chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough Case of COVID-19; Started with a sore throat, I then had a sore throat the next day and then in the evening I was congested and started coughing a lot, I tested Positive, I started taking Tylenol for the headache on the next day, I had chills, fatigue, I lost my sense of taste and smell, I had bad muscle aches, my fever was up to 102, I took Zinc Cold Therapy, and Nyquil, And Cough Syrup. The next day the fever continued and I was really feeling bad. I got a prescription for Paxlovid on the next day, and I am still taking the Tylenol for the headache and fever, and the cough syrup.  I still have a headache, and a low grade fever, I am still coughing, I am feeling better but not as bad as before.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anosmia, COVID-19, Cough, Dizziness, Headache
Clinical narrative: I got headaches; dizziness, runny nose, lost of smell; fever; and coughing for 2 weeks and I received Bebtelovimab.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I got headaches; dizziness, runny nose, lost of smell; fever; and coughing for 2 weeks and I received Bebtelovimab.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Off label use, Suspected COVID-19
Clinical narrative: I got headaches; dizziness, runny nose, lost of smell; fever; and coughing for 2 weeks and I received Bebtelovimab.
Age: 43.0
Sex: F
Vaccine: TDAP
Symptoms: Headache, Loss of consciousness, Myalgia, Vaginal haemorrhage
Clinical narrative: Had severe HA and muscle aches,.Patient with mostly resolving side effects from Tdap Vaccination, but new symptoms- vaginal bleeding and report of LOC
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given +24 hours after vial was punctured
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE GIVEN >24 HOURS AFTER MDV VIAL PUNCTURED  PT IS SCHEDULED TO BE RE-VACCINATED
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Respiratory tract congestion, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case. Woke up congested, and took a home COVID-19  test and tested positive. My Dr.'s office was closed, so I went to an urgent care and tested positive again. They prescribed PAXLOVID. It's been 3 weeks and I'm feeling much better. Have tested negative for COVID-19.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Exposure to SARS-CoV-2, SARS-CoV-2 test negative, Wheezing
Clinical narrative: Patient woke up in the middle of the night almost unable to breathe. The sound coming out of him was a mix of a wheeze and the seal's cough of croup. He had not been sick previously. Three or so hours of hot steam eventually allowed him to go back to bed. Two days later I, his mother, tested positive for Covid. He did not test positive. The pediatrician, who heard him on the phone, in the middle of this event  said that she has not seen situations like this with covid.  I do not know if this was associated with his vaccine, but when the VSAFE representative called me she told me to fill out this form.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: VACCINE GIVEN >24 HOURS AFTER MDV PUNCTURED.  PT IS SCHEDULED TO BE RE-VACCINATED
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: I've been having numbness and tingling in my left hand, fingers and arm
Age: 4.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: Patient had some dizziness and syncope.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Syncope
Clinical narrative: Vasovagal Syncope lasting seconds, complete recovery
Age: 1.5
Sex: M
Vaccine: HEPA, MMRV, VARCEL
Symptoms: Wrong product administered
Clinical narrative: Patient was given Proquad instead of MMR.  Patient also received Varivax separately on the same day.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The patient submitted the incorrect date of birth. Their correct found. The patient was 17 years old at the time of inoculation.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Pain, Pyrexia, Rhinorrhoea
Clinical narrative: 7/19/2022 Felt like an allergy attack.  7/20 this felt like a cold Runny nose, shallow cough, aches and pains.  7/21 slight fever.  7/22 Tested with At home COVID 19 test, negative.  7/24 Tested with At home COVID 19 test, positive.  Called Doctor's office and left a message.  7/25 televisit with doctor, who advised rest and to treat symptoms as needed with tylenol and cough syrup.  Symptoms continued unchanged until time of reporting.  8/3 Tested with At home COVID 19 test, negative.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 7/19/2022 Felt like an allergy attack.  7/20 this felt like a cold Runny nose, shallow cough, aches and pains.  7/21 slight fever.  7/22 Tested with At home COVID 19 test, negative.  7/24 Tested with At home COVID 19 test, positive.  Called Doctor's office and left a message.  7/25 televisit with doctor, who advised rest and to treat symptoms as needed with tylenol and cough syrup.  Symptoms continued unchanged until time of reporting.  8/3 Tested with At home COVID 19 test, negative.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE GIVEN >24 HOURS AFTER MDV VIAL PUNCTURED  PT SCHEDULED TO BE RE-VACCINATED
Age: 50.0
Sex: M
Vaccine: HEPA
Symptoms: Expired product administered
Clinical narrative: Hepatitis A vaccine expired 5/20/2022 but was administered to patient on 7/19/2022
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Oropharyngeal pain, Pain, Paranasal sinus discomfort
Clinical narrative: Five days before I started showing symptoms, my wife started having severe symptoms. I used an at-home test. I started feeling a sore throat, sinus pressure, a little fever of 100 constant sneezing, nasal dripping and coughing, and body aches. With Paxlovid my symptoms got better. 5 days after my wife finished her Paxlovid and as I was finishing mine, my wife started developing a sinus infection. I was getting much better until 5 days later, and then I got the sinus infection. I was still testing positive during this second round.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Sinusitis, Sneezing, Upper-airway cough syndrome
Clinical narrative: Five days before I started showing symptoms, my wife started having severe symptoms. I used an at-home test. I started feeling a sore throat, sinus pressure, a little fever of 100 constant sneezing, nasal dripping and coughing, and body aches. With Paxlovid my symptoms got better. 5 days after my wife finished her Paxlovid and as I was finishing mine, my wife started developing a sinus infection. I was getting much better until 5 days later, and then I got the sinus infection. I was still testing positive during this second round.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Injection site pain, Pyrexia
Clinical narrative: Fever 100.4, pain at injection site, tiredness
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The patient documented the incorrect DOB Their actual DOB is listed. The patient was 17 years old at the time of inoculation.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, Discomfort, Finger deformity, Grip strength decreased
Clinical narrative: In about January of 2022 I noticed that I was having pain my hands. In the beginning it felt like tingling in my fingers, discomfort and pain. It was hard to stir batter and open jars. I had trouble holding a knife to cut vegetables. It was painful when my husband held my hand. I was told by the doctor that I lost muscle in my right hand.  Osteoporosis was diagnosed.  In late May the pain got a lot worse and this was after my second booster.  (details below)  In June 2022 I had a flare up of pain in my right hand with burning pain.  The pain began in my left hand began after my second booster in May.  Now my fingers and thumb are misshapen and curved on my left hand two fingers and on my right hand my thumb and two other fingers.  The pain is bone pain, swelling, burning and joint pain.  My neck is also bothering me as of the past couple of weeks.  The pain is like sharp pain and was told I had trouble with vertebrae 5, 6 and 7.   I began having tingling in my feet began after the first booster (dose 3) last Fall. Dose 4, Pfizer FM9992.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle atrophy, Musculoskeletal discomfort, Osteoporosis, Pain, Pain in extremity
Clinical narrative: In about January of 2022 I noticed that I was having pain my hands. In the beginning it felt like tingling in my fingers, discomfort and pain. It was hard to stir batter and open jars. I had trouble holding a knife to cut vegetables. It was painful when my husband held my hand. I was told by the doctor that I lost muscle in my right hand.  Osteoporosis was diagnosed.  In late May the pain got a lot worse and this was after my second booster.  (details below)  In June 2022 I had a flare up of pain in my right hand with burning pain.  The pain began in my left hand began after my second booster in May.  Now my fingers and thumb are misshapen and curved on my left hand two fingers and on my right hand my thumb and two other fingers.  The pain is bone pain, swelling, burning and joint pain.  My neck is also bothering me as of the past couple of weeks.  The pain is like sharp pain and was told I had trouble with vertebrae 5, 6 and 7.   I began having tingling in my feet began after the first booster (dose 3) last Fall. Dose 4, Pfizer FM9992.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Swelling, X-ray limb
Clinical narrative: In about January of 2022 I noticed that I was having pain my hands. In the beginning it felt like tingling in my fingers, discomfort and pain. It was hard to stir batter and open jars. I had trouble holding a knife to cut vegetables. It was painful when my husband held my hand. I was told by the doctor that I lost muscle in my right hand.  Osteoporosis was diagnosed.  In late May the pain got a lot worse and this was after my second booster.  (details below)  In June 2022 I had a flare up of pain in my right hand with burning pain.  The pain began in my left hand began after my second booster in May.  Now my fingers and thumb are misshapen and curved on my left hand two fingers and on my right hand my thumb and two other fingers.  The pain is bone pain, swelling, burning and joint pain.  My neck is also bothering me as of the past couple of weeks.  The pain is like sharp pain and was told I had trouble with vertebrae 5, 6 and 7.   I began having tingling in my feet began after the first booster (dose 3) last Fall. Dose 4, Pfizer FM9992.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Erythema, Lethargy, Myalgia, Pain in extremity
Clinical narrative: Left arm swollen, red, sore, shivers, muscle soreness, lethargic
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Peripheral swelling
Clinical narrative: Left arm swollen, red, sore, shivers, muscle soreness, lethargic
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Lymphadenopathy, Pain
Clinical narrative: Swollen lymph nodes, body aches and sweating.
Age: 67.0
Sex: M
Vaccine: UNK
Symptoms: COVID-19, Colitis, Pulmonary congestion
Clinical narrative: Colitis antibiotics 10 days. Covid onset 7/22/2022  Given IV 7/25/2022 getting better but still lung congestion as of today
Age: 1.0
Sex: M
Vaccine: DTAPIPVHIB, MMR, PNC13, VARCEL
Symptoms: Rash, Rash macular
Clinical narrative: Pt evaluated at minor care for red spotty rash noted on abdomen. Pt does not exhibit fever, cough or runny nose. Advised possible reaction or virus due to vaccine. advised on Hydrocortisone cream as needed and avoid immunocompromised pt and or pt's unvaccinated.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Magnetic resonance imaging head normal
Clinical narrative: About 1 month after second dose, a very sudden onset of memory loss.   MRI of brain was normal.  Both neurologist and neuropsychologist determined mild memory loss.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Feeling abnormal, Pyrexia, Rhinorrhoea
Clinical narrative: I got fever; runny nose; felt bad; cough and still have symptoms and Started on Paxlovid.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I got fever; runny nose; felt bad; cough and still have symptoms and Started on Paxlovid.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia
Clinical narrative: Began with symptoms on 7/22/22. on 8/1 family brought to ER as they did not feel they could care for patient any longer d/t increased level of assistance required. Admitted for weakness. Treatment includes: therapy, medication, and assessment.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema nodosum, Nasal congestion, Pyrexia, Respiratory symptom, Rhinorrhoea
Clinical narrative: Patient developed URI sx  - runny nose nasal congestion and low grade fever on date of event, but also developed erythema nodosum rash.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: Patient developed URI sx  - runny nose nasal congestion and low grade fever on date of event, but also developed erythema nodosum rash.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The patient was 17 years old at the time of inoculation.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody increased, Blood test, Muscle twitching
Clinical narrative: On November 8, I began to experience intense and annoying muscle twitching in my left arm. The first episode did not cease for approximately 3 hours. The twitching continued in my left arm and then proceeded to move to other parts of my body (calves, face, abdomen, feet and buttocks) where it varies in intensity and duration. I am still dealing with these mystery twitches. They are most notable at rest. My doctors have indicated that they are benign. They may be related to the vaccine given the onset and its proximity to the Pfizer booster I received.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient was given Pfizer vaccine that was for 12 and older , rather then Pfizer for 5-11 yrs.
Age: 13.0
Sex: M
Vaccine: HPV9
Symptoms: Face injury, Fall, Seizure, Syncope
Clinical narrative: Staff member went in to vaccinate patients. Once vaccine was administered staff went ahead and helped mother fill out forms and while filling out the forms patient out of nowhere collapsed and fell onto the floor face front. He convulsed about .2 seconds and that is when mother stepped out the room  and called out for help. Provider then went in and assessed patient. Patient was observed and discharged home.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The patient was 16 years old at the time of inoculation.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site erythema, Injection site mass, Injection site swelling, Rash
Clinical narrative: Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Rash Generalized-Medium, Systemic: Chills-Mild, Additional Details: Patient states lump and redness at injection site to start, chills, then rash on arms, stomach, back and legs, not itchy.  History of Psoriasis.  Pt presented to pharmacy 7/30/21 and was advised to see physician.  Patient went to urgent care, was given course of prednisone.  At pick up, I advised pt to seek advice from primary md or dermatologist, and to discuss future vaccines with them.  (pt recently moved to area and will need to establish with new primary md)
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too high.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Exposure during pregnancy, Foetal death, Foetal heart rate abnormal, Muscle spasms
Clinical narrative: On June 29, 2022 I was 6 weeks and 5 days pregnant when I received my booster vaccine. On July 26, 2022 I went to the emergency room under the recommendation of my doctor due to light spotting and cramping. An ultrasound showed that the baby no longer had a heartbeat and had died within a few days. I was 10 weeks 4 days along. I had a D&C on July 29th.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound antenatal screen abnormal, Uterine dilation and curettage, Vaginal haemorrhage
Clinical narrative: On June 29, 2022 I was 6 weeks and 5 days pregnant when I received my booster vaccine. On July 26, 2022 I went to the emergency room under the recommendation of my doctor due to light spotting and cramping. An ultrasound showed that the baby no longer had a heartbeat and had died within a few days. I was 10 weeks 4 days along. I had a D&C on July 29th.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Altered state of consciousness, Amnesia, Laboratory test, Loss of consciousness, Scan brain
Clinical narrative: I traveled and was Ill on Friday morning, July 22nd.  Had no ill effects.  However, on Saturday morning, I woke up but then went to a "consciouse, but unaware" state of mind.  I was completely oblivious to everything around and do not remember anything.  My daugther drove me to the medical facility  about 2:30P where I underwent a brain scan and other testing..  By this time I was regaining consciousness and beginning to recognize my surrounds.  I was dismissed without a specific cause of my condition, and it was attribute to possibly be  a mini-stroke.  I had no other effects the remainder of the day, and drove back later that evening.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Myalgia, Oropharyngeal pain
Clinical narrative: PATIENT REPORT MUSCLE PAIN, DIARRHEA, SORE THROAT, EXTREME FATIGUE THE SECOND DAY IN THE MORNING
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Blood test, Chest X-ray, Condition aggravated, Electrocardiogram, Headache
Clinical narrative: Headache, soreness and weakness in legs and hypertension. Sign of issue hypertension consistent headache full skull and neck. Started day after vaccine  6 days after vaccine taken to Er blood pressure 200 over 121 and taken to Er 7 day after and 8 days later  still trying to bring it down today.
Age: 55.0
Sex: F
Vaccine: PPV
Symptoms: Hypertension, Magnetic resonance imaging, Muscular weakness, Neck pain, Pain in extremity
Clinical narrative: Headache, soreness and weakness in legs and hypertension. Sign of issue hypertension consistent headache full skull and neck. Started day after vaccine  6 days after vaccine taken to Er blood pressure 200 over 121 and taken to Er 7 day after and 8 days later  still trying to bring it down today.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursion occurred and Moderna determined the vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration".  Patient reported no adverse reaction.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Decreased appetite, Dyspnoea, Feeling abnormal, Headache
Clinical narrative: My head started hurting really badly and I started getting pain in my left arm. I then became nauseated and vomited. I felt so ill that I went to sleep and when I woke up I did not feel like myself and started having heart palpitations and my headache was terrible. I still had pain in my arm and felt chest pains so bad I almost went to the emergency room. I had no choice but to go to work and I was sick all day long and I also started feeling numbness in my extremities. I have also had blurred vison, loss of appetite, and shortness of breath. The crazy thing was I had covid and did not feel half as bad as I do now.  I was forced to get this vaccine because of a job and now everyday I feel myself getting worse and worse since taking it. I am really worried I am going to have a heart attack as my heart has not stopped doing strange things since I got the shot. I am not sure what to do, I guess there is nothing I can do now.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Malaise, Nausea, Pain in extremity, Palpitations
Clinical narrative: My head started hurting really badly and I started getting pain in my left arm. I then became nauseated and vomited. I felt so ill that I went to sleep and when I woke up I did not feel like myself and started having heart palpitations and my headache was terrible. I still had pain in my arm and felt chest pains so bad I almost went to the emergency room. I had no choice but to go to work and I was sick all day long and I also started feeling numbness in my extremities. I have also had blurred vison, loss of appetite, and shortness of breath. The crazy thing was I had covid and did not feel half as bad as I do now.  I was forced to get this vaccine because of a job and now everyday I feel myself getting worse and worse since taking it. I am really worried I am going to have a heart attack as my heart has not stopped doing strange things since I got the shot. I am not sure what to do, I guess there is nothing I can do now.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred, Vomiting
Clinical narrative: My head started hurting really badly and I started getting pain in my left arm. I then became nauseated and vomited. I felt so ill that I went to sleep and when I woke up I did not feel like myself and started having heart palpitations and my headache was terrible. I still had pain in my arm and felt chest pains so bad I almost went to the emergency room. I had no choice but to go to work and I was sick all day long and I also started feeling numbness in my extremities. I have also had blurred vison, loss of appetite, and shortness of breath. The crazy thing was I had covid and did not feel half as bad as I do now.  I was forced to get this vaccine because of a job and now everyday I feel myself getting worse and worse since taking it. I am really worried I am going to have a heart attack as my heart has not stopped doing strange things since I got the shot. I am not sure what to do, I guess there is nothing I can do now.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursion occurred and Moderna determined the vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration".  Patient reported no adverse reactions.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Dyspnoea, Hypoxia
Clinical narrative: Discharge Date: Jul 22, 2022 Discharge Provider: MD Primary Care Provider : Clinic Physician, MD None   Admission Date: 7/20/2022  PRESENTING PROBLEM: Pneumonia due to COVID-19 virus   HOSPITAL COURSE: 85 yo female with history of oxygen-dependent chronic obstructive pulmonary disease on baseline 2 L of oxygen, history of left upper lobe squamous cell carcinoma, was brought to the emergency department from her long-term care facility secondary to dyspnea, hypoxia and positive for COVID.  Chest x-ray revealed chronic obstructive pulmonary disease changes with mild bibasilar airspace disease.  Patient was continued on her chronic obstructive pulmonary disease inhalers and started on Decadron 6 mg orally daily.  Patient was monitored in the hospital for about 48 hours and patient did not have any worsening of her symptoms and she continued to only required 2 L of oxygen which is her baseline.  Patient was discharged back to her living facility and she is to continue with 7 more days of Decadron to finish a total 10 day course.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Lung disorder, SARS-CoV-2 test positive
Clinical narrative: Discharge Date: Jul 22, 2022 Discharge Provider: MD Primary Care Provider : Clinic Physician, MD None   Admission Date: 7/20/2022  PRESENTING PROBLEM: Pneumonia due to COVID-19 virus   HOSPITAL COURSE: 85 yo female with history of oxygen-dependent chronic obstructive pulmonary disease on baseline 2 L of oxygen, history of left upper lobe squamous cell carcinoma, was brought to the emergency department from her long-term care facility secondary to dyspnea, hypoxia and positive for COVID.  Chest x-ray revealed chronic obstructive pulmonary disease changes with mild bibasilar airspace disease.  Patient was continued on her chronic obstructive pulmonary disease inhalers and started on Decadron 6 mg orally daily.  Patient was monitored in the hospital for about 48 hours and patient did not have any worsening of her symptoms and she continued to only required 2 L of oxygen which is her baseline.  Patient was discharged back to her living facility and she is to continue with 7 more days of Decadron to finish a total 10 day course.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursion occurred and Moderna determined the vial "maintained the activity necessary to protect against the SARS Co-V2 virus at the time of administration".  Patient reported no adverse reactions.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Brain injury, COVID-19, Cardiac arrest, Death, Intensive care
Clinical narrative: PFIZER COVID #3 VACCINE GIVEN 10/27/21, LOT # IS NOT AVAILABLE; 3/14/22 pt sent to hospital after cardiac arrest; suffered anoxic brain injury; found to be positive for COVID; sepsis; transferred to ICU; suffered another cardiac arrest and pt expired in the hospital
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis
Clinical narrative: PFIZER COVID #3 VACCINE GIVEN 10/27/21, LOT # IS NOT AVAILABLE; 3/14/22 pt sent to hospital after cardiac arrest; suffered anoxic brain injury; found to be positive for COVID; sepsis; transferred to ICU; suffered another cardiac arrest and pt expired in the hospital
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: patient given Pfizer gray cap 12yr+ vaccine instead of Pfizer orange cap 5-11yr vaccine. Observed patient for 30 minutes, no side effects or adverse event.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received second Moderna 6mo-5yr dose 3 weeks after their first dose. It should have been an interval of 4 weeks. Per CDC guidance, dose must be repeated 28 days after the error dose (8/11/2022). Patient has been notified.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Burning sensation, Distractibility, Fatigue, Loss of consciousness, Pruritus
Clinical narrative: Breaking out of red rashes and welts, all over body in various places, coming and going every 30-60 minutes,  day and night until passed out from exhaustion. Burning and itching sensations are signs of a new outbreak.  Treatments, penetrex and aloe gel for really burning sensations.  After 7 days prescribed prednisone, 60mg day1, tapering down 10mg per day, currently on day 2.  currently just finished amoxicillin and sinus infection gone. trying to stay off antihistamines.  Currently day 8 since shot, with prednisone feeling less burning / very little welting. Still a nuisance and a distraction but less so.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash, Rash erythematous, Urticaria
Clinical narrative: Breaking out of red rashes and welts, all over body in various places, coming and going every 30-60 minutes,  day and night until passed out from exhaustion. Burning and itching sensations are signs of a new outbreak.  Treatments, penetrex and aloe gel for really burning sensations.  After 7 days prescribed prednisone, 60mg day1, tapering down 10mg per day, currently on day 2.  currently just finished amoxicillin and sinus infection gone. trying to stay off antihistamines.  Currently day 8 since shot, with prednisone feeling less burning / very little welting. Still a nuisance and a distraction but less so.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: Patient 12  years old  had Menveo administered at another facility on 9/10/2020.   Patient was seen for 12 year PE- the nurse and provider did not realize they received the vaccine,  and administered Menquadfi.   Patient has now received two Meningococcal vaccines in a two year time frame
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Fatigue, Feeling abnormal, Hypersomnia
Clinical narrative: Coworker that came to work with a cold, the next day my coworker then called me and stated that she was positive for COVID-19. On Wednesday I started to feel like I was coming down with a cold. By Thursday morning I went into the doctor's office for a visit. COVID-19 test was done and I was positive. I was given a prescription for an anti-viral but it was not Paxlovid. I started taking it right away and felt bad for about 2 days. 5 days I stayed home and then afterwards I went back to work. My main symptoms were feeling fatigued and I slept a lot, low grade fever for a few days.  As of today I feel back to normal.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Nasopharyngitis, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Coworker that came to work with a cold, the next day my coworker then called me and stated that she was positive for COVID-19. On Wednesday I started to feel like I was coming down with a cold. By Thursday morning I went into the doctor's office for a visit. COVID-19 test was done and I was positive. I was given a prescription for an anti-viral but it was not Paxlovid. I started taking it right away and felt bad for about 2 days. 5 days I stayed home and then afterwards I went back to work. My main symptoms were feeling fatigued and I slept a lot, low grade fever for a few days.  As of today I feel back to normal.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine was expired, no temperature excursion occurred and Moderna determined the vial "maintained the activity necessary to protect against the SARS CoV-2 Virus at the time of administration".  Patient reported no adverse reactions.
Age: 11.0
Sex: M
Vaccine: HPV9
Symptoms: Dizziness, Fall
Clinical narrative: Pt became dizzy and fell to ground about 10 minutes after receiving vaccine.  Was assisted to chair, provided ice pack to back of neck, juice.  Dizziness resolved, pt ambulated to vehicle w/o incident.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursion occurred and Moderna determined the vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration".  Patient reported no adverse reactions.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursion occurred and Moderna determined the vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration".  Patient reported no adverse reactions.
Age: 0.5
Sex: M
Vaccine: DTAP
Symptoms: Fontanelle bulging, Lumbar puncture
Clinical narrative: bulging fontanelle
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Chest discomfort, Chest pain, Dyspnoea
Clinical narrative: Patient presented to the Emergency Department with complaints of pressure and non-radiating pain in her chest and shortness of breath. The pain sensation began 3 days after she tested positive for COVID-19. During this time, she experienced nausea with one episode of emesis, sore throat, congestion, and productive cough. On the basis of symptomatology, persistent oxygen requirements, electrocardiographic changes, and elevated troponin levels she was diagnosed with COVID-19 infection with acute hypoxemic respiratory insufficiency and non-ischemic myocardial injury. She was admitted to hospital and received one dose of dexamethasone 6mg intravenously and one dose of IV remdesivir. With symptomatic improvement, she was discharged medically stable with follow-up care plans in place.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Electrocardiogram abnormal, Fibrin D dimer, Full blood count, Glycosylated haemoglobin, Hepatic enzyme
Clinical narrative: Patient presented to the Emergency Department with complaints of pressure and non-radiating pain in her chest and shortness of breath. The pain sensation began 3 days after she tested positive for COVID-19. During this time, she experienced nausea with one episode of emesis, sore throat, congestion, and productive cough. On the basis of symptomatology, persistent oxygen requirements, electrocardiographic changes, and elevated troponin levels she was diagnosed with COVID-19 infection with acute hypoxemic respiratory insufficiency and non-ischemic myocardial injury. She was admitted to hospital and received one dose of dexamethasone 6mg intravenously and one dose of IV remdesivir. With symptomatic improvement, she was discharged medically stable with follow-up care plans in place.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Metabolic function test, Myocardial injury, Nausea, Oropharyngeal pain, Productive cough
Clinical narrative: Patient presented to the Emergency Department with complaints of pressure and non-radiating pain in her chest and shortness of breath. The pain sensation began 3 days after she tested positive for COVID-19. During this time, she experienced nausea with one episode of emesis, sore throat, congestion, and productive cough. On the basis of symptomatology, persistent oxygen requirements, electrocardiographic changes, and elevated troponin levels she was diagnosed with COVID-19 infection with acute hypoxemic respiratory insufficiency and non-ischemic myocardial injury. She was admitted to hospital and received one dose of dexamethasone 6mg intravenously and one dose of IV remdesivir. With symptomatic improvement, she was discharged medically stable with follow-up care plans in place.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Troponin increased, Vomiting
Clinical narrative: Patient presented to the Emergency Department with complaints of pressure and non-radiating pain in her chest and shortness of breath. The pain sensation began 3 days after she tested positive for COVID-19. During this time, she experienced nausea with one episode of emesis, sore throat, congestion, and productive cough. On the basis of symptomatology, persistent oxygen requirements, electrocardiographic changes, and elevated troponin levels she was diagnosed with COVID-19 infection with acute hypoxemic respiratory insufficiency and non-ischemic myocardial injury. She was admitted to hospital and received one dose of dexamethasone 6mg intravenously and one dose of IV remdesivir. With symptomatic improvement, she was discharged medically stable with follow-up care plans in place.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Asthenia, Bradycardia, COVID-19, Cough
Clinical narrative: Discharge Provider: MD  Primary Care Provider: MD    Admitting Service:  Admission Date: 7/19/2022 Discharge Date: 07/21/2022  PRESENTING PROBLEM:  Generalized weakness  Fatigue, unspecified type    HOSPITAL COURSE:   Patient is a 73 y.o. female who presented with her daughter for evaluation of heart arrhythmia and generalized fatigue. .  Today driving to a doctor's appointment she noted patient had dry cough and headache.  At this appointment an EKG was obtained noting an abnormal rhythm with multiple skipped beats. Due to these changes she was defer to the emergency department for further testing.  She was found to be COVID positive in the emergency department, vitals were stable apart from bradycardia with heart rate in 50s.  Labs were mostly unremarkable.   Initial concern for Mobitz type 2 but discussing with Cardiology/EP pelvis was sinus bradycardia with pauses.  PT and OT evaluated the patient recommended home health, Care Management.  doing well discharge home today with homecare in stable condition.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Extrasystoles, Fatigue, Headache, Laboratory test normal
Clinical narrative: Discharge Provider: MD  Primary Care Provider: MD    Admitting Service:  Admission Date: 7/19/2022 Discharge Date: 07/21/2022  PRESENTING PROBLEM:  Generalized weakness  Fatigue, unspecified type    HOSPITAL COURSE:   Patient is a 73 y.o. female who presented with her daughter for evaluation of heart arrhythmia and generalized fatigue. .  Today driving to a doctor's appointment she noted patient had dry cough and headache.  At this appointment an EKG was obtained noting an abnormal rhythm with multiple skipped beats. Due to these changes she was defer to the emergency department for further testing.  She was found to be COVID positive in the emergency department, vitals were stable apart from bradycardia with heart rate in 50s.  Labs were mostly unremarkable.   Initial concern for Mobitz type 2 but discussing with Cardiology/EP pelvis was sinus bradycardia with pauses.  PT and OT evaluated the patient recommended home health, Care Management.  doing well discharge home today with homecare in stable condition.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus bradycardia
Clinical narrative: Discharge Provider: MD  Primary Care Provider: MD    Admitting Service:  Admission Date: 7/19/2022 Discharge Date: 07/21/2022  PRESENTING PROBLEM:  Generalized weakness  Fatigue, unspecified type    HOSPITAL COURSE:   Patient is a 73 y.o. female who presented with her daughter for evaluation of heart arrhythmia and generalized fatigue. .  Today driving to a doctor's appointment she noted patient had dry cough and headache.  At this appointment an EKG was obtained noting an abnormal rhythm with multiple skipped beats. Due to these changes she was defer to the emergency department for further testing.  She was found to be COVID positive in the emergency department, vitals were stable apart from bradycardia with heart rate in 50s.  Labs were mostly unremarkable.   Initial concern for Mobitz type 2 but discussing with Cardiology/EP pelvis was sinus bradycardia with pauses.  PT and OT evaluated the patient recommended home health, Care Management.  doing well discharge home today with homecare in stable condition.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: pt was in the local Hospital 2 days prior to coming to ED for COVID pneumonia; pt had a positive COVID test on 1/13/22 and 1/25/22; family refused rehab for pt after hospitalization; 2/9/22 pt saw PCP and was found to be extremely weak, dehydrated and malnourished; sent to ED; CXR showed multifocal pneumonia; admitted; AKI; given IV fluids, ABX; G tube placed; pt developed HCAP and sepsis; hypoxia worsened; family did not want "life support tubes"; pt expired due to respiratory failure secondary to bacterial pneumonia
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Dehydration, Gastrostomy, Hypoxia, Malnutrition
Clinical narrative: pt was in the local Hospital 2 days prior to coming to ED for COVID pneumonia; pt had a positive COVID test on 1/13/22 and 1/25/22; family refused rehab for pt after hospitalization; 2/9/22 pt saw PCP and was found to be extremely weak, dehydrated and malnourished; sent to ED; CXR showed multifocal pneumonia; admitted; AKI; given IV fluids, ABX; G tube placed; pt developed HCAP and sepsis; hypoxia worsened; family did not want "life support tubes"; pt expired due to respiratory failure secondary to bacterial pneumonia
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Pneumonia bacterial, Respiratory failure, SARS-CoV-2 test positive, Sepsis
Clinical narrative: pt was in the local Hospital 2 days prior to coming to ED for COVID pneumonia; pt had a positive COVID test on 1/13/22 and 1/25/22; family refused rehab for pt after hospitalization; 2/9/22 pt saw PCP and was found to be extremely weak, dehydrated and malnourished; sent to ED; CXR showed multifocal pneumonia; admitted; AKI; given IV fluids, ABX; G tube placed; pt developed HCAP and sepsis; hypoxia worsened; family did not want "life support tubes"; pt expired due to respiratory failure secondary to bacterial pneumonia
Age: 49.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Angiogram pulmonary normal, Anxiety disorder, Blindness, COVID-19, Chest X-ray normal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 7/19/2022 Discharge Date: Jul 21, 2022  PRESENTING PROBLEM: Seizure (HCC)  Seizure-like activity (HCC)  Anxiety disorder, unspecified type  COVID-19    HOSPITAL COURSE: 50-year-old female history of type 2 diabetes, hypertension, psychiatric illness bipolar/schizophrenia came to local ER were seizure-like event.  She had noted around 16:00 and 7/19 showed episode of involuntary shaking in her hands bilaterally with symmetric vision loss and urinary incontinence.  Patient did say she had seizure-like event in the past secondary to Wellbutrin medication but this was in remote history.  Upon arrival to ER, patient afebrile, normotensive.  Had troponins which were negative and flat.  COVID screen came back positive.  Urinalysis bland.  EKG with sinus tachycardia.  She had CT head negative for any acute intracranial process.  Chest x-ray and CTA thorax negative for acute intrathoracic process.  Patient was satting above 90% on room air.  She was admitted to the hospital observation status for EEG and MRI per neuro request.   Patient's EEG came back showing no evidence of epilepsy.  MRI brain came back showing no evidence of any acute abnormality.  Patient said she was still having some upper chest congestion she thinks related to COVID diagnosis.  Repeat chest x-ray day of discharge was negative for any acute abnormalities.  For duration of stay patient was not hypoxic.  Did prescribe patient albuterol inhaler and Tessalon Perles.  Patient inquired about Paxlovid medications for COVID.  Discussed with inpatient pharmacy and we do offer Paxlovid inpatient.  Patient can follow-up with her PCP to get this medication at discharge as outpatient for COVID.   Neurology discussed with patient seizure precautions for discharge including: "no showering/bathing alone, operation of heavy machinery, use of ladders and driving for 6 months seizure free.  Patient agreed with plan and verbalized understanding."Did reach out to Neurology and per Neurology no need for neuro follow-up at this time.      Discharge stable condition.
Age: 49.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Computerised tomogram head normal, Electrocardiogram abnormal, Electroencephalogram normal, Impaired driving ability, Magnetic resonance imaging head normal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 7/19/2022 Discharge Date: Jul 21, 2022  PRESENTING PROBLEM: Seizure (HCC)  Seizure-like activity (HCC)  Anxiety disorder, unspecified type  COVID-19    HOSPITAL COURSE: 50-year-old female history of type 2 diabetes, hypertension, psychiatric illness bipolar/schizophrenia came to local ER were seizure-like event.  She had noted around 16:00 and 7/19 showed episode of involuntary shaking in her hands bilaterally with symmetric vision loss and urinary incontinence.  Patient did say she had seizure-like event in the past secondary to Wellbutrin medication but this was in remote history.  Upon arrival to ER, patient afebrile, normotensive.  Had troponins which were negative and flat.  COVID screen came back positive.  Urinalysis bland.  EKG with sinus tachycardia.  She had CT head negative for any acute intracranial process.  Chest x-ray and CTA thorax negative for acute intrathoracic process.  Patient was satting above 90% on room air.  She was admitted to the hospital observation status for EEG and MRI per neuro request.   Patient's EEG came back showing no evidence of epilepsy.  MRI brain came back showing no evidence of any acute abnormality.  Patient said she was still having some upper chest congestion she thinks related to COVID diagnosis.  Repeat chest x-ray day of discharge was negative for any acute abnormalities.  For duration of stay patient was not hypoxic.  Did prescribe patient albuterol inhaler and Tessalon Perles.  Patient inquired about Paxlovid medications for COVID.  Discussed with inpatient pharmacy and we do offer Paxlovid inpatient.  Patient can follow-up with her PCP to get this medication at discharge as outpatient for COVID.   Neurology discussed with patient seizure precautions for discharge including: "no showering/bathing alone, operation of heavy machinery, use of ladders and driving for 6 months seizure free.  Patient agreed with plan and verbalized understanding."Did reach out to Neurology and per Neurology no need for neuro follow-up at this time.      Discharge stable condition.
Age: 49.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Seizure, Seizure like phenomena, Sinus tachycardia
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 7/19/2022 Discharge Date: Jul 21, 2022  PRESENTING PROBLEM: Seizure (HCC)  Seizure-like activity (HCC)  Anxiety disorder, unspecified type  COVID-19    HOSPITAL COURSE: 50-year-old female history of type 2 diabetes, hypertension, psychiatric illness bipolar/schizophrenia came to local ER were seizure-like event.  She had noted around 16:00 and 7/19 showed episode of involuntary shaking in her hands bilaterally with symmetric vision loss and urinary incontinence.  Patient did say she had seizure-like event in the past secondary to Wellbutrin medication but this was in remote history.  Upon arrival to ER, patient afebrile, normotensive.  Had troponins which were negative and flat.  COVID screen came back positive.  Urinalysis bland.  EKG with sinus tachycardia.  She had CT head negative for any acute intracranial process.  Chest x-ray and CTA thorax negative for acute intrathoracic process.  Patient was satting above 90% on room air.  She was admitted to the hospital observation status for EEG and MRI per neuro request.   Patient's EEG came back showing no evidence of epilepsy.  MRI brain came back showing no evidence of any acute abnormality.  Patient said she was still having some upper chest congestion she thinks related to COVID diagnosis.  Repeat chest x-ray day of discharge was negative for any acute abnormalities.  For duration of stay patient was not hypoxic.  Did prescribe patient albuterol inhaler and Tessalon Perles.  Patient inquired about Paxlovid medications for COVID.  Discussed with inpatient pharmacy and we do offer Paxlovid inpatient.  Patient can follow-up with her PCP to get this medication at discharge as outpatient for COVID.   Neurology discussed with patient seizure precautions for discharge including: "no showering/bathing alone, operation of heavy machinery, use of ladders and driving for 6 months seizure free.  Patient agreed with plan and verbalized understanding."Did reach out to Neurology and per Neurology no need for neuro follow-up at this time.      Discharge stable condition.