
Symptoms: Confusional state, Hyperhidrosis, Pain in extremity, Pallor, Presyncope
Clinical narrative: After applying the band aid following the last immunization (Tdap), Patient fainted in her chair for about 3 seconds. Other nurses were called by CMA and mother. Patient was waking up but confused. Patient was diaphoretic and pale. Blood pressure was monitored as well as O2 and heart rate. Patient was given sips of coca cola and a couple bites of a muffin. Patient started to feel better and was complaining of arm pain. Mom was asked if she would like an ambulance called to transport to the ER and she opted to drive her herself. Patient was helped into a wheelchair and was taken to ER by parents. The next day, we called mom to find out how she was. Mom said the Doctor didn't think it was a vaccine reaction. They thought it was a vasovagal reaction. They gave her the ok to continue getting he vaccinations but to lay down in the future to prevent this from occuring.
Age: 12.0
Sex: F
Vaccine: COVID19, HPV9, MNQ, TDAP
Symptoms: Syncope, Wheelchair user
Clinical narrative: After applying the band aid following the last immunization (Tdap), Patient fainted in her chair for about 3 seconds. Other nurses were called by CMA and mother. Patient was waking up but confused. Patient was diaphoretic and pale. Blood pressure was monitored as well as O2 and heart rate. Patient was given sips of coca cola and a couple bites of a muffin. Patient started to feel better and was complaining of arm pain. Mom was asked if she would like an ambulance called to transport to the ER and she opted to drive her herself. Patient was helped into a wheelchair and was taken to ER by parents. The next day, we called mom to find out how she was. Mom said the Doctor didn't think it was a vaccine reaction. They thought it was a vasovagal reaction. They gave her the ok to continue getting he vaccinations but to lay down in the future to prevent this from occuring.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site bruising, Injection site erythema, Pain in extremity
Clinical narrative: Patient made the Health Department aware today (08/22/2022) that they had soreness of arm that TDAP vaccine was given in that went down to hand. Reports bruising/redness at site after vaccine was given but has since resolved. Advised patient go to urgent care to have arm evaluated.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac monitoring abnormal, Echocardiogram normal
Clinical narrative: I've had the Fitbit for a while and then the software was updated to be able to track Affib events, and within 2 days since this update was made I started getting Affib alerts on my Fitbit. Which happens occasion. I called my primary care doctor and he advised if I had certain symptoms to go to the ER, which I didn't. I then saw him on 05/17/2022, he listed to my heart and checked the Fitbit app and sent me to the Cardiologist. They put me on a 2 week heart monitor. Followup doctor visit is tomorrow. My brother's suffers from afibb to the point where he is on a pace maker.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Back pain, COVID-19, Chest X-ray abnormal, Death
Clinical narrative: Patient brought to Regional Medical Center on 11/05/2021 for c/o falls, generalized weakness, and back pain.  In the ED the patient had increased work of breathing. The patient was placed on BiPAP. CXR showed left lower lobe that was consistent with PNA. His Covid-19 test was positive. EKG revealed sinus tachycardia with nonspecific changes.  The patient was given Decadron. The patient was given vancomycin and cefepime. Patient was admitted to the ICU and required intubation. Patient self-extubated on 11/7, required CPR 2-3 min and re-intubated.  Patient again self extubated but was able to be maintained on BiPap and went to 2LNC. Patient improved with course of dexamethasone and baricitinib. He developed worsening mental status and on 11/25 required reintubation. Patient also developed shock again requiring vasopressor support. Palliative care was consulted and the patient was transitioned to comfort measures. The patient expired on 11/30/2021.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram abnormal, Endotracheal intubation, Fall, Intensive care
Clinical narrative: Patient brought to Regional Medical Center on 11/05/2021 for c/o falls, generalized weakness, and back pain.  In the ED the patient had increased work of breathing. The patient was placed on BiPAP. CXR showed left lower lobe that was consistent with PNA. His Covid-19 test was positive. EKG revealed sinus tachycardia with nonspecific changes.  The patient was given Decadron. The patient was given vancomycin and cefepime. Patient was admitted to the ICU and required intubation. Patient self-extubated on 11/7, required CPR 2-3 min and re-intubated.  Patient again self extubated but was able to be maintained on BiPap and went to 2LNC. Patient improved with course of dexamethasone and baricitinib. He developed worsening mental status and on 11/25 required reintubation. Patient also developed shock again requiring vasopressor support. Palliative care was consulted and the patient was transitioned to comfort measures. The patient expired on 11/30/2021.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Intentional medical device removal by patient, Mental status changes, Pneumonia, Positive airway pressure therapy, Resuscitation
Clinical narrative: Patient brought to Regional Medical Center on 11/05/2021 for c/o falls, generalized weakness, and back pain.  In the ED the patient had increased work of breathing. The patient was placed on BiPAP. CXR showed left lower lobe that was consistent with PNA. His Covid-19 test was positive. EKG revealed sinus tachycardia with nonspecific changes.  The patient was given Decadron. The patient was given vancomycin and cefepime. Patient was admitted to the ICU and required intubation. Patient self-extubated on 11/7, required CPR 2-3 min and re-intubated.  Patient again self extubated but was able to be maintained on BiPap and went to 2LNC. Patient improved with course of dexamethasone and baricitinib. He developed worsening mental status and on 11/25 required reintubation. Patient also developed shock again requiring vasopressor support. Palliative care was consulted and the patient was transitioned to comfort measures. The patient expired on 11/30/2021.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Shock, Sinus tachycardia
Clinical narrative: Patient brought to Regional Medical Center on 11/05/2021 for c/o falls, generalized weakness, and back pain.  In the ED the patient had increased work of breathing. The patient was placed on BiPAP. CXR showed left lower lobe that was consistent with PNA. His Covid-19 test was positive. EKG revealed sinus tachycardia with nonspecific changes.  The patient was given Decadron. The patient was given vancomycin and cefepime. Patient was admitted to the ICU and required intubation. Patient self-extubated on 11/7, required CPR 2-3 min and re-intubated.  Patient again self extubated but was able to be maintained on BiPap and went to 2LNC. Patient improved with course of dexamethasone and baricitinib. He developed worsening mental status and on 11/25 required reintubation. Patient also developed shock again requiring vasopressor support. Palliative care was consulted and the patient was transitioned to comfort measures. The patient expired on 11/30/2021.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue
Clinical narrative: fatigue, cough
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case COVID-19 after fully vaccinated with 2 doses.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: NO SYMPTOMS.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea, Dizziness, Flank pain, Nausea
Clinical narrative: abdominal pain, diarrhea, nausea, flank pain, dizziness
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case COVID-19 after fully vaccinated (2 doses mRNA )
Age: 83.0
Sex: M
Vaccine: UNK
Symptoms: COVID-19, Dizziness, Malaise, Nasopharyngitis, Productive cough
Clinical narrative: RECIEVED  VACCINE ON FRIDAY, 08-06-2022, ON MONDAY, 08-08- 2022 STATRTED HAVING COVID SYMPYOMS, TESTED POSITIVE TH E FOLLOWING  DAY.   LAST TESTED POSSITIVE ON 08-21- 2022.  FELT LIKE A COLD.  ITCHY THROAT, COUGHING UP MUCOUS AND DIZZINESS.   SYMPTONS  ARE STLL PRESENT.
Age: 83.0
Sex: M
Vaccine: UNK
Symptoms: SARS-CoV-2 test positive, Secretion discharge, Throat irritation
Clinical narrative: RECIEVED  VACCINE ON FRIDAY, 08-06-2022, ON MONDAY, 08-08- 2022 STATRTED HAVING COVID SYMPYOMS, TESTED POSITIVE TH E FOLLOWING  DAY.   LAST TESTED POSSITIVE ON 08-21- 2022.  FELT LIKE A COLD.  ITCHY THROAT, COUGHING UP MUCOUS AND DIZZINESS.   SYMPTONS  ARE STLL PRESENT.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Inadvertently given 2nd Booster to patient that did not qualify due to age.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Dyspnoea, Nausea
Clinical narrative: SOB, abdominal pain, nausea
Age: 1.33
Sex: F
Vaccine: DTAP, IPV
Symptoms: No adverse event, Product preparation error
Clinical narrative: Ordered for the patient was a Pentacel injection. Patient received the DTaP and the IPV out of the Pentacel box but it was not mixed with the HIB. The HIB powder was discarded, Incident Report filed through Hospital, mom advised and will return with the patient to receive just the HIB injection. No adverse reactions.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Rash papular, Urticaria
Clinical narrative: This patient came in for his first Moderna Covid vaccination. The injection went without incident. The family stayed and read book and played for almost 30 minutes. He did not have any reaction during that time. As the mother was securing him in the car she noticed  several raised urticaria on his arm that had not been there before. The EMS was called to evaluate the patient. After the assessment, it was decided that the patient did not require any further medical attention. The patients mother agreed and signed the refusal form.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Asthenia, Fatigue, Micturition urgency, Nausea
Clinical narrative: Fatigue, lower abdominal pain, nausea, vomiting, urinary frequency/urgency and weakness.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pollakiuria, Vomiting
Clinical narrative: Fatigue, lower abdominal pain, nausea, vomiting, urinary frequency/urgency and weakness.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, COVID-19 pneumonia, Cardiac arrest, Coronary angioplasty, Coronary artery disease
Clinical narrative: Patient with h/o CAD, vertebrobasilar insufficiency, recent hospitalization for COVID PNA admitted to hospital on 02/20/2022 with inferior STEMI.  The patient was at rehab and acutely lost consciousness, was intubated on arrival to ED and found to have inferior STEMI.  The patient was taken to VUMC cath lab and had POBA to totally occluded RCA, also severe disease in LAD.  Post procedure the patient continued to be hypotensive requiring pressors and hypoxemic.  On 02/28 patient was noted to be more hypoxemic.  He was placed on OptiFlow.  On 03/01 the patient went into PEA arrest.  CPR was initiated immediately, and underwent multiple rounds of CPR during ROSC was obtained multiple times, however, his rhythm continued to degrade into PEA arrest.  Patient expired on 03/01/2022
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Coronary artery occlusion, Death, Endotracheal intubation, Heart rate decreased, Hypotension
Clinical narrative: Patient with h/o CAD, vertebrobasilar insufficiency, recent hospitalization for COVID PNA admitted to hospital on 02/20/2022 with inferior STEMI.  The patient was at rehab and acutely lost consciousness, was intubated on arrival to ED and found to have inferior STEMI.  The patient was taken to VUMC cath lab and had POBA to totally occluded RCA, also severe disease in LAD.  Post procedure the patient continued to be hypotensive requiring pressors and hypoxemic.  On 02/28 patient was noted to be more hypoxemic.  He was placed on OptiFlow.  On 03/01 the patient went into PEA arrest.  CPR was initiated immediately, and underwent multiple rounds of CPR during ROSC was obtained multiple times, however, his rhythm continued to degrade into PEA arrest.  Patient expired on 03/01/2022
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Loss of consciousness, Pulseless electrical activity, Resuscitation
Clinical narrative: Patient with h/o CAD, vertebrobasilar insufficiency, recent hospitalization for COVID PNA admitted to hospital on 02/20/2022 with inferior STEMI.  The patient was at rehab and acutely lost consciousness, was intubated on arrival to ED and found to have inferior STEMI.  The patient was taken to VUMC cath lab and had POBA to totally occluded RCA, also severe disease in LAD.  Post procedure the patient continued to be hypotensive requiring pressors and hypoxemic.  On 02/28 patient was noted to be more hypoxemic.  He was placed on OptiFlow.  On 03/01 the patient went into PEA arrest.  CPR was initiated immediately, and underwent multiple rounds of CPR during ROSC was obtained multiple times, however, his rhythm continued to degrade into PEA arrest.  Patient expired on 03/01/2022
Age: 61.0
Sex: F
Vaccine: FLUA4
Symptoms: Malaise, No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: 61 year old patient accidently given Fluad.  Patient reported no serious adverse reaction just mild malaise and possible slight fever.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization with covid; fully vaccinated
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea, Nausea
Clinical narrative: abdominal pain, diarrhea, nausea
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, Cerebrovascular accident, Fall, Gait disturbance, Gait inability
Clinical narrative: She got her vaccine, she didn't notice anything at first.  Her foot kept hurting, thought it was her tennis shoes and fell in a Department Store and then had to use a walker to get around, and then it started to get worse.  She was bouncing up against the cabinets and did not realize it was a stroke, then her daughter and son-in-law took her to the hospital and she was diagnosed with a stroke on 9/4/2021 and stayed there until 9/7/21.  Now she is going to therapy to build up her strength.  She can walk on some days and then on some days she cannot walk.    This is her third session of 10 days for an hour, and now will have to do 20 sessions for 1/2  hour.  She still needs assistance on same days.  She feels that it is helping and does not know how long it's going to be, and her voice due to the stroke or after effects from the stroke she looses her voice and then it will come back.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Loss of personal independence in daily activities, Pain in extremity, Walking aid user
Clinical narrative: She got her vaccine, she didn't notice anything at first.  Her foot kept hurting, thought it was her tennis shoes and fell in a Department Store and then had to use a walker to get around, and then it started to get worse.  She was bouncing up against the cabinets and did not realize it was a stroke, then her daughter and son-in-law took her to the hospital and she was diagnosed with a stroke on 9/4/2021 and stayed there until 9/7/21.  Now she is going to therapy to build up her strength.  She can walk on some days and then on some days she cannot walk.    This is her third session of 10 days for an hour, and now will have to do 20 sessions for 1/2  hour.  She still needs assistance on same days.  She feels that it is helping and does not know how long it's going to be, and her voice due to the stroke or after effects from the stroke she looses her voice and then it will come back.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case COVID-19 after fully vaccinated with 2 doses.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization with covid; fully vaccinated
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Fatigue, Respiratory tract congestion
Clinical narrative: fatigue, congestion, cough, SOB
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized with covid; fully vaccinated with 2 boosters
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, COVID-19, Chest X-ray, Chills
Clinical narrative: I did not have an adverse reaction. I tested positive for COVID-19 on 07/23/2022 and tested positive again on 08/01/2022. I went to several emergency room and urgent care centers before anyone recommended a COVID-19 test. My children recommended for me to take a COVID-19 vaccine. I have been very sick with COVID-19 and I am an kidney transplant patient. I had a fever, chills, headache, nausea, nigh sweats, diarrhea and very tired. I was afraid I was going to lose my transplant. As of today, I still have a cough and I feel weak but I do try to continue to do things.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Fatigue, Headache, Malaise
Clinical narrative: I did not have an adverse reaction. I tested positive for COVID-19 on 07/23/2022 and tested positive again on 08/01/2022. I went to several emergency room and urgent care centers before anyone recommended a COVID-19 test. My children recommended for me to take a COVID-19 vaccine. I have been very sick with COVID-19 and I am an kidney transplant patient. I had a fever, chills, headache, nausea, nigh sweats, diarrhea and very tired. I was afraid I was going to lose my transplant. As of today, I still have a cough and I feel weak but I do try to continue to do things.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Night sweats, Pyrexia, SARS-CoV-2 test positive, Urine analysis
Clinical narrative: I did not have an adverse reaction. I tested positive for COVID-19 on 07/23/2022 and tested positive again on 08/01/2022. I went to several emergency room and urgent care centers before anyone recommended a COVID-19 test. My children recommended for me to take a COVID-19 vaccine. I have been very sick with COVID-19 and I am an kidney transplant patient. I had a fever, chills, headache, nausea, nigh sweats, diarrhea and very tired. I was afraid I was going to lose my transplant. As of today, I still have a cough and I feel weak but I do try to continue to do things.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: I gave the patient 0.25mL instead of the required 0.5mL. As soon as I realized it, I called her back and asked her to come in. I gave her the rest of the full dose (0.25mL) to make it a complete dose of 0.5mL in her left deltoid, as she requested, (1 inch) from the previous dose given in the morning. The time of this dose: 2 pm.
Age: 0.75
Sex: F
Vaccine: COVID19
Symptoms: Bladder catheterisation, Chromaturia, Urine analysis normal, Vaginal haemorrhage
Clinical narrative: Vaginal bleeding- reported.  Diaper filled with pink tinged urine. Episode at 2145 and the following morning around 0700.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Fatigue
Clinical narrative: Fatigue and cough.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Pt given 0.5mL instead of 0.25mL as booster dose
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization with covid; fully vaccinated
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: ADMITTED TO HOSPITAL
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Cough, Neck pain, Pyrexia
Clinical narrative: fever, cough, back pain, neck pain
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactate dehydrogenase, Blood uric acid, C-reactive protein, Erythema multiforme, Full blood count
Clinical narrative: erythema multiforme
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Red blood cell sedimentation rate, Respiratory viral panel
Clinical narrative: erythema multiforme
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache
Clinical narrative: chills, headaches
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute myocardial infarction, Acute respiratory failure, Arterial catheterisation, COVID-19
Clinical narrative: Patient brought to the local Medical Center via EMS for a code stroke.  Patient had a hx of recently being diagnosed with Covid-19 with poor oral intake and fatigue.  EMS intubated patient.  CT scan did not show acute stroke, no stroke per neurology.  Patient's EKG was performed had ST elevations in leads V23 and V4 with some reciprocal changes in the inferior leads.  Patients troponin came back significantly elevated.  Patient was hypotensive.  Central line was placed.  Patient was admitted to ICU for NSTEMI, hypotension, AMS, acute renal failure, acute resp failure.  Patient showed profound hypotension, concern for having blood loss, 4 units PRBC provided, another 1 L bolus IV fluid given, and patient was maxed on Levophed, and then started vasopressin and epinephrine.  Arterial line placed which demonstrated a value of 34/20.  Patient expired on 09/17/2021.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Central venous catheterisation, Computerised tomogram head normal, Death, Electrocardiogram ST segment elevation, Endotracheal intubation
Clinical narrative: Patient brought to the local Medical Center via EMS for a code stroke.  Patient had a hx of recently being diagnosed with Covid-19 with poor oral intake and fatigue.  EMS intubated patient.  CT scan did not show acute stroke, no stroke per neurology.  Patient's EKG was performed had ST elevations in leads V23 and V4 with some reciprocal changes in the inferior leads.  Patients troponin came back significantly elevated.  Patient was hypotensive.  Central line was placed.  Patient was admitted to ICU for NSTEMI, hypotension, AMS, acute renal failure, acute resp failure.  Patient showed profound hypotension, concern for having blood loss, 4 units PRBC provided, another 1 L bolus IV fluid given, and patient was maxed on Levophed, and then started vasopressin and epinephrine.  Arterial line placed which demonstrated a value of 34/20.  Patient expired on 09/17/2021.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypophagia, Hypotension, Intensive care, Mental status changes
Clinical narrative: Patient brought to the local Medical Center via EMS for a code stroke.  Patient had a hx of recently being diagnosed with Covid-19 with poor oral intake and fatigue.  EMS intubated patient.  CT scan did not show acute stroke, no stroke per neurology.  Patient's EKG was performed had ST elevations in leads V23 and V4 with some reciprocal changes in the inferior leads.  Patients troponin came back significantly elevated.  Patient was hypotensive.  Central line was placed.  Patient was admitted to ICU for NSTEMI, hypotension, AMS, acute renal failure, acute resp failure.  Patient showed profound hypotension, concern for having blood loss, 4 units PRBC provided, another 1 L bolus IV fluid given, and patient was maxed on Levophed, and then started vasopressin and epinephrine.  Arterial line placed which demonstrated a value of 34/20.  Patient expired on 09/17/2021.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell transfusion, Troponin increased
Clinical narrative: Patient brought to the local Medical Center via EMS for a code stroke.  Patient had a hx of recently being diagnosed with Covid-19 with poor oral intake and fatigue.  EMS intubated patient.  CT scan did not show acute stroke, no stroke per neurology.  Patient's EKG was performed had ST elevations in leads V23 and V4 with some reciprocal changes in the inferior leads.  Patients troponin came back significantly elevated.  Patient was hypotensive.  Central line was placed.  Patient was admitted to ICU for NSTEMI, hypotension, AMS, acute renal failure, acute resp failure.  Patient showed profound hypotension, concern for having blood loss, 4 units PRBC provided, another 1 L bolus IV fluid given, and patient was maxed on Levophed, and then started vasopressin and epinephrine.  Arterial line placed which demonstrated a value of 34/20.  Patient expired on 09/17/2021.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: hospitalization with covid; fully vaccinated with booster
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Cough
Clinical narrative: Cough.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Dyspnoea, Fatigue, Headache
Clinical narrative: Chills, fatigue, fever, cough, SOB, myalgia and headaches.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: Chills, fatigue, fever, cough, SOB, myalgia and headaches.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Ear discomfort, Malaise, Nitrite urine absent, Pyrexia
Clinical narrative: Starting 07/21/2022, I was feeling sick. I thought it was allergies and UTI. I went to the doctor on 07/29/2022 and they did a urine test. My leukocytes were +1 and nitrates were negative. I was contacted 4 days later and told I didn't have a UTI so I stopped the antibiotic. My ears felt like they were going to burst and I was coughing for about 7-10 days. One day I developed a fever. I decided to start testing myself for COVID-19. I did each test 24-36 hours apart from each other, and all of the tests came back negative. I was pretty sure I did not have COVID-19 and have not had it.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Urine analysis, Urine leukocyte esterase positive
Clinical narrative: Starting 07/21/2022, I was feeling sick. I thought it was allergies and UTI. I went to the doctor on 07/29/2022 and they did a urine test. My leukocytes were +1 and nitrates were negative. I was contacted 4 days later and told I didn't have a UTI so I stopped the antibiotic. My ears felt like they were going to burst and I was coughing for about 7-10 days. One day I developed a fever. I decided to start testing myself for COVID-19. I did each test 24-36 hours apart from each other, and all of the tests came back negative. I was pretty sure I did not have COVID-19 and have not had it.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Respiratory tract congestion
Clinical narrative: Congestion and cough.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Patient reported via consent form that he had not previously received any COVID vaccinations. During the time he presented, the local county database was in downtime and we had to rely on the patient as a historian. Since he stated he was unvaccinated at the time, he was administered Novavax COVID vaccine. Database functionality has been restored and we have since discovered he previously received Pfizer COVID vaccination on 1/9/21, 2/4/21, and 9/17/21. Patient was advised NOT to return to this pharmacy for a second dose of Novavax COVID vaccine.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested COVID positive at time of hospitalization .
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Chills, Cough, Fatigue, Myalgia
Clinical narrative: Chills, fatigue, fever, congestion, loss of taste, cough, nausea and myalgia.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Respiratory tract congestion
Clinical narrative: Chills, fatigue, fever, congestion, loss of taste, cough, nausea and myalgia.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cardiac dysfunction, Cardiomegaly, Cerebral infarction
Clinical narrative: Patient presented to the hospital on 12/29/2021 with weakness, fatigue, and cough.  Chest Xray was significant for cardiomegaly with interval enlargement.  CT of abdomen, pelvis and thorax with contrast significant for pulmonary emboli involving the left upper lobe and right lower lobe along with cardiomegaly consistent with right heart dysfunction, colonic diverticulosis and fecal impaction.  Rapid Covid-19 was positive.  Patient was admitted to hospital.  Patient had significant change in her mental status and had breakthrough seizures.  CT showed new bilateral cerebral infarcts.  Patient continued to deteriorate and required intubation, and required Levophed.  The patient expired on 01/09/2022.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram abdomen abnormal, Computerised tomogram head abnormal, Computerised tomogram thorax abnormal, Cough
Clinical narrative: Patient presented to the hospital on 12/29/2021 with weakness, fatigue, and cough.  Chest Xray was significant for cardiomegaly with interval enlargement.  CT of abdomen, pelvis and thorax with contrast significant for pulmonary emboli involving the left upper lobe and right lower lobe along with cardiomegaly consistent with right heart dysfunction, colonic diverticulosis and fecal impaction.  Rapid Covid-19 was positive.  Patient was admitted to hospital.  Patient had significant change in her mental status and had breakthrough seizures.  CT showed new bilateral cerebral infarcts.  Patient continued to deteriorate and required intubation, and required Levophed.  The patient expired on 01/09/2022.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Diverticulum intestinal, Endotracheal intubation, Faecaloma, Fatigue
Clinical narrative: Patient presented to the hospital on 12/29/2021 with weakness, fatigue, and cough.  Chest Xray was significant for cardiomegaly with interval enlargement.  CT of abdomen, pelvis and thorax with contrast significant for pulmonary emboli involving the left upper lobe and right lower lobe along with cardiomegaly consistent with right heart dysfunction, colonic diverticulosis and fecal impaction.  Rapid Covid-19 was positive.  Patient was admitted to hospital.  Patient had significant change in her mental status and had breakthrough seizures.  CT showed new bilateral cerebral infarcts.  Patient continued to deteriorate and required intubation, and required Levophed.  The patient expired on 01/09/2022.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: General physical health deterioration, Mental status changes, Pulmonary embolism, SARS-CoV-2 test positive, Seizure
Clinical narrative: Patient presented to the hospital on 12/29/2021 with weakness, fatigue, and cough.  Chest Xray was significant for cardiomegaly with interval enlargement.  CT of abdomen, pelvis and thorax with contrast significant for pulmonary emboli involving the left upper lobe and right lower lobe along with cardiomegaly consistent with right heart dysfunction, colonic diverticulosis and fecal impaction.  Rapid Covid-19 was positive.  Patient was admitted to hospital.  Patient had significant change in her mental status and had breakthrough seizures.  CT showed new bilateral cerebral infarcts.  Patient continued to deteriorate and required intubation, and required Levophed.  The patient expired on 01/09/2022.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Feeling cold, Nausea
Clinical narrative: Chills, chest pain and nausea.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: Required Hospitalization with COVID PNA even though vaccinated
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Child admitted in care on 8/6/2022. Seen for his health assessment with PCP on 8/8/2022. Child received incorrect dose on 8/16/2022 based on historical data. System updated with historical information by medical coordinator on 8/16. Assigned transfer of file. NP made aware of the scenario and stated no recommendations at this time due to more than 24 hours of incident. No reports of adverse reaction.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, COVID-19, Death, Dehydration
Clinical narrative: Patient was admitted to a facility on 01/18/2022 for acute hypoxemic respiratory failure 2/2 to Covid-19, acute toxic metabolic encephalopathy, acute kidney injury, dehydration and polypharmacy, severe sepsis secondary to COVID 19, transaminitis and hyperbilirubinemia.  While in the hospital the patient received Decadron, and respiratory status continued to worsen to need to be placed on Bipap, and could not be weaned off.  The patient was made comfort care and passed on 01/22/2022.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperbilirubinaemia, Hypertransaminasaemia, Positive airway pressure therapy, Sepsis, Toxic encephalopathy
Clinical narrative: Patient was admitted to a facility on 01/18/2022 for acute hypoxemic respiratory failure 2/2 to Covid-19, acute toxic metabolic encephalopathy, acute kidney injury, dehydration and polypharmacy, severe sepsis secondary to COVID 19, transaminitis and hyperbilirubinemia.  While in the hospital the patient received Decadron, and respiratory status continued to worsen to need to be placed on Bipap, and could not be weaned off.  The patient was made comfort care and passed on 01/22/2022.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac pacemaker insertion, Chest pain, Chills, Electrocardiogram abnormal, Headache
Clinical narrative: Slight pain at injection site, redness and itching at injection site, moderate headache chills, body aches, chest pain.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Pain
Clinical narrative: Slight pain at injection site, redness and itching at injection site, moderate headache chills, body aches, chest pain.
Age: 16.0
Sex: M
Vaccine: HEP
Symptoms: Incorrect dose administered
Clinical narrative: Transfer child was admitted on 8/6/2022. Child was seen for his health assessment with PCP in our care on 8/8/2022. System shows historical vaccine information for child in question.Child received incorrect immunization dose on 8/16/2022. System was updated with transfer historical information by medical coordinator on 8/15. Assigned Transfer of file Medical Coordinator.NP was made aware of the scenario and states no recommendations at this time due to more than 24 hours of incident.  No reports s/s of reaction.