chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 31.0
Sex: F
Vaccine: COVID19-2
Symptoms: Laboratory test normal, Liver function test normal, Platelet count increased, Prothrombin time normal, Thyroid function test normal
Clinical narrative: Elevated Liver Enzymes found upon routine bloodwork for wellness check up with Dr. When retested to in December to confirm numbers have normalised, numbers have almost tripled. Since 12/1, I have had complete workup around liver function, possible infections, antibody and genetic testing and all have ruled out any other cause. Ultrasound is normal and I have felt well throughout. I have abstained from alcohol of any kind since 11/10/22 before the retest of the blood per doctors orders.
Age: 31.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ultrasound kidney normal, Ultrasound liver normal, Ultrasound pancreas normal, Ultrasound scan normal, Ultrasound spleen
Clinical narrative: Elevated Liver Enzymes found upon routine bloodwork for wellness check up with Dr. When retested to in December to confirm numbers have normalised, numbers have almost tripled. Since 12/1, I have had complete workup around liver function, possible infections, antibody and genetic testing and all have ruled out any other cause. Ultrasound is normal and I have felt well throughout. I have abstained from alcohol of any kind since 11/10/22 before the retest of the blood per doctors orders.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Drug ineffective
Clinical narrative: COVID-19 Treatment; COVID-19 Treatment; This is a spontaneous report received from a non-contactable reporter(s) (Consumer or other non HCP) from product quality group. The reporter is the patient.  A 68-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 05Oct2022 as dose 5 (booster), single (Lot number: CIJ3277) at the age of 68 years for covid-19 immunisation; coviD-19 vaccine (COVID-19 VACCINE), as dose 1, single (Batch/Lot number: unknown), as dose 2, single (Batch/Lot number: unknown), as dose 3 (booster), single (Batch/Lot number: unknown) and as dose 4 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history was not reported. Concomitant medication(s) included: IBUPROFEN. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant), outcome "unknown" and all described as "COVID-19 Treatment". The patient received ritonavir (PAXLOVID) from 23Dec2022 to 28Dec2022 for covid-19 treatment.  No follow-up attempts are possible. No further information is expected.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient was administered vaccine that was found to be over diluted on reconstitution.
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for Covid on December 16.  My wife also tested positive on that date.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Client received wrong covid vaccine for age group.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Cough, Fatigue, Headache
Clinical narrative: On 01/04/2023, I started to experience symptoms of a headache, slight cough, sneezing, runny nose, fatigue and slight chills. My husband started with symptoms on 01/01/2023. I tested positive on 01/04/2023. I contacted my doctor and she told me to try some herbal medication. As of today, I'm experiencing better energy, but my cough does seem to be deeper with congestion. The headaches have decreased, but I am still noticing them.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
Clinical narrative: On 01/04/2023, I started to experience symptoms of a headache, slight cough, sneezing, runny nose, fatigue and slight chills. My husband started with symptoms on 01/01/2023. I tested positive on 01/04/2023. I contacted my doctor and she told me to try some herbal medication. As of today, I'm experiencing better energy, but my cough does seem to be deeper with congestion. The headaches have decreased, but I am still noticing them.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I tested positive forCOVID-19 on Tuesday December thirteen. My Doctor prescribed medication the same day. I was tired and had fever the first couplie of days. I do not think I had a fever by the fifth day.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case. Pfizer 4/30/21 EW0164, 5/21/21 EW0172 and boosted 10/27/21 FF2590
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoacusis, Lymphadenopathy, Middle ear effusion, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: On December 25, 2022, I woke up with a sore throat and major congestion. The sore throat lasted for three days, but the congestion continued. I also had muffled hearing. I went to the doctor on January 3, 2023. The doctor said I had a sinus infection with swollen lymph nodes and liquid in my middle ears. I was prescribed Amoxicillin for 10 days. I am still taking it, but I haven't noticed much of an improvement yet.
Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Sinusitis
Clinical narrative: On December 25, 2022, I woke up with a sore throat and major congestion. The sore throat lasted for three days, but the congestion continued. I also had muffled hearing. I went to the doctor on January 3, 2023. The doctor said I had a sinus infection with swollen lymph nodes and liquid in my middle ears. I was prescribed Amoxicillin for 10 days. I am still taking it, but I haven't noticed much of an improvement yet.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cough, Ear discomfort, Influenza like illness, Middle ear effusion, Oropharyngeal pain
Clinical narrative: I received my 5th dose of Moderna Bivalent on 10/05/2022. My flu like symptoms started on 11/30/2022 in the morning around 8:00AM. I had a postnasal drip  and sore throat. My head was clogged up. On the same day I had a Diabetes check so my doctor did a COVID-19 which was negative. I went to the urgent care on 12/30/2022. The symptoms moved up in my chest. I had a severe cough. I was diagnosed with a Sinusitis. Before visiting the urgent care I took over the counter cold medications such as DAYQUIL, NYQUIL, and albuterol inhaler. In the urgent care they prescribe me with amoxicillin and prednisone. I am still taking the antibiotics. Before the vaccines came out I came down with COVID-19 infection on October 2020. I still have some congestions in my head and some pressure in my ears. The urgent doctor told me that I had fluids in my ear which was why my ears were ringing.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Respiratory tract congestion, SARS-CoV-2 test negative, Sinusitis, Tinnitus, Upper-airway cough syndrome
Clinical narrative: I received my 5th dose of Moderna Bivalent on 10/05/2022. My flu like symptoms started on 11/30/2022 in the morning around 8:00AM. I had a postnasal drip  and sore throat. My head was clogged up. On the same day I had a Diabetes check so my doctor did a COVID-19 which was negative. I went to the urgent care on 12/30/2022. The symptoms moved up in my chest. I had a severe cough. I was diagnosed with a Sinusitis. Before visiting the urgent care I took over the counter cold medications such as DAYQUIL, NYQUIL, and albuterol inhaler. In the urgent care they prescribe me with amoxicillin and prednisone. I am still taking the antibiotics. Before the vaccines came out I came down with COVID-19 infection on October 2020. I still have some congestions in my head and some pressure in my ears. The urgent doctor told me that I had fluids in my ear which was why my ears were ringing.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Heart rate increased, Pain
Clinical narrative: I tested positive for COVID-19 on 11/28/22. I had a fever, body aches, congestion, runny nose, scratchy throat, fatigue, elevated heartrate, and a cough. I contacted my doctor and was prescribed 5 days' worth of Paxlovid. I started feeling better, but it made me have a bad taste in my mouth.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I tested positive for COVID-19 on 11/28/22. I had a fever, body aches, congestion, runny nose, scratchy throat, fatigue, elevated heartrate, and a cough. I contacted my doctor and was prescribed 5 days' worth of Paxlovid. I started feeling better, but it made me have a bad taste in my mouth.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test normal, Computerised tomogram head abnormal, Dizziness, Magnetic resonance imaging head abnormal
Clinical narrative: Felt like I was slowly becoming disabled; lost most of my energy and became weak and could barely lift anything over 5 pounds; Legs also started hurting, they felt as sore as it I'd done 100 crunches; Also started having extreme dizzy spells so I reached out to doctor; Given a CT scan and MRI; Result only showed that I have white matter in my brain; was referred to a Neurologist and given further testing; Nothing concrete was ever found and Neurologist said not to worry about it; My Primary Care Doctor is sending me to a Dietician to see if it's food related; and possibly to a Rheumatologist.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity, White matter lesion
Clinical narrative: Felt like I was slowly becoming disabled; lost most of my energy and became weak and could barely lift anything over 5 pounds; Legs also started hurting, they felt as sore as it I'd done 100 crunches; Also started having extreme dizzy spells so I reached out to doctor; Given a CT scan and MRI; Result only showed that I have white matter in my brain; was referred to a Neurologist and given further testing; Nothing concrete was ever found and Neurologist said not to worry about it; My Primary Care Doctor is sending me to a Dietician to see if it's food related; and possibly to a Rheumatologist.
Age: 9.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Was given Pfizer Bivalent Vaccine and should have been given #2 Pfizer Monovalent vaccine
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anxiety, Asthenia, Cardiac function test, Chest discomfort, Dyspnoea
Clinical narrative: tightness of chest weakness difficulty breathing prescribed for anxiety  even on non stressful situation the attack come into my body.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Cough, Pain, Pyrexia
Clinical narrative: Breakthrough covid December 24.  Fever, aches, chills, cough, congestion.  Took Paxlovid as soon as I tested positive , had no fever on Day 3, but then fever and other symptoms returned Day 9.  Day 11 no fever and feeling better, but still testing positive.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough covid December 24.  Fever, aches, chills, cough, congestion.  Took Paxlovid as soon as I tested positive , had no fever on Day 3, but then fever and other symptoms returned Day 9.  Day 11 no fever and feeling better, but still testing positive.
Age: 82.0
Sex: M
Vaccine: MNQ
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Pt has an RX for; Bexsero Vaccine 2 doses; 1st dose on day 0 and 2nd dose on 1-2 months after day 0 MenACWY vaccine 2 doses; 1st dose on day 0 and 2nd dose on 8 weeks after day 0  Pt received the 1st doses of both vaccines (Bexsero and MenACWY) on 11/11/22. Unfortunately, home health agency RN went ahead and administered 2nd dose on Both vaccines (Bexsero and MenACWY) on 12/11/22. This makes the MenACWY 4 weeks earlier than it?s scheduled time (suppose to be around 1/5/23 8 weeks after the initial dose from 11/11/22). informed DR and asked him how he would like to proceed. I also called Dr. office this morning and spoke with someone and she asked me to send this in a fax. which I did. Pt has no adverse events that we are aware of.
Age: 29.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Laboratory test, Migraine, Oversensing, Photophobia
Clinical narrative: Frequent headaches/migraines, light/noise sensitivity, vitamin d deficiency.
Age: 29.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vitamin D deficiency
Clinical narrative: Frequent headaches/migraines, light/noise sensitivity, vitamin d deficiency.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Laboratory test normal, Viral infection
Clinical narrative: I had no symptoms or adverse event to the vaccine. On 11/19/2022, I woke up with a very intense headache that would not go away. I went to my doctor on 11/21/2022 to find out what was going on. I had multiple test, and all was negative. These headaches lasted for five days. It was determined that I had some kind of virus.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: This patient was brought into urgent care by their parents for their pfizer covid booster. The patient had already received their monovalent booster and was eligible for  the bivalent booster. The bivalent booster had not yet been received in clinic yet and this patient was given another dose of the monovalent vaccine in error.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Dyspnoea, Fatigue
Clinical narrative: I tested positive for COVID-19 on 1/2/23. I had chills, fatigue, shortness of breath, body aches, and a slight cough. I contacted my doctor and was prescribed 5 days worth of PAXLOVID and a cough medication, but I did not take the cough medicine. I started to feel better after taking PAXLOVID, but I still get fatigued easily.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test positive
Clinical narrative: I tested positive for COVID-19 on 1/2/23. I had chills, fatigue, shortness of breath, body aches, and a slight cough. I contacted my doctor and was prescribed 5 days worth of PAXLOVID and a cough medication, but I did not take the cough medicine. I started to feel better after taking PAXLOVID, but I still get fatigued easily.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Headache, Heart rate increased, Influenza A virus test
Clinical narrative: Resting heart rate was high over 132 vomiting flu like symptoms sinus congestion, headache slight cough, fatigue night sweats took MUCINEX by day five symptoms decreased except for fatigue.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Influenza like illness, Night sweats, Respiratory syncytial virus test, SARS-CoV-2 test
Clinical narrative: Resting heart rate was high over 132 vomiting flu like symptoms sinus congestion, headache slight cough, fatigue night sweats took MUCINEX by day five symptoms decreased except for fatigue.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus congestion, Vomiting
Clinical narrative: Resting heart rate was high over 132 vomiting flu like symptoms sinus congestion, headache slight cough, fatigue night sweats took MUCINEX by day five symptoms decreased except for fatigue.
Sex: F
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: N/a
Age: 1.25
Sex: M
Vaccine: VARCEL
Symptoms: Urticaria
Clinical narrative: 5 hives noted on left thigh - improved after 20 minutes of observation with no systemic symptoms
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Hypoxia, Pneumonia, Respiratory tract congestion
Clinical narrative: Pt arrived to ED due to having a seizure at work. She has had a runny nose, congestion, and a cough for the last week. She was found to be COVID positive. She was hypoxic and placed on 2L NC. Pt was admitted for pneumonia and seizure-like activity.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Seizure, Seizure like phenomena
Clinical narrative: Pt arrived to ED due to having a seizure at work. She has had a runny nose, congestion, and a cough for the last week. She was found to be COVID positive. She was hypoxic and placed on 2L NC. Pt was admitted for pneumonia and seizure-like activity.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Product preparation issue
Clinical narrative: Patient received 0.2 mL of undiluted Pfizer-BioNTech Covid vaccine for ages 5 years to under 12 years - the vial was not diluted with sterile 0.9% sodium chloride prior to preparing the dose. Patient without complaints other than a sore arm
Age: 70.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Cough, Fatigue, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Sinus drainage and persistent dry cough, lasting for 3-4 weeks; prescribed Rx cough syrup.   Tested positive for COVID, began Doctor prescribed Paxlovid 12/02/2022. No chest congestion.  No fever.  Normal BP and temperature. Continuing fatigue, lasting 3 weeks. Isolated for 2 weeks.
Age: 7.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient given bivalent vaccine for first dose in series instead of monovalent in error.  No adverse symptoms, etc.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Acute left ventricular failure, Anxiety, Asthenia, Atrial fibrillation
Clinical narrative: Discharge Provider: MD Primary Care Provider:  MD Admission Date: 12/28/2022 Discharge Date: Jan 5, 2023 COVID positive date: 12/28/2022 PRESENTING PROBLEM: Weakness [R53.1] Pedal edema [R60.0] Dyspnea, unspecified type [R06.00] COVID-19 [U07.1]   HOSPITAL COURSE:   Patient is a 84 year-old female with past medical history of chronic AFib, type 2 diabetes, anxiety/depression, diastolic heart failure who presented to the ER with shortness of breath, cough, right chest pain radiating to back and swelling of lower extremities.  In the ER she was found to be COVID positive.  CXR showed right-sided lower lung opacities with mild cardiomegaly.  Was also noted to have mild hyponatremia with sodium 128 in the ER.  Of note, patient noted symptoms of lower extremity swelling, feeling anxious and occasional visual changes after starting Paxil a few weeks prior.  She was never hypoxic in the ER but there was concern about her ability to ambulate due to generalized weakness.  Patient was admitted to the hospital with concern of COVID pneumonia; she was not started on remdesivir/Decadron as she was not having hypoxia on admission.  She was given 1 time dose of IV Lasix for mild hyponatremia.  EKG with afib but no new signs of ischemia, trops collected and flat 18-- >19.  Mildly elevated BNP at 3101.    After admission, patient continued to saturate well on room air above 95%. Due to lower extremity edema did perform echocardiogram which came back showing new systolic CHF with EF of 35% and moderate global left ventricular systolic dysfunction. She was diagnosed with Acute Combined Systolic and Diastolic CHF - started on IV Lasix and Cardiology consulted.  Due to anemia did also check iron studies which came back consistent with iron deficiency anemia for which she received IV Iron.   Her edema improved and she was transitioned to oral Lasix 20 mg daily,  ToproL XL. Losartan 12.5 mg daily added per Cardiology recommendations and continued on home Xarelto. Her hyponatremia resolved.   She had anxiety concerns - offered to restart Paxil and/or alternative including Cymbalta but patient declined any additional therapy. She was prescribed as needed Atarax for 7 days (this was helpful to her in the hospital) until she can follow up with PCP. Pt's constipation had resolved.   I reviewed all medication changes, need for PCP follow up and routine labs, daily weights, 2g Na/2L fluid restriction, consideration for ASA 81 mg (pt wanted to discuss w/her Cardiologist), all medication changes and COVID precautions. I also called son and updated the same. Son stated he did not receive any calls from me the past 2 days, but I did clarify that his phone rang and ultimately went to a business voicemail so I did not leave a message to protect patient's privacy.    Patient is discharged home on 01/05/2023 in stable condition.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood iron abnormal, Blood pressure increased, Blood sodium decreased, Brain natriuretic peptide increased
Clinical narrative: Discharge Provider: MD Primary Care Provider:  MD Admission Date: 12/28/2022 Discharge Date: Jan 5, 2023 COVID positive date: 12/28/2022 PRESENTING PROBLEM: Weakness [R53.1] Pedal edema [R60.0] Dyspnea, unspecified type [R06.00] COVID-19 [U07.1]   HOSPITAL COURSE:   Patient is a 84 year-old female with past medical history of chronic AFib, type 2 diabetes, anxiety/depression, diastolic heart failure who presented to the ER with shortness of breath, cough, right chest pain radiating to back and swelling of lower extremities.  In the ER she was found to be COVID positive.  CXR showed right-sided lower lung opacities with mild cardiomegaly.  Was also noted to have mild hyponatremia with sodium 128 in the ER.  Of note, patient noted symptoms of lower extremity swelling, feeling anxious and occasional visual changes after starting Paxil a few weeks prior.  She was never hypoxic in the ER but there was concern about her ability to ambulate due to generalized weakness.  Patient was admitted to the hospital with concern of COVID pneumonia; she was not started on remdesivir/Decadron as she was not having hypoxia on admission.  She was given 1 time dose of IV Lasix for mild hyponatremia.  EKG with afib but no new signs of ischemia, trops collected and flat 18-- >19.  Mildly elevated BNP at 3101.    After admission, patient continued to saturate well on room air above 95%. Due to lower extremity edema did perform echocardiogram which came back showing new systolic CHF with EF of 35% and moderate global left ventricular systolic dysfunction. She was diagnosed with Acute Combined Systolic and Diastolic CHF - started on IV Lasix and Cardiology consulted.  Due to anemia did also check iron studies which came back consistent with iron deficiency anemia for which she received IV Iron.   Her edema improved and she was transitioned to oral Lasix 20 mg daily,  ToproL XL. Losartan 12.5 mg daily added per Cardiology recommendations and continued on home Xarelto. Her hyponatremia resolved.   She had anxiety concerns - offered to restart Paxil and/or alternative including Cymbalta but patient declined any additional therapy. She was prescribed as needed Atarax for 7 days (this was helpful to her in the hospital) until she can follow up with PCP. Pt's constipation had resolved.   I reviewed all medication changes, need for PCP follow up and routine labs, daily weights, 2g Na/2L fluid restriction, consideration for ASA 81 mg (pt wanted to discuss w/her Cardiologist), all medication changes and COVID precautions. I also called son and updated the same. Son stated he did not receive any calls from me the past 2 days, but I did clarify that his phone rang and ultimately went to a business voicemail so I did not leave a message to protect patient's privacy.    Patient is discharged home on 01/05/2023 in stable condition.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cardiac failure congestive, Cardiomegaly, Chest X-ray abnormal, Chest pain
Clinical narrative: Discharge Provider: MD Primary Care Provider:  MD Admission Date: 12/28/2022 Discharge Date: Jan 5, 2023 COVID positive date: 12/28/2022 PRESENTING PROBLEM: Weakness [R53.1] Pedal edema [R60.0] Dyspnea, unspecified type [R06.00] COVID-19 [U07.1]   HOSPITAL COURSE:   Patient is a 84 year-old female with past medical history of chronic AFib, type 2 diabetes, anxiety/depression, diastolic heart failure who presented to the ER with shortness of breath, cough, right chest pain radiating to back and swelling of lower extremities.  In the ER she was found to be COVID positive.  CXR showed right-sided lower lung opacities with mild cardiomegaly.  Was also noted to have mild hyponatremia with sodium 128 in the ER.  Of note, patient noted symptoms of lower extremity swelling, feeling anxious and occasional visual changes after starting Paxil a few weeks prior.  She was never hypoxic in the ER but there was concern about her ability to ambulate due to generalized weakness.  Patient was admitted to the hospital with concern of COVID pneumonia; she was not started on remdesivir/Decadron as she was not having hypoxia on admission.  She was given 1 time dose of IV Lasix for mild hyponatremia.  EKG with afib but no new signs of ischemia, trops collected and flat 18-- >19.  Mildly elevated BNP at 3101.    After admission, patient continued to saturate well on room air above 95%. Due to lower extremity edema did perform echocardiogram which came back showing new systolic CHF with EF of 35% and moderate global left ventricular systolic dysfunction. She was diagnosed with Acute Combined Systolic and Diastolic CHF - started on IV Lasix and Cardiology consulted.  Due to anemia did also check iron studies which came back consistent with iron deficiency anemia for which she received IV Iron.   Her edema improved and she was transitioned to oral Lasix 20 mg daily,  ToproL XL. Losartan 12.5 mg daily added per Cardiology recommendations and continued on home Xarelto. Her hyponatremia resolved.   She had anxiety concerns - offered to restart Paxil and/or alternative including Cymbalta but patient declined any additional therapy. She was prescribed as needed Atarax for 7 days (this was helpful to her in the hospital) until she can follow up with PCP. Pt's constipation had resolved.   I reviewed all medication changes, need for PCP follow up and routine labs, daily weights, 2g Na/2L fluid restriction, consideration for ASA 81 mg (pt wanted to discuss w/her Cardiologist), all medication changes and COVID precautions. I also called son and updated the same. Son stated he did not receive any calls from me the past 2 days, but I did clarify that his phone rang and ultimately went to a business voicemail so I did not leave a message to protect patient's privacy.    Patient is discharged home on 01/05/2023 in stable condition.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Constipation, Cough, Dyspnoea, Echocardiogram abnormal
Clinical narrative: Discharge Provider: MD Primary Care Provider:  MD Admission Date: 12/28/2022 Discharge Date: Jan 5, 2023 COVID positive date: 12/28/2022 PRESENTING PROBLEM: Weakness [R53.1] Pedal edema [R60.0] Dyspnea, unspecified type [R06.00] COVID-19 [U07.1]   HOSPITAL COURSE:   Patient is a 84 year-old female with past medical history of chronic AFib, type 2 diabetes, anxiety/depression, diastolic heart failure who presented to the ER with shortness of breath, cough, right chest pain radiating to back and swelling of lower extremities.  In the ER she was found to be COVID positive.  CXR showed right-sided lower lung opacities with mild cardiomegaly.  Was also noted to have mild hyponatremia with sodium 128 in the ER.  Of note, patient noted symptoms of lower extremity swelling, feeling anxious and occasional visual changes after starting Paxil a few weeks prior.  She was never hypoxic in the ER but there was concern about her ability to ambulate due to generalized weakness.  Patient was admitted to the hospital with concern of COVID pneumonia; she was not started on remdesivir/Decadron as she was not having hypoxia on admission.  She was given 1 time dose of IV Lasix for mild hyponatremia.  EKG with afib but no new signs of ischemia, trops collected and flat 18-- >19.  Mildly elevated BNP at 3101.    After admission, patient continued to saturate well on room air above 95%. Due to lower extremity edema did perform echocardiogram which came back showing new systolic CHF with EF of 35% and moderate global left ventricular systolic dysfunction. She was diagnosed with Acute Combined Systolic and Diastolic CHF - started on IV Lasix and Cardiology consulted.  Due to anemia did also check iron studies which came back consistent with iron deficiency anemia for which she received IV Iron.   Her edema improved and she was transitioned to oral Lasix 20 mg daily,  ToproL XL. Losartan 12.5 mg daily added per Cardiology recommendations and continued on home Xarelto. Her hyponatremia resolved.   She had anxiety concerns - offered to restart Paxil and/or alternative including Cymbalta but patient declined any additional therapy. She was prescribed as needed Atarax for 7 days (this was helpful to her in the hospital) until she can follow up with PCP. Pt's constipation had resolved.   I reviewed all medication changes, need for PCP follow up and routine labs, daily weights, 2g Na/2L fluid restriction, consideration for ASA 81 mg (pt wanted to discuss w/her Cardiologist), all medication changes and COVID precautions. I also called son and updated the same. Son stated he did not receive any calls from me the past 2 days, but I did clarify that his phone rang and ultimately went to a business voicemail so I did not leave a message to protect patient's privacy.    Patient is discharged home on 01/05/2023 in stable condition.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Ejection fraction decreased, Electrocardiogram abnormal, Full blood count abnormal, Haemoglobin decreased, Hypertension
Clinical narrative: Discharge Provider: MD Primary Care Provider:  MD Admission Date: 12/28/2022 Discharge Date: Jan 5, 2023 COVID positive date: 12/28/2022 PRESENTING PROBLEM: Weakness [R53.1] Pedal edema [R60.0] Dyspnea, unspecified type [R06.00] COVID-19 [U07.1]   HOSPITAL COURSE:   Patient is a 84 year-old female with past medical history of chronic AFib, type 2 diabetes, anxiety/depression, diastolic heart failure who presented to the ER with shortness of breath, cough, right chest pain radiating to back and swelling of lower extremities.  In the ER she was found to be COVID positive.  CXR showed right-sided lower lung opacities with mild cardiomegaly.  Was also noted to have mild hyponatremia with sodium 128 in the ER.  Of note, patient noted symptoms of lower extremity swelling, feeling anxious and occasional visual changes after starting Paxil a few weeks prior.  She was never hypoxic in the ER but there was concern about her ability to ambulate due to generalized weakness.  Patient was admitted to the hospital with concern of COVID pneumonia; she was not started on remdesivir/Decadron as she was not having hypoxia on admission.  She was given 1 time dose of IV Lasix for mild hyponatremia.  EKG with afib but no new signs of ischemia, trops collected and flat 18-- >19.  Mildly elevated BNP at 3101.    After admission, patient continued to saturate well on room air above 95%. Due to lower extremity edema did perform echocardiogram which came back showing new systolic CHF with EF of 35% and moderate global left ventricular systolic dysfunction. She was diagnosed with Acute Combined Systolic and Diastolic CHF - started on IV Lasix and Cardiology consulted.  Due to anemia did also check iron studies which came back consistent with iron deficiency anemia for which she received IV Iron.   Her edema improved and she was transitioned to oral Lasix 20 mg daily,  ToproL XL. Losartan 12.5 mg daily added per Cardiology recommendations and continued on home Xarelto. Her hyponatremia resolved.   She had anxiety concerns - offered to restart Paxil and/or alternative including Cymbalta but patient declined any additional therapy. She was prescribed as needed Atarax for 7 days (this was helpful to her in the hospital) until she can follow up with PCP. Pt's constipation had resolved.   I reviewed all medication changes, need for PCP follow up and routine labs, daily weights, 2g Na/2L fluid restriction, consideration for ASA 81 mg (pt wanted to discuss w/her Cardiologist), all medication changes and COVID precautions. I also called son and updated the same. Son stated he did not receive any calls from me the past 2 days, but I did clarify that his phone rang and ultimately went to a business voicemail so I did not leave a message to protect patient's privacy.    Patient is discharged home on 01/05/2023 in stable condition.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Hyponatraemia, Insomnia, Iron deficiency anaemia, Left ventricular dysfunction, Lipase normal
Clinical narrative: Discharge Provider: MD Primary Care Provider:  MD Admission Date: 12/28/2022 Discharge Date: Jan 5, 2023 COVID positive date: 12/28/2022 PRESENTING PROBLEM: Weakness [R53.1] Pedal edema [R60.0] Dyspnea, unspecified type [R06.00] COVID-19 [U07.1]   HOSPITAL COURSE:   Patient is a 84 year-old female with past medical history of chronic AFib, type 2 diabetes, anxiety/depression, diastolic heart failure who presented to the ER with shortness of breath, cough, right chest pain radiating to back and swelling of lower extremities.  In the ER she was found to be COVID positive.  CXR showed right-sided lower lung opacities with mild cardiomegaly.  Was also noted to have mild hyponatremia with sodium 128 in the ER.  Of note, patient noted symptoms of lower extremity swelling, feeling anxious and occasional visual changes after starting Paxil a few weeks prior.  She was never hypoxic in the ER but there was concern about her ability to ambulate due to generalized weakness.  Patient was admitted to the hospital with concern of COVID pneumonia; she was not started on remdesivir/Decadron as she was not having hypoxia on admission.  She was given 1 time dose of IV Lasix for mild hyponatremia.  EKG with afib but no new signs of ischemia, trops collected and flat 18-- >19.  Mildly elevated BNP at 3101.    After admission, patient continued to saturate well on room air above 95%. Due to lower extremity edema did perform echocardiogram which came back showing new systolic CHF with EF of 35% and moderate global left ventricular systolic dysfunction. She was diagnosed with Acute Combined Systolic and Diastolic CHF - started on IV Lasix and Cardiology consulted.  Due to anemia did also check iron studies which came back consistent with iron deficiency anemia for which she received IV Iron.   Her edema improved and she was transitioned to oral Lasix 20 mg daily,  ToproL XL. Losartan 12.5 mg daily added per Cardiology recommendations and continued on home Xarelto. Her hyponatremia resolved.   She had anxiety concerns - offered to restart Paxil and/or alternative including Cymbalta but patient declined any additional therapy. She was prescribed as needed Atarax for 7 days (this was helpful to her in the hospital) until she can follow up with PCP. Pt's constipation had resolved.   I reviewed all medication changes, need for PCP follow up and routine labs, daily weights, 2g Na/2L fluid restriction, consideration for ASA 81 mg (pt wanted to discuss w/her Cardiologist), all medication changes and COVID precautions. I also called son and updated the same. Son stated he did not receive any calls from me the past 2 days, but I did clarify that his phone rang and ultimately went to a business voicemail so I did not leave a message to protect patient's privacy.    Patient is discharged home on 01/05/2023 in stable condition.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Lung opacity, Metabolic function test normal, Mobility decreased, Oedema peripheral, Pain
Clinical narrative: Discharge Provider: MD Primary Care Provider:  MD Admission Date: 12/28/2022 Discharge Date: Jan 5, 2023 COVID positive date: 12/28/2022 PRESENTING PROBLEM: Weakness [R53.1] Pedal edema [R60.0] Dyspnea, unspecified type [R06.00] COVID-19 [U07.1]   HOSPITAL COURSE:   Patient is a 84 year-old female with past medical history of chronic AFib, type 2 diabetes, anxiety/depression, diastolic heart failure who presented to the ER with shortness of breath, cough, right chest pain radiating to back and swelling of lower extremities.  In the ER she was found to be COVID positive.  CXR showed right-sided lower lung opacities with mild cardiomegaly.  Was also noted to have mild hyponatremia with sodium 128 in the ER.  Of note, patient noted symptoms of lower extremity swelling, feeling anxious and occasional visual changes after starting Paxil a few weeks prior.  She was never hypoxic in the ER but there was concern about her ability to ambulate due to generalized weakness.  Patient was admitted to the hospital with concern of COVID pneumonia; she was not started on remdesivir/Decadron as she was not having hypoxia on admission.  She was given 1 time dose of IV Lasix for mild hyponatremia.  EKG with afib but no new signs of ischemia, trops collected and flat 18-- >19.  Mildly elevated BNP at 3101.    After admission, patient continued to saturate well on room air above 95%. Due to lower extremity edema did perform echocardiogram which came back showing new systolic CHF with EF of 35% and moderate global left ventricular systolic dysfunction. She was diagnosed with Acute Combined Systolic and Diastolic CHF - started on IV Lasix and Cardiology consulted.  Due to anemia did also check iron studies which came back consistent with iron deficiency anemia for which she received IV Iron.   Her edema improved and she was transitioned to oral Lasix 20 mg daily,  ToproL XL. Losartan 12.5 mg daily added per Cardiology recommendations and continued on home Xarelto. Her hyponatremia resolved.   She had anxiety concerns - offered to restart Paxil and/or alternative including Cymbalta but patient declined any additional therapy. She was prescribed as needed Atarax for 7 days (this was helpful to her in the hospital) until she can follow up with PCP. Pt's constipation had resolved.   I reviewed all medication changes, need for PCP follow up and routine labs, daily weights, 2g Na/2L fluid restriction, consideration for ASA 81 mg (pt wanted to discuss w/her Cardiologist), all medication changes and COVID precautions. I also called son and updated the same. Son stated he did not receive any calls from me the past 2 days, but I did clarify that his phone rang and ultimately went to a business voicemail so I did not leave a message to protect patient's privacy.    Patient is discharged home on 01/05/2023 in stable condition.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Peripheral swelling, Platelet count decreased, SARS-CoV-2 test positive, Sensory disturbance
Clinical narrative: Discharge Provider: MD Primary Care Provider:  MD Admission Date: 12/28/2022 Discharge Date: Jan 5, 2023 COVID positive date: 12/28/2022 PRESENTING PROBLEM: Weakness [R53.1] Pedal edema [R60.0] Dyspnea, unspecified type [R06.00] COVID-19 [U07.1]   HOSPITAL COURSE:   Patient is a 84 year-old female with past medical history of chronic AFib, type 2 diabetes, anxiety/depression, diastolic heart failure who presented to the ER with shortness of breath, cough, right chest pain radiating to back and swelling of lower extremities.  In the ER she was found to be COVID positive.  CXR showed right-sided lower lung opacities with mild cardiomegaly.  Was also noted to have mild hyponatremia with sodium 128 in the ER.  Of note, patient noted symptoms of lower extremity swelling, feeling anxious and occasional visual changes after starting Paxil a few weeks prior.  She was never hypoxic in the ER but there was concern about her ability to ambulate due to generalized weakness.  Patient was admitted to the hospital with concern of COVID pneumonia; she was not started on remdesivir/Decadron as she was not having hypoxia on admission.  She was given 1 time dose of IV Lasix for mild hyponatremia.  EKG with afib but no new signs of ischemia, trops collected and flat 18-- >19.  Mildly elevated BNP at 3101.    After admission, patient continued to saturate well on room air above 95%. Due to lower extremity edema did perform echocardiogram which came back showing new systolic CHF with EF of 35% and moderate global left ventricular systolic dysfunction. She was diagnosed with Acute Combined Systolic and Diastolic CHF - started on IV Lasix and Cardiology consulted.  Due to anemia did also check iron studies which came back consistent with iron deficiency anemia for which she received IV Iron.   Her edema improved and she was transitioned to oral Lasix 20 mg daily,  ToproL XL. Losartan 12.5 mg daily added per Cardiology recommendations and continued on home Xarelto. Her hyponatremia resolved.   She had anxiety concerns - offered to restart Paxil and/or alternative including Cymbalta but patient declined any additional therapy. She was prescribed as needed Atarax for 7 days (this was helpful to her in the hospital) until she can follow up with PCP. Pt's constipation had resolved.   I reviewed all medication changes, need for PCP follow up and routine labs, daily weights, 2g Na/2L fluid restriction, consideration for ASA 81 mg (pt wanted to discuss w/her Cardiologist), all medication changes and COVID precautions. I also called son and updated the same. Son stated he did not receive any calls from me the past 2 days, but I did clarify that his phone rang and ultimately went to a business voicemail so I did not leave a message to protect patient's privacy.    Patient is discharged home on 01/05/2023 in stable condition.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Troponin, Visual impairment, White blood cell count decreased
Clinical narrative: Discharge Provider: MD Primary Care Provider:  MD Admission Date: 12/28/2022 Discharge Date: Jan 5, 2023 COVID positive date: 12/28/2022 PRESENTING PROBLEM: Weakness [R53.1] Pedal edema [R60.0] Dyspnea, unspecified type [R06.00] COVID-19 [U07.1]   HOSPITAL COURSE:   Patient is a 84 year-old female with past medical history of chronic AFib, type 2 diabetes, anxiety/depression, diastolic heart failure who presented to the ER with shortness of breath, cough, right chest pain radiating to back and swelling of lower extremities.  In the ER she was found to be COVID positive.  CXR showed right-sided lower lung opacities with mild cardiomegaly.  Was also noted to have mild hyponatremia with sodium 128 in the ER.  Of note, patient noted symptoms of lower extremity swelling, feeling anxious and occasional visual changes after starting Paxil a few weeks prior.  She was never hypoxic in the ER but there was concern about her ability to ambulate due to generalized weakness.  Patient was admitted to the hospital with concern of COVID pneumonia; she was not started on remdesivir/Decadron as she was not having hypoxia on admission.  She was given 1 time dose of IV Lasix for mild hyponatremia.  EKG with afib but no new signs of ischemia, trops collected and flat 18-- >19.  Mildly elevated BNP at 3101.    After admission, patient continued to saturate well on room air above 95%. Due to lower extremity edema did perform echocardiogram which came back showing new systolic CHF with EF of 35% and moderate global left ventricular systolic dysfunction. She was diagnosed with Acute Combined Systolic and Diastolic CHF - started on IV Lasix and Cardiology consulted.  Due to anemia did also check iron studies which came back consistent with iron deficiency anemia for which she received IV Iron.   Her edema improved and she was transitioned to oral Lasix 20 mg daily,  ToproL XL. Losartan 12.5 mg daily added per Cardiology recommendations and continued on home Xarelto. Her hyponatremia resolved.   She had anxiety concerns - offered to restart Paxil and/or alternative including Cymbalta but patient declined any additional therapy. She was prescribed as needed Atarax for 7 days (this was helpful to her in the hospital) until she can follow up with PCP. Pt's constipation had resolved.   I reviewed all medication changes, need for PCP follow up and routine labs, daily weights, 2g Na/2L fluid restriction, consideration for ASA 81 mg (pt wanted to discuss w/her Cardiologist), all medication changes and COVID precautions. I also called son and updated the same. Son stated he did not receive any calls from me the past 2 days, but I did clarify that his phone rang and ultimately went to a business voicemail so I did not leave a message to protect patient's privacy.    Patient is discharged home on 01/05/2023 in stable condition.
Age: 6.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: patient given bivalent vaccine for first dose in series instead of monovalent in error.  No adverse symptoms
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Injection site pain, Pain, SARS-CoV-2 test positive
Clinical narrative: After my Moderna Bivalent 5th vaccine I had the normal soreness at the injection site, some aches and tiredmess all normal. on December 26,2022 I tested positive for Covid-19 by a home test done 2 times, I called my drs. office and was perscribed Paxlovid (Nirmatrelvir & Ritonavir Tablet Therapy Pack) for 5 days . I tested negative on January 1, 2023 and again on January 4, 2023
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: Patient was given a second covid bivalent booster when there is no literature at this time for a second bivalent booster
Sex: U
Vaccine: COVID19, COVID19, COVID19
Symptoms: Bell's palsy, Blood test normal, Chest X-ray normal, Computerised tomogram normal, Electrocardiogram normal
Clinical narrative: On January 5,  2023 at 2:30 pm (approx) while driving I started feeling different, then I couldn't blink or close my left eye.  Within minutes my whole left side of the face was numb.  I pulled over to the side of the road and called my doctor and they told me to come in.  I drove to their office and he sent me to the ER to rule out a stroke.  I was diagnosed with Bells Palsey, prescribed Artificial Tears Ophthalmic solution, prednisone 10mg oral tablet, and ValACYclovir 1 g oral tablet..  I am now paralyzed on the left side of my face and tongue, doing all the above medications, unable to work, drink or eat.  Please advise.
Sex: U
Vaccine: COVID19, COVID19, COVID19
Symptoms: Facial paralysis, Feeding disorder, Feeling abnormal, Hypoaesthesia, Impaired work ability
Clinical narrative: On January 5,  2023 at 2:30 pm (approx) while driving I started feeling different, then I couldn't blink or close my left eye.  Within minutes my whole left side of the face was numb.  I pulled over to the side of the road and called my doctor and they told me to come in.  I drove to their office and he sent me to the ER to rule out a stroke.  I was diagnosed with Bells Palsey, prescribed Artificial Tears Ophthalmic solution, prednisone 10mg oral tablet, and ValACYclovir 1 g oral tablet..  I am now paralyzed on the left side of my face and tongue, doing all the above medications, unable to work, drink or eat.  Please advise.
Sex: U
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lagophthalmos, Loss of personal independence in daily activities, Tongue paralysis
Clinical narrative: On January 5,  2023 at 2:30 pm (approx) while driving I started feeling different, then I couldn't blink or close my left eye.  Within minutes my whole left side of the face was numb.  I pulled over to the side of the road and called my doctor and they told me to come in.  I drove to their office and he sent me to the ER to rule out a stroke.  I was diagnosed with Bells Palsey, prescribed Artificial Tears Ophthalmic solution, prednisone 10mg oral tablet, and ValACYclovir 1 g oral tablet..  I am now paralyzed on the left side of my face and tongue, doing all the above medications, unable to work, drink or eat.  Please advise.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Vaccine was given at incorrect interval (7 weeks instead of 8 weeks). Pediatric Pfizer Bivalent (maroon cap) vaccine should have been given per standing order as the third dose.  Patient was given Pediatric Pfizer Monovalent (maroon cap) vaccine.  Physician on call was consulted and advised that Pediatric Pfizer Bivalent (maroon ca) dose should be administered at 8 weeks.  Parent was notified and advised to have dose repeated 2/14/2023 with Pediatric Pfizer Bivalent (maroon cap) vaccine.  Parent verbalized understanding and plans to schedule an appointment at that time.