chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Angiogram pulmonary normal, Blood lactic acid increased, COVID-19, Chest X-ray normal
Clinical narrative: Case received covid vaccine and one booster as of November 2021, then was hospitalized for Covid in February of 2022. Hospitalized at: Hospital.  * COVID Assessment & Plan Presented with 1 day of dyspnea, found to be COVID+. CXR/CTA without pneumonia or PE. Suspect infection started 2-3 weeks prior given ageusia and congestion during that time. Is vaccinated against COVID with J&J and mRNA booster. Has multiple risk factors for severe disease but steroids/anti-viral therapy held given prolonged duration of time since symptom onset. Did intermittently require small amounts of supplemental O2 so discharged home with oxygen. Counseled to isolate as able until symptoms resolve, including being fever-free for over 24 hours.   Severe sepsis  Assessment & Plan Met criteria for severe sepsis on presentation with fever, tachycardia, elevated lactate. Was treated appropriately with 30 ml/kg fluid bolus. This was attributed to COVID-19 and there was no evidence of separate bacterial infection.  12:38 PM 2/18/2022    Source of Infection: Viral Sepsis (including COVID-19) SIRS Criteria: Temp >38 C or < 36 C, HR > 90 Acute Organ Dysfunction: Lactic Acidosis (Lactate > 2.0) Shock: Not Present Based on the above findings, the patient has evidence of: Severe sepsis (Sepsis + Acute organ dysfunction) 30ml/kg bolus was ordered.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza A virus test, Influenza B virus test, Lactic acidosis, Multiple organ dysfunction syndrome, Pyrexia
Clinical narrative: Case received covid vaccine and one booster as of November 2021, then was hospitalized for Covid in February of 2022. Hospitalized at: Hospital.  * COVID Assessment & Plan Presented with 1 day of dyspnea, found to be COVID+. CXR/CTA without pneumonia or PE. Suspect infection started 2-3 weeks prior given ageusia and congestion during that time. Is vaccinated against COVID with J&J and mRNA booster. Has multiple risk factors for severe disease but steroids/anti-viral therapy held given prolonged duration of time since symptom onset. Did intermittently require small amounts of supplemental O2 so discharged home with oxygen. Counseled to isolate as able until symptoms resolve, including being fever-free for over 24 hours.   Severe sepsis  Assessment & Plan Met criteria for severe sepsis on presentation with fever, tachycardia, elevated lactate. Was treated appropriately with 30 ml/kg fluid bolus. This was attributed to COVID-19 and there was no evidence of separate bacterial infection.  12:38 PM 2/18/2022    Source of Infection: Viral Sepsis (including COVID-19) SIRS Criteria: Temp >38 C or < 36 C, HR > 90 Acute Organ Dysfunction: Lactic Acidosis (Lactate > 2.0) Shock: Not Present Based on the above findings, the patient has evidence of: Severe sepsis (Sepsis + Acute organ dysfunction) 30ml/kg bolus was ordered.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Tachycardia, Viral sepsis
Clinical narrative: Case received covid vaccine and one booster as of November 2021, then was hospitalized for Covid in February of 2022. Hospitalized at: Hospital.  * COVID Assessment & Plan Presented with 1 day of dyspnea, found to be COVID+. CXR/CTA without pneumonia or PE. Suspect infection started 2-3 weeks prior given ageusia and congestion during that time. Is vaccinated against COVID with J&J and mRNA booster. Has multiple risk factors for severe disease but steroids/anti-viral therapy held given prolonged duration of time since symptom onset. Did intermittently require small amounts of supplemental O2 so discharged home with oxygen. Counseled to isolate as able until symptoms resolve, including being fever-free for over 24 hours.   Severe sepsis  Assessment & Plan Met criteria for severe sepsis on presentation with fever, tachycardia, elevated lactate. Was treated appropriately with 30 ml/kg fluid bolus. This was attributed to COVID-19 and there was no evidence of separate bacterial infection.  12:38 PM 2/18/2022    Source of Infection: Viral Sepsis (including COVID-19) SIRS Criteria: Temp >38 C or < 36 C, HR > 90 Acute Organ Dysfunction: Lactic Acidosis (Lactate > 2.0) Shock: Not Present Based on the above findings, the patient has evidence of: Severe sepsis (Sepsis + Acute organ dysfunction) 30ml/kg bolus was ordered.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles erupted in April of 2021. There were no other known stressors at the time, may be unrelated to vaccine, reporting as I received a call after reporting a health event on V-Safe.
Age: 90.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Eye irritation, Pain, Skin warm
Clinical narrative: redness, irritation, pain, warm to touch
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired pfizer exp in fridge was 3/26/22 pt had no adverse effects
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired pfizer exp in fridge was 3/26/22 pt had no adverse effects
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Inflammation, Joint lock, Pain in extremity, Peripheral swelling
Clinical narrative: That night my arm swelled up, and it was swollen for 24 hours. The next day on 5/5 my knee locked up and I was limping, my leg became more and more painful and inflamed over the next 3 days. Then it suddenly subsided.
Age: 51.0
Sex: U
Vaccine: COVID19
Symptoms: Feeling abnormal, Tremor, Vision blurred
Clinical narrative: I experienced extreme body tremors very similiar to when i had Covid back in August of 2021. The tremors lasted about 45 minutes which was about 30 minutes longer than when I had Covid. I am also experiencing foggy or very blurry vision.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine was administered after 12 hours of first puncture. Vaccine given after being at room temperature for 23 hours. Manufacturer of Moderna contacted and they stated that vaccine still effective if done within 24 hours of first puncture. No adverse event reported by patient.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: PATIENT HAD BUMPS LIMITED TO INJECTED ARM (LEFT ARM); BUMPS WOULD COME AND GO; GIVEN 1 DOSE OF DIPHENHYDRAMINE 25MG. OBSERVED EVERY 5 MINUTES. AFTER 1ST 5 MINS: RXN LIMITED TO ARM; BUMPS COME AND GO. 2ND 5 MINS: PATIENT FEELS OK; NOTHING ABNORMAL.  3RD 5 MINS: FEELS OK; PATIENT EXITED PHARAMCY AND ADVISED IF FEELS WORSE TO GO TO EMERGENCY DEPARTMENT
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Acute cardiac event, Blood test, Cardiac disorder, Catheterisation cardiac, Chest pain
Clinical narrative: On the 27th in the evening at home-I was resting and I started having chest pain. My chest hurt, my left arm went numb, my jaw was tight, my whole body was fatigued and I could not move and it was hard to breath. After getting to the ER we did tests and it showed in my Triphoton levels showed I was having a cardiac event. We did the EKG and Cath and ruled out any blockages. We found that my heart was not working correctly and it was a stress induced cardiomyopathy.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram, Electrocardiogram, Fatigue, Hypoaesthesia
Clinical narrative: On the 27th in the evening at home-I was resting and I started having chest pain. My chest hurt, my left arm went numb, my jaw was tight, my whole body was fatigued and I could not move and it was hard to breath. After getting to the ER we did tests and it showed in my Triphoton levels showed I was having a cardiac event. We did the EKG and Cath and ruled out any blockages. We found that my heart was not working correctly and it was a stress induced cardiomyopathy.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Movement disorder, Muscle tightness, Stress cardiomyopathy, Troponin abnormal
Clinical narrative: On the 27th in the evening at home-I was resting and I started having chest pain. My chest hurt, my left arm went numb, my jaw was tight, my whole body was fatigued and I could not move and it was hard to breath. After getting to the ER we did tests and it showed in my Triphoton levels showed I was having a cardiac event. We did the EKG and Cath and ruled out any blockages. We found that my heart was not working correctly and it was a stress induced cardiomyopathy.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Enzyme activity normal, Fatigue, Feeling abnormal, Injected limb mobility decreased
Clinical narrative: I got the booster vaccine on Wed 05/11/2022, I had typical arm soreness not bad that day, and the next day I still had the soreness but felt a little blah like tired but not horrible, on Sat I woke up with severe pain in my arm at the injection site, and it got worse and worse and then I decided to go to urgent care on Sunday Morning. At the urgent care the Dr. was concerned that it was heart related so she sent me to the ER and they did an EKG and the checked my enzymes and everything was fine, they gave me some medication for the the pain and it helped a little bit but the advised that I go see an orthopedist the next day. I went to see someone on Monday the 16th which was a shoulder specialist, he took an x-ray of my shoulder and he could not see anything wrong, but felt like the way I moved it could be related to my neck so he gave me a steroid, and he wants me to see a spine specialist to get an MRI on Sat, and to see the Spine Specialist on the 25th of this month and I hope to have more info after that. He also wants to see a physical therapist and I saw her yesterday but she would like to wait for the MRI to be done before she dos anything in fear that something else could go wrong. I a experiencing a lot of weakness in my left arm, I cannot raise it and use it like I use to, the steroid is starting to finally work and I am still in pain and weak but not as severe.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Muscular weakness, Neurological examination, Pain in extremity, X-ray limb normal
Clinical narrative: I got the booster vaccine on Wed 05/11/2022, I had typical arm soreness not bad that day, and the next day I still had the soreness but felt a little blah like tired but not horrible, on Sat I woke up with severe pain in my arm at the injection site, and it got worse and worse and then I decided to go to urgent care on Sunday Morning. At the urgent care the Dr. was concerned that it was heart related so she sent me to the ER and they did an EKG and the checked my enzymes and everything was fine, they gave me some medication for the the pain and it helped a little bit but the advised that I go see an orthopedist the next day. I went to see someone on Monday the 16th which was a shoulder specialist, he took an x-ray of my shoulder and he could not see anything wrong, but felt like the way I moved it could be related to my neck so he gave me a steroid, and he wants me to see a spine specialist to get an MRI on Sat, and to see the Spine Specialist on the 25th of this month and I hope to have more info after that. He also wants to see a physical therapist and I saw her yesterday but she would like to wait for the MRI to be done before she dos anything in fear that something else could go wrong. I a experiencing a lot of weakness in my left arm, I cannot raise it and use it like I use to, the steroid is starting to finally work and I am still in pain and weak but not as severe.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna booster dose of 0.25 given to a 16yr old patient
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID+
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Atrial fibrillation, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Patient has received pfizer vaccine on 2/26/21, 3/26/21, and 10/1/21. Covid 19 Positive 4/29/22 , vaccinated, clinically asymptomatic. Came to ER on 5/2/22 and admitted for a fib. Asymptomatic for COVID19 so no treatment. Discharged on 5/11/22
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Choking, Cough, Decreased appetite
Clinical narrative: Breakthrough of Covid: 05/13/2022, I had sudden onset of scratchy throat. 05/14/2022, I had very sore throat and laryngitis and loss of appetite. 05/15/2022, I had very sore throat and laryngitis, loss of appetite, general body aches 05/16/2022, the very sore throat and laryngitis, loss of appetite, diarrhea, runny nose and I was chilled, no fever 05/17/2022, continued with the very sore throat and laryngitis, loss of appetite, diarrhea, runny nose and I was chilled, no fever, I would cough and it was so dry I would choke - it was a choking cough. Saw doctor prescribed Paxlovid and started it that evening. 05/18/2022, still a sore throat, laryngitis, no runny nose, a little bit of an appetite. 05/19/2022, A little bit of laryngitis nothing like I had, less of a sore throat, appetite is back and I slept really well.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Laryngitis, Oropharyngeal pain, Pain, Rhinorrhoea
Clinical narrative: Breakthrough of Covid: 05/13/2022, I had sudden onset of scratchy throat. 05/14/2022, I had very sore throat and laryngitis and loss of appetite. 05/15/2022, I had very sore throat and laryngitis, loss of appetite, general body aches 05/16/2022, the very sore throat and laryngitis, loss of appetite, diarrhea, runny nose and I was chilled, no fever 05/17/2022, continued with the very sore throat and laryngitis, loss of appetite, diarrhea, runny nose and I was chilled, no fever, I would cough and it was so dry I would choke - it was a choking cough. Saw doctor prescribed Paxlovid and started it that evening. 05/18/2022, still a sore throat, laryngitis, no runny nose, a little bit of an appetite. 05/19/2022, A little bit of laryngitis nothing like I had, less of a sore throat, appetite is back and I slept really well.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Throat irritation, Vaccine breakthrough infection
Clinical narrative: Breakthrough of Covid: 05/13/2022, I had sudden onset of scratchy throat. 05/14/2022, I had very sore throat and laryngitis and loss of appetite. 05/15/2022, I had very sore throat and laryngitis, loss of appetite, general body aches 05/16/2022, the very sore throat and laryngitis, loss of appetite, diarrhea, runny nose and I was chilled, no fever 05/17/2022, continued with the very sore throat and laryngitis, loss of appetite, diarrhea, runny nose and I was chilled, no fever, I would cough and it was so dry I would choke - it was a choking cough. Saw doctor prescribed Paxlovid and started it that evening. 05/18/2022, still a sore throat, laryngitis, no runny nose, a little bit of an appetite. 05/19/2022, A little bit of laryngitis nothing like I had, less of a sore throat, appetite is back and I slept really well.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: The next day I had vertigo. I did not get treated. It went away on its own after about a week.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired pfizer exp in fridge was 3/26/22 pt had no adverse effects
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Bronchitis, COVID-19, Computerised tomogram thorax abnormal, Emphysema
Clinical narrative: Patient received pfizer vaccine on 2/24/21, 3/17/21 and 8/27/21. COVID positive on 5/3/22. PResented to ER on 5/4/22 and admitted. Presented as transfer from OSH for acute hypoxic respiratory failure secondary to COVID 19. CT chest at OSH with emphysema and bronchitis. Vitals on admission remarkable for fever.    Started on steroids on admission. Remdesivir started after patient jumped from 2L NC to 5L NC overnight of admission. Completed 3/5 days of remdesivir and then d/c'ed as patient on room air. Not d/c'ed with steroids as on room air. Patient given instructions to resume home dose of prednisone. Patient is working with endocrinology on tapering prednisone.     ID consulted, not a candidate for tocilizumab or barictinib given being treated for superimposed CAP. Placed on ceftriaxone and doxycycline. D/c'ed with doxycyline and cefuroxime.    Patient given instructions to follow up in one week with PCP.  Discharged on 5/7/22
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Pyrexia, SARS-CoV-2 test positive, Superinfection
Clinical narrative: Patient received pfizer vaccine on 2/24/21, 3/17/21 and 8/27/21. COVID positive on 5/3/22. PResented to ER on 5/4/22 and admitted. Presented as transfer from OSH for acute hypoxic respiratory failure secondary to COVID 19. CT chest at OSH with emphysema and bronchitis. Vitals on admission remarkable for fever.    Started on steroids on admission. Remdesivir started after patient jumped from 2L NC to 5L NC overnight of admission. Completed 3/5 days of remdesivir and then d/c'ed as patient on room air. Not d/c'ed with steroids as on room air. Patient given instructions to resume home dose of prednisone. Patient is working with endocrinology on tapering prednisone.     ID consulted, not a candidate for tocilizumab or barictinib given being treated for superimposed CAP. Placed on ceftriaxone and doxycycline. D/c'ed with doxycyline and cefuroxime.    Patient given instructions to follow up in one week with PCP.  Discharged on 5/7/22
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Syncope
Clinical narrative: px had a syncope 15-20 mins after vaccination was given.  px was check by doctor BP 106/71. HR 74 BPM pulse ox 99 % RA.  physical exam unremarkable.. Px was lying down for 15 mins, drink pedialyte and recover well. went to home with mother.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac stress test normal, Chest discomfort, Cholelithiasis, Fatigue, Pain
Clinical narrative: I had gallstones that blocked from kidney to gallbladder requiring a holiseptomy and I'm currently in recovery from this surgery. The other health event started more than 2.5 months ago and started with body aches and tiredness. Not sure if I got Covid. I tested a couple of times with home Covid test and it came back negative. I don't know what the cause of it was but it's still hanging around now. Last week I finally talked my doctor into getting an antigen test and it shows I have antibodies. I'm still having tightness in the chest and no one knows what's causing it and it's only on the left side and seems to be getting more constant now.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 antibody test positive, SARS-CoV-2 test negative, Surgery, X-ray normal
Clinical narrative: I had gallstones that blocked from kidney to gallbladder requiring a holiseptomy and I'm currently in recovery from this surgery. The other health event started more than 2.5 months ago and started with body aches and tiredness. Not sure if I got Covid. I tested a couple of times with home Covid test and it came back negative. I don't know what the cause of it was but it's still hanging around now. Last week I finally talked my doctor into getting an antigen test and it shows I have antibodies. I'm still having tightness in the chest and no one knows what's causing it and it's only on the left side and seems to be getting more constant now.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired pfizer exp in fridge was 3/26/22 pt had no adverse effects
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood test normal, Cyclic vomiting syndrome, Diarrhoea, Vomiting
Clinical narrative: He started with cyclical vomiting in January.  He has very painful flair ups of stomach pain, vomiting and diarrhea each month lasting for several hours.  I am reporting this as he did not have this condition prior to taking the vaccine.  It happens monthly.   He is scheduled to see a gastroenterologist this summer to find out more information.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine was expired
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Oropharyngeal pain
Clinical narrative: Approximately 2-3 weeks after my 4th dose vaccination I contracted COVID-19 and experienced the following symptoms: fatigue, mild fever (99.7), body aches, headache, runny nose, sore throat and cough. i took ibuprofen and had a virtual visit with my nurse practitioner and was prescribed with Paxlovid and was taking it 2x a day for 5 days and my symptoms started improving each day when I was taking it.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: Approximately 2-3 weeks after my 4th dose vaccination I contracted COVID-19 and experienced the following symptoms: fatigue, mild fever (99.7), body aches, headache, runny nose, sore throat and cough. i took ibuprofen and had a virtual visit with my nurse practitioner and was prescribed with Paxlovid and was taking it 2x a day for 5 days and my symptoms started improving each day when I was taking it.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired pfizer exp in fridge was 3/26/22 pt had no adverse effects
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chronic obstructive pulmonary disease, Computerised tomogram thorax abnormal, Fall, Femur fracture
Clinical narrative: Patient received pfizer vaccine on 2/3/21, 3/3/21, and 11/2/21. Presented to ER on 5/2/22 and found to be COVID19 positive. who sustained a left femoral hip fracture after a mechanical fall at home. He was also noted to test positive for COVID in the emergency room with a noted D-dimer >20. CT angio of chest was negative for pulmonary embolism and pneumonia with noted 3.1 cm right lung nodule (this appears to be new). Ultrasound of lower extremities negative for DVT. He was noted to have acute hypoxia thought to be secondary to acute COPD exacerbation requiring oxygen. He was treated with antibiotic, steroids, and bronchodilator with noted clinical improvement and ability to be weaned to room air. He completed treatment for COPD exacerbation. Discharged on 5/13/22
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Hip fracture, Hypoxia, Pulmonary mass, SARS-CoV-2 test positive
Clinical narrative: Patient received pfizer vaccine on 2/3/21, 3/3/21, and 11/2/21. Presented to ER on 5/2/22 and found to be COVID19 positive. who sustained a left femoral hip fracture after a mechanical fall at home. He was also noted to test positive for COVID in the emergency room with a noted D-dimer >20. CT angio of chest was negative for pulmonary embolism and pneumonia with noted 3.1 cm right lung nodule (this appears to be new). Ultrasound of lower extremities negative for DVT. He was noted to have acute hypoxia thought to be secondary to acute COPD exacerbation requiring oxygen. He was treated with antibiotic, steroids, and bronchodilator with noted clinical improvement and ability to be weaned to room air. He completed treatment for COPD exacerbation. Discharged on 5/13/22
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound Doppler normal
Clinical narrative: Patient received pfizer vaccine on 2/3/21, 3/3/21, and 11/2/21. Presented to ER on 5/2/22 and found to be COVID19 positive. who sustained a left femoral hip fracture after a mechanical fall at home. He was also noted to test positive for COVID in the emergency room with a noted D-dimer >20. CT angio of chest was negative for pulmonary embolism and pneumonia with noted 3.1 cm right lung nodule (this appears to be new). Ultrasound of lower extremities negative for DVT. He was noted to have acute hypoxia thought to be secondary to acute COPD exacerbation requiring oxygen. He was treated with antibiotic, steroids, and bronchodilator with noted clinical improvement and ability to be weaned to room air. He completed treatment for COPD exacerbation. Discharged on 5/13/22
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Immune system disorder, Malaise
Clinical narrative: Ever since the first vaccine I feel like my immune system is a lot weaker then what it used to be. I am noticing I am getting sick more frequently now then before my first and second vaccine and I am not exactly sure why. I have always been a healthy person. I did contract Covid AFTER the vaccines.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Moderna vaccine was opened on 5/16/22 at 930a, dose should of been discarded after 930p on 5/17/22.  Patient  came in on 5/17/22 at 230p to get Moderna vaccine patient was given a dose that was expired.  No adverse reaction noted, pt was notified.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired pfizer exp in fridge was 3/26/22 pt had no adverse effects
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Nasopharyngitis, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID Case: On May 7th, 2022 at approximately 09:00PM, I developed a cough. By May 8th, I experienced cold-like symptoms. I performed a rapid test which came out positive. The cold symptoms got worse and I felt like I had a bad cold for approximately 4 days. I, then, began feeling better. By the 7th day, felt almost normal.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID+
Age: 51.0
Sex: F
Vaccine: UNK
Symptoms: Fibrin D dimer increased, Laboratory test
Clinical narrative: I had to go to Emergency Room on 02/09/2022.  During some routine lab tests, they found out I now have a very elevated D-Dimer result at 293.  I may have even had a small pulmonary embolism, they were not sure.  I also had to go back on 04/18/2022 and my D-Dimer was even more elevated at 376! It has never been elevated before my first booster, or my third vaccine.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vacvcine was expired
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Cardiac monitoring normal, Electrocardiogram normal, Heart rate increased, Sleep disorder
Clinical narrative: About a week after vaccination with dose 3 Pfizer, I woke up in the middle of the night with tachycardia/feeling of beating rapidly. My heart rate woke me up for 3 nights straight. I called the doctor after the 3rd day of elevated heartrate and I went in to see him on 10-15-2021. He ordered an EKG which looked normal. He then put me on a heart monitor for 1 week and it was normal as well. Nothing else was ordered. He put me on a betablocker, name unknown. My blood pressure became extremely elevated so I stopped it. He then tried a second medication Amlodipine 2.5mg. It was eventually increased to 5mg but my blood pressure reacted to it by increasing so I just stopped taking it also. My heart rate and blood pressure are normal today.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: About a week after vaccination with dose 3 Pfizer, I woke up in the middle of the night with tachycardia/feeling of beating rapidly. My heart rate woke me up for 3 nights straight. I called the doctor after the 3rd day of elevated heartrate and I went in to see him on 10-15-2021. He ordered an EKG which looked normal. He then put me on a heart monitor for 1 week and it was normal as well. Nothing else was ordered. He put me on a betablocker, name unknown. My blood pressure became extremely elevated so I stopped it. He then tried a second medication Amlodipine 2.5mg. It was eventually increased to 5mg but my blood pressure reacted to it by increasing so I just stopped taking it also. My heart rate and blood pressure are normal today.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Dizziness, Fatigue
Clinical narrative: It started on Saturday evening. I was tired, really tired and had a very terrible cough. Kept waking me up all night. The next day, Sunday morning I was really fatigued and felt like I had a fever. Had a low-grade fever and that passed pretty quickly then felt decent for a bit. Up and down. I was still coughing a lot. I also had a cold, runny nose, stuffy nose. It has been so much better today. I had an interesting event a couple nights ago. I had been feeling lethargic all day and I was by myself at home. I was reading a book on my phone and suddenly, I started to get so dizzy and so spaced out. I got pins and needles up and down my arms and legs. I got nauseated but didn?t throw up. These are all the symptoms for a heart attack so my husband came home, and I went to bed and we were worried so he called 911. They came quickly and I told them I was pretty fatigued, and I did a COVID test Sunday morning, and it was negative. Everything vitals wise was normal. They noted to come with them as a precaution or follow up with a cardiologist. I just got sicker with the horrible runny nose. The next day I did make an appointment and got on a virtual call. I told him what happened, and he said it was just more COVID. He noted it wasn?t a heart attack and I noted this went on from 6-9pm. started to feel gradually better around 8:30PM and then by 9pm I felt fine and just needed to eat. Asked about the anti-viral and I got the prescription for the Paxlovid. But I didn?t take it because I started to feel better already. I haven?t taken it and he just recommended Vitamin C 3000mg and lots of water. He also suggested 40-50mg of zinc per day, but I am doing better. I decided just not to take the Paxlovid because I?m feeling so much better. I have been more energic than I had been the last 3 days, not completely normal, but getting there. No more fever except for a low grade one on Sunday. Everything was perfectly normal yesterday for the temperature. So I believe I?m on the mend.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Lethargy, Malaise, Nasal congestion, Nasopharyngitis
Clinical narrative: It started on Saturday evening. I was tired, really tired and had a very terrible cough. Kept waking me up all night. The next day, Sunday morning I was really fatigued and felt like I had a fever. Had a low-grade fever and that passed pretty quickly then felt decent for a bit. Up and down. I was still coughing a lot. I also had a cold, runny nose, stuffy nose. It has been so much better today. I had an interesting event a couple nights ago. I had been feeling lethargic all day and I was by myself at home. I was reading a book on my phone and suddenly, I started to get so dizzy and so spaced out. I got pins and needles up and down my arms and legs. I got nauseated but didn?t throw up. These are all the symptoms for a heart attack so my husband came home, and I went to bed and we were worried so he called 911. They came quickly and I told them I was pretty fatigued, and I did a COVID test Sunday morning, and it was negative. Everything vitals wise was normal. They noted to come with them as a precaution or follow up with a cardiologist. I just got sicker with the horrible runny nose. The next day I did make an appointment and got on a virtual call. I told him what happened, and he said it was just more COVID. He noted it wasn?t a heart attack and I noted this went on from 6-9pm. started to feel gradually better around 8:30PM and then by 9pm I felt fine and just needed to eat. Asked about the anti-viral and I got the prescription for the Paxlovid. But I didn?t take it because I started to feel better already. I haven?t taken it and he just recommended Vitamin C 3000mg and lots of water. He also suggested 40-50mg of zinc per day, but I am doing better. I decided just not to take the Paxlovid because I?m feeling so much better. I have been more energic than I had been the last 3 days, not completely normal, but getting there. No more fever except for a low grade one on Sunday. Everything was perfectly normal yesterday for the temperature. So I believe I?m on the mend.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Paraesthesia, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: It started on Saturday evening. I was tired, really tired and had a very terrible cough. Kept waking me up all night. The next day, Sunday morning I was really fatigued and felt like I had a fever. Had a low-grade fever and that passed pretty quickly then felt decent for a bit. Up and down. I was still coughing a lot. I also had a cold, runny nose, stuffy nose. It has been so much better today. I had an interesting event a couple nights ago. I had been feeling lethargic all day and I was by myself at home. I was reading a book on my phone and suddenly, I started to get so dizzy and so spaced out. I got pins and needles up and down my arms and legs. I got nauseated but didn?t throw up. These are all the symptoms for a heart attack so my husband came home, and I went to bed and we were worried so he called 911. They came quickly and I told them I was pretty fatigued, and I did a COVID test Sunday morning, and it was negative. Everything vitals wise was normal. They noted to come with them as a precaution or follow up with a cardiologist. I just got sicker with the horrible runny nose. The next day I did make an appointment and got on a virtual call. I told him what happened, and he said it was just more COVID. He noted it wasn?t a heart attack and I noted this went on from 6-9pm. started to feel gradually better around 8:30PM and then by 9pm I felt fine and just needed to eat. Asked about the anti-viral and I got the prescription for the Paxlovid. But I didn?t take it because I started to feel better already. I haven?t taken it and he just recommended Vitamin C 3000mg and lots of water. He also suggested 40-50mg of zinc per day, but I am doing better. I decided just not to take the Paxlovid because I?m feeling so much better. I have been more energic than I had been the last 3 days, not completely normal, but getting there. No more fever except for a low grade one on Sunday. Everything was perfectly normal yesterday for the temperature. So I believe I?m on the mend.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: It started on Saturday evening. I was tired, really tired and had a very terrible cough. Kept waking me up all night. The next day, Sunday morning I was really fatigued and felt like I had a fever. Had a low-grade fever and that passed pretty quickly then felt decent for a bit. Up and down. I was still coughing a lot. I also had a cold, runny nose, stuffy nose. It has been so much better today. I had an interesting event a couple nights ago. I had been feeling lethargic all day and I was by myself at home. I was reading a book on my phone and suddenly, I started to get so dizzy and so spaced out. I got pins and needles up and down my arms and legs. I got nauseated but didn?t throw up. These are all the symptoms for a heart attack so my husband came home, and I went to bed and we were worried so he called 911. They came quickly and I told them I was pretty fatigued, and I did a COVID test Sunday morning, and it was negative. Everything vitals wise was normal. They noted to come with them as a precaution or follow up with a cardiologist. I just got sicker with the horrible runny nose. The next day I did make an appointment and got on a virtual call. I told him what happened, and he said it was just more COVID. He noted it wasn?t a heart attack and I noted this went on from 6-9pm. started to feel gradually better around 8:30PM and then by 9pm I felt fine and just needed to eat. Asked about the anti-viral and I got the prescription for the Paxlovid. But I didn?t take it because I started to feel better already. I haven?t taken it and he just recommended Vitamin C 3000mg and lots of water. He also suggested 40-50mg of zinc per day, but I am doing better. I decided just not to take the Paxlovid because I?m feeling so much better. I have been more energic than I had been the last 3 days, not completely normal, but getting there. No more fever except for a low grade one on Sunday. Everything was perfectly normal yesterday for the temperature. So I believe I?m on the mend.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired pfizer exp in fridge was 3/26/22 pt had no adverse effects
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Dizziness, Hypoacusis, Tinnitus
Clinical narrative: I started hearing a high pitched sound in the morning. The sound continued and I started to feel dizzy. I went to the doctor and was told no treatment was needed and it would subside on its own. I did not have any problems hearing prior to the shot. I was diagnosis with Tinnitus and still currently hear the high pitch noise.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Culture negative, Dyspnoea, Inappropriate schedule of product administration
Clinical narrative: Patient received pfizer vaccine on 3/6/21, 4/19/21 and 10/7/21. Presented to ER on 5/10/22. Took home COVID19 test which was positive on 5/7/22. On 5/10/22 in hospital, COVID19 was negative. He presented with  upper respiratory infection type symptoms with coughing mainly present for about 8 days prior to coming to the hospital.  Four days prior had taken at home COVID test was positive.  He was concerned because he was having some shortness of breath so came to the emergency department.  Workup was negative.  He had elevation in his troponin which is chronic.  Did not have any corresponding cardiac issues.  Coughing was minimal.  He was not hypoxic.  He tested negative at the hospital for COVI D. Nonetheless was isolated and monitored overnight.  He was started on ceftriaxone and azithromycin.  Pan cultures obtained and followed.  They were negative.  On the above date he was totally asymptomatic and tolerating activity.  Was retested for COVID and again negative.  He was discharged home in stable condition. on  5/11/22
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory symptom, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Patient received pfizer vaccine on 3/6/21, 4/19/21 and 10/7/21. Presented to ER on 5/10/22. Took home COVID19 test which was positive on 5/7/22. On 5/10/22 in hospital, COVID19 was negative. He presented with  upper respiratory infection type symptoms with coughing mainly present for about 8 days prior to coming to the hospital.  Four days prior had taken at home COVID test was positive.  He was concerned because he was having some shortness of breath so came to the emergency department.  Workup was negative.  He had elevation in his troponin which is chronic.  Did not have any corresponding cardiac issues.  Coughing was minimal.  He was not hypoxic.  He tested negative at the hospital for COVI D. Nonetheless was isolated and monitored overnight.  He was started on ceftriaxone and azithromycin.  Pan cultures obtained and followed.  They were negative.  On the above date he was totally asymptomatic and tolerating activity.  Was retested for COVID and again negative.  He was discharged home in stable condition. on  5/11/22
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, COVID-19, Cough, Decreased appetite, Eye irritation
Clinical narrative: Breakthrough Case of COVID, Runny nose, congestion, Mild headache, sneezing, a little cough, I did not feel right, I could not stop sneezing. Second day I had a very bad cough, and then it was like going into my chest, I don't want to eat, and I could not smell anything, bad cough, I can't sleep and lots of congestion, just very tired. My eyes were starting to burn, more burning eyes than a headache.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Insomnia, Respiratory tract congestion
Clinical narrative: Breakthrough Case of COVID, Runny nose, congestion, Mild headache, sneezing, a little cough, I did not feel right, I could not stop sneezing. Second day I had a very bad cough, and then it was like going into my chest, I don't want to eat, and I could not smell anything, bad cough, I can't sleep and lots of congestion, just very tired. My eyes were starting to burn, more burning eyes than a headache.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, Sneezing, Vaccine breakthrough infection
Clinical narrative: Breakthrough Case of COVID, Runny nose, congestion, Mild headache, sneezing, a little cough, I did not feel right, I could not stop sneezing. Second day I had a very bad cough, and then it was like going into my chest, I don't want to eat, and I could not smell anything, bad cough, I can't sleep and lots of congestion, just very tired. My eyes were starting to burn, more burning eyes than a headache.
Age: 5.0
Sex: F
Vaccine: HEPA
Symptoms: Dizziness, Lip discolouration, Lip swelling, Vomiting
Clinical narrative: MOTHER CALLED OFFICE  AT  2:00PM REPORTED PATIENT HAVING  PURPLE LIP AND SWOLLEN LIP  IN CAR AND DIZZYNESS . AFTER LEAVING OFFICE  TOOK A NAP  AT HOME AND WOKE UP VOMITTING .   INSTURCTED PATIENT TO GO TO ER.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, COVID-19, COVID-19 pneumonia, Cardiomegaly
Clinical narrative: Patient received moderna vaccine on 4/13/21 and 5/11/21. Presented to ER on 5/7/22. COVID19 on 5/7/22. admitted on 5/7/22 with acute hypoxic respiratory failure secondary to COVID -19 pneumonia.  COVID test positive on 5/7/22.   Pt Initially required BiPAP and then high-flow oxygen.  CT chest with contrast done and show right-sided pulmonary emboli in addition to COVID pneumonia.  Pt continued on warfarin; will need follow up of labs as outpatient.  She completed treatment for COVID Pneumonia with antibiotics, remdesivir, Decadron and bronchodilator therapy.  She was followed by Infectious Disease and Pulmonary Services.  Overall she has done well and has shown improvement and pt states that she feels much better.  Pt with SpO2 in the 90s on RA today.  She can be taken off of isolation.  Pt has been accepted to an assisted living facility and is stable for discharge.  Pt to continue with Rehab and f/u with PCP as OP.  Discharged on 5/18/22
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram thorax abnormal, Positive airway pressure therapy, Pulmonary embolism, SARS-CoV-2 test positive
Clinical narrative: Patient received moderna vaccine on 4/13/21 and 5/11/21. Presented to ER on 5/7/22. COVID19 on 5/7/22. admitted on 5/7/22 with acute hypoxic respiratory failure secondary to COVID -19 pneumonia.  COVID test positive on 5/7/22.   Pt Initially required BiPAP and then high-flow oxygen.  CT chest with contrast done and show right-sided pulmonary emboli in addition to COVID pneumonia.  Pt continued on warfarin; will need follow up of labs as outpatient.  She completed treatment for COVID Pneumonia with antibiotics, remdesivir, Decadron and bronchodilator therapy.  She was followed by Infectious Disease and Pulmonary Services.  Overall she has done well and has shown improvement and pt states that she feels much better.  Pt with SpO2 in the 90s on RA today.  She can be taken off of isolation.  Pt has been accepted to an assisted living facility and is stable for discharge.  Pt to continue with Rehab and f/u with PCP as OP.  Discharged on 5/18/22
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast abnormal
Clinical narrative: Patient received moderna vaccine on 4/13/21 and 5/11/21. Presented to ER on 5/7/22. COVID19 on 5/7/22. admitted on 5/7/22 with acute hypoxic respiratory failure secondary to COVID -19 pneumonia.  COVID test positive on 5/7/22.   Pt Initially required BiPAP and then high-flow oxygen.  CT chest with contrast done and show right-sided pulmonary emboli in addition to COVID pneumonia.  Pt continued on warfarin; will need follow up of labs as outpatient.  She completed treatment for COVID Pneumonia with antibiotics, remdesivir, Decadron and bronchodilator therapy.  She was followed by Infectious Disease and Pulmonary Services.  Overall she has done well and has shown improvement and pt states that she feels much better.  Pt with SpO2 in the 90s on RA today.  She can be taken off of isolation.  Pt has been accepted to an assisted living facility and is stable for discharge.  Pt to continue with Rehab and f/u with PCP as OP.  Discharged on 5/18/22
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy thyroid gland, Thyroid mass, Ultrasound thyroid
Clinical narrative: 1 month later noticed thyroid nodules which were visible.  I had not ever had this before.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired pfizer exp in fridge was 3/26/22 pt had no adverse effects
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Nausea, Paralysis, Tunnel vision, Vomiting
Clinical narrative: 3 hours post injection, patient describes "violent nausea and vomiting" tunnel vision, unable to move limbs, confusion,  Lasted 1-15 minutes until patient was able to get on floor and crawl to couch".  "Back to Normal in approximately 30 minutes".  Patient was alone at the time of event.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy, Muscle twitching, Oedema peripheral, Pain
Clinical narrative: Significant swelling (and some pain) under left armpit for 7-10 days. Swollen lymph node as per my individual assessment. Also, muscle twitching at several places in body for few days. Severe body pain for around 2 days.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired pfizer exp in fridge was 3/26/22 pt had no adverse effects
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired pfizer exp in fridge was 3/26/22 pt had no adverse effects
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired pfizer exp in fridge was 3/26/22 pt had no adverse effects
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID+
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Electroencephalogram, Electromyogram, Fatigue
Clinical narrative: Patient reports that he has been fatigued, low back pain, weakness, and tremors since he had his second vaccine.  His workups have been negative for his neurologic symptoms and newly diagnosed neuropathy and he was concerned it may be the vaccine since his health has worsened since the second vaccine
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Neuropathy peripheral, Pulmonary function test, Spinal X-ray, Tremor
Clinical narrative: Patient reports that he has been fatigued, low back pain, weakness, and tremors since he had his second vaccine.  His workups have been negative for his neurologic symptoms and newly diagnosed neuropathy and he was concerned it may be the vaccine since his health has worsened since the second vaccine