chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Toxic encephalopathy, White blood cell disorder
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 9/12/2022 Discharge Date: Sep 14, 2022  PRESENTING PROBLEM: Acute metabolic and toxic Encephalopathy [G93.40] (POA)__Resolved  Pneumonia of right lower lobe due to infectious organism (Community acquired pneumonia of right lower lobe of lung [J18.9]) COVID-19 PNA (POA) Abnormal LFTs     HOSPITAL COURSE: The patient is a 65 y.o. female with past medical history significant for anxiety, depression, hypothyroidism who presents with complaint of confusion and making  nonsensical statements to family.  Patient tested positive for COVID-19 2 days prior to admission.  she has had fevers, chills, nausea, headache, neck pain, shortness of breath, fatigue prior to presentation.  CT Head was negative. CXR with right lung base consolidation. She underwent LP in the ED which was negative with 2 nucleated WBCs. She was placed on Rocephin and Zpak for CAP in the setting of COVID-19 pneumonia. Her confusion was thought to be multifactorial due to acute metabolic/toxic encephalopathy due to COVID-19 + CAP + Polypharmacy from recent initiation of Trazodone and Neurontin. MRI brain was negative for stroke or acute brain pathology.  She improved with supportive measures and was discharged in stable condition.  Cultures remains negative. She was transitioned to Ceftin+Zpak x 5 days for CAP.   She also has generalized myalgia with mildly elevated LFTs which could be 2/2 COVID infection but pt opted to hold her Crestor as she was just started on it a week ago and is concerned it may the cause of her myalgia and abnormal LFTs. She will have a follow up LFTs in one week with PCP and discuss resumption of Crestor or using an alternative Lipid agent.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: Per pt report, had not received any doses of COVID vaccine, 1st dose in Pfizer series administered based on this information as we were at an outreach event and unable to access database.  When looked up in database, pt had received a Moderna vaccine in 12/2021.
Age: 55.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: Patient received an extra booster dose of Moderna bivalent Covid-19, subcutaneously when present for YF-Vax by Sanofi.
Age: 72.0
Sex: F
Vaccine: PNC13
Symptoms: Incorrect product formulation administered
Clinical narrative: 72yo patient was ordered to be given Prevnar vaccine at well person exam, she had been given PCV23 in 2016 so needed a PCV to complete her care gap. Provider verbally gave order for Prevnar, order was not placed in electronic record prior to the vaccine administration. As the nurse, I chose the wrong Prevnar, I administered Prevnar 13 instead of Prevnar 20 to pt. Went to document vaccine given and flag came up in electronic record that Prevnar 13 was inappropriate to give pt. Provider notified. Clinic supervisor notified.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Wrong product administered
Clinical narrative: This was NOT an adverse event.  It was a vaccine administration error.  We thought we were administering the Pfizer bivalent vaccine and discovered in the mid afternoon on 9/8/22 that we were actually administering the Pfizer Grey Cap (monovalent/original) formulation of the vaccine.  Upon discovery corrective action was taken.  Patient was notified of vaccine administration error as was the Department of Health.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: NO KNOWN SYMPTOMS OCCURED
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Electrocardiogram, Exercise tolerance decreased, Feeling abnormal, Headache
Clinical narrative: Severe flu like symptoms within 30 minutes of 1st injection that lasted 9 days. Injection site swelled to size of softball. Day of first dose I walked up the stairs to my 3rd floor apartment and had to stop and began dry heaving. Experienced chest pains ranging from burning to sudden sharp punch. These pains continue to be experienced a year later. For months after first dose would experience sudden heart rate increase alongside uncountable hyperventilating. Usually this would only last for a few minutes, but would happen multiple times daily.  At the time of first dose I was running a 3 mile loop 3 times a week and couldn't after the flu symptoms stopped. The first two weeks after starting back to running I couldn't run more than 100 feet without having to stop. At second dose I experienced stroke symptoms. I woke up in the middle of the night with worst migraine I have ever experienced. I have been through EMT-B school and I legitimately believed I was having a stroke. I tried to grab my phone off my nightstand less than a foot from me and physically could NOT move. Every time I tried every muscle I tried to more felt like it was tearing in half and the joint breaking. I laid in my bed for several hours like this unable to call for help. Eventually it stopped and when it did it was sudden. I spent the next several days with body aches and a headache. To this day I have felt off from that experience I can't really describe it in any other detail than that. I still have chest pains that nobody can find a reason for.
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Heart rate increased, Hyperventilation, Influenza like illness, Injection site swelling, Migraine
Clinical narrative: Severe flu like symptoms within 30 minutes of 1st injection that lasted 9 days. Injection site swelled to size of softball. Day of first dose I walked up the stairs to my 3rd floor apartment and had to stop and began dry heaving. Experienced chest pains ranging from burning to sudden sharp punch. These pains continue to be experienced a year later. For months after first dose would experience sudden heart rate increase alongside uncountable hyperventilating. Usually this would only last for a few minutes, but would happen multiple times daily.  At the time of first dose I was running a 3 mile loop 3 times a week and couldn't after the flu symptoms stopped. The first two weeks after starting back to running I couldn't run more than 100 feet without having to stop. At second dose I experienced stroke symptoms. I woke up in the middle of the night with worst migraine I have ever experienced. I have been through EMT-B school and I legitimately believed I was having a stroke. I tried to grab my phone off my nightstand less than a foot from me and physically could NOT move. Every time I tried every muscle I tried to more felt like it was tearing in half and the joint breaking. I laid in my bed for several hours like this unable to call for help. Eventually it stopped and when it did it was sudden. I spent the next several days with body aches and a headache. To this day I have felt off from that experience I can't really describe it in any other detail than that. I still have chest pains that nobody can find a reason for.
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mobility decreased, Neurological symptom, Pain, Retching, Sensory disturbance
Clinical narrative: Severe flu like symptoms within 30 minutes of 1st injection that lasted 9 days. Injection site swelled to size of softball. Day of first dose I walked up the stairs to my 3rd floor apartment and had to stop and began dry heaving. Experienced chest pains ranging from burning to sudden sharp punch. These pains continue to be experienced a year later. For months after first dose would experience sudden heart rate increase alongside uncountable hyperventilating. Usually this would only last for a few minutes, but would happen multiple times daily.  At the time of first dose I was running a 3 mile loop 3 times a week and couldn't after the flu symptoms stopped. The first two weeks after starting back to running I couldn't run more than 100 feet without having to stop. At second dose I experienced stroke symptoms. I woke up in the middle of the night with worst migraine I have ever experienced. I have been through EMT-B school and I legitimately believed I was having a stroke. I tried to grab my phone off my nightstand less than a foot from me and physically could NOT move. Every time I tried every muscle I tried to more felt like it was tearing in half and the joint breaking. I laid in my bed for several hours like this unable to call for help. Eventually it stopped and when it did it was sudden. I spent the next several days with body aches and a headache. To this day I have felt off from that experience I can't really describe it in any other detail than that. I still have chest pains that nobody can find a reason for.
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Sleep disorder
Clinical narrative: Severe flu like symptoms within 30 minutes of 1st injection that lasted 9 days. Injection site swelled to size of softball. Day of first dose I walked up the stairs to my 3rd floor apartment and had to stop and began dry heaving. Experienced chest pains ranging from burning to sudden sharp punch. These pains continue to be experienced a year later. For months after first dose would experience sudden heart rate increase alongside uncountable hyperventilating. Usually this would only last for a few minutes, but would happen multiple times daily.  At the time of first dose I was running a 3 mile loop 3 times a week and couldn't after the flu symptoms stopped. The first two weeks after starting back to running I couldn't run more than 100 feet without having to stop. At second dose I experienced stroke symptoms. I woke up in the middle of the night with worst migraine I have ever experienced. I have been through EMT-B school and I legitimately believed I was having a stroke. I tried to grab my phone off my nightstand less than a foot from me and physically could NOT move. Every time I tried every muscle I tried to more felt like it was tearing in half and the joint breaking. I laid in my bed for several hours like this unable to call for help. Eventually it stopped and when it did it was sudden. I spent the next several days with body aches and a headache. To this day I have felt off from that experience I can't really describe it in any other detail than that. I still have chest pains that nobody can find a reason for.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Migraine, Rash, Toothache
Clinical narrative: Chills,rash, migraines and tooth pain
Age: 16.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was given the Pfizer Covid Bivalent vaccine but had not started the initial series of Covid vaccines. This is the only vaccine he has received. Patient had no reported reaction to vaccine. It is unclear on CDC website whether patient should receive any further Covid vaccines.
Age: 75.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Brain natriuretic peptide increased, COVID-19, COVID-19 pneumonia, Cardiomegaly, Chest X-ray abnormal
Clinical narrative: Discharge Provider:  MD Primary Care Provider:  MD Admission Date: 9/14/2022 Discharge Date: Sep 20, 2022  PRESENTING PROBLEM: ESRD (end stage renal disease) (HCC)  Pulmonary vascular congestion  Malignant neoplasm of lung, unspecified laterality, unspecified part of lung (HCC)  COVID-19 virus infection    HOSPITAL COURSE: Patient 76-year-old female with her significant past medical history for stage IV lung cancer, history of breast cancer, chronic diastolic heart failure, CKD stage 4 with planning for fistula in future, presented to the hospital with multiple days of cough, dyspnea, sore throat since 9/12 found to have hypoxia with acute COVID-19 pneumonia. CXR with Mild cardiomegaly and vascular congestion without overt pulmonary edema. BNP elevated and TTE with small new WMA but LVEF normal and no signs of acute new CHF. Patient was not in any acute respiratory distress but needed 2 L of oxygen and was high risk so was admitted. Patient started on both dexamethasone and remedesivir along with supportive care. Improved to room air and remained stable. Plan discharge home with close follow up with both Oncology and Nephrology as well as PCP to consider repeat echo after resolution of covid infection. The patient was educated on need for close followup with PCP and nephrology with repeat labs in 1-2 weeks as her torsemide dose was decreased from BID to daily due to her renal function while inpatient.
Age: 75.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Cough, Dyspnoea, Echocardiogram, Ejection fraction normal, End stage renal disease
Clinical narrative: Discharge Provider:  MD Primary Care Provider:  MD Admission Date: 9/14/2022 Discharge Date: Sep 20, 2022  PRESENTING PROBLEM: ESRD (end stage renal disease) (HCC)  Pulmonary vascular congestion  Malignant neoplasm of lung, unspecified laterality, unspecified part of lung (HCC)  COVID-19 virus infection    HOSPITAL COURSE: Patient 76-year-old female with her significant past medical history for stage IV lung cancer, history of breast cancer, chronic diastolic heart failure, CKD stage 4 with planning for fistula in future, presented to the hospital with multiple days of cough, dyspnea, sore throat since 9/12 found to have hypoxia with acute COVID-19 pneumonia. CXR with Mild cardiomegaly and vascular congestion without overt pulmonary edema. BNP elevated and TTE with small new WMA but LVEF normal and no signs of acute new CHF. Patient was not in any acute respiratory distress but needed 2 L of oxygen and was high risk so was admitted. Patient started on both dexamethasone and remedesivir along with supportive care. Improved to room air and remained stable. Plan discharge home with close follow up with both Oncology and Nephrology as well as PCP to consider repeat echo after resolution of covid infection. The patient was educated on need for close followup with PCP and nephrology with repeat labs in 1-2 weeks as her torsemide dose was decreased from BID to daily due to her renal function while inpatient.
Age: 75.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Hypoxia, Lung carcinoma cell type unspecified stage 0, Oropharyngeal pain, Pulmonary congestion, Wall motion score index abnormal
Clinical narrative: Discharge Provider:  MD Primary Care Provider:  MD Admission Date: 9/14/2022 Discharge Date: Sep 20, 2022  PRESENTING PROBLEM: ESRD (end stage renal disease) (HCC)  Pulmonary vascular congestion  Malignant neoplasm of lung, unspecified laterality, unspecified part of lung (HCC)  COVID-19 virus infection    HOSPITAL COURSE: Patient 76-year-old female with her significant past medical history for stage IV lung cancer, history of breast cancer, chronic diastolic heart failure, CKD stage 4 with planning for fistula in future, presented to the hospital with multiple days of cough, dyspnea, sore throat since 9/12 found to have hypoxia with acute COVID-19 pneumonia. CXR with Mild cardiomegaly and vascular congestion without overt pulmonary edema. BNP elevated and TTE with small new WMA but LVEF normal and no signs of acute new CHF. Patient was not in any acute respiratory distress but needed 2 L of oxygen and was high risk so was admitted. Patient started on both dexamethasone and remedesivir along with supportive care. Improved to room air and remained stable. Plan discharge home with close follow up with both Oncology and Nephrology as well as PCP to consider repeat echo after resolution of covid infection. The patient was educated on need for close followup with PCP and nephrology with repeat labs in 1-2 weeks as her torsemide dose was decreased from BID to daily due to her renal function while inpatient.
Sex: F
Vaccine: UNK
Symptoms: Myalgia
Clinical narrative: Only information available: patient received mRNA vaccine and subsequently had myalgia.  Reaction listed as: polymyalgia and needed steroid
Age: 47.0
Sex: F
Vaccine: COVID19-2
Symptoms: Bronchitis, Cough, Joint swelling, Musculoskeletal stiffness, Oropharyngeal pain
Clinical narrative: Swollen left knee with stiffness lasting one week. I was seen for congestion, cough, and sore throat. Diagnosed with sinusitis and bronchitis. I'm not sure this had anything to do with the vaccine though. Given doxycycline antibiotic. Cough congestion started the day after the vaccine was given.
Age: 47.0
Sex: F
Vaccine: COVID19-2
Symptoms: Respiratory tract congestion, Sinusitis
Clinical narrative: Swollen left knee with stiffness lasting one week. I was seen for congestion, cough, and sore throat. Diagnosed with sinusitis and bronchitis. I'm not sure this had anything to do with the vaccine though. Given doxycycline antibiotic. Cough congestion started the day after the vaccine was given.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Given regular regular Pfizer vaccine instead of Pfixer bivalent
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: NO KNOWN SYMPTOMS OCCURED
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Abdominal pain upper, Nausea, Vomiting
Clinical narrative: Severe nausea lasting from late afternoon accompanied by stomach cramping, through the evening, with one incident of explosive vomiting around 8 pm. Nausea lasted through the night but was gone by 5 am.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: 12 year old male, that received 2 Pfizer pediatric doses previously presented and was given adult Pfizer booster instead of the Pfizer bivalent booster.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received regular Pfizer vaccine instead of the Pfizer Bivalent vaccine.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case
Age: 16.0
Sex: M
Vaccine: HIBV
Symptoms: No adverse event, Wrong product administered
Clinical narrative: No adverse reaction. Patient came in for Menactra and was given Hib instead due to it being placed in wrong box. Parent and Health Dept notified.
Age: 7.0
Sex: M
Vaccine: DTAP
Symptoms: Extra dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Infanrix was given at the age of 7 as well as it being the child's 6th dose. No adverse events reported from patient
Age: 12.0
Sex: M
Vaccine: MENB
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: PT. RECEIVED  MENINGITIS B OUTSIDE OF RECOMMENDED AGE RANGE PER PROTOCOL. PT. AT AVERAGE RISK.  PT. NOTIFIED USING INTERPRETER TO EXPLAIN TO PT'S MOM OF INCIDENT. PT'S MOM STATES, "CHILD IS FINE, NO COMPLAINTS"
Age: 40.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Supraclavicular lymphadenopathy on vaccine side (left). Approximately 3cm painful lymph node swelling starting 1 day after vaccination and lasting 1 week total.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Client age 69 was given a Moderna 0.5ml Pediatric 6 months - 5 years dose instead of a Bivalent dose. Client was observed for 25 minutes after administration with no reactions.
Age: 36.0
Sex: M
Vaccine: UNK
Symptoms: Incorrect route of product administration
Clinical narrative: Incorrect administration route for MPX given. Was given IM not SQ.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: HOSPITALIZED WITH COVID.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Fatigue, Productive cough, Pyrexia
Clinical narrative: She developed a slight fever on 9/18 and extreme fatigue.  Her fever went down on Monday but she developed a wet cough on Monday night.  On Tuesday, her fever returned and her cough persisted as well as abdominal pain.  We went to the doctor on 9/21.  As of 9/22 her fever is gone but still a slight cough and a little abdominal pain.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Starting 8/31, bivalent boosters were reccomended by the CDC
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoptysis, Pulmonary thrombosis
Clinical narrative: Blood clots in lung; coughing up large blood clots; duration lasted approximately 5 weeks
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Cough, Headache, Hypogeusia, Malaise
Clinical narrative: She got her vaccine, at 10:30 she got the Bivalent booster.  She did not have any pain in her arm or anything.  Around 8:00 PM she started having severe chills, headache and fever to 102.  She took Tylenol and went to bed.  She woke up with sore throat and chest congestion, but no fever.   It is now 9/22/22 and she is still coughing and congested.  Her taste is diminished.  She is taking OTC medication.  She saw the doctor and has been using her inhaler that she uses prn every 6 hours.  Her doctor felt that because she has had the vaccine that it would not do any good to do testing as it was more than 5 days, and stated that she had all the symptoms of COVID but did not have any symptoms before the vaccine.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain, Pyrexia, Respiratory tract congestion
Clinical narrative: She got her vaccine, at 10:30 she got the Bivalent booster.  She did not have any pain in her arm or anything.  Around 8:00 PM she started having severe chills, headache and fever to 102.  She took Tylenol and went to bed.  She woke up with sore throat and chest congestion, but no fever.   It is now 9/22/22 and she is still coughing and congested.  Her taste is diminished.  She is taking OTC medication.  She saw the doctor and has been using her inhaler that she uses prn every 6 hours.  Her doctor felt that because she has had the vaccine that it would not do any good to do testing as it was more than 5 days, and stated that she had all the symptoms of COVID but did not have any symptoms before the vaccine.
Age: 75.0
Sex: F
Vaccine: COVID19-2, FLU4, FLUA4
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: Patient came in with her husband to get both the Moderna bivalent booster and the 65+ flu shot. Both patients were to receive a different flu shot. The husband the Fluad and the wife (this patient) the Fluzone as we just ran out of the Fluzone and had to switch over. Both patients sets of vaccines were in the same bin as they came in together and because the Fluzone and Fluad look different, the pharmacist didn't realize that she administered both flu shots to the patient until after. Patient received both Fluad and Fluzone in the same arm and the Covid bivalent booster in the right arm. Doctor has been notified, will be checking in on the patient to ensure no side effects from the mistake.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort, Sensory disturbance
Clinical narrative: A few days after receiving my vaccine, I woke up and noticed that I felt some discomfort in my left arm. It felt like a nervy sensation in the vicinity of where the vaccine was given. It's hard to describe but it felt internal. I'm not sure if it was muscular or nerve. Initially it was pretty intense, but it got better as time progressed. Even today, if I move my arm a certain way, I still feel some discomfort.
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Gait disturbance
Clinical narrative: Asymptomatic/unsteady gait.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pain in extremity
Clinical narrative: patient reports vaccine caused LT arm numbness and pain
Age: 53.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Blood test normal, Dizziness, Electrocardiogram normal, Fatigue, Gait disturbance
Clinical narrative: Received vaccination Saturday afternoon at a pharmacy. Sunday I felt achy, tired, and feverish, with symptoms diminishing over the next two days. Monday afternoon I began experiencing mild vertigo. Onset was slow and gradual. I laid down and shut my eyes which made the experience much worse. Began having trouble walking and went to see PCP.  Upon evaluation PCP believes vertigo is due to combination of FLU and COVID-19 vaccine being administered together. Doctor prescribed two medications for dizziness and nausea.
Age: 53.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Magnetic resonance imaging, Nausea, Pain, Pyrexia, Urine analysis normal
Clinical narrative: Received vaccination Saturday afternoon at a pharmacy. Sunday I felt achy, tired, and feverish, with symptoms diminishing over the next two days. Monday afternoon I began experiencing mild vertigo. Onset was slow and gradual. I laid down and shut my eyes which made the experience much worse. Began having trouble walking and went to see PCP.  Upon evaluation PCP believes vertigo is due to combination of FLU and COVID-19 vaccine being administered together. Doctor prescribed two medications for dizziness and nausea.
Age: 53.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Vertigo
Clinical narrative: Received vaccination Saturday afternoon at a pharmacy. Sunday I felt achy, tired, and feverish, with symptoms diminishing over the next two days. Monday afternoon I began experiencing mild vertigo. Onset was slow and gradual. I laid down and shut my eyes which made the experience much worse. Began having trouble walking and went to see PCP.  Upon evaluation PCP believes vertigo is due to combination of FLU and COVID-19 vaccine being administered together. Doctor prescribed two medications for dizziness and nausea.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, Chest pain, Cough, Death
Clinical narrative: pt to ED with c/o fever, cough, increasing SOB; O2 saturation 70% on RA; O2 supplement given; acute on chronic renal failure; son passed away the night before of COVID; wife also has COVID; pt tested positive for COVID; intermittent CP with SOB; cardiology consulted, dx with type 2 MI secondary to severe hypoxemia; pt refused intubation or other hospital course; worsening respiratory status; requested hospice; dc'd to home with Hospice consulted; pt passed away at home
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Death of relative, Dyspnoea, Exposure to SARS-CoV-2, Hypoxia, Myocardial infarction
Clinical narrative: pt to ED with c/o fever, cough, increasing SOB; O2 saturation 70% on RA; O2 supplement given; acute on chronic renal failure; son passed away the night before of COVID; wife also has COVID; pt tested positive for COVID; intermittent CP with SOB; cardiology consulted, dx with type 2 MI secondary to severe hypoxemia; pt refused intubation or other hospital course; worsening respiratory status; requested hospice; dc'd to home with Hospice consulted; pt passed away at home
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: pt to ED with c/o fever, cough, increasing SOB; O2 saturation 70% on RA; O2 supplement given; acute on chronic renal failure; son passed away the night before of COVID; wife also has COVID; pt tested positive for COVID; intermittent CP with SOB; cardiology consulted, dx with type 2 MI secondary to severe hypoxemia; pt refused intubation or other hospital course; worsening respiratory status; requested hospice; dc'd to home with Hospice consulted; pt passed away at home
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No reactions thus far, just extra dose not indicated.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient reports reaction around injection site including: redness, swelling, and soreness. Symptoms began the day after getting the and have not gotten any better over a 48 hour period
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Injection site swelling, Lymphadenopathy, Rash, Rash pruritic
Clinical narrative: Previously had two doses of Janssen.  One on 3/16/2021, next on 12/14/2021. Received Pfizer Bivalent booster on 9/16/2022 in the afternoon.  Began with a headache 9/17/2022. Progressed into injection site swelling with an itchy rash that spread across chest.  Also had swelling in left neck lymph node.
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: Heart rate increased
Clinical narrative: Patient reports having a fast heart rate, overnight after receiving her Covid bivalent vaccine in the afternoon. Patient reports heart rate resolved on its own and she will continue to monitor symptoms.
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dermatitis atopic
Clinical narrative: During 09/22/2022 medication council, patient reported her atopic dermatitis symptoms developed last year (2021)  after receiving a Pfizer Covid booster.
Age: 25.0
Sex: F
Vaccine: HEP, PNC20
Symptoms: Chills, Decreased appetite, Dizziness, Erythema, Fatigue
Clinical narrative: severe local reaction with redness and swelling starting within 18 hours, largely resolved within 5 days but residual pain and tenderness persisting (albeit continuing to resolve) now at 9 days, limited mobility started almost immediately and resolved over approx 5 day systemic symptoms - nausea, fever, chills, anorexia, fatigue, dizziness, starting with 8 hours and lasting 72 hours
Age: 25.0
Sex: F
Vaccine: HEP, PNC20
Symptoms: Mobility decreased, Nausea, Pain, Pyrexia, Swelling
Clinical narrative: severe local reaction with redness and swelling starting within 18 hours, largely resolved within 5 days but residual pain and tenderness persisting (albeit continuing to resolve) now at 9 days, limited mobility started almost immediately and resolved over approx 5 day systemic symptoms - nausea, fever, chills, anorexia, fatigue, dizziness, starting with 8 hours and lasting 72 hours
Age: 25.0
Sex: F
Vaccine: HEP, PNC20
Symptoms: Tenderness
Clinical narrative: severe local reaction with redness and swelling starting within 18 hours, largely resolved within 5 days but residual pain and tenderness persisting (albeit continuing to resolve) now at 9 days, limited mobility started almost immediately and resolved over approx 5 day systemic symptoms - nausea, fever, chills, anorexia, fatigue, dizziness, starting with 8 hours and lasting 72 hours
Age: 88.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pupillary light reflex tests abnormal, Sitting disability, Unresponsive to stimuli
Clinical narrative: Change in condition: Resident was observed leaning forward in his W/C after supper (1830). Resident was unresponsive to staff and could not hold himself in an upright sitting position. Resident's pupils PERRLA, resident unable to grasp hands, talk, smile etc. Resident's vital signs: BP: 101/69 mmHg; O2: 96% RA; P: 107/min; R: 26/min (shallow); T: 96.5 deg. F. Upon auscultation of the lungs, no adventitious lung sounds noted. Hospitalist at medical facility notified via telephone and telephone order received to send resident non-urgently to ER for evaluation per Dr.  Sent to ER and admitted under observation status.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Facial pain, Injection site pain, Neck pain
Clinical narrative: Pain at injection site the next day on 01/28/21 the pain moved to pt shoulder then over time the pain went to her neck,left side of her face and has been on going since
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Alpha haemolytic streptococcal infection, Angiogram pulmonary abnormal, Asthenia, Atelectasis, Benign prostatic hyperplasia
Clinical narrative: Patient is a 63 y.o. male patient of CNP with history of CAD, essential tremor (status post brain stimulator), hypertension, DM type II presented with generalized weakness and found to have COVID-19.    Covid-19 Virus Infection Date of onset of symptoms: 07/05/22 Symptoms present on admission: Generalized weakness, fatigue, fevers Date of covid positive test: 07/05/22 Vaccination status: vaccinated, including booster Imaging: CTPA showing reticular opacities in lung bases, likely atelectasis. Oxygen requirements on admission: None Medical therapy: not indicated Consultants following: None Anticipate end of isolation: 7/15/2022   Generalized weakness Not associated with focal neurologic deficits (chronic essential tremors as well as delayed speech) -- on primidone  CT scan of brain w/o acute gross abnormalities. Likely multifactorial (COVID infection, dehydration) as other work up unremarkable PT/OT recommend upto 5, discharge to SNF   Strep viridans bacteremia 1/2 sets of Bcx +viridans strep Likely contaminant -- repeat Bcx no growth so far Hold on Abx   Hypokalemia - resolved K 3.2 (7/8) Replaced, replete 7/9   Elevated troponin due to demand ischemia CAD No chest pain or shortness of breath on presentation. Trop 30 -- > 48 -- > 53 EKG (reviewed) -- poor tremor artifact, NSR, no e/o acute ischemia CTPA without pulmonary embolism LHC (4/1/22) -- mild three vessel CAD, moderate RCA stenosis Restart home dose of beta-blocker and a statin. Aspirin was being held for TURP on 7/8 but resumed now as will push back procedure per Urology  Essential tremors Status post brain stimulator placement Continue home gabapentin, primidone   BPH Urinary retention Follows with Dr. and had TURP planned 7/8 Urology consulted -- rescheduled procedure Continue tamsulosin Required straight cath x1 for PVR >700cc Check PVR q8h with straight cath PRN -- > pt currently declining Foley and would prefer to monitor with straight caths for now PVRs have been 100-300s.   DM type II, controlled A1c 7.3 Holding oral hypoglycemics. Lantus, SSI   Hypertension Normotensive on admission. Continue home losartan, metoprolol
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture positive, Blood potassium decreased, COVID-19, Computerised tomogram head normal, Coronary artery stenosis
Clinical narrative: Patient is a 63 y.o. male patient of CNP with history of CAD, essential tremor (status post brain stimulator), hypertension, DM type II presented with generalized weakness and found to have COVID-19.    Covid-19 Virus Infection Date of onset of symptoms: 07/05/22 Symptoms present on admission: Generalized weakness, fatigue, fevers Date of covid positive test: 07/05/22 Vaccination status: vaccinated, including booster Imaging: CTPA showing reticular opacities in lung bases, likely atelectasis. Oxygen requirements on admission: None Medical therapy: not indicated Consultants following: None Anticipate end of isolation: 7/15/2022   Generalized weakness Not associated with focal neurologic deficits (chronic essential tremors as well as delayed speech) -- on primidone  CT scan of brain w/o acute gross abnormalities. Likely multifactorial (COVID infection, dehydration) as other work up unremarkable PT/OT recommend upto 5, discharge to SNF   Strep viridans bacteremia 1/2 sets of Bcx +viridans strep Likely contaminant -- repeat Bcx no growth so far Hold on Abx   Hypokalemia - resolved K 3.2 (7/8) Replaced, replete 7/9   Elevated troponin due to demand ischemia CAD No chest pain or shortness of breath on presentation. Trop 30 -- > 48 -- > 53 EKG (reviewed) -- poor tremor artifact, NSR, no e/o acute ischemia CTPA without pulmonary embolism LHC (4/1/22) -- mild three vessel CAD, moderate RCA stenosis Restart home dose of beta-blocker and a statin. Aspirin was being held for TURP on 7/8 but resumed now as will push back procedure per Urology  Essential tremors Status post brain stimulator placement Continue home gabapentin, primidone   BPH Urinary retention Follows with Dr. and had TURP planned 7/8 Urology consulted -- rescheduled procedure Continue tamsulosin Required straight cath x1 for PVR >700cc Check PVR q8h with straight cath PRN -- > pt currently declining Foley and would prefer to monitor with straight caths for now PVRs have been 100-300s.   DM type II, controlled A1c 7.3 Holding oral hypoglycemics. Lantus, SSI   Hypertension Normotensive on admission. Continue home losartan, metoprolol
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Dehydration, Electrocardiogram, Fatigue, Glycosylated haemoglobin increased, Hypokalaemia
Clinical narrative: Patient is a 63 y.o. male patient of CNP with history of CAD, essential tremor (status post brain stimulator), hypertension, DM type II presented with generalized weakness and found to have COVID-19.    Covid-19 Virus Infection Date of onset of symptoms: 07/05/22 Symptoms present on admission: Generalized weakness, fatigue, fevers Date of covid positive test: 07/05/22 Vaccination status: vaccinated, including booster Imaging: CTPA showing reticular opacities in lung bases, likely atelectasis. Oxygen requirements on admission: None Medical therapy: not indicated Consultants following: None Anticipate end of isolation: 7/15/2022   Generalized weakness Not associated with focal neurologic deficits (chronic essential tremors as well as delayed speech) -- on primidone  CT scan of brain w/o acute gross abnormalities. Likely multifactorial (COVID infection, dehydration) as other work up unremarkable PT/OT recommend upto 5, discharge to SNF   Strep viridans bacteremia 1/2 sets of Bcx +viridans strep Likely contaminant -- repeat Bcx no growth so far Hold on Abx   Hypokalemia - resolved K 3.2 (7/8) Replaced, replete 7/9   Elevated troponin due to demand ischemia CAD No chest pain or shortness of breath on presentation. Trop 30 -- > 48 -- > 53 EKG (reviewed) -- poor tremor artifact, NSR, no e/o acute ischemia CTPA without pulmonary embolism LHC (4/1/22) -- mild three vessel CAD, moderate RCA stenosis Restart home dose of beta-blocker and a statin. Aspirin was being held for TURP on 7/8 but resumed now as will push back procedure per Urology  Essential tremors Status post brain stimulator placement Continue home gabapentin, primidone   BPH Urinary retention Follows with Dr. and had TURP planned 7/8 Urology consulted -- rescheduled procedure Continue tamsulosin Required straight cath x1 for PVR >700cc Check PVR q8h with straight cath PRN -- > pt currently declining Foley and would prefer to monitor with straight caths for now PVRs have been 100-300s.   DM type II, controlled A1c 7.3 Holding oral hypoglycemics. Lantus, SSI   Hypertension Normotensive on admission. Continue home losartan, metoprolol
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Lung opacity, Myocardial ischaemia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient is a 63 y.o. male patient of CNP with history of CAD, essential tremor (status post brain stimulator), hypertension, DM type II presented with generalized weakness and found to have COVID-19.    Covid-19 Virus Infection Date of onset of symptoms: 07/05/22 Symptoms present on admission: Generalized weakness, fatigue, fevers Date of covid positive test: 07/05/22 Vaccination status: vaccinated, including booster Imaging: CTPA showing reticular opacities in lung bases, likely atelectasis. Oxygen requirements on admission: None Medical therapy: not indicated Consultants following: None Anticipate end of isolation: 7/15/2022   Generalized weakness Not associated with focal neurologic deficits (chronic essential tremors as well as delayed speech) -- on primidone  CT scan of brain w/o acute gross abnormalities. Likely multifactorial (COVID infection, dehydration) as other work up unremarkable PT/OT recommend upto 5, discharge to SNF   Strep viridans bacteremia 1/2 sets of Bcx +viridans strep Likely contaminant -- repeat Bcx no growth so far Hold on Abx   Hypokalemia - resolved K 3.2 (7/8) Replaced, replete 7/9   Elevated troponin due to demand ischemia CAD No chest pain or shortness of breath on presentation. Trop 30 -- > 48 -- > 53 EKG (reviewed) -- poor tremor artifact, NSR, no e/o acute ischemia CTPA without pulmonary embolism LHC (4/1/22) -- mild three vessel CAD, moderate RCA stenosis Restart home dose of beta-blocker and a statin. Aspirin was being held for TURP on 7/8 but resumed now as will push back procedure per Urology  Essential tremors Status post brain stimulator placement Continue home gabapentin, primidone   BPH Urinary retention Follows with Dr. and had TURP planned 7/8 Urology consulted -- rescheduled procedure Continue tamsulosin Required straight cath x1 for PVR >700cc Check PVR q8h with straight cath PRN -- > pt currently declining Foley and would prefer to monitor with straight caths for now PVRs have been 100-300s.   DM type II, controlled A1c 7.3 Holding oral hypoglycemics. Lantus, SSI   Hypertension Normotensive on admission. Continue home losartan, metoprolol
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Speech disorder developmental, Streptococcus test positive, Troponin increased, Urinary retention
Clinical narrative: Patient is a 63 y.o. male patient of CNP with history of CAD, essential tremor (status post brain stimulator), hypertension, DM type II presented with generalized weakness and found to have COVID-19.    Covid-19 Virus Infection Date of onset of symptoms: 07/05/22 Symptoms present on admission: Generalized weakness, fatigue, fevers Date of covid positive test: 07/05/22 Vaccination status: vaccinated, including booster Imaging: CTPA showing reticular opacities in lung bases, likely atelectasis. Oxygen requirements on admission: None Medical therapy: not indicated Consultants following: None Anticipate end of isolation: 7/15/2022   Generalized weakness Not associated with focal neurologic deficits (chronic essential tremors as well as delayed speech) -- on primidone  CT scan of brain w/o acute gross abnormalities. Likely multifactorial (COVID infection, dehydration) as other work up unremarkable PT/OT recommend upto 5, discharge to SNF   Strep viridans bacteremia 1/2 sets of Bcx +viridans strep Likely contaminant -- repeat Bcx no growth so far Hold on Abx   Hypokalemia - resolved K 3.2 (7/8) Replaced, replete 7/9   Elevated troponin due to demand ischemia CAD No chest pain or shortness of breath on presentation. Trop 30 -- > 48 -- > 53 EKG (reviewed) -- poor tremor artifact, NSR, no e/o acute ischemia CTPA without pulmonary embolism LHC (4/1/22) -- mild three vessel CAD, moderate RCA stenosis Restart home dose of beta-blocker and a statin. Aspirin was being held for TURP on 7/8 but resumed now as will push back procedure per Urology  Essential tremors Status post brain stimulator placement Continue home gabapentin, primidone   BPH Urinary retention Follows with Dr. and had TURP planned 7/8 Urology consulted -- rescheduled procedure Continue tamsulosin Required straight cath x1 for PVR >700cc Check PVR q8h with straight cath PRN -- > pt currently declining Foley and would prefer to monitor with straight caths for now PVRs have been 100-300s.   DM type II, controlled A1c 7.3 Holding oral hypoglycemics. Lantus, SSI   Hypertension Normotensive on admission. Continue home losartan, metoprolol
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: MOTHER OF PATIENT REPORTS PATIENT HAD LOCALIZED AREA OF ERYTHEMA TO BOTH INJECTION SITES ONE DAY POST IMMUNIZATION. REPORTS 2 DAYS POST THE RIGHT ARM (MENVEO VACCINATION) IS RED AND SWOLLEN FROM UPPER ARM TO ELBOW. DENIES ANY PAIN. REPORTS GIVING PATIENT ANTIHISTAMINE-BENADRYL - WHICH IS HELPING AND ICE TO LOCALIZED ARA
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Breast pain, Mammogram normal, Pain in extremity
Clinical narrative: Pain left arm and lateral side left breast, intermittent lateral  left breast pain still occurs , was more painful first 1-2 weeks now much milder but still occurs frequently lasting 1-2 min,
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Activated partial thromboplastin time, Blood thyroid stimulating hormone abnormal, Echocardiogram, Full blood count abnormal, Glycosylated haemoglobin
Clinical narrative: Ischemic stroke. Functional loss in left hand and fingers.
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: International normalised ratio, Ischaemic stroke, Lipids, Magnetic resonance imaging head abnormal, Metabolic function test abnormal
Clinical narrative: Ischemic stroke. Functional loss in left hand and fingers.
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Mobility decreased, Prothrombin time, Ultrasound Doppler
Clinical narrative: Ischemic stroke. Functional loss in left hand and fingers.
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Cataplexy, Cold sweat, Musculoskeletal stiffness, Pallor, Seizure like phenomena
Clinical narrative: Mother signed form and sent back via email to nurse with permission to give 2nd Menactra and 1st Men B. Pt came in the room acting normal not anxious. Nurse gave MCV4 to pts R deltoid with no issues. Nurse was giving Men B and while she was giving it pt went pale and his head went down to his chest and body went limp. After about 5 seconds pt's arms and hands came in towards his body and became stiff. after another 5 seconds pt's arms went out towards his sides and remained stiff and body was tight and his head went back. After another 5 seconds pt's body came out of the stiffness and into a normal state. Pt started to respond to nurses. He remained pale and clammy. It was about a total of 20 seconds pt was in the state of seizure like activity. Nurse called Mother and stated to her what happened and that at this time pt was back in his normal state but just pale. Nurse stated to mother that nurses are with pt but nurse would like pt to be seen by a doctor. Mother said she will be on her way. The last time pt got vaccines he was pale, dizzy, and lightheaded. Nurse got ice and water for pt. Pt remained pale and clammy for about 5 minutes. Pt regained color and stated he felt "normal" or as he did before the shots just a "little clammy" still. Pt drank about two cups of water and remained sitting in chair until parents came. Nurses explained to parents what happened and gave list of what was given to pt and in what arm. Nurse explained that this will be reported to CDC and that she can refuse the next vaccination. Parents took pt from the room and were taking him straight to the ER to be seen. Nurse stated to call the office if they had any further discussion.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Fatigue, Hypersomnia
Clinical narrative: I started having unseasonal allergy symptoms on Monday afternoon of 06/06/2022 which persisted through until the following Wednesday. We finished with our local farmer's market that day at around noon, and I suddenly began to experience diarrhea. I thought it may be due to a food related issue. I continued on with my day but around 04:15 that day I noticed that I was incredibly sleepy and was asleep by 05:00PM that day, which is very strange, since I never have the need to take naps. I slept from that time on Wednesday until the following Friday with the exception of getting up to use the restroom and drink water. That Friday morning, my husband suggested taking a COVID-19 test. I took an at home test which was positive. I called my doctor's office and had a telehealth appointment. Since I had recently had a physical with lab work done and they knew that my health was good, and I also was not experiencing fever or headache she advised that I only take a Paxlovid prescription if I develop a fever or cough. I did develop a cough that evening that continued through the next day and my sense of smell and taste became impaired, but I did not end up taking the Paxlovid prescription. My symptoms began to improve over the next few days and by Monday, I called the pharmacy to inform them that I would not need the prescription. The fatigue persisted after I recovered. I really only just recently began to feel that the fatigue has lifted.