chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Hypokinesia, Injection site pain, Musculoskeletal stiffness, Phlebitis, Suspected COVID-19
Clinical narrative: COULD NOT MOVE; PHLEBITIS; RESIDUAL SORENESS AT SHOT ADMINISTERED SITE; CAME DOWN WITH A TERRIBLE CASE OF COVID; CLOTTING SIX WEEKS AFTER THE SHOT/ DEVELOPED CLOTS; BODY STIFF / STIFF NECK FOR 3 WEEKS; This spontaneous report received from a patient concerned a 69 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included: varicosity on legs, and other pre-existing medical conditions included: Patient has no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, and batch number were not reported) dose was not reported, 1 total administered on left arm on 09-JUN-2021 for covid-19 prophylaxis. The batch number was not reported and has been requested. Age at time of vaccination 69 years old. No concomitant medications were reported.  On an unspecified date in JUN-2021, the patient experienced stiff neck for 3 weeks. On an unspecified date in JUL-2021, six weeks after the shot the patient experienced clotting. On an unspecified date in DEC-2021, six 6 months after the shot, the patient came down with a terrible case of covid. Patient had stiff neck for three weeks, patient could not move and body was like a stiff figure. The reaction travelled to patient's legs. Patient said that she has a prior history of varicosity on her legs, and they developed clots. Patient had to use warm compresses on her legs, and then, it turned to phlebitis. Patient took Tylenol and Advil for weeks due to the reaction. Patient mentioned she still has residual soreness where the shot was administered, but she was not sure if this was a result of the shot. Patient noted, there was a silver lining, as the varicosity on her legs, which patient had prior to the shot, shrank. Patient said the varicosities were bulging, and then, they shrank. Patient commented she was going to have a procedure to reduce the veins, but the shot did the trick. Treatment medications (dates unspecified) included: ibuprofen, and paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the came down with a terrible case of covid, clotting six weeks after the shot/ developed clots, body stiff / stiff neck for 3 weeks, could not move, phlebitis and residual soreness at shot administered site was not reported. This report was serious (Other Medically Important Condition). This report was associated with product quality complaint: 90000298351.; Sender's Comments: V0: 20230964406-Clotting six weeks after the shot/ developed clots,. The event has a compatible/suggestive temporal relationship, is unlabeled, and is scientifically plausible. There is no information on any other factors potentially associated with the event. Therefore, this event is considered consistent with vaccine administration.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombosis
Clinical narrative: COULD NOT MOVE; PHLEBITIS; RESIDUAL SORENESS AT SHOT ADMINISTERED SITE; CAME DOWN WITH A TERRIBLE CASE OF COVID; CLOTTING SIX WEEKS AFTER THE SHOT/ DEVELOPED CLOTS; BODY STIFF / STIFF NECK FOR 3 WEEKS; This spontaneous report received from a patient concerned a 69 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included: varicosity on legs, and other pre-existing medical conditions included: Patient has no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, and batch number were not reported) dose was not reported, 1 total administered on left arm on 09-JUN-2021 for covid-19 prophylaxis. The batch number was not reported and has been requested. Age at time of vaccination 69 years old. No concomitant medications were reported.  On an unspecified date in JUN-2021, the patient experienced stiff neck for 3 weeks. On an unspecified date in JUL-2021, six weeks after the shot the patient experienced clotting. On an unspecified date in DEC-2021, six 6 months after the shot, the patient came down with a terrible case of covid. Patient had stiff neck for three weeks, patient could not move and body was like a stiff figure. The reaction travelled to patient's legs. Patient said that she has a prior history of varicosity on her legs, and they developed clots. Patient had to use warm compresses on her legs, and then, it turned to phlebitis. Patient took Tylenol and Advil for weeks due to the reaction. Patient mentioned she still has residual soreness where the shot was administered, but she was not sure if this was a result of the shot. Patient noted, there was a silver lining, as the varicosity on her legs, which patient had prior to the shot, shrank. Patient said the varicosities were bulging, and then, they shrank. Patient commented she was going to have a procedure to reduce the veins, but the shot did the trick. Treatment medications (dates unspecified) included: ibuprofen, and paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the came down with a terrible case of covid, clotting six weeks after the shot/ developed clots, body stiff / stiff neck for 3 weeks, could not move, phlebitis and residual soreness at shot administered site was not reported. This report was serious (Other Medically Important Condition). This report was associated with product quality complaint: 90000298351.; Sender's Comments: V0: 20230964406-Clotting six weeks after the shot/ developed clots,. The event has a compatible/suggestive temporal relationship, is unlabeled, and is scientifically plausible. There is no information on any other factors potentially associated with the event. Therefore, this event is considered consistent with vaccine administration.
Age: 0.5
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event, Wrong product administered
Clinical narrative: No adverse event; Patient was scheduled for first primary covid vaccine but instead was given the booster dose; This spontaneous case was reported by an other health care professional and describes the occurrence of WRONG PRODUCT ADMINISTERED (Patient was scheduled for first primary covid vaccine but instead was given the booster dose) and NO ADVERSE EVENT (No adverse event) in a 6-month-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 216K22A) for COVID-19 prophylaxis.     Relevant medical history or conditions, allergy, concomitant diseases and risk factor were unknown.     On 25-Aug-2023, the patient received first dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) .2 milliliter. On 25-Aug-2023,  after starting mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)), the patient experienced WRONG PRODUCT ADMINISTERED (Patient was scheduled for first primary covid vaccine but instead was given the booster dose). On an unknown date, the patient experienced NO ADVERSE EVENT (No adverse event). At the time of the report, WRONG PRODUCT ADMINISTERED (Patient was scheduled for first primary covid vaccine but instead was given the booster dose) and NO ADVERSE EVENT (No adverse event) outcome was unknown.        For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter considered NO ADVERSE EVENT (No adverse event) to be not related. No further causality assessment was provided for WRONG PRODUCT ADMINISTERED (Patient was scheduled for first primary covid vaccine but instead was given the booster dose).    It was unknown if the patient was vaccinated with any other vaccinations 4 weeks prior to the COVID-19 vaccine.  Concomitant medication not reported.   Two patients were involved. The facility ordered Bivalent Moderna COVID-19 Vaccines, but they only got the dark pink cap vials. They had two patients, one that was 8 months and 7 days who had not received the dose and one that was 6 months and 2 days who had received a dose. The patient who received a dose was administered 0.2 mL from the dark pink cap vial (lot number 216K22A). Both patients were previously unvaccinated.  Treatment medication not reported.   Most recent FOLLOW-UP information incorporated above includes: On 04-Oct-2023: Significant follow up received contains patient details added and primary reporter details, event term updated.
Age: 17.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Blood glucose, Dizziness, Electrocardiogram, Feeling hot
Clinical narrative: about 1 hour after being given the flu shot - felt lightheaded, hot and dizzy.  Went to the ED and BGL and EKG done.
Age: 17.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Feeling hot, Pallor, Visual impairment
Clinical narrative: about 1 hour after being given the flu shot - felt lightheaded, hot and dizzy.  Went to the ED and BGL and EKG done.
Age: 17.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Blood glucose, Dizziness, Electrocardiogram, Feeling hot
Clinical narrative: Within an hour after receiving vaccine felt hot, vision became "splotchy", was told that she looked pale, directed to sit down, vitals were taken and HR was elevated, BP and Temp were within normal limits; was brought to the Emergency Dept and was observed for 45 minutes to one hour and was discharged.
Age: 17.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Feeling hot, Pallor, Visual impairment
Clinical narrative: Within an hour after receiving vaccine felt hot, vision became "splotchy", was told that she looked pale, directed to sit down, vitals were taken and HR was elevated, BP and Temp were within normal limits; was brought to the Emergency Dept and was observed for 45 minutes to one hour and was discharged.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site urticaria, Rash, Urticaria
Clinical narrative: Pt reports having hives starting on 9/27/2023 at site of injection, along left arm and rash across face. Patient used OTC oral and topical antihistamines for treatment with success. Rash/hives are resolving.
Age: 24.0
Sex: F
Vaccine: VARCEL
Symptoms: Dyspnoea, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Received a varicella vaccine on 10/4/23 in the left arm, posterior upper arm. Had redness and swelling this AM on left arm, about a quarter in size at 0830. At 0930 the swelling increased to about the size of a palm, with patient report of itchiness when touched. Redness was warm to touch. While walking down to employee health, was experiencing slight shortness of breath. Brought back to room by RN. Employee health APP and MD to room to assess.  Gave Benadryl IM, vital signs stable, took cab home
Age: 17.0
Sex: F
Vaccine: FLU4, HEPA, HPV9, MENB, MNQ, VARCEL
Symptoms: Fall, Syncope, Tooth injury
Clinical narrative: Vaccines were administered by clinic staff, within one minute patient had vasovagal syncope event and fell forward off of exam table. She hit her teeth on the ground causing damage to several of her front teeth. EMS was called and patient was awake by the time of their arrival.
Age: 81.0
Sex: M
Vaccine: UNK, UNK
Symptoms: Anal incontinence, Apathy, Asthenia, Balance disorder, Decreased appetite
Clinical narrative: General weakness, imbalance, loss of appetite, incontinence (bowel and bladder). general lethargy, body aches, sleep difficulties, lack of ambition
Age: 81.0
Sex: M
Vaccine: UNK, UNK
Symptoms: Insomnia, Lethargy, Pain, Urinary incontinence
Clinical narrative: General weakness, imbalance, loss of appetite, incontinence (bowel and bladder). general lethargy, body aches, sleep difficulties, lack of ambition
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: fever 37.5 last night for 3-4 hours; This spontaneous case was reported by a patient family member or friend and describes the occurrence of PYREXIA (fever 37.5 last night for 3-4 hours) in a 28-year-old female patient who received mRNA-1273.815 (SPIKEVAX 2023-2024 PFS) (batch no. 3031279) for COVID-19 prophylaxis.     No Medical History information was reported.    On 28-Sep-2023, the patient received dose of mRNA-1273.815 (SPIKEVAX 2023-2024 PFS) (unknown route) 1 dosage form. On 28-Sep-2023, after starting mRNA-1273.815 (SPIKEVAX 2023-2024 PFS), the patient experienced PYREXIA (fever 37.5 last night for 3-4 hours). In September 2023, PYREXIA (fever 37.5 last night for 3-4 hours) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 29-Sep-2023, Body temperature: fever of 37.5 in last night.         No concomitant medications were reported.  The patient received all the Moderna vaccines in the past and have had strong reaction to them as more than 100 degrees of fever every time.  On 28-Sep-2023, the patient received booster dose of Spikevax 2023-2024 PFS vaccine.  No treatment medications were reported.   This case was linked to MOD-2023-743682 (Patient Link).
Age: 78.0
Sex: F
Vaccine: FLU4
Symptoms: Contusion, Pain, Swelling
Clinical narrative: patient experienced significant bruising , swelling and pain after receiving the immunization
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Extra dose administered
Clinical narrative: Patient was given the second dose of Meningo in error.  Had already received it from another provider.  No adverse effects observed or reported.
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Skin warm
Clinical narrative: Patient complained of redness on entire upper arm that is warm to touch. Redness has then traveled to around her elbow area.
Age: 65.0
Sex: F
Vaccine: COVID19, FLU4, TDAP
Symptoms: Erythema, Pain in extremity, Pyrexia, Tinnitus
Clinical narrative: Sore arm, redness, low grade fever  which resolved after 4-5 days Significant Tinnitus noticed 2 days after vaccinations and is ongoing. No treatment yet
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, PNC13, RV5, UNK
Symptoms: Immunisation reaction
Clinical narrative: Adverse effect of other vaccines and biological substances, initial encounter on 2023-08-10.
Age: 63.0
Sex: F
Vaccine: PPV
Symptoms: Immunisation reaction
Clinical narrative: Adverse effect of other bacterial vaccines, initial encounter on 2023-08-12.
Age: 14.0
Sex: M
Vaccine: HPV9, MNQ, UNK
Symptoms: Immunisation reaction
Clinical narrative: Adverse effect of other bacterial vaccines, initial encounter on 2023-08-24.
Age: 50.0
Sex: M
Vaccine: PPV
Symptoms: Expired product administered, No adverse event
Clinical narrative: Medical assistant injected administered an expired vaccine to the patient. There are no symptoms.
Age: 70.0
Sex: M
Vaccine: UNK
Symptoms: Laboratory test, Respiratory failure
Clinical narrative: RSV vaccine not listed Arexvy lot number 7594A  resulted in respiratory failure
Age: 68.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth, Rash
Clinical narrative: Patient presented to pharmacy roughly 48 hours after receiving Fluzone HD and Moderna Spikevax in the Left deltoid. On the same arm about 6 inches down from the injection sites the arm was red, warm, and itchy. The size of the rash was about 5 inches in diameter. Patient stated she woke up with it this morning (10/5/23) and it was that size and has not changed since.
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Lymphadenopathy, Neck pain, Pain, Pain in jaw
Clinical narrative: Pt experienced neck pain, severe headache above both ears, jaw pain radiating down left side in arm that vaccine was given. 2 days later pt experienced lymph node and face swelling. Pt saw her PCP and had already started taking benadryl, tylenol and using ice packs. MD advised pt to continue that regimen and not take her Boniva when it was due but to wait 1 week.
Age: 83.0
Sex: F
Vaccine: UNK
Symptoms: Colonoscopy, Ultrasound uterus normal, Vaginal haemorrhage
Clinical narrative: Spotting blood from the vagina. I'm 83 and not sure of when it started ... I didn't realize there might be a connection until recently. I have had two ultrasounds and the GYN said nothing shows adnormal.
Age: 76.0
Sex: M
Vaccine: FLU4
Symptoms: Arthropathy, Biopsy liver abnormal, Catheterisation cardiac normal, Endoscopy abnormal, General physical health deterioration
Clinical narrative: He got his vaccine, and he was feeling great.  He didn't feel well that night, and then the next morning he called for his wife and said that he could not get out of bed, his joints.  He was like a turtle on his back and not able to move his arms or legs like they seazed up on him.  He was taken to the doctor and they told her that what happened and said that they felt it was from the shot, and she believes that it was as well.  She started him on steroids and said that he could not stay on them forever.  His jaws could not open either the first day to eat.  She put him on the steroids and that night he was able to move his arms, legs and able to eat.  Then he was on them for a long while, and then she was worried about him and took him off of the steroids and tried everything.  When they got out of his systems he ceased up again and then put him back on the steroids.  They did a biopsy of him on the hospital last week and the results stated that he had a fatty liver due to the steroids from the vaccine.    He also has something wrong in his esophagus, a built up on his esophagus, a hiatal hernia and a mass at the bottom that goes into the stomach and all due to steroid use.  He is still on steroids as if he does not take them then he's not able to move.  His doctor said that if he does not get the steroids then he's not going to be able to eat or move and just live in the bed.    Due to pain and they thought that he was having a heart attack he was taken by ambulance to the hospital.  He had a catheterization and he had no blockages and the next day he had the endscope and found the findings from his esopahgus.  When he does not take the steroids he is not able to drive and cannot hold the steering wheel to grip it.    The doctor said that the vaccine has literally ruined his health.  He did not have any issues prior to his vaccine.  The one day he was fine, the next day he was not able to move or get out of the bed.  They called pharmacy that day as he has had flu shots for many years, and they informed her that there was something extra in it for over the 65 vaccine.
Age: 76.0
Sex: M
Vaccine: FLU4
Symptoms: Hepatic steatosis, Hiatus hernia, Immunisation reaction, Impaired driving ability, Laboratory test
Clinical narrative: He got his vaccine, and he was feeling great.  He didn't feel well that night, and then the next morning he called for his wife and said that he could not get out of bed, his joints.  He was like a turtle on his back and not able to move his arms or legs like they seazed up on him.  He was taken to the doctor and they told her that what happened and said that they felt it was from the shot, and she believes that it was as well.  She started him on steroids and said that he could not stay on them forever.  His jaws could not open either the first day to eat.  She put him on the steroids and that night he was able to move his arms, legs and able to eat.  Then he was on them for a long while, and then she was worried about him and took him off of the steroids and tried everything.  When they got out of his systems he ceased up again and then put him back on the steroids.  They did a biopsy of him on the hospital last week and the results stated that he had a fatty liver due to the steroids from the vaccine.    He also has something wrong in his esophagus, a built up on his esophagus, a hiatal hernia and a mass at the bottom that goes into the stomach and all due to steroid use.  He is still on steroids as if he does not take them then he's not able to move.  His doctor said that if he does not get the steroids then he's not going to be able to eat or move and just live in the bed.    Due to pain and they thought that he was having a heart attack he was taken by ambulance to the hospital.  He had a catheterization and he had no blockages and the next day he had the endscope and found the findings from his esopahgus.  When he does not take the steroids he is not able to drive and cannot hold the steering wheel to grip it.    The doctor said that the vaccine has literally ruined his health.  He did not have any issues prior to his vaccine.  The one day he was fine, the next day he was not able to move or get out of the bed.  They called pharmacy that day as he has had flu shots for many years, and they informed her that there was something extra in it for over the 65 vaccine.
Age: 76.0
Sex: M
Vaccine: FLU4
Symptoms: Malaise, Mobility decreased, Oesophageal disorder, Oesophageal mass, Pain
Clinical narrative: He got his vaccine, and he was feeling great.  He didn't feel well that night, and then the next morning he called for his wife and said that he could not get out of bed, his joints.  He was like a turtle on his back and not able to move his arms or legs like they seazed up on him.  He was taken to the doctor and they told her that what happened and said that they felt it was from the shot, and she believes that it was as well.  She started him on steroids and said that he could not stay on them forever.  His jaws could not open either the first day to eat.  She put him on the steroids and that night he was able to move his arms, legs and able to eat.  Then he was on them for a long while, and then she was worried about him and took him off of the steroids and tried everything.  When they got out of his systems he ceased up again and then put him back on the steroids.  They did a biopsy of him on the hospital last week and the results stated that he had a fatty liver due to the steroids from the vaccine.    He also has something wrong in his esophagus, a built up on his esophagus, a hiatal hernia and a mass at the bottom that goes into the stomach and all due to steroid use.  He is still on steroids as if he does not take them then he's not able to move.  His doctor said that if he does not get the steroids then he's not going to be able to eat or move and just live in the bed.    Due to pain and they thought that he was having a heart attack he was taken by ambulance to the hospital.  He had a catheterization and he had no blockages and the next day he had the endscope and found the findings from his esopahgus.  When he does not take the steroids he is not able to drive and cannot hold the steering wheel to grip it.    The doctor said that the vaccine has literally ruined his health.  He did not have any issues prior to his vaccine.  The one day he was fine, the next day he was not able to move or get out of the bed.  They called pharmacy that day as he has had flu shots for many years, and they informed her that there was something extra in it for over the 65 vaccine.
Age: 76.0
Sex: M
Vaccine: FLU4
Symptoms: Stomach mass, Trismus
Clinical narrative: He got his vaccine, and he was feeling great.  He didn't feel well that night, and then the next morning he called for his wife and said that he could not get out of bed, his joints.  He was like a turtle on his back and not able to move his arms or legs like they seazed up on him.  He was taken to the doctor and they told her that what happened and said that they felt it was from the shot, and she believes that it was as well.  She started him on steroids and said that he could not stay on them forever.  His jaws could not open either the first day to eat.  She put him on the steroids and that night he was able to move his arms, legs and able to eat.  Then he was on them for a long while, and then she was worried about him and took him off of the steroids and tried everything.  When they got out of his systems he ceased up again and then put him back on the steroids.  They did a biopsy of him on the hospital last week and the results stated that he had a fatty liver due to the steroids from the vaccine.    He also has something wrong in his esophagus, a built up on his esophagus, a hiatal hernia and a mass at the bottom that goes into the stomach and all due to steroid use.  He is still on steroids as if he does not take them then he's not able to move.  His doctor said that if he does not get the steroids then he's not going to be able to eat or move and just live in the bed.    Due to pain and they thought that he was having a heart attack he was taken by ambulance to the hospital.  He had a catheterization and he had no blockages and the next day he had the endscope and found the findings from his esopahgus.  When he does not take the steroids he is not able to drive and cannot hold the steering wheel to grip it.    The doctor said that the vaccine has literally ruined his health.  He did not have any issues prior to his vaccine.  The one day he was fine, the next day he was not able to move or get out of the bed.  They called pharmacy that day as he has had flu shots for many years, and they informed her that there was something extra in it for over the 65 vaccine.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site rash, Rash papular
Clinical narrative: Rash spreading inferior from injection site, with rash at injection site slightly raised.  Entire rash appx 1.5"x1.5"; raised rash area within larger rash appx 1" wide, 0.5" high/tall.
Age: 50.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site discomfort, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Discomfort deep with initial vaccine, typical tenderness after vaccine administration.  On day 2 noted redness and heat to site.   Continues to be more painful than any previous vaccine received.
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Exposure during pregnancy, Inappropriate schedule of product administration, No adverse event
Clinical narrative: Tdap given at 19 weeks of pregnancy instead of 28 weeks, when i  looked up on CDC website it stated it's recommended at 28 weeks of pregnancy however it can be given earlier and should not be repeated during the same pregnancy. No physical reaction to patient she tolerated well. EDD 02/01/2023 She has past history of pre-eclampsia in third trimester in pervious pregnancy.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood test, Electric shock sensation, Gait inability, Headache, Mobility decreased
Clinical narrative: This was my 2nd injection (first was done in 05/23).  The following morning I awoke with the feeling that I had a stroke.  I was lying in bed and initially ould not move my extremities.  I had to use my left (stronger) arm to lift my right arm.  Injectioin was in the left arm.  I had an "electrical zapping" pain in the back of my head.  I could not walk for quite awhile due to significant pain and stiffness.  I had nausea, fever, lungs hurt.  only muscle pain persists and is constant
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Musculoskeletal stiffness, Myalgia, Nausea, Neurological symptom, Pain
Clinical narrative: This was my 2nd injection (first was done in 05/23).  The following morning I awoke with the feeling that I had a stroke.  I was lying in bed and initially ould not move my extremities.  I had to use my left (stronger) arm to lift my right arm.  Injectioin was in the left arm.  I had an "electrical zapping" pain in the back of my head.  I could not walk for quite awhile due to significant pain and stiffness.  I had nausea, fever, lungs hurt.  only muscle pain persists and is constant
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Pulmonary pain, Pyrexia
Clinical narrative: This was my 2nd injection (first was done in 05/23).  The following morning I awoke with the feeling that I had a stroke.  I was lying in bed and initially ould not move my extremities.  I had to use my left (stronger) arm to lift my right arm.  Injectioin was in the left arm.  I had an "electrical zapping" pain in the back of my head.  I could not walk for quite awhile due to significant pain and stiffness.  I had nausea, fever, lungs hurt.  only muscle pain persists and is constant
Age: 36.0
Sex: U
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received 2023-2024 Moderna COVID-19 vaccine on 10/05/2023 which is sooner than recommended 60 days since last dose of bivalent vaccine on 08/17/2023.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
Clinical narrative: redness, warmth, itchiness at injection site in an area about the size of her hand
Age: 53.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Arthropod bite, Dyspnoea, Extremity necrosis, Lip pruritus, Lip swelling
Clinical narrative: Onset of difficulty breathing, lip swelling and itching approximately 15 hours after vaccination.  Tx in ER and initially diagnosed with suspected spider bite to upper arm (area proximal to L elbow, posterior arm).  Swelling and arm pain worsened and rechecked with ER and admitted to the hospital.  Necrosis to L posterior arm, proximal to elbow and rash to bil arms and legs.  Provider suspects Post vaccine purpura and immune complex induced macular popular rash.
Age: 53.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Pain in extremity, Peripheral swelling, Purpura, Rash, Rash maculo-papular
Clinical narrative: Onset of difficulty breathing, lip swelling and itching approximately 15 hours after vaccination.  Tx in ER and initially diagnosed with suspected spider bite to upper arm (area proximal to L elbow, posterior arm).  Swelling and arm pain worsened and rechecked with ER and admitted to the hospital.  Necrosis to L posterior arm, proximal to elbow and rash to bil arms and legs.  Provider suspects Post vaccine purpura and immune complex induced macular popular rash.
Age: 53.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Type III immune complex mediated reaction
Clinical narrative: Onset of difficulty breathing, lip swelling and itching approximately 15 hours after vaccination.  Tx in ER and initially diagnosed with suspected spider bite to upper arm (area proximal to L elbow, posterior arm).  Swelling and arm pain worsened and rechecked with ER and admitted to the hospital.  Necrosis to L posterior arm, proximal to elbow and rash to bil arms and legs.  Provider suspects Post vaccine purpura and immune complex induced macular popular rash.
Age: 71.0
Sex: M
Vaccine: RSV
Symptoms: Arthralgia, Fatigue, Injection site pain, Nausea
Clinical narrative: Pain at injection site Fatigue  Joint pain Nausea   Over the counter pain medication
Age: 6.0
Sex: F
Vaccine: DTAP
Symptoms: Urticaria
Clinical narrative: Patient presented back to office after going to get ice cream with hives around her eyes.  Benadryl given and hives started to resolve within 15 minutes.  Patient continued to eat ice cream comfortably in exam room.  Hives resolved within 30 minutes and patient left the office.  Mom thinks brother had reaction to combination DTAP when he was little.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Blood loss anaemia, COVID-19, Complication of delivery, Delivery, Haemoglobin
Clinical narrative: Patient is a 32 y.o. G3P3 female patient of MD with a history of SVD following IOL for severe PreE. Delivery complicated by PPH 2/2 retained placenta and lovenox VTE ppx for COVID-19 infection.    Pt received Mg ppx up until 24hrs postpartum without complication. S/p Venofer 400mg x2 prior to discharge. Discharge Hgb reviewed and trending up prior to discharge. Transaminitis resolving. Normal range BP since approx 8p DOD.    Continue iron, ibuprofen, tylenol, and colace at discharge. Resume lovenox and ASA for covid-19 until 9/21/23.     Discharge Diagnoses:   38 weeks gestation pregnancy  Severe pre-eclampsia with delivery  COVID-19 affecting childbirth  Postpartum hemorrhage Blood loss anemia Retained placenta  Lactating mother
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertransaminasaemia, Labour induction, Maternal exposure before pregnancy, Postpartum haemorrhage, Pre-eclampsia
Clinical narrative: Patient is a 32 y.o. G3P3 female patient of MD with a history of SVD following IOL for severe PreE. Delivery complicated by PPH 2/2 retained placenta and lovenox VTE ppx for COVID-19 infection.    Pt received Mg ppx up until 24hrs postpartum without complication. S/p Venofer 400mg x2 prior to discharge. Discharge Hgb reviewed and trending up prior to discharge. Transaminitis resolving. Normal range BP since approx 8p DOD.    Continue iron, ibuprofen, tylenol, and colace at discharge. Resume lovenox and ASA for covid-19 until 9/21/23.     Discharge Diagnoses:   38 weeks gestation pregnancy  Severe pre-eclampsia with delivery  COVID-19 affecting childbirth  Postpartum hemorrhage Blood loss anemia Retained placenta  Lactating mother
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Retained placenta or membranes
Clinical narrative: Patient is a 32 y.o. G3P3 female patient of MD with a history of SVD following IOL for severe PreE. Delivery complicated by PPH 2/2 retained placenta and lovenox VTE ppx for COVID-19 infection.    Pt received Mg ppx up until 24hrs postpartum without complication. S/p Venofer 400mg x2 prior to discharge. Discharge Hgb reviewed and trending up prior to discharge. Transaminitis resolving. Normal range BP since approx 8p DOD.    Continue iron, ibuprofen, tylenol, and colace at discharge. Resume lovenox and ASA for covid-19 until 9/21/23.     Discharge Diagnoses:   38 weeks gestation pregnancy  Severe pre-eclampsia with delivery  COVID-19 affecting childbirth  Postpartum hemorrhage Blood loss anemia Retained placenta  Lactating mother
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: resident covered in hives, on left arm, trunk, groin. APRN orders for Prednisone 70 mg one time, oral Benadryl po 25 mg Q 6 hours Diphendydramine HCL Sol 1 time IM
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiocardiogram, Anticoagulant therapy, Asthenia, Atrial fibrillation
Clinical narrative: Patient is a 81 y.o. female patient of No, Physician with history of HTN, HLD, macular degeneration who presented to Hospital with flu like symptom .   New onset atrial fibrillation with RVR Possible non-STEMI Prolonged Qtc  Acute on chronic systolic and diastolic heart failure exacerbation Sp a total of 30 mg IV Cardizem bolus and Lovenox 1mg/kg at Ashland FSED.  ChadVasc score: 4 (sex, age, HTN) Consult Cardiology, pending evaluation Check EKG - showing QTC >500, give 2 gram Mag Sulfate then repeat EKG. Echocardiogram report reviewed ejection fraction 20% and findings of mild diastolic dysfunction TSH.  Within normal limits Serial Troponin, elevated but steady Lipid panel within normal limit A1c 5.8 Continue aspirin, statin.  Continue heparin drip, cardiology on board consider CCTA left atrial appendage study and DCCV Start Cardizem drip on 8/25 then switch to esmolol drip per cardiology recommendation Continue IV Lasix S/p Esmolol DC Atrial flutter Discussed with cardiology at this point no plan for ischemic evaluation as an inpatient consideration outpatient stress test Status post heparin drip Continue aspirin, statin, beta-blocker, ARB and calcium channel blocker   Acute Hypoxemic Respiratory Failure multifactorial secondary to fluid overload and COVID infection Currently requiring 3L per NC. Low flow oxygen protocol. Wean as tolerated. Scheduled/PRN bronchodilators sputum culture in progress urine antigens (strep/legionella), positive for Streptococcus pneumonia Continue IV rocephin  day 5 Continue IV steroids and remdesivir, tomorrow will be day 5 then discontinue remdesivir DC oxygen via nasal cannula to assess oxygen on room air if remains stable above 95, consider discontinue IV dexamethasone We will discontinue IV dexamethasone Completing course of remdesivir today   Covid-19 Virus Infection Streptococcus pneumonia antigen bacterial pneumonia Date of onset of symptoms: 8/21/2023 Symptoms present on admission: headache, nausea, cough, weakness, fatigue, sore throat, diarrhea Date of covid positive test: 08/24/2023 Vaccination status: vaccinated Imaging: CXR Oxygen requirements on admission: 3L Current oxygen requirements: 3L Medical therapy: steroids, PRN IV Lasix.  Consultants following: cardiology and ID Anticipated special isolation end date: 8/30/2023. Follow blood and sputum cultures.  Negative so far  IV Rocephin since 8/25 IV remdesivir since 8/25, stop date 8/30 Consult ID, follow ID recommendations   Essential Hypertension Continue Amlodipine and Metoprolol.   Dyslipidemia Continue Atorvastatin.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial flutter, Blood culture negative, Blood thyroid stimulating hormone normal, CHA2DS2-VASc-score, COVID-19
Clinical narrative: Patient is a 81 y.o. female patient of No, Physician with history of HTN, HLD, macular degeneration who presented to Hospital with flu like symptom .   New onset atrial fibrillation with RVR Possible non-STEMI Prolonged Qtc  Acute on chronic systolic and diastolic heart failure exacerbation Sp a total of 30 mg IV Cardizem bolus and Lovenox 1mg/kg at Ashland FSED.  ChadVasc score: 4 (sex, age, HTN) Consult Cardiology, pending evaluation Check EKG - showing QTC >500, give 2 gram Mag Sulfate then repeat EKG. Echocardiogram report reviewed ejection fraction 20% and findings of mild diastolic dysfunction TSH.  Within normal limits Serial Troponin, elevated but steady Lipid panel within normal limit A1c 5.8 Continue aspirin, statin.  Continue heparin drip, cardiology on board consider CCTA left atrial appendage study and DCCV Start Cardizem drip on 8/25 then switch to esmolol drip per cardiology recommendation Continue IV Lasix S/p Esmolol DC Atrial flutter Discussed with cardiology at this point no plan for ischemic evaluation as an inpatient consideration outpatient stress test Status post heparin drip Continue aspirin, statin, beta-blocker, ARB and calcium channel blocker   Acute Hypoxemic Respiratory Failure multifactorial secondary to fluid overload and COVID infection Currently requiring 3L per NC. Low flow oxygen protocol. Wean as tolerated. Scheduled/PRN bronchodilators sputum culture in progress urine antigens (strep/legionella), positive for Streptococcus pneumonia Continue IV rocephin  day 5 Continue IV steroids and remdesivir, tomorrow will be day 5 then discontinue remdesivir DC oxygen via nasal cannula to assess oxygen on room air if remains stable above 95, consider discontinue IV dexamethasone We will discontinue IV dexamethasone Completing course of remdesivir today   Covid-19 Virus Infection Streptococcus pneumonia antigen bacterial pneumonia Date of onset of symptoms: 8/21/2023 Symptoms present on admission: headache, nausea, cough, weakness, fatigue, sore throat, diarrhea Date of covid positive test: 08/24/2023 Vaccination status: vaccinated Imaging: CXR Oxygen requirements on admission: 3L Current oxygen requirements: 3L Medical therapy: steroids, PRN IV Lasix.  Consultants following: cardiology and ID Anticipated special isolation end date: 8/30/2023. Follow blood and sputum cultures.  Negative so far  IV Rocephin since 8/25 IV remdesivir since 8/25, stop date 8/30 Consult ID, follow ID recommendations   Essential Hypertension Continue Amlodipine and Metoprolol.   Dyslipidemia Continue Atorvastatin.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac failure acute, Cardiac failure chronic, Chest X-ray, Condition aggravated, Cough
Clinical narrative: Patient is a 81 y.o. female patient of No, Physician with history of HTN, HLD, macular degeneration who presented to Hospital with flu like symptom .   New onset atrial fibrillation with RVR Possible non-STEMI Prolonged Qtc  Acute on chronic systolic and diastolic heart failure exacerbation Sp a total of 30 mg IV Cardizem bolus and Lovenox 1mg/kg at Ashland FSED.  ChadVasc score: 4 (sex, age, HTN) Consult Cardiology, pending evaluation Check EKG - showing QTC >500, give 2 gram Mag Sulfate then repeat EKG. Echocardiogram report reviewed ejection fraction 20% and findings of mild diastolic dysfunction TSH.  Within normal limits Serial Troponin, elevated but steady Lipid panel within normal limit A1c 5.8 Continue aspirin, statin.  Continue heparin drip, cardiology on board consider CCTA left atrial appendage study and DCCV Start Cardizem drip on 8/25 then switch to esmolol drip per cardiology recommendation Continue IV Lasix S/p Esmolol DC Atrial flutter Discussed with cardiology at this point no plan for ischemic evaluation as an inpatient consideration outpatient stress test Status post heparin drip Continue aspirin, statin, beta-blocker, ARB and calcium channel blocker   Acute Hypoxemic Respiratory Failure multifactorial secondary to fluid overload and COVID infection Currently requiring 3L per NC. Low flow oxygen protocol. Wean as tolerated. Scheduled/PRN bronchodilators sputum culture in progress urine antigens (strep/legionella), positive for Streptococcus pneumonia Continue IV rocephin  day 5 Continue IV steroids and remdesivir, tomorrow will be day 5 then discontinue remdesivir DC oxygen via nasal cannula to assess oxygen on room air if remains stable above 95, consider discontinue IV dexamethasone We will discontinue IV dexamethasone Completing course of remdesivir today   Covid-19 Virus Infection Streptococcus pneumonia antigen bacterial pneumonia Date of onset of symptoms: 8/21/2023 Symptoms present on admission: headache, nausea, cough, weakness, fatigue, sore throat, diarrhea Date of covid positive test: 08/24/2023 Vaccination status: vaccinated Imaging: CXR Oxygen requirements on admission: 3L Current oxygen requirements: 3L Medical therapy: steroids, PRN IV Lasix.  Consultants following: cardiology and ID Anticipated special isolation end date: 8/30/2023. Follow blood and sputum cultures.  Negative so far  IV Rocephin since 8/25 IV remdesivir since 8/25, stop date 8/30 Consult ID, follow ID recommendations   Essential Hypertension Continue Amlodipine and Metoprolol.   Dyslipidemia Continue Atorvastatin.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Diastolic dysfunction, Dyslipidaemia, Echocardiogram abnormal, Ejection fraction decreased
Clinical narrative: Patient is a 81 y.o. female patient of No, Physician with history of HTN, HLD, macular degeneration who presented to Hospital with flu like symptom .   New onset atrial fibrillation with RVR Possible non-STEMI Prolonged Qtc  Acute on chronic systolic and diastolic heart failure exacerbation Sp a total of 30 mg IV Cardizem bolus and Lovenox 1mg/kg at Ashland FSED.  ChadVasc score: 4 (sex, age, HTN) Consult Cardiology, pending evaluation Check EKG - showing QTC >500, give 2 gram Mag Sulfate then repeat EKG. Echocardiogram report reviewed ejection fraction 20% and findings of mild diastolic dysfunction TSH.  Within normal limits Serial Troponin, elevated but steady Lipid panel within normal limit A1c 5.8 Continue aspirin, statin.  Continue heparin drip, cardiology on board consider CCTA left atrial appendage study and DCCV Start Cardizem drip on 8/25 then switch to esmolol drip per cardiology recommendation Continue IV Lasix S/p Esmolol DC Atrial flutter Discussed with cardiology at this point no plan for ischemic evaluation as an inpatient consideration outpatient stress test Status post heparin drip Continue aspirin, statin, beta-blocker, ARB and calcium channel blocker   Acute Hypoxemic Respiratory Failure multifactorial secondary to fluid overload and COVID infection Currently requiring 3L per NC. Low flow oxygen protocol. Wean as tolerated. Scheduled/PRN bronchodilators sputum culture in progress urine antigens (strep/legionella), positive for Streptococcus pneumonia Continue IV rocephin  day 5 Continue IV steroids and remdesivir, tomorrow will be day 5 then discontinue remdesivir DC oxygen via nasal cannula to assess oxygen on room air if remains stable above 95, consider discontinue IV dexamethasone We will discontinue IV dexamethasone Completing course of remdesivir today   Covid-19 Virus Infection Streptococcus pneumonia antigen bacterial pneumonia Date of onset of symptoms: 8/21/2023 Symptoms present on admission: headache, nausea, cough, weakness, fatigue, sore throat, diarrhea Date of covid positive test: 08/24/2023 Vaccination status: vaccinated Imaging: CXR Oxygen requirements on admission: 3L Current oxygen requirements: 3L Medical therapy: steroids, PRN IV Lasix.  Consultants following: cardiology and ID Anticipated special isolation end date: 8/30/2023. Follow blood and sputum cultures.  Negative so far  IV Rocephin since 8/25 IV remdesivir since 8/25, stop date 8/30 Consult ID, follow ID recommendations   Essential Hypertension Continue Amlodipine and Metoprolol.   Dyslipidemia Continue Atorvastatin.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram QT prolonged, Essential hypertension, Fatigue, Glycosylated haemoglobin normal, Headache
Clinical narrative: Patient is a 81 y.o. female patient of No, Physician with history of HTN, HLD, macular degeneration who presented to Hospital with flu like symptom .   New onset atrial fibrillation with RVR Possible non-STEMI Prolonged Qtc  Acute on chronic systolic and diastolic heart failure exacerbation Sp a total of 30 mg IV Cardizem bolus and Lovenox 1mg/kg at Ashland FSED.  ChadVasc score: 4 (sex, age, HTN) Consult Cardiology, pending evaluation Check EKG - showing QTC >500, give 2 gram Mag Sulfate then repeat EKG. Echocardiogram report reviewed ejection fraction 20% and findings of mild diastolic dysfunction TSH.  Within normal limits Serial Troponin, elevated but steady Lipid panel within normal limit A1c 5.8 Continue aspirin, statin.  Continue heparin drip, cardiology on board consider CCTA left atrial appendage study and DCCV Start Cardizem drip on 8/25 then switch to esmolol drip per cardiology recommendation Continue IV Lasix S/p Esmolol DC Atrial flutter Discussed with cardiology at this point no plan for ischemic evaluation as an inpatient consideration outpatient stress test Status post heparin drip Continue aspirin, statin, beta-blocker, ARB and calcium channel blocker   Acute Hypoxemic Respiratory Failure multifactorial secondary to fluid overload and COVID infection Currently requiring 3L per NC. Low flow oxygen protocol. Wean as tolerated. Scheduled/PRN bronchodilators sputum culture in progress urine antigens (strep/legionella), positive for Streptococcus pneumonia Continue IV rocephin  day 5 Continue IV steroids and remdesivir, tomorrow will be day 5 then discontinue remdesivir DC oxygen via nasal cannula to assess oxygen on room air if remains stable above 95, consider discontinue IV dexamethasone We will discontinue IV dexamethasone Completing course of remdesivir today   Covid-19 Virus Infection Streptococcus pneumonia antigen bacterial pneumonia Date of onset of symptoms: 8/21/2023 Symptoms present on admission: headache, nausea, cough, weakness, fatigue, sore throat, diarrhea Date of covid positive test: 08/24/2023 Vaccination status: vaccinated Imaging: CXR Oxygen requirements on admission: 3L Current oxygen requirements: 3L Medical therapy: steroids, PRN IV Lasix.  Consultants following: cardiology and ID Anticipated special isolation end date: 8/30/2023. Follow blood and sputum cultures.  Negative so far  IV Rocephin since 8/25 IV remdesivir since 8/25, stop date 8/30 Consult ID, follow ID recommendations   Essential Hypertension Continue Amlodipine and Metoprolol.   Dyslipidemia Continue Atorvastatin.