chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: VARCEL
Symptoms: Product storage error
Clinical narrative: no adverse event; VARIVAX had t/e on 16-AUG-2023 and was administered to patient; This spontaneous report as received from a medical assistant refers to a patient of unknown age and gender. On 15-SEP-2023, the patient was vaccinated with a 0.5 mL dose of varicella virus vaccine live (oka/merck) (VARIVAX) (lot # reported as W039699) (route not reported) that had a temperature excursion on 16-AUG-2023. The temperature of excursion was 25.8 °C for a time frame of 9 hours 24 minutes. There were no previous excursions. The reported also stated that the freezer units have ice packs in them that never melted during the excursion.  Lot # W039699 is an invalid lot number for varicella virus vaccine live (oka/merck) (VARIVAX).  This is one of several reports received from the same source.; Sender's Comments:  US-009507513-2309USA006884: US-009507513-2309USA009905: US-009507513-2309USA009906: US-009507513-2309USA009907: US-009507513-2309USA009908: US-009507513-2309USA009909: US-009507513-2309USA009910: US-009507513-2309USA009911: US-009507513-2309USA009912: US-009507513-2309USA009913: US-009507513-2309USA009914: US-009507513-2309USA009915: US-009507513-2309USA009927: US-009507513-2309USA009928: US-009507513-2309USA009929:
Age: 29.0
Sex: F
Vaccine: FLUN4
Symptoms: Dyspnoea, Wheezing
Clinical narrative: DIFFICULTY BREATHING; WHEEZING; A spontaneous report has been received from a consumer. The report concerns a female patient of Unknown ethnic origin (age 27 years).    No medical history was reported. The following demography was reported for the patient's parent:   Sex: Unknown    No concomitant products were reported.    The patient started treatment with Flumist Quadrivalent (influenza vaccine live reassort 4v) (batch number(s) TH2108), nasal, on 14-SEP-2023.     On 16-SEP-2023, the patient experienced difficulty breathing (preferred term: Dyspnoea) and wheezing (preferred term: Wheezing).     Treatment with Flumist Quadrivalent (influenza vaccine live reassort 4v) was not changed.     At the time of reporting, the event of difficulty breathing and wheezing was ongoing.     The events were considered non-serious.     The reporter considered that there was a reasonable possibility of a causal relationship between Flumist Quadrivalent (influenza vaccine live reassort 4v) and the following event(s): difficulty breathing and wheezing.     Device Information:     Combination Product Report: Yes    Product As Reported: FLUMIST QUADRIVALENT  Common Device Name: Nasal Spray  Procode: CCQ  Product Role: Suspect    Minor correction on 29-Sep-2023: Null flavors to all fields for Reporters added. Narrative amended.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Fear, Somnolence, Thinking abnormal
Clinical narrative: Day after shot I couldn't think or make decisions.  There was a small crisis at home and I couldn't think about what to do.  Tried googling and couldn't keep track of what I was doing, couldn't take in information, was confused.  Sat on the couch for 2 hours trying to think.  Didn't know what was happening.  Then got very sleepy.  Went to bed that night 2 hours early couldn't think or keep my eyes open.   The next day was the same, except wasn't sleepy and the confusion and trouble thinking was somewhat better.  The third day I was myself again.  Very scary.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Insomnia, Tinnitus
Clinical narrative: Within a couple of hours of receiving the 2nd dose of Moderna my tinnitus began.  It has continued ever since. Some days are less "noisy" than others. Loss of sleep is common due to the ringing. The ringing can occur in one ear (left or right) or both ears. Occasionally it becomes very loud. Other times it is softer.
Age: 53.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Arthritis, Asthenopia, Chills, Condition aggravated, Eye irritation
Clinical narrative: The night after shot, didn?t sleep well, kept waking, arm sore,  eyes started felling sandy and tired, usually what I get before migraine and becoming full migraine, also felt arthritis in back more, body aches, tired throughout the day 9/29. slept mostly bec of migraine, felt chills.
Age: 53.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Fatigue, Migraine, Pain, Pain in extremity, Poor quality sleep
Clinical narrative: The night after shot, didn?t sleep well, kept waking, arm sore,  eyes started felling sandy and tired, usually what I get before migraine and becoming full migraine, also felt arthritis in back more, body aches, tired throughout the day 9/29. slept mostly bec of migraine, felt chills.
Age: 53.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Sleep disorder, Spondylitis
Clinical narrative: The night after shot, didn?t sleep well, kept waking, arm sore,  eyes started felling sandy and tired, usually what I get before migraine and becoming full migraine, also felt arthritis in back more, body aches, tired throughout the day 9/29. slept mostly bec of migraine, felt chills.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Syncopal episode
Age: 39.0
Sex: M
Vaccine: FLU4
Symptoms: Discomfort, Impaired work ability, Muscle spasms, Pain, Pain in extremity
Clinical narrative: Awoken by muscle spasm in both calves. Severe pain and discomfort. Waned yesterday morning to about a 2/10.  Last evening severe pain and spasms in both arms and both calves.  This morning the same. Had to call out of work (a career firefighter/paramedic) due to severe discomfort. Losing 24 hours of work.   Have been taking ibuprofen and using percussion theragun massager with little to no relief.
Age: 39.0
Sex: M
Vaccine: FLU4
Symptoms: Sleep disorder
Clinical narrative: Awoken by muscle spasm in both calves. Severe pain and discomfort. Waned yesterday morning to about a 2/10.  Last evening severe pain and spasms in both arms and both calves.  This morning the same. Had to call out of work (a career firefighter/paramedic) due to severe discomfort. Losing 24 hours of work.   Have been taking ibuprofen and using percussion theragun massager with little to no relief.
Age: 70.0
Sex: M
Vaccine: COVID19, FLU4, RSV
Symptoms: Chills, Fatigue, Myalgia, Tremor
Clinical narrative: All day fatigue and headache, and then a sudden severe episode 10 hours later of shaking chills for 15 minutes and achy muscles all night
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain
Clinical narrative: chills, fever (99 degrees), body aches, headache - lasting about 6 hours
Age: 71.0
Sex: F
Vaccine: FLUA4
Symptoms: Back pain, Dyspnoea, Feeling hot
Clinical narrative: Within 2 minutes of Injection patient felt shortness of breath briefly (seconds) and then her entire head felt hot. Patient also felt pain in her lower back in the kidney area. Resolved within 5 minutes.
Age: 88.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Erythema
Clinical narrative: Redness spread down to elbow
Age: 71.0
Sex: F
Vaccine: COVID19, FLU4, RSV
Symptoms: Chills, Cluster headache, Myalgia, Sleep disorder, Tremor
Clinical narrative: Muscle aches occurred during the day. Around 12 hours after the vaccine- headaches, chills and severe shaking,  The symptoms  resolved in about an hour or so .  I took 2 Tylenol after i could get out of bed safely.  Finally  went back to sleep.
Age: 64.0
Sex: F
Vaccine: FLUR4
Symptoms: Extra dose administered
Clinical narrative: Patient received a flu vaccine beginning of September. I did not realize until after she got her second flu vaccine. Patient was called and notified.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pyrexia
Clinical narrative: Fever, headache, fatigue
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Decreased appetite, Fatigue, Headache
Clinical narrative: Symptoms: Joint pain, headache, tiredness, decreased appetite
Age: 6.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, Incorrect product formulation administered
Clinical narrative: Patient was given vaccine formulation for 12 years of age and older even though patient is only 6
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site induration, Pain in extremity, Peripheral swelling
Clinical narrative: INJECTION ADMINISTERED 9/26/23 AND PATIENT NOTICED HER ARM WAS SORE, SWOLLEN WITH SLIGHT FIRMNESS AND RED CIRCULAR RING AROUND INJECTION SITE OF LEFT ARM ON 9/27/23.  PATIENT HAS BEEN ICING ARM AND TAKING MOTRIN FOR SWELLING.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: hives (red bumps) & itching on ankles & legs
Age: 75.0
Sex: F
Vaccine: RSV
Symptoms: Dizziness, Refusal of treatment by patient
Clinical narrative: Patient received RSV vaccine and during her 15 minute post vaccine waiting period she felt dizzy. Patient was asked to stay seated and when I checked back in within 5 min she stated she felt fine. She stated she could have been dizzy because she didn't eat or drink anything this morning before the vaccine. She refused any further assistance or treatment.
Age: 66.0
Sex: F
Vaccine: RSV
Symptoms: Injection site swelling
Clinical narrative: Swelling at the injection site that is 4 inches in diameter. Now on my third day after injection and site continues to grow.
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthma, Choking, Condition aggravated, Dry throat, Dysphonia
Clinical narrative: First asthma attack in 15 years. Needed to be prescribed medication to control attack. Starting 3 days after the vaccine, and continuing to this day, I have a chronically dry throat or some inflammation in my throat area causing me to choke often, and my voice is chronically hoarse.
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: Inflammation
Clinical narrative: First asthma attack in 15 years. Needed to be prescribed medication to control attack. Starting 3 days after the vaccine, and continuing to this day, I have a chronically dry throat or some inflammation in my throat area causing me to choke often, and my voice is chronically hoarse.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Dizziness, Headache, Nausea, Pain
Clinical narrative: Pain in arm, body aches, chills, nausea, dizziness, headache, irritated throat
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Throat irritation
Clinical narrative: Pain in arm, body aches, chills, nausea, dizziness, headache, irritated throat
Age: 32.0
Sex: F
Vaccine: FLUA4
Symptoms: Exposure during pregnancy, Haematoma
Clinical narrative: Currently 14 weeks pregnant. EST due date March 24, 2024. Received flu vaccine in right deltoid at 4:15pm IM injection. Around 9pm a hematoma developed about a quarter in size. Has not changed since 9pm on Sept 29, 2023. Unsure of flu manufacturer as I am the patient. Please contact the facility.
Age: 11.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient did not experience adverse events. Patient was administered Comirnaty for 12 years+ when patient is 11 years of age.
Age: 65.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Injection site erythema, Injection site pruritus, Pain in extremity, Swelling
Clinical narrative: patient called 9/30 reporting that patient woke up 9/30 and noticed left arm near injection site was slightly red and itchy. Patient reported arm wasn't really sore anymore and patient denied fever. Patient was informed to take benadryl and monitor swelling to see if condition worsens and to seek medical care if condition does not improve
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient came in to receive a shingrix injection but was administered a Moderna (spikevax) vaccine inadvertently.
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: Pt given tylenol; ice
Age: 65.0
Sex: F
Vaccine: FLUA4, PNC20, RSV, TDAP
Symptoms: Injected limb mobility decreased, Tenderness
Clinical narrative: PATIENT REPORTS TO THE PHARMACY ON 9/29/2023, 1 MONTH AFTER HER VACCINE, THAT AT THE TIME OF THE VACCINE SHE HAD ARM TENDERNESS, AND LATER DEVELOPED DECREASED MOBILITY, SUCH THAT IT HAS BEEN DIFFICULT TO PUT ON AND REMOVE HER SHIRT ABOVE HER HEAD, IN BOTH ARMS
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: Arm became swollen, red, hot at bicep, not injection site
Age: 29.0
Sex: F
Vaccine: UNK
Symptoms: Erythema, Feeling hot, Throat irritation, Throat tightness
Clinical narrative: Pt report possible reaction to Flu vaccine on 9/29/23.  Pt Received vaccine at 1000 and at 1005 started to feel right side of throat closing, face warm and red, no difficulty of breathing, took Benadryl 50mg. Had same reaction to Covid vac., no reaction to Flu vac the last 2 years . Had similar reaction to  non- preservative Flu vac. in the past. HX. of multiple allergies, Pt carries own Epi Pen.  Pt was sent and treated to ER. Pt was given Prednisone, Pepcide and Benadryl and was kept for few hours for observation. Pt was recommended to be on Pepcid for days. Pt feels alot better now but still have scratchy throat. Advised to follow up with PCP if worsening or new symptoms arise.
Age: 66.0
Sex: F
Vaccine: PNC20, RSV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Lethargy, Pain
Clinical narrative: Body aches and lethargy (2 days, onset same day as vaccination); redness, pain, and swelling at injection site (same day and continuing to spread today, possible cellulitis)
Age: 9.0
Sex: M
Vaccine: UNK
Symptoms: Rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Small, red, raised bumps covering entire body except face/head, palms of hands, and soles of feet. Not pus-filled. Once the rash appeared, it got worse for 24 hours, but then began to decline on its own. The rash was itchy.  There were no other symptoms.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Severe diarrhea began the day after the vaccine -- multiple times an hour at times, over 10 times a day. It continued for the next few days . The maximum dose of Immodium eventually stopped it, and all bowel movements for two days, then severe diarrhea immediately resumed (on 9/27) . I took 4 Immodium pills in 24 hours, and then didn't eat until just before I would be able to take another Immodium if needed. 2 more days without diarrhea; I went to a mostly unhelpful urgent care appointment. He said take Immodium if I get more diarrhea when I asked what to do if it came back. He said I didn't have the symptoms of a virus (fever, nausea, vomiting, blood in stool). That evening the diarrhea returned.   My stomach does not act like this; I can't remember the last time I had diarrhea before this. I wear an N95 everywhere. I had not eaten at any restaurant for at least 6 weeks before this started, so food poisoning seems unlikely. I'm a vegetarian, so it isn't from meat...
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site vesicles, Injection site warmth
Clinical narrative: Redness under the site of injection a few inches away from injection site. It was red and warm to touch with a small blister. Possible skin infection.  She was referred to her PCP for follow-up to rule out a skin infection.
Age: 60.0
Sex: F
Vaccine: FLU4, RSV
Symptoms: Chills, Injection site cellulitis, Injection site discharge, Injection site erythema, Injection site swelling
Clinical narrative: patient received Fluzone Quad and Arexvy in left arm (flu vaccine higher / RSV lower part of muscle) on Monday, Starting Tuesday morning patient had Fever, chills, Thurs redness started at injection site, and by Friday the area was hot, wet, swollen. Patient went to Urgent Care and was diagnosed with Cellulitis
Age: 60.0
Sex: F
Vaccine: FLU4, RSV
Symptoms: Injection site warmth, Pyrexia
Clinical narrative: patient received Fluzone Quad and Arexvy in left arm (flu vaccine higher / RSV lower part of muscle) on Monday, Starting Tuesday morning patient had Fever, chills, Thurs redness started at injection site, and by Friday the area was hot, wet, swollen. Patient went to Urgent Care and was diagnosed with Cellulitis
Age: 20.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Back pain, Headache, Impaired work ability, Injected limb mobility decreased
Clinical narrative: Acute L Shoulder Pain when he woke up this morning- cannot use L Arm, can move fingers, radiates to Lower Back. Nausea, Headache. panic Attack. Missing work. Referred to PT. Unclear Outcome
Age: 20.0
Sex: M
Vaccine: FLU4
Symptoms: Nausea, Panic attack
Clinical narrative: Acute L Shoulder Pain when he woke up this morning- cannot use L Arm, can move fingers, radiates to Lower Back. Nausea, Headache. panic Attack. Missing work. Referred to PT. Unclear Outcome
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Back pain, Chills, Cough, Dizziness
Clinical narrative: Started around 10:00pm 9/28/23 coughing, 11:00 runny nose, 11:30 neck was hurting feeling achy went to bed.  Woke up thru the night with extremely high fever, extreme chills, talking out of my head, I couldn't get out of to call anyone I just keep falling back to sleep but would wake up talking, yelling.  I had pain go across my upper back and down my left arm.  I thought maybe stroke, heart attack I was so out of it.  I remember having pain on both sides of the front of my head then my pain in my hands especially both my index fingers and knuckles were throbbing and couldn't bend them.  I would say my fever finally broke around 5:00 am.  I got up with terrible headache, my legs felt weak, kinda dizzy.  I texted my co-wrker to come get my work.  I slept all day till 11:30 Friday evening, got up went into bed.  This was a horrible frightening experience I will never go thru again.  You can keep your vaccines.
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Joint stiffness, Logorrhoea, Muscular weakness, Neck pain
Clinical narrative: Started around 10:00pm 9/28/23 coughing, 11:00 runny nose, 11:30 neck was hurting feeling achy went to bed.  Woke up thru the night with extremely high fever, extreme chills, talking out of my head, I couldn't get out of to call anyone I just keep falling back to sleep but would wake up talking, yelling.  I had pain go across my upper back and down my left arm.  I thought maybe stroke, heart attack I was so out of it.  I remember having pain on both sides of the front of my head then my pain in my hands especially both my index fingers and knuckles were throbbing and couldn't bend them.  I would say my fever finally broke around 5:00 am.  I got up with terrible headache, my legs felt weak, kinda dizzy.  I texted my co-wrker to come get my work.  I slept all day till 11:30 Friday evening, got up went into bed.  This was a horrible frightening experience I will never go thru again.  You can keep your vaccines.
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Pain, Pain in extremity, Pyrexia, Rhinorrhoea, Sleep disorder
Clinical narrative: Started around 10:00pm 9/28/23 coughing, 11:00 runny nose, 11:30 neck was hurting feeling achy went to bed.  Woke up thru the night with extremely high fever, extreme chills, talking out of my head, I couldn't get out of to call anyone I just keep falling back to sleep but would wake up talking, yelling.  I had pain go across my upper back and down my left arm.  I thought maybe stroke, heart attack I was so out of it.  I remember having pain on both sides of the front of my head then my pain in my hands especially both my index fingers and knuckles were throbbing and couldn't bend them.  I would say my fever finally broke around 5:00 am.  I got up with terrible headache, my legs felt weak, kinda dizzy.  I texted my co-wrker to come get my work.  I slept all day till 11:30 Friday evening, got up went into bed.  This was a horrible frightening experience I will never go thru again.  You can keep your vaccines.
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Atelectasis, Blood culture positive, Blood lactic acid
Clinical narrative: 62 y.o. adult anesthesiologist patient of DO with history of rheumatoid arthritis on Humira, gout, osteoporosis, GERD, avascular necrosis, NIDDM2, HTN who presented to Hospital with fever, chills, cough, found to have COVID.   Acute hypoxemic respiratory failure COVID-19 viral pneumonia Date of onset of symptoms: 8/28 Symptoms present on admission: cough, fevers, chills, dyspnea Date of COVID positive test: 9/2 Vaccination status: vaccinated (last booster in October 2022) Imaging: CTPA on admission with extensive ground-glass opacification throughout the lungs bilaterally, highly suggestive of COVID-19 pulmonary disease given the clinical history with more focal areas of airspace disease are present within the lung bases, suggesting atelectasis or consolidation, as well as small bilateral pleural effusions Oxygen requirements on admission: HHFNC max Current oxygen requirements: non-heated high flow at 5L Medical therapy: steroids for 10 days, diuresis for dry lung strategy, completed remdesivir; given dose of tocilizumab on 9/4 as well Urine antigens negative Consultants following: pulm, ID Anticipated special isolation end date: TBD pending clinical course, likely 20 day from symptom onset Much improved, likely home with home oxygen in next 24-48 hrs if stable on 3-4L   Severe sepsis, resolved In setting of COVID-19 Lactic up to 2.9 on admission, since resolved Blood cultures 9/2 at FSED with 1/2 positive for staph hominis and 1/2 positive for staph epidermidis, therefore are contaminants Repeat blood cultures without growth Treatment of COVID as above   Prolonged QTc, resolved EKG - sinus tachycardia with QTc 533 on admission Initially on levofloxacin, stopped QTc normalized   Rheumatoid arthritis Immunosuppression due to drug therapy Patient on Humira weekly and methotrexate as needed as well as prednisone as needed (recently on 10 mg daily) Holding Humira, on dexamethasone as above, steroid taper then resuming home prednisone dosing following dexamethasone course   NIDDM2 with hyperglycemia On metformin at home; Hgb A1c of 6.9% Hyperglycemia in setting of steroids and COVID at times Continue SSI, adjust as needed   Essential hypertension On metoprolol at home, continue here with hold parameters at lower dose  Resume home dose on discharge Hyperlipidemia Continue pravastatin
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, COVID-19 pneumonia, Chills, Condition aggravated, Cough
Clinical narrative: 62 y.o. adult anesthesiologist patient of DO with history of rheumatoid arthritis on Humira, gout, osteoporosis, GERD, avascular necrosis, NIDDM2, HTN who presented to Hospital with fever, chills, cough, found to have COVID.   Acute hypoxemic respiratory failure COVID-19 viral pneumonia Date of onset of symptoms: 8/28 Symptoms present on admission: cough, fevers, chills, dyspnea Date of COVID positive test: 9/2 Vaccination status: vaccinated (last booster in October 2022) Imaging: CTPA on admission with extensive ground-glass opacification throughout the lungs bilaterally, highly suggestive of COVID-19 pulmonary disease given the clinical history with more focal areas of airspace disease are present within the lung bases, suggesting atelectasis or consolidation, as well as small bilateral pleural effusions Oxygen requirements on admission: HHFNC max Current oxygen requirements: non-heated high flow at 5L Medical therapy: steroids for 10 days, diuresis for dry lung strategy, completed remdesivir; given dose of tocilizumab on 9/4 as well Urine antigens negative Consultants following: pulm, ID Anticipated special isolation end date: TBD pending clinical course, likely 20 day from symptom onset Much improved, likely home with home oxygen in next 24-48 hrs if stable on 3-4L   Severe sepsis, resolved In setting of COVID-19 Lactic up to 2.9 on admission, since resolved Blood cultures 9/2 at FSED with 1/2 positive for staph hominis and 1/2 positive for staph epidermidis, therefore are contaminants Repeat blood cultures without growth Treatment of COVID as above   Prolonged QTc, resolved EKG - sinus tachycardia with QTc 533 on admission Initially on levofloxacin, stopped QTc normalized   Rheumatoid arthritis Immunosuppression due to drug therapy Patient on Humira weekly and methotrexate as needed as well as prednisone as needed (recently on 10 mg daily) Holding Humira, on dexamethasone as above, steroid taper then resuming home prednisone dosing following dexamethasone course   NIDDM2 with hyperglycemia On metformin at home; Hgb A1c of 6.9% Hyperglycemia in setting of steroids and COVID at times Continue SSI, adjust as needed   Essential hypertension On metoprolol at home, continue here with hold parameters at lower dose  Resume home dose on discharge Hyperlipidemia Continue pravastatin
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Diuretic therapy, Dyspnoea, Electrocardiogram QT prolonged, Electrocardiogram abnormal, Glycosylated haemoglobin normal
Clinical narrative: 62 y.o. adult anesthesiologist patient of DO with history of rheumatoid arthritis on Humira, gout, osteoporosis, GERD, avascular necrosis, NIDDM2, HTN who presented to Hospital with fever, chills, cough, found to have COVID.   Acute hypoxemic respiratory failure COVID-19 viral pneumonia Date of onset of symptoms: 8/28 Symptoms present on admission: cough, fevers, chills, dyspnea Date of COVID positive test: 9/2 Vaccination status: vaccinated (last booster in October 2022) Imaging: CTPA on admission with extensive ground-glass opacification throughout the lungs bilaterally, highly suggestive of COVID-19 pulmonary disease given the clinical history with more focal areas of airspace disease are present within the lung bases, suggesting atelectasis or consolidation, as well as small bilateral pleural effusions Oxygen requirements on admission: HHFNC max Current oxygen requirements: non-heated high flow at 5L Medical therapy: steroids for 10 days, diuresis for dry lung strategy, completed remdesivir; given dose of tocilizumab on 9/4 as well Urine antigens negative Consultants following: pulm, ID Anticipated special isolation end date: TBD pending clinical course, likely 20 day from symptom onset Much improved, likely home with home oxygen in next 24-48 hrs if stable on 3-4L   Severe sepsis, resolved In setting of COVID-19 Lactic up to 2.9 on admission, since resolved Blood cultures 9/2 at FSED with 1/2 positive for staph hominis and 1/2 positive for staph epidermidis, therefore are contaminants Repeat blood cultures without growth Treatment of COVID as above   Prolonged QTc, resolved EKG - sinus tachycardia with QTc 533 on admission Initially on levofloxacin, stopped QTc normalized   Rheumatoid arthritis Immunosuppression due to drug therapy Patient on Humira weekly and methotrexate as needed as well as prednisone as needed (recently on 10 mg daily) Holding Humira, on dexamethasone as above, steroid taper then resuming home prednisone dosing following dexamethasone course   NIDDM2 with hyperglycemia On metformin at home; Hgb A1c of 6.9% Hyperglycemia in setting of steroids and COVID at times Continue SSI, adjust as needed   Essential hypertension On metoprolol at home, continue here with hold parameters at lower dose  Resume home dose on discharge Hyperlipidemia Continue pravastatin
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hyperglycaemia, Lung consolidation, Lung disorder, Lung opacity, Pleural effusion
Clinical narrative: 62 y.o. adult anesthesiologist patient of DO with history of rheumatoid arthritis on Humira, gout, osteoporosis, GERD, avascular necrosis, NIDDM2, HTN who presented to Hospital with fever, chills, cough, found to have COVID.   Acute hypoxemic respiratory failure COVID-19 viral pneumonia Date of onset of symptoms: 8/28 Symptoms present on admission: cough, fevers, chills, dyspnea Date of COVID positive test: 9/2 Vaccination status: vaccinated (last booster in October 2022) Imaging: CTPA on admission with extensive ground-glass opacification throughout the lungs bilaterally, highly suggestive of COVID-19 pulmonary disease given the clinical history with more focal areas of airspace disease are present within the lung bases, suggesting atelectasis or consolidation, as well as small bilateral pleural effusions Oxygen requirements on admission: HHFNC max Current oxygen requirements: non-heated high flow at 5L Medical therapy: steroids for 10 days, diuresis for dry lung strategy, completed remdesivir; given dose of tocilizumab on 9/4 as well Urine antigens negative Consultants following: pulm, ID Anticipated special isolation end date: TBD pending clinical course, likely 20 day from symptom onset Much improved, likely home with home oxygen in next 24-48 hrs if stable on 3-4L   Severe sepsis, resolved In setting of COVID-19 Lactic up to 2.9 on admission, since resolved Blood cultures 9/2 at FSED with 1/2 positive for staph hominis and 1/2 positive for staph epidermidis, therefore are contaminants Repeat blood cultures without growth Treatment of COVID as above   Prolonged QTc, resolved EKG - sinus tachycardia with QTc 533 on admission Initially on levofloxacin, stopped QTc normalized   Rheumatoid arthritis Immunosuppression due to drug therapy Patient on Humira weekly and methotrexate as needed as well as prednisone as needed (recently on 10 mg daily) Holding Humira, on dexamethasone as above, steroid taper then resuming home prednisone dosing following dexamethasone course   NIDDM2 with hyperglycemia On metformin at home; Hgb A1c of 6.9% Hyperglycemia in setting of steroids and COVID at times Continue SSI, adjust as needed   Essential hypertension On metoprolol at home, continue here with hold parameters at lower dose  Resume home dose on discharge Hyperlipidemia Continue pravastatin
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pyrexia, SARS-CoV-2 test positive, Sepsis, Sinus tachycardia, Staphylococcus test positive
Clinical narrative: 62 y.o. adult anesthesiologist patient of DO with history of rheumatoid arthritis on Humira, gout, osteoporosis, GERD, avascular necrosis, NIDDM2, HTN who presented to Hospital with fever, chills, cough, found to have COVID.   Acute hypoxemic respiratory failure COVID-19 viral pneumonia Date of onset of symptoms: 8/28 Symptoms present on admission: cough, fevers, chills, dyspnea Date of COVID positive test: 9/2 Vaccination status: vaccinated (last booster in October 2022) Imaging: CTPA on admission with extensive ground-glass opacification throughout the lungs bilaterally, highly suggestive of COVID-19 pulmonary disease given the clinical history with more focal areas of airspace disease are present within the lung bases, suggesting atelectasis or consolidation, as well as small bilateral pleural effusions Oxygen requirements on admission: HHFNC max Current oxygen requirements: non-heated high flow at 5L Medical therapy: steroids for 10 days, diuresis for dry lung strategy, completed remdesivir; given dose of tocilizumab on 9/4 as well Urine antigens negative Consultants following: pulm, ID Anticipated special isolation end date: TBD pending clinical course, likely 20 day from symptom onset Much improved, likely home with home oxygen in next 24-48 hrs if stable on 3-4L   Severe sepsis, resolved In setting of COVID-19 Lactic up to 2.9 on admission, since resolved Blood cultures 9/2 at FSED with 1/2 positive for staph hominis and 1/2 positive for staph epidermidis, therefore are contaminants Repeat blood cultures without growth Treatment of COVID as above   Prolonged QTc, resolved EKG - sinus tachycardia with QTc 533 on admission Initially on levofloxacin, stopped QTc normalized   Rheumatoid arthritis Immunosuppression due to drug therapy Patient on Humira weekly and methotrexate as needed as well as prednisone as needed (recently on 10 mg daily) Holding Humira, on dexamethasone as above, steroid taper then resuming home prednisone dosing following dexamethasone course   NIDDM2 with hyperglycemia On metformin at home; Hgb A1c of 6.9% Hyperglycemia in setting of steroids and COVID at times Continue SSI, adjust as needed   Essential hypertension On metoprolol at home, continue here with hold parameters at lower dose  Resume home dose on discharge Hyperlipidemia Continue pravastatin
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Type 2 diabetes mellitus, Urine antigen test
Clinical narrative: 62 y.o. adult anesthesiologist patient of DO with history of rheumatoid arthritis on Humira, gout, osteoporosis, GERD, avascular necrosis, NIDDM2, HTN who presented to Hospital with fever, chills, cough, found to have COVID.   Acute hypoxemic respiratory failure COVID-19 viral pneumonia Date of onset of symptoms: 8/28 Symptoms present on admission: cough, fevers, chills, dyspnea Date of COVID positive test: 9/2 Vaccination status: vaccinated (last booster in October 2022) Imaging: CTPA on admission with extensive ground-glass opacification throughout the lungs bilaterally, highly suggestive of COVID-19 pulmonary disease given the clinical history with more focal areas of airspace disease are present within the lung bases, suggesting atelectasis or consolidation, as well as small bilateral pleural effusions Oxygen requirements on admission: HHFNC max Current oxygen requirements: non-heated high flow at 5L Medical therapy: steroids for 10 days, diuresis for dry lung strategy, completed remdesivir; given dose of tocilizumab on 9/4 as well Urine antigens negative Consultants following: pulm, ID Anticipated special isolation end date: TBD pending clinical course, likely 20 day from symptom onset Much improved, likely home with home oxygen in next 24-48 hrs if stable on 3-4L   Severe sepsis, resolved In setting of COVID-19 Lactic up to 2.9 on admission, since resolved Blood cultures 9/2 at FSED with 1/2 positive for staph hominis and 1/2 positive for staph epidermidis, therefore are contaminants Repeat blood cultures without growth Treatment of COVID as above   Prolonged QTc, resolved EKG - sinus tachycardia with QTc 533 on admission Initially on levofloxacin, stopped QTc normalized   Rheumatoid arthritis Immunosuppression due to drug therapy Patient on Humira weekly and methotrexate as needed as well as prednisone as needed (recently on 10 mg daily) Holding Humira, on dexamethasone as above, steroid taper then resuming home prednisone dosing following dexamethasone course   NIDDM2 with hyperglycemia On metformin at home; Hgb A1c of 6.9% Hyperglycemia in setting of steroids and COVID at times Continue SSI, adjust as needed   Essential hypertension On metoprolol at home, continue here with hold parameters at lower dose  Resume home dose on discharge Hyperlipidemia Continue pravastatin
Age: 44.0
Sex: M
Vaccine: FLUC4
Symptoms: Asthenia, Chills, Fatigue, Malaise, Myalgia
Clinical narrative: Fever, weakness, malaise, fatigue, muscle aches, chills.
Age: 44.0
Sex: M
Vaccine: FLUC4
Symptoms: Pyrexia
Clinical narrative: Fever, weakness, malaise, fatigue, muscle aches, chills.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: Diarrhea for 6 since vaccine, once or twice a day.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Asthenia, COVID-19, Chemotherapy, Cough
Clinical narrative: Patient is a 45 y.o. male with history of glioblastoma s/p craniotomy currently on chemotherapy and DVT/PE on Eliquis who presented to hospital 8/28/2023 for weakness, fever with Tmax of 101 at home, and cough found to be COVID positive. His hospital course was complicated by deconditioning with recommendations for IPR. Given progressive weakness which was occurring prior to admission, neuro oncology recommended repeat brain MRI which showed progression of disease. Radiation oncology was consulted, who did not recommend radiation. Neuro-oncology then recommended hospice as there are no chemotherapeutic options. He was initiated on a steroid taper followed by daily decadron. He was discharged to IPR on 9/6 and will determine if he would like to pursue hospice outpatient.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Disease progression, Magnetic resonance imaging head abnormal, Physical deconditioning, Pulmonary embolism
Clinical narrative: Patient is a 45 y.o. male with history of glioblastoma s/p craniotomy currently on chemotherapy and DVT/PE on Eliquis who presented to hospital 8/28/2023 for weakness, fever with Tmax of 101 at home, and cough found to be COVID positive. His hospital course was complicated by deconditioning with recommendations for IPR. Given progressive weakness which was occurring prior to admission, neuro oncology recommended repeat brain MRI which showed progression of disease. Radiation oncology was consulted, who did not recommend radiation. Neuro-oncology then recommended hospice as there are no chemotherapeutic options. He was initiated on a steroid taper followed by daily decadron. He was discharged to IPR on 9/6 and will determine if he would like to pursue hospice outpatient.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient is a 45 y.o. male with history of glioblastoma s/p craniotomy currently on chemotherapy and DVT/PE on Eliquis who presented to hospital 8/28/2023 for weakness, fever with Tmax of 101 at home, and cough found to be COVID positive. His hospital course was complicated by deconditioning with recommendations for IPR. Given progressive weakness which was occurring prior to admission, neuro oncology recommended repeat brain MRI which showed progression of disease. Radiation oncology was consulted, who did not recommend radiation. Neuro-oncology then recommended hospice as there are no chemotherapeutic options. He was initiated on a steroid taper followed by daily decadron. He was discharged to IPR on 9/6 and will determine if he would like to pursue hospice outpatient.
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Periorbital swelling, Pruritus, Urticaria
Clinical narrative: Swelling around eyes upon waking up at 1130. Itching with welts started around 1300 around elbows and on legs.
Age: 68.0
Sex: F
Vaccine: COVID19-2, FLU4, RSV
Symptoms: Electric shock sensation, Immediate post-injection reaction, Injected limb mobility decreased, Injection site pain, Joint range of motion decreased
Clinical narrative: One of 3 injections caused immediate deep shoulder pain, electrical sensation. By next morning, moderate to severe Pain in right shoulder capsule, anterior, significantly decreased range of motion. Pain has gotten worse in 6 days since injections.
Age: 68.0
Sex: F
Vaccine: COVID19-2, FLU4, RSV
Symptoms: Loss of personal independence in daily activities, Pain
Clinical narrative: One of 3 injections caused immediate deep shoulder pain, electrical sensation. By next morning, moderate to severe Pain in right shoulder capsule, anterior, significantly decreased range of motion. Pain has gotten worse in 6 days since injections.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Atrial flutter, Disease recurrence
Clinical narrative: 76 hours after Covid Booster Atrial Fib and flutter recurred. Given Iv bolus Diltiazem and oral metoprolol in ED . Rate rapidly reduced by 50% and flutter converted to fib  1 hour later which lasted 8 hours. Now back in Sinus rhythm.
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Peripheral swelling, Swelling
Clinical narrative: said he had lots of swelling/ redness. his arm was large. it happened gradually over a few days and then went to ER after it got a lot worse. was given steroid at hospital and recovered. has no symptoms now.
Age: 15.0
Sex: M
Vaccine: FLU4, HEPA
Symptoms: Hyperhidrosis, Loss of consciousness, Pallor, Seizure like phenomena
Clinical narrative: Within a few minutes of vaccination patient lost consciousness and had seizure like activity primarily on right side, lasted less than 1 minute.  Pallor, diaphoretic. Vital signs were stable.  Regained consciousness.  Sent to ER via EMS.
Age: 61.0
Sex: F
Vaccine: FLUR4
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site warmth
Clinical narrative: immediately after the injection-the pt states she experienced redness and warmth in the area
Age: 20.0
Sex: M
Vaccine: FLU4
Symptoms: Full blood count abnormal, Hyponatraemia, Lymphocytosis, Metabolic function test abnormal, Microcytic anaemia
Clinical narrative: full body rash on upper and lower extremities
Age: 20.0
Sex: M
Vaccine: FLU4
Symptoms: Rash
Clinical narrative: full body rash on upper and lower extremities
Age: 66.0
Sex: F
Vaccine: RSV
Symptoms: Fatigue, Vertigo
Clinical narrative: The next day after administration of vaccine -extreme fatigue. The next night (9/29) around 10 pm -severe violent vertigo positional to rolling over in bed on right side. No events during standing or sitting. Each event lasted about 30 seconds or less but extreme. Continued to 9/30 mid morning.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Vitiligo
Clinical narrative: Existing mild case of vitiligo which I had for decades with no change (only a few small patches of depigmented skin-verified by a doctor), became widespread on my entire body. Got progressively worse over the past 2 1/2 years.  I have had  a total of 7 covid shots including initial shot on 3/15/2021.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chest pain, Chronic obstructive pulmonary disease
Clinical narrative: Patient is a 67 years old female patient with history of COPD not on baseline oxygen, steroid induced diabetes mellitus, hypertension, anxiety and depression presented to Hospital with shortness of breath and chest pain  Admitted with Respiratory failure with hypoxia ,Covid-19 pneumonia  AECOPD due COVID-19. Patient responded to remdesivir, Decadron and oxygen supplementation.  However was unable to wean off supplemental oxygen hence was discharged home with oxygen. With plans to follow-up with PCP within a week to attempt to wean off supplemental oxygen.       Discharge Diagnoses: Acute hypoxic respiratory failure Pneumonia due to COVID. Acute COPD exacerbation
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspnoea, Weaning failure
Clinical narrative: Patient is a 67 years old female patient with history of COPD not on baseline oxygen, steroid induced diabetes mellitus, hypertension, anxiety and depression presented to Hospital with shortness of breath and chest pain  Admitted with Respiratory failure with hypoxia ,Covid-19 pneumonia  AECOPD due COVID-19. Patient responded to remdesivir, Decadron and oxygen supplementation.  However was unable to wean off supplemental oxygen hence was discharged home with oxygen. With plans to follow-up with PCP within a week to attempt to wean off supplemental oxygen.       Discharge Diagnoses: Acute hypoxic respiratory failure Pneumonia due to COVID. Acute COPD exacerbation
Age: 6.0
Sex: M
Vaccine: FLUR4
Symptoms: Pain in extremity
Clinical narrative: patient is experiencing arm soreness
Age: 55.0
Sex: F
Vaccine: HEP
Symptoms: Extra dose administered, No adverse event, Wrong product administered
Clinical narrative: Patient received Heplisav for 3rd dose instead of Engerix. No ADR's after 30 minutes of observation after administration.
Age: 18.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Dizziness, Pallor
Clinical narrative: After administration of both vaccines patient felt dizzy and lightheaded. Patient looked a little pale and had to remain in her seat until she felt better. She remained consciousness the entire time.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Atrial fibrillation, Cardiac disorder, Cardiac flutter, Cardioversion
Clinical narrative: Since the second dose I have had multiple cardiac/ respiratory issues. The respiratory issues seemed to have faded over the last few years however the cardiac issues are getting worse. I have had multiple stents of tachycardia after eating or just sitting down watching tv. I have also had multiple arrhythmia issues where my heart will flutter/ skip beats. They started of slowly and have progressively got worse. Around February of this year. 2023 I went into Afib with RVR. My heart rate got up to 300bpm and was cardioverted. At the time all of my labs were normal with no signs of cardiac issues. I proceeded to see a cardiologist and wore a heart monitor for two weeks as well as getting and echo. According to the cardiologist there are no signs of heart issues except some like arrhythmias ?that he claims is normal? and an EF rate of 53, to which seems low for a 32 year old. I now have an appointment set up with a cardiac electrophysiologist on oct 6th because the symptoms are getting worse. Any time I walk, eat, my heart rate jumps as high as 170 and starts to skip beats. And all of these issues happened after the second dose of the covid vaccine. No health issues prior.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram normal, Ejection fraction normal, Electrocardiogram ambulatory normal, Extrasystoles, Heart rate increased
Clinical narrative: Since the second dose I have had multiple cardiac/ respiratory issues. The respiratory issues seemed to have faded over the last few years however the cardiac issues are getting worse. I have had multiple stents of tachycardia after eating or just sitting down watching tv. I have also had multiple arrhythmia issues where my heart will flutter/ skip beats. They started of slowly and have progressively got worse. Around February of this year. 2023 I went into Afib with RVR. My heart rate got up to 300bpm and was cardioverted. At the time all of my labs were normal with no signs of cardiac issues. I proceeded to see a cardiologist and wore a heart monitor for two weeks as well as getting and echo. According to the cardiologist there are no signs of heart issues except some like arrhythmias ?that he claims is normal? and an EF rate of 53, to which seems low for a 32 year old. I now have an appointment set up with a cardiac electrophysiologist on oct 6th because the symptoms are getting worse. Any time I walk, eat, my heart rate jumps as high as 170 and starts to skip beats. And all of these issues happened after the second dose of the covid vaccine. No health issues prior.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test normal, Respiratory disorder, Tachycardia
Clinical narrative: Since the second dose I have had multiple cardiac/ respiratory issues. The respiratory issues seemed to have faded over the last few years however the cardiac issues are getting worse. I have had multiple stents of tachycardia after eating or just sitting down watching tv. I have also had multiple arrhythmia issues where my heart will flutter/ skip beats. They started of slowly and have progressively got worse. Around February of this year. 2023 I went into Afib with RVR. My heart rate got up to 300bpm and was cardioverted. At the time all of my labs were normal with no signs of cardiac issues. I proceeded to see a cardiologist and wore a heart monitor for two weeks as well as getting and echo. According to the cardiologist there are no signs of heart issues except some like arrhythmias ?that he claims is normal? and an EF rate of 53, to which seems low for a 32 year old. I now have an appointment set up with a cardiac electrophysiologist on oct 6th because the symptoms are getting worse. Any time I walk, eat, my heart rate jumps as high as 170 and starts to skip beats. And all of these issues happened after the second dose of the covid vaccine. No health issues prior.
Age: 36.0
Sex: U
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Headache, Insomnia, Myalgia
Clinical narrative: Fever bad muscle pain day 2. Insomnia weakness headache day 4 chest pain omiting day 6
Age: 36.0
Sex: U
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Fever bad muscle pain day 2. Insomnia weakness headache day 4 chest pain omiting day 6
Age: 26.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Erythema, Pain, Pain in extremity, Sensory disturbance
Clinical narrative: redness, feels like a marble under the skin, shooting pain into shoulder, sore arm (like a bruise not when moving arm)
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Red dense rash near site if injection was noted this morning within 24 hours of vaccine.  I also received the RSV vaccine at the same time in the same arm.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Wrong product administered
Clinical narrative: incorrectly gave patient two vaccinations of Spikevax, rather than one and a flu vaccine.
Age: 73.0
Sex: M
Vaccine: UNK
Symptoms: Erythema, Pruritus
Clinical narrative: Patient developed redness and itching on both arms and legs starting on 9/30/23 after receiving the vaccine on 9/27/23.