chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Nasal congestion, SARS-CoV-2 test positive
Clinical narrative: COVID-19 virus infection  Exposure to COVID-19 virus  Congestion of nasal sinus Infusion  10/22/2021 Outpatient Infusion clinic   Oncology COVID  Dx Medication Infusion  Reason for Visit   Progress Notes Registered Nurse ? ? Oncology Patient here for Sotrovimab infusion. Patient tolerated infusion well and was monitored for 1 hour post. Upon discharge, patient was provided a pulse ox, thermometer, after visit summary and follow up instructions. No adverse events noted during this visit.        Loss of voice
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Pain in extremity, Testicular pain
Clinical narrative: testicle pain, join pain (back, both knees, both feet)
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pyrexia
Clinical narrative: Pt. states that after receiving the 3rd Booster of Moderna 11/01/2021, started experiencing symptoms of fever (101.3), chills, and fatigue. No noted Primary visit /communications. Symptoms have subsided 11/03/2021.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dry skin, Hypoaesthesia oral, Skin exfoliation
Clinical narrative: Numbness around mouth especially at the upper vermillion Dry, peeling skin around eyes The symptoms lasted around 2.5 weeks and went away. The same symptoms returned within 1-2 days after the second COVID-19 vaccine and lasted around 3 weeks.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Pustule, Skin hyperpigmentation, Skin lesion
Clinical narrative: Patient received first injection on 01/21/21, second dose on 02/23/21 approximately June - July 2021 patient started to show generalized 1.5 to 2 cm erythematous flat lesions that would then become raised with fluid and after several days would subside leaving behind a hyperpigmented circular lesion that would be itchy. These would subside for several weeks and then recur again
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Skin swelling
Clinical narrative: Patient received first injection on 01/21/21, second dose on 02/23/21 approximately June - July 2021 patient started to show generalized 1.5 to 2 cm erythematous flat lesions that would then become raised with fluid and after several days would subside leaving behind a hyperpigmented circular lesion that would be itchy. These would subside for several weeks and then recur again
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Chest X-ray, Condition aggravated, Cough, Electrocardiogram
Clinical narrative: Signs and symptoms: cough, congestion, fever, fatigue, and abdominal pain. Treatment:Cefepime IV adjusted to renal functions plus Linezolid 600 mg PO/IV every 12 hrs for total of 7 days with last doses on 11/5/21.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test
Clinical narrative: Signs and symptoms: cough, congestion, fever, fatigue, and abdominal pain. Treatment:Cefepime IV adjusted to renal functions plus Linezolid 600 mg PO/IV every 12 hrs for total of 7 days with last doses on 11/5/21.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Heart rate increased, Mobility decreased
Clinical narrative: Approximately 12 hours after vaccination I had severe chills (for about 2 hours), fever (for about 24 hours), and elevated heart rate (for about 36 hours).  My normal resting heart rate is around the 60's-70's. During this event I laid in bed nearly the entire time and didn't do any physical activities. My resting heart rate during this time was between 100-110 and would occasionally spike to 130-140. I spoke with a doctor at the  Clinic numerous times regarding my symptoms, and they advised me to rest and go to the ER if my resting heart rate rose above 150. After about 36 hours all symptoms were gone and I had no further side effects. It was like someone "flipped a switch" and I felt like a brand new person.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Lacrimation increased, Ocular hyperaemia
Clinical narrative: By the evening of the day I received my booster vaccine, the left half of my left eye became very bloodshot. It did not affect my vision, nor did it bother me. My eye felt slightly wetter. The next morning it was still very bloodshot on that side. By the late afternoon the bloodshot look had diminished. By the next morning it looked less bloodshot but still not normal.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Joint range of motion decreased
Clinical narrative: Shoulder weakness and pain. Limited range of motion.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for covid
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH CASE
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram cerebral, Arteriogram carotid, Blood magnesium, Blood thyroid stimulating hormone, Chest X-ray
Clinical narrative: Patient presents for evaluation of left arm and leg numbness since yesterday morning.  She states she had a headache yesterday as well but this has resolved.  She has ongoing dizziness where she feels like she is spinning.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Differential white blood cell count, Dizziness, Electrocardiogram, Full blood count
Clinical narrative: Patient presents for evaluation of left arm and leg numbness since yesterday morning.  She states she had a headache yesterday as well but this has resolved.  She has ongoing dizziness where she feels like she is spinning.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Metabolic function test, SARS-CoV-2 test, Scan with contrast
Clinical narrative: Patient presents for evaluation of left arm and leg numbness since yesterday morning.  She states she had a headache yesterday as well but this has resolved.  She has ongoing dizziness where she feels like she is spinning.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin I, Vertigo
Clinical narrative: Patient presents for evaluation of left arm and leg numbness since yesterday morning.  She states she had a headache yesterday as well but this has resolved.  She has ongoing dizziness where she feels like she is spinning.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: COVID 19
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure immeasurable, Vomiting
Clinical narrative: Shortly after receiving the vaccine, client began to vomit.  Blood pressure is normally low, but hard to auscultate, hear.  Client is alert and oriented x3, pulse 89-99, 100% oxygen saturation, bp=90/50.  After water and snacks, was able to discharge from the recovery area at 1520.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Pain, Pain in extremity, Pyrexia
Clinical narrative: Sore arm, red, raised bump at injection site, body aches. 103.0 fever for 48 hours
Age: 1.75
Sex: M
Vaccine: MMR
Symptoms: Crying, Injection site erythema, Injection site warmth
Clinical narrative: Pt was given MMR vaccine by subcutaneous injection in right thigh on 11.02.2021 at 1030 by this medical assistant. At 1040, pt's mother came out of room asking this medical assistant to come and look at his leg as she thought he may be having a reaction. This medical assistant removed the band-aid from the pt's leg and observed a red, circular, warm, non-raised area around the injection site approximately 1.5 inches in diameter. The pt was not having trouble breathing and did not appear to be in acute distress. This medical assistant asked Dr. to come and evaluate the pt. Dr. evaluated the pt and deemed he was not in acute distress. Dr. instructed this medical assistant to administer 1 weight based dose of Tylenol and to apply a cool compress to the area. Dr. explained situation to pt's parents and they voiced understanding. This medical assistant applied a cool compress to pt's right thigh at the injection site and administered 5mL of 160mg/5mL Tylenol based on pt's weight(25lbs) at 1045. This medical assistant re-evaluated the pt in 5 minutes at which time the injection site redness had reduced some. Pt was crying  very hard from the time of injection until approximately 1100 at which time Dr. entered the room to conduct pt's well child visit. Dr. assessed that he pt was in no acute distress at the end of his visit. Parents were given precautions and pt was discharged home.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram abnormal, Hypoaesthesia, Magnetic resonance imaging abnormal
Clinical narrative: Patient reported having 2nd Pfizer COVID-19 vaccine on 5/15/21 at 1pm.  Approximately 40 hours later developed arm numbness.  This office evaluated him 5/18/21 and directed him to the ER but he left without full evaluation.  5/20/21 a CT scan was ordered and completed the same day which revealed a potential stroke.  MRI was ordered and completed 5/21/21 which confirmed a left frontal lobe stroke.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: A booster dose of the Pfizer vaccine was accidentally administered to Teodorico.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong product administered
Clinical narrative: I had an appointment to get my covid vaccine and was instead given a flu shot. No call or recognition of the mistake until I went in a month later for my second dose. As compensation, they tried to offer me rewards points.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Dyskinesia, Restless arm syndrome
Clinical narrative: Restless arm Involuntary movement of left arm Appeared approximately 12 hours after vaccine administration Adverse effect lasted around 4 hours
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Balance disorder, Blood test abnormal, Dizziness
Clinical narrative: First night. Fever body aches, sore throat ( almost like swelling and sore) , body aches, joint aches, fever 103.7, dizziness, fog, massive headache, unbalanced  .. walking like drunk, short of breath, feeling like passing out, exhaused like wiped out, Throwing up. Called emergency, clinic dr.., said expected. 4 days of this( went to GP) did blood work, seemed ok he said other than the thyroid) ) didn?t know what to do. Still had massive head aches, this feeling of off unbalance, sometimes feeling light headed like passing out. Eyes feel like im trying to focus to see, joint ache. Weakness and fatigue in muscles. Shortness of breath, .. went to emergency room too baffled.. said i need time.. its now 24 days!!! No one seems to be able to help. Why is this happening? What do I do??  Suggestions?
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Feeling abnormal, Gait disturbance, Headache
Clinical narrative: First night. Fever body aches, sore throat ( almost like swelling and sore) , body aches, joint aches, fever 103.7, dizziness, fog, massive headache, unbalanced  .. walking like drunk, short of breath, feeling like passing out, exhaused like wiped out, Throwing up. Called emergency, clinic dr.., said expected. 4 days of this( went to GP) did blood work, seemed ok he said other than the thyroid) ) didn?t know what to do. Still had massive head aches, this feeling of off unbalance, sometimes feeling light headed like passing out. Eyes feel like im trying to focus to see, joint ache. Weakness and fatigue in muscles. Shortness of breath, .. went to emergency room too baffled.. said i need time.. its now 24 days!!! No one seems to be able to help. Why is this happening? What do I do??  Suggestions?
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle fatigue, Oropharyngeal pain, Pain, Pharyngeal swelling, Pyrexia
Clinical narrative: First night. Fever body aches, sore throat ( almost like swelling and sore) , body aches, joint aches, fever 103.7, dizziness, fog, massive headache, unbalanced  .. walking like drunk, short of breath, feeling like passing out, exhaused like wiped out, Throwing up. Called emergency, clinic dr.., said expected. 4 days of this( went to GP) did blood work, seemed ok he said other than the thyroid) ) didn?t know what to do. Still had massive head aches, this feeling of off unbalance, sometimes feeling light headed like passing out. Eyes feel like im trying to focus to see, joint ache. Weakness and fatigue in muscles. Shortness of breath, .. went to emergency room too baffled.. said i need time.. its now 24 days!!! No one seems to be able to help. Why is this happening? What do I do??  Suggestions?
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroid disorder, Vision blurred, Vomiting
Clinical narrative: First night. Fever body aches, sore throat ( almost like swelling and sore) , body aches, joint aches, fever 103.7, dizziness, fog, massive headache, unbalanced  .. walking like drunk, short of breath, feeling like passing out, exhaused like wiped out, Throwing up. Called emergency, clinic dr.., said expected. 4 days of this( went to GP) did blood work, seemed ok he said other than the thyroid) ) didn?t know what to do. Still had massive head aches, this feeling of off unbalance, sometimes feeling light headed like passing out. Eyes feel like im trying to focus to see, joint ache. Weakness and fatigue in muscles. Shortness of breath, .. went to emergency room too baffled.. said i need time.. its now 24 days!!! No one seems to be able to help. Why is this happening? What do I do??  Suggestions?
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Eosinophil count increased, Fibrin D dimer increased, Globulins increased
Clinical narrative: Chest pain shortness of breath for days, still on going. Went to cardiologist and went to ER. I was not admitted but said I had a positive d dimer indicating blood clot in the body so they checked my lung for blood clot and it was negative. But I still have chest painnand shortness of breath
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Protein total increased, Red cell distribution width increased
Clinical narrative: Chest pain shortness of breath for days, still on going. Went to cardiologist and went to ER. I was not admitted but said I had a positive d dimer indicating blood clot in the body so they checked my lung for blood clot and it was negative. But I still have chest painnand shortness of breath
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia
Clinical narrative: WEAKNESS
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Hot flush, Palpitations, Vaginal haemorrhage
Clinical narrative: Heart pounding, anxiety, hot flashes, vaginal bleeding w/ clots. Bleding lasted a week. Still having heart pounding and hot flashes. Not sexual active prior to incident.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Musculoskeletal stiffness, Pruritus, Scratch
Clinical narrative: After receiving my Moderna booster shot, that evening I had severe muscle constriction.  I was unable to move my limbs and almost felt paralyzed.  It subsided by the following morning.  Then my skin became itchy all over.  First my palms, then my arms and chest and back.  Took benedryl which helped but as soon as it wore off it was back.  If I scratch the skin large raised scratch marks appear on my body and stay for hours.  I am still dealing with the reaction today, 6 days later.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Endotracheal intubation, Hypoxia, Malaise
Clinical narrative: Patient was vaccinated with Covid vaccines and was admitted to hospital with Covid symptoms.  She was admitted with shortness of breath and hypoxemia.  Patient was intubated and remained in the hospital for 42 days before her death.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Injection site discolouration, Injection site erythema, Injection site induration, Injection site pruritus
Clinical narrative: After the second dose, the injection site and down the injection site was swollen. Like four or five inches in length and three inches across. The whole thing was swollen. It was warm to the touch. It did not itch. It looked like hickeys on my arm. There was no sign of infection, which is why I did not call the doctor. In a day or two it was better. After the third dose on 10/22/2021 (048F21A), like 12-15 hours later, about two inches below the injection site, I developed a very hard and dark red, three inches by three inches squared, that had a very fine edge. It was a solid maroon color. Very hot to the touch. It itched very much. I was worried it was cellulitis. The doctor said cellulitis happens at the injection site, and my reaction was below. It expanded a little bit to the back. You could fit your whole hand. The heat was so significant. I could feel the heat through a sweatshirt. They gave me ibuprofen and ice pack and wait to see what happens. I had to take a picture of it every day to see if it got worse or better. It was moderate by Saturday. Sunday It was significant. Monday was horrible, which is when I decided to see the doctor. By Thursday it was a little bit better. By now it is almost gone. The doctor said he has never seen anything like this before. Also, I had been sick two weeks prior to the booster. I had a fever 101.4. I got tested for COVID-19 and my PCR Test was negative. It was like a typical cold, which lasted for 3-4 days. I also received the Flu vaccine on 09/28/2021.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Nasopharyngitis, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: After the second dose, the injection site and down the injection site was swollen. Like four or five inches in length and three inches across. The whole thing was swollen. It was warm to the touch. It did not itch. It looked like hickeys on my arm. There was no sign of infection, which is why I did not call the doctor. In a day or two it was better. After the third dose on 10/22/2021 (048F21A), like 12-15 hours later, about two inches below the injection site, I developed a very hard and dark red, three inches by three inches squared, that had a very fine edge. It was a solid maroon color. Very hot to the touch. It itched very much. I was worried it was cellulitis. The doctor said cellulitis happens at the injection site, and my reaction was below. It expanded a little bit to the back. You could fit your whole hand. The heat was so significant. I could feel the heat through a sweatshirt. They gave me ibuprofen and ice pack and wait to see what happens. I had to take a picture of it every day to see if it got worse or better. It was moderate by Saturday. Sunday It was significant. Monday was horrible, which is when I decided to see the doctor. By Thursday it was a little bit better. By now it is almost gone. The doctor said he has never seen anything like this before. Also, I had been sick two weeks prior to the booster. I had a fever 101.4. I got tested for COVID-19 and my PCR Test was negative. It was like a typical cold, which lasted for 3-4 days. I also received the Flu vaccine on 09/28/2021.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: booster was given 2 weeks and 5 days early
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: pt was given moderna brand instead of pfizer
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19 pneumonia
Clinical narrative: Pt with history of Afib, IDDM2, and is being admitted with COVID pneumonia.  He has had onset of generalized weakness over the past 10 days.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Oedema peripheral
Clinical narrative: evening of day two (Nov 2nd) noticed soreness under left arm with armpit swelling .
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Pt. states that after receiving the 3rd Booster of Phizer 10/06/2021, started experiencing symptoms that evening of left arm pain, immobility in the left arm (shoulder to the wrist). No noted Primary visit/communications.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Chest pain, Computerised tomogram abdomen abnormal, Diarrhoea, Fall
Clinical narrative: Patient presented to the Emergency Department with complaints of right arm numbness, abdominal pain and chest pain.  Had fallen earlier in the day and complained of diarrhea.  He received his COVID booster shot earlier in the week.  After consultation with neurology, patient was diagnosed with acute ischemic stroke and given alteplase.  CT scan showed suspected splenic and bilateral renal infarcts.  Patient was transferred to academic medical center for further care.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Ischaemic stroke, Renal infarct, Splenic infarction
Clinical narrative: Patient presented to the Emergency Department with complaints of right arm numbness, abdominal pain and chest pain.  Had fallen earlier in the day and complained of diarrhea.  He received his COVID booster shot earlier in the week.  After consultation with neurology, patient was diagnosed with acute ischemic stroke and given alteplase.  CT scan showed suspected splenic and bilateral renal infarcts.  Patient was transferred to academic medical center for further care.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: booster was given 2 weeks and 5 days early
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Ear infection, Ear pain, Otorrhoea, Pain
Clinical narrative: 9/19/2021- Developed ear pain with ear infection in both ears. Puss coming out of both ears. 9/23/2021- Burning sensation on bottom of feet and bottom of middle toes 9/26/2021- Head to toe complete body pain and aching at night 9/27/2021- Head to toe complete body pain and aching at night 9/28/2021- Pain and burning on bottom of feet and bottom of toes 10/07/2021- Burning sensation bottom of feet and bottom of toes 10/27/2021- Burning sensation bottom of feet and bottom of toes
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Atypical pneumonia, COVID-19, Chest X-ray abnormal, Chest discomfort, Dyspnoea
Clinical narrative: 10/29 tested positive at dr office for covid, symptoms have included worsening shortness of breath, fatigue, myalgias, and chest tightness. pt presented to EC with worsening SOB
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lung opacity, Myalgia, Pneumonia viral, SARS-CoV-2 test positive
Clinical narrative: 10/29 tested positive at dr office for covid, symptoms have included worsening shortness of breath, fatigue, myalgias, and chest tightness. pt presented to EC with worsening SOB
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Dyspnoea, Hypoxia, Malaise
Clinical narrative: Patient vaccinated with Covid vaccinations and was admitted to hospital with Covid symptoms.  She came to the ED with shortness of breath and dyspnea and was admitted with pneumonia due to covid and hypoxia.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea
Clinical narrative: Shortness of air, chest tightness, dizziness
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Chills, Headache, Heart rate increased
Clinical narrative: Rapid heart rate, fever, vomiting, chills, kidney pain, chest pain, headache, swelling, warm, redness at injection site, increased liver enzymes
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Hepatic enzyme abnormal, Injection site erythema, Pyrexia, Renal pain, Skin warm
Clinical narrative: Rapid heart rate, fever, vomiting, chills, kidney pain, chest pain, headache, swelling, warm, redness at injection site, increased liver enzymes
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Vomiting
Clinical narrative: Rapid heart rate, fever, vomiting, chills, kidney pain, chest pain, headache, swelling, warm, redness at injection site, increased liver enzymes
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Asthenia, Feeling cold, Headache, Lethargy
Clinical narrative: Exactly 12 hours later.....sever headache...freezing to the point of shaking...upset stomach...all over lethargy... Stayed in bed for 36 hours, mostly sleeping. Better after 36 hours, still have a low grade headache and absolutely no energy
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Somnolence, Tremor
Clinical narrative: Exactly 12 hours later.....sever headache...freezing to the point of shaking...upset stomach...all over lethargy... Stayed in bed for 36 hours, mostly sleeping. Better after 36 hours, still have a low grade headache and absolutely no energy
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Received a full Moderna dose which is intended for immunocompromised patients. Should have been given a half dose for the booster.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Ageusia, Anosmia, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient is a 69 y.o. female presenting with cough and shortness of air since 9/21/21. She reports she was diagnosed with COVID-19 at that time.  Initially, she had fever, body aches, congestion, loss of taste and smell, loss of appetite, fatigue, cough, shortness of air and diarrhea. Her fever, body aches, congestion and loss of taste and smell have resolved. However, she has continued to have a continuous dry cough. She becomes dyspneic and light-headed with coughing. She has been using Robitussin at home with minimal improvement. She reports continued decreased appetite. On arrival to the ED, oxygen saturations were 86% on room air, and improved to high 90s on 2L NC. She reports she is coughing less and is less dyspneic with the supplemental oxygen.   Constitutional: Positive for activity change and fatigue. Negative for chills, fever and unexpected weight change.  HENT: Negative for congestion and sore throat.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath.    Acute hypoxic respiratory failure secondary to COVID-19 pneumonia Diagnosis ~9/21; vaccinated in May 2021 CXR shows bilateral patchy opacities consistent w/ COVID infection. Inflammatory markers noted to have improved after starting on dexamethasone and remdesvir. Has been having slow improvement and on discharge was able to be off oxygen supplementation w/o exertion and 1 L NC on exertion. Home oxygen is provided for home discharge. She is instructed to follow with her PCP to titrate her off home oxygen.    Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Cough, Decreased appetite, Diarrhoea, Dizziness
Clinical narrative: Patient is a 69 y.o. female presenting with cough and shortness of air since 9/21/21. She reports she was diagnosed with COVID-19 at that time.  Initially, she had fever, body aches, congestion, loss of taste and smell, loss of appetite, fatigue, cough, shortness of air and diarrhea. Her fever, body aches, congestion and loss of taste and smell have resolved. However, she has continued to have a continuous dry cough. She becomes dyspneic and light-headed with coughing. She has been using Robitussin at home with minimal improvement. She reports continued decreased appetite. On arrival to the ED, oxygen saturations were 86% on room air, and improved to high 90s on 2L NC. She reports she is coughing less and is less dyspneic with the supplemental oxygen.   Constitutional: Positive for activity change and fatigue. Negative for chills, fever and unexpected weight change.  HENT: Negative for congestion and sore throat.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath.    Acute hypoxic respiratory failure secondary to COVID-19 pneumonia Diagnosis ~9/21; vaccinated in May 2021 CXR shows bilateral patchy opacities consistent w/ COVID infection. Inflammatory markers noted to have improved after starting on dexamethasone and remdesvir. Has been having slow improvement and on discharge was able to be off oxygen supplementation w/o exertion and 1 L NC on exertion. Home oxygen is provided for home discharge. She is instructed to follow with her PCP to titrate her off home oxygen.    Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Inflammatory marker test, Lung opacity, Pain
Clinical narrative: Patient is a 69 y.o. female presenting with cough and shortness of air since 9/21/21. She reports she was diagnosed with COVID-19 at that time.  Initially, she had fever, body aches, congestion, loss of taste and smell, loss of appetite, fatigue, cough, shortness of air and diarrhea. Her fever, body aches, congestion and loss of taste and smell have resolved. However, she has continued to have a continuous dry cough. She becomes dyspneic and light-headed with coughing. She has been using Robitussin at home with minimal improvement. She reports continued decreased appetite. On arrival to the ED, oxygen saturations were 86% on room air, and improved to high 90s on 2L NC. She reports she is coughing less and is less dyspneic with the supplemental oxygen.   Constitutional: Positive for activity change and fatigue. Negative for chills, fever and unexpected weight change.  HENT: Negative for congestion and sore throat.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath.    Acute hypoxic respiratory failure secondary to COVID-19 pneumonia Diagnosis ~9/21; vaccinated in May 2021 CXR shows bilateral patchy opacities consistent w/ COVID infection. Inflammatory markers noted to have improved after starting on dexamethasone and remdesvir. Has been having slow improvement and on discharge was able to be off oxygen supplementation w/o exertion and 1 L NC on exertion. Home oxygen is provided for home discharge. She is instructed to follow with her PCP to titrate her off home oxygen.    Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Patient is a 69 y.o. female presenting with cough and shortness of air since 9/21/21. She reports she was diagnosed with COVID-19 at that time.  Initially, she had fever, body aches, congestion, loss of taste and smell, loss of appetite, fatigue, cough, shortness of air and diarrhea. Her fever, body aches, congestion and loss of taste and smell have resolved. However, she has continued to have a continuous dry cough. She becomes dyspneic and light-headed with coughing. She has been using Robitussin at home with minimal improvement. She reports continued decreased appetite. On arrival to the ED, oxygen saturations were 86% on room air, and improved to high 90s on 2L NC. She reports she is coughing less and is less dyspneic with the supplemental oxygen.   Constitutional: Positive for activity change and fatigue. Negative for chills, fever and unexpected weight change.  HENT: Negative for congestion and sore throat.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath.    Acute hypoxic respiratory failure secondary to COVID-19 pneumonia Diagnosis ~9/21; vaccinated in May 2021 CXR shows bilateral patchy opacities consistent w/ COVID infection. Inflammatory markers noted to have improved after starting on dexamethasone and remdesvir. Has been having slow improvement and on discharge was able to be off oxygen supplementation w/o exertion and 1 L NC on exertion. Home oxygen is provided for home discharge. She is instructed to follow with her PCP to titrate her off home oxygen.    Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: The patient was administered a second dose of  0.3ml of Pfizer undiluted vaccine on the left arm intramuscularly on 10/27/21. The patient was notified and instructed to watch for symptoms (i.e fatigue, chills, sore arm) and seek medical attention if necessary.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram
Clinical narrative: Severe chest pain everyday since Vaccination
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Wheezing
Clinical narrative: Within a few weeks of the second dose (1/13/2021) - starting about 2/3/2021 - began having recurrent episodes of wheezing & night-time cough (Asthma/reactive airway symptoms). This has occurred for 1-2 weeks every other month. I have never had this issue before the vaccine. It lasts about 2 weeks and required me to treat it with breathing treatments.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Asthenia, Dizziness, Heart rate increased, Hyperhidrosis
Clinical narrative: numbness on left side of face later same day, woke in middle of night the next day with upset stomach and feeling of extreme weakness. Feeling of blacking out. Called emergency services. By the time they arrived, the feeling passed as I broke out in a sweat and returned to normal. Declined to go with them to hospital as assumed it was just a reaction to the shot. The following weeks I would get a rapid heartrate (even detected on smart Watch) and lightheadedness. The feelings started to get better around the time of the second shot so I declined to get that. Still had rapid heart rate off and on for months.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Sleep disorder
Clinical narrative: numbness on left side of face later same day, woke in middle of night the next day with upset stomach and feeling of extreme weakness. Feeling of blacking out. Called emergency services. By the time they arrived, the feeling passed as I broke out in a sweat and returned to normal. Declined to go with them to hospital as assumed it was just a reaction to the shot. The following weeks I would get a rapid heartrate (even detected on smart Watch) and lightheadedness. The feelings started to get better around the time of the second shot so I declined to get that. Still had rapid heart rate off and on for months.
Age: 18.0
Sex: M
Vaccine: HIBV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: None reported
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Discomfort, Dyspnoea, Head discomfort, Muscular weakness
Clinical narrative: Weakness in back muscles, pins and needles across arms and chest, difficulty breathing, increase in anxiety, sinuses and neck and head have extreme pressure at times.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Paranasal sinus discomfort
Clinical narrative: Weakness in back muscles, pins and needles across arms and chest, difficulty breathing, increase in anxiety, sinuses and neck and head have extreme pressure at times.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Malaise, Pyrexia
Clinical narrative: Patient vaccinated with Covid vaccinations and admitted to the hospital with Covid symptoms.  Patient came to the ED with shortness of breath, fever, and cough.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Palpitations, Somnolence
Clinical narrative: Patient developed was she considers extreme chills for 5 hours on 10/19. She states she slept all day long 10/20/21 and on 10/21/21 had heart palpitations that lasted about 12 hours and about 2 hours  also on 10/22/21.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic, Skin warm
Clinical narrative: Itchy rash on arm at elbow, heat at itch site.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Injection site swelling
Clinical narrative: visible 4+  inch swollen area around injection site; mild flu-like symptoms
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, Rash pruritic
Clinical narrative: I had received the Moderna Covid vaccines on 1/13/2021 and 2/09/21.  On 9/10/2021, I received the J&J vaccine as a booster.  On 9/16/21, I was working in the garden which included pulling plants (including poison ivy) and bundling branches from our oak trees.  On 9/17/21, I noticed a pruritic rash, first on the right arm and later on the left arm.  I started treating it with triamcinalone cream 0.1% and oral antihistamines without much help.  The rash later began on my legs.  On about 9/21, I began having a rash on my abdomen.  Initially, I assumed a rhus dermatitis and when it didn't improve, oak mites.  On 9/23/21, I departed for another area.  After several days of unsuccessful treatment with topical  steroids and antihistamines, I came to the realization that this may be a reaction to the J&J immunization.  I found several examples in the literature and I treated myself with a medrol dosepack.  I had rapid improvement with 90% improvement after 6 days or oral steroids.  The remaining rash and pruritis resolved over the next 2 weeks without any other treatment.
Age: 97.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Atrial fibrillation, COVID-19, Confusional state, Cough
Clinical narrative: pt was seen in ED yesterday with Left lower lobe pneumonia and UTI; presented back to ED today after being so weak she fell and EMS was called; pt is confused and has tachycardia; c/o SOB and cough today, appetite decreased; dx with A Fib with RVR; positive for COVID; respiratory failure requiring aggressive O2 therapy; acute metabolic encephalopathy; comfort care measures instituted; pt died in the hospital
Age: 97.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Decreased appetite, Dyspnoea, Fall, Metabolic encephalopathy
Clinical narrative: pt was seen in ED yesterday with Left lower lobe pneumonia and UTI; presented back to ED today after being so weak she fell and EMS was called; pt is confused and has tachycardia; c/o SOB and cough today, appetite decreased; dx with A Fib with RVR; positive for COVID; respiratory failure requiring aggressive O2 therapy; acute metabolic encephalopathy; comfort care measures instituted; pt died in the hospital
Age: 97.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Respiratory failure, SARS-CoV-2 test positive, Tachycardia, Urinary tract infection
Clinical narrative: pt was seen in ED yesterday with Left lower lobe pneumonia and UTI; presented back to ED today after being so weak she fell and EMS was called; pt is confused and has tachycardia; c/o SOB and cough today, appetite decreased; dx with A Fib with RVR; positive for COVID; respiratory failure requiring aggressive O2 therapy; acute metabolic encephalopathy; comfort care measures instituted; pt died in the hospital
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Hypoaesthesia, Paraesthesia
Clinical narrative: Patient reports on 11/01/2021 that she started having tingling and numbness in my feet that move up my legs from my toes to my knees along with lower back pain. This continued all day and through the night and still this morning. It's worse when sitting or laying down less noticeable when walking or standing. Medical record notes indicate that she will see a neurologist to rule out Guillan Barre'. She reports being prescribed steroids during urgent care visit.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient and family misrepresented age of individual 2 times in vaccination process
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received 0.5mL for booster instead of 0.25mL
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient mistakenly received a COVID Moderna vaccine which is not approved for 12 year olds.  Should have received Pfizer.  No adverse reactions noted.  Followed up with patient's Mother the next day and pt continued to do fine.  Scheduled for a Pfizer for his 2nd dose 30 days after initial dose.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Bedridden, Chills, Decreased appetite, Impaired work ability
Clinical narrative: 11/1 1800h onset shaking chills, anorexia, tachycardia, weakness.  Bedridden requiring 2 extra blankets for 14 hours.  11/2 no longer chilling after arising but felt too weak to go to work (making it a Gr 3 adverse event ) 11/3 normal Maximum temperature 99.8.  No injection site reaction Janssen protocol VAC18193RSV3001, Synexus is site U01-US10041
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: 11/1 1800h onset shaking chills, anorexia, tachycardia, weakness.  Bedridden requiring 2 extra blankets for 14 hours.  11/2 no longer chilling after arising but felt too weak to go to work (making it a Gr 3 adverse event ) 11/3 normal Maximum temperature 99.8.  No injection site reaction Janssen protocol VAC18193RSV3001, Synexus is site U01-US10041
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Eye pain, Full blood count normal, Headache
Clinical narrative: abnormally large bump under armpit (swollen lymph node), has not resolved but pain has decreased with Motrin .  along with the usual fever, ST, cough, chills, sweats and severe HD on the LT temporal area behind the eye.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Lymph node pain, Lymphadenopathy, Pyrexia
Clinical narrative: abnormally large bump under armpit (swollen lymph node), has not resolved but pain has decreased with Motrin .  along with the usual fever, ST, cough, chills, sweats and severe HD on the LT temporal area behind the eye.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Muscle spasms
Clinical narrative: Patient stated that she had chills and spasms, a week after getting vaccination.
Age: 66.0
Sex: M
Vaccine: UNK
Symptoms: Chills, Fatigue, Headache, Pain
Clinical narrative: Chills, headach, body ache, tired
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Headache, Illness, Influenza virus test negative, Lethargy
Clinical narrative: I had become very lethargic and felt like I didn't have any energy. Had doctor's appt and a COVID test. I was feeling nauseous as well. I had headaches. I did a telehealth visit - MD-Live. The doctor (at Urgent Care clinic attached to my doctor's office) said to drink plenty of water. I was really sick.  - Flu vaccine was received three weeks before the date of this vaccine. 09/08/2021 - don't know the lot number
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pneumonia, SARS-CoV-2 test negative
Clinical narrative: I had become very lethargic and felt like I didn't have any energy. Had doctor's appt and a COVID test. I was feeling nauseous as well. I had headaches. I did a telehealth visit - MD-Live. The doctor (at Urgent Care clinic attached to my doctor's office) said to drink plenty of water. I was really sick.  - Flu vaccine was received three weeks before the date of this vaccine. 09/08/2021 - don't know the lot number
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hyperhidrosis, Lymphadenopathy, Pain, Pyrexia
Clinical narrative: Large swollen mass on right armpit, low grade fever 100.2, aches throughout body, fatigue, sweating. Still occurring today. Taking alternate doses of Tylenol and naproxen for pain and swelling. Did not seek medical
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Large swollen mass on right armpit, low grade fever 100.2, aches throughout body, fatigue, sweating. Still occurring today. Taking alternate doses of Tylenol and naproxen for pain and swelling. Did not seek medical
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, COVID-19, Nucleic acid test, SARS-CoV-2 test positive
Clinical narrative: patient tested positive in a routine test for placement at a sub acute rehab facility. Patient is asymptomatic 11/2/21. Lot number was not recorded for the second dose in her medical record.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood test, Blood thyroid stimulating hormone, Chest discomfort, Differential white blood cell count
Clinical narrative: Saturday evening, I started to experience fullness in my chest that I thought may have been indigestion. Then I was also getting some right sided upper abdomen pain with it and cramping in my chest area. That persisted for about 5 days, and it was intermittent. On the 6th day I visited my doctor on 10/29/2021. They ran some test, and everything came back normal. They told me to start taking an OTC maximum again for 14 days. I was having minimal symptoms at that point. I got progressively better as time went on.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Full blood count, Laboratory test, Lipids, Metabolic function test
Clinical narrative: Saturday evening, I started to experience fullness in my chest that I thought may have been indigestion. Then I was also getting some right sided upper abdomen pain with it and cramping in my chest area. That persisted for about 5 days, and it was intermittent. On the 6th day I visited my doctor on 10/29/2021. They ran some test, and everything came back normal. They told me to start taking an OTC maximum again for 14 days. I was having minimal symptoms at that point. I got progressively better as time went on.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Urine analysis
Clinical narrative: Saturday evening, I started to experience fullness in my chest that I thought may have been indigestion. Then I was also getting some right sided upper abdomen pain with it and cramping in my chest area. That persisted for about 5 days, and it was intermittent. On the 6th day I visited my doctor on 10/29/2021. They ran some test, and everything came back normal. They told me to start taking an OTC maximum again for 14 days. I was having minimal symptoms at that point. I got progressively better as time went on.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Hypertension, Tachycardia, Wheezing
Clinical narrative: Pt came in for 2nd Pfizer vaccine. Pt had previously had anaphylactic reaction to 1st Pfizer vaccine. During first dose visit, pt was administered epinephrine, solu-medrol and diphenhydramine by staff and MD. Pt was then transported to ER.  Upon return for 2nd visit 21 days later, the pt stated to LPN that she had experienced an anaphylactic reaction to the 1st dose, which is a direct contraindication to receive the second dose. Pt also stated to LPN that ER doctor during her first visit, had said to receive the 2nd dose regardless of reaction. Per protocol, any anaphylaxis history needs to be reported to charge RN for closer observation. LPN administered 2nd dose of vaccine without informing charge RN. Approximately 5 minutes after administration, pt began to have severe shortness of breath and chest tightness. RN, and Charge RN, proceeded to recognize pt distress and began to take vital signs. Pt exhibited hypertension of 139/110, tachycardia of < 135 beats per minute, and expiratory wheezes bilaterally in all lung field posteriorly. Pt was transferred to wheel chair and moved to secluded area for further medical treatment. Occupational MD was called and arrived approximately 5 minutes later. Pt did take one puff of her prescribed albuterol inhaler in those minutes. Occupational Health MD arrived and 0.3ml of Epinephrine was administered. Repeat vital signs were taken 5 minutes later and vital signs showed improvement. Pt stated she experienced a decrease in shortness of breath and expiratory wheezes decreased upon auscultation. Pt was taken to ER for further evaluation and observation and instructed by health MD not to receive the 3rd dose due to severe anaphylaxis.  LPN was pulled aside after incident and re-educated on POD protocol and CDC guidelines with anaphylaxis reactions to COVID shots. Follow up email was sent to rest of POD nurses with POD guidelines and protocols.