chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Gait disturbance, Loss of personal independence in daily activities, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Hospitalized (9.30.21);  COVID-19 positive (9.30.21);  fully vaccinated  Discharge Provider: DO Primary Care Provider at Discharge: MD  Admission Date: 9/30/2021 Discharge Date: 10/02/2021 PRESENTING PROBLEM: Weakness [R53.1] Generalized weakness [R53.1] COVID-19 [U07.1]   HOSPITAL COURSE:   Patient is a 76 year old male with history of NICM, SSS s/p PPM, A-Fib/Flutter s/p Watchman, prior DVT, HTN, HLD, T2DM with chronic neuropathy, alcohol use with hepatic steatosis, pancreatic insufficiency, COPD, OSA, depression and RLS who presented to the ER with generalized weakness. Patient reported normally performing ADLs with occasional assistance from family, however lately had been so weak he had difficulty standing and ambulating. He denied subjective fevers/chills, however noted to have fever by EMS. In the ER, he was febrile, not hypoxic, and tested positive for COVID 19. CXR was negative for infiltrate. He was admitted under observation for further monitoring.    Patient qualified for monoclonal antibody infusion which was given. He did not qualify for Remdesivir or Decadron with negative CXR and no hypoxia. Patient worked with PT/OT who did not identify any needs for him at home. The following day, patient felt much better. He denied shortness of breath, fever. He continued to have fatigue, but overall improved. He was ambulated multiple times by PT and found to not be hypoxic/needing home O2. He was discharged to home in improving condition on 10/3/21.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Paraesthesia oral, Throat tightness
Clinical narrative: 0838 Patient received vaccine Pfizer 3rd dose in right arm. Patient waited observation time for 15 minutes, and at approx. 17 mins past, 0901 patient complained throat was abnormally tight, cough was present, and tongue was slightly tingling  . Denied itchiness, complained that a abnormal feeling of tightness was accompanied the vaccine. At approx 0903 Benadryl 50mg was given PO. RN stat notified, and patient was wheelchaired over to urgent care for further evaluation.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Headache, Injection site inflammation, Injection site swelling, Injection site warmth
Clinical narrative: Arm was still inflamed, swollen and hot at the injection site on 10/4/2021. Fever has been ongoing on and off since 10/2/2021. Injected with higher dose ibuprofen and sent home on 10/4/2021. Pain in arm, hands, feet, head and back. Weakness in hands and legs. Taking OTC ibuprofen since 10/5/2021 with no pain relief.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Pain in extremity, Pyrexia
Clinical narrative: Arm was still inflamed, swollen and hot at the injection site on 10/4/2021. Fever has been ongoing on and off since 10/2/2021. Injected with higher dose ibuprofen and sent home on 10/4/2021. Pain in arm, hands, feet, head and back. Weakness in hands and legs. Taking OTC ibuprofen since 10/5/2021 with no pain relief.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Myalgia, Pyrexia, Skin reaction
Clinical narrative: Delayed hypersensitivity skin reaction - began 3 days after vaccination, resolved 6 days after vaccination. Associated with hot, red rash at vaccination site that spread around the deltoid region. Treated with Benadryl and doxycycline as a precaution against cellulitis, as the rash resembled cellulitis. Fever - began ~10 hours after vaccination, continued until the AM 3 days after vaccination. Greatest temperature ~39C. Treated with Tylenol. Resolved on the third day without Tylenol use. Associated with chills, muscle aches, and anorexia.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site rash, Vaccination site reaction, Vaccination site warmth
Clinical narrative: Delayed hypersensitivity skin reaction - began 3 days after vaccination, resolved 6 days after vaccination. Associated with hot, red rash at vaccination site that spread around the deltoid region. Treated with Benadryl and doxycycline as a precaution against cellulitis, as the rash resembled cellulitis. Fever - began ~10 hours after vaccination, continued until the AM 3 days after vaccination. Greatest temperature ~39C. Treated with Tylenol. Resolved on the third day without Tylenol use. Associated with chills, muscle aches, and anorexia.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Vaginal haemorrhage
Clinical narrative: On the way home she started feeling funny. Very tired, vagainal bleeding like a menstral cycle but very heavy.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Foetal renal impairment, Magnetic resonance imaging, Ultrasound scan, Uterine dilation and evacuation
Clinical narrative: Bilateral renal agenesis of fetus detected at routine 20-week anatomy scan on 8/27/2021. Determined to be fatal for fetus. No treatment available. Dilation began using laminaria on 9/7/21, followed by D&E on 9/8/21.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Cardiac ablation, Cardiac monitoring abnormal, Cardiac pacemaker insertion, Eye contusion
Clinical narrative: About 3:00 AM on 02/27/21 I got up to go to the bathroom and I got about halfway to the bathroom and the next thing I couldn't see the floor. I woke up a little bit later and I had broken my nose, cut my lip, blackened my eyes, and we called an ambulance and they got me over to the hospital to the ER and they were trying to send me home because they were saying they didn't have hospital beds but they did have me on a monitor and they noticed I had a 9 second stop in my heart rhythm and that negated them sending me home. Later, on Monday morning around 8 AM I had a pacemaker put in and a month and a half ago they had an ablation of my heart and right now I seem to be pretty functional. I was hospitalized shortly after the second dose and had an outpatient ablation done. I've had no prior issues or family history of heart related illnesses.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Facial bones fracture, Fall, Lip injury, Visual impairment
Clinical narrative: About 3:00 AM on 02/27/21 I got up to go to the bathroom and I got about halfway to the bathroom and the next thing I couldn't see the floor. I woke up a little bit later and I had broken my nose, cut my lip, blackened my eyes, and we called an ambulance and they got me over to the hospital to the ER and they were trying to send me home because they were saying they didn't have hospital beds but they did have me on a monitor and they noticed I had a 9 second stop in my heart rhythm and that negated them sending me home. Later, on Monday morning around 8 AM I had a pacemaker put in and a month and a half ago they had an ablation of my heart and right now I seem to be pretty functional. I was hospitalized shortly after the second dose and had an outpatient ablation done. I've had no prior issues or family history of heart related illnesses.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Fatigue, Headache, Wheezing
Clinical narrative: tightness in chest-very difficult to breath- very bad wheezing in chest-extreme tiredness-extreme headache
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bacterial infection, Cough, Diarrhoea, Fatigue
Clinical narrative: Became very tired evening of 2 October, on 3-4 October had low grade fever 101, severe body/joint aches, migraine and fatigue, 5 October moderate migraine, normal temperature, started getting congested, coughing/wheezing and sneezing. On 6 October had sever runny nose, nausea from drainage going into stomach, diarrhea, fatigue, bad headache, 101 temperature and followed up with Physician. They thought it was sinus infection or bacterial infection and told me to use OTC meds and put me on Azithromycin 250mg.  On 7 October mild headache, tired, mild cough and very nauseous. Feeling a little bit better.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Migraine, Nausea, Pain, Pyrexia
Clinical narrative: Became very tired evening of 2 October, on 3-4 October had low grade fever 101, severe body/joint aches, migraine and fatigue, 5 October moderate migraine, normal temperature, started getting congested, coughing/wheezing and sneezing. On 6 October had sever runny nose, nausea from drainage going into stomach, diarrhea, fatigue, bad headache, 101 temperature and followed up with Physician. They thought it was sinus infection or bacterial infection and told me to use OTC meds and put me on Azithromycin 250mg.  On 7 October mild headache, tired, mild cough and very nauseous. Feeling a little bit better.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea, Sinus operation, Sinusitis, Sneezing
Clinical narrative: Became very tired evening of 2 October, on 3-4 October had low grade fever 101, severe body/joint aches, migraine and fatigue, 5 October moderate migraine, normal temperature, started getting congested, coughing/wheezing and sneezing. On 6 October had sever runny nose, nausea from drainage going into stomach, diarrhea, fatigue, bad headache, 101 temperature and followed up with Physician. They thought it was sinus infection or bacterial infection and told me to use OTC meds and put me on Azithromycin 250mg.  On 7 October mild headache, tired, mild cough and very nauseous. Feeling a little bit better.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: Became very tired evening of 2 October, on 3-4 October had low grade fever 101, severe body/joint aches, migraine and fatigue, 5 October moderate migraine, normal temperature, started getting congested, coughing/wheezing and sneezing. On 6 October had sever runny nose, nausea from drainage going into stomach, diarrhea, fatigue, bad headache, 101 temperature and followed up with Physician. They thought it was sinus infection or bacterial infection and told me to use OTC meds and put me on Azithromycin 250mg.  On 7 October mild headache, tired, mild cough and very nauseous. Feeling a little bit better.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Electrocardiogram, Inflammation, Laboratory test
Clinical narrative: On 10/4/21 in the afternoon patient reported sharp pains when breathing and tightness/heaviness/burning in upper left chest area. On 10/5/21 patient went to urgent care where they informed him reaction may due to vaccine. Patient prescribed prednisone 20mg twice daily for 5 days and instructed to go to emergency room if symptoms worsened. That night patient checked into emergency room due to severe pain. Labs, X-ray and EKG performed. Patient discharged with acute chest pain and inflammation in the chest (or chest wall? patient unsure) and asked to follow-up with primary doctor.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Painful respiration, X-ray
Clinical narrative: On 10/4/21 in the afternoon patient reported sharp pains when breathing and tightness/heaviness/burning in upper left chest area. On 10/5/21 patient went to urgent care where they informed him reaction may due to vaccine. Patient prescribed prednisone 20mg twice daily for 5 days and instructed to go to emergency room if symptoms worsened. That night patient checked into emergency room due to severe pain. Labs, X-ray and EKG performed. Patient discharged with acute chest pain and inflammation in the chest (or chest wall? patient unsure) and asked to follow-up with primary doctor.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bladder spasm, Condition aggravated, Constipation, Electrocardiogram ambulatory, Gastrointestinal pain
Clinical narrative: Began having Frequent UTI?s and a constant bladder spasm yet to be relieved by various medication trials along with vaginal pain and discomfort as well as bowel pain; constipation; and difficult passing bowels ?- it has been 7months and have seen various health providers to assist in looking into the matter (urology, colorectal)   Have had ultrasounds, xrays, ruled out kidney stones, have tried 3 trials of medications to assist with symptoms in addition to 4 rounds of antibiotics (1 the first infection) and (3 for the last infection); relieves UTI but not the symptoms. Am now scheduled for additional colorectal consult and colonoscopy.   Have had increased heart rate and low blood pressure - now am wearing an EKG holter to further monitor and determine appropriate course to assist with symptoms.  Migraines have returned.   It does not appear I am having a relapse of MS due to no enhanced or new lesions, but these issues can be a natural course  of MS and related to nerve issues;   while I had POTS already from a previous massive bilateral pulmonary embolism ? it is not clear if these heart related/blood pressure related symptoms are increasing for any other reason, or just the natural course   I do not and did not automatically assume these issues were related to the vaccine, and no one has told me it was or mentioned this beyond asking if I have had it (everyone asks automatically to enter a dr?s office). I was asked by CDC to fill out this report based on my report on the text sent to me if I had recent medical issues which I said ?yes? but I did NOT answer ?yes? to beLieving it was related to vaccine.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heart rate increased, Hypotension, Migraine, Ultrasound scan, Urinary tract infection
Clinical narrative: Began having Frequent UTI?s and a constant bladder spasm yet to be relieved by various medication trials along with vaginal pain and discomfort as well as bowel pain; constipation; and difficult passing bowels ?- it has been 7months and have seen various health providers to assist in looking into the matter (urology, colorectal)   Have had ultrasounds, xrays, ruled out kidney stones, have tried 3 trials of medications to assist with symptoms in addition to 4 rounds of antibiotics (1 the first infection) and (3 for the last infection); relieves UTI but not the symptoms. Am now scheduled for additional colorectal consult and colonoscopy.   Have had increased heart rate and low blood pressure - now am wearing an EKG holter to further monitor and determine appropriate course to assist with symptoms.  Migraines have returned.   It does not appear I am having a relapse of MS due to no enhanced or new lesions, but these issues can be a natural course  of MS and related to nerve issues;   while I had POTS already from a previous massive bilateral pulmonary embolism ? it is not clear if these heart related/blood pressure related symptoms are increasing for any other reason, or just the natural course   I do not and did not automatically assume these issues were related to the vaccine, and no one has told me it was or mentioned this beyond asking if I have had it (everyone asks automatically to enter a dr?s office). I was asked by CDC to fill out this report based on my report on the text sent to me if I had recent medical issues which I said ?yes? but I did NOT answer ?yes? to beLieving it was related to vaccine.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vulvovaginal discomfort, Vulvovaginal pain, X-ray
Clinical narrative: Began having Frequent UTI?s and a constant bladder spasm yet to be relieved by various medication trials along with vaginal pain and discomfort as well as bowel pain; constipation; and difficult passing bowels ?- it has been 7months and have seen various health providers to assist in looking into the matter (urology, colorectal)   Have had ultrasounds, xrays, ruled out kidney stones, have tried 3 trials of medications to assist with symptoms in addition to 4 rounds of antibiotics (1 the first infection) and (3 for the last infection); relieves UTI but not the symptoms. Am now scheduled for additional colorectal consult and colonoscopy.   Have had increased heart rate and low blood pressure - now am wearing an EKG holter to further monitor and determine appropriate course to assist with symptoms.  Migraines have returned.   It does not appear I am having a relapse of MS due to no enhanced or new lesions, but these issues can be a natural course  of MS and related to nerve issues;   while I had POTS already from a previous massive bilateral pulmonary embolism ? it is not clear if these heart related/blood pressure related symptoms are increasing for any other reason, or just the natural course   I do not and did not automatically assume these issues were related to the vaccine, and no one has told me it was or mentioned this beyond asking if I have had it (everyone asks automatically to enter a dr?s office). I was asked by CDC to fill out this report based on my report on the text sent to me if I had recent medical issues which I said ?yes? but I did NOT answer ?yes? to beLieving it was related to vaccine.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient admitted to hospital with COVID. Patient is fully vaccinated.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient may have potentially received an expired dose of vaccine after the 6 hours after being reconstituted.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: vaccinator gave employee pfizer instead of moderna for 2nd vaccine. Employee was monitored and no adverse reactios noted.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Patient reports left-sided numbness/tingling starting approximately 2-3 months ago from today (10/07/2021). He has since went to several doctors to find a cause for these symptoms but has yet to find a cause/treatment, leading him to believe this is from the vaccine. Patient reports that he feels the numbness/tingling all the time, though his symptoms differ in severity depending on the day. He reports that he sometimes feels the tingling in his chest, but this symptom was not present during the encounter. His symptoms are localized to the left side, with mainly his face,  lower arm, and thigh being affected. Patient denied any trouble walking due to these side effects.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Heavy menstrual bleeding, Menstruation irregular, Thrombosis
Clinical narrative: Patient reports that the next day after the PFIZER vaccine, she starts her period for 5 days and it was not supposed to have it by that time. Bleeding stops and comes back for 7 days again for additional 5 days. Stops for another 7 days and comes back for 5 more days. Patient reports that the bleeding was so profuse that she noticed it the entire area where she was sitting bled. Patient reports bleeding still, and the blood is very dark with solid clots. Patient reports heat sensation at night which is not usual. Patient communicates with her gynecologist/OBG who tells her to go to the hospital. Patient refers that she does not want to visit the hospital since she does not present any additional symptoms to bleeding. The patient is recommended to visit her specialist.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Nausea
Clinical narrative: After receiving the vaccine on the first evening I got very tired and felt like I needed to lay down. I was dizzy, nauseas, and had a headache. That lasted for 7 days.  I also had received the first dose of the Shingrix vaccine on July 6, 2021. After receiving that vaccine I had a fever, headache, body aches, itching in both of my forearms, swelling under my right arm, and my lypmh nodes were swelling under my right arm as well. I had received the Shingrix shot in my right arm.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine, COVID-19, Cough, Dyspnoea exertional, Hypophagia
Clinical narrative: Recently diagnosed (5 days prior to admission) but now presented feeling worse with dyspnea on exertion, cough and fever and now with oxygen requirement as welll, believes he got sick at work (no specific sick contact however). Patient vaccinated x2 against covid (Pfizer). He was scheduled to receive MAb however due to sickness was held off and rechecked spike protein Ab 8/30 and positive.On admission started Remdesivir on admission 8/29 (5 day course- 200 mg x 1, 100 mg x 4). Discussed with ID given renal function but felt benefit outweighs risk given symptoms. Dexamethasone was added 8/30. Pt had poor po intake so received 1l of LR 8/31 with some improvement of his Cr. Also started Albuterol inhaler ATC.  Due to slow improvement and persistent 02 requirement discussion had with ID and Pulm started on Baricitibib (9/1).
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Recently diagnosed (5 days prior to admission) but now presented feeling worse with dyspnea on exertion, cough and fever and now with oxygen requirement as welll, believes he got sick at work (no specific sick contact however). Patient vaccinated x2 against covid (Pfizer). He was scheduled to receive MAb however due to sickness was held off and rechecked spike protein Ab 8/30 and positive.On admission started Remdesivir on admission 8/29 (5 day course- 200 mg x 1, 100 mg x 4). Discussed with ID given renal function but felt benefit outweighs risk given symptoms. Dexamethasone was added 8/30. Pt had poor po intake so received 1l of LR 8/31 with some improvement of his Cr. Also started Albuterol inhaler ATC.  Due to slow improvement and persistent 02 requirement discussion had with ID and Pulm started on Baricitibib (9/1).
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypertension
Clinical narrative: Dizziness, High Blood Pressure
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Hepatitis, Jaundice
Clinical narrative: Hepatitis, jaundice over 2 weeks
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Swelling
Clinical narrative: Dose received on 9/28/21. On 9/30/21, patient reported a "golf ball size" swelling and redness. On 10/1/21, patient reported swelling resolved, but redness had increased to the size of a "silver dollar." Patient took Tylenol and Benadryl. Patient was instructed to mark redness with a pen/marker and monitor for changes in size (increase or decrease). Patient reported redness resolved.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: vaccinator gave employee pfizer 3rd dose/booster when employee previously had completed dose of moderna.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given one dose of Janssen COVID 19 vaccine on 10/5/2021 that had expired on 10/02/2021
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: NONE
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood thyroid stimulating hormone, Fatigue, Feeling abnormal, Full blood count, Metabolic function test
Clinical narrative: One week after second dose: intense fatigue and mental fog, leg weakness, generalized muscle pain and weakness, mood alteration (intermittent and recurrent) Then 3 months after 2nd dose severe photodermatosis and  hyperparesthesia with sensation of burning skin, unable to stand sunlight without immediate development of painful rash, tiredness,
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mood altered, Muscular weakness, Myalgia, Paraesthesia, Photodermatosis
Clinical narrative: One week after second dose: intense fatigue and mental fog, leg weakness, generalized muscle pain and weakness, mood alteration (intermittent and recurrent) Then 3 months after 2nd dose severe photodermatosis and  hyperparesthesia with sensation of burning skin, unable to stand sunlight without immediate development of painful rash, tiredness,
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Skin burning sensation
Clinical narrative: One week after second dose: intense fatigue and mental fog, leg weakness, generalized muscle pain and weakness, mood alteration (intermittent and recurrent) Then 3 months after 2nd dose severe photodermatosis and  hyperparesthesia with sensation of burning skin, unable to stand sunlight without immediate development of painful rash, tiredness,
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient may have potentially received an expired dose of vaccine after the 6 hours after being reconstituted.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Feeling cold, Feeling hot
Clinical narrative: Female patient without chronic conditions. Does not use medication. Within 10 minutes  of MODERNA vaccination refers to paramedic feels dizzy. He proceeds to take the patient to the area of the stretcher where she says that she has a heater in her body. Vital signs were taken, BP 140/70m, 99 SAT, temp 36.0, dextrose 110. She was kept under observation and at 30 minutes she indicated that she had chills and proceeded to call 911 so the patient was transferred to the hospital.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fall, Nucleic acid test, SARS-CoV-2 test positive
Clinical narrative: tested positive routinely when presented to hospital after a fall
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Neurological symptom
Clinical narrative: Feelings of numbness to the right side of my body.   Feelings of Bells Palsy.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given one dose of Janssen COVID 19 vaccine on 10/5/2021 that had expired on 10/02/2021
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Delivery, Heavy menstrual bleeding
Clinical narrative: Currently breastfeeding and had first period after vaginal delivery being heavier than usual, prior to vaccine the period lasted 1 day heavy, this time is going on for 3 days of heavy bleeding non-stop.  Haven?t visited doctor yet.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Neutrophil count decreased, White blood cell count decreased
Clinical narrative: S&S: reduced white blood cell count, low neutrophils, increased fatigue, short on air. WBC have recovered. Increased Fatigue continues and fluctuates day to day without any correlation.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood culture negative, COVID-19, Chest X-ray abnormal, Chest pain
Clinical narrative: Hospitalized (9.29.21);  COVID-19 positive (10.2.21);  fully vaccinated  Discharge Provider: DO Primary Care Provider: MD Admission Date: 9/29/2021 Discharge Date: Oct 3, 2021 HOSPITAL COURSE 84-year-old gentleman presented with one week of weakness, nausea, feeling like he could not breathe.  Fever over 100°.  Some chest pain that would come and go.  See H&P for full details.  EMS was called and he was found to be hypoxic on room air in the low 80s and in respiratory distress (is supposed to be on 2 L oxygen at home.)  Chest x-ray showed bilateral airspace disease.  COVID testing positive.  Admitted for treatment.  Received five days Remdesivir in five days Decadron.  Symptoms markedly improved.  One day before discharge she had increased lower extremity edema and received one dose Lasix 40 mg IV.  By the day of discharge he felt well enough to return home.  Lower extremity edema significantly improved.  He will complete another five days of Decadron (which will be 10 days total.)  He is on his home oxygen at discharge.  The patient had some hyperglycemia due to steroids which was treated appropriately with insulin.  The rest of the patient's chronic medical issues were stable while here.  PROCEDURES   9/29 BC x1:  Staph epi 9/29 BC x1:  Negative 9/29 CXR:  Bilateral airspace disease Exam at discharge 36.3, 60, 20, 156/73, 93% 3 L Heart regular rate and rhythm Lungs clear to auscultation Abdomen nondistended nontender Extremities trace edema DISCHARGE RECOMMENDATIONS 1. Follow up with PCP in one week 2. Complete five additional days Decadron 3. Diabetic diet 4. Activity as tolerated Patient discharged home in improved and stable condition.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Diabetic diet, Diarrhoea, Dyspnoea, Hypoxia, Lung disorder
Clinical narrative: Hospitalized (9.29.21);  COVID-19 positive (10.2.21);  fully vaccinated  Discharge Provider: DO Primary Care Provider: MD Admission Date: 9/29/2021 Discharge Date: Oct 3, 2021 HOSPITAL COURSE 84-year-old gentleman presented with one week of weakness, nausea, feeling like he could not breathe.  Fever over 100°.  Some chest pain that would come and go.  See H&P for full details.  EMS was called and he was found to be hypoxic on room air in the low 80s and in respiratory distress (is supposed to be on 2 L oxygen at home.)  Chest x-ray showed bilateral airspace disease.  COVID testing positive.  Admitted for treatment.  Received five days Remdesivir in five days Decadron.  Symptoms markedly improved.  One day before discharge she had increased lower extremity edema and received one dose Lasix 40 mg IV.  By the day of discharge he felt well enough to return home.  Lower extremity edema significantly improved.  He will complete another five days of Decadron (which will be 10 days total.)  He is on his home oxygen at discharge.  The patient had some hyperglycemia due to steroids which was treated appropriately with insulin.  The rest of the patient's chronic medical issues were stable while here.  PROCEDURES   9/29 BC x1:  Staph epi 9/29 BC x1:  Negative 9/29 CXR:  Bilateral airspace disease Exam at discharge 36.3, 60, 20, 156/73, 93% 3 L Heart regular rate and rhythm Lungs clear to auscultation Abdomen nondistended nontender Extremities trace edema DISCHARGE RECOMMENDATIONS 1. Follow up with PCP in one week 2. Complete five additional days Decadron 3. Diabetic diet 4. Activity as tolerated Patient discharged home in improved and stable condition.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nausea, Oedema peripheral, Oxygen saturation decreased, Pyrexia, Respiratory distress
Clinical narrative: Hospitalized (9.29.21);  COVID-19 positive (10.2.21);  fully vaccinated  Discharge Provider: DO Primary Care Provider: MD Admission Date: 9/29/2021 Discharge Date: Oct 3, 2021 HOSPITAL COURSE 84-year-old gentleman presented with one week of weakness, nausea, feeling like he could not breathe.  Fever over 100°.  Some chest pain that would come and go.  See H&P for full details.  EMS was called and he was found to be hypoxic on room air in the low 80s and in respiratory distress (is supposed to be on 2 L oxygen at home.)  Chest x-ray showed bilateral airspace disease.  COVID testing positive.  Admitted for treatment.  Received five days Remdesivir in five days Decadron.  Symptoms markedly improved.  One day before discharge she had increased lower extremity edema and received one dose Lasix 40 mg IV.  By the day of discharge he felt well enough to return home.  Lower extremity edema significantly improved.  He will complete another five days of Decadron (which will be 10 days total.)  He is on his home oxygen at discharge.  The patient had some hyperglycemia due to steroids which was treated appropriately with insulin.  The rest of the patient's chronic medical issues were stable while here.  PROCEDURES   9/29 BC x1:  Staph epi 9/29 BC x1:  Negative 9/29 CXR:  Bilateral airspace disease Exam at discharge 36.3, 60, 20, 156/73, 93% 3 L Heart regular rate and rhythm Lungs clear to auscultation Abdomen nondistended nontender Extremities trace edema DISCHARGE RECOMMENDATIONS 1. Follow up with PCP in one week 2. Complete five additional days Decadron 3. Diabetic diet 4. Activity as tolerated Patient discharged home in improved and stable condition.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Staphylococcus test positive
Clinical narrative: Hospitalized (9.29.21);  COVID-19 positive (10.2.21);  fully vaccinated  Discharge Provider: DO Primary Care Provider: MD Admission Date: 9/29/2021 Discharge Date: Oct 3, 2021 HOSPITAL COURSE 84-year-old gentleman presented with one week of weakness, nausea, feeling like he could not breathe.  Fever over 100°.  Some chest pain that would come and go.  See H&P for full details.  EMS was called and he was found to be hypoxic on room air in the low 80s and in respiratory distress (is supposed to be on 2 L oxygen at home.)  Chest x-ray showed bilateral airspace disease.  COVID testing positive.  Admitted for treatment.  Received five days Remdesivir in five days Decadron.  Symptoms markedly improved.  One day before discharge she had increased lower extremity edema and received one dose Lasix 40 mg IV.  By the day of discharge he felt well enough to return home.  Lower extremity edema significantly improved.  He will complete another five days of Decadron (which will be 10 days total.)  He is on his home oxygen at discharge.  The patient had some hyperglycemia due to steroids which was treated appropriately with insulin.  The rest of the patient's chronic medical issues were stable while here.  PROCEDURES   9/29 BC x1:  Staph epi 9/29 BC x1:  Negative 9/29 CXR:  Bilateral airspace disease Exam at discharge 36.3, 60, 20, 156/73, 93% 3 L Heart regular rate and rhythm Lungs clear to auscultation Abdomen nondistended nontender Extremities trace edema DISCHARGE RECOMMENDATIONS 1. Follow up with PCP in one week 2. Complete five additional days Decadron 3. Diabetic diet 4. Activity as tolerated Patient discharged home in improved and stable condition.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Headache, Pain, Pyrexia
Clinical narrative: Headache mild fever body ache
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pruritus, Eye swelling, Hypersensitivity, Pruritus, Rash
Clinical narrative: Allergic reaction.  Itchy eye lids, swollen eyes, itchy scalp.  Rash on opposite arm, inside right elbow lasting at least a week.  Hive-like rash on same side (left) hip lasting two weeks.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Allergic reaction.  Itchy eye lids, swollen eyes, itchy scalp.  Rash on opposite arm, inside right elbow lasting at least a week.  Hive-like rash on same side (left) hip lasting two weeks.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood test, Pancreatitis acute, Scan with contrast, Sleep disorder
Clinical narrative: A couple days later, I started feeling stomach pain. It went away. 6 days after the initial shot, I woke up in excruciating pain. I went to the ER. They performed all kinds of tests while at the ER. I was diagnosed acute pancreatitis. I should still be at the hospital, but we had a death in the family so I came home. I was in the hospital for 2 days.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Diarrhoea, Fatigue, Headache
Clinical narrative: fever, nausea, tiredness, headache, chills, diarrhea, loss of appetite, stiff and sore I felt like this for 2-3 days, but  didn't  feel better until day 5.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Nausea, Pain, Pyrexia
Clinical narrative: fever, nausea, tiredness, headache, chills, diarrhea, loss of appetite, stiff and sore I felt like this for 2-3 days, but  didn't  feel better until day 5.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Headache, Pain
Clinical narrative: Fatigue, weakness, body aches, chills/shivering, headache
Age: 21.0
Sex: M
Vaccine: UNK
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: NONE  PT RECEIVED THE VACCINE EARLIER THEN INTENDED  PT WAS WATCHED FOR 1 HR  NO ADVERSE SIDE EFFECT SHOWN
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Disturbance in attention, Feeling abnormal, Full blood count, Headache
Clinical narrative: Headache began 9/13/21, dull and continuous, then fever started 9/17/21 (still had headache). On 9/22/21 my head started to "buzz" and will not stop. Fever stopped around the same time as buzzing started. Headaches now come and go. Other symptoms currently experiencing are brain fog, unable to focus/concentrate, poor sleep waking up often and unable to get back to sleep. Unable to work at my job. Applied for short term disability for now.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Metabolic function test, Poor quality sleep, Pyrexia, Sleep disorder
Clinical narrative: Headache began 9/13/21, dull and continuous, then fever started 9/17/21 (still had headache). On 9/22/21 my head started to "buzz" and will not stop. Fever stopped around the same time as buzzing started. Headaches now come and go. Other symptoms currently experiencing are brain fog, unable to focus/concentrate, poor sleep waking up often and unable to get back to sleep. Unable to work at my job. Applied for short term disability for now.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus, X-ray
Clinical narrative: Headache began 9/13/21, dull and continuous, then fever started 9/17/21 (still had headache). On 9/22/21 my head started to "buzz" and will not stop. Fever stopped around the same time as buzzing started. Headaches now come and go. Other symptoms currently experiencing are brain fog, unable to focus/concentrate, poor sleep waking up often and unable to get back to sleep. Unable to work at my job. Applied for short term disability for now.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: got shingles
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Immunisation, Lymphadenopathy, Pain
Clinical narrative: Chills, febrile (101.3), headache, body aches, enlarged lymph nodes on left side.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Chills, febrile (101.3), headache, body aches, enlarged lymph nodes on left side.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Jand J was erroneously administered instead of Pfizer.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Lethargy
Clinical narrative: Cough, runny nose, lethargy, loss of taste and smell
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Cough, runny nose, lethargy, loss of taste and smell
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Dyspnoea, Fatigue
Clinical narrative: Weakness, fatigue and unable to breathe requiring hospitalization. Still in hospital.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiratory failure
Clinical narrative: Weakness, fatigue and unable to breathe requiring hospitalization. Still in hospital.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient may have potentially received an expired dose of vaccine after the 6 hours after being reconstituted.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Hypogeusia, Parosmia
Clinical narrative: Parosmia, everything smells like rotten meat. Anything savory (salty, rich) tastes of the same rotten or putrid smell. Sugary tastes remain unaffected but taste has greatly diminished. Phantosmia, or smelling things that aren?t present, is also present. The smells are always of a foul odor and are transient throughout the day. Began occurring roughly 24 hours after vaccine, remain ongoing.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was given one dose of Janssen COVID 19 vaccine on 10/5/2021 that had expired on 10/02/2021
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Fall, Hypophagia
Clinical narrative: On patient interview, patient reported no medical conditions, no medications, and stated he "did fine" with the two previous shots.  Patient reported no immediate issues after injection and sat down in a chair in front of the pharmacy.  about 10 min later, patient became dizzy, got up, and collapsed in front of the pharmacy.  At this time, he said he had not had anything to eat or drink today, and "this has happened before."  Patient was given some water and orange juice, monitored for results, and was better after about 10 min,  Instructed patient to eat before future injections and notify RPh so that he can be monitored after shots.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated individual became symptomatic for COVID-19 on 8/10/2021 and tested positive on 8/11/2021.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Pruritus, Sinus congestion
Clinical narrative: Patient experienced a golf-ball sized rash at the injection site and itching and also experienced some sinus congestion the night of receiving the vaccine.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Computerised tomogram normal, Fatigue, Gait disturbance, Headache
Clinical narrative: I received my first Moderna vaccination on 2/2/2021 at 3:10PM. About 3 days afterwards, I felt extremely fatigued and had headaches and body aches. About 3 weeks later, I then developed severe pain in the right knee. It was so intense I could barely move or walk. I went to the doctor, who gave me anti-inflammatory medication and recommended that I also take Tylenol; the medication helped. I also underwent a CAT scan, and it showed that everything was normal aside from some arthritis. The pain gradually improved until it finally went away about a week later; because of the pain, I was unable to work for a week. I wore a knee brace, which also helped, and went to a physical therapist 3 times.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Pain
Clinical narrative: I received my first Moderna vaccination on 2/2/2021 at 3:10PM. About 3 days afterwards, I felt extremely fatigued and had headaches and body aches. About 3 weeks later, I then developed severe pain in the right knee. It was so intense I could barely move or walk. I went to the doctor, who gave me anti-inflammatory medication and recommended that I also take Tylenol; the medication helped. I also underwent a CAT scan, and it showed that everything was normal aside from some arthritis. The pain gradually improved until it finally went away about a week later; because of the pain, I was unable to work for a week. I wore a knee brace, which also helped, and went to a physical therapist 3 times.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was given one dose of Janssen COVID 19 vaccine on 10/5/2021 that had expired on 10/02/2021
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pain in extremity
Clinical narrative: chills,sore arm.tiredness,body aches , headache
Age: 67.0
Sex: M
Vaccine: FLUA4
Symptoms: Abnormal behaviour, Agitation, Anger, Confusional state, Dizziness
Clinical narrative: Patient was having pressure in his head, very confused, and lightheadedness/dizziness after receiving flu vaccine. He sat and waited for about 10 minutes and then felt better and went home. That night he was very confused and doing strange activities (put one slipper and one boot on) and acting very different than normal. He was acting  angry and easily agitated.
Age: 67.0
Sex: M
Vaccine: FLUA4
Symptoms: Head discomfort
Clinical narrative: Patient was having pressure in his head, very confused, and lightheadedness/dizziness after receiving flu vaccine. He sat and waited for about 10 minutes and then felt better and went home. That night he was very confused and doing strange activities (put one slipper and one boot on) and acting very different than normal. He was acting  angry and easily agitated.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient received 0.3 ml dose prior to vial being reconstituted. Patient has no symptoms at this time .
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring, Cardiac stress test, Chest discomfort, Dyspnoea, Echocardiogram
Clinical narrative: Around 09/19/2021 shortness of breath, and heaviness in my chest, and irregular beat. I went to the ER and they diagnosed me with PAC with an EKG. I had 3 test stress test, echo test, and a heart monitor. I will have the results to those on 10/23/2021. The treatments have not been given yet. I have never had shortness of breath, and heaviness in my chest, and irregular beats in my life.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Heart rate irregular, Supraventricular extrasystoles
Clinical narrative: Around 09/19/2021 shortness of breath, and heaviness in my chest, and irregular beat. I went to the ER and they diagnosed me with PAC with an EKG. I had 3 test stress test, echo test, and a heart monitor. I will have the results to those on 10/23/2021. The treatments have not been given yet. I have never had shortness of breath, and heaviness in my chest, and irregular beats in my life.
Age: 42.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pt given expired vaccine. Moderna contacted and recommended to repeat the dose. Patient contacted and asked to return to clinic
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered, Incorrect product formulation administered
Clinical narrative: This patient was scheduled to receive her flu vaccination on 10/6 and as the result of a clinician error received a Pfizer COVID-19 vaccination.  Prior to this vaccination the patient had already received her "third dose"  from another provider on 9.2.21.  As a result this ended up being her 4th dose"
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immunisation, Neutrophil count, Off label use, Platelet count, Wrong product administered
Clinical narrative: This patient was scheduled to receive her flu vaccination on 10/6 and as the result of a clinician error received a Pfizer COVID-19 vaccination.  Prior to this vaccination the patient had already received her "third dose"  from another provider on 9.2.21.  As a result this ended up being her 4th dose"
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, COVID-19, Condition aggravated, Death, Dyspnoea exertional
Clinical narrative: 63 y.o. female patient with PMHx of COPD s/p bilateral lung transplant (CMV D+/R+, EBV D+/R+, Toxo D-/R-) from an increased risk donor on 6/14/18 who was HCV NAT+/Ab+ as well as HBcAb+ and history of acute transplant rejection who presented to ED for dyspnea on exertion for two days. She was found to have had exposure to close contact with Covid 19 infection. She was previously vaccinated for COVID; admitted 8/1/2021 with confirmed COVID-19. Respiratory status has been worsening, requiring higher oxygen suppor, thus she was transferred to the MICU. At a local hospital, she was started on HFNC and then intubated for increasing/worsening hypoxia. ICU course complicated by need for ECMO cannulation with ARDS, sepsis from E.faecalis UTI and strep pneumoniae PNA ISO aspergillus colonization, and acute bilateral lung transplant rejection. Overall burden of lung injury felt to be not survivable, so her family made the decision for CMO on 9/12/21. VV ECMO support discontinued at 12:35 PM on 9/12/2021 and time of death was 1:05 PM on 9/12/2021.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Endotracheal intubation, Enterococcal infection, Exposure to SARS-CoV-2, Fungal disease carrier, Hypoxia
Clinical narrative: 63 y.o. female patient with PMHx of COPD s/p bilateral lung transplant (CMV D+/R+, EBV D+/R+, Toxo D-/R-) from an increased risk donor on 6/14/18 who was HCV NAT+/Ab+ as well as HBcAb+ and history of acute transplant rejection who presented to ED for dyspnea on exertion for two days. She was found to have had exposure to close contact with Covid 19 infection. She was previously vaccinated for COVID; admitted 8/1/2021 with confirmed COVID-19. Respiratory status has been worsening, requiring higher oxygen suppor, thus she was transferred to the MICU. At a local hospital, she was started on HFNC and then intubated for increasing/worsening hypoxia. ICU course complicated by need for ECMO cannulation with ARDS, sepsis from E.faecalis UTI and strep pneumoniae PNA ISO aspergillus colonization, and acute bilateral lung transplant rejection. Overall burden of lung injury felt to be not survivable, so her family made the decision for CMO on 9/12/21. VV ECMO support discontinued at 12:35 PM on 9/12/2021 and time of death was 1:05 PM on 9/12/2021.