chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Chest X-ray abnormal, Condition aggravated, Dyspnoea, Emphysema
Clinical narrative: DATE OF ADMISSION:  07/09/2022 DATE OF DISCHARGE:  07/22/2022   PROVISIONAL DIAGNOSES 1. Pneumonia. 2. Acute on chronic respiratory failure with hypoxemia. 3. Interstitial lung disease. 4. Smoking history with radiographic emphysema. 5. COVID-19 long-hauler. 6. History of B-cell lymphoma. 7. History of pancytopenia including leukopenia with neutropenia, anemia, and thrombocytopenia, all progressive.  HOSPITAL COURSE The patient is a very pleasant 57-year-old female with past medical history as listed above including follicular lymphoma with transformation to diffuse large B-cell lymphoma, on maintenance therapy, in remission, who presented to Spectrum Health Butterworth secondary to progressive shortness of breath.  She has had shortness of breath since her diagnosis of COVID-19 in May.  Initial laboratory studies and imaging can be found per review.  The patient's Film Array was negative other than COVID-19 PCR detected COVID-19.  Cycle threshold was low at 19.5, indicating active disease.  Chest x-ray on July 10 showed persistent infiltrates.  The patient was requiring high-flow oxygen and was admitted to the medical ICU team.  Infectious Disease was consulted.  The patient completed a course of remdesivir from 07/10 to 07/14.  Tocilizumab was not an option due to neutropenia.  We suspect persistent infection due to immunosuppression with Rituxan use.  She completed a course of cefepime and doxycycline on 07/15.  Chest x-ray on 07/13 showed slightly worsening multifocal pneumonia.  Chest x-ray on 07/18 showed persistent opacities unchanged and improvement was seen on July 21st chest x-ray.  The patient was transferred out of the ICU when her oxygenation improved.  Oncology assumed care.  She was treated per Pulmonary with Solu-Medrol and this has been transitioned to oral prednisone 60 mg daily with plan to continue at this dose until Pulmonary followup in 2 to 3 weeks.  PPI was added on steroids.  The patient's discharge was delayed due to increasing oxygen requirements with ambulation.  She is now only requiring 5 L with ambulation and is comfortable on 3 L at rest.  Facility is accepting patient.  Physical and Occupational Therapy were consulted and recommended SAR at discharge.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Imaging procedure, Immunosuppression, Intensive care, Interstitial lung disease, Laboratory test
Clinical narrative: DATE OF ADMISSION:  07/09/2022 DATE OF DISCHARGE:  07/22/2022   PROVISIONAL DIAGNOSES 1. Pneumonia. 2. Acute on chronic respiratory failure with hypoxemia. 3. Interstitial lung disease. 4. Smoking history with radiographic emphysema. 5. COVID-19 long-hauler. 6. History of B-cell lymphoma. 7. History of pancytopenia including leukopenia with neutropenia, anemia, and thrombocytopenia, all progressive.  HOSPITAL COURSE The patient is a very pleasant 57-year-old female with past medical history as listed above including follicular lymphoma with transformation to diffuse large B-cell lymphoma, on maintenance therapy, in remission, who presented to Spectrum Health Butterworth secondary to progressive shortness of breath.  She has had shortness of breath since her diagnosis of COVID-19 in May.  Initial laboratory studies and imaging can be found per review.  The patient's Film Array was negative other than COVID-19 PCR detected COVID-19.  Cycle threshold was low at 19.5, indicating active disease.  Chest x-ray on July 10 showed persistent infiltrates.  The patient was requiring high-flow oxygen and was admitted to the medical ICU team.  Infectious Disease was consulted.  The patient completed a course of remdesivir from 07/10 to 07/14.  Tocilizumab was not an option due to neutropenia.  We suspect persistent infection due to immunosuppression with Rituxan use.  She completed a course of cefepime and doxycycline on 07/15.  Chest x-ray on 07/13 showed slightly worsening multifocal pneumonia.  Chest x-ray on 07/18 showed persistent opacities unchanged and improvement was seen on July 21st chest x-ray.  The patient was transferred out of the ICU when her oxygenation improved.  Oncology assumed care.  She was treated per Pulmonary with Solu-Medrol and this has been transitioned to oral prednisone 60 mg daily with plan to continue at this dose until Pulmonary followup in 2 to 3 weeks.  PPI was added on steroids.  The patient's discharge was delayed due to increasing oxygen requirements with ambulation.  She is now only requiring 5 L with ambulation and is comfortable on 3 L at rest.  Facility is accepting patient.  Physical and Occupational Therapy were consulted and recommended SAR at discharge.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Lung infiltration, Lung opacity, Pneumonia, Post-acute COVID-19 syndrome, Respiratory failure
Clinical narrative: DATE OF ADMISSION:  07/09/2022 DATE OF DISCHARGE:  07/22/2022   PROVISIONAL DIAGNOSES 1. Pneumonia. 2. Acute on chronic respiratory failure with hypoxemia. 3. Interstitial lung disease. 4. Smoking history with radiographic emphysema. 5. COVID-19 long-hauler. 6. History of B-cell lymphoma. 7. History of pancytopenia including leukopenia with neutropenia, anemia, and thrombocytopenia, all progressive.  HOSPITAL COURSE The patient is a very pleasant 57-year-old female with past medical history as listed above including follicular lymphoma with transformation to diffuse large B-cell lymphoma, on maintenance therapy, in remission, who presented to Spectrum Health Butterworth secondary to progressive shortness of breath.  She has had shortness of breath since her diagnosis of COVID-19 in May.  Initial laboratory studies and imaging can be found per review.  The patient's Film Array was negative other than COVID-19 PCR detected COVID-19.  Cycle threshold was low at 19.5, indicating active disease.  Chest x-ray on July 10 showed persistent infiltrates.  The patient was requiring high-flow oxygen and was admitted to the medical ICU team.  Infectious Disease was consulted.  The patient completed a course of remdesivir from 07/10 to 07/14.  Tocilizumab was not an option due to neutropenia.  We suspect persistent infection due to immunosuppression with Rituxan use.  She completed a course of cefepime and doxycycline on 07/15.  Chest x-ray on 07/13 showed slightly worsening multifocal pneumonia.  Chest x-ray on 07/18 showed persistent opacities unchanged and improvement was seen on July 21st chest x-ray.  The patient was transferred out of the ICU when her oxygenation improved.  Oncology assumed care.  She was treated per Pulmonary with Solu-Medrol and this has been transitioned to oral prednisone 60 mg daily with plan to continue at this dose until Pulmonary followup in 2 to 3 weeks.  PPI was added on steroids.  The patient's discharge was delayed due to increasing oxygen requirements with ambulation.  She is now only requiring 5 L with ambulation and is comfortable on 3 L at rest.  Facility is accepting patient.  Physical and Occupational Therapy were consulted and recommended SAR at discharge.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: DATE OF ADMISSION:  07/09/2022 DATE OF DISCHARGE:  07/22/2022   PROVISIONAL DIAGNOSES 1. Pneumonia. 2. Acute on chronic respiratory failure with hypoxemia. 3. Interstitial lung disease. 4. Smoking history with radiographic emphysema. 5. COVID-19 long-hauler. 6. History of B-cell lymphoma. 7. History of pancytopenia including leukopenia with neutropenia, anemia, and thrombocytopenia, all progressive.  HOSPITAL COURSE The patient is a very pleasant 57-year-old female with past medical history as listed above including follicular lymphoma with transformation to diffuse large B-cell lymphoma, on maintenance therapy, in remission, who presented to Spectrum Health Butterworth secondary to progressive shortness of breath.  She has had shortness of breath since her diagnosis of COVID-19 in May.  Initial laboratory studies and imaging can be found per review.  The patient's Film Array was negative other than COVID-19 PCR detected COVID-19.  Cycle threshold was low at 19.5, indicating active disease.  Chest x-ray on July 10 showed persistent infiltrates.  The patient was requiring high-flow oxygen and was admitted to the medical ICU team.  Infectious Disease was consulted.  The patient completed a course of remdesivir from 07/10 to 07/14.  Tocilizumab was not an option due to neutropenia.  We suspect persistent infection due to immunosuppression with Rituxan use.  She completed a course of cefepime and doxycycline on 07/15.  Chest x-ray on 07/13 showed slightly worsening multifocal pneumonia.  Chest x-ray on 07/18 showed persistent opacities unchanged and improvement was seen on July 21st chest x-ray.  The patient was transferred out of the ICU when her oxygenation improved.  Oncology assumed care.  She was treated per Pulmonary with Solu-Medrol and this has been transitioned to oral prednisone 60 mg daily with plan to continue at this dose until Pulmonary followup in 2 to 3 weeks.  PPI was added on steroids.  The patient's discharge was delayed due to increasing oxygen requirements with ambulation.  She is now only requiring 5 L with ambulation and is comfortable on 3 L at rest.  Facility is accepting patient.  Physical and Occupational Therapy were consulted and recommended SAR at discharge.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site discolouration, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Large red, warm, swollen circle at injection site slightly larger than a tennis ball with some itchiness. Spoke with physician due to past cellulitis reactions to vaccines in left arm and discussed concerns due to knee replacement in April 2022. Treatment included antihistamines, cold compresses, and a short course (7days) of prophylactic antibiotic Doxycycline to mitigate infection concern. Symptoms as of 7/26/2022 have largely resolved with only slight pink area at injection site.
Age: 66.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea
Clinical narrative: cough, sob
Age: 66.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Bone marrow transplant, COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: cough, sob
Age: 1.08
Sex: M
Vaccine: MMRV
Symptoms: Pallor, Pyrexia, Rash, Rash erythematous
Clinical narrative: Developed fever 103 on July 23rd and chest and head erythematous blanching rash on July 25th that spread to full body.  Fever continued on July 25th.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Death, Diet refusal, Mental status changes
Clinical narrative: pt's wife dx'd with COVID 2 wks prior to pt coming to ED; 11/1/21 pt admitted to hosp with worsened altered mental state; cough; 11/5/21 pt found to be positive for COVID; given remdesivir, Decadron, O2 supplementation; able to be weaned to RA; pt refused to eat or drink; family refused NG tube or PEG tube; given IV fluids to stay hydrated; transitioned to comfort measures and pt expired in the hospital
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: pt's wife dx'd with COVID 2 wks prior to pt coming to ED; 11/1/21 pt admitted to hosp with worsened altered mental state; cough; 11/5/21 pt found to be positive for COVID; given remdesivir, Decadron, O2 supplementation; able to be weaned to RA; pt refused to eat or drink; family refused NG tube or PEG tube; given IV fluids to stay hydrated; transitioned to comfort measures and pt expired in the hospital
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Impaired work ability, Pyrexia
Clinical narrative: The patient experienced headaches for a month and a half after receiving her one dose Janssen vaccine. The headaches were more than 50% of days for a month and a half (estimated 70% of days) and moderate in severity.  This caused the patient to have two doctors visits during the month and a half experiencing the headaches. Prior to her Janssen COVID-19 vaccination, patient had had fewer than 10 headaches in her lifetime. These dispersed throughout her life and the frequency was not clumped. The patient also had a fever on day 5 after being vaccinated, which caused her to have to stay home from work. Common side effects for her age group also experienced on days 0-1: extreme fatigue and fever.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Fatigue, Feeling cold
Clinical narrative: I started feeling cold and having chills, and later that evening about an hour later I developed a headache and it got worse mainly on my left side and it got worse like a pain I never had before.  I took 2 500 mg of Tylenol with my other meds and went to sleep.  I got really hot and knew I had a fever because I started sweating throughout the night.  When I got up the next morning I took my temperature and it was 100.6 which I knew it had broke by then.  I ended up going because by this time on Monday morning I had a fever of 99.9 and took more Tylenol, went about my day took more Tylenol and later that day I started having a small cough and yesterday the cough had got worse and was real tired like I was the day before.  Went to the clinic and they tested me for Flu and COVID-19 and it was positive and Flu was negative.  I was really in shock that I tested positive.  The PA gave me some Promethazine cough syrup and instructed for me to take over the counter meds.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Headache, Influenza virus test negative, Night sweats, Pyrexia
Clinical narrative: I started feeling cold and having chills, and later that evening about an hour later I developed a headache and it got worse mainly on my left side and it got worse like a pain I never had before.  I took 2 500 mg of Tylenol with my other meds and went to sleep.  I got really hot and knew I had a fever because I started sweating throughout the night.  When I got up the next morning I took my temperature and it was 100.6 which I knew it had broke by then.  I ended up going because by this time on Monday morning I had a fever of 99.9 and took more Tylenol, went about my day took more Tylenol and later that day I started having a small cough and yesterday the cough had got worse and was real tired like I was the day before.  Went to the clinic and they tested me for Flu and COVID-19 and it was positive and Flu was negative.  I was really in shock that I tested positive.  The PA gave me some Promethazine cough syrup and instructed for me to take over the counter meds.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Shock
Clinical narrative: I started feeling cold and having chills, and later that evening about an hour later I developed a headache and it got worse mainly on my left side and it got worse like a pain I never had before.  I took 2 500 mg of Tylenol with my other meds and went to sleep.  I got really hot and knew I had a fever because I started sweating throughout the night.  When I got up the next morning I took my temperature and it was 100.6 which I knew it had broke by then.  I ended up going because by this time on Monday morning I had a fever of 99.9 and took more Tylenol, went about my day took more Tylenol and later that day I started having a small cough and yesterday the cough had got worse and was real tired like I was the day before.  Went to the clinic and they tested me for Flu and COVID-19 and it was positive and Flu was negative.  I was really in shock that I tested positive.  The PA gave me some Promethazine cough syrup and instructed for me to take over the counter meds.
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Arthralgia, Bursitis, Injection site pain, Pain
Clinical narrative: Pain at injection site and eventually within the next 24 hrs also present in right shoulder joint.  Off and on pain in R shoulder joint since the day of injection.  Seen in office for assessment due to ongoing issues with pain on 7/25/22 as mom stated pain hadn't resolved fully and patient was still complaining especially at night time.  Was seen to have full use/no limitations of arm by history and on exam with mild pain reported on external rotation of arm at shoulder joint to 90 degrees with arm abducted.  No issues with fever, swelling, bruising, rashes at injection site.  No weakness with arm, no numbness or tingling of that affected extremity.  Advised by history indicative of a bursitis within shoulder joint and recommended supportive care with NSAID therapy OTC at an anti-inflammatory dosing regimen x 3 days along with rest out of sports/overuse of affected arm over the following week.  Advised if no improvement in 1 week's time that orthopedic evaluation would be best next step.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Fatigue, Head discomfort, Pain
Clinical narrative: It all started with head congestion, body aches, and fatigue. I had a periodical fever that came and went. My wife already contracted COVID-19 so I knew it wouldn't be long before I caught it from her. I took an at-home COVID-19 on 07/13/2022 that came back positive; to confirm, I went to my medical center on 07/14/2022 for a PCR test that also came back positive. The doctor at the urgent care prescribed me PAXLOVID for treatment. I did the full 5-day regime and not having any residual or rebound symptoms since then.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: It all started with head congestion, body aches, and fatigue. I had a periodical fever that came and went. My wife already contracted COVID-19 so I knew it wouldn't be long before I caught it from her. I took an at-home COVID-19 on 07/13/2022 that came back positive; to confirm, I went to my medical center on 07/14/2022 for a PCR test that also came back positive. The doctor at the urgent care prescribed me PAXLOVID for treatment. I did the full 5-day regime and not having any residual or rebound symptoms since then.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Administered expired moderna vaccine.  Vial was unopened, but had been in the fridge for longer than 30 days.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Respiratory tract congestion, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I had a scratchy throat and congestion along with a fever of 99.0. It went up to 100 degrees. I completed a COVID-19 home test on July 07, 2022, I called my doctor and he had me do a COVID-19 PCR test and prescribed PAXLOVID. I took TYLENOL for the fever. My fever was gone by the evening of July 8th. Over the next couple the congestion cleared up as well. I have completed recovered from all my symptoms.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Electrocardiogram normal, Fall, Head injury, Hypoaesthesia
Clinical narrative: The patient received the immunization and then took a seat on a chair in the pharmacy waiting area. After about 15minutes, he explained that he got very sleepy and then passed out and fell back to the side of the chair. The chair then tipped over and he fell on the floor and hit his head on the water dispenser in the pharmacy. He woke up after a second or two and sat back down in the chair. He claimed feeling very nauseous and weak and numb in his hands. We called 911 right away and they came after about 10 minutes. They performed a pulse ox and EKG and everything was within normal limits. He was taken to hospital for further medical treatment.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Nausea, Somnolence
Clinical narrative: The patient received the immunization and then took a seat on a chair in the pharmacy waiting area. After about 15minutes, he explained that he got very sleepy and then passed out and fell back to the side of the chair. The chair then tipped over and he fell on the floor and hit his head on the water dispenser in the pharmacy. He woke up after a second or two and sat back down in the chair. He claimed feeling very nauseous and weak and numb in his hands. We called 911 right away and they came after about 10 minutes. They performed a pulse ox and EKG and everything was within normal limits. He was taken to hospital for further medical treatment.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Sudden death
Clinical narrative: No reactions between June 9tha and June 14th.  Sudden death on June 15th in am.  No Autopsy Done.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Swollen tongue
Clinical narrative: After receiving the vaccine,  the patient waited for 30 minutes in front of the pharmacy. After 30 minutes the patient walked up to the pharmacy's counseling window and told me that she was experiencing sore throat and her tongue was swollen. I immediately, call for the store's management to head to the pharmacy and administer 10 mL of benadryl to the patient orally. Explained to the patient that both her and I will be sitting down for another 30 minutes to make sure the symptoms don't progress. After 25 minutes the patient said her symptoms were getting better. I followed up with her the next day and she said she feels much better.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dysphonia, Nasal congestion, Nasopharyngitis
Clinical narrative: On June 25, 2022 I began to have a head cold with a sore throat. I never had a fever. I did a home test on the 26th and it was negative. On June 30th since I was not getting better I went in to have a PCR and it was positive. I began taking Claritin and the inhaler prescribed and symptoms began to decrease. On July 7th I had a home test and it was negative.   On July 24th I had another PCR test and it was negative. As of today, the only symptoms I have are stuffy feeling in my head and nasal drip with a slight cough. I also have a hoarse voice.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test positive, Upper-airway cough syndrome
Clinical narrative: On June 25, 2022 I began to have a head cold with a sore throat. I never had a fever. I did a home test on the 26th and it was negative. On June 30th since I was not getting better I went in to have a PCR and it was positive. I began taking Claritin and the inhaler prescribed and symptoms began to decrease. On July 7th I had a home test and it was negative.   On July 24th I had another PCR test and it was negative. As of today, the only symptoms I have are stuffy feeling in my head and nasal drip with a slight cough. I also have a hoarse voice.
Age: 12.0
Sex: M
Vaccine: HPV9
Symptoms: Arthralgia, Injection site pain, Pain
Clinical narrative: Pain at injection site and eventually within the next 24 hrs also present in right shoulder joint.  Off and on pain in R shoulder joint since the day of injection.  Seen in office for assessment due to ongoing issues with pain on 7/25/22 as mom stated pain hadn't resolved fully and patient was still complaining especially at night time.  Was seen to have full use/no limitations of arm by history and on exam with mild pain reported on external rotation of arm at shoulder joint to 90 degrees with arm abducted.  No issues with fever, swelling, bruising, rashes at injection site.  No weakness with arm, no numbness or tingling of that affected extremity.  Advised by history indicative of a bursitis within shoulder joint and recommended supportive care with NSAID therapy OTC at an anti-inflammatory dosing regimen x 3 days along with rest out of sports/overuse of affected arm over the following week.  Advised if no improvement in 1 week's time that orthopedic evaluation would be best next step.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Feeling abnormal, Headache, Impaired work ability
Clinical narrative: I was tired and feeling run down. I thought maybe I just wasn't sleeping well. The night of July 6th, I started to feel achy, like if I was coming down with something. I went to get a PCR test and it was negative. 2 days later I was feeling fine, and then the day after, it all hit. I took a home COVID test and it was positive. I was congested and incredibly fatigued. I was trying to work but I had to sleep after every other. To this day I can only work very few hours before I have to lay down and nap. I work a desk job so I am not doing labor. The top part of my head feels like its to tight. I currently am experiencing still heavy fatigue and a headache even though I just recently tested negative again.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Respiratory tract congestion, SARS-CoV-2 test positive, Somnolence, Tension headache
Clinical narrative: I was tired and feeling run down. I thought maybe I just wasn't sleeping well. The night of July 6th, I started to feel achy, like if I was coming down with something. I went to get a PCR test and it was negative. 2 days later I was feeling fine, and then the day after, it all hit. I took a home COVID test and it was positive. I was congested and incredibly fatigued. I was trying to work but I had to sleep after every other. To this day I can only work very few hours before I have to lay down and nap. I work a desk job so I am not doing labor. The top part of my head feels like its to tight. I currently am experiencing still heavy fatigue and a headache even though I just recently tested negative again.
Age: 0.08
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: The patient came to have one month physical and Hepatitis B second dose. Vitals done and opened chart by the physician,  the Medical Assistant took over and gave the  patient Baby covid 10 vaccine adversely, which should gave another a 3 years old baby, both scheduled back to back as first patients in the morning (clinic started at 9am)
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Respiratory tract congestion, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case. Was near someone with COVID. I received my 4th dose of Moderna in 04/2022, then on 07/01/2022 I tested positive for COVID at both the home and the clinic. Before COVID testing I had severe congestion. The urgent care prescribed me LIDOCAINE VISCOUS, FLONASE. Decided not to take any. Doing ok now, tested and negative for COVID.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine increased, Renal failure
Clinical narrative: Kidney failure. Creatinine 8.59, previous 1.35 prior to booster.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Coronary artery occlusion, Echocardiogram, Myocardial infarction
Clinical narrative: Heart Attack blocked coronary artery managed with drugs
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: pt called and said he broke out in hives all over his body about 3 hours after receiving his moderna booster shot. he went to the walkin clinic and was prescribed benadryl and a topical cream.  Pt just wanted us to know so we can document.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, COVID-19, Cough, Exposure to SARS-CoV-2, Herpes zoster
Clinical narrative: We had been traveling out of state. We picked up our grandkids to take them to a museum and then travelled home on 07/07/2022. While vacationing, I noticed some back pain and went to a doctor when I returned home due to a rash. He prescribed prednisone for the rash at that time. That weekend, my husband came down with COVID-19 and I tested positive shortly after him. On 07/11/2022 I had a runny/stuffy nose and a dry cough. I took an at home COVID-19 test and it was positive. I called my doctor for myself and my husband who prescribed PAXLOVID for both of us. He also looked at my rash again and decided that it was shingles. I didn't feel like the PAXLOVID effected my symptoms much but a few days later, my cough became more productive and that lasted for 3 or 4 days. I never ran a fever and my COVID-19 symptoms improved from there. After my symptoms improved, my doctor prescribed LYRICA for the shingles. I'm still experiencing pain from the shingles, more so at night but he also prescribed trazadone for the pain to help me sleep at night.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Malaise, Nasal congestion, Pain, Productive cough
Clinical narrative: We had been traveling out of state. We picked up our grandkids to take them to a museum and then travelled home on 07/07/2022. While vacationing, I noticed some back pain and went to a doctor when I returned home due to a rash. He prescribed prednisone for the rash at that time. That weekend, my husband came down with COVID-19 and I tested positive shortly after him. On 07/11/2022 I had a runny/stuffy nose and a dry cough. I took an at home COVID-19 test and it was positive. I called my doctor for myself and my husband who prescribed PAXLOVID for both of us. He also looked at my rash again and decided that it was shingles. I didn't feel like the PAXLOVID effected my symptoms much but a few days later, my cough became more productive and that lasted for 3 or 4 days. I never ran a fever and my COVID-19 symptoms improved from there. After my symptoms improved, my doctor prescribed LYRICA for the shingles. I'm still experiencing pain from the shingles, more so at night but he also prescribed trazadone for the pain to help me sleep at night.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: We had been traveling out of state. We picked up our grandkids to take them to a museum and then travelled home on 07/07/2022. While vacationing, I noticed some back pain and went to a doctor when I returned home due to a rash. He prescribed prednisone for the rash at that time. That weekend, my husband came down with COVID-19 and I tested positive shortly after him. On 07/11/2022 I had a runny/stuffy nose and a dry cough. I took an at home COVID-19 test and it was positive. I called my doctor for myself and my husband who prescribed PAXLOVID for both of us. He also looked at my rash again and decided that it was shingles. I didn't feel like the PAXLOVID effected my symptoms much but a few days later, my cough became more productive and that lasted for 3 or 4 days. I never ran a fever and my COVID-19 symptoms improved from there. After my symptoms improved, my doctor prescribed LYRICA for the shingles. I'm still experiencing pain from the shingles, more so at night but he also prescribed trazadone for the pain to help me sleep at night.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Posture abnormal, Tinnitus
Clinical narrative: 04/23/2022 vaccination. I took TYLENOL the first 48 hours after. 05/07/2022 About two after vaccination, I noticed I had twisting of my head and the ringing in my ears started. I went to the doctor to check on my neck. They ruled out that scenario and said maybe it was something else that had happened to my body.
Age: 1.17
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Eyelid rash, Gait inability, Malaise
Clinical narrative: He did have a double ear infection at the time of the vaccine. He was taking amoxicillin-pot-clavulanate. On 7/13/2022, a rash developed. He discontinued the antibiotic on 7/13/2022 as well. It was red and puffy. It spread throughout the day. We took him to urgent care and was prescribed a steroid DECADRON dexamethasone. His rash continued to spread then on 7/14/2022, he tested positive for COVID-19. The rash spread over his whole body and he started to swell. I was told to give him liquid BENADRYL. The rash continued and moved to his face, eyes, hands, and feet. I took him to the ER at a hospital. While at ER he was prescribed ZYRTEC and full body hydrocortisone and BENADRYL at night before bed. The rash started itching and legs were so swollen that he could not walk and could not grab anything due to his hands swollen. Then I was recommended TYLENOL and ibuprofen. This continued for 1 week. The rash was completely gone by 7/20/2022. We took him off the meds, then on 7/24/2022 his rash came back. The rash is still active at the moment but we are able to contain it. He never showed many symptoms of COVID-19 other than coughing and congestion. His swelling and rash was the worse.
Age: 1.17
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, Rash, Rash erythematous, Rash pruritic, Respiratory tract congestion
Clinical narrative: He did have a double ear infection at the time of the vaccine. He was taking amoxicillin-pot-clavulanate. On 7/13/2022, a rash developed. He discontinued the antibiotic on 7/13/2022 as well. It was red and puffy. It spread throughout the day. We took him to urgent care and was prescribed a steroid DECADRON dexamethasone. His rash continued to spread then on 7/14/2022, he tested positive for COVID-19. The rash spread over his whole body and he started to swell. I was told to give him liquid BENADRYL. The rash continued and moved to his face, eyes, hands, and feet. I took him to the ER at a hospital. While at ER he was prescribed ZYRTEC and full body hydrocortisone and BENADRYL at night before bed. The rash started itching and legs were so swollen that he could not walk and could not grab anything due to his hands swollen. Then I was recommended TYLENOL and ibuprofen. This continued for 1 week. The rash was completely gone by 7/20/2022. We took him off the meds, then on 7/24/2022 his rash came back. The rash is still active at the moment but we are able to contain it. He never showed many symptoms of COVID-19 other than coughing and congestion. His swelling and rash was the worse.
Age: 1.17
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Skin swelling, Swelling
Clinical narrative: He did have a double ear infection at the time of the vaccine. He was taking amoxicillin-pot-clavulanate. On 7/13/2022, a rash developed. He discontinued the antibiotic on 7/13/2022 as well. It was red and puffy. It spread throughout the day. We took him to urgent care and was prescribed a steroid DECADRON dexamethasone. His rash continued to spread then on 7/14/2022, he tested positive for COVID-19. The rash spread over his whole body and he started to swell. I was told to give him liquid BENADRYL. The rash continued and moved to his face, eyes, hands, and feet. I took him to the ER at a hospital. While at ER he was prescribed ZYRTEC and full body hydrocortisone and BENADRYL at night before bed. The rash started itching and legs were so swollen that he could not walk and could not grab anything due to his hands swollen. Then I was recommended TYLENOL and ibuprofen. This continued for 1 week. The rash was completely gone by 7/20/2022. We took him off the meds, then on 7/24/2022 his rash came back. The rash is still active at the moment but we are able to contain it. He never showed many symptoms of COVID-19 other than coughing and congestion. His swelling and rash was the worse.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: none to date
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Fatigue, Headache, Oropharyngeal pain
Clinical narrative: Swollen injection arm, extremely tired fever, chills, headache, sinus pressure, runny nose sore throat and got a prescription for PAXLOVID and still remained extremely tired.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Paranasal sinus discomfort, Peripheral swelling, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Swollen injection arm, extremely tired fever, chills, headache, sinus pressure, runny nose sore throat and got a prescription for PAXLOVID and still remained extremely tired.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Cough, Nervousness, Oropharyngeal pain
Clinical narrative: On 07/18, I woke up with a slight scratchy throat. On 07/19, I had a sore throat, body aches, coughing, and some congestion. Those symptoms continually increased until 07/21. On 07/21, I started running a 101 degree fever. On 07/22, I could really feel it in my chest and was nervous about how it was progressing as I have asthma from previous pneumonia infections. I reached out to my doctor for the antivirals as we were out of town. I didn't start feeling somewhat better until Sunday or Monday. My congestion is almost cleared up, but I still have a scratchy throat and coughing. Otherwise, I'm feeling alright. I took another COVID-19 test this morning and it was still positive. I took MOTRIN Tuesday through Friday to help with the body aches. I used my PROAIR inhaler as needed.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: On 07/18, I woke up with a slight scratchy throat. On 07/19, I had a sore throat, body aches, coughing, and some congestion. Those symptoms continually increased until 07/21. On 07/21, I started running a 101 degree fever. On 07/22, I could really feel it in my chest and was nervous about how it was progressing as I have asthma from previous pneumonia infections. I reached out to my doctor for the antivirals as we were out of town. I didn't start feeling somewhat better until Sunday or Monday. My congestion is almost cleared up, but I still have a scratchy throat and coughing. Otherwise, I'm feeling alright. I took another COVID-19 test this morning and it was still positive. I took MOTRIN Tuesday through Friday to help with the body aches. I used my PROAIR inhaler as needed.
Age: 0.58
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Conjunctivitis, Ear infection, Eye discharge, Insomnia
Clinical narrative: 07/23/2022 A few days after the second vaccine he woke up very happy and feeling normal however later that night he started to form gunk in his eye and since he had pink eye after his first vaccination we were familiar with it. Putting him down to sleep he was having a terrible time trying to sleep and on the 25th of July we decided to take him in to the doctor that day. We were advised that he did have pink eye in both eyes and a double ear infection again, and so he was given a new antibiotic called cefdinir to try out. He seems to have slept throughout the night okay.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: red, itchy, hot , and swollen arm
Age: 13.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Fall, Feeling abnormal, Pallor, Syncope, Tooth fracture
Clinical narrative: Patient received Meningococcal, HPV, and TdaP in clinic 07/26/2022. After receiving vaccines, she was standing at the front lobby with her Mother when  she apparently had a syncopal episode. Mother attempted to catch her but was unable. The patient then fell from a standing position landed on her buttocks and then fell to her left side and chipped her left front incisor. She was in a sitting position in the floor as her Mother called out for help. The patient stated she "felt funny". Color was pale.The patient remained in the floor with her feet elevated as she leaned back on her Mother's chest for support. She was alert and oriented. Pink color returned to her face and she was talking. Broken tooth was evaluated by HD Dentist, Dr  was instructed  to f/u with her pediatric dentist. Patient was escorted to her vehicle with Mother. She will receive a F/U phone call from the HD 07/27/2022.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain
Clinical narrative: Severe neck pain in right side of neck
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Malaise, Oropharyngeal pain
Clinical narrative: Tested positive on 06/20/2022. I received my 4th dose on 04/22/2022 and my COVID-19 symptoms started on 06/20/2022. I was sleeping a lot; sore throat; cough; body aches; pain; fever; and chills. We went to the local clinic to see my doctor who then prescribed me infusion because of my underlining conditions. I completely recovered after the infusion.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive, Somnolence
Clinical narrative: Tested positive on 06/20/2022. I received my 4th dose on 04/22/2022 and my COVID-19 symptoms started on 06/20/2022. I was sleeping a lot; sore throat; cough; body aches; pain; fever; and chills. We went to the local clinic to see my doctor who then prescribed me infusion because of my underlining conditions. I completely recovered after the infusion.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: Pfizer vaccine was undiluted when administered to patient and discovered later.  Resulting in a higher than expected dose for the patient.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Hypersensitivity, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: I have a severe swelling on my right arm around the elbow that is twice the size that it should be at the joint going down the forearm. It was itching and warm. I have seen my doctor who upon examination determined that it was an allergic reaction to the vaccine. She advised that I take Benadryl for three days and Zyrtec or Claritin for five days to with the symptoms.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Apathy, COVID-19, Cough, Fatigue, Malaise
Clinical narrative: Covid-19 symptoms: cough beginning on 7/13/22 (Day 0). Fairly intense runny nose, sneezing, fatigue, body aches, lack of motivation from about 7/14/22-7/17/22 (Days 1-4). Symptoms began lessening on 7/18/22 (Day 5). Gradual improvement through Day 10 (July 23,2022). As I fill out this form on 7/26/2022 (Day 13) I still have some nasal congestion and a little cough (infrequent). Only treatment was rest, keeping hydrated, taking Excedrin Extra-Strength occasionally.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Nasal congestion, Pain, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
Clinical narrative: Covid-19 symptoms: cough beginning on 7/13/22 (Day 0). Fairly intense runny nose, sneezing, fatigue, body aches, lack of motivation from about 7/14/22-7/17/22 (Days 1-4). Symptoms began lessening on 7/18/22 (Day 5). Gradual improvement through Day 10 (July 23,2022). As I fill out this form on 7/26/2022 (Day 13) I still have some nasal congestion and a little cough (infrequent). Only treatment was rest, keeping hydrated, taking Excedrin Extra-Strength occasionally.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Chills, Cough, Fatigue
Clinical narrative: 7/6/22 Noticed chills in the evening along with a scratchy throat and sinus congestion.  Tested at home COVID 19 test, negative.  7/7 tested with an at home COVID 19 test, positive. Fever, Sinus drainage and heaviness in chest with cough with extreme fatigue.  This continued for 5 days.  The next 5 days had fatigue and felt chills off and on.  7/16, at home COVID 19 test, positive.  7/7 Telehealth with Doctor, who advised to rest for a few days.  Still feeling fatigue and heaviness in chest when going up stairs.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Sinus congestion, Sinus operation, Throat irritation
Clinical narrative: 7/6/22 Noticed chills in the evening along with a scratchy throat and sinus congestion.  Tested at home COVID 19 test, negative.  7/7 tested with an at home COVID 19 test, positive. Fever, Sinus drainage and heaviness in chest with cough with extreme fatigue.  This continued for 5 days.  The next 5 days had fatigue and felt chills off and on.  7/16, at home COVID 19 test, positive.  7/7 Telehealth with Doctor, who advised to rest for a few days.  Still feeling fatigue and heaviness in chest when going up stairs.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Pain
Clinical narrative: Diarrhea, widespread pain, severe stomach pain
Age: 52.0
Sex: M
Vaccine: HEP
Symptoms: Underdose
Clinical narrative: Pt received the pediatric hepatitis B vaccine instead of the adult hepatitis B vaccine.  Pt did not have any adverse reaction to the vaccination.
Age: 0.75
Sex: F
Vaccine: DTAPIPV
Symptoms: No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: The patient was given Kinrix at age 9 months, indication are to give Kinrix at age 4-7 years,  pt reports no adverse reaction
Age: 42.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Dizziness, Hyperhidrosis, Nausea
Clinical narrative: Pt. in observation area notified RN of dizziness and nausea. Pt. was put on cot. Diaphoretic, VS @ 2:15pm: RR 90/60 HR 124; SpO2: 96. Benadryl 50 mg administered PO @ 2:17pm. VS @ 2:20pm: RR 80/60 HR 112; SpO2: 99. Pt. c/o nausea getting progressively worse. Declined ambulance. 2:30pm: Epinephrine 0.3mg administered via EpiPen right thigh. VS @ 2:30pm: RR 120/80 HR 99; SpO2: 99. Patient condition improving over next 60 minutes in observation. Voided x2. At 3:02pm VS RR 140/80; HR 86; SpO2 99. Pt. ate 2 doughnuts and drank 2 bottles of water. Kept patient until 4:30pm. stable VS. Requested to go home. Discharge instructions given to stay at home and have a friend stay with patient overnight. LPN drove pt. home as pt. took bus to clinic. RN. checked in with pt. over the weekend and patient stated no further symptoms and "feels fine" after taking in some "edibles". RN checked in with pt. on Monday 7/25/22 @ 9am again and pt. is "up and about".
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling abnormal, Nausea, Visual impairment
Clinical narrative: A few minutes after administration of the vaccine the patient began to feel strange. He had trouble seeing and breathing and felt nauseas.  I called 911 and checked his blood pressure while we waited. It was 81/57 and then 92/62 the second time. The paramedics showed up shortly after and examined him and asked if the patient's mother wanted him to be taken to the hospital. She did want him to go to get additional testing done
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Oropharyngeal pain
Clinical narrative: Covid positive on 7/21/2021. Cough. Fever up to 104. Vomiting. Severe headache. Severe fatigue. Severe sore throat.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Covid positive on 7/21/2021. Cough. Fever up to 104. Vomiting. Severe headache. Severe fatigue. Severe sore throat.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Diarrhoea, Fatigue
Clinical narrative: On July 7, 2022, I was fine when I woke up but at noon I felt like someone hit me. I realized I had a fever and I was shaking with chills. I had 103 temperature. I began to have diarrhea and cough with congestion and sore throat. The next morning when I woke I was unable to keep fluids down. I took the home COVID-19 test and it was immediately positive. I called urgent care and received script for PAXLOVID. I continued to have fever. The next day I woke up and still felt like I had a very bad cold and diarrhea continued, but I no longer had fever. Each day that I took PAXLOVID, I began to feel better except for the diarrhea. I was also so very fatigued and could not keep liquids down. I was unable to do anything but lay down for days 2, 3, and 4. Day 5 the fatigue was easing up and I was able to function. After the 5 days of PAXLOVID. The following Friday I had congestion again and just treated it as a cold and just tired. I took the entire next week off from work because I was just tired and wasn't able to think as normal. I was just unable to process. On the 22nd I felt better and was able to think again and was not as tired.