chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Asthma, Chronic spontaneous urticaria, Condition aggravated, Lip swelling
Clinical narrative: I developed hives within a week of the second Moderna booster shot on May 23, 2022, accompanied by stomach pain, which I believe to be internal hives because it only happens during daily hives flareups.  I saw an allergist who diagnosed me with chronic spontaneous urticaria and told me to take three Allegra 180 allergy pills.  That kept hives away for 2 days and then they returned.  Allegra has since come out with a hives formula, which seems to help insofar as the itch, but the hives bumps, clusters and splotches remain.  Each daily hives flare is different and not precipitated by anything I can put my finger on.  Serious flares also cause swelling in my lips and the inside of my cheeks, and cause a medium asthma flareup requiring the use of my inhaler.  Prior to these hives, I hadn't needed my inhaler or had any asthma related symptoms in over 20 years.  I am also now very sensitive to ibuprofen, which is my go-to pain medicine.  When I take it, it causes certain parts of my throat to become inflamed and sore and makes my voice very hoarse for hours.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash macular, Swelling, Swelling face, Urticaria
Clinical narrative: I developed hives within a week of the second Moderna booster shot on May 23, 2022, accompanied by stomach pain, which I believe to be internal hives because it only happens during daily hives flareups.  I saw an allergist who diagnosed me with chronic spontaneous urticaria and told me to take three Allegra 180 allergy pills.  That kept hives away for 2 days and then they returned.  Allegra has since come out with a hives formula, which seems to help insofar as the itch, but the hives bumps, clusters and splotches remain.  Each daily hives flare is different and not precipitated by anything I can put my finger on.  Serious flares also cause swelling in my lips and the inside of my cheeks, and cause a medium asthma flareup requiring the use of my inhaler.  Prior to these hives, I hadn't needed my inhaler or had any asthma related symptoms in over 20 years.  I am also now very sensitive to ibuprofen, which is my go-to pain medicine.  When I take it, it causes certain parts of my throat to become inflamed and sore and makes my voice very hoarse for hours.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypersensitivity, Rash, Rash erythematous, Rash pruritic, Skin irritation
Clinical narrative: Rash/hives on Right buttock and back of upper right thigh. Started like a few small bug bites, spread to larger area and became itchy, irritated and red.  Doctor treated it as an allergic reaction, with a 9 day course of Prednisone and topical Triamcinolone 0.5% cream on July 28. Saw good results, but returning symptoms (somewhat milder) on August 29.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Throat irritation
Clinical narrative: My arm was sore, my throat was itching, like something stocked in the  back of my throat, I used a lamp, and it was a white spot, it gets bigger every time. I called my dentist because I had an issue with my teeth and she saw my throat it was recommended for me a doctor, I have an appointment for next week.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cardiovascular disorder, Death
Clinical narrative: Meets vital records criteria: Cardiovascular disease, recent COVID-19. Pt was discovered in a state of decomposition by law enforcement conducting a welfare check requested by a family member on the afternoon of 11/13/21. Record shows pt was fully vaccinated
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chemotherapy, Condition aggravated, Cough, Disease progression
Clinical narrative: Primary Care Physician at Discharge: MD Hematologist/Oncologist: MD Admission Date: 8/26/2022 Discharge Date: 8/27/2022  PRESENTING PROBLEM: Severe sepsis  Hepatocellular carcinoma, fibrolamellar   HOSPITAL COURSE: The patient is a 13 y.o. female with metastatic fibrolamellar hepatocellular carcinoma diagnosed March 2019.    She has had progressive disease in spite of multiple therapies with most recent therapy of IV Gemcitabine/IV Nivolumab/PO Lenvatinib/PO Quecertin + celebrex. She was admitted 8/15 with new onset dyspnea. Scans at that time noted interval progression. Patient's chemo regime was stopped and she stabilized from a clinical respiratory stand point. She began palliative radiation therapy 8/22. She was last seen in clinic 8/23 for Nivolumab and 8/24 for PRBC transfusion.    Prior to presentation, patient had been clinically well and attending school. Patient came to the ED early on 8/26 with new onset fever, cough and increased WOB. She required pain control and oxygen via nasal cannula in the ED. She received a fast break with cefepime. RVP returned positive for COVID and started on Decadron as she was inelgiable for other antivirals from her transmanitis.. She was admitted to the floor for oxygen supplementation that she was able to be weaned from shortly after admission. She was continued on rocephin daily while admitted. Her home penicillin was held while she received IV abx.    On admission, patient noted worsening pain that had not been covered by home regime. Pain and palliative was consulted. They were able to start a Fentanyl patch 12mcg to be changed every 72 hours with Oxycodone 15mg Q4 hours. Mom was instructed that if her pain was not controlled on this she could contact pediatric palliative care in order to increase the regimen.    At time of discharge, she is to continue Decadron 6mg QD to complete on 9/2/2022 and will have palliative radiation continued with next appointment on 8/29/2022.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hepatocellular carcinoma, Hypertransaminasaemia, Infusion, Pain
Clinical narrative: Primary Care Physician at Discharge: MD Hematologist/Oncologist: MD Admission Date: 8/26/2022 Discharge Date: 8/27/2022  PRESENTING PROBLEM: Severe sepsis  Hepatocellular carcinoma, fibrolamellar   HOSPITAL COURSE: The patient is a 13 y.o. female with metastatic fibrolamellar hepatocellular carcinoma diagnosed March 2019.    She has had progressive disease in spite of multiple therapies with most recent therapy of IV Gemcitabine/IV Nivolumab/PO Lenvatinib/PO Quecertin + celebrex. She was admitted 8/15 with new onset dyspnea. Scans at that time noted interval progression. Patient's chemo regime was stopped and she stabilized from a clinical respiratory stand point. She began palliative radiation therapy 8/22. She was last seen in clinic 8/23 for Nivolumab and 8/24 for PRBC transfusion.    Prior to presentation, patient had been clinically well and attending school. Patient came to the ED early on 8/26 with new onset fever, cough and increased WOB. She required pain control and oxygen via nasal cannula in the ED. She received a fast break with cefepime. RVP returned positive for COVID and started on Decadron as she was inelgiable for other antivirals from her transmanitis.. She was admitted to the floor for oxygen supplementation that she was able to be weaned from shortly after admission. She was continued on rocephin daily while admitted. Her home penicillin was held while she received IV abx.    On admission, patient noted worsening pain that had not been covered by home regime. Pain and palliative was consulted. They were able to start a Fentanyl patch 12mcg to be changed every 72 hours with Oxycodone 15mg Q4 hours. Mom was instructed that if her pain was not controlled on this she could contact pediatric palliative care in order to increase the regimen.    At time of discharge, she is to continue Decadron 6mg QD to complete on 9/2/2022 and will have palliative radiation continued with next appointment on 8/29/2022.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Radiotherapy, Red blood cell transfusion, Respiratory viral panel, SARS-CoV-2 test positive
Clinical narrative: Primary Care Physician at Discharge: MD Hematologist/Oncologist: MD Admission Date: 8/26/2022 Discharge Date: 8/27/2022  PRESENTING PROBLEM: Severe sepsis  Hepatocellular carcinoma, fibrolamellar   HOSPITAL COURSE: The patient is a 13 y.o. female with metastatic fibrolamellar hepatocellular carcinoma diagnosed March 2019.    She has had progressive disease in spite of multiple therapies with most recent therapy of IV Gemcitabine/IV Nivolumab/PO Lenvatinib/PO Quecertin + celebrex. She was admitted 8/15 with new onset dyspnea. Scans at that time noted interval progression. Patient's chemo regime was stopped and she stabilized from a clinical respiratory stand point. She began palliative radiation therapy 8/22. She was last seen in clinic 8/23 for Nivolumab and 8/24 for PRBC transfusion.    Prior to presentation, patient had been clinically well and attending school. Patient came to the ED early on 8/26 with new onset fever, cough and increased WOB. She required pain control and oxygen via nasal cannula in the ED. She received a fast break with cefepime. RVP returned positive for COVID and started on Decadron as she was inelgiable for other antivirals from her transmanitis.. She was admitted to the floor for oxygen supplementation that she was able to be weaned from shortly after admission. She was continued on rocephin daily while admitted. Her home penicillin was held while she received IV abx.    On admission, patient noted worsening pain that had not been covered by home regime. Pain and palliative was consulted. They were able to start a Fentanyl patch 12mcg to be changed every 72 hours with Oxycodone 15mg Q4 hours. Mom was instructed that if her pain was not controlled on this she could contact pediatric palliative care in order to increase the regimen.    At time of discharge, she is to continue Decadron 6mg QD to complete on 9/2/2022 and will have palliative radiation continued with next appointment on 8/29/2022.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Scan abnormal, Sepsis
Clinical narrative: Primary Care Physician at Discharge: MD Hematologist/Oncologist: MD Admission Date: 8/26/2022 Discharge Date: 8/27/2022  PRESENTING PROBLEM: Severe sepsis  Hepatocellular carcinoma, fibrolamellar   HOSPITAL COURSE: The patient is a 13 y.o. female with metastatic fibrolamellar hepatocellular carcinoma diagnosed March 2019.    She has had progressive disease in spite of multiple therapies with most recent therapy of IV Gemcitabine/IV Nivolumab/PO Lenvatinib/PO Quecertin + celebrex. She was admitted 8/15 with new onset dyspnea. Scans at that time noted interval progression. Patient's chemo regime was stopped and she stabilized from a clinical respiratory stand point. She began palliative radiation therapy 8/22. She was last seen in clinic 8/23 for Nivolumab and 8/24 for PRBC transfusion.    Prior to presentation, patient had been clinically well and attending school. Patient came to the ED early on 8/26 with new onset fever, cough and increased WOB. She required pain control and oxygen via nasal cannula in the ED. She received a fast break with cefepime. RVP returned positive for COVID and started on Decadron as she was inelgiable for other antivirals from her transmanitis.. She was admitted to the floor for oxygen supplementation that she was able to be weaned from shortly after admission. She was continued on rocephin daily while admitted. Her home penicillin was held while she received IV abx.    On admission, patient noted worsening pain that had not been covered by home regime. Pain and palliative was consulted. They were able to start a Fentanyl patch 12mcg to be changed every 72 hours with Oxycodone 15mg Q4 hours. Mom was instructed that if her pain was not controlled on this she could contact pediatric palliative care in order to increase the regimen.    At time of discharge, she is to continue Decadron 6mg QD to complete on 9/2/2022 and will have palliative radiation continued with next appointment on 8/29/2022.
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Influenza virus test, Pyrexia, SARS-CoV-2 test, Urine analysis
Clinical narrative: fever, got tylenol, came to clinic
Age: 39.0
Sex: F
Vaccine: MMR
Symptoms: Incorrect route of product administration
Clinical narrative: Vaccine was given IM not SubQ. Patient was observed for 30 minutes following administration of vaccine. No adverse effects noted.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Seventeen year old patient came to pharmacy on 9/2/22 in with mother requesting new bivalent booster. Patient was accidentally administered the Moderna Bivalent Booster. Patient sat for observation for 15 minutes after vaccination with no adverse reactions. Patient and mother were informed of the error within 10 minutes of vaccination, and told to report any adverse reactions and events to VAERS and V-safe. Pharmacy to follow up with patient tomorrow 9/3/22.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: The patient tested positive for Covid-19 on 01/25/2022.  The patient expired on 02/01/2022.  No record of hospitalization.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent Vaccine given after deauthorization of booster dose on 08/31/2022.
Age: 30.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Hypersensitivity, Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: intermediate allergic reaction. Localized redness, swelling, and itch at injection site for 2 days. After 2-3 days: small itchy red bumps around the injection site. Days 4-6, small red bumps spread up arm, across torso, and onto other (right) arm. Ongoing.  No blisters, pain, swelling, or anaphylactic response.
Age: 30.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Rash erythematous
Clinical narrative: intermediate allergic reaction. Localized redness, swelling, and itch at injection site for 2 days. After 2-3 days: small itchy red bumps around the injection site. Days 4-6, small red bumps spread up arm, across torso, and onto other (right) arm. Ongoing.  No blisters, pain, swelling, or anaphylactic response.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: CVX code was recorded incorrect, patient was given the correct dose.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent Vaccine given after deauthorization of booster dose on 08/31/2022.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Circumstance or information capable of leading to medication error, Extra dose administered, No adverse event
Clinical narrative: There was no adverse reaction. Reporting as patient came in requesting to get her 3rd dose Pfizer Booster. Patient did not disclose  at time of vaccination that she also received two additional doses in February 2021-- this would total 5 doses. Patient is not designated immune compromised.  Private imports with no outside organization name or lot information for 2/3/2021 and 2/24/2021 It was documented that patient had her 2 dose primary series doses of Pfizer  on 6/10/2021 and 7/1/2021 with 3rd dose being given on 8/22/2022. When nurse was updating the vaccine card and was handed card by patient the nurse noted extra card with the February dates. The nurse questioned the patient about the two February doses and the member confirmed she did receive them . We escalated the issue to our Ambulatory Care practice lead and followed our facility protocol of completing an unusual occurrence report. Advised to submit a VAERS.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent Vaccine given after deauthorization of booster dose on 08/31/2022.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, COVID-19, Headache, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I did not have an adverse reaction to the vaccine. I tested positive for COVID-19 on 05/06/2022. I had a headache, sinus issues and sore throat (lost my voice). I contacted my doctor and they prescribed PAXLOVID and I felt much better.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus disorder
Clinical narrative: I did not have an adverse reaction to the vaccine. I tested positive for COVID-19 on 05/06/2022. I had a headache, sinus issues and sore throat (lost my voice). I contacted my doctor and they prescribed PAXLOVID and I felt much better.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent Vaccine given after deauthorization of booster dose on 08/31/2022.
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Abdominal X-ray, Abdominal discomfort, Abdominal pain, Abdominal pain upper, Anti-thyroid antibody increased
Clinical narrative: Pt had no reaction to her first HPV vaccine. She had no past medical problems or complaints until  January 2020 after she had her second HPV vaccine.  In the immediate days post her 2nd dose of the HPV vaccine given on 1/20/2020 pt began experiencing trouble sleeping, fatigue, poor appetite, stomach pains. Symptoms were initially thought to be temporary side effects that would go away but unfortunately pt continued to have symptoms of abdominal pain. She was not a patient of our practice at the time of vaccination of immediately after however old records from her previous pcp document no medical problems, childhood illnesses or concerns at her visits. She established care with us in april 2020 where she noted weight loss and was seen on 6/9/2020 c/o of continued abdominal complaints and severe constipation. thyroid testing was done along with an abdominal x ray. thyroid testing showing autoimmune thyroiditis and abdominal imaging revealed significant constipation. she was referred to pediatric GI for her continued abdominal complaints and was seen june 25, 2020. She was also referred to pediatric endocrinology. She was ultimately diagnosed with crohn's disease after undergoing GI work up, testing and MRI. She is now on lifelong treatment including thyroid surveillance, intermittent steroids and humira.  She continues to follow with pediatric endocrinology for autoimmune thyroiditis.
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Autoimmune thyroiditis, Blood thyroid stimulating hormone decreased, Constipation, Crohn's disease, Decreased appetite
Clinical narrative: Pt had no reaction to her first HPV vaccine. She had no past medical problems or complaints until  January 2020 after she had her second HPV vaccine.  In the immediate days post her 2nd dose of the HPV vaccine given on 1/20/2020 pt began experiencing trouble sleeping, fatigue, poor appetite, stomach pains. Symptoms were initially thought to be temporary side effects that would go away but unfortunately pt continued to have symptoms of abdominal pain. She was not a patient of our practice at the time of vaccination of immediately after however old records from her previous pcp document no medical problems, childhood illnesses or concerns at her visits. She established care with us in april 2020 where she noted weight loss and was seen on 6/9/2020 c/o of continued abdominal complaints and severe constipation. thyroid testing was done along with an abdominal x ray. thyroid testing showing autoimmune thyroiditis and abdominal imaging revealed significant constipation. she was referred to pediatric GI for her continued abdominal complaints and was seen june 25, 2020. She was also referred to pediatric endocrinology. She was ultimately diagnosed with crohn's disease after undergoing GI work up, testing and MRI. She is now on lifelong treatment including thyroid surveillance, intermittent steroids and humira.  She continues to follow with pediatric endocrinology for autoimmune thyroiditis.
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Fatigue, Gastrointestinal wall thickening, Goitre, Imaging procedure abnormal, Laboratory test
Clinical narrative: Pt had no reaction to her first HPV vaccine. She had no past medical problems or complaints until  January 2020 after she had her second HPV vaccine.  In the immediate days post her 2nd dose of the HPV vaccine given on 1/20/2020 pt began experiencing trouble sleeping, fatigue, poor appetite, stomach pains. Symptoms were initially thought to be temporary side effects that would go away but unfortunately pt continued to have symptoms of abdominal pain. She was not a patient of our practice at the time of vaccination of immediately after however old records from her previous pcp document no medical problems, childhood illnesses or concerns at her visits. She established care with us in april 2020 where she noted weight loss and was seen on 6/9/2020 c/o of continued abdominal complaints and severe constipation. thyroid testing was done along with an abdominal x ray. thyroid testing showing autoimmune thyroiditis and abdominal imaging revealed significant constipation. she was referred to pediatric GI for her continued abdominal complaints and was seen june 25, 2020. She was also referred to pediatric endocrinology. She was ultimately diagnosed with crohn's disease after undergoing GI work up, testing and MRI. She is now on lifelong treatment including thyroid surveillance, intermittent steroids and humira.  She continues to follow with pediatric endocrinology for autoimmune thyroiditis.
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Magnetic resonance imaging abdominal abnormal, Sleep disorder, Thyroid function test abnormal, Thyroid mass, Thyroxine free
Clinical narrative: Pt had no reaction to her first HPV vaccine. She had no past medical problems or complaints until  January 2020 after she had her second HPV vaccine.  In the immediate days post her 2nd dose of the HPV vaccine given on 1/20/2020 pt began experiencing trouble sleeping, fatigue, poor appetite, stomach pains. Symptoms were initially thought to be temporary side effects that would go away but unfortunately pt continued to have symptoms of abdominal pain. She was not a patient of our practice at the time of vaccination of immediately after however old records from her previous pcp document no medical problems, childhood illnesses or concerns at her visits. She established care with us in april 2020 where she noted weight loss and was seen on 6/9/2020 c/o of continued abdominal complaints and severe constipation. thyroid testing was done along with an abdominal x ray. thyroid testing showing autoimmune thyroiditis and abdominal imaging revealed significant constipation. she was referred to pediatric GI for her continued abdominal complaints and was seen june 25, 2020. She was also referred to pediatric endocrinology. She was ultimately diagnosed with crohn's disease after undergoing GI work up, testing and MRI. She is now on lifelong treatment including thyroid surveillance, intermittent steroids and humira.  She continues to follow with pediatric endocrinology for autoimmune thyroiditis.
Age: 13.0
Sex: F
Vaccine: HPV9
Symptoms: Ultrasound thyroid abnormal, Weight decreased
Clinical narrative: Pt had no reaction to her first HPV vaccine. She had no past medical problems or complaints until  January 2020 after she had her second HPV vaccine.  In the immediate days post her 2nd dose of the HPV vaccine given on 1/20/2020 pt began experiencing trouble sleeping, fatigue, poor appetite, stomach pains. Symptoms were initially thought to be temporary side effects that would go away but unfortunately pt continued to have symptoms of abdominal pain. She was not a patient of our practice at the time of vaccination of immediately after however old records from her previous pcp document no medical problems, childhood illnesses or concerns at her visits. She established care with us in april 2020 where she noted weight loss and was seen on 6/9/2020 c/o of continued abdominal complaints and severe constipation. thyroid testing was done along with an abdominal x ray. thyroid testing showing autoimmune thyroiditis and abdominal imaging revealed significant constipation. she was referred to pediatric GI for her continued abdominal complaints and was seen june 25, 2020. She was also referred to pediatric endocrinology. She was ultimately diagnosed with crohn's disease after undergoing GI work up, testing and MRI. She is now on lifelong treatment including thyroid surveillance, intermittent steroids and humira.  She continues to follow with pediatric endocrinology for autoimmune thyroiditis.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Pyrexia, Vomiting
Clinical narrative: Moderna booster was given to patient on 8/8/2022, but it was not approved for under 18 years old. Patient's parents and doctor were informed. Patient's mother said patient vomited the same night and fever the next day.  He is fine afterwards.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent vaccine given after deauthorization of booster dose on 08/31/2022.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent Vaccine given after deauthorization of booster dose on 08/31/2022.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent Vaccine given after deauthorization of booster dose on 08/31/2022.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Correct dose but adult vial used.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent Vaccine given after deauthorization of booster dose on 08/31/2022.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary normal, Asthenia, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient with single J+J COVID vaccination who admitted to hospital with COVID detected PCR and complications from COVID.  Provider d/c note:  "Reason for Admission: Generalized body pain, no weakness 60-year-old female patient with past medical history of bipolar, coronary artery disease, hypertension, hyperlipidemia, paroxysmal AFib, T IA morning (8/12/2022) has had generalized body constant cramps, shortness of breath even at rest, chills but not a fever, a slight non-productive cough, intermittent, non-radiating squeezing discomfort left anterior chest with intensity of 3 or 4 on 0-10 scale for which she got some relief with Tylenol, nausea, vomiting (x 3-4 times) and diarrhea (x 6-7 episodes).  Energy level has been ""crappy"" and felt like she was going to pass out several times.      Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  treated for COVID pneumonia, with acute hypoxic respiratory insufficiency,  Significant improvement in oxygenation, off nasal cannula oxygen ? Pneumonia due to COVID-19 virus with acute respiratory insufficiency with hypoxemia - oxygen per protocol; Decadron, has added Remdisvir , CTA pulmonary negative for pulmonary embolism, CT chest showed bilateral ground-glass opacities consistent with COVID"
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Computerised tomogram thorax abnormal, Cough, Diarrhoea
Clinical narrative: Patient with single J+J COVID vaccination who admitted to hospital with COVID detected PCR and complications from COVID.  Provider d/c note:  "Reason for Admission: Generalized body pain, no weakness 60-year-old female patient with past medical history of bipolar, coronary artery disease, hypertension, hyperlipidemia, paroxysmal AFib, T IA morning (8/12/2022) has had generalized body constant cramps, shortness of breath even at rest, chills but not a fever, a slight non-productive cough, intermittent, non-radiating squeezing discomfort left anterior chest with intensity of 3 or 4 on 0-10 scale for which she got some relief with Tylenol, nausea, vomiting (x 3-4 times) and diarrhea (x 6-7 episodes).  Energy level has been ""crappy"" and felt like she was going to pass out several times.      Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  treated for COVID pneumonia, with acute hypoxic respiratory insufficiency,  Significant improvement in oxygenation, off nasal cannula oxygen ? Pneumonia due to COVID-19 virus with acute respiratory insufficiency with hypoxemia - oxygen per protocol; Decadron, has added Remdisvir , CTA pulmonary negative for pulmonary embolism, CT chest showed bilateral ground-glass opacities consistent with COVID"
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Dyspnoea at rest, Lung opacity, Muscle spasms
Clinical narrative: Patient with single J+J COVID vaccination who admitted to hospital with COVID detected PCR and complications from COVID.  Provider d/c note:  "Reason for Admission: Generalized body pain, no weakness 60-year-old female patient with past medical history of bipolar, coronary artery disease, hypertension, hyperlipidemia, paroxysmal AFib, T IA morning (8/12/2022) has had generalized body constant cramps, shortness of breath even at rest, chills but not a fever, a slight non-productive cough, intermittent, non-radiating squeezing discomfort left anterior chest with intensity of 3 or 4 on 0-10 scale for which she got some relief with Tylenol, nausea, vomiting (x 3-4 times) and diarrhea (x 6-7 episodes).  Energy level has been ""crappy"" and felt like she was going to pass out several times.      Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  treated for COVID pneumonia, with acute hypoxic respiratory insufficiency,  Significant improvement in oxygenation, off nasal cannula oxygen ? Pneumonia due to COVID-19 virus with acute respiratory insufficiency with hypoxemia - oxygen per protocol; Decadron, has added Remdisvir , CTA pulmonary negative for pulmonary embolism, CT chest showed bilateral ground-glass opacities consistent with COVID"
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient with single J+J COVID vaccination who admitted to hospital with COVID detected PCR and complications from COVID.  Provider d/c note:  "Reason for Admission: Generalized body pain, no weakness 60-year-old female patient with past medical history of bipolar, coronary artery disease, hypertension, hyperlipidemia, paroxysmal AFib, T IA morning (8/12/2022) has had generalized body constant cramps, shortness of breath even at rest, chills but not a fever, a slight non-productive cough, intermittent, non-radiating squeezing discomfort left anterior chest with intensity of 3 or 4 on 0-10 scale for which she got some relief with Tylenol, nausea, vomiting (x 3-4 times) and diarrhea (x 6-7 episodes).  Energy level has been ""crappy"" and felt like she was going to pass out several times.      Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  treated for COVID pneumonia, with acute hypoxic respiratory insufficiency,  Significant improvement in oxygenation, off nasal cannula oxygen ? Pneumonia due to COVID-19 virus with acute respiratory insufficiency with hypoxemia - oxygen per protocol; Decadron, has added Remdisvir , CTA pulmonary negative for pulmonary embolism, CT chest showed bilateral ground-glass opacities consistent with COVID"
Age: 1.33
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Single component of a two-component product administered
Clinical narrative: Patient was given a Pentacel vaccine, but did not receive the HIB portion of the vaccine.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent vaccine given after deauthorization of booster dose on 08/31/2022.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Impaired work ability, Loss of personal independence in daily activities, Mobility decreased, Motor dysfunction, Weight bearing difficulty
Clinical narrative: Loss of function  in left arm. Initially unable to use my left arm in a functional manner. Compromised gym activities missed work and weight restricted.  Treatment by urgent care and Orthopedist along with physical therapy.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Acute respiratory failure, Anaemia macrocytic, Angiogram pulmonary abnormal, Blood thyroid stimulating hormone normal
Clinical narrative: Patient with 3 COVID vaccinations who admitted to hospital with complications of COVID.  Provider D/C note:  ""75-year-old female patient, with past medical history of OA, glaucoma, hypothyroidism, questionable multiple myeloma Patient is hard of hearing an a poor historian; friend is deaf and unable to provide information. Has been cough and been short of breath ""for a couple months.""  Symptoms have been worse than baseline over the past 3 days. Chest and abdomen hurt only when she coughs. Has been sitting in a  chair intermittently  at nights--unable to assess length of time this has been occurring   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Acute hypoxic respiratory insufficiency most likely from pulmonary edema, COVID positive   ? Pulmonary edema vs Covid pneumonia with exercise hypoxemia - congestive heart failure with preserved ejection fraction fluid restriction, strict I/O; echocardiogram; IV furosemide; oxygen per protocol; echocardiogram ? CTA of the pulmonary no pulmonary embolism, evidence of anasarca IV diuretic dex were continued, patient lost nearly 3 pounds ?   COVID-19 virus infection - continue Decadron initiated in ED call though hypoxia is not most likely due to COVID-19 ?   Leukopenia - monitor CBC; consider need for further workup, possibly outpatient ?   Elevated liver enzymes - monitor CMP, improve ?   Elevated troponin - telemetry monitoring, a flat ?   Acquired hypothyroidism - continue levothyroxine; checked TSH, within normal limit ?   Osteoarthritis - acetaminophen prn ?   Macrocytic anemia - check inpatient anemia labs; monitor CBC ?   Impaired hearing - talk so patient can hear   Condition at the time of discharge- Vss, on 2 liters of nasal cannula oxygen   Constitutional:  Elderly, on 2 L of nasal cannula oxygen HENT:  Normocephalic, Atraumatic, Pupils Reactive, Normal oropharynx, Nose normal.  Left sided Port-A-Cath, no evidence of infection Cardiovascular:  Normal heart rate, Normal rhythm, No murmurs, No rubs, No gallops.  Respiratory:  Normal breath sounds, No respiratory distress, No wheezing, No chest tenderness.  GI:  Bowel sounds normal, Soft, No tenderness, No masses, No pulsatile masses.  Extremities:  Intact distal pulses, No edema, No tenderness, No cyanosis, No clubbing.  Neurologic:  Alert & oriented x 3, Normal motor function, Normal sensory function, No focal deficits noted. Skin:  Warm and dry"
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cardiac failure, Cardiac failure congestive, Cardiac telemetry
Clinical narrative: Patient with 3 COVID vaccinations who admitted to hospital with complications of COVID.  Provider D/C note:  ""75-year-old female patient, with past medical history of OA, glaucoma, hypothyroidism, questionable multiple myeloma Patient is hard of hearing an a poor historian; friend is deaf and unable to provide information. Has been cough and been short of breath ""for a couple months.""  Symptoms have been worse than baseline over the past 3 days. Chest and abdomen hurt only when she coughs. Has been sitting in a  chair intermittently  at nights--unable to assess length of time this has been occurring   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Acute hypoxic respiratory insufficiency most likely from pulmonary edema, COVID positive   ? Pulmonary edema vs Covid pneumonia with exercise hypoxemia - congestive heart failure with preserved ejection fraction fluid restriction, strict I/O; echocardiogram; IV furosemide; oxygen per protocol; echocardiogram ? CTA of the pulmonary no pulmonary embolism, evidence of anasarca IV diuretic dex were continued, patient lost nearly 3 pounds ?   COVID-19 virus infection - continue Decadron initiated in ED call though hypoxia is not most likely due to COVID-19 ?   Leukopenia - monitor CBC; consider need for further workup, possibly outpatient ?   Elevated liver enzymes - monitor CMP, improve ?   Elevated troponin - telemetry monitoring, a flat ?   Acquired hypothyroidism - continue levothyroxine; checked TSH, within normal limit ?   Osteoarthritis - acetaminophen prn ?   Macrocytic anemia - check inpatient anemia labs; monitor CBC ?   Impaired hearing - talk so patient can hear   Condition at the time of discharge- Vss, on 2 liters of nasal cannula oxygen   Constitutional:  Elderly, on 2 L of nasal cannula oxygen HENT:  Normocephalic, Atraumatic, Pupils Reactive, Normal oropharynx, Nose normal.  Left sided Port-A-Cath, no evidence of infection Cardiovascular:  Normal heart rate, Normal rhythm, No murmurs, No rubs, No gallops.  Respiratory:  Normal breath sounds, No respiratory distress, No wheezing, No chest tenderness.  GI:  Bowel sounds normal, Soft, No tenderness, No masses, No pulsatile masses.  Extremities:  Intact distal pulses, No edema, No tenderness, No cyanosis, No clubbing.  Neurologic:  Alert & oriented x 3, Normal motor function, Normal sensory function, No focal deficits noted. Skin:  Warm and dry"
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Central venous catheterisation, Chest pain, Condition aggravated, Cough, Dyspnoea
Clinical narrative: Patient with 3 COVID vaccinations who admitted to hospital with complications of COVID.  Provider D/C note:  ""75-year-old female patient, with past medical history of OA, glaucoma, hypothyroidism, questionable multiple myeloma Patient is hard of hearing an a poor historian; friend is deaf and unable to provide information. Has been cough and been short of breath ""for a couple months.""  Symptoms have been worse than baseline over the past 3 days. Chest and abdomen hurt only when she coughs. Has been sitting in a  chair intermittently  at nights--unable to assess length of time this has been occurring   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Acute hypoxic respiratory insufficiency most likely from pulmonary edema, COVID positive   ? Pulmonary edema vs Covid pneumonia with exercise hypoxemia - congestive heart failure with preserved ejection fraction fluid restriction, strict I/O; echocardiogram; IV furosemide; oxygen per protocol; echocardiogram ? CTA of the pulmonary no pulmonary embolism, evidence of anasarca IV diuretic dex were continued, patient lost nearly 3 pounds ?   COVID-19 virus infection - continue Decadron initiated in ED call though hypoxia is not most likely due to COVID-19 ?   Leukopenia - monitor CBC; consider need for further workup, possibly outpatient ?   Elevated liver enzymes - monitor CMP, improve ?   Elevated troponin - telemetry monitoring, a flat ?   Acquired hypothyroidism - continue levothyroxine; checked TSH, within normal limit ?   Osteoarthritis - acetaminophen prn ?   Macrocytic anemia - check inpatient anemia labs; monitor CBC ?   Impaired hearing - talk so patient can hear   Condition at the time of discharge- Vss, on 2 liters of nasal cannula oxygen   Constitutional:  Elderly, on 2 L of nasal cannula oxygen HENT:  Normocephalic, Atraumatic, Pupils Reactive, Normal oropharynx, Nose normal.  Left sided Port-A-Cath, no evidence of infection Cardiovascular:  Normal heart rate, Normal rhythm, No murmurs, No rubs, No gallops.  Respiratory:  Normal breath sounds, No respiratory distress, No wheezing, No chest tenderness.  GI:  Bowel sounds normal, Soft, No tenderness, No masses, No pulsatile masses.  Extremities:  Intact distal pulses, No edema, No tenderness, No cyanosis, No clubbing.  Neurologic:  Alert & oriented x 3, Normal motor function, Normal sensory function, No focal deficits noted. Skin:  Warm and dry"
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Echocardiogram, Elderly, Fluid intake restriction, Generalised oedema, Hepatic enzyme increased
Clinical narrative: Patient with 3 COVID vaccinations who admitted to hospital with complications of COVID.  Provider D/C note:  ""75-year-old female patient, with past medical history of OA, glaucoma, hypothyroidism, questionable multiple myeloma Patient is hard of hearing an a poor historian; friend is deaf and unable to provide information. Has been cough and been short of breath ""for a couple months.""  Symptoms have been worse than baseline over the past 3 days. Chest and abdomen hurt only when she coughs. Has been sitting in a  chair intermittently  at nights--unable to assess length of time this has been occurring   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Acute hypoxic respiratory insufficiency most likely from pulmonary edema, COVID positive   ? Pulmonary edema vs Covid pneumonia with exercise hypoxemia - congestive heart failure with preserved ejection fraction fluid restriction, strict I/O; echocardiogram; IV furosemide; oxygen per protocol; echocardiogram ? CTA of the pulmonary no pulmonary embolism, evidence of anasarca IV diuretic dex were continued, patient lost nearly 3 pounds ?   COVID-19 virus infection - continue Decadron initiated in ED call though hypoxia is not most likely due to COVID-19 ?   Leukopenia - monitor CBC; consider need for further workup, possibly outpatient ?   Elevated liver enzymes - monitor CMP, improve ?   Elevated troponin - telemetry monitoring, a flat ?   Acquired hypothyroidism - continue levothyroxine; checked TSH, within normal limit ?   Osteoarthritis - acetaminophen prn ?   Macrocytic anemia - check inpatient anemia labs; monitor CBC ?   Impaired hearing - talk so patient can hear   Condition at the time of discharge- Vss, on 2 liters of nasal cannula oxygen   Constitutional:  Elderly, on 2 L of nasal cannula oxygen HENT:  Normocephalic, Atraumatic, Pupils Reactive, Normal oropharynx, Nose normal.  Left sided Port-A-Cath, no evidence of infection Cardiovascular:  Normal heart rate, Normal rhythm, No murmurs, No rubs, No gallops.  Respiratory:  Normal breath sounds, No respiratory distress, No wheezing, No chest tenderness.  GI:  Bowel sounds normal, Soft, No tenderness, No masses, No pulsatile masses.  Extremities:  Intact distal pulses, No edema, No tenderness, No cyanosis, No clubbing.  Neurologic:  Alert & oriented x 3, Normal motor function, Normal sensory function, No focal deficits noted. Skin:  Warm and dry"
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypothyroidism, Leukopenia, Osteoarthritis, Pulmonary oedema, SARS-CoV-2 test positive
Clinical narrative: Patient with 3 COVID vaccinations who admitted to hospital with complications of COVID.  Provider D/C note:  ""75-year-old female patient, with past medical history of OA, glaucoma, hypothyroidism, questionable multiple myeloma Patient is hard of hearing an a poor historian; friend is deaf and unable to provide information. Has been cough and been short of breath ""for a couple months.""  Symptoms have been worse than baseline over the past 3 days. Chest and abdomen hurt only when she coughs. Has been sitting in a  chair intermittently  at nights--unable to assess length of time this has been occurring   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Acute hypoxic respiratory insufficiency most likely from pulmonary edema, COVID positive   ? Pulmonary edema vs Covid pneumonia with exercise hypoxemia - congestive heart failure with preserved ejection fraction fluid restriction, strict I/O; echocardiogram; IV furosemide; oxygen per protocol; echocardiogram ? CTA of the pulmonary no pulmonary embolism, evidence of anasarca IV diuretic dex were continued, patient lost nearly 3 pounds ?   COVID-19 virus infection - continue Decadron initiated in ED call though hypoxia is not most likely due to COVID-19 ?   Leukopenia - monitor CBC; consider need for further workup, possibly outpatient ?   Elevated liver enzymes - monitor CMP, improve ?   Elevated troponin - telemetry monitoring, a flat ?   Acquired hypothyroidism - continue levothyroxine; checked TSH, within normal limit ?   Osteoarthritis - acetaminophen prn ?   Macrocytic anemia - check inpatient anemia labs; monitor CBC ?   Impaired hearing - talk so patient can hear   Condition at the time of discharge- Vss, on 2 liters of nasal cannula oxygen   Constitutional:  Elderly, on 2 L of nasal cannula oxygen HENT:  Normocephalic, Atraumatic, Pupils Reactive, Normal oropharynx, Nose normal.  Left sided Port-A-Cath, no evidence of infection Cardiovascular:  Normal heart rate, Normal rhythm, No murmurs, No rubs, No gallops.  Respiratory:  Normal breath sounds, No respiratory distress, No wheezing, No chest tenderness.  GI:  Bowel sounds normal, Soft, No tenderness, No masses, No pulsatile masses.  Extremities:  Intact distal pulses, No edema, No tenderness, No cyanosis, No clubbing.  Neurologic:  Alert & oriented x 3, Normal motor function, Normal sensory function, No focal deficits noted. Skin:  Warm and dry"
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Troponin increased, Weight decreased
Clinical narrative: Patient with 3 COVID vaccinations who admitted to hospital with complications of COVID.  Provider D/C note:  ""75-year-old female patient, with past medical history of OA, glaucoma, hypothyroidism, questionable multiple myeloma Patient is hard of hearing an a poor historian; friend is deaf and unable to provide information. Has been cough and been short of breath ""for a couple months.""  Symptoms have been worse than baseline over the past 3 days. Chest and abdomen hurt only when she coughs. Has been sitting in a  chair intermittently  at nights--unable to assess length of time this has been occurring   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Acute hypoxic respiratory insufficiency most likely from pulmonary edema, COVID positive   ? Pulmonary edema vs Covid pneumonia with exercise hypoxemia - congestive heart failure with preserved ejection fraction fluid restriction, strict I/O; echocardiogram; IV furosemide; oxygen per protocol; echocardiogram ? CTA of the pulmonary no pulmonary embolism, evidence of anasarca IV diuretic dex were continued, patient lost nearly 3 pounds ?   COVID-19 virus infection - continue Decadron initiated in ED call though hypoxia is not most likely due to COVID-19 ?   Leukopenia - monitor CBC; consider need for further workup, possibly outpatient ?   Elevated liver enzymes - monitor CMP, improve ?   Elevated troponin - telemetry monitoring, a flat ?   Acquired hypothyroidism - continue levothyroxine; checked TSH, within normal limit ?   Osteoarthritis - acetaminophen prn ?   Macrocytic anemia - check inpatient anemia labs; monitor CBC ?   Impaired hearing - talk so patient can hear   Condition at the time of discharge- Vss, on 2 liters of nasal cannula oxygen   Constitutional:  Elderly, on 2 L of nasal cannula oxygen HENT:  Normocephalic, Atraumatic, Pupils Reactive, Normal oropharynx, Nose normal.  Left sided Port-A-Cath, no evidence of infection Cardiovascular:  Normal heart rate, Normal rhythm, No murmurs, No rubs, No gallops.  Respiratory:  Normal breath sounds, No respiratory distress, No wheezing, No chest tenderness.  GI:  Bowel sounds normal, Soft, No tenderness, No masses, No pulsatile masses.  Extremities:  Intact distal pulses, No edema, No tenderness, No cyanosis, No clubbing.  Neurologic:  Alert & oriented x 3, Normal motor function, Normal sensory function, No focal deficits noted. Skin:  Warm and dry"
Age: 24.0
Sex: M
Vaccine: UNK
Symptoms: Immediate post-injection reaction, Loss of consciousness, Syncope
Clinical narrative: Immediately after administration patient experienced Syncopal episode.  LOC for 5 seconds, Sternal chest rub performed patient regained consciousness, symptoms resolved within 20 minutes.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: 1st Booster dose was given to patient prior to knowledge of CDC change on monovalent vaccine
Age: 38.0
Sex: F
Vaccine: HPV9
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild